A chronic refractory wound is caused by continuous skin damage. At the same time， it may be formed due to repeated infection， vascular insufficiency， diabetes， tumors， chronic osteomyelitis， and other reasons， resulting in wound repair interruption and recovery delay. Chronic refractory wound seriously affects the quality of life of patients and consumes a lot of medical resources. Polysaccharides in traditional Chinese medicine （TCM） are the effective components of most TCM. Modern pharmacological studies have found that polysaccharides contained in TCM have anti-inflammatory， antioxidant， anti-radiation， hypoglycemic， antiviral， anti-tumor， hypolipidemic， and immunomodulatory effects. Through the summary and analysis of the literature， it was found that the mechanism of polysaccharides in TCM to promote chonic refractory wound repair was mainly realized from the following aspects： firstly， regulating inflammatory cytokines like interleukin-4 （IL-4）， interleukin-10 （IL-10）， interleukin-8 （IL-8）， and tumor necrosis factor-α （TNF-α） or regulating macrophage-related inflammatory proteins and chemotactic proteins like MIP-2， MCP-1， to shorten the inflammatory period. Secondly， activating growth factors like platelet-derived growth fator （PDGF）， basic fibroblast growth factor （bFGF）， TGF-α， and vascular endothelial growth factor （VEGF） to recruit endothelial cells and fibroblasts into tissue proliferation. Thirdly， activationg VEGF and its downstream receptor vascular endothelial growth factor receptor-1 （VEGFR-1） and vascular endothelial growth factor receptor-2 （VEGFR-2）-mediatated protein kinase C/extracellular regulated kinases （PKC/ERK） signaling pathway or promoting angiogenesie and improving wound blood flow through angiotensin （ANG）. Fourthly， promoting the ablility of collagen synthesis by enhancing the secretion of hydroxyproline and hyaluronic acid （HA） from fibroblasts （FB） and regulating relevant matrix metalloenzymes and their enzyme inhibitor to regulate the extracellular matrix. Fifthly， eliminating free radiccals to reduce the damage caused by oxidative stress to tissue. Sixthly， enhancing the phagocytic ability of macrophages， the activity of natural killer cells， and the proliferation of T cells to improve the defense ability of tissue. Polysaccharides in TCM can repair wounds in many ways at the same time. Its advantage lies in the multiple targets and multiple pathways. It is expected that the research will pay more attention to the mechanism of wound repair by polysaccharide components in TCM when improving the treatment of chronic refractory wounds.

Objective: To investigate cardiovascular disease (CVD) prevention status among residents with intra-urban migration in Central China, so as to provide insights into targeted prevention and control of CVD. Methods: Basic data of residents aged 35 to 75 years who participated in Early Screening and Comprehensive Intervention Project for CVD high-risk populations in Central China from September 2015 to August 2020 were collected. According to birth place, type of registered residence and current residence, residents were divided into four groups: local residents in old urban area, local residents in new urban area, other urban migrants and other rural migrants. The status of CVD primary and secondary prevention, were analysed by using a robust Poisson regression model. Results: A total of 76 513 residents were recruited, including 29 420 males (38.45%) and 47 093 females (61.55%), and had a mean age of (56.36±9.84) years. There were 45 087 (58.93%) local residents in old urban area, 23 868 (31.19%) local residents in new urban area, 5 668 (7.41%) other urban migrants and 1 890 (2.47%) other rural migrants. After adjusting for variables such as age, gender and educational level, the results of robust Poisson regression analysis showed that compared with local residents in old urban area, local residents in new urban area had lower compliance rates of non- or moderate-drinking (RR=0.987, 95%CI: 0.975-1.000) and healthy diet (RR=0.535, 95%CI: 0.365-0.782), lower proportion of using aspirin as primary prevention in CVD high-risk population (RR=0.616, 95%CI: 0.511-0.741), lower awareness (RR=0.873, 95%CI: 0.782-0.974) and control rates (RR=0.730, 95%CI: 0.627-0.849) of hypertension; other urban migrants had higher compliance rate of non-smoking (RR=1.045, 95%CI: 1.017-1.075); other rural migrants had lower proportion of using aspirin as primary prevention in CVD high-risk population (RR=0.826, 95%CI: 0.707-0.966). Conclusion The CVD primaryprevention among local residents in new urban area is relatively poor among four groups of residents in Central China, and key interventions are needed.

Objective:Castleman's disease is a group of heterogeneous lymphoproliferative disorders with unclear etiology and pathogenesis.This article reports a case of Castleman's disease of the parapharyngeal space, with a comprehensive literature review of the clinical feature and typing, pathologic diagnosis, treatment, and prognosis of the disease.This case is a unicentric type, which is clinically characterized by significant enlargement of lymph nodes without systemic symptoms. The pathology was hyaline vascular type, and the treatment of unicentric type was mostly based on surgery with a better prognosis.
Adult ; Female ; Humans ; Male ; Castleman Disease/diagnosis* ; Lymph Nodes/pathology* ; Parapharyngeal Space ; Prognosis

Diabetic foot ulcer is a serious and destructive complication of diabetes， with the rates of disability and mortality increasing year by year， which poses a serious threat to human physical and mental health. In the treatment of diabetic foot ulcer with traditional Chinese medicine （TCM）， the combination of syndrome differentiation and overall concept can not only alleviate TCM syndrome but also accelerate wound healing， reduce wound recurrence， delay the further deterioration of diabetic foot ulcer， and decrease the rates of disability and mortality. Modern studies have demonstrated that the difficult healing of diabetic foot ulcer is closely associated with the abnormal distribution of cytokines such as inflammatory cytokines， growth factors， and chemokines. With the deepening of modern medical research on TCM， the treatment of diabetic foot ulcer via regulation of cytokines by Chinese medicinal monomers and prescriptions has become a research focus. This paper summarizes the current research status at home and abroad and draws the following conclusions. ① Sesamol， geniposide， Danggui Buxuetang， and Zizhu ointment can regulate tumor necrosis factor-α （TNF-α）， interleukin （IL）-1， IL-6， IL-10 and other inflammatory cytokines to inhibit wound inflammation. ② Angelicae Dahuricae Radix， salvianolic acid B， Sixiao powder， Badu Shengji ointment （Zhuang medicine）， etc.， regulate vascular endothelial growth factor （VEGF）， platelet-derived growth factor （PDGF）， transforming growth factor （TGF）， epidermal growth factor （EGF） and other growth factors to promote collagen deposition and angiogenesis on wound surface. ③ Paeoniflorin， cryptanshinone， bee venom， and Huiyang Shengji decoction regulate CXC chemokine ligand （CXCL） 1， CXCL2， C-C chemokine ligand （CCL） 2， CCL3， stromal cell-derived factor-1α （SDF-1α）， monocyte chemoattract protein-1 （MCP-1） and other chemokines to reduce inflammatory response and promote neovascularization and wound granulation tissue formation. ④ In the treatment of diabetic foot ulcer， Chinese medicinal monomers and prescriptions have different and complicated mechanisms. The multi-target treatment manner determines that Chinese medicines can act on a variety of cytokines to participate in various stages of wound healing and thus play a therapeutic role. The conclusion above aims to provide ideas for the experimental research and clinical treatment of diabetic foot ulcer with TCM in the future.

Objective:To evaluate the residual risk (RR) of transfusion transmitted HIV (TT-HIV) after the implementation of nucleic acid amplification test (NAT) in blood screening test among blood centers in China.Methods:The data of blood donors and HIV infection markers from 2017 to 2020 were collected from 28 blood centers via the Platform of Comparison of blood establishments Practice in Chinese Mainland. The new infection rate/window period mathematical model was used for two types of blood screening strategies, namely, two rounds ELISA plus individual NAT take turn with pooling NAT (2ELISA+ ID-NAT/MP-NAT) and two ELISA plus one round pooling NAT (2ELISA+ MP-NAT), and the RR of HIV infection was estimated also based on first donors (FDs) and repeated donors (RDs) in different blood donation years. T-test analyses were conducted for comparing TT HIV RR among FDs and RDs in different blood donation years with two blood screening strategies, and the variation trend of RR in HIV test was observed.Results:From 2017 to 2020, the RR of FDs in 2ELISA+ ID-NAT/MP-NAT blood screening strategy was 2.869/10 6 person-year, 3.795/10 6 persons-year, 3.879/10 6 person-year, and 2.890/10 6 person-year respectively. The RR of RDs was 1.797/10 6 person-year, 1.502/10 6 person-year, 1.857/10 6 person-year, and 1.483/10 6 person-year respectively. Significant difference exists between RR of FDs and RDs, with F=9.898 and p<0.05. In 2ELISA+ MP-NAT strategy, the RR of FDs was 3.508/10 6 person-year, 1.868/10 6 person-year, 2.204/10 6 person-year, and 1.765/10 6 person-year respectively. The RR of RDs was 0.948/10 6 person-year, 0.926/10 6 person-year, 0.748/10 6 person-year, and 0.682/10 6 person-year respectively. Statistical difference existed between RR of FDs and RDs, with F=17.126 and P<0.05. There was no significant difference between the RR of FDs in these two strategies with F=3.493 and P>0.05, while there was a difference between the RR of RDs in these two strategies with F=24.516 and P<0.05, and a difference between the RR of total donors (TDs) in these two strategies F=20.216 and P<0.05. Conclusions:The RR of TT HIV significantly decreased after the introduction of NAT into blood test among blood centers in China. There were some differences in the RR of HIV testing among different blood screening strategies. There could be significant differences in the RR of HIV testing among different groups of blood donors. Compared with FDs, RDs is the low risk group for HIV.

Objective To understand the prevalence of HIV infection,syphilis and hepatitis C and related behavioral factors in female sex workers (FSWs) and other 6 risk populations in Tibet Autonomous Region.Methods A cross-sectional survey was conducted among 2 000 FSWs,200 men who have sex with men (MSM),200 drug users,1 200 male migrants,5 600 young students,as well as hospital patients and pregnant women in Lhasa,Qamdo,Nyingchi,Xigaze Shannan,Ali and Nagqum from June to December 2015.Face to face interviews were conducted to collect their demographic and behavioral information,and blood samples were collected for the tests of HIV,syphilis and hepatitis C virus (HCV) antibodies.The enumeration data were described by using rate and constituent.Results A total of 20 597 participants were involved in cross-sectional survey.The positive rates of HIV and syphilis antibodies were 5.81％(124/2 133) and 0.05％ (1/2 133) respectively among FSWs.The positive rates of HIV and syphilis antibodies were the same (9.80％,10/102) among MSM.There were no HIV infection detected in among drug users,male migrants and young students,but the positive rates of syphilis antibody were 4.00％(4/100),0.33％ (4/1 297) and 0.08％ (4/5 095)respectively.The positive rates of HIV and syphilis antibodies were 0.04％(2/5 565) and 1.64％(91/5565) among hospital patients.The positive rates of HIV and syphilis antibodies were 0.11％(7/6 305)and 1.19％(75/6 305)among pregnant women.The positive rates of HCV antibody were 1.00％ (1/100)among drug users and less than 0.50％ in other risk populations.The overall consistent condom use rate was low.Conclusions In Tibet,HIV infection mainly occurred in the MSM,syphilis mainly occurred in FSWs and MSM,HCV infection mainly occurred in drug users.The AIDS related knowledge awareness rate was low in these risk populations,and less of them received intervention service.

Objective To explore the HIV epidemic and related factors among MSM in Jilin province.Methods During the implementation of sentinel surveillance program from 2010 to 2015,continuous cross-sectional studies were conducted to monitor the awareness of AIDS,sexual behavior,HIV and syphilis positive rates,with the sample size no less than 400 in each surveillance site.Results From 2010 to 2015,a total of 7 823 MSM were involved in this study.The overall HIV prevalence among MSM was 5.4％ (42/7 823),with an increasing trend during 2010 and 2015 (Trend testx2=110.023,P＜0.001).The rates of awareness on AIDS were higher than 90.0％.The proportion of consistent condom use was 27.0％ (2 112/7 823) in the last 6 months,and significant differences were found in these years (x 2=234.038,P＜0.001).Results from multivariate logistic regression analysis showed that the HIV infection related risk factors among MSM in Jilin province would include:residency from other provinces (aOR=1.797,95％ CI:1.185-2.726),recruitment through internet (aOR=1.717,95％CI:1.332-2.215),diagnosed of having sexually transmitted diseases in the previous year (aOR=1.893,95％CI:1.356-2.643) and positive testing on syphilis (aOR=4.309,95％CI:3.097-5.995).And consistent condom uses in the last 6 months (aOR=0.387,95％CI:0.143-0.557),tested HIV in the last year (aOR=0.632,95％CI:0.375-0.891) were preventive factors.Conclusions HIV prevalence was increasing among MSM in Jilin province,but both the proportion of consistent condom use and the former HIV testing rate were at a low level.Aggressive measurement including consistent condom use and periodical HIV testing among MSM was warranted.

OBJECTIVETo develop a RT-PCR method for a rapid and sensitive detection of Salmonella in poultry samples.

METHODSThe RT-PCR method was established and its specificity was testified on the basis of invA gene. Serial 10-fold diluted pure suspension culture of CMCC 50041 was detected by RT-PCR, the standard curve was constructed and the amplification efficiency was calculated. Artificially contaminated experiment was done, six artificially-inoculated samples containing final concentration of Salmonella CMCC 50041 (1, 10, 10(2), 10(3), 10(4), 10(5) and 10(6) CFU per 25 g poultry samples) were prepared respectively. All the samples were incubated for 0, 4, 8, 12 and 18 h and the DNA was extracted for RT-PCR detection, meanwhile by PCR detection and the traditional method. The sensitiveness and specificity were compared among the three methods. At the same time, 16 samples of retail whole poultry were collected from markets and detected by the above three methods as well, and thereby to further compare the positive detection among the three methods.

RESULTSThe established RT-PCR method was specific for the detection of Salmonella. The sensitivity was 5.2×10(3) CFU/ml for pure Salmonella culture without enrichment. Correlation coefficients of standard curves constructed using the Ct versus log value of concentration of Salmonella showed good linearity over a 8-log dynamic range (5.2×10(3)-5.2×10(10) CFU/ml), with the R(2) at 0.999. RT-PCR detection limit for artificially contaminated samples after enriching for 12 h was 1 CFU/25 g sample, which was the same with the limit of PCR and 10 times more sensitive than the limit of traditional method. Standard curve of sample after enrichment for 12 h was established. Seven of 16 samples were detected positive by RT-PCR, which were also tested positive by PCR, while only five samples were positive by traditional method. The positive ones were quantitatively analyzed using standard curve of sample and determined the initial Salmonella numbers of CFU/25 g.

CONCLUSIONThe established RT-PCR technology was simple, rapid, sensitive and specific, which was suitable to quickly detect Salmonella in poultry samples.

Animals ; Bacterial Proteins ; Food Microbiology ; Poultry ; Real-Time Polymerase Chain Reaction ; methods ; Salmonella ; Sensitivity and Specificity

BACKGROUNDFemale sex workers (FSW) were high-risk population for HIV and other sexually transmitted diseases (STD) earlier, and now are an important driver of the HIV/AIDS epidemic in China. Sentinel surveillance for FSW was set up to monitor the trend of HIV prevalence and risk behavior-related HIV infection. This study collected the data on street-based FSW from HIV sentinel surveillance system to understand HIV and syphilis infections, risk behaviors, and intervention in China from 2010 to 2012.

METHODSThe study population was the street-based FSW who were recruited for the national HIV integrated biological and behavioral surveillance between 2010 and 2012. Demographic information, HIV-related risk behaviors, and HIV and syphilis testing results were described and trend analysis was performed.

RESULTSBetween 2010 and 2012, the number of street-based FSW surveyed was 3725, 3425, and 3335, respectively. HIV knowledge awareness rate significantly increased from 74.6% in 2010 to 76.8% in 2011 and 82.2% in 2012 (P < 0.01). More FSW consistently used condom in the last month (49.0% in 2010; 51.0% in 2011; and 59.0% in 2012) and in the last commercial sex (72.0% in 2010; 78.5% in 2011; and 80.0% in 2012) over time. The proportions of individuals who received HIV testing in the last year were 31.2% (2010), 37.0% (2011), and 36.9% (2012) (P-trend <0.01). HIV prevalence rate changed from 1.5% in 2010 to 1.4% in 2011 and 2.3% in 2012 (P-trend = 0.01). Syphilis prevalence rate was 6.9%, 7.2%, and 7.1% in the same period. The top three provinces with the highest average HIV prevalence rates over the 3 years were Guangxi (5.9%), Yunnan (4.2%), and Sichuan (1.2%).

CONCLUSIONSStreet-based FSW are at high risk of HIV and syphilis infections. Intervention efforts need to target streetbased FSW who are of old age and minority, who use illicit drugs and have syphilis infection.

Adult ; China ; epidemiology ; Female ; HIV Infections ; epidemiology ; Humans ; Middle Aged ; Risk-Taking ; Sex Workers ; Syphilis ; epidemiology

OBJECTIVETo understand the trends on HIV and syphilis infections, as well as on risk behaviors and intervention among MSM in China from 2010 to 2013 so as to provide information for the development of intervention strategies for MSM.

METHODSStudy population involved MSM who were recruited for the national HIV sentinel surveillance between 2010 and 2013. Demographic information, HIV related risk behaviors, and results on HIV and syphilis infections were described and trend analysis was performed.

RESULTSBetween 2010 and 2013, the total number of MSM under survey was 149 848. As for sources of the studied population, 12.3% of them were from public bathrooms (Group A), 30.1% from internet (Group B), and 57.5% were others (Group C). Proportions of three groups were similar between 2010 and 2013. The proportion of always using condom in the last six months increased from 30.2% to 37.8%, from 34.7% to 42.9% and from 35.3% to 43.1% in group A, B or C (trend:P < 0.01), from 2010 to 2013. The proportion of using condom in group A was the lowest among the three groups. The prevalence rate of HIV increased from 7.8% in 2010 to 9.2% in 2013 among group A, from 5.0% in 2010 to 6.8% in 2013 among group B, from 5.6% in 2010 to 6.5% in 2013 among group C(trend:P < 0.01). The prevalence rate of syphilis decreased from 13.2% in 2010 to 9.5% in 2013 among group A, from 6.1% in 2010 to 5.7% in 2013 among group B, from 8.7% in 2010 to 6.2% in 2013 among group C (trend:P < 0.01). In this MSM population, 77.1% of them were at age 21-40, 9.4% were at age 41-50 and 2.8% were older than 50 years of age. Both the prevalence rates of HIV and syphilis were the highest-10.1% and 13.6%, among age group of over 50s, respectively.

CONCLUSIONHIV prevalence among MSM increased rapidly in the last four years, especially in older age groups and from public bathrooms. More intervention efforts should be targeting on MSM with the above mentioned characters.

Adult ; China ; epidemiology ; Condoms ; utilization ; Cross-Sectional Studies ; HIV Infections ; epidemiology ; Homosexuality, Male ; statistics & numerical data ; Humans ; Male ; Risk Factors ; Unsafe Sex ; statistics & numerical data ; Young Adult