Objective To investigate the endothelial dysfunction in pre-hypertension and its influencing factors.Methods A total of 373 youth were divided as the subjects into hypertension group (HBP group),prehypertension group (PHT group) and normal blood pressure group (NBP group).Endothelial function was assessed based on carotid intima-media thickness (IMT),brachial artery flow-mediated dilation (FMD) and brachial-ankle pulse wave velocity (baPWV).Results IMT and baPWV in PHT group were higher than those in NBP group (P＜0.05),but did not reach the significant difference when compared with HBP group (P＞0.05).Compared with HBP,the levels of FMD in PHT group significantly increased (P＜ 0.05);however,no difference was observed in comparison with NBP group (P＞0.05).In the early stage of hypertension,diastolic BP (β=-0.120,P＜0.05) and body mass index (β=-0.115,P＜0.05) were negatively correlated with FMD;diastolic BP (β=0.146,P＜0.05),2-hour glucose (β=0.147,P＜0.05),high-density lipoprotein cholestrol (β=0.150,P＜0.05),and waist-hip ratio (β=0.126,P＜0.05) showed a positive correlation with IMT.baPWV was correlated with systolicBP (β=0.358,P＜0.01),waist circumference (β=0.254,P＜0.05),fasting glucose (β=0.155,P＜0.05),postprandial 2 h blood glucose (β =0.152,P ＜0.05),uric acid (β =0.206,P ＜ 0.05),and C-reactive protein (β=0.099,P＜0.05).Corclusion Our study shows that endothelial dysfunction may exist in the prehypertensive young,and several cardiovascular risks contribute to its development in the early stage of hypertension.

Skin tears are a common type of clinical skin injury, with the incidence increasing year by year, especially to the elderly, causing poor wound healing, prolonged hospital stays and decreased degree of activity. Prevention and treatment of skin tears have brought tremendous challenges to health care workers, patients and their caregivers. Investigation results are not comparable due to different investigation tools on skin tears of different people from different countries, causing it impossible to make unified standard on management strategies of skin tears. Research progress of investigation tools on skin tears is reviewed in this paper.

Objective:To investigate the efficacy of micro-video based on WeChat platform combined with bilingual standardized patients on clinical practice of dermatovenerology in international medical students.Methods:A total of 56 international clinical medical students from China Medical University who had their clinical practice class from May 2017 to June 2017 in Shengjing Hospital of China Medical University were selected as research objects, and were randomly divided into the experimental group and the control group. New teaching method of micro-video based on WeChat platform combined with bilingual standardized patients was applied in the experimental group and the traditional teaching method was used in the control group. After courses, the theoretical examination, clinical case assessment and satisfaction degree of the two groups were compared to assess the learning effect. All statistical analyses were performed with the independent sample t-test and Chi-square test with SPSS 21.0 software.Results:There was no significant difference in the theoretical test scores between two groups ( t=1.48, P=0.144), but the scores of the clinical case test in the experimental group were significantly better than those in the control group ( t=2.22, P=0.031). Results of satisfaction survey showed that more foreign students preferred new teaching methods, with a statistically significant difference ( χ2=7.24, P=0.007); in terms of consolidating theoretical knowledge ( χ2=4.766, P=0.029), motivating learning interest ( χ2=4.073, P=0.044), enhancing clinical practice skills ( χ2=4.667, P=0.031), promoting communication ability with patients ( χ2=6.411, P=0.011) and improving learning effect ( χ2=4.667, P=0.031), foreign students were more satisfied with new teaching methods, with a statistically significant difference. Conclusion:In the dermatovenerology clinical practice among international medical students, application of micro-video based on WeChat platform combined with bilingual standardized patients can improve the teaching effect, which can be further popularized and applied as a new teaching method.

Objective To observe the value of 18F-FDG PET/CT semi-quantitative parameters for predicting spread through air spaces(STAS)of clinical stage Ⅰa—Ⅲa lung adenocarcinoma.Methods Data of 85 patients with clinical stage Ⅰa—Ⅲ a lung adenocarcinoma who underwent preoperative 18F-FDG PET/CT were retrospectively analyzed.The patients were divided into positive group(n=23)or negative group(n=62)according to whether pathology showed STAS or not.Clinical and PET/CT data were compared between groups,and logistic analysis was performed to explore the efficacy of each parameter for predicting STAS.Results Significant differences of gender,carcinoma embryonic antigen,clinical stage,pathological grade,micropapillary growth and proportion were found between groups(all P＜0.05).The maximum,the mean,the peak standard uptake value(SUVmax,SUVmean,SUVpeak),as well as the maximum,the mean and the peak standard uptake value normalized by lean body mass(SULmax,SULmean,SULpeak),also the total lesion glycolysis(TLG)in positive group were all significantly higher than those in negative group(all P＜0.05).Patients'gender,proportion of micropapillary growth,SUVmax and SULmax were all independent risk factors of STAS of clinical stage Ⅰa—Ⅲa lung adenocarcinoma.The area under the curve(AUC)of the above parameters for predicting STAS was 0.666,0.912,0.839 and 0.842,respectively,and of the combination was 0.957.Conclusion 18 F-FDG PET/CT semi-quantitative parameters SUVmax and SULmax were helpful for predicting STAS of clinical stage Ⅰa—Ⅲ a lung adenocarcinoma,and further combination of gender and proportion of micropapillary growth could improve diagnostic efficacy.

Silicosis is one of the most common forms of pneumoconiosis globally. Workers who engage in mining, construction, ceramics, and many other industries have a high risk of developing silicosis. Chronic and repeated inhalation of free silica (SiO₂) dust (<5 μm) during working can lead to inflammatory reactions, resulting in interstitial lung disease characterized by extensive nodular fibrosis in both lungs. Once silicosis occurs, it will develop progressively even when the workers are removed from the silica dust environment. The pathogenesis of silicosis is complex, especially the role of nod-like receptor family protein 3 (NLRP3) inflammasome in the pathogenesis and progression of silicosis remains to be further studied. NLRP3 inflammasome, a multi-protein complex composed of NLRP3, apoptosis-associated speck-like protein, and cysteinyl aspartate specific proteinase 1 is involved in oxidative stress, inflammatory response, apoptosis, and pyroptosis, and has become one of the hot spots in silicosis research. This review summarized the structure, function, and activation mechanism of NLRP3 inflammasome. Furthermore, the cellular and molecular mechanisms of NLRP3 in mediating oxidative stress, inflammatory response, apoptosis, and pyroptosis in the progression of silicosis were reviewed. Finally, the potential therapeutic drugs for silicosis based on NLRP3-associated mechanisms were outlined. More attention should be paid to the role of NLRP3 inflammasome in the pathogenesis and progression of silicosis in the future, which will provide new ideas for the prevention and treatment of silicosis.