Articles in press have been peer-reviewed and accepted, which are not yet assigned to volumes /issues, but are citable by Digital Object Identifier (DOI).
Predicting Postoperative Circulatory Complications in Older Patients: A Machine Learning Approach
Xiaoyun Hu, Weixuan Sheng, Kang Yu, Jietai Duo, Pengfei Liu, Yawei Li, Dongxin Wang, Huihui Miao
In press  doi: 10.3967/bes2025.005
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  Objective  This study examines utilizes the advantages of machine learning algorithms to discern key determinants in prognosticate postoperative circulatory complications (PCCs) for older patients.  Methods  This secondary analysis of data from a randomized controlled trial involved 1720 elderly participants in five tertiary hospitals in Beijing, China. Participants aged 60-90 years undergoing major non-cardiac surgery under general anesthesia. The primary outcome metric of the study was the occurrence of PCCs, according to the European Society of Cardiology and the European Society of Anaesthesiology diagnostic criteria. The analysis metrics contained 67 candidate variables, including baseline characteristics, laboratory tests, and scale assessments.  Results  Our feature selection process identified key variables that significantly impact patient outcomes, including the duration of ICU stay, surgery, and anesthesia; APACHE-II score; intraoperative average heart rate and blood loss; cumulative opioid use during surgery; patient age; VAS-Move-Median score on the 1st to 3rd day; Charlson comorbidity score; volumes of intraoperative plasma, crystalloid, and colloid fluids; cumulative red blood cell transfusion during surgery; and endotracheal intubation duration. Notably, our Random Forest model demonstrated exceptional performance with an accuracy of 0.9872.  Conclusion  We have developed and validated an algorithm for predicting PCCs in elderly patients by identifying key risk factors.
Role of Gold Nanorods Functionalized by Nucleic Acid Nanostructures Carrying Doxorubicin in Synergistic Anti-Cancer Therapy
Hao Wu, Huangshui Ma, Xinghan Wu, Qiang Sun, Lin Feng, Ruifang Jiang, Yanhong Li, Quan Shi
In press  doi: 10.3967/bes2024.152
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  Objective   Cancer remains a significant global health challenge, necessitating the development of effective treatment approaches. Developing synergistic therapy can provide a highly promising strategy for anti-cancer treatment through combining the benefits of various mechanisms.  Methods   In this study, we developed a synergistic strategy for chemo-photothermal therapy by constructing nanocomposites using gold nanorods (GNRs) and tetrahedral framework nucleic acids (tFNA) loaded with the anti-tumor drug doxorubicin (DOX).  Results   Our in vitro studies have systematically clarified the anti-cancer behaviors of tFNA-DOX@GNR nanocomposites, characterized by their enhanced cellular uptake and proficient lysosomal escape capabilities. It was found that the key role of tFNA-DOX@GNR nanocomposites in tumor ablation is primarily due to their capacity to induce cytotoxicity in tumor cells via a photothermal effect, which generates instantaneous high temperatures. This mechanism introduces various responses in tumor cells, facilitated by the thermal effect and the integrated chemotherapeutic action of DOX. These reactions include the induction of endoplasmic reticulum stress, characterized by elevated reactive oxygen species levels, the promotion of apoptotic cell death, and the suppression of tumor cell proliferation.  Conclusion   This work exhibits the potential of synergistic therapy utilizing nanocomposites for cancer treatment and offers a promising avenue for future therapeutic strategies.
miR-34c-3p Inhibits Nasopharyngeal Carcinoma Development Via Inhibiting M2 Polarization of Macrophages
Yuzi Ji, Yujie Wang, Jiqing Ma, Zhihua Yin, Fei Liu, Yanzi Zang, Guangke Wang, Yong Tai
In press  doi: 10.3967/bes2024.136
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  Objective  miR-34c-3p is down-regulated in nasopharyngeal carcinoma (NPC). The biological role of miR-34c-3p in NPC and its underlying mechanisms are unknown and were explored in this study.  Methods  Flow cytometry and immunohistochemical staining were employed to detect cluster of differentiation 86 (CD86) and cluster of differentiation 206 (CD206) expression; quantitative real-time polymerase chain reaction (qRT-PCR) and western blotting were employed to examine mRNA expression and protein levels; cell counting kit-8 (CCK8) and transwell assays were employed to assess cell proliferation, migration, and invasion; and hematoxylin-eosin (HE) staining was employed to assess pathological changes in tumor tissues.  Results  Our results revealed that the miR-34c-3p mimic markedly inhibited M2 polarization of macrophages by targeting SLC7A11, and M2 macrophages transfected with the miR-34c-3p mimic inhibited the proliferation, migration, and invasion of NPC cells. The in vivo experiments further confirmed that miR-34c-3p mimics blocked tumor growth and reduced inflammatory infiltration in tumor tissues.  Conclusions  This study provides novel insights into the pathogenesis of NPC and a new treatment strategy.
Shenlian Extract Protects Against Ultrafine Particulate Matter-aggravated Myocardial Ischemic Injury by Inhibiting Inflammation and Cell Apoptosis
Shuiqing Qu, Yan Liang, Shuoqiu Deng, Yu Li, Yue Dai, Chengcheng Liu, Tuo Liu, Luqi Wang, Lina Chen, Yujie Li
In press  doi: 10.3967/bes2024.137
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  Objective  Emerging evidence suggests that exposure to ultrafine particulate matter (UPM, aerodynamic diameter < 0.1 µm) is associated with adverse cardiovascular events. Previous studies have found that Shenlian (SL) extract possesses anti-inflammatory and antiapoptotic properties and has a promising protective effect at all stages of the atherosclerotic disease process. In this study, we aimed to investigated whether SL improves UPM-aggravated myocardial ischemic injury by inhibiting inflammation and cell apoptosis.  Methods  We established a mouse model of MI+UPM. Echocardiographic measurement, measurement of myocardialinfarct size, biochemical analysis, ELISA, histopathological analysis, TUNEL, WB , PCR and so on were used to explore the anti-inflammatory and anti-apoptotic effects of SL in vivo and in vitro.  Results  SL treatment can attenuate UPM-induced cardiac dysfunction by improving left ventricular ejection fraction, fractional shortening, and decreasing cardiac infarction area. SL significantly reduced the levels of myocardial enzymes and attenuated UPM-induced morphological alterations. Moreover, SL significantly reduced expression levels of the inflammatory cytokines IL-6, TNF-α, and MCP-1. UPM further increased the infiltration of macrophages in myocardial tissue, whereas SL intervention reversed this phenomenon. UPM also triggered myocardial apoptosis, which was markedly attenuated by SL treatment. The results of in vitro experiments revealed that SL prevented cell damage caused by exposure to UPM combined with hypoxia by reducing the expression of the inflammatory factor NF-κB and inhibiting apoptosis in H9c2 cells.  Conclusion  Overall, both in vivo and in vitro experiments demonstrated that SL attenuated UPM-aggravated myocardial ischemic injury by inhibiting inflammation and cell apoptosis. The mechanisms were related to the downregulation of macrophages infiltrating heart tissues.
Laboratory Diagnosis and Molecular Epidemiological Characterization of the First Imported Case of Lassa Fever in China
Yuliang Feng, Wei Li, Mingfeng Jiang, Hongrong Zhong, Wei Wu, Lvbo Tian, Guo Chen, Zhenhua Chen, Can Luo, Rongmei Yuan, Xingyu Zhou, Jiandong Li, Xiaorong Yang, Ming Pan
In press  doi: 10.3967/bes2025.014
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  Objective  This study reports the first imported case of Lassa fever (LF) in China. Laboratory detection and molecular epidemiological analysis of the Lassa virus (LASV) from this case offer valuable insights for the prevention and control of LF.  Methods  Samples of cerebrospinal fluid (CSF), blood, urine, saliva, and environmental materials were collected from the patient and their close contacts for LASV nucleotide detection. Whole-genome sequencing was performed on positive samples to analyze the genetic characteristics of the virus.  Results  LASV was detected in the patient’s CSF, blood, and urine, while all samples from close contacts and the environment tested negative. The virus belongs to the lineage IV strain and shares the highest homology with strains from Sierra Leone. The variability in the glycoprotein complex (GPC) among different strains ranged from 3.9% to 15.1%, higher than previously reported for the seven known lineages. Amino acid mutation analysis revealed multiple mutations within the GPC immunogenic epitopes, increasing strain diversity and potentially impacting immune response.  Conclusion  The case was confirmed through nucleotide detection, with no evidence of secondary transmission or viral spread. The LASV strain identified belongs to lineage IV, with broader GPC variability than previously reported. Mutations in the immune-related sites of GPC may affect immune responses, necessitating heightened vigilance regarding the virus.
Associations between Pesticide Metabolites and Decreased Estimated Glomerular Filtration Rate Among Solar Greenhouse Workers: A Specialized Farmer Group
Tenglong Yan, Xin Song, Xiaodong Liu, Wu Liu, Yonglan Chen, Xiaomei Zhang, Xiangjuan Meng, Binshuo Hu, Zhenxia Kou, Tian Chen, Xiaojun Zhu
In press  doi: 10.3967/bes2025.013
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Antibiotic-Depleted Lung Microbiota Modulates Surfactant Proteins Expression and Reduces Experimental Silicosis
Qiang Zhou, Meiyu Chang, Ning Li, Yi Guan, Sanqiao Yao
In press  doi: 10.3967/bes2025.012
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  Objective   Recent studies have overturned the traditional concept of the lung as a "sterile organ" revealing that pulmonary microbiota dysbiosis and abnormal surfactant proteins (SPs) expression are involved in the progression of silicosis. This study aimed to investigate the relationship between abnormal SPs expression and dysbiosis of lung microbiota in silica-induced lung fibrosis, providing insights into mechanisms of silicosis.  Methods   Lung pathology, SPs expression, and microbiota composition were evaluated in silica-exposed mice. A mouse model of antibiotic-induced microbiota depletion was established, and alveolar structure and SPs expression were assessed. The roles of the lung microbiota and SPs in silicosis progression were further evaluated in mice with antibiotic-induced microbiota depletion, both with and without silica exposure.  Results   Silica exposure induced lung inflammation and fibrosis, along with increased expression of SP-A expression. Antibiotics (Abx)-induced microbiota depletion elevated SP-A and SP-D expression. Furthermore, silica exposure altered lung microbiota composition, enriching potentially pathogenic taxa. However, antibiotic-induced microbiota depletion prior to silica exposure reduced silica-mediated lung fibrosis and inflammation.  Conclusion   Lung microbiota is associated with silica-induced lung injury. Overproduction of SP-A and SP-D, induced by Abx-induced microbiota depletion, may enhance the resistance of mouse lung tissue to silica-induced injury.
Environmental Temperature and the Risk of Hand, Foot, and Mouth Disease Transmission in the Yangtze River Region of China
Yanqing Yang, Min Chen, Jin Li, Kaiqi Liu, Xueyan Guo, Xin Xu, Qian Liang, Xinglu Wu, Suwen Lei, Jing Li
In press  doi: 10.3967/bes2025.011
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  Objective  To assess health equity in the Yangtze River region to improve understanding of the correlation between hand, foot, and mouth disease (HFMD) and socioeconomic factors.  Methods  From 2014-2016, data on HFMD incidence, population statistics, economic indicators, and meteorology from 26 cities along the Yangtze River were analyzed. A multi-city random-effects meta-analysis was performed to study the relationship between temperature and HFMD transmission, and health equity was assessed with respect to socio-economic impact.  Results  Over the study period, 919,458 HFMD cases were reported, with Shanghai (162,303) having the highest incidence and Tongling (5,513) having the lowest. Males were more commonly affected (male-to-female ratio, 1.49:1). The exposure-response relationship had an M-shaped curve, with two HFMD peaks occurring at 4°C and 26°C. The relative risk had two peaks at 1.30°C (1.834, 95% CI: 1.204–2.794) and 31.4°C (1.143, 95% CI : 0.901–1.451), forming an M shape, with the first peak higher than the second. The most significant impact of temperature on HFMD was observed between -2°C and 18.1°C. The concentration index (0.2463) indicated moderate concentration differences, whereas the Theil index (0.0418) showed low inequality in distribution.  Conclusion  The incidence of HFMD varied across cities, particularly with changes in temperature. Economically prosperous areas showed higher risks, indicating disparities. Targeted interventions in these areas are crucial for mitigating the risk of HFMD.
Research Advances in the Construction and Application of Intestinal Organoids
Qingxue Meng, Hongyang Yi, Peng Wang, Shan Liu, Weiquan Liang, Cuishan Chi, Chenyu Mao, Weizheng Liang, Jun Xue, Hongzhou Lu
In press  doi: 10.3967/bes2025.010
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The structure of intestinal tissue is complex. In vitro simulation of intestinal structure and function is important for studying intestinal development and diseases. Recently, organoids have been successfully constructed and they have come to play an important role in biomedical research. Organoids are miniaturized three-dimensional (3D) organs, derived from stem cells, which mimic the structure, cell types, and physiological functions of an organ, making them robust models for biomedical research. Intestinal organoids are 3D micro-organs derived from intestinal stem cells or pluripotent stem cells that can successfully simulate the complex structure and function of the intestine, thereby providing a valuable platform for intestinal development and disease research. In this article, we review the latest progress in the construction and application of intestinal organoids.
Causal Association between PM2.5 Exposure and Preterm Birth based on Mendelian Randomization Analysis
Huina Wang, Yazhe Du, Juan Geng, Teng Zhang, Jinzhao Long, Haiyan Yang, Guangcai Duan, Shuaiyin Chen
In press  doi: 10.3967/bes2025.009
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Monotropein Alleviates Sepsis-induced Spleen Injury by Inhibiting the NF-κB/NLRP3 Axis and Activating the Nrf2 Pathway
Le Bian, Feibiao Wang, Yue Yang, Kunmei Xie, Tingzhaoyun Hu, Jiadai Tang, Lei Wang, Zibo Dong
In press  doi: 10.3967/bes2025.008
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Susceptible Windows of Prenatal Ozone Exposure and Preterm Birth: A Hospital-based Observational Study
Rongrong Qu, Dongqin Zhang, Hanying Li, Jiayin Zhi, Yanxi Chen, Ling Chao, Zhenzhen Liang, Chenguang Zhang, Weidong Wu, Jie Song
In press  doi: 10.3967/bes2025.007
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A New Classification System for Childhood and Adolescent Obesity: Definition of the BCAMS Classification
Ming Li, Shan Gao
In press  doi: 10.3967/bes2025.006
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Comprehensive Analysis of Oncogenic, Prognostic, and Immunological Roles of FANCD2 in Hepatocellular Carcinoma: A Potential Predictor for Survival and Immunotherapy
Mengjiao Xu, Wen Deng, Tingting Jiang, Shiyu Wang, Ruyu Liu, Min Chang, Shuling Wu, Ge Shen, Xiaoxue Chen, Yuanjiao Gao, Hongxiao Hao, Leiping Hu, Lu Zhang, Yao Lu, Yao Xie, Minghui Li, Wei Yi
In press  doi: 10.3967/bes2024.182
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  Objective  : Hepatocellular carcinoma (HCC) is sensitive to ferroptosis, a new form of programmed cell death that occurs in most tumor types. However, the mechanism through which ferroptosis modulates HCC remains unclear. This study aimed to investigate the oncogenic role and prognostic value of FANCD2 and provide novel insights into the prognostic assessment and prediction of immunotherapy.  Methods  : Using clinicopathological parameters and bioinformatic techniques, we comprehensively examined the expression of FANCD2 macroscopically and microcosmically. We conducted univariate and multivariate Cox regression analyses to identify the prognostic value of FANCD2 in HCC and elucidated the detailed molecular mechanisms underlying the involvement of FANCD2 in oncogenesis by promoting iron-related death.  Results  FANCD2 was significantly upregulated in digestive system cancers with abundant immune infiltration. As an independent risk factor for HCC, a high FANCD2 expression level was associated with poor clinical outcomes and response to immune checkpoint blockade. Gene set enrichment analysis revealed that FANCD2 was mainly involved in the cell cycle and CYP450 metabolism.  Conclusion  To the best of our knowledge, this is the first study to comprehensively elucidate the oncogenic role of FANCD2. FANCD2 has a tumor-promoting aspect in the digestive system and acts as an independent risk factor in HCC; hence, it has recognized value for predicting tumor aggressiveness and prognosis and may be a potential biomarker for poor responsiveness to immunotherapy.
Separate and Combained Associations of PM2.5 Exposure and Smoking with Dementia and Cognitive Impairment
Lu Cui, Zhihui Wang, Yuhong Liu, Linlin Ma, Shige Qi, Ran An, Xi Chen, Haoyan Guo, Yuxiang Yan
In press  doi: 10.3967/bes2024.181
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  Objective   The results of limited studies on the relationship between environmental pollution and dementia have been contradictory. We analyzed the combined effects of PM2.5 and smoking on the prevalence of dementia and cognitive impairment in an elderly community-dwelling Chinese population.   Methods   We assessed 24,117 individuals along with the annual average PM2.5 concentrations from 2012 to 2016. Dementia was confirmed in the baseline survey at a qualified clinical facility, and newly suspected dementia was assessed in 2017, after excluding cases of suspected dementia in 2015. National census data were used to weight the sample data to reflect the entire population in China, with multiple logistic regression performed to analyze the combined effects of PM2.5 and smoking frequency on dementia and cognitive impairment.   Results   Individuals exposed to the highest PM2.5 concentration and smoked daily were at higher risk of dementia than those in the lowest PM2.5 concentration group (OR, 1.603; 95% CI [1.626−1.635], P < 0.0001) and in the nonsmoking group (OR, 1.248; 95% CI [1.244−1.252]; P < 0.0001). Moderate PM2.5 exposure and occasional smoking together increased the short-term risk of cognitive impairment. High-level PM2.5 exposure and smoking were associated with an increased risk of dementia, so more efforts are needed to reduce this risk through environmental protection and antismoking campaigns.   Conclusion   High-level PM2.5 exposure and smoking were associated with an increased risk of dementia. Lowering the ambient PM2.5, and smoking cessation are recommended to promote health.
Exploring the efficacy of BMSC transplantation via various pathways for treating cholestatic liver fibrosis in mice*
Junjie Ren, Zixu Li, Xinrui Shi, Tingting Lv, Xiaonan Li, Min Ge, Qizhi Shuai, Tingjuan Huang
In press  doi: 10.3967/bes2024.180
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  Objective  To compare the therapeutic efficacy of portal and tail vein transplantation of bone marrow-derived mesenchymal stem cells (BMSCs) against cholestatic liver fibrosis in mice.   Methods  BMSCs were isolated and co-cultured with starvation-activated hepatic stellate cells (HSCs). HSC activation markers were identified using immunofluorescence and qRT-PCR. BMSCs were injected into the liver tissues of bile duct ligation (BDL) mice via the tail and portal veins. Histomorphology, liver function, inflammatory cytokines, and the expression of key proteins were all determined in the liver tissues.  Results  BMSCs inhibited HSC activation by reducing α-SMA and collagen I expression. Compared to tail vein injection, DIL-labeled BMSCs injected through the portal vein maintained a high homing rate in the liver. Moreover, BMSCs transplanted through the portal vein resulted in greater improvement in liver color, hardness, and gallbladder size than did those transplanted through the tail vein. Furthermore, BMSCs injected by portal vein, but not tail vein, markedly ameliorated liver function, reduced the secretion of inflammatory cytokines, including TNF-α, IL-6, and IL-1β, and decreased α-SMA + hepatic stellate cell (HSC) activation and collagen fiber formation.  Conclusion  The therapeutic effect of BMSCs on cholestatic liver fibrosis in mice via portal vein transplantation was superior to that of tail vein transplantation. This comparative study provides reference information for further BMSC studies focused on clinical cholestatic liver diseases.
Chromosome 8 open reading frame 76 (C8orf76) co-expressed with cyclin-dependent kinase 4 (CDK4) as a prognostic indicator of colorectal cancer
Shang Guo, Chengcheng Liu, Zifeng Zhao, Zhongxin Li, Xia Jiang, Zengren Zhao
In press  doi: 10.3967/bes2024.177
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  Objective  To explore the correlation between chromosome 8 open reading frame 76 (C8orf76) and cyclin-dependent kinase 4 (CDK4) and the potential predictive effect of C8orf76 and CDK4 on the prognosis of colorectal cancer (CRC).   Methods  We constructed a protein-protein interaction network of C8orf76-related genes and analyzed the prognostic signatures of C8orf76 and CDK4. Clinicopathological features of C8orf76 and CDK4 were visualized using a nomogram.   Results  C8orf76 and CDK4 levels were positively correlated in two independent human CRC cohorts (n = 83 and n = 597). A consistent positive correlation was observed between C8orf76 and CDK4 expression in the CRC cell lines. The nomogram included prognostic genes (C8orf76 and CDK4) and pathological N and M stages. The concordance index (C-index) in our cohort was 0.776, which suggests that the ability of the indicators to predict the overall survival of patients with CRC in our cohort was strong.   Conclusions  We found that C8orf76 was positively correlated with CDK4 in both the cohorts as well as in CRC cell lines. Therefore, C8orf76 and CDK4 can be used as potential biomarkers to predict the prognosis of CRC.
Impact of Endometrial Polyps on Pregnancy Outcomes in Patients with Endometriosis and Infertility: A Systematic Review and Meta-analysis
Liang Zhang, Qian Han, Meiru Bao, Ying Wu
In press  doi: 10.3967/bes2024.175
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  Objective   To evaluate the impact of endometrial polyps (EP) on postoperative pregnancy outcomes in infertile women with endometriosis (EMs).   Methods   PubMed, Embase, The Cochrane Library, CNKI, VIP, SinoMed, and WanFang Data databases were searched to include clinical studies on the effect of EP on pregnancy outcomes in patients with EMs, published before August 31, 2020. A meta-analysis was performed using Rev Man 5.3 software after two investigators independently screened the literature, extracted information, and evaluated the risk of bias of the included studies.   Results   The meta-analysis included ten studies (651 and 1040 in the combined EP and uncomplicated EP groups, respectively). The spontaneous pregnancy rate, clinical pregnancy rate, and live birth rate were significantly lower in the group with combined EPs than in the group without combined EPs [Odd’s ratio (OR)=0.63, 95% confidence interval (CI): 0.50-0.80, P = 0.0001; OR = 0.63, 95% CI: 0.48-0.84, P = 0.001; OR = 0.63, 95% CI: 0.42-0.96, P = 0.03], and the rate of embryonic abortion was significantly higher than that in the uncomplicated EP group [OR = 3.10, 95% CI: 1.52-6.32, P = 0.002].   Conclusion   EP may adversely affect pregnancy outcomes in patients with infertility and EMs. Even after surgical treatment, EP can still reduce natural pregnancy, clinical pregnancy, and live birth rates in infertile women with EMs and increase the risk of embryo arrest in these women.
Association of Loneliness and Social Isolation with Ischemic Heart Disease: A Bidirectional and Network Mendelian Randomization Study
Shuyao Su, Wanyue Wang, Chenxi Yuan, Zhennan Lin, Xiangfeng Lu, Fangchao Liu
In press  doi: 10.3967/bes2024.170
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  Objective  Observational studies have shown inconsistent associations of loneliness or social isolation (SI) with ischemic heart disease (IHD), with unknown mediators.  Methods  Using data from genome-wide association studies of predominantly European ancestry, we performed a bidirectional two-sample Mendelian Randomization (MR) study to estimate causal effects of loneliness (N = 487,647) and SI traits on IHD (N = 184,305). SI traits included whether individuals lived alone, participated in various types of social activities, and how often they had contact with friends or family (N = 459,830 to 461,369). A network MR study was conducted to evaluate the mediating roles of 20 candidate mediators, including metabolic, behavioral and psychological factors.  Results  Loneliness increased IHD risk (OR 2.129; 95% confidence interval [CI], 1.380 to 3.285), mediated by body fat percentage, waist-hip ratio, total cholesterol and low-density lipoprotein cholesterol. For SI traits, only fewer social activities increased IHD risk (OR, 1.815; 95% CI, 1.189 to 2.772), mediated by hypertension, high-density lipoprotein cholesterol, triglycerides, fasting insulin and smoking cessation. No reverse causality of IHD with loneliness and SI was found.  Conclusion  These findings suggested more attention should be paid to individuals who feel lonely and have fewer social activities to prevent IHD, with several mediators as prioritized targets for intervention.
Construction of a Prognostic Model for Lysosome-dependent Cell Death in Gastric Cancer Based on Single-cell RNA-seq and Bulk RNA-seq Data
Peng Ni, Kaixin Guo, Tianyi Liang, Xinshuang Fan, Yanqiao Hua, Yangye Gao, Shuaiyin Chen, Guangcai Duan, Rongguang Zhang
In press  doi: 10.3967/bes2024.159
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  Objective  To identify prognostic genes associated with lysosome-dependent cell death (LDCD) in patients with gastric cancer (GC).  Methods  Differentially expressed genes (DEGs) were identified using The Cancer Genome Atlas - Stomach Adenocarcinoma. Weighted gene co-expression network analysis was performed to identify the key module genes associated with LDCD score. Candidate genes were identified by DEGs and key module genes. Univariate Cox regression analysis, and least absolute shrinkage and selection operator regression and multivariate Cox regression analyses were performed for the selection of prognostic genes, and risk module was established. Subsequently, key cells were identified in the single-cell dataset (GSE183904), and prognostic gene expression was analyzed. Cell proliferation and migration were assessed using the Cell Counting Kit-8 assay and the wound healing assay.  Results  A total of 4,465 DEGs, 95 candidate genes, and 4 prognostic genes, including C19orf59, BATF2, TNFAIP2, and TNFSF18, were identified in the analysis. Receiver operating characteristic curves indicated the excellent predictive power of the risk model. Three key cell types (B cells, chief cells, and endothelial/pericyte cells) were identified in the GSE183904 dataset. C19orf59 and TNFAIP2 exhibited predominant expression in macrophage species, whereas TNFAIP2 evolved over time in endothelial/pericyte cells and chief cells. Functional experiments confirmed that interfering with C19orf59 inhibited proliferation and migration in GC cells.  Conclusion  C19orf59, BATF2, TNFAIP2, and TNFSF18 are prognostic genes associated with LDCD in GC. Furthermore, the risk model established in this study showed robust predictive power.
2025-1 Contents
2025, 38(1): -1--1.  
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Cover
2025-1 Cover
2025, 38(1).  
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Editorial
Optimizing Nutrition to Reduce Cardiometabolic Disease Burden: Strategies for a Healthier China
Gangqiang Ding
2025, 38(1): 1-2.   doi: 10.3967/bes2025.004
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Original Article
Association between Per and Polyfluoroalkyl Substance and Abdominal Fat Distribution: A Trait Spectrum Exposure Pattern and Structure-Based Investigation
Zhi Li, Shilin Shan, Chenyang Song, Chengzhe Tao, Hong Qian, Qin Yuan, Yan Zhang, Qiaoqiao Xu, Yufeng Qin, Yun Fan, Chuncheng Lu
2025, 38(1): 3-14.   doi: 10.3967/bes2024.176
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  Objective  To investigate the associations between eight serum per- and polyfluoroalkyl substances (PFASs) and regional fat depots, we analyzed the data from the National Health and Nutrition Examination Survey (NHANES) 2011–2018 cycles.  Methods  Multiple linear regression models were developed to explore the associations between serum PFAS concentrations and six fat compositions along with a fat distribution score created by summing the concentrations of the six fat compositions. The associations between structurally grouped PFASs and fat distribution were assessed, and a prediction model was developed to estimate the ability of PFAS exposure to predict obesity risk.  Results  Among females aged 39–59 years, trunk fat mass was positively associated with perfluorooctane sulfonate (PFOS). Higher concentrations of PFOS, perfluorohexane sulfonate (PFHxS), perfluorodecanoate (PFDeA), perfluorononanoate (PFNA), and n-perfluorooctanoate (n-PFOA) were linked to greater visceral adipose tissue in this group. In men, exposure to total perfluoroalkane sulfonates (PFSAs) and long-chain PFSAs was associated with reductions in abdominal fat, while higher abdominal fat in women aged 39–59 years was associated with short-chain PFSAs. The prediction model demonstrated high accuracy, with an area under the curve (AUC) of 0.9925 for predicting obesity risk.  Conclusion  PFAS exposure is associated with regional fat distribution, with varying effects based on age, sex, and PFAS structure. The findings highlight the potential role of PFAS exposure in influencing fat depots and obesity risk, with significant implications for public health. The prediction model provides a highly accurate tool for assessing obesity risk related to PFAS exposure.
Association between Fish Consumption and Stroke Incidence Across Different Predicted Risk Populations: A Prospective Cohort Study from China
Hongyue Hu, Fangchao Liu, Keyong Huang, Chong Shen, Jian Liao, Jianxin Li, Chenxi Yuan, Ying Li, Xueli Yang, Jichun Chen, Jie Cao, Shufeng Chen, Dongsheng Hu, Jianfeng Huang, Xiangfeng Lu, Dongfeng Gu
2025, 38(1): 15-26.   doi: 10.3967/bes2025.003
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  Objective  The relationship between fish consumption and stroke is inconsistent, and it is uncertain whether this association varies across predicted stroke risks.  Methods  A cohort study comprising 95,800 participants from the Prediction for Atherosclerotic Cardiovascular Disease Risk in China project was conducted. A standardized questionnaire was used to collect data on fish consumption. Participants were stratified into low- and moderate-to-high-risk categories based on their 10-year stroke risk prediction scores. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazard models and additive interaction by relative excess risk due to interaction (RERI), attributable proportion (AP), and synergy index (SI).  Results  During 703,869 person-years of follow-up, 2,773 incident stroke events were identified. Higher fish consumption was associated with a lower risk of stroke, particularly among moderate-to-high-risk individuals (HR = 0.53, 95% CI: 0.47–0.60) than among low-risk individuals (HR = 0.64, 95% CI: 0.49–0.85). A significant additive interaction between fish consumption and predicted stroke risk was observed (RERI = 4.08, 95% CI: 2.80–5.36; SI = 1.64, 95% CI: 1.42–1.89; AP = 0.36, 95% CI: 0.28–0.43).  Conclusion  Higher fish consumption was associated with a lower risk of stroke, and this beneficial association was more pronounced in individuals with moderate-to-high stroke risk.
Glycemic Control and Diabetes Duration in Relation to Subsequent Myocardial Infarction among Patients with Coronary Heart Disease and Type 2 Diabetes
Furong Li, Yan Dou, Chunbao Mo, Shuang Wang, Jing Zheng, Dongfeng Gu, Fengchao Liang
2025, 38(1): 27-46.   doi: 10.3967/bes2024.187
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Association between Non-high-density Lipoprotein Cholesterol to High-density Lipoprotein Cholesterol Ratio (NHHR) and Stroke among Adults in the USA: A Cross-Sectional NHANES Study
Haixia Ma, Huaqiu Chen, Peichang Wang
2025, 38(1): 37-46.   doi: 10.3967/bes2025.001
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  Objective  The relationship between non-high-density lipoprotein (NHDL) cholesterol to high-density lipoprotein cholesterol (HDL-C) ratio (NHHR) and stoke remains unknown. This study aimed to evaluate the association between the adult NHHR and stroke occurrence in the United States of America (USA).  Methods  To clarify the relationship between the NHHR and stroke risk, this study used a multivariable logistic regression model and a restricted cubic spline (RCS) model to investigate the association between the NHHR and stroke, and data from the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2018. Subgroup and sensitivity analyses were conducted to test the robustness of the results.  Results  This study included 29,928 adult participants, of which 1,165 participants had a history of stroke. Logistic regression analysis of variables demonstrated a positive association between NHHR and stroke (OR 1.24, 95% CI: 1.03–1.50, P = 0.026). Compared with the lowest reference group of NHHR, participants in the second, third, and fourth quartile had a significantly increased risk of stroke after full adjustments (OR: 1.35, 95% CI: 1.08–1.69) (OR: 1.83, 95% CI: 1.42–2.36) (OR: 2.04, 95% CI: 1.50–2.79). In the total population, a nonlinear dose-response relationship was observed between the NHHR and stroke risk (P non-linearity = 0.002). This association remained significant in several subgroup analyses. Further investigation of the NHHR may enhance our understanding of stroke prevention and treatment.  Conclusion  Our findings suggest a positive correlation between the NHHR and an increased prevalence of stroke, potentially serving as a novel predictive factor for stroke. Timely intervention and management of the NHHR may effectively mitigate stroke occurrence. Prospective studies are required to validate this association and further explore the underlying biological mechanisms.
The Sequential Mediating Roles of Body Pain and Self-Reported Health Status in the Relationship between Sleep Duration and Life Satisfaction
Jiafeng Li, Xuewei Fu, Dan Yang, Ye Wang, Ting Chen, Yang Peng, Fenghao Yang, Yuchen Zhan, Yu Wang, Xiangdong Tang
2025, 38(1): 47-55.   doi: 10.3967/bes2024.185
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  Objective   This study examines the sequential mediating roles of body pain and self-reported health in the association between sleep duration and self-reported life satisfaction among elderly Chinese adults.  Methods   Data from the fifth wave of the China Health and Retirement Longitudinal Survey (CHARLS) were used to analyse the relationships between sleep duration and body pain, self-reported health, and life satisfaction through logistic regression and Restricted Cubic Spline (RCS) analyses. The sequential mediation effects of body pain and self-reported health status were examined via chain mediation analysis.  Results   Logistic regression analysis showed that sleeping fewer than 6 hours or 6–7 hours was linked to higher risks of body pain, poor health, and dissatisfaction with life compared to sleeping 7–8 hours (all P < 0.05). Additionally, those sleeping more than 9 hours also had increased risks of poor health and dissatisfaction with life compared to those sleeping 7–8 hours (all P < 0.05). Chain mediation analysis showed that body pain and self-reported health status sequentially mediated 46.15% of the association between sleep duration and life satisfaction.  Conclusion   Body pain and self-reported health may shape the relationship between sleep duration and life satisfaction in elderly Chinese adults.
Inflammatory Bowel Disease and Dementia: Evidence Triangulation from a Meta-Analysis of Observational Studies and Mendelian Randomization Study
Di Liu, Meiling Cao, Shanshan Wu, Bingli Li, Yiwen Jiang, Tengfei Lin, Fuxiao Li, Weijie Cao, Jinqiu Yuan, Feng Sha, Zhirong Yang, Jinling Tang
2025, 38(1): 56-66.   doi: 10.3967/bes2024.149
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  Objective  Observational studies have found associations between inflammatory bowel disease (IBD) and the risk of dementia, including Alzheimer’s dementia (AD) and vascular dementia (VD); however, these findings are inconsistent. It remains unclear whether these associations are causal.  Methods  We conducted a meta-analysis by systematically searching for observational studies on the association between IBD and dementia. Mendelian randomization (MR) analysis based on summary genome-wide association studies (GWASs) was performed. Genetic correlation and Bayesian co-localization analyses were used to provide robust genetic evidence.  Results  Ten observational studies involving 80,565,688 participants were included in this meta-analysis. IBD was significantly associated with dementia (risk ratio [RR] =1.36, 95% CI = 1.04–1.78; I2 = 84.8%) and VD (RR = 2.60, 95% CI = 1.18–5.70; only one study), but not with AD (RR = 2.00, 95% CI = 0.96–4.13; I2 = 99.8%). MR analyses did not supported significant causal associations of IBD with dementia (dementia: odds ratio [OR] = 1.01, 95% CI = 0.98–1.03; AD: OR = 0.98, 95% CI = 0.95–1.01; VD: OR = 1.02, 95% CI = 0.97–1.07). In addition, genetic correlation and co-localization analyses did not reveal any genetic associations between IBD and dementia.  Conclusion  Our study did not provide genetic evidence for a causal association between IBD and dementia risk. The increased risk of dementia observed in observational studies may be attributed to unobserved confounding factors or detection bias.
Predicting Diabetic Retinopathy Using a Machine Learning Approach Informed by Whole-Exome Sequencing Studies
Chongyang She, Wenying Fan, Yunyun Li, Yong Tao, Zufei Li
2025, 38(1): 67-78.   doi: 10.3967/bes2025.002
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  Objective  To establish and validate a novel diabetic retinopathy (DR) risk-prediction model using a whole-exome sequencing (WES)-based machine learning (ML) method.  Methods  WES was performed to identify potential single nucleotide polymorphism (SNP) or mutation sites in a DR pedigree comprising 10 members. A prediction model was established and validated in a cohort of 420 type 2 diabetic patients based on both genetic and demographic features. The contribution of each feature was assessed using Shapley Additive explanation analysis. The efficacies of the models with and without SNP were compared.  Results  WES revealed that seven SNPs/mutations (rs116911833 in TRIM7, 1997T>C in LRBA, 1643T>C in PRMT10, rs117858678 in C9orf152, rs201922794 in CLDN25, rs146694895 in SH3GLB2, and rs201407189 in FANCC) were associated with DR. Notably, the model including rs146694895 and rs201407189 achieved better performance in predicting DR (accuracy: 80.2%; sensitivity: 83.3%; specificity: 76.7%; area under the receiver operating characteristic curve [AUC]: 80.0%) than the model without these SNPs (accuracy: 79.4%; sensitivity: 80.3%; specificity: 78.3%; AUC: 79.3%).  Conclusion  Novel SNP sites associated with DR were identified in the DR pedigree. Inclusion of rs146694895 and rs201407189 significantly enhanced the performance of the ML-based DR prediction model.
Nogo-A Protein Mediates Oxidative Stress and Synaptic Damage Induced by High-Altitude Hypoxia in the Rat Hippocampus
Jinyu Fang, Huaicun Liu, Yanfei Zhang, Quancheng Cheng, Ziyuan Wang, Xuan Fang, Huiru Ding, Weiguang Zhang, Chunhua Chen
2025, 38(1): 79-93.   doi: 10.3967/bes2024.112
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  Objective  High-altitude hypoxia exposure often damages hippocampus-dependent learning and memory. Nogo-A is an important axonal growth inhibitory factor. However, its function in high-altitude hypoxia and its mechanism of action remain unclear.  Methods  In an in vivo study, a low-pressure oxygen chamber was used to simulate high-altitude hypoxia, and genetic or pharmacological intervention was used to block the Nogo-A/NgR1 signaling pathway. Contextual fear conditioning and Morris water maze behavioral tests were used to assess learning and memory in rats, and synaptic damage in the hippocampus and changes in oxidative stress levels were observed. In vitro, SH-SY5Y cells were used to assess oxidative stress and mitochondrial function with or without Nogo-A knockdown in Oxygen Glucose-Deprivation/Reperfusion (OGD/R) models.  Results  Exposure to acute high-altitude hypoxia for 3 or 7 days impaired learning and memory in rats, triggered oxidative stress in the hippocampal tissue, and reduced the dendritic spine density of hippocampal neurons. Blocking the Nogo-A/NgR1 pathway ameliorated oxidative stress, synaptic damage, and the learning and memory impairment induced by high-altitude exposure.  Conclusion  Our results demonstrate the detrimental role of Nogo-A protein in mediating learning and memory impairment under high-altitude hypoxia and suggest the potential of the Nogo-A/NgR1 signaling pathway as a crucial therapeutic target for alleviating learning and memory dysfunction induced by high-altitude exposure.  Graphical Abstract   available in www.besjournal.com
Letter
Longitudinal Associations between Vitamin D Status and Systemic Inflammation Markers among Early Adolescents
Ting Tang, Xinhui Wang, Xue Wen, Min Li, Mengyuan Yuan, Yonghan Li, Xiaoqin Zhong, Fangbiao Tao, Puyu Su, Xihua Yu, Gengfu Wang
2025, 38(1): 94-99.   doi: 10.3967/bes2024.139
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W18O49 Crystal and ICG Labeled Macrophage: An Efficient Targeting Vector for Fluorescence Imaging-guided Photothermal Therapy
Yang Bai, Guoqing Feng, Muskan Saif khan, Qingbin Yang, Tingting Hua, Haolin Guo, Yuan Liu, Bowen Li, Yiwen Wu, Bin Zheng, Niansong Qian, Qing Yuan
2025, 38(1): 100-105.   doi: 10.3967/bes2024.171
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Metabolomic Changes in Mice Induced by Copper Exposure: Systematic Analysis and Exploration of Toxicity Mechanisms
Shuai Xiao, Linqiang Gong, Shiyuan Zhao, Xue Chu, Fengfeng Li, Yazhou Zhang, Fangqiang Song, Pei Jiang
2025, 38(1): 106-111.   doi: 10.3967/bes2024.179
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Investigation of Associated Factors and Microbiota of Different Oral Niches in Early Childhood Caries
Shuai Tang, Zejun Zheng, Zekun Li, Qing Wang, Shuang Zhu, Tong Yang, Gang Ding
2025, 38(1): 112-122.   doi: 10.3967/bes2024.186
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A Case Study on Garbage Code Redistribution Methods for Heart Failure at City Level by Two Approaches
Liqun Liu, Zemin Cai, Xuewei Wang, Chunping Wang, Xiangyun Ma, Xianfeng Meng, Bofu Ning, Ning Li, Xia Wan
2025, 38(1): 119-125.   doi: 10.3967/bes2024.173
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Bone Injury and Fracture Healing Biology
Ahmad Oryan, Somayeh Monazzah, Amin Bigham-Sadegh
2015, 28(1): 57-71.   doi: 10.3967/bes2015.006
[Abstract](11592) [PDF 3875KB](4957)
Report on Cardiovascular Health and Diseases in China 2021: An Updated Summary
The Writing Committee of the Report on Cardiovascular Health and Diseases in China
2022, 35(7): 573-603.   doi: 10.3967/bes2022.079
[Abstract](14490) [FullText HTML](6833) [PDF 2336KB](6833)
The Serum Exosome Derived MicroRNA-135a, -193b, and-384 Were Potential Alzheimer's Disease Biomarkers
YANG Ting Ting, LIU Chen Geng, GAO Shi Chao, ZHANG Yi, WANG Pei Chang
2018, 31(2): 87-96.   doi: 10.3967/bes2018.011
[Abstract](8374) [FullText HTML](2912) [PDF 11333KB](2912)
Burden of Cirrhosis and Other Chronic Liver Diseases Caused by Specific Etiologies in China, 1990−2016: Findings from the Global Burden of Disease Study 2016
LI Man, WANG Zhuo Qun, ZHANG Lu, ZHENG Hao, LIU Dian Wu, ZHOU Mai Geng
2020, 33(1): 1-10.   doi: 10.3967/bes2020.001
[Abstract](9147) [FullText HTML](3327) [PDF 2552KB](3327)
Report on Cardiovascular Health and Diseases in China 2022: an Updated Summary
The Writing Committee of the Report on Cardiovascular Health and Diseases in China
2023, 36(8): 669-701.   doi: 10.3967/bes2023.106
[Abstract](6529) [FullText HTML](3131) [PDF 1561KB](3131)
Effects of Short-Term Forest Bathing on Human Health in a Broad-Leaved Evergreen Forest in Zhejiang Province, China
MAO Gen Xiang, LAN Xiao Guang, CAO Yong Bao, CHEN Zhuo Mei, HE Zhi Hua, LV Yuan Dong, WANG Ya Zhen, HU Xi Lian, WANG Guo Fu, YAN Jing
2012, 25(3): 317-324.   doi: 10.3967/0895-3988.2012.03.010
[Abstract](6139) [PDF 528KB](2547)
Trends in Lipids Level and Dyslipidemia among Chinese Adults, 2002-2015
SONG Peng Kun, MAN Qing Qing, LI Hong, PANG Shao Jie, JIA Shan Shan, LI Yu Qian, HE Li, ZHAO Wen Hua, ZHANG Jian
2019, 32(8): 559-570.   doi: 10.3967/bes2019.074
[Abstract](7078) [FullText HTML](2571) [PDF 3641KB](2571)
Protein Requirements in Healthy Adults:A Meta-analysis of Nitrogen Balance Studies
LI Min, SUN Feng, PIAO Jian Hua, YANG Xiao Guang
2014, 27(8): 606-613.   doi: 10.3967/bes2014.093
[Abstract](4634) [PDF 8784KB](1818)
Stability of SARS Coronavirus in Human Specimens and Environment and Its Sensitivity to Heating and UV Irradiation
SHU-MING DUAN, Xin-sheng Zhao, RUI-FU WEN, JING-JING HUANG, GUO-HUA PI, SU-XIANG ZHANG, JUN HAN, SHENG-LI BI, LI RUAN, XIAO-PING DONG, SARS RESEARCH TEAM
2003, 16(3): 246-255.  
[Abstract](7252) [PDF 610KB](1821)
Metabolomic Profiling Differences among Asthma, COPD, and Healthy Subjects: A LC-MS-based Metabolomic Analysis
LIANG Ying, GAI Xiao Yan, CHANG Chun, ZHANG Xu, WANG Juan, LI Ting Ting
2019, 32(9): 659-672.   doi: 10.3967/bes2019.085
[Abstract](5259) [FullText HTML](1591) [PDF 2914KB](1591)
TaqMan Real-time RT-PCR Assay for Detecting and Differentiating Japanese Encephalitis Virus
SHAO Nan, LI Fan, NIE Kai, FU Shi Hong, ZHANG Wei Jia, HE Ying, LEI Wen Wen, WANG Qian Ying, LIANG Guo Dong, CAO Yu Xi, WANG Huan Yu
2018, 31(3): 208-214.   doi: 10.3967/bes2018.026
[Abstract](4716) [FullText HTML](1844) [PDF 4691KB](1844)
Evidence on Invasion of Blood, Adipose Tissues, Nervous System and Reproductive System of Mice After a Single Oral Exposure: Nanoplastics versus Microplastics
YANG Zuo Sen, BAI Ying Long, JIN Cui Hong, NA Jun, ZHANG Rui, GAO Yuan, PAN Guo Wei, YAN Ling Jun, SUN Wei
2022, 35(11): 1025-1037.   doi: 10.3967/bes2022.131
[Abstract](3146) [FullText HTML](1480) [PDF 10064KB](1480)
Application of Nanopore Sequencing Technology in the Clinical Diagnosis of Infectious Diseases
ZHANG Lu Lu, ZHANG Chi, PENG Jun Ping
2022, 35(5): 381-392.   doi: 10.3967/bes2022.054
[Abstract](3248) [FullText HTML](1673) [PDF 2174KB](1673)
Evaluating the Nutritional Status of Oncology Patientsand Its Association with Quality of Life
ZHANG Ya Hui, XIE Fang Yi, CHEN Ya Wen, WANG Hai Xia, TIAN Wen Xia, SUN Wen Guang, WU Jing
2018, 31(9): 637-644.   doi: 10.3967/bes2018.088
[Abstract](5916) [FullText HTML](1738) [PDF 31943KB](1738)
Health Effect of Forest Bathing Trip on Elderly Patients with Chronic Obstructive Pulmonary Disease
JIA Bing Bing, YANG Zhou Xin, MAO Gen Xiang, LYU Yuan Dong, WEN Xiao Lin, XU Wei Hong, LYU XIAO Ling
2016, 29(3): 212-218.   doi: 10.3967/bes2016.026
[Abstract](2935) [PDF 803KB](1156)
The Emergence, Epidemiology, and Etiology of Haff Disease
PEI Pei, LI Xiao Yan, LU Shuang Shuang, LIU Zhe, WANG Rui, LU Xuan Cheng, LU Kai
2019, 32(10): 769-778.   doi: 10.3967/bes2019.096
[Abstract](5065) [FullText HTML](2132) [PDF 2249KB](2132)
Supplementation of Fermented Barley Extracts with Lactobacillus Plantarum dy-1 Inhibits Obesity via a UCP1-dependent Mechanism
XIAO Xiang, BAI Juan, LI Ming Song, ZHANG Jia Yan, SUN Xin Juan, DONG Ying
2019, 32(8): 578-591.   doi: 10.3967/bes2019.076
[Abstract](5101) [FullText HTML](1316) [PDF 9101KB](1316)
Hypertension Prevalence, Awareness, Treatment, and Control and Their Associated Socioeconomic Factors in China: A Spatial Analysis of A National Representative Survey
WANG Wei, ZHANG Mei, XU Cheng Dong, YE Peng Peng, LIU Yun Ning, HUANG Zheng Jing, HU Cai Hong, ZHANG Xiao, ZHAO Zhen Ping, LI Chun, CHEN Xiao Rong, WANG Li Min, ZHOU Mai Geng
2021, 34(12): 937-951.   doi: 10.3967/bes2021.130
[Abstract](3611) [FullText HTML](1754) [PDF 2205KB](1754)
Mutual Impact of Diabetes Mellitus and Tuberculosis in China
CHENG Jun, ZHANG Hui, ZHAO Yan Lin, WANG Li Xia, CHEN Ming Ting
2017, 30(5): 384-389.   doi: 10.3967/bes2017.051
[Abstract](4317) [FullText HTML](1533) [PDF 671KB](1533)
Protective Effect of Angiotensin (1-7) on Silicotic Fibrosis in Rats
ZHANG Bo Nan, XU Hong, GAO Xue Min, ZHANG Gui Zhen, ZHANG Xin, YANG Fang
2019, 32(6): 419-426.   doi: 10.3967/bes2019.057
[Abstract](3837) [PDF 1328KB](1117)

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Vol 38, No 1

(January, 2025)

ISSN 0895-3988

CN 11-2816/Q

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