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Background: The aim of this study is to assess the validity of the measurement of pepsinogen as a screening test for chronic atrophic gastritis (AG) in health check-up populations in China.Methods: Patients from consecutive regular health check-up were enrolled from January 2014 to June 2015. Endoscopy, combined with monitoring the Helicobacter pylori (Hp) infections, and measuring the serum pepsinogen (PG) were used to determine the diagnostic accuracy of PG for the screening of atrophic gastritis. Histopathology was assessed by the Operative Link on Gastritis Assessment (OLGA) system. Statistical analysis was performed using SPSS statistical software.Results: The total Hp infection rate was 40%. Based on pathology, the 996 participants were divided into three groups: non-atrophic (NAG), mild-moderate atrophic (MAG): stage I and II of the OLGA classification, and severe atrophic (SAG): stage III and IV of the OLGA classification. Compared with NAG and MAG groups, PGR decreased significantly in SAG group (p < 0.05). PGI and PGII levels were significantly elevated in Hp-positive group, while the PGR was markedly decreased (p < 0.01). When MAG and SAG groups were combined and compared with NAG group, the best cutoff value for atrophy diagnosis was PGI ≤50.3 ng/ml; the cutoff value in Hp-negative group was absolutely higher than in Hp-positive group. When NAG and MAG groups were combined and compared with the SAG group, the best cutoff value for diagnosis of severe atrophy was at PGR ≤4.28. The cutoff values in Hp-negative and Hp-positive groups were calculated at PGR ≤6.28 and ≤4.28, respectively.Conclusions: Pepsinogens play an important role in the identification of patients with atrophic gastritis and severe AG. Use of different cutoff values of PG for Hp-negative and Hp-positive groups may offer greater efficacy in the diagnosis of AG. [ABSTRACT FROM AUTHOR]

Aim Of Study: For the tumor lesions close to capsule of the liver, traditional percutaneous radiofrequency ablation (PRFA) is limited due to high incidence of postoperative complications. The aim of the present study is to whether laparoscopic combined with PRFA (LCPR) could effectively ablate the tumor lesions close to capsule of the liver.Methods: A total of 119 patients with subcapsular hepatocellular carcinoma (HCC) were divided into two groups: PRFA group (89 patients) and LCPR group (30 patients). RFA was accomplished through cool-tip RFA system. For LCPR, PRFA was first carried out to destroy tumors deep inside the liver tissue. Then, laparoscopic RFA was performed under the guide of laparoscopic view and destroyed the superficial part of the tumor. Postoperative morbidity and technique effectiveness between two groups were evaluated.Results: In PRFA group, the rate of fever was 70.8% (63/89), and two patients had gallbladder damage. Five patients had ascites. Pain was found in 26 patients (29.2%). In LCPR group, the rate of fever was 22/30 (73.3%). Two patients had ascites and only two patients complained of pain. In PRFA group, 77.5% (69/89) of the tumors were totally ablated, and in LCPR, 93.3% (28/30) of the tumors were destroyed without any residuals.Conclusion: LCPR could significantly reduce the incidence of postoperative pain and the rate of regional tumor residuals compared to the PRFA, suggesting this method could potentially be useful for subcapsular HCC ablation treatment. [ABSTRACT FROM AUTHOR]

Aims Forest height is a major factor shaping geographic biomass patterns, and there is a growing dependence on forest height derived from satellite light detecting and ranging (liDar) to monitor large-scale biomass patterns. However, how the relationship between forest biomass and height is modulated by climate and biotic factors has seldom been quantified at broad scales and across various forest biomes, which may be crucial for improving broad-scale biomass estimations based on satellite liDar. Methods We used 1263 plots, from boreal to tropical forest biomes across China, to examine the effects of climatic (energy and water availability) and biotic factors (forest biome, leaf form and leaf phenology) on biomass--height relationship, and to develop the models to estimate biomass from forest height in China. Important Findings (i) Forest height alone explained 62% of variation in forest biomass across China and was far more powerful than climate and other biotic factors. (ii) However, the relationship between biomass and forest height were significantly affected by climate, forest biome, leaf phenology (evergreen vs. deciduous) and leaf form (needleleaf vs. broadleaf). among which, the effect of climate was stronger than other factors. The intercept of biomass--height relationship was more affected by precipitation while the slope more affected by energy availability. (iii) When the effects of climate and biotic factors were considered in the models, geographic biomass patterns could be well predicted from forest height with an r² between 0.63 and 0.78 (for each forest biome and for all biomes together). For most biomes, forest biomass could be well predicted with simple models including only forest height and climate. (iv) We provided the first broadscale models to estimate biomass from forest height across China, which can be utilized by future liDar studies. (v) our results suggest that the effect of climate and biotic factors should be carefully considered in models estimating broad-scale forest biomass patterns with satellite liDar. [ABSTRACT FROM AUTHOR]

This article examines the chastity cult in China during the High Qing (c.1680-1830) era. It focuses on the physical characteristics and the cultural implications of chastity arches built in Huizhou (Anhui) during the eighteenth century. Using both written texts and evidence from extant arches, this article explores how these monumental objects served as a forum through which the ideology of female fidelity was constructed and perceived by different constituents including the Manchu court, wealthy Huizhou merchants, and resident commoners. These three groups had different attitudes toward the value of these chastity arches, and thus, this study reveals a dynamic and contradictory picture of how the chastity cult was contested and negotiated in the local community of Huizhou during the late imperial period. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to investigate the prevalence and epidemiological characteristics of hypertension in the Chinese She ethnic minority in Fujian province of China. After analyzing relevant risk factors of hypertension, we wanted to provide information for prevention and control of hypertension in this ethnic minority. Methods: Using the stratified and cluster methods, we randomly selected 5,350 She subjects for a questionnaire survey. Their weight, height and blood pressure were measured. Hypertension was defined as a mean systolic blood pressure of ≥140 mm Hg or a diastolic blood pressure of ≥90 mm Hg, or use of antihypertensive medication. SPSS 13.0 software was used for database building and the χ2 test for statistical analysis. Results: The number of patients with hypertension was 1,931 (prevalence 36.09%) and 71.15% of them (1,374 patients) were undiagnosed. The prevalence of hypertension increased with age and was associated with education levels, occupation, body mass index, smoking, salt intake levels and a lack of health concepts. Conclusions: The prevalence of hypertension in the She has grown rapidly, which is closely correlated with lifestyle and lack of health education of hypertension. The prevention and control of hypertension in the She is imperative, and the promotion of health education on hypertension can be improved to enhance awareness, prevention, and control of hypertension. Copyright © 2011 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]