Objective To investigate the effect of iron on measurement of bone mineral density(BMD)by quantitative computed tomography(QCT)and to establish a correction equation to exclude the effect of iron by using R2*.Methods A total of 15 water models containing different concentrations of iron were prepared by analyzing pure anhydrous calcium chloride and 100 mg/mL iron dextran injection.Each water model was scanned by CT and MRI under the same conditions,and the CT,QCT BMD and R2*val-ues were measured.The correlation analysis was performed between iron concentration and CT value,and QCT BMD value.Simple linear regression analysis was performed between iron concentration and QCT BMD value,between QCT BMDiron and R2*.Results There was a significant positive correlation between iron concentration and CT value,and QCT BMD value(rCT value=0.994,P＜0.001,rQCT BMD=0.993,P＜0.001).The simple linear regression equation between iron concentration and QCT BMD value was established:y=2.34x+159(x:iron concentration,y:QCT BMD).The correction equation was:QCT BMDcorrection=QCT BMDmeasurement-0.093 R2*+0.434.Conclusion Under ideal conditions,iron has an effect on measurement of BMD by QCT,and iron reduces the accuracy of measure-ment of BMD by QCT.The effect of iron on measurement of BMD by QCT needs to be corrected by correction equation.

Stroma is the major part of cornea.The factors maintain corneal stroma transparency include the ultrastructural anatomy and physiology of the cornea and its cellular and extracellular components.During corneal development,neural crest cells and keratoblasts differentiate into keratocytes,which synthesize high levels of collagen and proteoglycans.The production and assembly of collagen fibers need a series of intracellular and extracellular components.The assembled collagen fibers deposite in ECM,assemble into high-order structures to synthesize small fiber bundles,and then form a larger structure in a particular tissue.Corneal wound healing is completed in highly coordinate by various cells and cytokines in time and space.The keratocytes phenotype changes and the remodeling of corneal stroma ECM are two important factors in this process.Corneal refractive surgery are carried out in the worldwide,although most corneal refractive surgery are successful,But the stromal opacity formed during the remodeling of corneal stroma is the most important cause of visual impairment and visual quality decline after refractive surgery.Well understanding the course of stroma remodeling after corneal injury,is meaningful for the exploration of decreasing corneal opacity formation.In this paper,the corneal stroma structure and its synthesis and assembly,the pathophysiological process of stroma remodeling in corneal wound healing and after corneal refractive surgery were reviewed.

Objective By comprehensively applying the integrated technology acceptance model,we explore the accept-ability of"6S management work"among members within the medical group and analyze important influencing factors.This pro-vides theoretical support and practical guidance for promoting work progress and sustainable development.Methods In order to determine the specific items for the questionnaire,a combination of literature review and expert consultation methods was used.The entire hospital staff was stratified sampled proportionally,and an online survey was conducted to collect feedback on the ac-ceptability from 354 employees who had been employed and stably served in the hospital before 2024.The questionnaire results were statistically described using SPSS 27.0 to clarify the current satisfaction with management work and the relevant factors.Results The community influence was the highest in the independent variable with a score of(2.11±0.91),followed by per-formance expectation with a score of(2.11±0.75),and giving expectation scored the lowest with a score of only(1.99±0.46).The dependent variables of behavioural intention and satisfaction scored(1.96±0.75)and(1.97±0.85)respectively.Conclusion Using the key factors influencing the behavioural intentions and satisfaction of medical group members,such as co-operation,community influence,performance expectations,and payment expectations,recommendations are made for the contin-uous optimization of the"6S management"process.

Objective:To explore the effect of childhood trauma on non-suicidal self-injury and the chain mediating effect of rejection sensitivity and experiential avoidance.Methods:From June 2021 to April 2022, totally 1 130 college students were investigated with childhood trauma questionnaire-short form(CTQ-SF), the tendency to expect rejection scale, acceptance and action questionnaire-2nd edition(AAQ-Ⅱ) and Ottwa self-injury inventory(OSI). SPSS 25.0 and Mplus 8.0 software were used for descriptive analysis, Spearman correlation analysis, structural equation model construction and Bootstrap mediation effect test.Results:Correlation analysis showed that childhood trauma (34.64±8.25), rejection sensitivity (58.02±9.54), experiential avoidance (23.90±7.96) and non-suicidal self-injury (0(0, 1)) were all significantly positively correlated with each other( r=0.163-0.532, all P<0.01). Structural equation model showed that empirical avoidance played a partial mediating effect between childhood trauma and non-suicidal self-injury in college students, with an effect size of 0.045(95% CI=0.013-0.084). Rejection sensitivity and experiential avoidance played a chain mediating effect between childhood trauma and non-suicidal self-injury in college students, with an effect size of 0.017(95% CI=0.005-0.035). Conclusion:Childhood trauma can directly predict non-suicidal self-injury in college students, and it can also indirectly predict non-suicidal self-injury through the partial mediation effect of experiential avoidance and the chain mediation effect of rejection sensitivity and experiential avoidance.

Epilepsy is a common chronic neurological disorder caused by abnormal electrical activity in the brain,and its pathogenesis has not been fully clarified.In recent years,more and more studies have shown that iron,zinc and copper in the brain are involved in the occurrence and development of epilepsy.These metal ions possibly play a role in epileptogenesis by affecting neuronal excitability and signal transduction through alterating ion channel function,potential balance,action potential propagation,redox and so on.In this review,we mainly analyse the effects of these metal ions on epilepsy,in order to explore the underlying mechanisms of epilepsy and provide promising therapeutic strategies for epilepsy based on metal ions.

Heat shock protein 70(HSP70)is a highly conserved polypeptide protein,which plays an im-portant role in protein homeostasis,apoptosis,invasion and cell signaling transduction. Many studies have shown that the expression level of HSP70 is closely related to the development and progression of tumor,which is a low expression in normal tissues and the overexpression in tumor tissue. Hepatocellular carcinoma ( HCC ) is con-cealed,and the related study reported that the expression of HSP70 can be used as a sensitive biological index for the diagnosis and differential diagnosis for early HCC,and also affects the treatment and prognosis of patients with HCC. This article will summary the relationship between the expression of HSP70 and HCC.

Objective:To explore the effects of neural precursor cell-expressed developmentally down regulated 8(NEDD8) covalent modification on ovarian cancer cell proliferation and apoptosis,and the possible underlying mechanisms.Methods:Use different concentrations of MLN4924 (0,0.125,0.25,0.5 mol/L) and human ovarian cancer cell line SKOV3,the expression levels of PAR3, HER2,Neddylated-cullins,P-IκBα were detected by Western blot and the secretion of IL-6 was measured by ELISA after 4 h treatment.The cell proliferation was determined by CCK-8 staining and the cell cycle and apoptosis were analyzed by flow cytometry after 72 h treatment.Results:MLN4924 inhibits the proliferation of SKOV3 cells in a dose-dependent manner,which is associated with reduced IL-6 secretion.Western blot revealed that MLN4924 dose-dependently inhibits the neddylation of cullins(reduced neddylated-cullins) and induced the accumulation of P-IκBα,whereas the expression levels of PARs and HER2 remained largely unchanged.At the same time MLN4924 dose-dependently induced cell cycle prove at S phase and the formation of a large number of tetraploids.Furthermore,apoptosis increased with the dose of MLN4924.Conclusion:NEDD8 covalent modification specific inhibitor MLN4924 can significantly inhibit the proliferation of SKOV3 cells and induce cell cycle arrest and apoptosis.The above inhibitory effects may partially result from impaired P-IκBα degradation and IL-6 secretion.

Objective: To develop a child simple constraint mattress with good permeability,soft,comfort,safe and easily cleanable so as to effectively avoid accidents,such as falling from bed,bump injury,scratch and hurting others.Methods: 70 hospitalized children who need restrictive measures were randomly selected in this research and were divided into observation group(35 cases)and control group(35 cases)according to the time sequence of hospitalization.The constraint mattresses was used for children of observation group,and traditional constraint bands of wrist were used for children of control group.And the effectiveness,safety,comfort,convenience and parental satisfaction of the two constraint tools were observed.Results: The effectiveness,safety,comfort,convenience and satisfaction of constraint measure of observation group were significantly higher than those of control group(x2=10.27,x2=15.97,x2=19.09,x2=3.97,x2=15.88,P＜0.05).Conclusion: The constraint effect of simple constraint mattress is better than that of traditional constraint band of wrist.

Cardiovascular disease(CVD)poses a significant public health challenge in China,with both incidence and mortality rates increasing.The role of macrophage metabolic reprogramming in CVD has garnered growing attention due to its direct connection to the pathogenesis of the disease and potential therapeutic interven-tions.Glutamine(GLN),a fundamental energy source for macrophages,plays a crucial role in this context.Altera-tions in GLN metabolism have substantial effects on macrophage phenotypic transformation,functional performance,and adaptive responses in the context of CVD.Therefore,this review aims to investigate the impact of GLN metabolic reprogramming on macrophages'contribution to the pathogenesis of CVD,specifically focusing on its involvement in atherosclerosis,myocardial infarction,and other cardiovascular conditions.Additionally,it will evaluate the poten-tial of targeting GLN metabolic pathways as a therapeutic strategy.

Diabetic nephropathy(DN)is a prevalent and signif-icant complication of both type 1 and type 2 diabetes mellitus,representing one of the primary causes of end-stage renal disease worldwide.Non-coding RNA is a class of heterogeneous RNA molecules,mainly divided into circular RNA(circRNA),mi-croRNA(miRNA)and long non-coding RNA(lncRNA).Nu-merous studies have shown that non-coding RNA can be used as a potential target and biomarker for DN therapy.Recent studies have highlighted the efficacy of active components in traditional Chinese medicine as either primary or alternative therapies for DN by modulating ncRNA expression,thereby yielding favorable clinical outcomes.This review primarily focuses on the advance-ments in circRNA,miRNA,and lncRNA research within diabet-ic nephropathy while exploring the current status of Chinese medicine interventions targeting ncRNAs in this context.The aim is to provide new targets and new ideas for exploring new prevention measures of DN.