Stereoelectroencephalography-guided radiofrequency thermocoagulation of the epileptogenic zone: a potential treatment and prognostic indicator for subsequent excision surgery.

PURPOSE: To evaluate the safety and efficacy of stereoelectroencephalography (SEEG)-guided radiofrequency thermocoagulation (RFTC) for drug-resistant focal epilepsy and investigate the relationship between post-RFTC remission duration and delayed excision surgery effectiveness. METHODS: We conducted a retrospective analysis of 43 patients with drug-resistant focal epilepsy who underwent RFTC via SEEG electrodes. After excluding three, the remaining 40 were classified into subgroups based on procedures and outcomes. Twenty-four patients (60%) underwent a secondary excision surgery. We determined the predictive value of RFTC outcome upon subsequent surgical outcome by categorizing the delayed secondary surgery outcome as success (Engel I/II) versus failure (Engel III/IV). Demographic information, epilepsy characteristics, and the duration of seizure freedom after RFTC were assessed. RESULTS: Among 40 patients, 20% achieved Engel class I with RFTC alone, while 24 underwent delayed secondary excision surgery. Overall, 41.7% attained Engel class I, with a 66.7% success rate combining RFTC with delayed surgery. Seizure freedom duration was significantly longer in the success group (mean 4.9 months, SD = 2.7) versus the failure group (mean 1.9 months, SD = 1.1; P = 0.007). A higher proportion of RFTC-only and delayed surgical success group patients had preoperative lesional findings (p = 0.01), correlating with a longer time to seizure recurrence (p < 0.05). Transient postoperative complications occurred in 10%, resolving within a year. CONCLUSION: This study demonstrates that SEEG-guided RFTC is a safe and potential treatment option for patients with drug-resistant focal epilepsy. A prolonged duration of seizure freedom following RFTC may serve as a predictive marker for the success of subsequent excision surgery.

The association between waist-to-height ratio and cognitive function in older adults.

OBJECTIVES: The waist-to-height ratio (WHtR) is a simple, practical, and effective tool used to assess central obesity. Despite its usefulness, few studies have investigated the association between WHtR and cognitive function among older adults in the United States. This study aims to investigate the associations between WHtR and cognitive function. METHODS: The study sample comprised adults who participated in the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2014. WHtR was calculated from measured waist circumference and height. Cognitive function was assessed using the digit symbol substitution test. A weighted multiple linear regression analysis was performed to evaluate the association between WHtR and cognitive function, with smooth curve fitting applied to detect non-linearities. RESULTS: Our analysis included 1709 participants over the age of 65. After adjusting for potential confounders, WHtR was found to have a negative association with cognitive function (ß = -36.91, 95% CI: -54.54 to -19.29, P < 0.001). Subgroup analyzes stratified by sex and race showed that the negative correlation of WHtR with cognitive function remained in both men and women, as well as in non-Hispanic white and other races. Among women, the association between WHtR and cognitive function followed an inverted U-shaped curve, with an inflection point of 0.68. CONCLUSION: This study provides evidence of a negative association between WHtR and cognitive function in older adults. These findings suggest that in advanced age, central obesity may have negative implications for cognitive function.

Variations in serum low-density lipoprotein and sST2 among heart failure patients with different ejection fraction groups and their clinical significance.

OBJECTIVE: This study aimed to examine the changes in serum Low Density Lipoprotein Cholesterol (LDL-C) and Soluble Growth Stimulating Expressed Gene 2 Protein (sST2) among Heart Failure (HF) patients with varying ejection fractions and their clinical significance, providing a reference for the clinical assessment of HF severity. METHODS: A total of 238 HF patients treated in our hospital's cardiology department from September 2019 to December 2021 were selected; 68 patients hospitalized in the same period were selected as the control group. General information, LDL-C and echocardiographic results of admitted patients were collected. According to LVEF results and the latest European Society of Cardiology standards in 2021, HF patients were categorized into those with HFpEF (n = 95), HFmrEF (n = 60), and HFrEF (n = 83). Meanwhile, venous blood was collected to determine sST2 and NT-proBNP to compare and analyze the changes and clinical significance of sST2 and LDL-C across the groups. RESULTS: Compared to the control group, the HF group showed significant differences in age, gender, heart rate, smoking history, history of atrial fibrillation, history of diabetes, LVEDD, LVEF, sST2, and NT-proBNP levels (P < .05), but not in LDL-C levels. Significant differences (P < .05) were also found among the 3 HF groups in terms of age, gender, history of atrial fibrillation, LVEDD, LVEF, LDL-C, sST2, and NT-proBNP levels, with an increase in LVEDD, LDL-C, sST2, and NT-proBNP values as the ejection fraction decreased. ROC curve analysis indicated that the area under the curve (AUC) for sST2 in diagnosing HF was 0.915 (P < .05), with an optimal cutoff value of 23.71 ng/mL, a sensitivity of 76.5%, and a specificity of 95.6%; LDL-C was not a significant diagnostic marker for HF (P > .05). Coronary artery disease, NT-proBNP, and sST2 were identified as risk factors for HF. With each unit increase in coronary artery disease, the risk of HF increased by 36.3%; for NT-proBNP, the risk increased by 1.3% per unit; and for sST2, it increased by 18.3% per unit. CONCLUSION: As the ejection fraction decreases in HF patients, serum sST2 and LDL-C values progressively increase, which is clinically significant for predicting the severity of HF. sST2 is an independent risk factor for HF and can enhance the diagnostic accuracy for HF.

The Association Between Trajectory-Skull Angle and Accuracy of Stereoelectroencephalography Electrode Implantation in Drug-Resistant Epilepsy.

OBJECTIVE: To analyze the relationship between trajectory-skull angle and stereoelectroencephalography electrode implantation accuracy in drug-resistant epilepsy patients, aiming to guide clinical electrode placement and enhance surgical precision and safety. METHODS: We conducted a retrospective analysis of medical records and surgical characteristics of 32 consecutive patients diagnosed with drug-resistant epilepsy, who underwent stereoelectroencephalography procedures at our center from June 2020 to June 2023. To evaluate the accuracy of electrode implantation, we utilized preoperative and postoperative computed tomography scans fused with SinoPlan software-planned trajectories. Entry radial error and target vector error were assessed as measurements of electrode implantation accuracy. RESULTS: After adjusting for confounders, we found a significant positive correlation between trajectory-skull angle and entry radial error (ß = 0.02, 95% CI: 0.01-0.03, P < 0.001). Likewise, a significant positive correlation existed between trajectory-skull angle and target vector error in all three models (ß = 0.03, 95% CI: 0.01-0.04, P < 0.001). Additionally, a U-shaped relationship between trajectory-skull angle and target vector error was identified using smooth curve fitting. This U-shaped pattern persisted in both frame-based and robot-guided stereotactic techniques. According to the two-piecewise linear regression model, the inflection points were 9° in the frame-based group and 16° in the robot-guided group. CONCLUSIONS: This study establishes a significant positive linear correlation between trajectory-skull angle and entry radial error, along with a distinctive U-shaped pattern in the relationship between trajectory-skull angle and target vector error. Our findings suggest that trajectory-skull angles of 9° (frame-based) and 16° (robot-guided) may optimize the accuracy of target vector error.

Distribution Characteristics and Risk Assessment of 57 Pesticides in Farmland Soil and the Surrounding Water.

To investigate the effect of pesticide use on surface water, the concentration and distribution characteristics of 57 pesticides and 3 degradation products were analyzed in the farmland soil and surface water in the Xingkai Lake area, including water from paddy fields, drainages and the Xingkai Lake, in Heilongjiang Province, China. Forty-three pesticides and three degradation products were detected in farmland soil. In dry field (corn and soybean field) soil, the main detected pesticides were atrazine and acetochlor with mean concentrations of 26.09 ng·g-1 and 49.08 ng·g-1, respectively. In paddy field soil, oxadiazon, mefenacet and chlorpyrifos were the main detected pesticides with mean concentrations of 14.32 ng·g-1, 78.60 ng·g-1 and 20.03 ng·g-1, respectively. In the surrounding water, including water from paddy fields, drainages and Xingkai Lake, the total concentrations of contaminants detected in the water samples ranged from 71.19 ng·L-1 to 10,145.76 ng·L-1. Of the three sampling periods, the mean concentration of contaminants in the water exhibited its peak during the vegetative period. In the analysis of the drainage water, the primary pesticides detected were atrazine, acetochlor and buprofezin with mean concentrations of 354.83 ng·L-1, 109.09 ng·L-1 and 254.56 ng·L-1, respectively. Atrazine, simetryn, buprofezin and isoprothiolane were the main pesticides detected in Xingkai Lake water, with the mean concentrations of 222.35 ng·L-1, 112.76 ng·L-1, 301.87 ng·L-1 and 138.02 ng·L-1, respectively. The concentrations of contaminants could be correlated with drainage, Da Xingkai Lake and Xiao Xingkai Lake water (ρ > 0.8) suggested that the source of these contaminants in drainage and Xingkai Lake water could be the same. The maximum potentially affected fraction (PAF) values of atrazine, chlorpyrifos and prometryn were higher than 5% in Xingkai Lake water, resulting in high ecological risks.

Phosphorus recovery from phosphate tailings through a two-stage leaching-precipitation process: Toward the harmless and reduction treatment of P-bearing wastes.

To achieve highly efficient extraction of phosphorus (P) and comprehensive utilization of phosphate tailings, a two-stage leaching-precipitation method was proposed. Phosphate tailings primarily consisted of dolomite, fluorapatite, and quartz. During the first-stage leaching, the large majority of dolomite was selectively dissolved and the leaching efficiency of Mg reached 93.1 % at pH 2.0 and 60 °C. The subsequent second-stage leaching of fluorapatite was performed and the P leaching efficiency was 98.8 % at pH 1.5 and 20 °C, while the quartz remained in the residue. Through two-stage leaching, a stepwise leaching of dolomite and fluorapatite was achieved. After chemical precipitation, calcium phosphate with a high purity of 97.9 % was obtained; and the total recovery efficiency of P exceeded 98 %. The obtained calcium phosphate can be a raw material in the phosphorus chemical industry, while the Mg-rich leachate and the final quartz-rich residue have the potential for Mg extraction and the production of mortars or geopolymers, respectively. The two-stage leaching-precipitation process could significantly reduce the leaching costs, and enhance the reaction rates. It is expected to realize a volume reduction and efficient resource utilization of the phosphate tailings by using this sustainable and promising solution.

Leaching of phosphorus from phosphate tailings and extraction of calcium phosphates: Toward comprehensive utilization of tailing resources.

Phosphate tailing is an extremely fine by-product during phosphate ore flotation. Due to the large quantities and relatively higher P2O5 content, the phosphate tailings have been considered as a potential P resource, compared to other P-bearing wastes. Besides, phosphate tailings also contain a large amount of available components, such as Ca, Mg, and Si. To explore a low-cost and efficient process for the utilization of phosphate tailings, the hydrochloric acid leaching-precipitation method was employed to recover phosphorus. The P in phosphate tailings can be selectively dissolved into leaching liquor, followed by the precipitation of calcium phosphates from the leaching liquor through pH adjustment. The results showed that P was predominantly concentrated in fluorapatite and its dissolution ratio increased with the decrease in pH. At pH 1.0, the P dissolution efficiency from phosphate tailings reached 96.3%, along with the majority of Mg and Ca. However, Si was hardly dissolved. It demonstrated that almost all the fluorapatite and dolomite were dissolved while the quartz was difficult to dissolve. Dolomite was more preferentially dissolved than fluorapatite. Increasing temperature contributed to the dissolution of dolomite while suppressing fluorapatite dissolution. The residue containing 87.9% SiO2 (quartz) and only 0.25% P2O5 has the potential as a building material. As the pH increased to 7.0, the collected precipitate consisted of 34.18% P2O5 and 56.10% CaO, which can serve as a source of a slow-released phosphate fertilizer. The highly efficient utilization of phosphate tailings was achieved via this process.

Suspicious Object Detection for Millimeter-Wave Images With Multi-View Fusion Siamese Network.

Millimeter-wave (MMW) imaging techniques have been widely used in the public security industries for their under-controlled privacy concerns and no health hazards. However, since MMW images are low resolution and most objects are small, reflection-weak, diverse, suspicious object detection in the MMW images is a very challenging task. This paper develops a robust suspicious object detector for the MMW images based on the Siamese network integrated with the pose estimation and image segmentation, which estimates the coordinates of human joints and segments the complete human images into symmetrical body part images. Unlike most existing detectors, which detect and recognize suspicious objects in MMW images and require a complete training set with correct annotations, our proposed model aims to learn the similarity between two symmetrical human body part images segmented from the complete MMW images. Furthermore, to decrease the misdetection caused by the restricted field of view, we further fuse the multi-view MMW images observed from the same person by designing a decision-level fusion strategy and feature-level fusion strategy based on the attention mechanism. Experimental results on the measured MMW images show that our proposed models have favorable detection accuracy and speed in practical application and thus prove their effectiveness.

A review on the P enrichment and recovery from steelmaking slag: Towards a sustainable P supply and comprehensive utilization of industrial solid wastes.

Phosphorus (P) is one of the desirable nutrient elements for the growing of crops and is a non-renewable resource. The over-exploitation of high-grade phosphate rocks makes finding alternative P sources urgent for a sustainable and stable P supply. Steelmaking slag has been considered a potential P source due to its huge production and the increasing P content in slag with the utilization of low-grade iron ores. If the efficient separation of P from steelmaking slag is achieved, the obtained P can be used as the raw material for phosphate products, and the P-removal steelmaking slag can be reused as a metallurgical flux in steel plants, realizing the comprehensive utilization of steelmaking slag. To better understand the separation method and mechanism of P from steelmaking slag, this paper reviews: (1) the enrichment mechanism of P in steelmaking slag, (2) the methods of the P-rich phase separation from slag and P recovery, and (3) facilitating the enrichment of P in the mineral phase by cooling treatment and modification. Furthermore, some industrial solid wastes were selected as modifiers for steelmaking slag, which not only provided several valuable components but also significantly reduced treatment costs. Hence, a collaborative processing of steelmaking slag and other P-bearing industrial solid wastes is proposed, providing a new solution for P recovery and the comprehensive utilization of industrial solid wastes, achieving the sustainable development of steel and phosphate industries.

Contamination and health risks of heavy metals in the soil of a historical landfill in northern China.

Landfill-induced heavy metal (HM) contamination of soils is a widespread and complex problem. The levels and potential hazards of HM contamination in landfills must be evaluated before they can be reused for any purpose. In order to reuse a historical landfill in northern China, 376 sampling sites were selected in 2019 using the checkerboard layout method, and the levels of arsenic (As), mercury (Hg), antimony (Sb), copper (Cu), lead (Pb), cadmium (Cd), nickel (Ni), zinc (Zn), and thallium (Tl) in the soil were measured. Multiple evaluation methods established the HM pollution levels, agricultural suitability, and health risks associated with the sampling sites. In most parts of the study area, the concentrations of all nine HMs exceeded the screening levels and maximum allowable concentrations for agricultural soils. Only the soils in Zones 5 and 6 can be used for agricultural activity. Moreover, the deep soils were heavily contaminated with HMs in certain areas, possibly because of leaching and infiltration in the surface soil and the rise and diffusion of polluted groundwater. The soil HMs in the study area posed a higher carcinogenic risks to both adults and children. The average carcinogenic risk associated with As was 6.12 × 10-4, which was the major contributor to carcinogenic risk at all HM-contaminated sites. The results of this work empirically demonstrated that soil HM pollution is severe and problematic in the study area and remedial measures are urgently required.

Paradoxical herniation after decompressive craniectomy provoked by mannitol: A case report.

BACKGROUND: Paradoxical transtentorial herniation is a rare but life-threatening complication of cerebrospinal fluid drainage in patients with large decompressive craniectomy. However, paradoxical transtentorial herniation after rapid intravenous infusion of mannitol has not been reported yet. CASE SUMMARY: A 48-year-old male suffered from a right temporal vascular malformation with hemorrhage. In a coma, the patient was given emergency vascular malformation resection, hematoma removal, and the right decompressive craniectomy. The patient woke up on the 1st d after the operation and was given 50 g of 20% mannitol intravenously every 8 h without cerebrospinal fluid drainage. On the morning of the 7th postoperative day, after 50 g of 20% mannitol infusion in the Fowler's position, the neurological function of the patient continued to deteriorate, and the right pupils dilated to 4 mm and the left to 2 mm. Additionally, computed tomography revealed an increasing midline shift and transtentorial herniation. The patient was placed in a supine position and given 0.9% saline intravenously. A few hours later, the patient was fully awake with purposeful movements on his right side and normal communication. CONCLUSION: Paradoxical herniation may occur, although rarely, after infusing high-dose mannitol intravenously in the Fowler's position in the case of a large craniectomy defect. An attempt should be made to place the patient in the supine position because this simple maneuver may be life-saving. Do not use high-dose mannitol when the flap is severely sunken.

Recovery of high-quality phosphate from steelmaking slag by a hydrometallurgical process.

Phosphorus recovery from wastes has become a worldwide concern. The P-bearing steelmaking slag generated from steel plant is considered a potential phosphorus source. In this study, a novel process of selective leaching-precipitation-alkaline wash was proposed to recover high-quality phosphate from steelmaking slag. During leaching, most of the P was dissolved from slag and Fe was almost insoluble. Increasing temperature and solid-liquid ratio significantly suppressed the dissolution of Si due to the formation of silica sols. An excellent selective leaching of P was achieved at pH 3 and 333 K. The dissolution ratio of P reached 83.5% while only 22.6% of Si was dissolved. The residue containing 49.5% Fe2O3 and 0.9% P2O5 can be reused as a steelmaking feedstock, achieving the recycling in plant. In the dilute leachate, the precipitation of Si and Ca was significantly suppressed as the pH increased and a precipitate with higher P2O5 content and lower SiO2 content was extracted. A large amount of SiO2 was removed from the precipitate by alkaline wash. A precipitate containing 30.1% P2O5 and 45.5% CaO was recovered in this process. This study provided a cost-effective approach to recovering high-quality phosphate.

Topological edge states controlled by next-nearest-neighbor coupling and Peierls phase in a P T-symmetric trimerized lattice.

We study the topological features in a trimerized lattice of parity-time symmetry with comparable nearest-neighbor (NN) and next-nearest-neighbor (NNN) couplings as well as a Peierls phase. Eigen energies of four edge states in two bandgaps, of topological origin verified by the quantized total Zak phase, are surprisingly independent of the NNN coupling and the Peierls phase. Topological regions with respect to the intercell NN coupling, as the intracell NN coupling is fixed, can be extended with reinforced localization strengths for one pair of edge states but reduced with weakened localization strengths for the other pair of edge states, by increasing the NNN coupling. The partial overlapping between extended and reduced topological regions promises then a two-step phase transition of 'zero - two - four' edge states, viable to be periodically modulated by the Peierls phase.

Delayed massive cerebral infarction after perioperative period of anterior cervical discectomy and fusion: A case report.

BACKGROUND: Cerebral infarction is an extremely rare postoperative complication of anterior cervical discectomy and fusion (ACDF), particularly in the delayed setting. We present a case who had a sudden stroke on day 18 after surgery. By sharing our experience with this case, we hope to provide new information about stroke after anterior cervical surgery. CASE SUMMARY: We present the case of a 61-year-old man with more than 20 years of hypertension and 14 years of coronary heart disease who had suffered a stroke 11 years ago. The patient was admitted for a multiple ACDF due to symptoms of cervical spondylotic myelopathy and had a sudden stroke on day 18 after surgery. Imaging findings showed a large-area infarct of his left cerebral hemisphere and thrombosis in his left common carotid artery. With the consent of his family, the thrombus was removed and a vascular stent was implanted through an interventional operation. Forty days later, the patient was transferred to a rehabilitation hospital for further treatment. He had normal consciousness but slurred speech at the 1-year follow-up evaluation. The motor and sensory functions of his hemiplegic limbs partially recovered. CONCLUSION: This case illustrated that a postoperative stroke related to anterior cervical surgery may be attributed to prolonged carotid retraction and might have a long silent period. Preventive measures include careful preoperative and postoperative examination for high-risk patients as well as gentle and intermittent retraction of carotid artery sheath during operation.

Structural characterization of polysaccharide from yellow sweet potato and ameliorates DSS-induced mice colitis by active GPR41/MEK/ERK 1/2 signaling pathway.

A polysaccharide isolated from yellow sweet potato (Ipomoea batatas (L.) Lam.) consisted of Rha, Ara, Gal, Glc, GalA, GlcA with the ratio of 1.00, 2.00, 3.63, 1.21, 1.17, 1.14, respectively. The molecular weight (Mw) of RSPP-A was determinted to be 2.51×106 kDa. Methylation, Nuclear Magnetic Resonance (NMR) (1D & 2D) and Fourier transform infrared spectroscopy (FT-IR) analysis indicated that RSPP-A possessed six glycosidic bonds including α-L-Araf-(1→, →5)-α-L-Araf-(1→, →6)-ß-D-Galp-(1→, ß-D-Glcp-(1→, →3)-α-L-Araf-(1→, →3)-α-L-Rhap-(1→. In dextran sulfate sodium (DSS) induced mouse-acute-colitis model, the results indicated that RSPP-A could down- regulate the secretion of IL-6 and IL-1ß, and promote the secretion of IL-10 in serum and colon, which also suggested that RSPP-A could enhance the contents of short chain fatty acids(SCFAs) and up-regulate the expression of G protein-coupled receptor (GPR41) in colon. Moreover, the expression of Mitogen-activated protein kinase kinase (MEK), extracellular signal-regulated kinase 1/2 (ERK1/2) were up-regulated in colon after intervention with RSPP-A, result from above suggested that the anti-inflammatory activity might be related to the production of SCFA, activating GPR41/MEK/ERK1/2 signaling pathway.

The 20 most important questions for novices of full-endoscopic spinal surgery in China: a mixed-method study protocol.

INTRODUCTION: The full-endoscopic spinal surgery (FESS) procedure is widely accepted and welcomed in China. With the continuous development of minimally invasive surgery, the further expansion of indications and the greater diversity of techniques, spinal endoscopic surgery currently accounts for more than 10% of spinal surgery in China, ranking among the top in the world. However, the admission system and standardised training system for spinal endoscopic surgery are not perfect, which presents a challenge and disadvantage for novices. METHODS AND ANALYSIS: Exploratory mixed methods are applied for designing this study. First, we will collect questions from novices by allowing them to openly list their concerns to those who have completed FESS. These qualitative questions will be categorised using NVivo software. To produce the qualitative results, a questionnaire for the sequential two-round Delphi approach will be developed to identify the 20 most important questions from novices. This study is planned to be started at April 2021, and completed at March 2022. ETHICS AND DISSEMINATION: The Research Ethics Committee of Peking University Third Hospital provided a waiver for this Delphi protocol. We expect that the findings will be published in a clinical journal and presented at conferences. Furthermore, we hope that the results can contribute to answering the questions raised by novices of spinal endoscopy in the form of books and to improving the training system for spinal endoscopy surgery.

Role of H+, HF, SO42- and kaolin in fixing Hg of coal fire sponge.

Coal fire sponges (CFS) are common in coal-fire areas. Due to the enrichment of Hg in CFS, large amounts of Hg are released by CFS into the atmosphere via natural weathering or solar radiation. Therefore, CFS should be of concern in Hg pollution management and control globally. In addition, CFS changes the Hg cycle path by capturing Hg from coal fires that would have entered the atmosphere. In this study, the concentration, distribution, species, and enrichment mechanism of CFS Hg were investigated. The results showed that the Hg concentration in CFS ranged from 1008 to 35,310 ng/g, with an average of 8932 ng/g (CFS number, n = 153). The Hg concentration of CFS in different types of land was found to be significantly inhomogeneous. To determine the status of subterranean spontaneous combustion, the Hg concentration was added, which can improve the effect of coal-fire monitoring. Compared to the background area topsoil, CFS was enriched in Hg, acid, SO42-, and total fluoride. The Hg species in CFS was primarily HgSO4, followed by HgO. However, the primary Hg species in the surrounding topsoil were HgCl2 and HgO. By the simulation experiment, it was determined that hydrofluoric acid (HF) was beneficial to activate the stable species in the coal-fire areas. HgCl2, HgO, or Hg0 were ionized by acid liquor or HF, which can promote Hg migration and increase the adsorbed ratio; in the presence of SO42-, the primary Hg species was HgSO4. Ultimately, Hg was absorbed by clay minerals and organic matter. The high-efficiency activation of steady Hg species by the coal-fire HF should be studied further.

Ginkgo biloba extract protects early brain injury after subarachnoid hemorrhage via inhibiting thioredoxin interacting protein/NLRP3 signaling pathway.

OBJECTIVES: To investigate the effect of Ginkgo biloba extract EGb761 in early brain injury (EBI) after subarachnoid hemorrhage (SAH) and its mechanism. MATERIALS AND METHODS: The SAH rat model was constructed and pre-treated with EGb761.The neurological function, severity of SAH, water content of brain tissue, damage degree of the blood-brain barrier, related indexes of oxidative stress, and the level of inflammatory cytokines were compared among the groups. The expression of TXNIP/NLRP3 signaling pathway-related proteins in brain tissues was detected by Western blot. RESULTS: After SAH modeling, the neurological function score was significantly reduced, the degree of brain injury, levels of oxidative stress, inflammatory factors, expression of NLRP3 and TXNIP were all increased. Compared with the SAH rats, the neurological function score of rats pre-treated by EGb761 was higher, the degree of brain injury, levels of oxidative stress and inflammatory factors, expression of NLRP3 and TXNIP were all lower. CONCLUSION: EGb761 could protect neurological injury after SAH and its mechanism may be that EGb761 could inhibit the activation of the TXNIP/NLRP3 signaling pathway and inflammatory reaction after oxidative stress.

Pollution Characteristics of Microplastics in Soils in Southeastern Suburbs of Baoding City, China.

Microplastics (MPs) are emerging pollutants that exist in different environmental media. Because of their wide range and large potential environmental hazards, they have attracted widespread attention in recent years. At present, the research on MP is mostly concentrated on the water ecosystems, and the impact on soil ecosystems is less studied. In this study, 12 typical soil samples from southeastern suburbs of Baoding city were investigated and characterized by time-of-flight secondary ion mass spectrometry (TOF-SIMS) combined with mass high resolution mode and positive and negative ion imaging mode. Four types of MPs, poly (propylene) (PP), poly (vinyl chloride) (PVC), poly (ethylene terephthalate) (PET), and poly (amide 6) (PA6), were quickly identified, of which PET and PA6 accounted for the largest proportion of both up to 30.2%; the particle size of the obtained MPs ranged from 0 to 35 µm, of which the proportion of <10 µm MPs was more than 26.3%, while that of 20-25 µm and 25-35 µm MPs was relatively small (17.83% and 9.3%, respectively). Risk assessment results of the MP in the soil showed that the risk level of MPs in the non-ferrous metal industrial parks and in concentrated with small workshops areas is relatively high, and attention should be paid to such areas. In addition, the study provides a reference method for the investigation and risk assessment of MPs in terrestrial soils, coastal beaches, and sediments.

Short-Term Efficacy of Different First-Line Chemotherapy Regimens for Advanced Non-Small Cell Lung Cancer: A Network Meta-Analysis.

This study intends to compare short-term efficacy of 12 chemotherapy regimens in treatment of advanced non-small cell lung cancer (NSCLC) by a network meta-analysis (NMA). PubMed, Cochrane Library, and Embase were searched from the inception of each database to June 2018. Randomized controlled trials (RCTs) of the 12 chemotherapy regimens for advanced NSCLC were included. Direct and indirect evidence were combined by NMA to evaluate the odds ratio and the surface under the cumulative ranking curves (SUCRA) of the 12 chemotherapy regimens. Nineteen RCTs that met our inclusion criteria were collected in this study. For partial response (PR), gemcitabine exhibited relatively poor efficacy compared with cisplatin + gemcitabine, carboplatin + gemcitabine, carboplatin + paclitaxel, paclitaxel + gemcitabine, and cisplatin + gemcitabine + vinorelbine. For overall response rate (ORR), gemcitabine had poorer efficacy than cisplatin + gemcitabine and paclitaxel + gemcitabine. For disease control rate (DCR), compared with carboplatin + gemcitabine and gemcitabine, paclitaxel + gemcitabine had a better efficacy. Gemcitabine had the lowest SUCRA values in terms of complete response, PR, ORR, stable disease, and DCR; whereas paclitaxel + gemcitabine ranked the highest in ORR, progressive disease, and DCR. The cluster analysis revealed that cisplatin + gemcitabine, paclitaxel + gemcitabine, and cisplatin + gemcitabine + vinorelbine had better short-term efficacy for advanced NSCLC. Collectively, short-term efficacy of multidrug combination chemotherapy regimens was superior to that of single-drug chemotherapy regimens for advanced NSCLC. Cisplatin + gemcitabine, paclitaxel + gemcitabine, and cisplatin + gemcitabine + vinorelbine may have particularly prominent short-term efficacy for advanced NSCLC.