Objective:To investigate the related factors of pleasure loss in patients with human immunodefi-ciency virus(HIV)/acquired immune deficiency syndrome(AIDS).Methods:Totally 237 patients with HIV/AIDS from a certain infectious disease hospital were selected and surveyed with a self-designed general information ques-tionnaire,the Temporal Pleasure Experience Scale(TEPS),Self Acceptance Scale(SAQ),Discrimination Percep-tion Scale(SIS),and Perceived Social Support Scale(PSSS).Results:The patient's TEPS score was(73.4±16.1).Stepwise linear regression analysis showed that the PSSS total scores,education level,and personal monthly income were positively correlated with the TEPS total scores(β=0.41,5.17,4.63),and age was negatively corre-lated with the TEPS total scores(β=-0.30).Conclusion:It suggests that more attention should be paid to the lack of pleasure in patients with HIV/AIDS,and the lack of pleasure is related to personal monthly income,educa-tion level,age and perceived social support.

In September 2024,the"Clinical Practice Guidelines for the Management of Hypertension in China"was officially released by the Chinese Society of Cardiology,Chinese Medical Association and other academic institutions.The guideline encompasses 98 recommendations for 44 key clinical issues in the management of hypertension.This arti-cle presents a concise summary of 10 highlights of the guideline,including the scientific foundation of the guideline,the concept and definition of prehypertension,simplified risk stratification for hypertension,antihypertensive treatment initia-tion timing,antihypertensive targets for different populations,first-line antihypertensive drugs,antihypertensive programs for various clinical complications,non-drug therapies,indications for renal denervation,and screening for secondary hy-pertension,in order to help doctors better understand the guidelines,promote their implementation,and guide clinical practice.

In September 2024,the"Clinical Practice Guidelines for the Management of Hypertension in China"was officially released by the Chinese Society of Cardiology,Chinese Medical Association and other academic institutions.The guideline encompasses 98 recommendations for 44 key clinical issues in the management of hypertension.This arti-cle presents a concise summary of 10 highlights of the guideline,including the scientific foundation of the guideline,the concept and definition of prehypertension,simplified risk stratification for hypertension,antihypertensive treatment initia-tion timing,antihypertensive targets for different populations,first-line antihypertensive drugs,antihypertensive programs for various clinical complications,non-drug therapies,indications for renal denervation,and screening for secondary hy-pertension,in order to help doctors better understand the guidelines,promote their implementation,and guide clinical practice.

Organic chemistry is an important foundation course for medicine, chemistry and other majors in universities and colleges. In this study, combined with the characteristics of pharmacy students in local colleges and universities, teachers introduced case teaching, enhanced curriculum connotation, and explored the integration of green chemistry concepts into the teaching process of organic chemistry, so as to cultivate pharmaceutical professionals with environmental protection concept and safety awareness. The practice shows that this teaching model not only improves students' attention to organic chemistry and learning efficiency, but also improves students' comprehensive quality.

The purpose of this paper was to investigate the effects of wearable lower limb exoskeletons on the kinematics and kinetic parameters of the lower extremity joints and muscles during normal walking, aiming to provide scientific basis for optimizing its structural design and improving its system performance. We collected the walking data of subjects without lower limb exoskeleton and selected the joint angles in sagittal plane of human lower limbs as driving data for lower limb exoskeleton simulation analysis. Anybody (the human biomechanical analysis software) was used to establish the human body model (the human body model without lower limb exoskeleton) and the man-machine system model (the lower limb exoskeleton model). The kinematics parameters (joint force and joint moment) and muscle parameters (muscle strength, muscle activation, muscle contraction velocity and muscle length) under two situations were compared. The experimental result shows that walking gait after wearing the lower limb exoskeleton meets the normal gait, but there would be an occasional and sudden increase in muscle strength. The max activation level of main lower limb muscles were all not exceeding 1, in another word the muscles did not appear fatigue and injury. The highest increase activation level occurred in rectus femoris (0.456), and the lowest increase activation level occurred in semitendinosus (0.013), which means the lower limb exoskeletons could lead to the fatigue and injury of semitendinosus. The results of this study illustrate that to avoid the phenomenon of sudden increase of individual muscle force, the consistency between the length of body segment and the length of exoskeleton rod should be considered in the design of lower limb exoskeleton extremity.
Biomechanical Phenomena ; Exoskeleton Device ; Gait ; Humans ; Lower Extremity ; physiology

Objective To explore the plantar pressure and surface electromyography (sEMG) parameters during human stair walking, so as to provide theoretical support for foot structure design of dynamic walker, selection of power element and distribution of installation location. Methods Ten healthy young males were recruited to perform stair walking trials, respectively. The motion capture system, plantar pressure system and surface myoelectricity acquisition system were used to collect plantar peak pressure, trajectory of COP(center of pressure) and sEMG parameters of lower limb muscles at the same time. Results Compared with level walking, the percentage of stance time in the whole gait cycle increased during stair walking. The peak pressure of forefoot area increased during stair ascent, while the peak pressure of toe area decreased during stair descent. During stair walking, rectus femoris, biceps femoris, medialis and lateralis gastrocnemius played a main role in maintaining the stability of human body. Conclusions The plantar pressure distribution should be fully considered for foot structure design of dynamic walker and the function of main muscles should be considered for selection of power element and distribution of installation location.

Objective To investigate the expressions and effects of EGR-1, p53, p16, Cyclin D1 in Nasopharyngeal Carcinoma (NPC). Methods Expressions of EGR-1, p53, p16, and Cyclin D1 protein in paraffin-embedded specimens of 29 chronic nasopharyngitis, 45 NPC and 24 lymph-node metastasis were studied by immunohistochemical method (SABC). Results The positive rates of EGR-1, p16, and Cyclin D1 protein expressions in chronic nasopharyngitis were 44.83 %(13/29), 89.66 %(26/29) and 24.14 %(7/29) respectively, but no p53 protein expression. In NPC, the positive expression rates of the four proteins were 22.22 %(10/45), 91.11 %(41/45), 53.33 %(24/45) and 66.67 %(30/45), with significant difference compared with chronic nasopharyngitis respectively; and in lymph nodes metastasis were 16.67 %(4/24), 79.17 %(19/24), 70.83 %(17/24) and 75.00 %(18/24) with significant difference compared with those of chronic nasopharyngitis and NPC respectively except for p16 protein. Spearman correlation analysis showed that there were no significant correlation between the expression of EGR-1 and p53, p16, Cyclin D1 respectively both in NPC and in lymph nodes metastasis. In NPC, the expression of p53 showed a positive correlation with the expression of p16; and in lymph nodes metastasis the expression of Cyclin D1 showed positive correlation with the expressions of p16 and p53. Conclusions The expression of EGR-1 protein was significantly decreased both in NPC and in lymph-node metastasis, which suggested that Egr-1 gene may be a tumor suppressor gene and have an important effect in the pathogenesis and the progression of NPC. The overexpression of p53 and Cyclin D1 also have an important role in NPC, but p16 probably have no biological significance in NPC.