Doctors’ Pragmatic Identity Construction Based on The Doctors

In recent years, conflicts between doctors and patients in China have occurred from time to time. In the past, some scholars conducted research on the doctor-patient relationship, but there are few studies on doctors’ pragmatic identity construction. Therefore, guided by Chen Xinren’s pragmatic identity theory, using python as an analytical aid, this paper uses a combination of qualitative and quantitative analysis to conduct a study of doctor’s pragmatic identity construction based on a medical documentary The Doctors. The main focus of this study is not only the types of pragmatic identity constructed by doctors in the documentary, but also the emotional characteristics of these pragmatic identities. According to this research, the doctors in the documentary The Doctors mainly construct expert identity, peer identity, and stress bearer identity. The overall emotional characteristics of the constructed pragmatic identities are neutral, and positive emotions are greater than negative ones. This paper has certain research significance. For one thing, this study provides a new research perspective for doctors’ pragmatic identity construction, that is, to study the overall emotional characteristics of the constructed identities. For another, this study can help the public understand the pragmatic identity of doctors to a certain extent, and promote the harmonious relationship between doctors and patients

Tetra­imidazole­bis(trichloro­acetato)copper(II)

The title compound, [Cu(C2Cl3O2)2(C3H4N2)4], was prepared by the reaction of imidazole and trichloro­acetatocopper(II). The CuII atom adopts a distorted octa­hedral coordination geometry, binding the N atoms of four imidazole ligands and the carboxyl­ate O atoms of two trichloro­acetate anions. The mol­ecular structure and packing are stabilized by N—H⋯O hydrogen-bonding inter­actions. Close inter­molecular Cl⋯Cl contacts [3.498 (3) Å] are also found in the structure

Expression of hypoxia inducible factor-1α and vascular endothelial growth factor-C in human chronic periodontitis

AbstractBackground/purposeEvidence shows that there is a relationship between hypoxia and inflammatory response in periodontitis. Hypoxia-inducible factor (HIF)-1α is a major regulator of energy homeostasis and cellular adaptation to low oxygen stress. Although experimental results demonstrate an association between HIF-1α and vascular endothelial growth factor (VEGF)-C in tumor angiogenesis, the role of HIF-1α and VEGF-C in the pathogenesis of periodontitis is still ambiguous. So far, limited attention has been given to the role of hypoxia and VEGF-C in periodontitis. The present study aimed to investigate the expression and distribution of HIF-1α and VEGF-C in gingival tissue samples from patients with different stages of chronic periodontitis and healthy individuals.Materials and methodsA total of 56 samples were involved in this study, including moderate chronic periodontitis (n = 20), advanced chronic periodontitis (n = 20), and healthy control tissues (n = 16). The gingival specimens were stained with hematoxylin and eosin for histopathology. The expression of HIF-1α and VEGF-C in gingival tissues was detected by immunohistochemical staining.ResultsHIF-1α and VEGF-C were found in gingival tissues from patients with different stages of chronic periodontitis as well as healthy control tissues. HIF-1α protein was expressed mainly in the epithelial layer of gingival tissues, and VEGF-C protein was mostly located in the connective tissue papilla of gingival tissues. Compared with healthy controls, the expression of HIF-1α and VEGF-C in chronic periodontitis groups was significantly higher (P < 0.01), and the density of HIF-1α and VEGF-C in advanced chronic periodontitis group was even significantly higher than that in the moderate chronic periodontitis group (P < 0.01).ConclusionOur results suggest that the expression of HIF-1α and VEGF-C increased with severity of periodontitis. So, we conclude that HIF-1α may play an important role in the pathophysiology of human periodontitis and may be related to the function of VEGF-C during periodontitis

Risk for Gestational Diabetes Mellitus and Adverse Birth Outcomes in Chinese Women with Polycystic Ovary Syndrome

Objective. To examine the association of polycystic ovary syndrome (PCOS) in early pregnancy with gestational diabetes mellitus (GDM) and adverse birth outcomes. Methods. In this retrospective cohort study including 2389 pregnant women, the medical records of 352 women diagnosed with PCOS were evaluated. Outcomes included GDM, preterm birth, low birth weight, macrosomia, and being small and large for gestational age. Multivariable logistic regression models were used to examine the association of the risk for GDM and adverse birth outcomes with PCOS after adjusting for confounders. Results. Women previously diagnosed with PCOS had a higher risk of GDM (adjusted odds ratio [OR] 1.55, 95% confidence interval [CI]: 1.14–2.09). A strong association was seen between PCOS and preterm birth (adjusted OR 1.69, 95% CI: 1.08–2.67). On stratified analysis, the adjusted OR for GDM among women with PCOS undergoing assisted reproductive technology was 1.44 (95% CI: 1.03–1.92) and among women with PCOS who conceived spontaneously was 1.60 (1.18–2.15). No increased risk for other adverse birth outcomes was observed. Conclusions. Women with PCOS were more likely to experience GDM and preterm birth

Expression of chemokine receptor CXCR4 in nasopharyngeal carcinoma: pattern of expression and correlation with clinical outcome

Nasopharyngeal carcinoma (NPC) is a tumor derived from epithelial cells and Epstein-Barr virus infection has been reported to be a cause of this disease. Chemokine receptor CXCR4 was found to be involved in HIV infection and was highly expressed in human malignant breast tumors and the ligand for CXCR4, CXCL12 (SDF-1), exhibited high expression in organs in which breast cancer metastases are often found. The metastatic pattern of NPC is quite similar to that of malignant breast tumors. In this study, we investigated the expression of CXCR4 in nasopharyngeal carcinoma (NPC) tissues by immunohistostaining. We found different staining patterns, which included localization in the nucleus, membrane, cytoplasm or a combination of them. The staining intensity was also variable among samples. The metastatic rates in patients with high compared to low or absent expression was 38.6% versus 19.8%, respectively (P = 0.004). High expression of CXCR4 was associated with poor overall survival (OS = 67.05% versus 82.08%, P = 0.0225). These results suggest that CXCR4 may be involved in the progression of NPC and that a high level of CXCR4 expression could be used as a prognostic factor

Giant panda BAC library construction and assembly of a 650-kb contig spanning major histocompatibility complex class II region

<p>Abstract</p> <p>Background</p> <p>Giant panda is rare and endangered species endemic to China. The low rates of reproductive success and infectious disease resistance have severely hampered the development of captive and wild populations of the giant panda. The major histocompatibility complex (MHC) plays important roles in immune response and reproductive system such as mate choice and mother-fetus bio-compatibility. It is thus essential to understand genetic details of the giant panda MHC. Construction of a bacterial artificial chromosome (BAC) library will provide a new tool for panda genome physical mapping and thus facilitate understanding of panda MHC genes.</p> <p>Results</p> <p>A giant panda BAC library consisting of 205,800 clones has been constructed. The average insert size was calculated to be 97 kb based on the examination of 174 randomly selected clones, indicating that the giant panda library contained 6.8-fold genome equivalents. Screening of the library with 16 giant panda PCR primer pairs revealed 6.4 positive clones per locus, in good agreement with an expected 6.8-fold genomic coverage of the library. Based on this BAC library, we constructed a contig map of the giant panda MHC class II region from <it>BTNL2 </it>to <it>DAXX </it>spanning about 650 kb by a three-step method: (1) PCR-based screening of the BAC library with primers from homologous MHC class II gene loci, end sequences and BAC clone shotgun sequences, (2) DNA sequencing validation of positive clones, and (3) restriction digest fingerprinting verification of inter-clone overlapping.</p> <p>Conclusion</p> <p>The identifications of genes and genomic regions of interest are greatly favored by the availability of this giant panda BAC library. The giant panda BAC library thus provides a useful platform for physical mapping, genome sequencing or complex analysis of targeted genomic regions. The 650 kb sequence-ready BAC contig map of the giant panda MHC class II region from <it>BTNL2 </it>to <it>DAXX</it>, verified by the three-step method, offers a powerful tool for further studies on the giant panda MHC class II genes.</p

Insights into the involvement of long non-coding RNAs in doxorubicin resistance of cancer

Doxorubicin is one of the most classical chemotherapeutic drugs for the treatment of cancer. However, resistance to the cytotoxic effects of doxorubicin in tumor cells remains a major obstacle. Aberrant expression of long non-coding RNAs (lncRNAs) has been associated with tumorigenesis and development via regulation of chromatin remodeling, transcription, and post-transcriptional processing. Emerging studies have also revealed that dysregulation of lncRNAs mediates the development of drug resistance through multiple molecules and pathways. In this review, we focus on the role and mechanism of lncRNAs in the progress of doxorubicin resistance in various cancers, which mainly include cellular drug transport, cell cycle disorder, anti-apoptosis, epithelial-mesenchymal transition, cancer stem cells, autophagy, tumor microenvironment, metabolic reprogramming and signaling pathways. This review is aimed to provide potential therapeutic targets for future cancer therapy, especially for the reversal of chemoresistance