Research progress and potential medical applications of anaplastic lymphoma kinase in treatment of non-small cell lung cancer / 中国药理学通报

During the treatment of non-small cell lung cancer ( NSCLC) , many patients have developed drug resistance due to the use of targeted EGFR inhibitors. The main reasons for drug resistance are EGFR site mutations and bypass activation. Activation of ALK pathway is one of the major types of bypass activation. A recent authoritative study indicates that ALK is closely related to immunotherapy. This article reviews the treatment of ALK in tumors from three aspects: the structure and physiological function of ALK, the small molecule inhibitor of ALK, the biological function of ALK and its related treatment methods for NSCLC, and prospects future directions for better application of ALK in the treatment of NSCLC.

Mechanical effects of needle texture on acupoint tissue.

OBJECTIVE: This study aims to clarify how the stimulation of acupuncture points is achieved by needles with different surface texture during acupuncture; it also seeks to lessen injury at the insertion site and increase the therapeutic efficacy of acupuncture, by simulating the mechanical effects of various needle surface patterns on Zusanli (ST36) without changing the radius of acupuncture needles. METHODS: Five acupuncture needle models with different surface patterns, including the smooth needle, the lined needle, the ringed needle, the left-hand threaded needle and the right-hand threaded needle, and a layered model of the Zusanli acupoint were used to investigate how to reduce tissue damage and increase stimulation during acupuncture treatment. Puncturing of the skin as well as lifting-inserting and twisting needle manipulations were simulated using these models, and the degree of damage and force of stimulation caused by the acupuncture needles with different surface patterns during acupuncture were compared. RESULTS: The smooth needle and the lined needle caused the least tissue damage during insertion, while the left-hand threaded and the right-hand threaded needles caused the most damage. The ringed needle, the left-hand threaded needle and the right-hand threaded needle stimulated the acupoint tissue more during lifting-inserting manipulations, while the lined needle and the smooth needle produced less stimulation. The stimulation of the lined needle on the acupoint tissue was the largest during twisting manipulation, whereas the left-hand threaded needle and the right-hand threaded needle had smaller effects. In lifting-inserting and twisting manipulations, both the left-hand threaded needle and right-hand threaded needle provided more stimulation, but the torsion direction in which they produced better stimulation was the opposite. CONCLUSION: According to the simulation results, the ringed pattern enhances stimulation best in the lifting-inserting manipulation, whereas the lined pattern enhances stimulation best in the twisting manipulation. Both the right-hand and left-hand thread patterns have certain enhancing effects in these two operations. Taking the geometric properties of the pattern into account, the left-hand thread pattern and the right-hand thread pattern have the geometric characteristics of both the lined pattern and the ringed pattern. To conclude, a pattern perpendicular to the movement direction during the acupuncture manipulation creates more stimulation. These results have significance for future needle design. Please cite this article as: Sun MZ, Wang X, Li YC, Yao W, Gu W. Mechanical effects of needle texture on acupoint tissue. J Integr Med. 2023; 21(3): 254-267.

Polyelectrolyte Bilayer-Based Transparent and Flexible Memristor for Emulating Synapses.

Memristors will be critical components in the next generation of digital technology and artificial synapses. Researchers are investigating innovative mechanistic understanding of the memristor devices based on low-cost, solution-processable, and organic materials as promising candidates. Here, we demonstrate a novel polyelectrolyte-based memristor device, which is simply prepared by spin-coating poly(acrylic acid) (PAA) and polyethylenimine (PEI) on an indium tin oxide (ITO) substrate followed by a magnetron sputtering of the ITO as the top electrode. The device has a potential to achieve excellent resistive switching (RS) performance and synapse functionality as well as greater flexibility and transmittance when compared to the oxide-based memories. An on/off resistance ratio of 50 can be maintained without degradation for up to 20 000 cycles (flat state) and over 4000 cycles (bending to a 2 mm radius 10 000 times) in the DC sweep mode. Moreover, the device performs various synaptic functions, including spike-timing-dependent plasticity, pulse pair plasticity, and short-term and long-term plasticity in the potentiation and depression processes. The counterions and two oppositely charged polyelectrolyte chains can move in and out of each other depending on the applied electrical potential (pulse), resulting in a change in the potential drop at the interface of the polyelectrolyte bilayer and its electrodes, which can be attributed to the RS mechanism and various synaptic functions. This insight may accelerate the technological deployment of the organic resistive memories.

Association of Overlapped and Un-overlapped Comorbidities with COVID-19 Severity and Treatment Outcomes: A Retrospective Cohort Study from Nine Provinces in China / 生物医学与环境科学（英文）

Objective@#Several COVID-19 patients have overlapping comorbidities. The independent role of each component contributing to the risk of COVID-19 is unknown, and how some non-cardiometabolic comorbidities affect the risk of COVID-19 remains unclear.@*Methods@#A retrospective follow-up design was adopted. A total of 1,160 laboratory-confirmed patients were enrolled from nine provinces in China. Data on comorbidities were obtained from the patients' medical records. Multivariable logistic regression models were used to estimate the odds ratio ( @*Results@#Overall, 158 (13.6%) patients were diagnosed with severe illness and 32 (2.7%) had unfavorable outcomes. Hypertension (2.87, 1.30-6.32), type 2 diabetes (T2DM) (3.57, 2.32-5.49), cardiovascular disease (CVD) (3.78, 1.81-7.89), fatty liver disease (7.53, 1.96-28.96), hyperlipidemia (2.15, 1.26-3.67), other lung diseases (6.00, 3.01-11.96), and electrolyte imbalance (10.40, 3.00-26.10) were independently linked to increased odds of being severely ill. T2DM (6.07, 2.89-12.75), CVD (8.47, 6.03-11.89), and electrolyte imbalance (19.44, 11.47-32.96) were also strong predictors of unfavorable outcomes. Women with comorbidities were more likely to have severe disease on admission (5.46, 3.25-9.19), while men with comorbidities were more likely to have unfavorable treatment outcomes (6.58, 1.46-29.64) within two weeks.@*Conclusion@#Besides hypertension, diabetes, and CVD, fatty liver disease, hyperlipidemia, other lung diseases, and electrolyte imbalance were independent risk factors for COVID-19 severity and poor treatment outcome. Women with comorbidities were more likely to have severe disease, while men with comorbidities were more likely to have unfavorable treatment outcomes.

Preparation of lipid membrane-wrapped nanoparticles loaded with metformin polymer and doxorubicin and evaluation of their therapeutic effect on breast cancer / 药学学报

In this study, the lipid membrane-wrapped nanoparticles loaded with metformin polymer (PolyMet) and doxorubicin (DOX) was prepared and then evaluated therapeutic effect on breast cancer. An anionic chain PGA-DOX based on γ-polyglutamic acid (PGA) with DOX was synthesized via amidation reaction and characterized by 1H NMR. The PGA-DOX and PolyMet were loaded via electrostatic attraction to prepare the co-delivery nanoparticles system (PolyMet-DOX-NPs). Then, PolyMet-DOX-NPs were coated with cationic liposome membrane to form the core-membrane structural system (PolyMet-DOX-lipid-nanoparticles, PolyMet-DOX-LNPs). The structure and morphology of PolyMet-DOX-LNPs were observed by transmission electron microscope. The particle size, zeta potential, encapsulation efficiency (EE), drug loading (DL), release behavior in vitro of PolyMet-DOX-LNPs were investigated. The MTT assay was used to examine the cytotoxicity of PolyMet combined with DOX on 4T-1 cells. The 4T1Fluc tumor-bearing mice model was used to evaluate the therapeutic efficacy of PolyMet-DOX-LNPs in vivo. All animal experiments were performed in line with ethical standards and approved by the Animal Experiments Ethical Committee of Zhejiang Chinese Medical University. 1H NMR spectrum showed that PGA-DOX was successfully synthesized with DOX grafting rate of (72.03 ± 1.29) %. The EE and DL of PolyMet-DOX-LNPs was (72.76 ± 1.92) % and (1.16 ± 0.12) %, respectively. PolyMet-DOX-LNPs exhibited a suitable size of (159.3 ± 7.4) nm and positive charge of (+36.3 ± 1.9) mV with good spheroidal morphology and dispersibility. The release profiles in vitro showed that PolyMet-DOX-LNPs exhibited a slowly and maintained release behavior at physiological pH value (pH 7.4) within 48 h. Further studies showed that PolyMet combined with DOX could synergistically enhance the cytotoxicity on 4T-1 cells. Bioluminescence imaging (BLI) result showed that the luminescence signal intensity of 4T-1Fluc cells was reduced after treatment with PolyMet-DOX-LNPs and the tumor volume growth was also inhibited. Additionally, the H&E staining and changes of body weight showed that PolyMet could reduce the toxicity of DOX. To sum up, PolyMet has a good synergistic effect with DOX in the treatment of breast cancer, which provide the foundation for this novel metformin polymer on the anti-tumor application.

CRA(Crosolic Acid) isolated from Actinidia valvata Dunn.Radix induces apoptosis of human gastric cancer cell line BGC823 in vitro via down-regulation of the NF-κB pathway.

A natural ursolic compound, 2α,3ß-dihydroxy-urs-12-en-28-oic acid (corosolic acid, CRA) was isolated from the root of Actinidia valvata Dunn. (A. valvata Radix). Since a large number of triterpenoid compound has marked anticancer effects toward various types of cancer cell lines in vitro, this study was carried out to investigate the anticancer effect of CRA in human gastric cancer cell line BGC823 cells and the underlying apoptotic mechanism of CRA was examined in BGC823 cell lines. The results showed that CRA significantly suppressed the viability of BGC823 cells in a concentration- and time-dependent manner. CRA also significantly increased the sub G1 population by cell cycle analysis in a concentration dependent manner. Exposure to CRA decreased p65, bcl-2, Fas, smac mRNA and protein expression, and increased IκBα, bax, survivin mRNA and protein expression. Results of immunofluorescence staining and EMSA further indicated CRA induced apoptosis by inhibiting nuclear translocation of nuclear factor NF-κB subunit p65. Consistently overall, our findings suggest that CRA induces apoptosis via inhibition of NF-κB (p65) expression level and activation of IκBα in BGC cells as a potent anticancer candidate for gastric cancer treatment.

[Characteristics of Dissolved CH4 and N2O Concentrations of Weihe River in Xinxiang Section in Spring].

Distributions of CH4 and N2O concentrations in Weihe River in Xinxiang City were monitored in spring of 2015, and their influencing factors were discussed. The result showed that CH4 and N2O were super-saturated in surface water of Weihe River. The variation ranges of two gases' saturations in the surface water of Weihe River were 147.59-2667.85 (CH4) and 4.06-188.25 (N2O). In the urban area, significant correlation existed between N2O and NH4⁺-N concentrations (P < 0.01), but in the new district, dissolved N2O concentration showed sharp increase because of the water input from the urban sewage plants, illustrating that the controlling mechanism on N2O production varied as pollutant characteristics changed. Stepwise regression analysis showed that CH4 concentrations could be explained by NH4⁺-N concentrations and water temperature, and CH4 concentrations in the surface water of Weihe River was significantly correlated with NH4⁺-N concentrations (R² = 0.70, P < 0.01), suggesting that NH4⁺-N was the key factor in regulating the production and assumption of CH4oxidation in Weihe River in spring. Besides, this study showed that when there was less NO3⁻-N but more NH4⁺-N in river water, CH4and N2O concentrations would be positively correlated, indicating that different nitrogen sources would impact the coupling mechanism of CH4and N2O productions.

[Gas Transfer Velocity of CH4 at Extremely Low Wind Speeds].

Thin boundary theory equation (TBL) is widely used to determine gas fluxes across water-air interfaces, and the gas transfer velocity (k600) is the key environmental factor in the equation. A monthly field campaign was carried out during one year to measure CH4 flux and to probe its exchange rate across the air-water interface in a drinking reservoir and 5 adjacent ponds. The ranges of wind speed and surface water temperature were 0-0.75 m·s-1 and 6.3-30.9℃respectively, and their average values were 0.19 m·s-1 and 19.3℃ respectively. The gas transfer velocity of CH4 varied from 0.20 to 1.99 cm·h-1 with an average of 0.50 cm·h-1. Correlation functions between the gas transfer velocity and the wind speed at 10 m height (U10) and surface water temperature (Tw) were given here to quantify k600. There were significant correlations between the fitted values and actual values both for original and bin-averaged data.

[Partial Pressure of Carbon Dioxide and Methane from Autumn to Winter in Xiangxi Bay of the Three Gorges Reservoir].

The Concentrations of dissolved CH4 and CO2 in Xiangxi Bay of the Three Gorges Reservoir from autumn to winter in 2014 were determined with headspace gas chromatography technology. Then their partial pressures of CH4 and CO2 were calculated according to the Henry's law. Their temporal variation and the effects of environmental parameters were also discussed. The results indicated that the CH4 partial pressure in the surface water ranged 0.64-4.43Pa, with an average of (1.69±0.94)Pa. The CO2 partial pressure varied from 49.90 to 868.91Pa, with the average of (328.48±251.63)Pa. The pCO2 and pCH4 had a strong negative correlation (r=-0.618,P<0.01). During the period of monitoring, the pCO2 and pCH4 in surface water were significantly correlated with pH, DO, chlorophyll a, TP, surface water temperature and water level. Compared with pCH4, pCO2 was more closely correlated with various environmental factors.

[Characteristics of Methane Flux Across the Water-air Interface in Subtropical Shallow Ponds].

Five shallow ponds of Yichang were selected to illustrate the characteristics of methane(CH4) in subtropical eutrophic shallow ponds. CH4 flux across the water-air interface was quantified with static floating chamber method for one year. Annual CH4 fluxes of the five ponds were 4.495, 12.702, 6.827, 8.920, 17.560 mg·(m2·h)-1 respectively. Diffusive CH4 fluxes were 0.075, 0.087, 0.118, 0.086, 0.151 mg·(m2·h)-1 respectively and bubble emissions were 4.420, 12.616, 6.709, 8.834, 17.409 mg·(m2·h)-1 respectively. Over 98% of total CH4 flux was bubble emission and CH4 flux was apparently higher than other aquatic ecosystems. So the CH4 flux of shallow waters was high and bubble emission was the dominant way. CH4 emission would be largely underestimated if the research only focus on the diffusion discharge and ignore the bubble emission.

External therapy of plasma cell mastitis by jiuyi powder using partial least-squares discriminant analysis: a safety analysis / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To evaluate the safety and the clinical value of external use of jiuyi Powder (JP) in treating plasma cell mastitis using partial least-squares discriminant analysis (PLSDA).</p><p><b>METHODS</b>Totally 50 patients with plasma cell mastitis treated by external use of JP were observed and biochemical examinations of blood and urine detected before application, at day 4 after application, at day 1 and 14 after discontinuation. Blood mercury and urinary mercury were detected before application, at day 1, 4, and 7 after application, at day 1 and 14 after discontinuation. Urinary mercury was also detected at 28 after discontinuation and 3 months after discontinuation. The information of wound, days of external application and the total dosage of external application were recorded before application, at day 1, 4, and 7 after application, as well as at day 1 after discontinuation. Then a discriminant model covering potential safety factors was set up by PLSDA after screening safety indices with important effects. The applicability of the model was assessed using area under ROC curve. Potential safety factors were assessed using variable importance in the projection (VIP).</p><p><b>RESULTS</b>Urinary β2-microglobulin (β2-MG), urinary N-acetyl-β-D-glucosaminidase (NAG), 24 h urinary protein, and urinary α1-microglobulin (α1-MG) were greatly affected by external use of JP in treating plasma cell mastitis. The accuracy rate of PLSDA discriminate model was 74. 00%. The sensitivity, specificity, and the area under ROC curve was 0. 7826, 0. 7037, and 0. 8084, respectively. Three factors with greater effect on the potential safety were screened as follows: pre-application volume of the sore cavity, days of external application, and the total dosage of external application.</p><p><b>CONCLUSIONS</b>PLSDA method could be used in analyzing bioinformation of clinical Chinese medicine. Urinary β2-MG and urinary NAG were two main safety monitoring indices. Days of external application and the total dosage of external application were main factors influencing blood mercury and urine mercury. A safety classification simulation model of treating plasma cell mastitis by external therapy of JP was established by the two factors, which could be used to assess the safety of external application of JP to some extent.</p>

Percutaneous dilatational tracheostomy for ICU patients with severe brain injury / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>To sum up our experience in percutaneous dilatational tracheostomy (PDT) in ICU patient with severe brain injury.</p><p><b>METHODS</b>Between November 2011 and April 2014, PDTs were performed on 32 severe brain injury patients in ICU by a team of physicians and intensivists. The success rate, efficacy, safety, and complications including stomal infection and bleeding, paratracheal insertion, pneumothorax, pneumomediastinum, tracheal laceration, as well as clinically significant tracheal stenosis were carefully monitored and recorded respectively.</p><p><b>RESULTS</b>The operations took 4-15 minutes (mean 9.1 minutes ± 4.2 minutes). Totally 4 cases suffered from complications in the operations: 3 cases of stomal bleeding, and 1 case of intratracheal bloody secretion, but none required intervention. Paratracheal insertion, pneumothorax, pneumomediastinum, tracheal laceration, or clinically significant tracheal stenosis were not found in PDT patients. There was no procedure-related death occurring during or after PDT.</p><p><b>CONCLUSION</b>Our study demonstrats that PDT is a safe, highly effective, and minimally invasive procedure. The appropriate sedation and airway management perioperatively help to reduce complication rates. PDT should be performed or supervised by a team of physicians with extensive experience in this procedure, and also an intensivist with experience in difficult airway management.</p>

Influence of educational status, burn area and coping behaviors on the complication of psychological disorders in severely burned patients / 中华烧伤杂志

<p><b>OBJECTIVE</b>To discuss how the educational status, burn area and coping behaviors influence the psychological disorders in severely burned patients.</p><p><b>METHODS</b>Sixty-four severely burned patients hospitalized in Guangzhou Red Cross Hospital, Guangdong Provincial Work Injury Rehabilitation Center, and Guangdong General Hospital were enrolled with cluster random sampling method. Data of their demography and situation of burns were collected. Then their coping behavior, psychological disorders including anxiety, depression and post-traumatic stress disorder (PTSD) plus its core symptoms of flashback, avoidance, and hypervigilance were assessed by medical coping modes questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS), PTSD checklist-civilian version (PCL-C) respectively. Correlation was analyzed between demography, burn area, coping behavior and psychological disorders. The predictive powers of educational status, burn area and coping behaviors on the psychological disorders were analyzed. The qualitative variables were assigned values. Data were processed with t test, Spearman rank correlation analysis, and multiple linear regression analysis.</p><p><b>RESULTS</b>(1) The patients scored (19.0 ± 3.4) points in confrontation coping behavior, which showed no statistically significant difference from the domestic norm score (19.5 ± 3.8) points (t = -1.13, P > 0.05). The patients scored (16.6 ± 2.4) and (11.0 ± 2.2) points in avoidance and resignation coping behaviors, which were significantly higher than the domestic norm score (14.4 ± 3.0), (8.8 ± 3.2) points (with t values respectively 7.06 and 7.76, P values both below 0.01). The patients' standard score of SAS, SDS, PCL-C were (50 ± 11), (54 ± 11), and (38 ± 12) points. Respectively 89.1% (57/64), 60.9% (39/64), 46.9% (30/64) of the patients showed anxiety, depression, and PTSD symptoms. (2) Four independent variables: age, gender, marital status, and time after burns, were correlated with the psychological disorders, but the correlativity was not statistically significant (with rs values from -0.089 to 0.245, P values all above 0.05). Educational status was significantly negatively correlated with anxiety, depression, PTSD and its core symptoms of flashback, avoidance (with rs values from -0.361 to -0.253, P values all below 0.05). Educational status was negatively correlated with hypervigilance, but the correlativity was not statistically significant (rs = -0.187, P > 0.05). Burn area was significantly positively correlated with the psychological disorders (with rs values from 0.306 to 0.478, P values all below 0.05). Confrontation coping behavior was positively correlated with the psychological disorders, but the correlativity was not statistically significant (with rs values from 0.121 to 0.550, P values all above 0.05). Avoidance coping behavior was correlated with the psychological disorders, but the correlativity was not statistically significant (with rs values from -0.144 to 0.193, P values all above 0.05). Resignation coping behavior was significantly positively correlated with the psychological disorder (with rs values from 0.377 to 0.596, P values all below 0.01). (3) Educational status had predictive power on the anxiety, PTSD and flash back symptoms of patients (with t values from -2.19 to -2.02, P values all below 0.05), but not on depression, avoidance and hypervigilance (with t values from -1.95 to -0.99, P values all above 0.05). Burn area had no predictive power on the psychological disorders (with t values from 0.55 to 1.78, P values all above 0.05). Resignation coping behavior had predictive power on the psychological disorders (with t values from 3.10 to 6.46, P values below 0.01). Confrontation and avoidance coping behaviors had no predictive power on the psychological disorders (with t values from 0.46 to 2.32 and -0.89 and 1.75 respectively, P values all above 0.05).</p><p><b>CONCLUSIONS</b>The severely burned patients with lower educational status, larger burn area, and the more frequently adapted resignation coping behavior are more likely to suffer from anxiety, depression, and PTSD.</p>

[Seasonal dynamics of soil organic carbon and active organic carbon fractions in Calamagrostis angustifolia wetlands topsoil under different water conditions].

The experiment was carried in Sanjiang Plain in the northeast of China during the growing season in 2009. Soil organic carbon (SOC), as well as the soil active organic carbon fractions in the 0-20 cm soil layer of Calamagrostis angustifolia wetland under different water conditions were on monthly observation. Based on the research and indoor analysis, the seasonal dynamics of light fractions of soil organic carbon (LFOC) and microbial biomass carbon (MBC) were analyzed. The results indicated that the SOC contents had significantly seasonal dynamics, and the hydrological circle had apparently driving effect on LFOC and MBC during the growing season, especially under the seasonal flooded condition. The freeze-thaw process reduced the SOC, LFOC, MBC contents, with the decreases of 74.53%, 80.93%, 83.09%, while both carbon contents of light and heavy fractions were reduced at the same time. The result also showed that the seasonal flooding condition increased the proportion of LFOC in topsoil, which was larger in marsh meadow (13.58%) than in wet meadow (11.96%), whilst the MBC in marsh meadow (1 397.21 mg x kg(-1)) was less than the latter (1 603.65 mg x kg(-1)), proving that the inundated environment inhibited the mineralization and decomposition of organic matter. But the microbial activity could be adaptive to the flooding condition. During the growing season the MBC soared to 1 829.21 mg x kg(-1) from 337.56 mg x kg(-1) in July, and the microbial quotient was 1.51 times higher than that in June, indicating the high microbial efficacy of soil organic matter. Meanwhile, there was a significant correlation between the contents of LFOC and SOC (r = 0.816), suggesting that higher LFOC content was favorable to the soil carbon accumulation. Moreover, in the seasonal flooded Calamagrostis angustifolia wetland the soil LFOC content was significantly correlated with MBC (r = 0.95), implying that the available carbon source had more severe restriction on the microbial activity under the flooding environment.

Study on canceration law of gastric mucosal dysplasia based on syndromes of Chinese medicine / 中国结合医学杂志

<p><b>OBJECTIVE</b>To study the syndrome evolution law of Chinese medicine (CM) in the patients with gastric mucosal dysplasia.</p><p><b>METHODS</b>Three hundred and twenty four gastric mucosal dysplasia patients with deficiency and excess correlation syndromes were enrolled by a multi-center collaboration for two years' clinical follow-up to detect the levels of tumor supplied group of factors (TSGF) and carcino-embryonic antigen (CEA).</p><p><b>RESULTS</b>Among the 324 cases, 29 cases turned cancer in the two years, and the canceration rate was 9.0%. The three syndromes with higher canceration rate were the damp-heat accumulating Wei syndrome concurring or combining with asthenia-cold in Pi and Wei syndrome for 16.7%; stagnation in Wei collaterals syndrome concurring or combining with asthenia of both qi and yin syndrome for 13.2%; stagnation of Gan and Wei qi syndrome concurring or combining with asthenia-cold in Pi and Wei syndrome for 8.0%, respectively. Among the three syndromes, the highest level of TSGF occurred in the former two syndromes. In the half year before carcinogenesis, the syndromes of the patients took on deficiency and excess concurrent syndromes, and the deficiency syndromes involving the qi and blood deficiency syndrome and the Shen deficiency syndrome accounting for 48.0%.</p><p><b>CONCLUSIONS</b>Gastric mucosal dyspalsia canceration syndromes took on the polymorphism of excess and deficiency concurrent syndromes and had the characteristics of deficiency syndromes involving qi and blood deficiency syndrome and Shen-yin-yang deficiency syndrome.</p>

Value of MRI in the diagnosis of cerebral abscess caused by Candida albicans in premature infants / 中国当代儿科杂志

<p><b>OBJECTIVE</b>To explore the value of serial magnetic resonance imaging (MRI) in the diagnosis of cerebral abscess caused by Candida albicans in premature infants.</p><p><b>METHODS</b>The clinical data of 8 premature infants with central nervous system invasive fungal infection (IFI) were retrospectively studied. The infants underwent serial cerebral MRI scans (T1WI, T2WI and DWI).</p><p><b>RESULTS</b>Candida albicans was found as pathogen in all of the 8 infants. Seven infants presented with cerebral abscess and 4 infants had concurrent meningitis. Widespread involvements were found on MRI, particular in white matter area of subcortex, centrum semiovale and periventricle. The MR imaging findings in 4 infants within 11 days after IFI showed diffusive and multiple miliary nodes and hyperintense signals on DWI, but obvious changes were not found on T1WI and T2WI. The most striking hyperintense signals on T1WI and hypointense signals on T2WI appeared between 2 and 4 weeks after IFI, and some nodes of rim-like hyperintensity and marked contrast enhancement were also noted on T1WI. Smaller and smaller changes of the miliary foci were seen on T1WI and T2WI 4 weeks later. Delayed myelination and thinner corpus callous were shown in 2 patients at three months.</p><p><b>CONCLUSIONS</b>MRI-DWI and serial MRIs are helpful in the early diagnosis of candida cerebral abscess and the evaluation of treatment outcome in premature infants.</p>

[Influence of water level gradient on marsh soil microbial activity of Calamagrostis angustifolia].

Plant aboveground biomass, total organic carbon( TOC), microbial biomass carbon( MBC), basal respiration( BR), microbial quotient (Cmic/Corg) and metabolic quotient (qCO2) in 0-15 cm and 15-50 cm marsh soil of Calamagrostis angustifolia under different water levels were investigated with controlled experiment. The result showed that water level exerted significant effect on plant biomass, which was the highest under 10 cm waterlogged level and of higher productivity under 0-20 cm waterlogged level. TOC, MBC, BR, Cmic/Corg and qCO2 differed significantly under different water levels. BR and TOC responded to different waterlogged levels in the same way. BR and TOC of 0-15 cm marsh soil were the highest under 0 cm waterlogged level, however, BR and TOC of 15-50 cm marsh soil decreased respectively with increasing water, which was corresponding with soil MBC and Cmic/Corg and qCO2 increased with increasing water. As a result, microbial community is altered and microbial activity is decreasing by increasing waterlogged level, and microbial activity is the lowest under 30 cm waterlogged level, which affects organic carbon accumulation and decomposition.

[Exogenous nitrogen enrichment impact on the carbon mineralization and DOC of the freshwater marsh soil].

By laboratory incubation experiment, under aerobic and submerged soil moisture conditions, we investigated the mineralization of soil organic carbon (SOC) and contents of dissolved organic carbon (DOC) with different nitrogen inputs in a freshwater marsh soil. The results showed that under aerobic condition, there were no significant effects on the mineralization of SOC and contents of DOC as the net nitrogen input was 1 mg x g(-1) (N1), however, they were significantly higher than control and N1 treatments when nitrogen input increased to 2 and 5 mg x g(-1) (N2, N3), and the amount of DOC was respectively 187.22% and 203.25% higher than control (250.62 mg x kg(-1)). Under submerged condition, all N treatments restrained the mineralization of SOC, and the content of DOC was respectively 88.34% (N1), 82.69% (N2) and 80.04% (N3) lower than control (642.52 mg x kg(-1)). There were significant positive correlations between the contents of DOC and the amounts of cumulative C by mineralization (R2 was 0.939 and 0.843, respectively), which suggested that the changes of DOC affected by N input might be one of the important reasons that arose the differences of SOC mineralization. The results also indicate that as the waterlogged environment disappeared in wetland, the supply of exogenous nitrogen might bring large loss of SOC through enhancing the mineralization of SOC and leaching of DOC.

Clinical evaluation of neonatal hypoglycemic brain injury demonstrated by serial MRIs / 中国当代儿科杂志

<p><b>OBJECTIVE</b>To study the relationship between clinical and imaging features in neonates with hypoglycemic brain injury.</p><p><b>METHODS</b>Sixteen neonates with hypoglycemic brain injury received a MRI scan with the sequences of T1WI, T2WI and DWI within 48 hrs after admission. Of the 16 patients, 11 received second MRI scan at two weeks of their lives, and 3 received a third scan at ages of 1-5 months.</p><p><b>RESULTS</b>Repeated seizures, lethargy and hypotonia were common clinical manifestations. Five severe hypoglycemia cases presented coma, respiratory failure and even cardiorespiratory arrest. The minimum mean value of whole blood glucose (WBG) in the 16 patients was 0.98+/-0.43 mmol/L, and that of the 5 severe cases was 0.72+/-0.42 mmol/L. EEG showed intermittent low voltage in the mild hypoglycemia cases. Flatten pattern and even electrocerebral silence was noted in the severe cases. Occipital and parietal cortexes (OPC) injuries were found in all of the 16 patients and 2 patients had concurrent periventricular white matter injury. A widespread involvement of cortex was found in the 5 severe hypoglycemia cases in which 1 showed widespread involvement of white matter, and 2 showed involvement of basal ganglia and thalamus. The 5 patients with widespread cortex injury and the 2 patients with OPC and periventricular white matter injury showed lower minimum WBG levels compared with those with OPC alone (0.71+/-0.35 mmol/L vs 1.19+/-0.42 mmol/L; t= 2.4124, P<0.05). The appearance of high-intensity signals on DWI was shown as early changes of signals in all of the 16 patients. The second MRI scan for 7 patients with OPC showed abnormal signals on T1WI and T2WI in 5 patients and abnormal signals on DWI in 3 cases. Cerebral atrophy and multicystic encephalomalacia were found in four patients with widespread involvement of cortex on DWI. In the follow-up one patient with OPC presented delayed myelination and one with concurrent white matter injury showed spastic diplegia. One patient with widespread involvement of cortex showed diffused encephalomalacia.</p><p><b>CONCLUSIONS</b>The severity of hypoglycemic brain injury demonstrated by serial MRIs relates to the severity of hypoglycemia. The occipital and parietal areas are the most vulnerable following hypoglycemia in neonates. Severe hypoglycemic brain injury manifests as a widespread involvement of cortex, or combined with white matter, or basal ganglia and thalamus. DWI can show early hypoglycemic brain injury.</p>

Comparison of an SMS text messaging and phone reminder to improve attendance at a health promotion center: a randomized controlled trial / 浙江大学学报（英文版）（B辑：生物医学和生物技术）

<p><b>OBJECTIVE</b>To compare the efficacy of a short messaging service (SMS) text messaging and phone reminder to improve attendance rates at a health promotion center.</p><p><b>METHODS</b>A total of 1 859 participants who had scheduled appointments in the health promotion center of our hospital from April 2007 to May 2007 were enrolled in the study and randomly assigned into 3 groups: control (no reminder) group, SMS text messaging reminder group and telephone reminder group. Attendance rates and costs of interventions were collected.</p><p><b>RESULTS</b>A total of 1848 participants were eligible for analysis. Attendance rates of control, SMS and telephone groups were 80.5%, 87.5% and 88.3%, respectively. The attendance rates were significantly higher in SMS and telephone groups than that in the control group, with odds ratio 1.698, 95% confidence interval 1.224 to 2.316, P=0.001 in the SMS group, and odds ratio 1.829, 95% confidence interval 1.333 to 2.509, P<0.001 in the telephone group. However, there was no difference between the SMS group and the telephone group (P=0.670). The cost effectiveness analysis showed that the cost per attendance for the SMS group (0.31 Yuan) was significantly lower than that for the telephone group (0.48 Yuan).</p><p><b>CONCLUSION</b>SMS and telephone are effective reminders for improving attendance rate at a health promotion center. SMS reminder may be more cost-effective compared with the telephone reminder.</p>