Clinical features and diagnostic approaches for abdominal tuberculosis: five-year experience from a non-tuberculosis-designated hospital in China.

BACKGROUND AND PURPOSE: abdominal tuberculosis (TB) is a common form of extrapulmonary TB but it is still a diagnostic dilemma in clinical practice. This study aimed to highlight the clinical features and diagnostic approaches for abdominal TB. METHODS: seventy cases of diagnosed abdominal TB were retrospectively collected between August 1st, 2015 and June 30th, 2020. They were classified as peritoneal TB, lymph node TB, gastrointestinal TB, visceral TB or mixed TB. RESULTS: eighteen patients were diagnosed with peritoneal TB, nine with lymph node TB, five with gastrointestinal TB, two with visceral TB and 36 with mixed TB. More than 65 % of the patients had tuberculosis of other sites except the abdomen. The median diagnosis time was 60 days. Ascites (58.6 %), abdominal distension (48.6 %), weight loss (44.3 %) and fever (42.9 %) were the most common symptoms. The overall microbiological and histological detection rates were 70.0 % and 38.6 %, respectively. The non-ascite samples yielded a higher microbiological confirmation rate (63.6 %) than the total samples (40.8 %). Diagnosis was confirmed histologically in 18 patients (69.2 %). Forty-five cases (64.3 %) were clinically diagnosed. Invasive procedures such as surgery (6/7), percutaneous biopsy (7/7) and endoscopy in lymph node TB (4/5) had high confirmation rates. CONCLUSIONS: the diagnosis of abdominal TB should be reached by a combination of clinical, laboratory, radiological, microbiological and pathological findings.

Extraction and identification methods of microplastics and nanoplastics in agricultural soil: A review.

As the abundance of microplastics and nanoplastics (MPs/NPs) increases in the environment, their presence in agricultural soil has become of interest. MPs/NPs can affect soil physical and chemical properties and be absorbed by plants and soil animals, causing physical and chemical damage. Soil MPs exceeding a certain concentration cause significant harm. Therefore, the extraction and identification of MPs in soil are vital for determining soil pollution. However, soils contain many other particles of similar size to MPs/NPs, making it more difficult to distinguish them than in water bodies. No standardized extraction and identification method is available to quantify MPs/NPs in soil. Various methods have been described in the literature, but they involve many different procedures for sampling, purification, digestion, and identification. This paper reviews extraction and identification methods for MPs/NPs in soil, sediment, and water and summarizes agricultural soil sampling and preservation, MPs/NPs separation, organic matter removal, and MPs/NPs identification. We also compare the advantages and disadvantages of existing methods and propose future research topics.

Effects of plastic film residue and emitter flow rate on soil water infiltration and redistribution under different initial moisture content and dry bulk density.

Drip irrigation technology combined with film mulching has expanded rapidly in arid and semi-arid areas. Without sufficient mulch film recovery, large amounts of plastic film remain in the field, changing the original water infiltration movement, which is not well understood. In this study, structural equation modeling was used to study the impact of residual plastic film (RPF) and emitter flow rate (FR) on the migration time of wetting front (MTWF), soil infiltration aspect ratio (AR) and accumulative infiltration (AI) under different initial moisture content (IMC) and dry bulk density (DBD). The results showed that RPF prevented the downward movement of water, which led to increased MTWF, AI and AR. However, RPF had no direct effect on the AI and infiltration AR, and the effects that it did have on these factors were indirectly influenced by the MTWF. When the RPF content was greater than 480 kg/hm2 (with a mulching history of 26 years), the infiltration AR was greater than 1.0. Additionally, there was a parabolic relationship between the emitter FR and the MTWF. When the FR was 0.7 L/h, the MTWF reached its minimum value. Overall, this study explored the process of water movement under drip irrigation infiltration of RPF farmland and provided a theoretical basis for the design of drip irrigation systems for RPF farmland.

Comparison of prognostic prediction models for rectal gastrointestinal stromal tumor.

BACKGROUND: Rectal gastrointestinal stromal tumors (RGISTs) are biologically characterized tumors that are relatively rare. Thus, few studies have reported a specific prognostic system for this subset of tumors but integrated it into parallel systems, such as small intestine. Our aim is to develop a new predictive staging system nomogram (named FD-ZS system) for RGISTs. RESULTS: Tumor size and mitotic rate were independent risk factors for tumor recurrence in RGISTs according to univariate and multivariate survival analyses. A prognostic predictive nomogram was developed, and a cut-off value of 65 points was calculated by X-tile to discriminate risk based on tumor size and mitotic rate. The C-indices for the FD-ZS, FD-Hou, NIH, and WHO systems were 0.706, 0.693, 0.687, and 0.680, respectively. CONCLUSION: In the present study, a concise two-tier grading system (FD-ZS) for prognostic prediction of RGISTs that is simpler to several reported systems was developed, and a cut-off value was established to help RGIST patients determine whether to undergo adjuvant imatinib treatment. METHODS: A nomogram was employed, and its predictive accuracy and discriminative ability were determined by concordance index (C-index) and calibration curve analyses. The nomogram was then compared with three stratification systems used for GISTs (FD-Hou, NIH, and WHO).