Body weight abnormalities, including overweight, obesity, and underweight, have become a dual public health challenge in Chinese adults: overweight and obesity lead to a variety of chronic complications, while underweight increases the risks of malnutrition, sarcopenia, and organ dysfunction. To systematically address these issues, multidisciplinary experts in endocrinology, sports science, nutrition, and psychiatry from various regions have held multiple weight management seminars. Based on the latest epidemiological data and clinical evidence, they expanded the guideline to include assessment and intervention strategies for underweight, in addition to the core content of obesity management. This guideline outlines the etiological mechanisms, evaluation methods, and multidimensional management strategies for overweight and obesity, covering key areas such as diagnosis and assessment, medical nutrition therapy, exercise prescription, pharmacological intervention, and psychological support. It is intended to provide a scientific and standardized approach to weight management across the adult population, aiming to curb the rising prevalence of obesity, mitigate complications associated with abnormal body weight, and improve nutritional status and overall quality of life.

Body weight abnormalities, including overweight, obesity, and underweight, have become a dual public health challenge in Chinese adults: overweight and obesity lead to a variety of chronic complications, while underweight increases the risks of malnutrition, sarcopenia, and organ dysfunction. To systematically address these issues, multidisciplinary experts in endocrinology, sports science, nutrition, and psychiatry from various regions have held multiple weight management seminars. Based on the latest epidemiological data and clinical evidence, they expanded the guideline to include assessment and intervention strategies for underweight, in addition to the core content of obesity management. This guideline outlines the etiological mechanisms, evaluation methods, and multidimensional management strategies for overweight and obesity, covering key areas such as diagnosis and assessment, medical nutrition therapy, exercise prescription, pharmacological intervention, and psychological support. It is intended to provide a scientific and standardized approach to weight management across the adult population, aiming to curb the rising prevalence of obesity, mitigate complications associated with abnormal body weight, and improve nutritional status and overall quality of life.

Objective:To evaluate the efficacy of botulinum toxin A injection therapy with ultrasound-guided for benign masseter hypertrophy.Methods:Twenty cases (40 sides) of masseter hypertrophy were injected with botulinum toxin A, among which 10 cases were taken as experimental group and the other 10 cases as control group. The experimental group had preoperative ultrasound examination to measure the thickness of masseter, and use ultrasound-guided precise injection during the operation, and then ultrasound recheck to measure the postoperative masseter thickness; The other 10 cases of control group adopt traditional 3-point injection method.Results:The masseter thickness of the two groups at different period of times after treatment was decreased ( P<0.001), the most obviously decrease happened 4-12 weeks after injection. The mean reduction was 26.8% at 4 weeks and 28.4% at 12 weeks after injection. Masseter muscle thickness recovered by 22% at 24 weeks and by 20% at 36 weeks. The average follow-up was 6.0±2.4 months with no serious complications occurred. In the control group, there was a partial masseter bulge in one case. The satisfactory rate of the patients in the experimental group was higher than that of the control group. Conclusions:Botulinum toxin A injection therapy with ultrasound-guided for benign masseter hypertrophy is an effective treatment, which is more accurate and effective than the traditional injection method.

Smart dressings, which show obvious advantage and potential in wound treatment and real-time monitoring, attract widespread attention in recent years. Real-time and dynamic acquiring wound information is vital to the treatment and prognosis of wound. Further research on smart dressings is helpful for wound management, personalized treatment, and realization of medical application translation of health monitoring technology. In the article, we categorize smart dressings and conclude their functions according to the type of micro-environment information of wound gathered by smart dressings.

Objective To measure the effects of 72 h-isolation and confinement (IC)with or without sleep deprivation (SD)on attention network functions and operation performance of manual controlled rendezvous and docking task. Methods Twelve healthy male volunteers were randomly divided into 4 groups of 3.The experiments were done by means of self-control and cross-over design. Two groups underwent 72 h IC without SD,and then recovered for 7 d.After that,they underwent 72 h IC with SD.Other 2 groups underwent the identical environments in the opposite order.The evaluation of attention network functions and the functional nuclear magnetic resonance examination of brain were conducted before and after isolation.The operation performance of manual controlled rendezvous and docking task was tested during isolation.Meanwhile, the functional magnetic resonance imaging (fMRI)technology was used to evaluate the autonomic activity in the brain region. Results ①The volunteers, average reaction time, accuracy and omission rates of the attention network function test in 72 h IC had insignificant differences as compared with those before the isolation (P>0.05).The 72 h IC and SD caused average reaction time and omission rate evidently increased (t=2 .505 ,2 .3 24,P<0.05 ).For average reaction time,the main effect of test condition was obvious (F=6.725,η2=0.657,P<0.05),so as the mutual effects of test time and test condition for omission rate (F=6.057,5.906,η2=0.612,0.601,P<0.05).For accuracy rates,all three effects were not obvious (P>0.05).②The fMRI data indicated that the spontaneous nervous activity in right frontal eye field was significantly weakened by IC and SD (t=6.580,P<0.05 ),but the activities in 3 clustering fields of right temporal lobe joint were significantly enhanced (t=6.726, 4.905,8.305,P<0.05).③As compared with those in IC condition,the volunteers, success rate of manual controlled rendezvous and docking task in IC plus SD condition was evidently decreased (χ2=9 .7 6 1 ,P<0.0 1 ),but the fuel consumption,pitch angle deviation and yaw angle deviation were significantly increased (t=3 .47 5 ,3 .1 6 1 ,3 .3 7 5 ,P<0.0 1 )and the docking time was significant shortened (t=2 .6 8 1 ,P<0.0 1 ). Conclusions 72 h IC and SD has negative effects on attention network function and operation performance of manual controlled rendezvous and docking task.Sleep deprivation would be the main factor.

Objective To measure the effects of 72 h-isolation and confinement (IC)with or without sleep deprivation (SD)on attention network functions and operation performance of manual controlled rendezvous and docking task. Methods Twelve healthy male volunteers were randomly divided into 4 groups of 3.The experiments were done by means of self-control and cross-over design. Two groups underwent 72 h IC without SD,and then recovered for 7 d.After that,they underwent 72 h IC with SD.Other 2 groups underwent the identical environments in the opposite order.The evaluation of attention network functions and the functional nuclear magnetic resonance examination of brain were conducted before and after isolation.The operation performance of manual controlled rendezvous and docking task was tested during isolation.Meanwhile, the functional magnetic resonance imaging (fMRI)technology was used to evaluate the autonomic activity in the brain region. Results ①The volunteers, average reaction time, accuracy and omission rates of the attention network function test in 72 h IC had insignificant differences as compared with those before the isolation (P>0.05).The 72 h IC and SD caused average reaction time and omission rate evidently increased (t=2 .505 ,2 .3 24,P<0.05 ).For average reaction time,the main effect of test condition was obvious (F=6.725,η2=0.657,P<0.05),so as the mutual effects of test time and test condition for omission rate (F=6.057,5.906,η2=0.612,0.601,P<0.05).For accuracy rates,all three effects were not obvious (P>0.05).②The fMRI data indicated that the spontaneous nervous activity in right frontal eye field was significantly weakened by IC and SD (t=6.580,P<0.05 ),but the activities in 3 clustering fields of right temporal lobe joint were significantly enhanced (t=6.726, 4.905,8.305,P<0.05).③As compared with those in IC condition,the volunteers, success rate of manual controlled rendezvous and docking task in IC plus SD condition was evidently decreased (χ2=9 .7 6 1 ,P<0.0 1 ),but the fuel consumption,pitch angle deviation and yaw angle deviation were significantly increased (t=3 .47 5 ,3 .1 6 1 ,3 .3 7 5 ,P<0.0 1 )and the docking time was significant shortened (t=2 .6 8 1 ,P<0.0 1 ). Conclusions 72 h IC and SD has negative effects on attention network function and operation performance of manual controlled rendezvous and docking task.Sleep deprivation would be the main factor.

Objective Proper selection of reconstruction method is the key point to get a successful result in nasal reconstruction.The purpose of the article is to evaluate the results of repairing the partial nasal defect with different surgical strategies.Methods Different surgical methods were used according to the area and type of nasal defects of nasal defects,the different sub-unit of nasal de fects and the different tissue damage levels.Local skin flaps,auricular composite tissue flaps,nasolabial skin flaps and superficial temporal artery pedicle flaps were used in these patients.Results 23 cases suffering from partial nasal defects were repaired with flaps or tissue graft,including 4 auricular composite tissue flap,5 nasolabial skin flap,3 forehead island flap with a pedicle of superficial temporal vessels,7 local flap,and 1 skin graft.After 5-16 months of follow-up,the color and texture around the nose were basically consistent,the appearance of nose was satisfactory,and the postoperative effect turned out fine.Conclusions The method of surgical reconstruction of partial nasal defects should be considered carefully according to the area of nasal defects,sub-unit of nasal defects and the different tissue damage levels.

Objective To study the relationship between the expression of inducible nitric oxide synthase(iNOS)and neural cell apoptosis after chronic cauda equina compression. Methods Totally 30 male adult SD rats were randomly divided into 2 groups as the control group and the experi?mental group. The control group received sham operation with single laminectomy of L5 lumina. In the experimental group,the silicon sheet was in?serted into the spinal canal of L4 to cause single level compression of cauda equina. The L4 level of spinal cords were harvested at 2 weeks,4 weeks,8 weeks,and 12 weeks after operation in the experimental group,and at 4 weeks in the control group respectively,and then immunohistochemistry and image analysis were performed to observe the expression of iNOS in spinal cord and the TUNEL method was applied to observe cell apoptosis. The morphology of cells was observed by transmission electron microscope. Results There was few amount of iNOS expressed in the control group. The expression of iNOS was slight at 4 weeks in the experimental group and was higher at 8 weeks and 12 weeks compared with the control group. Small amount of neural cell apoptosis was evidenced in the control group,while neuron apoptosis appeared remarkably in the experimental group since 4 weeks and increased with the extension of time. Transmission electron microscopy found apoptosis changes in neurons in the experimental group. Conclusion The expression of iNOS increases in corresponding spinal cords after chronic compression of cuada equine and neural cell apoptosis oc?curs,indicating that iNOS is positively correlated with neural cell apoptosis.

Objective To perspectively evaluate the long-term efficacy of low dose leflunomide in treatment of rheumatoid arthritis.Methods Twenty-eight patients with rheumatoid arthritis were randomly divided into treatment group( n =15 ) and control group ( n =13 ).The patients in treatment group were treated with low dose leflunomide( omitting the loading dose) and with maintenance dose of 10 mg/day.And the patients in control group were treated with sulphasalazine in the dose of 1.5 ～ 2.0 g/d.The observation lasted for 18 months and the observed indicator were as follows:( 1 ) The primary efficacy indicators:counts of swollen and tender joints,overall assessment of disease status made by patients and physicians; ( 2 ) Secondary efficacy indicators:pain visual analogue scale,duration of morning stiffness,health assessment questionnaire (HAQ),Creaction protein,the American College of Rheumatology Outcome Assessment (ACR20,50).Results Eighteen months after treatment,the primary efficacy indicators in the treatment group were superior to the control group ( swollen joint counts:( - 8.5 ± 6.3 ) vs ( - 7.9 ± 6.4) ; overall assessment by patients:( - 1.4 ± 0.8 ) points vs ( - 1.2 ± 0.6) points; overall assessment by physicians:( - 1.4 ± 1.2 ) points vs ( - 1.3 ± 0.9 ) points; P ＜0.01 ).In the secondary efficacy indicators,pain visual analogue scale,duration of morning stiffness and health assessment questionnaire(HAQ) in the treatment group were significantly improved compared with the control group(VAS score:( - 32.4 ± 23.7) points vs ( - 31.6 ± 24.8) points; duration of morning stiffness:( [ - 97.8 ± 6.2 ] min vs [ - 92.4 ± 5.2 ] min; HAQ:[ - 0.62 ± 0.08 ] points vs [ - 0.57 ± 0.02 ] points,P ＜0.01 ),there was no significant difference on the percentage of patients achieving ACR20 standard between the treatment group and the control group (76.9％ vs 75.0％,P ＞ 0.05 ),but there was significant difference on the percentage of patients achieving ACRS0 standard between the treatment group and the control group( 61.5％ vs 47.0％,P ＜ 0.05 ).The gastrointestinaladverse reactions for patients in the treatment group were mild and there were 2 cases of elevated blood pressure,2 cases of elevated liver enzymes and 2 cases out of the trail,in the control group,there was 1 case out of the trial.Conclusion The long-term treatment of active rheumatoid arthritis with low dose leflunomide can achieve exact efficacy and good tolerability compared with the treatment with sulfasalasine.

OBJECTIVE: To observe the protective effects of Corydalis ambailis migo total alkaloids (COAMTA) on cerebral ischemia/reperfusion injury in rats and to investigate its mechanism. METHODS: The effects of COAMTA on decapitated gasping mouse model and rat model of middle cerebral artery ischemia (2 h)/reperfusion (22 h) were observed. The neurological scale, cerebral infarcted volume and cerebral water content subjected to cerebral middle artery ischemia/reperfusion in rats were recorded. The activities of nitric oxide synthase (NOS) and superoxide dismutase (SOD) and the content of malondialdehyde (MDA) in the ratso brain were measured. Cell apoptosis in ischemic penumbral area was observed with light microscope in the method of terminal deoxynucleotidyl transferase mediated dUTP-biotin nick end labeling (TUNEL). RESULTS: The average gasping time of the mice (6.0 mg/kg or 9.0 mg/kg COAMTA) was significantly prolonged, the cerebral infarcted volume and cerebral water content of the rats (5.0 mg/kg or 7.5 mg/kg COAMTA) were significantly decreased, as compared with the control groups. The average activity of SOD in cerebral tissue of the rats (5.0 mg/kg or 7.5 mg/kg COAMTA) was significantly higher than that of the control groups, meanwhile, the average activity of NOS and the content of MDA declined significantly. The cell apoptosis in ischemic penumbral area of the rats (5.0 mg/kg COAMTA) was significantly inhibited as compared with the control groups. CONCLUSION: COAMTA can facilitate the protection against cerebral ischemia/reperfusion damage. The mechanism is related to inhibiting the activity of NOS and lipoperoxidation, increasing the activity of SOD and decreasing the neuronal apoptosis.