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The aim of this study was to analyze both short-term and long-term results of the expansion sphincter pharyngoplasty surgery, which is commonly used in obstructive sleep apnea syndrome (OSAS) and to compare it with objective and subjective methods.

Patientswho underwent expansion sphincter pharyngoplasty were included in the study. Polysomnography at postoperative sixth-month, Epworth Sleepiness Scale, and visual analog score of snoring (VAS) were used to assess short-term results. Epworth Sleepiness Scale (ESS) and visual analog score of snoring (VAS) at postoperative third-year were used for long-term results. Sixth-month and third-year data before and after the surgery were compared. Possible complications and morbidity rates related to surgery were evaluated.

Of 39 patients, OSAS was assessed as mild in 16 (41%), moderate in 14 (36%), and severe in 9 (23%). Mean age of patients was 43.2 ± 7.5, and 21 were men (54%). According to postoperative six-month PSG data, the apnea hypopnea index (AHI) values decreasedsignificantly from 25.2 ± 8.3 to 11.6 ± 6.9/h, p=0.012. There were decreases in ESS from baseline to 6-month and 3-years from10.4, to 4.4, and 4.4, and VAS scoreschanged from 8.6 to 1.6 and 1.9, p<0.05. No serious complications were observed in patients in the early and late postoperative period.

The expansion sphincter pharyngoplasty procedure is an important option for OSAS surgery with long-term effective results and low morbidity and complication rates.

The expansion sphincter pharyngoplasty procedure is an important option for OSAS surgery with long-term effective results and low morbidity and complication rates.

Restless leg syndrome (RLS) is a movement disorder which constitutes the most common and major risk group during pregnancy. Oligomycin A supplier The purpose of this study was to determine prevalence and severity of RLS during pregnancy and to investigate the effect of RLS on quality of life in pregnant women.

This cross-sectional study was conducted in antenatal clinics of four different public hospitals. Data collected were pregnancy assessment form, RLS diagnostic criteria form, RLS severity scale, and SF-12 quality of life scale.

Among 718 pregnant women, mean age was 28.3±5.9 years (range 19 to 45). According to the diagnostic criteria of RLS, RLS prevalence was 22% (n=159). Of the 159 women with RLS, 41% had moderate severity and 40% had severe RLS. Prevalence of RLS in pregnant women increased with gestational week, working time during pregnancy, weight before pregnancy, total weight gain during pregnancy, and pre-pregnancy body mass index. Physical health scores, physical functioning scores, pain scores, emotional role difficulty scores, and social function scores were significantly lower in the pregnant women with RLS than without RLS (p <0.05).

Approximately one-fifth of the pregnant women had RLS, mostly in the third trimester, and the severity of RLS waspredominantly moderate and severe. Pregnant women with RLS had poorer quality of life than pregnant women without RLS.

Approximately one-fifth of the pregnant women had RLS, mostly in the third trimester, and the severity of RLS was predominantly moderate and severe. Pregnant women with RLS had poorer quality of life than pregnant women without RLS.A total of 475 representative cultivated land and 435 crop samples from 11 provinces of China were collected, and lead and cadmium in 6 polluted areas by wastewater irrigation and metallurgy industry were analyzed. Rice is the major cash crop and staple food of Chinese residents. Cabbage is also a common food in Chinese daily life. Pollution levels and spatial distribution of soil, rice, and cabbage samples were illustrated on the map. In individual or multiple areas, the multivariate correlation of heavy metal's (cadmium and lead) bio-accumulation in two kinds of plants (rice seed and cabbage) and soil properties (pH, cation exchange capacity, and organic matter) was also investigated. Spearman correlation analysis showed that soil pH values and organic matter (OM) had significant effects on the uptake of Cd and Pb in rice seed the correlation between lg Cd BCF and pH values is -0.148* (p = 0.026), and the correlation between lg Pb BCF and pH values is -0.339** (p = 0.000). The cation exchange capacity (CEC)rity were 0.601-2.678 and 0.053-0.633. Average HQ values orders of magnitude in the cabbage samples of different areas are the same as that of rice samples, and it is 2-4 orders higher than those in soil. Average HQ values of Cd and Pb in maturity varied from 0.152-1.354 to 0.006-0.506; average HQ values of immaturity were 0.510-4.192 and 0.022-0.207. The total HQ values ingested by children were all higher than those in adults. After investigation, it was found that the total HQ value of mature plants was also higher than that of immature plants. The results of this study would be of great help to future soil remediation with similar types.Type 2 diabetes mellitus (T2DM) has become a major global public health issue in the twenty-first century and its incidence has increased each year. Wnt signaling pathways are a set of multi-downstream signaling pathways activated by the binding of Wnt ligands to membrane protein receptors. Wnt signaling pathways regulate protein expression and play important roles in protecting the body's normal physiological metabolism. This review describes Wnt signaling pathways, and then aims to reveal how Wnt signaling pathways participate in the occurrence and development of T2DM. We found that Wnt/c-Jun N-terminal kinase signaling was closely associated with insulin resistance, inflammatory response, and pancreatic β-cell and endothelial dysfunction. β-catenin/transcription factor 7-like 2 (TCF7L2)-mediated and calcineurin/nuclear factor of activated T cells-mediated target genes were involved in insulin synthesis and secretion, insulin degradation, pancreatic β-cell growth and regeneration, and functional application of pancreatic β-cells. In addition, polymorphisms in the TCF7L2 gene could increase risk of T2DM according to previous and the most current results, and the T allele of its variants was a more adverse factor for abnormal pancreatic β-cell function and impaired glucose tolerance in patients with T2DM. These findings indicate a strong correlation between Wnt signaling pathways and T2DM, particularly in terms of pancreatic islet dysfunction and insulin resistance, and new therapeutic targets for T2DM may be identified.

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