Objective To investigate the drinking pattern and the condition of alcoholic fatty liver disease in a certain coal mine workers in Shanxi Province.Methods A total of 1501 workers in a coal mine in Shanxi Province were surveyed by field investigation method.Contents include questionnaire, physical measurement, abdominal ultrasound liver and fasting blood glucose, blood lipid, liver function, cholesterol, blood biochemical indicator detection.ALD diagnostic criteria for fatty liver and alcoholic liver disease group were .recommended by the Chinese Medical Association in 2010.The t test,X2 test and multiariable logistic regression analysis were conducted by SPSS17.0 software.Results This study involved ALD patients with 265 people, accounting for 17.65％ of the total survey.The drinking pattern, such as drinking patterns in the initial drinking age,long duration of drinking, drinking frequency, drunkenness, fasting drinking, average daily alcohol intake as the risk factors of alcoholic liver disease.The Logistic regression analysis of alcoholic liver disease related factors showed that, drinking age, drinking way and daily average alcohol intake were closely related to the occurrence of ALD(OR=0.942,P=0.769;OR=2.811,P=0.000;OR=1.756,P=0.000;OR=542.844,P=0.001) .Conclusion In the coal mine workers, drinking pattern in the initial drinking age, drinking age, daily average alcohol intake are closely related to ALD illness.

AIM: To investigate that nicotine inhibits HMGB1 expression and release in RAW264.7 cells.METHODS: (1) RAW264.7 cells were cultured in 6 wells plate, treated with 250 μg/L LPS and 1 μmol/L or 10 μmol/L nicotine, in which the cells treated with or without 250 μg/L LPS were regarded as nicotine 1 group (N1), nicotine 2 group (N2), LPS group (LPS) and control group (C), respectively. HMGB1 protein in the cell culture media and in cell nuclear was examined by Western blotting and the cellular HMGB1 mRNA level was detected by RT-PCR. (2) Transfected with antisense RNA or sense RNA of α~7 subunit-containing nicotinic receptor (α~7nAChR), RAW264.7 cells were treated with 250 μg/L LPS and 10 μmol/L nicotine, HMGB1 protein in the culture media was also tested by Western blotting.RESULTS: (1) HMGB1 mRNA level in C group was low (1 659.20±121.05) and no significant statistical difference among groups of N1, N2 and LPS was observed (P>0.05). (2) Higher HMGB1 accumulation in the cell culture media was detected in LPS group (445.34±28.52) than that in C group. Compared to LPS group, both N1 and N2 groups distinctly attenuated HMGB1 accumulation in culture media (P<0.05). (3) Nuclear HMGB1 accumulation was lower in LPS group than that in C group, and two different nicotine concentrations markedly increased the nuclear HMGB1 accumulation compared to LPS group (P<0.05). (4) No significant difference of HMGB1 levels in culture media between antisense RNA group and LPS group was observed (P>0.05). In sense RNA group, however, HMGB1 level was observably reduced compared to antisense group (P<0.05).CONCLUSION: The present results suggest that nicotine dramatically inhibits RAW264.7 cell nuclear HMGB1 translocation and extracellular release, and this effect relies on α~7nAch receptor expression.

BACKGROUND:Transpedicular transdiscal lumbar screw is a new type of spinal minimally invasive internal fixation technology.Compared with traditional bilateral pedicle screws,only one screw is needed to fix one segment on one side.It has the characteristics of being more economical,less trauma and easy to operate.However,studies on the application of transpedicular transdiscal lumbar screws combined with transforaminal lumbar interbody fusion(TLIF)and fixation are still rare. OBJECTIVE:To evaluate the effect of TLIF combined with various surgery methods on stress distribution of cage,fixation,disc lower and endplate and range of motion of lumbar vertebrae by constructing three kinds of finite element models including modified TLIF(cage alone)model,modified TLIF combined with bilateral pedicle screw(cage+BPS)model and modified TLIF combined with bilateral transpedicular transdiscal lumbar screw(cage+BTPTDS)model. METHODS:The CT images of the adult lumbar spine were used to establish the three kinds of TLIF finite element models:cage alone,cage+BPS and cage+BTPTDS using software Mimics,Geomagic and SolidWorks.ANSYS Workbench was used to simulate the application of six different motion loads of human body flexion and extension,left and right bending,and left and right rotation to calculate stress distribution and the changes in the range of motion of the lumbar spine of the cage,fixation,endplate and disc of the three lumbar spine surgery models and to compare the effects of three surgical options on the biomechanical effects of the lumbar spine. RESULTS AND CONCLUSION:(1)The cage alone model,cage+BPS model and cage+BTPTDS model were constructed successfully.(2)In flexion and lateral bending conditions,the maximum stress of the cage of cage+BTPTDS model was smaller than that of the cage alone model and a little greater than that of the cage+BPS model.In the extension condition,the maximum stress of the cage of the cage+BPS model was obviously smaller than that of the other two models.When it came to rotating condition,the maximum stress of the cage in the cage+BPS model and the cage+BTPTDS model presented no obvious difference,which was both smaller than the cage alone model.(3)The maximum stress of fixation of the cage+BTPTDS model was obviously bigger than the cage+BPS model in flexion and extension conditions,close to the cage+BPS model in lateral bending conditions,and smaller than the cage+BPS model in rotation conditions.(4)The maximum stress of the lower endplate of the fusion segment of the cage+BPS model was between the two other models.(5)In terms of the range of motion,the cage+BTPTDS model presented no obvious difference with that of the cage+BPS model at flexion and extension,left and right bending,and left and right rotation.(6)It is concluded that modified TLIF combined with transpedicular transdiscal lumbar screw provides stable support for the vertebral body of the fusion segment,ensures the motion range of the lumbar spine and has a good biomechanical effect.