1.Menopausal hormone therapy on breast lesions in perimenopausal women
Lin MA ; Jian HUANG ; Linjie CHEN ; Xiangming LOU ; Jian ZHOU ; Jianyu XIA ; Chenlei LU ; Hongyan WU ; Zhifen ZHANG
Journal of Preventive Medicine 2019;31(9):882-885
Objective:
To explore the correlation between menopausal hormone therapy(MHT)and breast lesions in perimenopausal women,and to provide evidence for safe use of MHT.
Methods:
The 40-60 year-old women who visited Hangzhou Women's Hospital and met the diagnostic criteria for perimenopausal syndrome were recruited. The intervention group received MHT and was divided into three subgroups according to the MHT regimen:estrogen-progesterone cycle therapy(A),estrogen-progesterone continuous therapy(B),estrogen therapy(C). The control group did not receive MHT. All the patients received regular mammography to quantify and evaluate breast lesions. The generalized estimating equation was used to analyze the changes of breast lesions between different groups.
Results:
There were 80 cases in the intervention group,with 49 in group A,26 in group B,5 in group C,and 80 cases in the control group. After two years of follow-up,there was no statistically significant differences of time,group and interaction in breast density,volume of breast fibrous tissue and the volume of breast between three intervention groups and the control group(P>0.05); there was no statistically significant differences of group and interaction in positive rate of calcification and breast mass between the intervention group and the control group(P>0.05).
Conclusion
Receiving MHT intervention for two years did not increase the risk of breast lesions.
2.Research progress on the pathogenesis of attention deficit hyperactivity disorder based on the theory of Dopamine deficits
Rongyi ZHOU ; Bingxiang MA ; Yongting ZHANG ; Xinyue XIE ; Chenlei WU ; Xueying DING
Chinese Journal of Applied Clinical Pediatrics 2023;38(8):623-628
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in childhood, which seriously affects physical and mental health in children.Its etiology and pathogenesis are complex and have not been fully elucidated.Currently, the theory of Dopamine (DA) deficits has been widely recognized and studied in the international academic community.The DA system is considered as the key to the pathogenesis of ADHD.The causes of DA deficits are complex.In addition to the well-established reuptake disorder caused by abnormal DA transporter function, DA deficits are also associated with the activation of DA vesicle cycle enzymatic inactivation, vesicle transport dysfunction, and receptor dysfunction, which are of great significance in analyzing disease pathogenesis and drug development.This article reviews the research on the causes of DA deficits proposed in recent years based on the theory of DA deficits, aiming to provide ideas and references for the research on the pathogenesis of ADHD in China.