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Song W, Su F, Li S, Song Y, Chai G. Association between sugar-sweetened beverages and duration of physical exercise with psychological symptoms among Tibetan university students at high altitude. Front Psychol 2024; 15:1380893. [PMID: 38725953 PMCID: PMC11079124 DOI: 10.3389/fpsyg.2024.1380893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 04/04/2024] [Indexed: 05/12/2024] Open
Abstract
Background Sugar-sweetened beverages (SSBs) and duration of physical exercise are strongly associated with physical health. Unfortunately, there are few studies focused on the association with psychological symptoms, let alone Tibetan university students at high altitudes in China. Methods A stratified cluster sampling method was used to include 8,268 Tibetan university students aged 19-22 years in Qinghai and Tibet, both of which are high-altitude regions of China. Self-assessment questionnaires on SSBs, duration of physical exercise, and psychological symptoms were administered. The chi-square test and logistic regression analysis were used to analyze the associations among them. Results The detection rate of psychological symptoms among Tibetan university students in high-altitude areas of China was 16.7%, with in girls (18.2%) higher than that in boys (14.8%), and the difference was statistically significant (χ2 = 11.73, p < 0.01). The proportion of SSBs for university students ≤1 time/week, 2-5 times/week, and ≥ 6 times/week were 54.2, 24.3, and 21.5%, respectively. The proportion of duration of physical exercise for >60 min/d was only 5.4%. Logistic regression analysis showed that compared with the SSBs ≤1 time/week group of university students, SSBs 2-5 times/week (OR = 1.45, 95% CI: 1.24-1.70) and ≥ 6 times/week (OR = 3.06, 95% CI: 2.62-3.57) had an increased risk of psychological symptoms (p < 0.001). In the reference group, the risk of psychological symptoms was also significantly increased in the group of university students with duration of physical exercise >60 min/d (OR = 2.08, 95% CI: 1.48-2.93), and the risk of psychological symptoms was also significantly increased in the group with duration of physical exercise <30 min/d (OR = 2.08, 95% CI: 1.48-2.93). The risk of psychological symptoms was also significantly increased in the university students with the duration of physical exercise <30 min/d (OR = 2.08, 95% CI: 1.48 ~ 2.93) group. Conclusion SSBs and exercise time may be important influences on the psychological symptoms of Tibetan university students at high altitudes in China. This study has important implications for mental health planning in universities in highland areas and may also provide guidance for mental health interventions for Tibetan university students.
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Affiliation(s)
- Wei Song
- College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Fan Su
- College of Physical Education, China Three Gorges University, Yichang, China
| | - Shengpeng Li
- School of Preschool Education, Jingzhou Institute of Technology, Jingzhou, China
| | - Yongjing Song
- College of Education and Sports Sciences, Yangtze University, Jingzhou, China
| | - Guangxin Chai
- School of Physical Education and Health, Jiangxi Science and Technology Normal University, Nanchang, China
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Shen Y, Xia J, Yi C, Li T, Wang P, Dai L, Shi J, Wang K, Sun C, Ye H. The association between circulating 25-hydroxyvitamin D and pancreatic cancer: a systematic review and meta-analysis of observational studies. Eur J Nutr 2024; 63:653-672. [PMID: 38170272 DOI: 10.1007/s00394-023-03302-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 12/04/2023] [Indexed: 01/05/2024]
Abstract
PURPOSE The relationship between circulating 25-hydroxyvitamin D [25(OH)D] and pancreatic cancer has been well studied but remains unclear. The purpose of this study was to elucidate the association between circulating 25(OH)D and pancreatic cancer by using a meta-analytic approach. METHODS PubMed, Embase, and Wed of Science databases were searched through October 15, 2022. A random or fixed-effects model was used to estimate the pooled odds ratio (OR), risk ratio (RR), hazard ratio (HR) and their 95% confidence intervals (CIs). RESULTS A total of 16 studies including 529,917 participants met the inclusion criteria, of which 10 reported incidence and 6 reported mortality. For the highest versus lowest categories of circulating 25(OH)D, the pooled OR of pancreatic cancer incidence in case-control studies was 0.98 (95% CI 0.69-1.27), and the pooled HRs of pancreatic cancer mortality in cohort and case-control studies were 0.64 (95% CI 0.45-0.82) and 0.78 (95% CI 0.62-0.95), respectively. The leave-one-out sensitivity analyses found no outliers and Galbraith plots indicated no substantial heterogeneity. CONCLUSION Evidence from this meta-analysis suggested that high circulating 25(OH)D levels may be associated with decreased mortality but not incidence of pancreatic cancer. Our findings may provide some clues for the treatment of pancreatic cancer and remind us to be cautious about widespread vitamin D supplementation for the prevention of pancreatic cancer.
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Affiliation(s)
- Yajing Shen
- College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China
| | - Junfen Xia
- Office of Health Care, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China
| | - Chuncheng Yi
- College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China
| | - Tiandong Li
- College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China
| | - Peng Wang
- College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China
| | - Liping Dai
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China
- Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, 450052, Henan, China
| | - Jianxiang Shi
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China
- Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, 450052, Henan, China
| | - Keyan Wang
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China
- Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, 450052, Henan, China
| | - Changqing Sun
- College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China
- School of Nursing and Health, Zhengzhou University, Zhengzhou, 450052, Henan, China
| | - Hua Ye
- College of Public Health, Zhengzhou University, Zhengzhou, 450001, Henan, China.
- State Key Laboratory of Esophageal Cancer Prevention and Treatment and Henan Key Laboratory of Tumor Epidemiology, Zhengzhou, 450052, Henan, China.
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Hu J, Liang Y, Wen G, Chen D, Liu Y, Zhang H, Qin X. Vitamin D status among residents of Molidawa Daur Autonomous Banner, Inner Mongolia, North China. Saudi Med J 2023; 44:413-420. [PMID: 37062548 PMCID: PMC10153618 DOI: 10.15537/smj.2023.44.4.20220780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 02/16/2023] [Indexed: 04/18/2023] Open
Abstract
OBJECTIVES To retrospectively analyze the vitamin D (VD) status of residents in northeastern Inner Mongolia and its relationship with the average monthly sunshine hours. METHODS Serum 25-hydroxyvitamin D[s-25(OH)D] samples from 4982 outpatients (2092 males) in Moli Dawa Daur Autonomous Banner People's Hospital, Hulunbuir, China from July 2018 to January 2022 were included in this study. RESULTS The overall median s-25(OH)D was 53.3 nmol/L, VD deficiency (<30 nmol/L), deficiency (30-50 nmol/L), sufficient (>50-250 nmol/L) and excess (>250 nmol/L) were 16% (796/4982), 30% (1495/4982), 53.4% (2658/4982) and 0.7% (33/4982). There were statistically significant differences in median s-25(OH)D by month, age-groups and gender (p<0.001). Low VD status (LVDS, including VD deficiency and insufficiency) in females was 54.6% and males was 33.9%, and the LVDS composition differed significantly by age-group and month (p<0.05). The changing trend of the median s-25(OH)D level was similar to the monthly average sunshine hours, with a slight lag. CONCLUSION Nearly half of residents live in LVDS. LVDS is affected by month, gender, and age.
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Affiliation(s)
- Jingwen Hu
- From the Department of Laboratory Medicine (Hu, Qin), Shengjing Hospital of China Medical University, and from Department of Laboratory Medicine (Hu, Qin), Liaoning Clinical Research Center for Laboratory Medicine, Shenyang; from the Department of Pediatrics (Liang), Beijing Chaoyang Hospital Affiliated Capital Medical University, Beijing; from the Department of Pediatrics (Wen, Chen, Liu, Zhang), Molidawa Daur Autonomous Banner People’s Hospital, Molidawa Daur Autonomous Banner, Hulunbuir, Inner Mongolia Autonomous Region, China.
| | - Yunmei Liang
- From the Department of Laboratory Medicine (Hu, Qin), Shengjing Hospital of China Medical University, and from Department of Laboratory Medicine (Hu, Qin), Liaoning Clinical Research Center for Laboratory Medicine, Shenyang; from the Department of Pediatrics (Liang), Beijing Chaoyang Hospital Affiliated Capital Medical University, Beijing; from the Department of Pediatrics (Wen, Chen, Liu, Zhang), Molidawa Daur Autonomous Banner People’s Hospital, Molidawa Daur Autonomous Banner, Hulunbuir, Inner Mongolia Autonomous Region, China.
| | - Guiping Wen
- From the Department of Laboratory Medicine (Hu, Qin), Shengjing Hospital of China Medical University, and from Department of Laboratory Medicine (Hu, Qin), Liaoning Clinical Research Center for Laboratory Medicine, Shenyang; from the Department of Pediatrics (Liang), Beijing Chaoyang Hospital Affiliated Capital Medical University, Beijing; from the Department of Pediatrics (Wen, Chen, Liu, Zhang), Molidawa Daur Autonomous Banner People’s Hospital, Molidawa Daur Autonomous Banner, Hulunbuir, Inner Mongolia Autonomous Region, China.
| | - Dezhong Chen
- From the Department of Laboratory Medicine (Hu, Qin), Shengjing Hospital of China Medical University, and from Department of Laboratory Medicine (Hu, Qin), Liaoning Clinical Research Center for Laboratory Medicine, Shenyang; from the Department of Pediatrics (Liang), Beijing Chaoyang Hospital Affiliated Capital Medical University, Beijing; from the Department of Pediatrics (Wen, Chen, Liu, Zhang), Molidawa Daur Autonomous Banner People’s Hospital, Molidawa Daur Autonomous Banner, Hulunbuir, Inner Mongolia Autonomous Region, China.
| | - Yuanjing Liu
- From the Department of Laboratory Medicine (Hu, Qin), Shengjing Hospital of China Medical University, and from Department of Laboratory Medicine (Hu, Qin), Liaoning Clinical Research Center for Laboratory Medicine, Shenyang; from the Department of Pediatrics (Liang), Beijing Chaoyang Hospital Affiliated Capital Medical University, Beijing; from the Department of Pediatrics (Wen, Chen, Liu, Zhang), Molidawa Daur Autonomous Banner People’s Hospital, Molidawa Daur Autonomous Banner, Hulunbuir, Inner Mongolia Autonomous Region, China.
| | - Hongmei Zhang
- From the Department of Laboratory Medicine (Hu, Qin), Shengjing Hospital of China Medical University, and from Department of Laboratory Medicine (Hu, Qin), Liaoning Clinical Research Center for Laboratory Medicine, Shenyang; from the Department of Pediatrics (Liang), Beijing Chaoyang Hospital Affiliated Capital Medical University, Beijing; from the Department of Pediatrics (Wen, Chen, Liu, Zhang), Molidawa Daur Autonomous Banner People’s Hospital, Molidawa Daur Autonomous Banner, Hulunbuir, Inner Mongolia Autonomous Region, China.
| | - Xiaosong Qin
- From the Department of Laboratory Medicine (Hu, Qin), Shengjing Hospital of China Medical University, and from Department of Laboratory Medicine (Hu, Qin), Liaoning Clinical Research Center for Laboratory Medicine, Shenyang; from the Department of Pediatrics (Liang), Beijing Chaoyang Hospital Affiliated Capital Medical University, Beijing; from the Department of Pediatrics (Wen, Chen, Liu, Zhang), Molidawa Daur Autonomous Banner People’s Hospital, Molidawa Daur Autonomous Banner, Hulunbuir, Inner Mongolia Autonomous Region, China.
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Kittivisuit S, Sripornsawan P, Songthawee N, Chavananon S, Yam-Ubon U, McNeil EB, Jaruratanasirikul S, Chotsampancharoen T. Vitamin D Deficiency in Childhood Cancer Survivors: Results from Southern Thailand. Nutrients 2023; 15:nu15061328. [PMID: 36986058 PMCID: PMC10051581 DOI: 10.3390/nu15061328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 03/03/2023] [Accepted: 03/07/2023] [Indexed: 03/30/2023] Open
Abstract
There is limited information on vitamin D deficiency among childhood cancer survivors (CSS), especially in tropical countries. The aims of this study are to determine the prevalence and risk factors for vitamin D deficiency in CCSs. This study was conducted at the long-term follow-up clinic for CCSs at Prince of Songkla University, Songkhla, Thailand. All CCSs who were followed up between January 2021 and March 2022 were enrolled. Demographic data, dietary dairy intake, average weekly duration of outdoor activities, total 25-hydroxyvitamin D [25(OH)D] levels, parathyroid hormone levels, and blood chemistry were collected. A total of 206 CCSs with a mean age at follow-up of 10.8 ± 4.7 years were included. The prevalence of vitamin D deficiency was 35.9%. Female gender (odds ratio (OR): 2.11, 95% CI: 1.08-4.13), obesity (OR: 2.01, 95% CI: 1.00-4.04), lack of outdoor activities (OR: 4.14, 95% CI: 2.08-8.21), and lower dietary dairy intake (OR: 0.59, 95% CI: 0.44-0.80) were independent risk factors for vitamin D deficiency. Vitamin D deficiency was common in CCSs and associated with female gender, obesity, lack of outdoor activities, and lower dietary dairy intake. Regular 25(OH)D screening should be established in long-term care to identify those who require vitamin D supplements.
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Affiliation(s)
- Sirinthip Kittivisuit
- Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
| | - Pornpun Sripornsawan
- Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
| | - Natsaruth Songthawee
- Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
| | - Shevachut Chavananon
- Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
| | - Umaporn Yam-Ubon
- Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
| | - Edward B McNeil
- Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
| | - Somchit Jaruratanasirikul
- Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
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Pan L, Gao X, Fu H, Liu Y, Hong L. Incidence of malnutrition and changes in phosphocalcic metabolism in perioperative liver transplantation patients -a retrospective study in a tertiary children's hospital in China. BMC Pediatr 2022; 22:719. [PMID: 36522616 PMCID: PMC9753393 DOI: 10.1186/s12887-022-03790-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 12/05/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The primary aim of the study was to assess the nutritional status of pediatric liver transplant outpatients in nutrition clinic, particularly the nutritional status of their bones. METHODS: One hundred thirty-eight pediatric liver transplant outpatients, who had visited the nutrition clinic in Shanghai Children's Medical Center between January 2017 and December 2019, were recruited. The bone mineral density (BMD) z-scores were determined by dual energy X-ray absorptiometry (DXA). Nutritional assessment was performed, and their corresponding height-for-age z-scores (HAZs)/weight-for-age z-scores (WAZs)/BMI-for-age z-scores (BMIZs) were obtained. RESULTS A total of 138 patients came to our nutrition outpatient clinic, including 68 boys (49.3%) and 70 girls (50.7%). The median age was 0.87y (0.68y, 1.71y). Among these patients, 44 (31.9%) had acute malnutrition with WAZ/BMIZ value -1.14 (-2.38, -0.18), 55 (38.4%) had chronic malnutrition with HAZ value -1.51 (-2.39, -0.38), and 96 (69.6%) had a BMD lower than normal. The BMD z-score was significantly correlated with the WAZ/BMIZ value (Spearman's correlation coefficient = 0.334, p < 0.001). A total of 37 infants re-visited the nutrition clinic for a follow-up after (147 ± 127) days. The WAZ/BMIZ value of the re-visiting patients and the BMD z-score of the re-visiting patients were significantly improved compared to those of the first-visit patients (p = 0.004 and p = 0.001 respectively). CONCLUSIONS There were different rates of malnutrition before and after liver transplantation. At the same time, BMD Z-score and serum vitamin D level of patients decreased. There was a significant correlation between BMD z-scores and WAZ/BMIZ values. Proper and professional nutrition guidance significantly improved the WAZ/BMIZ-values and BMD Z-score of liver transplantation patients.
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Affiliation(s)
- Liya Pan
- grid.16821.3c0000 0004 0368 8293Department of Clinical Nutrition, Shanghai Children’s Medical Center/National Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University School of Medicine, 1678 Dongfang Road, Shanghai, 200127 China
| | - Xuejie Gao
- grid.256112.30000 0004 1797 9307Department of Gastroenterology, Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fujian, China
| | - Huanhuan Fu
- grid.16821.3c0000 0004 0368 8293Department of Clinical Nutrition, Shanghai Children’s Medical Center/National Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University School of Medicine, 1678 Dongfang Road, Shanghai, 200127 China
| | - Yunman Liu
- grid.16821.3c0000 0004 0368 8293Department of Clinical Nutrition, Shanghai Children’s Medical Center/National Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University School of Medicine, 1678 Dongfang Road, Shanghai, 200127 China
| | - Li Hong
- grid.16821.3c0000 0004 0368 8293Department of Clinical Nutrition, Shanghai Children’s Medical Center/National Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University School of Medicine, 1678 Dongfang Road, Shanghai, 200127 China
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Huang P, Ke G, Lin X, Wang Q, Lu W, Zeng L, Xu S. Correlation analysis between vitamin A, D, and E status with altitude, seasonal variation, and other factors, among children aged 0-6 years in a Chinese population living in the Tibetan plateau of Ganzi prefecture. J Clin Lab Anal 2022; 36:e24620. [PMID: 35908778 PMCID: PMC9459275 DOI: 10.1002/jcla.24620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 07/05/2022] [Accepted: 07/12/2022] [Indexed: 11/27/2022] Open
Abstract
Objective We attempted to understand the status of vitamin (Vit) A, D, and E in children aged 0–6 living in the Tibetan plateau areas of Ganzi prefecture, to provide the basis for relevant government departments to carry out physical examinations of these children and to prevent and cure four key diseases (Infantile diarrhea, nutritional anemia, rickets, and infantile pneumonia). Methods Serum retinol and tocopherol levels were detected using high‐performance liquid chromatography (HPLC). Serum levels of 25‐(OH)D were detected by high‐performance liquid chromatography–tandem mass spectrometry (LC–MS). The polynomial logistic regression was used to analyze the effects of age, season, altitude, and gender on Vit A, D, and E levels. Results Vit A and D had the lowest mean serum levels before the age of 1 year and with the most significant deficiency rates. The lowest Vit E levels were seen in the Toddlerhood group. The rates of deficiency and insufficiency were the highest. Vit A, D, and E levels were significantly affected by seasonal changes and were significantly higher in the summer than in any other season. Vit A and D were significantly affected by altitude, and their levels were lowest above 4 km. Conclusion The overall levels of Vit A, D, and E in children aged 0–6 in the Tibetan plateau areas of Ganzi prefecture were lower than those in the plain's areas.
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Affiliation(s)
- Ping Huang
- Department of Child Healthcare, Luzhou people's Hospital, Luzhou, China
| | - Gang Ke
- Department of Pharmacy, Luzhou people's Hospital, Luzhou, China
| | - Xinmei Lin
- Department of Blood Transfusion, Luzhou people's Hospital, Luzhou, China
| | - Quansheng Wang
- Department of Rehabilitation, Luxian Hospital of TCM, Luzhou, China
| | - Wei Lu
- Department of Rehabilitation, Luzhou People's Hospital, Luzhou, China
| | - Li Zeng
- Department of Emergency, Luzhou People's Hospital, Luzhou, China
| | - Shiying Xu
- Department of Pharmacy, Luzhou people's Hospital, Luzhou, China
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