Objective To analyzer the clinical significance of the Xpert MTB/RIF method for rapidly detecting Mycobacterium tuberculosis(MTB) and rifampicin resistance in clinic.Methods A total of 552 sputum samples were collected from the patients in the Huizhou Municipal Institute of Tuberculosis Prevention and Control and tuberculosis departments in 5 counties and districts from January 2015 to December 2015.Smear microscopic examination ,Xpert MTB/RIF nucleic acid detection and improved Roche culture were performed.The samples of culture positive were performed the drug susceptibility test.The sensitivity ,specificity of various methods for detecting MTB were evaluated.The results of conventional susceptibility test and Xpert MTB/RIF for detec-ting rifampicin resistance were compared and analyzed.Results Compared with the Roche culture method ,the sensitivity and speci-ficity of Xpert MTB/RIF for detecting MTB were 95.3% and 93.1%.In the comparison of drug resistance detection results ,the sensitivity and specificity of rifampicin resistance in all positive samples were 82.1% and 97.8%.In the consistency analysis of Xpert MTB/RIF and improved Roche culture for detecting MTB classification ,kappa=0.688 ,indicating that the results of the two methods had good consistency.Conclusion The Xpert MTB/RIF method can be used in MTB early rapid detection and screening of rifampicin resistance detection ,which is conducive to clinical rapid decision.

Objective:To investigate the status of dyadic coping among patients with lung cancer and their spouses, and explore the related factors of dyadic coping.Methods:A convenience sample of 227 patients with lung cancer and their spouses were selected. The measurements of socio-demographic questionnaire, Dyadic Coping inventory (DCI), the Quality of Relationship index (QRI) and Connor-Davidson Resilience Scale (CD-RISC-10) were used to assess the general information, dyadic coping, relationship satisfaction and resilience, respectively.Results:The DCI score of patients were (3.13±0.89) points; the DCI score of spouses were (3.03±0.93) points; the scores of DCI were significant correlated between patients and their spouses ( r values were 0.248-0.632, P<0.01). The relationship satisfaction ( β values were 0.421, 0.474, P<0.01) and resilience ( β values were 0.374, 0.211, P<0.01) were the significant predictor of dyadic coping. Meanwhile, partner effects for patients′ resilience ( β value was 0.193, P<0.05) and spouse′ relationship satisfaction ( β value was 0.237, P<0.01) were also significant. Conclusions:Moderate dyadic coping were occurred among patients with lung cancer and their spouses. Relationship satisfaction and resilience were the mainly predictors for dyadic coping. To improve relationship satisfaction and enhance resilience might be an effective approach to promote positively dyadic coping.

Objective To investigate the effect and mechanism of osteopontin(OPN)in hepatoma cell migration through galectin-3 binding protein(LGALS3BP).Methods Human hepatoma cell lines SMMC-7721,SMMC-P(stably transfected with empty eukaryotic expression vectors),and SMMC-OPN(stably transfected with the OPN gene)were cultured.mRNA expression levels of OPN and LGALS3BP were measured by RT-qPCR.Western blot assays were used to analyze the relative protein expression of OPN and LGALS3BP and PI3K/AKT pathway.Wound healing assays were performed to explore the cell migration ability.After transfection with LGALS3BP-targeting small interfering RNA(si-LGALS3BP)or negative control small RNA(si-NC)into SMMC-OPN cells,cell migration and relative expression of PI3K/AKT pathway-related proteins were assessed.Results Compared with SMMC-7721 and SMMC-P,the migratory ability of SMMC-OPN cells was significantly reinforced,and expression of LGALS3BP was obviously upregulated at both mRNA and protein levels.Moreover,relative expression of p-PI3K/PI3K and p-AKT/AKT proteins was significantly increased.Wound healing assays showed that the si-LGALS3BP obviously suppressed the migratory ability of SMMC-OPN cells.Furthermore,relative expression of p-PI3K/PI3K and p-AKT/AKT proteins in SMMC-OPN cells was significantly decreased after transfection of si-LGALS3BP.Conclusions OPN activates the PI3K/AKT pathway by upregulating LGALS3BP expression to promote hepatoma cell migration.