A pilot study of late-onset neuromyelitis optica spectrum disorder disease based on brain three-dimensional structural MRI / 中华放射学杂志

Objective:To explore the different patterns of brain structural abnormalities in patients with delayed neuromyelitis optica pedigree disease (LO-NMOSD) and its relationship with clinical neuropsychological scale score based on the quantitative analysis of three-dimensional (3D) brain structure MRI.Methods:Patients with neuromyelitis optica pedigree disease in remission (NMOSD group) who received treatment at Jilin University First Hospital from January 2016 to December 2018 were prospectively included and divided into LO-NMOSD subgroup and early-onset NMOSD (EO-NMOSD) subgroup according to whether the age of first onset was>50 years. Another age-and sex-matched healthy volunteers with NMOSD patients were recruited as the control group. 3D brain T 1WI and T 2 fluid-attenuated inversion recovery sequence imaging were acquired, and clinical data, neuropsychological scores of all subjects were analyzed. Total gray matter volume (GMV), cerebral gray matter fraction (GMF), cerebral white matter fraction (WMF), and cerebral white matter high signal fraction (WMHF) were obtained by quantitative analysis of MRI data using voxel-based morphology and lesion segmentation tool techniques. Analysis of covariance was used to compare the differences in brain structure between LO-NMOSD subgroup and EO-NMOSD subgroup, NMOSD group and control group. Partial correlation analysis was used to analyze the correlation between GMF, WMHF and patient clinical data, neuropsychological scale scores, and the correlation between WMHF and GMF, WMF. Results:There were 47 cases in the NMOSD group, including 7 males and 40 females aged 18-66 years. Among them, there were 20 cases in the LO-NMOSD subgroup and 27 cases in the EO-NMODS subgroup. The control group consisted of 50 individuals (13 males and 37 females, aged 18 to 77 years). Compared with the control group, the GMV of the right caudate nucleus in the LO-NMOSD group was reduced ( t=3.33, P<0.05), and the GMV of multiple brain regions in the bilateral frontal and temporal lobes in the EO-NMOSD group was reduced considerably (FDR corrected, P<0.05), which was consistent with the NMOSD group. After adjusting for age, there was no statistically significant difference in WMHF between the LO-NMOSD and EO-NMOSD groups ( F=0.22, P=0.644). The LO-NMOSD subgroup showed a negative correlation between global GMF and the extended disability status scale (EDSS) score ( r=-0.53, P=0.025). WMHF in the NMOSD group was positively correlated with annual recurrence rate and EDSS ( r=0.35 and 0.35, respectively, and P=0.017 and 0.018, respectively), while other indicators were not correlated ( P>0.05). The EO-NMOSD subgroup WMHF showed a negative correlation with GMF and WMF ( r=-0.76, -0.70, respectively, P<0.001). The NMOSD group showed a negative correlation between WMHF and GMF, WMF ( r=-0.38, -0.55, respectively, P<0.05). There was no correlation between WMHF and GMF, WMF in the LO-NMOSD subgroup ( P>0.05). Conclusions:The extent and location of gray matter atrophy in patients with LO-NMOSD are different from those of EO-NMOSD. The correlation between WMHF and brain structural changes and clinical data is different between the two groups of patients. These suggest that LO-NMOSD patients may have different patterns of brain structural damage.

Spatial optimization mode of China's rural settlements based on quality-of-life theory.

This paper studies the optimization mode of the spatial organization of rural settlements based on the two-way interactive mechanism between the space of rural settlements and quality-of-life theory. It examines three main aspects: the integration of spatial function, the optimization of spatial structure, and the regulation of spatial scale. In this paper, we built an optimization mode and framework of spatial organization, called the road-oriented mode of rural settlements, based on quality-of-life theory. We systematically analyzed the mode's conceptual connotation, construction principles, frame, type, and spatial scale. At the same time, this paper realized the reasonable proportion and optimized combination of internal spatial type in settlements and focused on a reasonably sized scale of a single settlement and the distance scale between settlements. Our findings can be used as insight into the theoretical development of the spatial structure of rural areas. Results also provide a scientific basis for future spatial optimization and integration of rural settlements to improve quality of life.

Evaluation of the subtle effects and oxidative stress response of chloramphenicol, thiamphenicol, and florfenicol in Daphnia magna.

Phenicol antibiotics, such as chloramphenicol, thiamphenicol, and florfenicol, are commonly used in the veterinary and aquaculture fields to treat diseases and have frequently been detected in aquatic environments. Nevertheless, there is limited information regarding the effects of phenicol antibiotics on aquatic nontarget species. Thus, the present study aims to investigate the long-term (21-d) influence on the reproduction and growth of and the acute (24-h) oxidative response and tissue damage in the crustacean Daphnia magna after exposure to phenicol drugs, including their environmental concentrations. The results indicate that D. magna exposed to florfenicol are likely to cause more adverse effects than those exposed to chloramphenicol and thiamphenicol over long-term (21-d) exposures. Furthermore, changes in biochemical biomarkers such as malondialdehyde (MDA), catalase (CAT), and reduced glutathione (GSH) induced by individual and mixtures of phenicol antibiotics were also observed. Low concentrations of chloramphenicol, thiamphenicol + florfenicol, and chloramphenicol + thiamphenicol significantly increased the MDA levels of D. magna after 24-h exposures, causing cellular oxidative damage in the animals. In addition, discrepancies between CAT activities and GSH levels were observed, underscoring the need to evaluate multiple indicators of oxidative stress in toxicological studies using D. magna as a model. Environ Toxicol Chem 2019;38:575-584. © 2018 SETAC.

Treating acute lung injury by strategy of conservative fluid management combining with lung-protective ventilation / 中国基层医药

Objective To explore the role of strategy of conservative fluid management combining with lung-protective ventilation in treating acute lung injury. Methods 40 cases with final diagnosis of acute lung injury were selected and randomly divided into experimental group(22cases) and control group(18cases). Between two groups,on the basis of lung-protective ventilation,therapy policy of conservative fluid management was carried out in experimental group, and strategy with a liberal fluid management was taken in the other group. Hie duration of mechanical ventilation and intensive care together with the incidence rate of nonpulmonary complications( congestive heart failure,renal failure and liver failure) were compared between both groups. Results When compared with the control group,the experimental group had the shorter duration of mechanical ventilation and intensive care( P < 0.05 ). And the incidence rate of nonpulmonary complications were similar in both groups. Conclusion Strategy of conservative fluid management combining with lung-protective ventilation could shortened the duration of mechanical ventilation and intensive care for patients with acute lung injury without increasing the incidence rate of nonpulmonary complications, which was an effective and safe treatment and deserved consulting in clinical work.