Objective:To investigate the characteristics and clinical effects of laparoscopic pneumovesical Cohen and laparoscopic Lich-Gregoir ureteral replantations for the treatment of primary obstructive megaloureter (POM) in children.Methods:A randomized controlled study was conducted.The clinical data of 51 children with unilateral POM admitted to the First Affiliated Hospital of Zhengzhou University from October 2018 to October 2023 were collected.Random number table method was used in the selection of surgical methods.They were divided into the laparoscopic pneumovesical Cohen ureteral replantation group (group A, 22 cases) and the laparoscopic Lich-Gregoir ureteral replantation group (group B, 29 cases) according to the surgical method.The anterior-posterior diameter(APD), maximum ureteral diameter and differential renal function parameters on the affected side were measured by color Doppler ultrasound of the urinary system, and compared between and within the two groups before and after surgery.The operation time, blood loss and postoperative intubation time were compared between the two groups.The incidence of postoperative complications such as reflux, bladder spasm, urinary retention and urinary tract infection was recorded.The independent and paired sample t-tests were used for statistical analysis. Results:The operation time and hematuria duration of group B [(125.7±14.2) min, (1.5±0.6) d] were significantly shorter than those of group A [(142.6±14.7) min, (2.8±0.7) d] (all P<0.05). The APD, maximum ureteral diameter, and differential renal function on the affected side of group A were (21.7±7.9) mm, (11.6±3.2) mm, and (28.2±4.9)% before surgery, and (10.3±4.5) mm, (6.0±2.0) mm and (43.8±4.4)% after surgery, respectively.The APD, maximum ureteral diameter, and differential renal function on the affected side of group B were (21.1±5.6) mm, (11.3±4.6) mm, and (30.2±5.5)% before surgery, and (10.2±4.5) mm, (6.6±2.0) mm, and (42.4±5.2)% after surgery, respectively.There was no statistically significant difference in the values of APD, maximum ureteral diameter, and differential renal function before and after surgery between the two groups of children (all P>0.05). However, there were statistically significant differences in the values of APD, maximum ureteral diameter, and differential renal function before and after surgery between the same group of children (all P<0.01). No significant difference was found in intraoperative blood loss, postoperative intubation time, and postoperative complications between the two groups (all P>0.05). Conclusions:Both surgical methods are effective in the treatment of POM in children.Laparoscopic Lich-Gregoir ureteral replantation has advantages of less operation time compared with laparoscopic pneumovesical Cohen ureteral replantation.

Objective:To investigate the characteristics and clinical effects of laparoscopic pneumovesical Cohen and laparoscopic Lich-Gregoir ureteral replantations for the treatment of primary obstructive megaloureter (POM) in children.Methods:A randomized controlled study was conducted.The clinical data of 51 children with unilateral POM admitted to the First Affiliated Hospital of Zhengzhou University from October 2018 to October 2023 were collected.Random number table method was used in the selection of surgical methods.They were divided into the laparoscopic pneumovesical Cohen ureteral replantation group (group A, 22 cases) and the laparoscopic Lich-Gregoir ureteral replantation group (group B, 29 cases) according to the surgical method.The anterior-posterior diameter(APD), maximum ureteral diameter and differential renal function parameters on the affected side were measured by color Doppler ultrasound of the urinary system, and compared between and within the two groups before and after surgery.The operation time, blood loss and postoperative intubation time were compared between the two groups.The incidence of postoperative complications such as reflux, bladder spasm, urinary retention and urinary tract infection was recorded.The independent and paired sample t-tests were used for statistical analysis. Results:The operation time and hematuria duration of group B [(125.7±14.2) min, (1.5±0.6) d] were significantly shorter than those of group A [(142.6±14.7) min, (2.8±0.7) d] (all P<0.05). The APD, maximum ureteral diameter, and differential renal function on the affected side of group A were (21.7±7.9) mm, (11.6±3.2) mm, and (28.2±4.9)% before surgery, and (10.3±4.5) mm, (6.0±2.0) mm and (43.8±4.4)% after surgery, respectively.The APD, maximum ureteral diameter, and differential renal function on the affected side of group B were (21.1±5.6) mm, (11.3±4.6) mm, and (30.2±5.5)% before surgery, and (10.2±4.5) mm, (6.6±2.0) mm, and (42.4±5.2)% after surgery, respectively.There was no statistically significant difference in the values of APD, maximum ureteral diameter, and differential renal function before and after surgery between the two groups of children (all P>0.05). However, there were statistically significant differences in the values of APD, maximum ureteral diameter, and differential renal function before and after surgery between the same group of children (all P<0.01). No significant difference was found in intraoperative blood loss, postoperative intubation time, and postoperative complications between the two groups (all P>0.05). Conclusions:Both surgical methods are effective in the treatment of POM in children.Laparoscopic Lich-Gregoir ureteral replantation has advantages of less operation time compared with laparoscopic pneumovesical Cohen ureteral replantation.

Objective:To investigate the prevalence of frailty among elders aged ≥60 years in the Beijing community and analyze the risk factors of frailty.Methods:This is a cross-sectional study. A total of 1936 older persons in Baizhifang Community in Beijing were included between May and September 2023. Their frailty was evaluated by Fried Frailty Phenotype Scale. Mini Nutritional Assessment-Short Form (MNA-SF), Short Physical Performance Battery (SPPB), and Geriatric Depression Scale (GDS) were used to evaluate nutritional status, physical function, and depression, respectively. The prevalence and risk factors of frailty among the elderly in the community were analyzed.Results:A total of 168 individuals met the criteria for frailty, and the prevalence of frailty was 8.7%. Compared to the non-frail group, the frail group was predominantly female (71.4% vs 62.2%; χ 2=5.59, P=0.018), older [(72.1±6.6) vs (69.9±6.0) ages; t=-5.25, P<0.001], unmarried (1.8% vs 0.8%; χ 2=8.60, P=0.014), with lower education levels (10.7% vs 3.5%; χ 2=23.38, P<0.001), poorer self-assessed health (22.6% vs 6.5%; χ 2=69.80, P<0.001), lower MNA-SF scores [(12.2±2.2) vs (13.0±1.4) scores; t=6.29, P<0.001], lower SPPB scores [(8.4±1.9) vs (10.2±1.6) scores; t=14.62, P<0.001], higher GDS scores [(4.0±3.8) vs (1.9±2.1) scores; t=-11.48, P<0.001], and worse vision, hearing, and olfactory functions (48.2% vs 34.1%, 36.9% vs 23.0%, 9.5% vs 3.0%; χ 2=13.37, 16.11, 40.58, all P<0.001). They were also more likely to suffer from hypertension (70.8% vs 56.7%; χ 2=12.52, P<0.001), diabetes (42.3% vs 29.4%; χ 2=12.06, P<0.001), osteoarthritis (46.4% vs 30.3%; χ 2=18.39, P<0.001) and stroke (19.0% vs 13.3%; χ 2=4.28, P=0.039). Logistic regression analysis showed that frailty was independently associated with nutritional status ( OR=0.8, 95% CI: 0.7-0.9, P<0.001), depressive symptoms ( OR=1.1, 95% CI: 1.1-1.2, P<0.001), olfactory function ( OR=2.1, 95% CI: 1.4-3.0, P<0.001; OR=2.9, 95% CI: 1.4-5.9, P=0.003), and physical function ( OR=0.6, 95% CI: 0.6-0.7, P<0.001) after adjusting for covariates. Conclusions:The prevalence of frailty among elderly people in community is relatively high. Frailty in community elders is associated with physical function, psychological function, nutritional status, and olfactory function decline.

Objective:To analyze mobility limitation condition and its relationship with cognitive function in community-dwelling elderly.Methods:In this cross-sectional study, a total of 1 935 older adults aged≥60 years were recruited from May to September 2023 in Beijing Baizhifang Community Health Service Center and its five subordinate health service stations (Baizhifang Hutong health service station, Nancaiyuan community health service station, Youanmen community health service station, Younei West Street health service station and Shuanghuaili community health service station). The Short Physical Performance Battery (SPPB) was used to assess the mobility capacity of the elderly, and the elderly were divided into two groups with SPPB, the elderly with a SPPB≤9 points were grouped into mobility limitation group (645 cases), and the ones with a SPPB≥10 points were considered with normal mobility capacity (1 290 cases). The cognitive function of the older adults was assessed with the mini-mental state examination; and the gender, age, calf circumference, history of chronic disease, frailty status, cognitive function, nutritional status, depression status, hearing and vision condition of the two groups were compared with χ2 test or Mann-Whitney U non-parametric test. Multiple logistic regression analysis was used to analyze the mobility limitation and its relationship with cognitive function in the older adults. Results:Mobility limitation was found in 33.33% (645/1 935) of community-dwelling older adults. The proportions of advanced age, female, hypertension, diabetes, coronary heart disease, stroke, chronic obstructive pulmonary disease, frailty, depression, cognitive impairment, hearing decline, and vision decline in the mobility limitation group were all significantly higher than those in the normal mobility capacity group (31.32% vs 13.41%, 69.92% vs 59.61%, 65.27% vs 54.03%, 33.80% vs 28.60%, 27.91% vs 19.53%, 17.83% vs 11.47%, 10.54% vs 7.36%, 13.18% vs 2.02%, 18.45% vs 6.59%, 14.73% vs 7.75%, 30.54% vs 20.31%, 45.58% vs 30.39%) (all P<0.05). Advanced age ( OR=2.542, 95% CI: 1.977-3.269), female ( OR=1.736, 95% CI: 1.390-2.167), stroke ( OR=1.426, 95% CI: 1.065-1.911), depression ( OR=2.292, 95% CI: 1.656-3.174), cognitive impairment ( OR=1.601, 95% CI: 1.154-2.220), frailty ( OR=5.199, 95% CI: 3.219-8.397) and vision decline ( OR=1.405, 95% CI: 1.124-1.756) were all positively correlated with the mobility limitation in the community-dwelling older adults (all P<0.05). Conclusion:The older adults in the community have a higher risk of mobility limitation, mobility limitation is a positive correlation factor of cognitive impairment.

[Objective] To analyze the therapeutic effects of dasatinib on testosterone propionate (TP)-induced benign prostatic hyperplasia (BPH) in animal experiments. [Methods] Institute of Cancer Research (ICR) mice were randomly divided into normal control group (n=5), BPH group (n=5), finasteride group (n=8), vehicle group (n=8), dasatinib intermittent administration group (n=10) and dasatinib continuous administration group (n=10). Except for the normal control group, BPH modelling was performed by subcutaneous injection of TP, and the groups were treated with saline, finasteride, polyethylene glycol 400 (PEG400) and dasatinib by gavage, respectively. The mice were sacrificed after a 14-day modelling period and a 28-day administration period. The prostate and spleen were dissected, and serum was sampled. Prostate weight was measured and prostate index (PI) was calculated. HE staining was conducted on the prostate and spleen, and Ki-67 immunohistochemical staining was performed on the prostate. Differences in the levels of serum dihydrotestosterone (DHT) and prostate-specific antigen (PSA) were detected with ELISA. [Results] The prostate weight and PI were significantly reduced in the dasatinib intermittent and continuous administration groups than in the BPH group (P<0.000 1), and the serum DHT level was also significantly reduced (P<0.01), but there were no significant differences in prostate weight, PI and serum DHT between dasatinib intermittent and continuous administration groups (P>0.05), and no significant difference in PSA level among the three groups (P>0.05). After dasatinib treatment, the pathological manifestations of prostate glandular and interstitial hyperplasia were significantly improved; the positive rate of Ki-67 was lower in the dasatinib intermittent and continuous administration groups than in the BPH group (P<0.001). [Conclusion] Dasatinib can inhibit TP-induced BPH, reduce serum DHT level, and inhibit the proliferation of prostate glandular and interstitial cells in mice. The therapeutic effects of intermittent administration of dasatinib are consistent with those of continuous administration.

Objective To construct a cardiovascular chip model for evaluating the damage of vascular glycocalyx induced by four marine toxins: okadaic acid (OA), conotoxin (CTX), tetrodotoxin (TTX) and gymnodimine (GYM), and explore the protective effect of triptolide on toxin-induced injury. Methods Human umbilical vein endothelial cells（HUVEC) were inoculated into a three-channel microfluidic chip. CCK-8 method and immunofluorescence staining were used to analyze the damage of cell viability and glycocalyx tissue induced by low, middle and high concentrations of marine toxin, as well as the protective effect of triptolide on toxin-induced injury. Results The cells in the cardiovascular chip grew well and had structurally intact glycocalyx. Compared with the control group, the activity of HUVEC cells were inhibited in group of the medium and high concentration of OA and high concentration of GYM (P<0.05). The activity of cells had not been inhibited by CTX and TTX significantly , but all the four toxins caused serious damage to the glycocalyx tissue (P<0.01). After pre-protection with triptolide, the toxicity of the four toxins to HUVEC cells and the damage rate of glycocalyx decreased significantly. Conclusion The four marine biotoxins could damage the activity and glycocalyx of HUVEC cells in a dose-dependent manner, while triptolide has a protective effect on HUVEC cells injured by toxin.

P-glycoprotein (P-gp) highly expressed in cancer cells can lead to multidrug resistance (MDR) and the combination of anti-cancer drugs with P-gp inhibitor has been a promising strategy to reverse MDR in cancer treatment. In this study, we established a label-free and detergent-free system combining surface plasmon resonance (SPR) biosensor with styrene maleic acid (SMA) polymer membrane proteins (MPs) stabilization technology to screen potential P-gp inhibitors. First, P-gp was extracted from MCF-7/ADR cells using SMA polymer to form SMA liposomes (SMALPs). Following that, SMALPs were immobilized on an SPR biosensor chip to establish a P-gp inhibitor screening system, and the affinity between P-gp and small molecule ligand was determined. The methodological investigation proved that the screening system had good specificity and stability. Nine P-gp ligands were screened out from 50 natural products, and their affinity constants with P-gp were also determined. The in vitro cell verification experiments demonstrated that tetrandrine, fangchinoline, praeruptorin B, neobaicalein, and icariin could significantly increase the sensitivity of MCF-7/ADR cells to Adriamycin (Adr). Moreover, tetrandrine, praeruptorin B, and neobaicalein could reverse MDR in MCF-7/ADR cells by inhibiting the function of P-gp. This is the first time that SMALPs-based stabilization strategy was applied to SPR analysis system. SMA polymer can retain P-gp in the environment of natural lipid bilayer and thus maintain the correct conformation and physiological functions of P-gp. The developed system can quickly and accurately screen small molecule ligands of complex MPs and obtain affinity between complex MPs and small molecule ligands without protein purification.

Objective:To analyze the research hotspot of advance care planning (ACP) at home and abroad, understand the research status and development trend of this field, and provide reference for the development of ACP in China.Methods:The recently literature of ACP through PubMed and Wan Fang database was searched, then bibliographic information data mining system and graph clustering tool kit cluster analysis were used.Results:A total of 2 717 articles were retrieved, extracted high frequency keywords that account for more than 50% of the total, including 35 domestic subject words and 89 foreign "main subject words+ sub-subject words" . Domestic research hotspots included: culture and value of ACP and advance directives, implementation and implementation status of ACP, research progress of ACP, research of ACP acceptance, attitudes and status of medical staff about ACP and advance directives. Foreign research hotspots included: the role of advance directives in ACP and its evaluation and application, influencing factors of ACP selection preference in terminal patients, status and methods of agency decision making, ACP and hospice care, the impact of end-of-life choices on care and quality of life, auxiliary decision-making mode of ACP.Conclusions:Although relevant research on ACP in China has been in the exploratory stage, there is still a gap in the breadth and depth of research at home and abroad. Research forms, objects and contents of ACP need to be deepened. In the future, the research should actively explore the new mode of ACP development in combination with China′s policy and cultural background.

Objective To systematically review the effects of Baduanjin in knee osteoarthritis patients. Methods Randomized controlled trial(RCT)on effects of Baduanjin in knee osteoarthritis patients was retrieved in the Web of Science,CINAHL,PubMed,EMbase,The Cochrane Library,Chinese National Knowledge Infrastructure(CNKI),WanFang Data and VIP by computer from building database to 23rd January 2019. Two researchers independently screened literatures,extracted data and assessed the risk of bias of included literatures. The RevMan 5.3 was used to the meta-analysis and GRADE pro was applied to grade the quality of evidence. Results Finally,a total of 6 RCTs were included and involved 328 subjects. Meta-analysis showed that Baduanjin compared with control group could improve the pain of patients[SMD=-1.50, 95％CI(-2.43,-0.58),P=0.001],stiff[SMD=-0.85,95％CI(-1.46,-0.23),P=0.007],physiologic function [SMD=-1.28,95％CI(-2.45,-0.10),P=0.03]and mobility[SMD=1.04,95％CI(0.07,2.02),P=0.03] with statistical differences. Evidence levels of five evidences were all the extremely low degree of quality. Conclusions The existing evidences show that Baduanjin has significant clinical effects on improving the pain of knee osteoarthritis patients,stiff and mobility. The evidences still need to be confirmed by many high quality of researches restricted by research quality of included literatures.

Objective:To analyze the current status and existing problems of the research on social health in the rural elderly in China so as to provide a reference for further research on improving the social health of the rural elderly, promoting healthy and active aging.Methods:We systematically searched the research on the social health of the rural elderly published in the China National Knowledge Infrastructure (CNKI) , VIP and WanFang Data from January 1, 2009 to December 31, 2018. The literature on the social health of the rural elderly in China were analyzed from the literature year, first author, published journals, research institutions and fund sources with the bibliometric method, EndNote and Excel.Results:A total of 149 journal articles were included. The literature number of the research on social health of the rural elderly showed an upward trend from 2009 to 2015, and then the trend was stable; 50.34% (75/149) of the literatures were published in Peking University Chinese core journals, and 66.44% (99/149) of the literatures were supported by fund projects; the first author was from 21 provinces and 3 municipalities; the research team has not formed a "scientific elite group", and various types of institutions have carried out research on the social health of the rural elderly in China; tools for measuring social health included the Social Support Rating Scale, Medical Outcomes Study 36-Item Short Form Health Survey and the Self-designed Questionnaires.Conclusions:In recent years, more and more attention has been paid to research on the social health of the rural elderly in China. However, the research area and institutions were wide and varied, and the research team has not formed a "scientific elite group"; social health-related concepts still lack a unified research standard and a comprehensive measurement tool for the social health of the rural elderly. We hope that many scholars will invest in the field of social health and make efforts to promote active aging.