The relationship between serum fibrinogen-like protein 2 concentrations and 30-day mortality of patients with traumatic brain injury.

BACKGROUND: Fibrinogen-like protein 2 (FGL2) is an inflammatory procoagulant protein. We discerned the impact of serum FGL2 on trauma severity and 30-day mortality in patients with traumatic brain injury (TBI). METHODS: A total of 114 severe TBI patients were subjected to assessment of trauma severity using the Glasgow coma scale (GCS). Measurement of the serum concentrations of FGL2 was done. 114 matched control subjects for their age and sex were included for comparison of serum concentration of FGL2. RESULTS: The concentration of FGL2 was dramatically increased in the patients as compared with the control subjects. FGL2 concentration was inversely correlated with GCS score among the patients. The non-survivors within 30 days exhibited substantially higher FGL2 concentrations than the alive. FGL2 concentrations discriminated the patients at risk of 30-day death with significantly high area under receiver operating characteristic curve. Serum FGL2 emerged as an independent predictor for mortality and overall survival at 30 days after head trauma. CONCLUSIONS: Serum FGL2 is a promising biomarker for assessing the severity and prognosis in severe TBI.

The Pathogenesis of Subacute Subdural Hematoma: A Report of 3 Cases and Literature Review.

OBJECTIVE: To discuss the pathologic mechanism of subacute subdural hematoma (sASDH). METHODS: Three typical cases of sASDH were reported, and related literature in Chinese published in the past 15 years was reviewed. RESULTS: Intervals from onset of acute subdural hematoma to surgery or symptom deterioration resulting in sASDH were 12.5-15.5 days (mean 14.1 days). Delayed liquefaction of hematoma clots occurred in all 3 reported cases. One patient achieved good curative effect after administration of dexamethasone, and another patient relapsed owing to poor drainage after evacuation of hematoma. CONCLUSIONS: The conversion of acute subdural hematoma to sASDH is an inflammatory reaction process with very regular in time, and it is speculated that the pathologic mechanism may be a delayed hypersensitivity reaction. Antigen released during the liquefaction process of blood clot, with subdural neomembrane cells as antigen-presenting cells, is presented to the T lymphocytes released from the capillaries in the neomembrane and forms sensitized T lymphocytes. When the subsequent antigen is released from the blood clots with a delayed liquefaction and is exposed to sensitized T lymphocytes, the delayed hypersensitivity process occurs.

[Spectral Characteristics of Spring Maize Varieties with Different Heat Tolerance to High Temperature].

This paper discussed the response of spectral characteristics on high temperature at grain filling stage of different spring maize varieties by adopting two spectrometer (SPAD-502 Chlorophyll Meter and Sunscan Plant Canopy Analyzer), and analyzed the impact of high temperature on the photosynthetic properties of spring maize in North China Plain. The test was conductedfrom the year 2011 to 2012 in Wuqiao County, Hebei Province. This test chose three different varieties, i. e. Tianyu 198 (TY198), Xingyu 998 (XY998) and Tianrun 606 (TR606), then two sowing date (April 15th and April 25th) was set. We analyzed chlorophyll relative content (SPAD), leaf area index (LAI) and photosynthetically active radiation (PAR) at grain filling stage. The results showed that the days of daily maximum temperature above 33 °C and the mean day temperature at grain filling stage in spring maize sowing on April 15th increased 3.5 d and 0.8 °C, respectively, compared to that sowing on April 25th, moreover the sunshine hours, rainfall, diurnal temperature and length of growing period were similar. Compared with XY998 and TR606, TY198's stress tolerance indices (STI) increased by 2.9% and 11.0%, respectively. According to STI from high to low order, TY198, XY998 and TR606 respectively as heat resistant type, moderate heat resistant type and thermo-labile type variety. TY198, compared with XY998 and TR606 sowing on April 15th, yield increased by 4.1% and 13.7%, SPAD increased by 12.5% and 19.6%, LAI increased by 5.3% and 5.6%, PAR increased by 4.0% and 14.0%. Sowing on April 15th, yield increased by 1.3% and 2.8%, SPAD increased by 3.5% and 6.0%, LAI increased by 1.7% and 4.1%, PAR increased by -4.4% and 0.9%. Three varieties had significant yield differences in the environment of high temperature stress, heat resistant type have significant (p < 0.05) advantage in the aspect of yield, SPAD and LAI. The production of TY198, XY998 and TR606 sowing on April 15th compared to that sowing on April 25th decreased by 3.2%, 5.9% and 12.6%, and SPAD decreased by 8.6%, 12.4% and 15.7%, LAI decreased by 11.7%, 17.6% and 19.8%, PAR decreased by 3.4%, 11.3% and 14.5%; STI had a significant negatively correlated with SPAD fall range (r = -0.883, p < 0.05) and LAI fall range (r = -0.853, P < 0.05), and highly significantly negatively correlated with PAR fall range (r = -0.923, p < 0.01); while SPAD fall range and PAR fall range showed a significant positive correlation (r = 0.872, p < 0.05); LAI fall range and PAR fall range were significantly positive correlation (r = 0.943, p < 0.05). In conclusion, heat tolerant type varieties of spring maize under high temperature stress at gain filling stage could maintain a relatively high content of chlorophyll at the individual level, a relatively high leaf area at the group level, and then keep a higher luminous energy interception and utilization, and weakened inhibition magnitude of high temperature on photosynthetic capacity, reduced the yield fall range, then achieved high and stable yield. The heat tolerance in varieties could be one of the main indicators for identification and evaluation the response to high temperature by spectral characteristics (SPAD, LAI and PAR). Thus it provides a basis by using spectral characteristics to study heat tolerance on maize.

[Establishment of The Crop Growth and Nitrogen Nutrition State Model Using Spectral Parameters Canopy Cover].

In order to explore a non-destructive monitoring technique, the use of digital photo pixels canopy cover (CC) diagnosis and prediction on maize growth and its nitrogen nutrition status. This study through maize canopy digital photo images on relationship between color index in the photo and the leaf area index (LAI), shoot dry matter weight (DM), leaf nitrogen content percentage (N%). The test conducted in the Chinese Academy of Agricultural Science from 2012 to 2013, based on Maize canopy Visual Image Analysis System developed by Visual Basic Version 6.0, analyzed the correlation of CC, color indices, LAI, DM, N% on maize varieties (Zhongdan909, ZD 909) under three nitrogen levels treatments, furthermore the indicators significantly correlated were fitted with modeling, The results showed that CC had a highly significant correlation with LAI (r = 0.93, p < 0.01), DM (r = 0. 94, p < 0.01), N% (r = 0.82, p < 0.01). Estimating the model of LAI, DM and N% by CC were all power function, and the equation respectively were y = 3.281 2x(0.763 9), y = 283.658 1x(0.553 6) and y = 3.064 5x(0.932 9); using independent data from modeling for model validation indicated that R2, RMSE and RE based on 1 : 1 line relationship between measured values and simulated values in the model of CC estimating LAI were 0.996, 0.035 and 1.46%; R2, RMSE and RE in the model of CC estimating DM were 0.978, 5.408 g and 2.43%; R2, RMSE and RE in the model of CC estimating N% were 0.990, 0.054 and 2.62%. In summary, the model can comparatively accurately estimate the LAI, DM and N% by CC under different nitrogen levels at maize grain filling stage, indicating that it is feasible to apply digital camera on real-time undamaged rapid monitoring and prediction for maize growth conditions and its nitrogen nutrition status. This research finding is to be verified in the field experiment, and further analyze the applicability throughout the growing period in other maize varieties and different planting density.

Aspiration of coagulated hematoma in the third and fourth ventricles via paracele anterior horn puncture.

Intraventricular hemorrhage (IVH) is a neurological urgency with a high mortality and unfavorable prognosis. Fast removal of intraventricular blood should be considered as a priority. The current treatments of IVH mainly focus on external ventricular drain and endoscopic aspiration, but neither way can remove the blood in the fourth ventricle easily and relieve the compression of brainstem. Here we report a unique procedure to solve this problem. A 41-year-old male patient who had suffered sudden attack of headache and disturbance of consciousness for 2 h was diagnosed as having high density lesion in the whole ventricular system by computed tomographic (CT) imaging. An emergent bilateral ventriculopuncture and intraventricular hematoma removal under non-line-of-sight was performed immediately; the catheter was extended to the fourth ventricle to maximally remove the hematoma. Postoperative CT scan demonstrated total removal of IVH and no sign of extra brain damage.