Overweight and Obesity-related Metabolic Disorders in Hospital Employees

BackgroundObesity is associated with metabolic disorders and cardiovascular diseases. This study investigated the relationship between overweight and obese status and the incidence of type 2 diabetes, hypertension, hyperlipidemia and hyperuricemia.MethodsThis prospective cohort study comprised 1749 hospital employees who received baseline health check-ups in 1993. Data from the 1027 participants (832 women, 195 men; mean age, 36 ± 7 years) who repeated check-ups in 2003 were used in the analysis. Relative risks (RRs) for development of metabolic disorders during follow-up associated with different body mass index (BMI) categories at baseline as defined by Asia-Pacific recommendations and the Department of Health in Taiwan were calculated after adjustment for covariates.ResultsThe prevalence of overweight and obesity at baseline check-up were 17.6% and 14.5%, respectively. Obese subjects with baseline BMI ≥ 25 kg/m2 had a significant multivariate-adjusted RR of 2.7 for hypertension, 14.8 for type 2 diabetes, 3.2 for hypertriglyceridemia, and 2.8 for hyperuricemia, compared to subjects with baseline BMI < 23.0 kg/m2. RR for diabetes was higher in women than in men, but RR for hypertriglyceridemia was higher in men. The risks of hypertension and hyperuricemia significantly increased for subjects with baseline BMI ≥ 23 kg/m2, while RRs for type 2 diabetes increased significantly for baseline BMI ≥ 24 kg/m2 and hypertriglyceridemia increased for baseline BMI ≥ 25 kg/m2. The risks attributable to obesity (baseline BMI ≥ 25 kg/m2) were 23.0% for hypertension, 70.8% for diabetes, 27.9% for hypertriglyceridemia, and 24.1% for hyperuricemia.ConclusionThis study revealed that a high prevalence of overweight and obesity was associated with significantly increased risk of development of type 2 diabetes, hypertension, hypertriglyceridemia and hyperuricemia in hospital employees, suggesting the need for programs to improve weight management

Determination of aflatoxin B1 level in rice (Oryza sativa L.) through near-infrared spectroscopy and an improved simulated annealing variable selection method

Direct quantification analysis of near-infrared (NIR) spectra is challenging because the number of spectral variables is usually considerably higher than the number of samples. To mitigate the so-called curse of dimensionality, var�iable selection is often performed before multivariate calibration. There has been much work in this regard, where the developed variable selection method can be categorized as individual variable selection, such as uninformative variable elimination or variable importance in projection, and continuous interval variable selection method such as interval partial least squares or moving window partial least squares. In this study, a new individual variable se�lection method, modified simulated annealing (MSA), was proposed and used in conjunction with the partial least squares regression (PLSR) model. The interpretability of the selected variables in the determination of aflatoxin B1 levels in white rice was assessed. The results revealed that the PLSR model combined with MSA not only yielded higher accuracy than the full-spectrum PLSR but also successfully shrank the variable space. The developed simplified PLSR model using MSA produced satisfactory performances, with root mean square error of calibration (RMSEC) of 0.11 μg/kg and 0.56 μg/kg, and root mean square error of prediction (RMSEP) of 7.16 μg/kg and 14.42 μg/kg, were obtained for the low-aflatoxin B1-level- and high-aflatoxin-B1-level samples, respectively. Specifically, the MSA-based models yielded improvements of 97.80% (calibration set) and 44.62% (prediction set) as well as 95.85% (calibration set) and 62.57% (prediction set) for both datasets when compared with the full-spectrum PLSR (low aflatoxin: RMSEC = 5.02 μg/kg, RMSEP = 12.93 μg/kg; high aflatoxin: RMSEC = 13.50 μg/kg, RMSEP = 38.53 μg/kg). Compared with the baseline method of simulated annealing (SA) (low aflatoxin: RMSEC = 0.21 μg/kg, RMSEP = 9.78 μg/kg; high aflatoxin: RMSEC = 12.27 μg/kg, RMSEP = 38.53 μg/kg), the MSA significantly improved the predictive performance of the regression models, with the number of selected variables being almost half of that in the SA. A comparison with other commonly used variable selection methods of selectivity ratio (low aflatoxin: RMSEC = 6.09 μg/kg, RMSEP = 13.75 μg/kg; high aflatoxin: RMSEC = 13.74 μg/kg, RMSEP = 41.13 μg/kg), unin�formative variable elimination (low aflatoxin: RMSEC = 0.32 μg/kg, RMSEP = 5.11 μg/kg; high aflatoxin: RMSEC = 3.80 μg/kg, RMSEP = 17.76 μg/kg), and variable importance in projection (low aflatoxin: RMSEC = 2.67 μg/kg, RMSEP = 10.71 μg/kg; high aflatoxin: RMSEC = 13.51 μg/kg, RMSEP = 32.53 μg/kg) also indicated the promising efficacy of the proposed MSA

Umbilical Cord-Derived Mesenchymal Stem Cells for Hematopoietic Stem Cell Transplantation

Hematopoietic stem cell transplantation (HSCT) is becoming an effective therapeutic modality for a variety of diseases. Mesenchymal stem cells (MSCs) can be used to enhance hematopoietic engraftment, accelerate lymphocyte recovery, reduce the risk of graft failure, prevent and treat graft-versus-host disease, and repair tissue damage in patients receiving HSCT. Till now, most MSCs for human clinical application have been derived from bone marrow. However, acquiring bone-marrow-derived MSCs involves an invasive procedure. Umbilical cord is rich with MSCs. Compared to bone-marrow-derived MSCs, umbilical cord-derived MSCs (UCMSCs) are easier to obtain without harm to the donor and can proliferate faster. No severe adverse effects were noted in our previous clinical application of UCMSCs in HSCT. Accordingly, application of UCMSCs in humans appears to be feasible and safe. Further studies are warranted

Association of ORAI1 Haplotypes with the Risk of HLA-B27 Positive Ankylosing Spondylitis

Ankylosing spondylitis (AS) is a chronic inflammation of the sacroiliac joints, spine and peripheral joints. The aetiology of ankylosing spondylitis is still unclear. Previous studies have indicated that genetics factors such as human leukocyte antigen HLA-B27 associates to AS susceptibility. We carried out a case-control study to determine whether the genetic polymorphisms of ORAI1 gene, a major component of store-operated calcium channels that involved the regulation of immune system, is a susceptibility factor to AS in a Taiwanese population. We enrolled 361 AS patients fulfilled the modified New York criteria and 379 controls from community. Five tagging single nucleotides polymorphisms (tSNPs) at ORAI1 were selected from the data of Han Chinese population in HapMap project. Clinical statuses of AS were assessed by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), and Bath Ankylosing Spondylitis Global Index (BAS-G). Our results indicated that subjects carrying the minor allele homozygote (CC) of the promoter SNP rs12313273 or TT homozygote of the SNP rs7135617 had an increased risk of HLA-B27 positive AS. The minor allele C of 3′UTR SNP rs712853 exerted a protective effect to HLA-B27 positive AS. Furthermore, the rs12313273/rs7135617 pairwise allele analysis found that C-G (OR 1.69, 95% CI 1.27, 2.25; p = 0.0003) and T-T (OR 1.75, 95% CI 1.36, 2.27; p<0.0001) haplotypes had a significantly association with the risk of HLA-B27-positive AS in comparison with the T-G carriers. This is the first study that indicate haplotypes of ORAI1 (rs12313273 and rs7135617) are associated with the risk of HLA-B27 positive AS

Anesthetic Propofol Reduces Endotoxic Inflammation by Inhibiting Reactive Oxygen Species-regulated Akt/IKKβ/NF-κB Signaling

BACKGROUND: Anesthetic propofol has immunomodulatory effects, particularly in the area of anti-inflammation. Bacterial endotoxin lipopolysaccharide (LPS) induces inflammation through toll-like receptor (TLR) 4 signaling. We investigated the molecular actions of propofol against LPS/TLR4-induced inflammatory activation in murine RAW264.7 macrophages. METHODOLOGY/PRINCIPAL FINDINGS: Non-cytotoxic levels of propofol reduced LPS-induced inducible nitric oxide synthase (iNOS) and NO as determined by western blotting and the Griess reaction, respectively. Propofol also reduced the production of tumor necrosis factor-α (TNF-α), interleukin (IL)-6, and IL-10 as detected by enzyme-linked immunosorbent assays. Western blot analysis showed propofol inhibited LPS-induced activation and phosphorylation of IKKβ (Ser180) and nuclear factor (NF)-κB (Ser536); the subsequent nuclear translocation of NF-κB p65 was also reduced. Additionally, propofol inhibited LPS-induced Akt activation and phosphorylation (Ser473) partly by reducing reactive oxygen species (ROS) generation; inter-regulation that ROS regulated Akt followed by NF-κB activation was found to be crucial for LPS-induced inflammatory responses in macrophages. An in vivo study using C57BL/6 mice also demonstrated the anti-inflammatory properties against LPS in peritoneal macrophages. CONCLUSIONS/SIGNIFICANCE: These results suggest that propofol reduces LPS-induced inflammatory responses in macrophages by inhibiting the interconnected ROS/Akt/IKKβ/NF-κB signaling pathways

Women with endometriosis have higher comorbidities: Analysis of domestic data in Taiwan

AbstractEndometriosis, defined by the presence of viable extrauterine endometrial glands and stroma, can grow or bleed cyclically, and possesses characteristics including a destructive, invasive, and metastatic nature. Since endometriosis may result in pelvic inflammation, adhesion, chronic pain, and infertility, and can progress to biologically malignant tumors, it is a long-term major health issue in women of reproductive age. In this review, we analyze the Taiwan domestic research addressing associations between endometriosis and other diseases. Concerning malignant tumors, we identified four studies on the links between endometriosis and ovarian cancer, one on breast cancer, two on endometrial cancer, one on colorectal cancer, and one on other malignancies, as well as one on associations between endometriosis and irritable bowel syndrome, one on links with migraine headache, three on links with pelvic inflammatory diseases, four on links with infertility, four on links with obesity, four on links with chronic liver disease, four on links with rheumatoid arthritis, four on links with chronic renal disease, five on links with diabetes mellitus, and five on links with cardiovascular diseases (hypertension, hyperlipidemia, etc.). The data available to date support that women with endometriosis might be at risk of some chronic illnesses and certain malignancies, although we consider the evidence for some comorbidities to be of low quality, for example, the association between colon cancer and adenomyosis/endometriosis. We still believe that the risk of comorbidity might be higher in women with endometriosis than that we supposed before. More research is needed to determine whether women with endometriosis are really at risk of these comorbidities

Dengue-1 Envelope Protein Domain III along with PELC and CpG Oligodeoxynucleotides Synergistically Enhances Immune Responses

The major weaknesses of subunit vaccines are their low immunogenicity and poor efficacy. Adjuvants can help to overcome some of these inherent defects with subunit vaccines. Here, we evaluated the efficacy of the newly developed water-in-oil-in-water multiphase emulsion system, termed PELC, in potentiating the protective capacity of dengue-1 envelope protein domain III. Unlike aluminum phosphate, dengue-1 envelope protein domain III formulated with PELC plus CpG oligodeoxynucleotides induced neutralizing antibodies against dengue-1 virus and increased the splenocyte secretion of IFN-γ after in vitro re-stimulation. The induced antibodies contained both the IgG1 and IgG2a subclasses. A rapid anamnestic neutralizing antibody response against a live dengue virus challenge was elicited at week 26 after the first immunization. These results demonstrate that PELC plus CpG oligodeoxynucleotides broaden the dengue-1 envelope protein domain III-specific immune responses. PELC plus CpG oligodeoxynucleotides is a promising adjuvant for recombinant protein based vaccination against dengue virus

自由主義之正義與平等理論--其思想發展軌跡初探

近代幾個世紀以來，西方政治社會思想家竭盡心智所追求的不外乎自由與平等兩大核心價值。自由主義作為西方世界思想的主流，有其悠久的歷史與傳統，面臨時代的演進和環境變遷的挑戰，自由主義思想迄今雖然屹立不搖，但是沿著歷史發展的軌跡，可以發現歷代的自由主義思想家，也針對自由主義的基本原則嘗試著作出新的詮釋，以讓自由主義的理論與實踐，依然能夠對新的時代發揮引導的作用。 一九九○年代以來，以經濟自由主義為主導力量的全球化浪潮席捲全世界，經貿自由化發展的結果，卻造成貧富差距日益懸殊之「Ｍ型社會」的來臨。當社會正義與公平再度成為普遍關注的嚴肅課題之時，自由主義對於平等的價值究竟抱持何種觀點，乃成為亟待釐清之焦點。本研究依循近代自由主義思想之歷史沿革，探索古典自由主義以及功利主義之平等觀點。 觀照古典自由主義與功利主義的平等思想之後，本研究簡要地引述當代自由主義式平等主義思想家羅爾斯的正義理論，以及另一位自由主義大師德沃金的平等理論概念，以揭示其公平正義原則與平等理念所啟發的道德價值，對於國家社會努力方向的指引。 從自由主義平等思想之演變，吾人可以清晰地發現：沒有平等作為基礎的自由，很可能徒擁高貴之名，卻產生卑劣之結果。二十一世紀的全球化時代，對處於歷史關鍵十字路口的台灣而言，既有危機也是難得的契機。在追求個人自由與國家經濟成長的同時，唯有兼顧社會公平並且給予全體國民平等的關注與尊重，作為一個世代相繼的社會合作體系，人民的安居樂業以及國家的長治久安才有實現的可能