1.Epidemiological characteristics and influencing factors of latent tuberculosis infection among detainees in eastern China
Xinru FEI ; Peng LU ; Jingxian NING ; Yuchen PAN ; Limei ZHU ; Qiao LIU ; Hongxi ZHOU
Shanghai Journal of Preventive Medicine 2026;38(4):280-283
ObjectiveTo analyze the epidemiological characteristics of latent tuberculosis infection (LTBI) among newly detained populations in eastern China, to identify high-risk groups, and to provide a scientific basis for formulating tuberculosis prevention and control strategies in the prison system. MethodsA cross-sectional study was conducted among the newly admitted detainees in two prisons in eastern China in 2022. Data on demographic characteristics, behavioral risk factors and previous disease history of the research subjects were collected through a structured questionnaire survey. The LTBI status of the detainees was determined using the QuantiFERON-TB Gold In-Tube (QFT-GIT) method. Lasso regression was used to screen variables, followed by multivariate logistic regression analysis to investigate the influencing factors of LTBI. ResultsA total of 305 detainees were included in the study. The median age of detainees was 35 (31, 43) years. The study population was predominantly male (67.21%), of Han ethnicity (95.41%), had a junior or senior high school education (59.34%), and was unemployed (31.80%). A history of smoking was reported by 52.79% of participants, while 57.70% reported no alcohol consumption. The majority had no history of hypertension (85.90%), diabetes mellitus (93.77%), human immunodeficiency virus (HIV) infection (97.38%), familial genetic diseases (95.08%), surgery or trauma (73.77%), drug use (92.79%), or hepatitis (93.77%). The LTBI rate was 14.75%. After comparing the demographic characteristics of LTBI and non-infected groups, it was found that smoking history (χ2=7.40, P=0.025), drug use history (χ2=5.49, P=0.019), and HIV infection (χ2=8.12, P=0.004) were statistically correlated with LTBI infection. The results of multivariate logistic regression analyses showed that smoking [adjusted odds ratio (aOR)=4.08, 95%CI: 1.60‒10.42, P=0.003], HIV infection (aOR=11.57, 95%CI: 2.50‒53.51, P=0.002) and drug use (aOR=3.04, 95%CI: 1.02‒9.09, P=0.046) were risk factors for LTBI. ConclusionThe LTBI rate among newly detainees in two prisons in eastern China is slightly lower than that among long-term detainees. Early screening and intervention should be implemented for newly detainees, with particular attention focused on high-risk groups such as those with a history of smoking, HIV infection, or drug use.
2.Diagnosis of Pfeiffer syndrome type Ⅱ using multimodal imaging combined with whole exome sequencing:a case report
Xinru YE ; Xiaohong YANG ; Shengbao PAN ; Yanyi YAO
Chinese Journal of Ultrasonography 2025;34(10):911-913
Pfeiffer syndrome,an extremely rare autosomal dominant disorder in prenatal settings,is caused by pathogenic variants in Fibroblast Growth Factor Receptor 1( FGFR1)or Fibroblast Growth Factor Receptor 2( FGFR2). In this article,a 33-year-old pregnant woman whose fetus was diagnosed with Pfeiffer syndrome type Ⅱ was reported. Initial ultrasound at 23 +1 weeks revealed temporal skull depression and spinal alignment abnormalities. By 29 +3 weeks,subsequent ultrasound identified additional findings:a cloverleaf-shaped skull,midface hypoplasia,elbow joint fusion,and broad thumb/toe deformities. Fetal MRI confirmed cranial deformities and sacral kyphosis. Postpartum,a CT 3D reconstruction demonstrated craniosynostosis and humeroulnar fusion. Whole exome sequencing(WES)identified an FGFR2 pathogenic variant. This case dynamically illustrates the phenotypic evolution of Pfeiffer syndrome type Ⅱ from subtle to classic triads during gestation,highlighting that multimodal imaging combined with WES enables precise diagnosis and facilitates genetic counseling.
3.Research Progress in the Mechanisms of Acupuncture in Regulating DNA Methylation
Sujin GAO ; Xinru PAN ; Baitong LIU ; Ling LUO ; Xiaoyi XIONG ; Shuguang YU
Journal of Sichuan University (Medical Sciences) 2025;56(1):19-25
DNA methylation is the first epigenetic modification found in humans.Abnormal changes in DNA methylation are closely associated with the development and progression of diseases.Acupuncture,an important component of traditional Chinese medicine,has been shown to have significant therapeutic efficacy.The mechanisms underlying acupuncture are complex,involving physiological and pathological processes of integrated interactions across multiple targets.However,current research mostly focuses on a single target,highlighting the need for a more upstream approach to the investigation of the mechanisms.Herein,we reviewed studies on the direct or indirect regulation of DNA methylation via acupuncture.We also discussed its mechanisms of action in pain,obesity,depression,and Alzheimer disease,in order to provide a new perspective on the therapeutic mechanisms of acupuncture and the role of DNA methylation in the field of acupuncture research.Future research should concentrate on the effect of acupuncture on the DNA methylation of specific genes,the quantification of changes in DNA methylation at different acupoints,the development of individualized acupuncture prescriptions,further investigation of the specificity of the effects at different acupoint,and the expansion of the research to integrate epigenetics and genomics.This will provide a theoretical basis for the internationalization and the promotion of clinical application of acupuncture.
4.Diagnosis of Pfeiffer syndrome type Ⅱ using multimodal imaging combined with whole exome sequencing:a case report
Xinru YE ; Xiaohong YANG ; Shengbao PAN ; Yanyi YAO
Chinese Journal of Ultrasonography 2025;34(10):911-913
Pfeiffer syndrome,an extremely rare autosomal dominant disorder in prenatal settings,is caused by pathogenic variants in Fibroblast Growth Factor Receptor 1( FGFR1)or Fibroblast Growth Factor Receptor 2( FGFR2). In this article,a 33-year-old pregnant woman whose fetus was diagnosed with Pfeiffer syndrome type Ⅱ was reported. Initial ultrasound at 23 +1 weeks revealed temporal skull depression and spinal alignment abnormalities. By 29 +3 weeks,subsequent ultrasound identified additional findings:a cloverleaf-shaped skull,midface hypoplasia,elbow joint fusion,and broad thumb/toe deformities. Fetal MRI confirmed cranial deformities and sacral kyphosis. Postpartum,a CT 3D reconstruction demonstrated craniosynostosis and humeroulnar fusion. Whole exome sequencing(WES)identified an FGFR2 pathogenic variant. This case dynamically illustrates the phenotypic evolution of Pfeiffer syndrome type Ⅱ from subtle to classic triads during gestation,highlighting that multimodal imaging combined with WES enables precise diagnosis and facilitates genetic counseling.

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