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  • 简介:ObjectivesPlasmauricacid(UA)concentrationwassuspectedtoelevateinelderlywithischemiccardiomyopathy(ICM).MethodsWeanalyzedthedataof235elderlyaged60yearsandolderwithcoronaryheartdisease:silentmyocardialischemiaoranginapectorisconfirmedbyangiography.Amongthesepatients,154hadICMdefinedasleftventricularend-diastolicdiameter(LVDd)male>55mm,female>50mm(mean:63.51±7.70mm)measuredbyechocardiography.DifferenceinUAwasanalyzedbetweenpatientswithandwithoutICM.ResultsTherewassignificantincreaseofUAinICMcomparedwithnon-ICM(432.82±143.05umol/Lvs361.06±137.35umol/L,P<0.05);andUAwaspositivelyrelatedtoLVDd(r=0.25,P<0.05).ConclusionsTherewassignificantincreaseofUAinelderlywithICMduetolongtermsilentmyocardialischemiaandanginapectoris.Moreover,UAwaspositivelyrelatedtoLVDd.

  • 标签: 心肌缺血 老年人 酸浓度 心肌病 尿酸 ICM
  • 简介:AbstractBackground:Whether there is an association between serum uric acid (SUA) level and risk of mortality in the general population remains unclear. Based on the China National Survey of Chronic Kidney Disease linked to mortality data, a population-based cohort study was performed to investigate the association between SUA level and all-cause mortality, cardiovascular disease (CVD) mortality, and cancer mortality in China.Methods:The survival status of participants in the cross-sectional survey was identified from January 1, 2006 to December 31, 2017. Only 33,268 individuals with complete SUA data among the 47,204 participants were included in the analysis. We determined the rates of all-cause mortality, CVD mortality, and cancer mortality. We used Cox proportional hazards regression models to evaluate the effect of the SUA level on mortality.Results:During a total of 297,538.4 person-years of follow-up, 1282 deaths occurred. In the Cox proportional hazards regression model, the rate of all-cause mortality, CVD mortality, and cancer mortality had a U-shaped association with SUA levels only in men, whereas no significant associations were detected in women. For all-cause mortality in men, the multivariable-adjusted hazard ratios (HRs) in the first, second, and fourth quartiles compared with the third quartile were 1.31 (95% confidence interval [CI] 1.04-1.67), 1.17 (95% CI 0.92-1.47), and 1.55 (95% CI 1.24-1.93), respectively. For CVD mortality, the corresponding HRs were 1.47 (95% CI 1.00-2.18), 1.17 (95% CI 0.79-1.75), and 1.67 (95% CI 1.16-2.43), respectively. For the cancer mortality rate, only a marginally significant association was detected in the fourth quartile compared with the third quartile with an HR of 1.43 (95% CI 0.99-2.08).Conclusions:The association between SUA and mortality differed by sex. We demonstrated a U-shaped association with SUA levels for all-cause and CVD mortalities among men in China.

  • 标签: Cardiovascular diseases Sex characteristics Serum uric acid China Cohort study Mortality Population-based
  • 简介:AbstractBackground:Psoriasis is a chronic systemic inflammatory disease, and hyperuricemia is a common comorbidity in patients with psoriasis. However, there are limited reports on the relationship between serum uric acid levels and biological treatment efficacy. The purposes of this study were to compare the differences in serum uric acid levels between patients with psoriasis and healthy controls and analyze the risk of hyperuricemia.Methods:A total of 196 patients with psoriasis and 191 age- and sex-matched healthy controls were enrolled in this retrospective cohort study. One hundred and twenty-seven patients with severe psoriasis were treated with biologics. Sixty-eight patients received adalimumab, and 59 patients received secukinumab. Serum uric acid levels were measured at baseline, week 24, and week 48 of treatment.Results:Patients with psoriasis had higher serum uric acid levels than healthy controls (6.4 ± 1.7 mg/dL vs. 5.7 ± 1.5 mg/dL, P < 0.001). Hyperuricemia was found in 33.7% (66/196) of patients with psoriasis, which was significantly higher than that in healthy controls (13.1% [25/191], P < 0.001). Serum uric acid levels and hyperuricemia were not related to the severity of psoriasis (P > 0.05). No significant changes in serum uric acid levels and hyperuricemia were observed following adalimumab treatment (P > 0.05). The serum uric acid level in patients treated with secukinumab was 6.7 ± 1.6 mg/dL at week 24, which was not statistically different from that at baseline (6.6 ± 1.4 mg/dL, P = 0.885). Serum uric acid levels were significantly decreased at week 48 (6.3 ± 1.5 mg/dL vs. 6.6 ± 1.4 mg/dL, P = 0.007) in patients treated with secukinumab. Secukinumab had no significant effect on hyperuricemia either (P > 0.05).Conclusions:The serum uric acid levels and prevalence of hyperuricemia in patients with psoriasis were significantly higher than those in healthy controls. Secukinumab treatment for 48 weeks successfully decreased serum uric acid levels in patients with psoriasis, whereas adalimumab had no significant effect on serum uric acid levels.

  • 标签: Psoriasis Serum uric acid Adalimumab Secukinumab Hyperuricemia
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  • 作者: Wang Xiao-Jun Qian Xi-Wen Zhang Xu Han Li Zheng Yu-Qi Wu Tao Qin Guo-You Ye Zhi-Bin Xiao Jing
  • 学科: 医药卫生 >
  • 创建时间:2020-08-10
  • 出处:《中华医学杂志(英文版)》 2020年第12期
  • 机构:Department of Traditional Chinese Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China; Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China,Department of Biostatistics, School of Public Health, Fudan University, Shanghai 200433, China,Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China; Department of Nephrology, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
  • 简介:AbstractBackground:The relationship of uric acid (UA) with the thyroid function among healthy individuals remains unclear. We aimed to examine the relationship between UA contents and thyroid hormone levels in healthy Chinese individuals.Methods:This was a cross-sectional study of 1186 Chinese adults (736 men and 450 women) who underwent a health check-up at the Huadong Hospital Affiliated to Fudan University (Shanghai, China) between January 1, 2010 and July 31, 2018. Clinical and thyroid hormone levels were compared in different UA groups (in male and menopause women groups, MG1: UA < 5 mg/dL; MG2: 5 mg/dL ≤ UA< 7 mg/dL; and MG3: UA ≥ 7 mg/dL; in female groups, FG1 to FG3 represent the UA levels of <4 mg/dL, 4 mg/dL ≤ UA< 6 mg/dL, and ≥6 mg/dL, respectively). In addition, natural cubic spline regression, together with Pearson correlation analysis, was performed in investigating the correlation of UA with thyroid hormones.Results:After adjusting for confounding factors, low levels of UA (for males, UA < 5.30 mg/dL; for females, UA < 4.05 mg/dL) were negatively correlated with free triiodothyronine (FT3) both in men and women. UA levels between 4.83 and 6.06 mg/dL may act to protect FT3 in women, while UA levels between 6.39 and 7.09 mg/dL may protect FT3 in men. FT3 levels of low-range UA group reduced compared with mid-range UA and the high-range UA groups in both men and women.Conclusions:Our results provide epidemiologic evidence to support the negative correlation between low UA contents and FT3 in the Chinese Han population, suggesting that the reduced UA contents may serve as the risk factor to predict poor thyroid function in Chinese individuals.

  • 标签: Uric acid Thyroid Chinese
  • 简介:Anovelcovalentlymodifiedglassycarbonelectrodewithβ-cyclodextrinwaspreparedviaelectropolymerizationtechniqueforthesimultaneousdeterminationofuricacid(UA),xanthine(XA),hypoxanthine(HX)anddopamine(DA).ThisnewelectrodepresentedanexcellentelectrocatalyticactivitytowardstheoxidationofUA,XA,HXandDAbycyclicvoltammetry(CV)method.Theoxidationpeaksofthefourcompoundswerewelldefinedandhadtheenhancedpeakcurrents.TheseparationpotentialsoftheoxidationpeaksforDA-UA,UA-XAandXA-HXwere150,390and360mVinCV,respectively.Bymeansofdifferentialpulsevoltammetry(DPV)method,thecalibrationcurvesintherangesof10―225,5―105,10―170and5―150μmol/LwereobtainedforUA,XA,HXandDA,respectively.Thelowestdetectionlimits(S/N=3)were5,1.25,5and1.5μmol/LforUA,XA,HXandDA,respectively.ThepracticalapplicationofthemodifiedelectrodewasdemonstratedbythedeterminationofDAinhydrochlorideinjectionandUA,XA,HXinhumanurinesamples.

  • 标签: 修饰玻碳电极 电催化氧化法 次黄嘌呤 同时测定 多巴胺 环糊精
  • 简介:backgroundStudieshavebeeninconsistentregardingwhetherhyperuricemia,eitherdiuretic-ornondiuretic-induced,isanindependentriskfactorforcardiovascularevents.Thestudyinvestigatedtheassociationofcardiovasculardiseasewithdiuretic-andnondiuretic-inducedelevatedserumuricacid.MethodsAcommunity-basedcross-sectionstudywasconductedin5,235treatedanduntreatedhypertensivepatientsaged40-75years.Conventionalriskfactors,serumuricacidandthepresenceofcardiovasculardiseaseweredetermined.Hyperuricemiawasdefinedasserumuricacidlevels≥420μmol/Linmenor≥360μmol/Linwomen.ResultsHyperuricemiawasmorecommoninmenthaninwomen(21.5%vs.10.2%,P<0.001).Afteradjustmentforageandotherconventionalriskfactors,hyperuricemiawasassociatedwithmetabolicsyndrome,decreasedcreatinineclearance,anduseofdiureticsinbothgenders,aswellasageinwomenandalcoholconsumptioninmen.Thepresenceofcoronaryarterydiseaseorstrokeincreasedsignificantlywiththeincreaseofquartilesofserumuricacid(8.0%,11.0%,13.4%,and16.8%,respectively,P<0.01),andthehighestserumuricacidquartilewasassociatedwitha1.8-foldriskforcardiovasculardisease(OR:1.83,95%CI:1.24-2.71)inuntreatedwomen.Butthisassociationwasnotobservedinuntreatedmenaswellasintreatedpatientsusingdiureticsinbothgenders.ConclusionsHyperuricemiaismarkedlyassociatedwithmetabolicsyndrome,decreasedcreatinineclearance,useofdiureticsbesidesalcoholconsumptioninmenandageinwomen.Elevatedserumuricacid,butnotthatdiuretic-induced,maybeassociatedwithincreasedtheriskofcardiovasculardiseaseinuntreatedhypertensivewomen.

  • 标签: 心血管疾病 高血压患者 尿酸血症 利尿剂 血清 治疗
  • 简介:α-Eleostearicacidandβ-eleostearicacidformedvesiclesinaqueousmediumwhenanethanolsolutionofeleostearicacidwasinjectedrapidlyintoavigorouslyvortexedaqueousphase.Formationofthevesicleswasdemonstratedbyelectronmicroscopicobservationandbromothymolblueencapsulationexperiments.PolymerizationsoftheeleostearicacidsintheformedvesiclescarriedoutbyUVirradiationproducedpoly-α-eleostearicacidandpoly-β-eleostearicacidvesicles.

  • 标签: Eleostearic ACID UV IRRADIATED POLYMERIZATION VESICLE
  • 简介:Acomparisonoftheadsorptionofbenzoicacidandp-nitrobenzoicacidonthenewhypercrosslinkedpolymericadsorbentAM-I,withthatbymacroporousAmberliteXAD-4,includingtheequilibriumadsorptionisotherms,thedynamicadsorptionbehaviorsthroughcolumnandtheadsorptionthermodynamicswerestudied.ResultsshowthatFreundlichequationgivesafittingadsorptionisotherm.ThespecificsurfaceofAM-lisonly67%ofthatofAmberliteXAD-4,buttheadsorptioncapacitiesonAM-1aremuchhigherabout125%~166%thanthatonAmberliteXAD-4,whichiscontributedtothemicroporemechanismandpolarity.Thenegativevaluesoftheadsorptionenthalpyareindicativeofanexothermicprocess.Enthalpyandfreeenergychangesofadsorptionbothmanifestaphysic-sorptionprocess.Thenegativevaluesoftheadsorptionentropyindicatethattheadsorptioniswellconsistentwiththerestrictedmobilitiesandtheconfigurationsoftheadsorbedbenzoicacidmoleculesonthesurfaceofstudiedadsorbentswithsuperficialheterogeneity.Bothadsorbentswereusedinmini-columnexperimentsforadsorbingbenzoicacidexpectingtoelucidatethehigherbreakthroughadsorptioncapacityofthenewhypercrosslinkedpolymericadsorbentAM-1ascomparedwiththatofAmberliteXAD-4.

  • 标签: 吸附作用 苯甲酸 P-硝基苯甲酸 高交联性苯酚基团Pst吸附剂 热力学性质 分子筛
  • 简介:"Whitepowderytungsticacid"hasbeenusedforpreparingvarioustypesoftungsten-containingcompoundsduetoitshighreactivity.Thepresentpapercoversthestandardmolarenthalpiesofformation,△H0/fofthreetungsten-containingacids.Thevaluesfoundfor"whitepowderytungsticacid"WO3·1.68H2O,"yellowtungsticacid"WO3·1.20H2OanddodecatungstophosphoricacidH3(PW12O40)·25H2Oat298.15Kwere-(1312±1),-(1192±1)and-(18150±13)kJmol-1,respectively.

  • 标签: ENTHALPY of FORMATION Tungstic ACID Dodecatungstophosphoric
  • 简介:DisclosedisamethodofpreparinghypophosphorousacidcomprisingcontactinganinsolubleanodewithanaqueoussolutionofhypophosphiteanionsandapplyingadirectcurrentthroughtheinsolubleanodetoacathodeinelectricalcontactwiththeequeoussolutiontogenerateH^+ionsintheaqueoussolutiontherebyformingahypophosphorousacidsolution.Theprocessissimple,lowcostandhighefficient,whichcanbetiedintoanexistingprocessforproducingsodiumhypophosphitewhereintheproductofsodiumhypophosphiteprocessisusedasastartingmaterialinthehypop[hosphorousacidprocess.

  • 标签: 二次膦酸 电渗析 生产
  • 简介:AbstractTranexamic acid (TXA) is an anti-fibrinolytic agent which has been proven beneficial in multiple surgical specialties where significant bleeding can occur. Whilst it has been widely available for over 40 years its use within Otorhinolaryngology is still limited. Operations in Otorhinolaryngology are particularly varied with some such as tonsillectomy having the potential for significant life threatening bleeding. Other operations are performed within small confined surgical fields and even small amounts of bleeding can significantly detriment surgical field and increase technical difficulty and operative time. This review evaluated the current literature on the benefits of tranexamic acid within the field of Otorhinolaryngology and Head and Neck Surgery. Overall TXA was demonstrated to be a safe drug with no major adverse effects including thromboembolic events reported in any study. It has been shown to be of particular benefit in rhinology by improving surgical field, reducing operative time and reducing postoperative swelling and ecchymosis. The benefit in tonsillectomy is less clear and further studies are required to evaluate its potential use in the reduction of post tonsillectomy haemorrhage rates.

  • 标签: Tranexamic acid Otorhinolaryngology Surgery Bleeding
  • 简介:胆汁酸(BA)由充当tensioactives在肠在胖消化有一个长确定的角色,由于他们的amphipatic特征。BA被肠上皮很高效地重新吸收并且经由大部分被阐明了的运输机制再循环回到肝。BA的运输和合成被特定的血浆膜受体和原子受体紧部分地调整。除了他们的主要效果,BA被宣称在胃肠的癌症,肠的发炎和肠的离子的运输起一个作用。BA不在任何这些生物活动,和结构的要求是相等的通常被识别了。特别地,一些BA可能在煽动性的肠疾病为癌症chemoprevention并且也许是有用的,尽管进一步的研究在这个领域里是必要的。这评论在BA肠的生物学的这些方面盖住最近的开发。

  • 标签: 结肠炎 胆汁酸 生理学 病理生理学 结肠癌
  • 简介:ThermotropicliquidcrystallineVHEterpolyestersmadefromvanillicacid(V),p-hydroxybenzoicacid(H)andpoly(ethyleneterephthalate)(E)werestudiedby400MHzNMRspectra,wideangleX-raydiffraction,scanningelectronandpolarizingmicroscopes.ItwasfoundthattheVHEterpolyestershadrandomsequencedistribution.TheVHEterpolyesterfilmsexhibitedhighlyorientedfibrillarstructure.

  • 标签: TEREPHTHALATE ACID CRYSTALLINE TIANJIN EQUATORIAL NEMATIC
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