[Research progress in treatment of chronic prostatitis/chronic pelvic pain syndrome with traditional Chinese medicine].

Chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS) is a common urological disease with complex etiology. The treatment effect of western medicine is not satisfactory, and the course of the disease is protracted, which brings great trouble to patients. Traditional Chinese medicine(TCM) has a variety of treatment methods based on syndrome differentiation and treatment, including internal treatment with TCM, acupuncture and massage, and other external treatment methods for comprehensive treatment, with significant effect. This study summarized the etiology and pathogenesis of CP/CPPS and found that western medicine cannot fully explain the etiology and pathogenesis of CP/CPPS. It was believed that CP/CPPS was mainly related to many factors such as special pathogen infection, voiding dysfunction, mental and psychological abnormalities, neuroendocrine abnormalities, immune abnormalities, excessive oxidative stress, pelvic diseases, and heredity. TCM believed that CP/CPPS was caused by damp heat, blood stasis, Qi stagnation, and poisoning and was closely related to the organs of the liver, spleen, kidney, lung, stomach, bladder, and meridians of Chong and Ren channels and three yin channels of the foot. In the treatment of TCM, multiple comprehensive treatment plans are currently used, including internal treatment with TCM(decoction, proprietary Chinese medicine, and unique therapies of famous doctors), acupuncture and massage treatment, and other external treatment methods(rectal administration, topical application of TCM, and ear acupoint pressure). Comprehensive regulation has significant clinical efficacy and prominent characteristics of TCM, and it is worth clinical promotion. This study aims to provide a reference for clinical prevention and treatment of CP/CPPS and points out potential directions for future research in this field.

The association between liver cirrhosis and fracture risk: A systematic review and meta-analysis.

OBJECTIVE: Liver cirrhosis (LC) was associated with an increased risk of osteoporosis; however, the association between LC and fracture risk was inconclusive. Therefore, this systematic review and meta-analysis aims to explore the association between LC and fracture risk. DESIGN: To identify related literature, a systematic search of PubMed, EMBASE, Web of science and the Cochrane Library from 1965 to July 2017 without language limitation was performed. The random-effects model described by DerSimonian and Laird was used to calculate pooled odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS: Eventually, 5 cohort and 3 case-control studies were identified, which included 321 035 subjects and 31 272 fracture cases. The pooled OR of the association between LC and any fracture risk, hip fracture, spine/trunk fracture and limb fracture was 1.94 (95% CI, 1.59-2.37), 2.11 (95% CI, 1.34-3.32), 2.00 (95% CI, 1.50-2.67) and 1.82 (95% CI, 1.65-2.01), respectively. CONCLUSION: In conclusion, this study indicates that cirrhotic patients have an increased risk of fracture. Preventive measures should be instituted as early as possible.

Neuroprotection by scorpion venom heat resistant peptide in 6-hydroxydopamine rat model of early-stage Parkinson's disease.

Neuroprotective effect of scorpion venom on Parkinson's disease (PD) has already been reported. The present study was aimed to investigate whether scorpion venom heat resistant peptide (SVHRP) could attenuate ultrastructural abnormalities in mitochondria and oxidative stress in midbrain neurons of early-stage PD model. The early-stage PD model was established by injecting 6-hydroxydopamine (6-OHDA) (20 µg/3 µL normal saline with 0.1% ascorbic acid) into the striatum of Sprague Dawley (SD) rats unilaterally. The rats were intraperitoneally administered with SVHRP (0.05 mg/kg per day) or vehicle (saline) for 1 week. Two weeks after 6-OHDA treatment, the rats received behavior tests for validation of model. Three weeks after 6-OHDA injection, the immunoreactivity of dopaminergic neurons were detected by immunohistochemistry staining, and the ultrastructure of neuronal mitochondria in midbrain was observed by electron microscope. In the meantime, the activities of monoamine oxidase-B (MAO-B), superoxide dismutase (SOD) and content of malondialdehyde (MDA) in the mitochondria of the midbrain neurons, as well as the inhibitory ability of hydroxyl free radical and the antioxidant ability in the serum, were measured by corresponding kits. The results showed that 6-OHDA reduced the optical density of dopaminergic neurons, induced damage of mitochondrial ultrastructure of midbrain neurons, decreased SOD activity, increased MAO-B activity and MDA content, and reduced the antioxidant ability of the serum. SVHRP significantly reversed the previous harmful effects of 6-OHDA in early-stage PD model. These findings indicate that SVHRP may contribute to neuroprotection by preventing biochemical and ultrastructure damage changes which occur during early-stage PD.

Optical interconnect transmitter based on guided-wave silicon optical bench.

An optical interconnect transmitter based on guided-wave silicon optical bench is demonstrated. The guided-wave silicon optical bench (GW-SiOB) is developed on a silicon-on-insulator (SOI) substrate. The three-dimensional guided-wave optical paths on the silicon optical bench are realized using trapezoidal waveguides monolithically integrated with 45° micro-reflectors. Such three-dimensional guided-w ave optical paths of SiOB would simplify and shrink the intra-chip optical interconnects located on a SOI substrate. The clearly open eye patterns operated at a data rate of 5 Gbps verifies the proposed GW-SiOB is suitable for intra-chip optical interconnects.

[Characteristics of biocrusts in croplands and their effects on surface soil disintegration in the black soil region of Northeast China]. / ä¸œåŒ—é»‘åœŸåŒºå†œç”°ç”Ÿç‰©ç»“çš®çš„ç‰¹å¾åŠå ¶å¯¹è¡¨å±‚åœŸå£¤å´©è§£çš„å½±å“.

We selected typical croplands in the black soil region of Northeast China to analyze the characteristics of biocrusts during the growing season, including species composition, thickness, coverage, and biomass (chlorophyll content). We collected bareground soil and biocrusts samples with chlorophyll content of 5-15, 15-25, 25-35, and 35-50 mg·g-1, and measured the soil disintegration rate and soil maximum disintegration ratio of each sample using a force gauge in the laboratory. The results showed that: 1) biocrusts dominated by algae and moss were frequently developed in the croplands, with Stigeoclonium and Bryum capillare as the most common species, respectively. The thickness and biomass of algal crusts were significantly lower than moss crusts, with a successional trend from algal crusts to moss crusts. 2) The coverage, thickness, and biomass of biocrusts in croplands were negatively correlated with the frequency and intensity of tillage disturbance. For instance, the values of those characterisitics were only 27.8%, 1.52 mm, and 6.49 mg·g-1 on average, respectively, in traditional tillage croplands, and increased to 83.5%, 2.74 mm, and 34.16 mg·g-1, respectively, in the croplands with conservational tillage. 3) Biocrusts considerably reduced the disintegration of surface soil, particularly in the layer of biocrusts. Compared to the bareground soil, the soil disintegration rate of biocrusts, with four levels of biomass (with chlorophyll content of 5-15, 15-25, 25-35, and 35-50 mg·g-1), was reduced by 43.1%, 50.1%, 55.5%, and 59.8%, respectively, while the soil maximum disintegration ratios were reduced by 11.4%, 17.7%, 33.2%, and 36.6%, respectively. 4) Soil disintegration rate and maximum disintegration ratio were significantly and negatively correlated with the biomass and thickness of biocrusts, indicating that the impacts of biocrusts on soil disintegration were primarily caused by the improvements in physical properties of surface soil. In conclusion, biocrusts were frequently deve-loped in croplands in the black soil region of Northeast China, owing to less disturbance following the conversion from traditional tillage to conservational tillage. They had the potential to protect surface soil against disintegration and improve soil anti-scourability, which was critical for soil conservation in croplands in this region.

A comparative analysis of differentially expressed genes in rostral and caudal regions after spinal cord injury in rats.

The initial mechanical damage of a spinal cord injury (SCI) triggers a progressive secondary injury cascade, which is a complicated process integrating multiple systems and cells. It is crucial to explore the molecular and biological process alterations that occur after SCI for therapy development. The differences between the rostral and caudal regions around an SCI lesion have received little attention. Here, we analyzed the differentially expressed genes between rostral and caudal sites after injury to determine the biological processes in these two segments after SCI. We identified a set of differentially expressed genes, including Col3a1, Col1a1, Dcn, Fn1, Kcnk3, and Nrg1, between rostral and caudal regions at different time points following SCI. Functional enrichment analysis indicated that these genes were involved in response to mechanical stimulus, blood vessel development, and brain development. We then chose Col3a1, Col1a1, Dcn, Fn1, Kcnk3, and Nrg1 for quantitative real-time PCR and Fn1 for immunostaining validation. Our results indicate alterations in different biological events enriched in the rostral and caudal lesion areas, providing new insights into the pathology of SCI.

[Responses of moss biocrusts respiration to simulated grazing and trampling disturbance with different intensities on the fenced forestland of Loess Plateau, China]. / 黄土高原封禁林地藓结皮呼吸速率对放牧踩踏干扰强度的响应.

The changes in soil properties caused by grazing and trampling are important reasons for the changes in soil respiration rates, carbon fixation, and emission. However, the effects of different intensities of grazing and trampling on biocrusts respiration rate are unclear. In this study, we simulated grazing and trampling disturbances of 10%, 30%, 50%, and 70% intensity on moss biocrusts developed in aeolian sandy soil on Loess Plateau, with undisturbed moss biocrusts serving as a control. The changes in respiration rate of moss biocrusts were monitored continuously, and its responses to different disturbance intensities were analyzed. The results showed that: 1) moderate disturbance stimulated moss biocrusts respiration, while heavy disturbance inhibited that. The respiration rate of moss biocrusts was increased by 41.1% and 22.2% at disturbance intensities of 10% and 30%, but was decreased by 8.9% and 15.3% at disturbance intensities of 50% and 70%, respectively. 2) The trampling disturbance significantly changed soil temperature but did not affect soil water content. In comparison to the control, soil temperature of biocrusts was decreased by 0.4 and 1.2 ℃ at disturbance intensities of 10% and 30%, but it was increased by 1.1 and 1.0 ℃ at disturbance intensities of 50% and 70%, respectively. 3) The respiration rate of moss biocrusts showed a significant exponential relationship with soil temperature and a linear positive relationship with soil water content under different disturbance intensities. However, the correlation between respiration rate of moss biocrust and the characteristics of moss biocrust was not significant. Soil temperature and water content could explain 70.6%-96.3% and 49.1%-70.0% of the total variation of respiration rate of moss biocrusts, respectively. In conclusion, grazing and trampling affected the respiration rate of moss biocrusts, with short-term moderate grazing and trampling would have positive effects. On the other hand, excessive grazing and trampling would reduce the rate of moss biocrust respiration. As a result, future studies on soil carbon balance of the Loess Plateau should consider the effects of grazing and trampling on biocrust respiration.

Extended SARS-CoV-2 RBD booster vaccination induces humoral and cellular immune tolerance in mice.

The repetitive applications of vaccine boosters have been brought up in face of continuous emergence of SARS-CoV-2 variants with neutralization escape mutations, but their protective efficacy and potential adverse effects remain largely unknown. Here, we compared the humoral and cellular immune responses of an extended course of recombinant receptor binding domain (RBD) vaccine boosters with those from conventional immunization strategy in a Balb/c mice model. Multiple vaccine boosters after the conventional vaccination course significantly decreased RBD-specific antibody titers and serum neutralizing efficacy against the Delta and Omicron variants, and profoundly impaired CD4+ and CD8+T cell activation and increased PD-1 and LAG-3 expressions in these T cells. Mechanistically, we confirmed that extended vaccination with RBD boosters overturned the protective immune memories by promoting adaptive immune tolerance. Our findings demonstrate potential risks with the continuous use of SARS-CoV-2 vaccine boosters, providing immediate implications for the global COVID-19 vaccination enhancement strategies.

[Effects of biological soil crusts on solute transport characteristics of sandy and loessal soils on the Loess Plateau, China]. / 黄土高原生物结皮覆盖对风沙土和黄绵土溶质运移的影响.

Biological soil crusts (BSCs) greatly change surface soil structure and nutrient enrichment processes in arid and semiarid regions. However, their impacts on solute transport characteristics and nutrient loss are still not clear. In this study, the solute (Cl- and Ca2+) transport experiments were conducted on soils covered by moss-dominated BSCs and uncrusted soil on sandy and loessal soils on the Loess Plateau, respectively. We analyzed the solute transport characteristics of the BSCs covered soil and uncrusted soil in different soil depths (0-5 cm and 5-10 cm). The BSCs mulching generated delay effects on the solute breakthrough process of 0-5 cm soils. The breakthrough time of Cl- in the BSCs covered soil was 3.83 (sandy soil) and 2.09 times (loessal soil) longer than that in the uncrusted soil. The breakthrough time of Ca2+ in the BSCs covered soil was 2.50 and 2.73 times longer than that in the uncrusted soil. Due to the strong influence of BSCs mulching, the pore volume number of the complete solute breakthrough at 0-5 cm depth was higher than that at 5-10 cm depth in the BSCs covered soils. The breakthrough time of Cl- at 0-5 cm depth was increased by 67.3% (sandy soil) and 51.8% (loessal soil) by the BSCs as compared with that at 5-10 cm depth. The breakthrough time of Ca2+ at 0-5 cm depth was increased by 8.0% and 33.7% by the BSCs. The BSCs reduced soil pore water flow velocity by 37.5%-70.2% compared with the uncrusted soil. Except for the sandy soil at 5-10 cm depth, the BSCs increased the solute dispersion coefficient by 1.73-6.29 times and the degree of dispersion by 2.77-20.95 times compared with the uncrusted soils. After the complete breakthrough of solute, the content of Ca2+ in the BSCs layer (0-2 cm) was 4.14 and 2.58 times higher than that in the uncrusted sandy and loessal soils, respectively. In conclusion, our results indicated that BSCs could reduce the deep percolation and loss of nutrients accumulated in surface soil through improving their solute adsorption and retention abilities, which is of great significance for the improvement of soil fertility and vegetation restoration on degraded land in arid and semiarid regions.

[Distribution characteristics of exogenous carbon in different carbon fractions in biocrusts-covered soil]. / å¤–æºè¾“å ¥ç¢³åœ¨ç”Ÿç‰©ç»“çš®åœŸå£¤å„ç¢³ç»„åˆ†ä¸­çš„åˆ†é ç‰¹å¾.

The distribution characteristics of exogenous carbon (C) in the C fractions of biocrusts-covered soil are critical for understanding the geochemical cycling of C with biocrusts in drylands. A 13C pulse labeling experiment was conducted for moss-dominated biocrusts-covered soil and bare soil on the Loess Plateau of China with semiarid climate, with the content of 13C in different C fractions being continuously measured to determine the biocrust effects on the distribution of exogenous C in each C fraction. Our results showed that, 1) the 13C abundance of each C fraction in the biocrusts-covered soil was steadily changed with time, due to the relatively low rate of nutrient cycling in the biocrusts-covered soil and also to the relatively low biomass of moss in the biocrusts-covered soil as compared with vascular plants. 2) The 13C content of each C fraction in the biocrusts-covered soil was significantly higher than that in the bare soil. Specifically, the 13C content of total organic C (TOC), microbial biomass C (MBC), and dissolved organic C (DOC) in the biocrusts-covered soil was 0.258, 0.078, and 0.004 mg·kg-1, respectively, which was 3.1, 18.5, and 2.6 times higher than that in the bare soil. Moreover, the 13C content in the moss of the biocrusts-covered soil was 1.45 mg·kg-1. 3) The presence of biocrusts changed the distribution characteristics of each C fraction, with the newly assimilated C being mainly distributed in active organic C and biological components of the biocrusts-covered soil. In the biocrusts-covered soil, the 13C distribution in MBC (30.6%) was higher than that in DOC (1.7%), and the 13C distribution in the C of moss was 20.3%. 4) The transferred amount and storage capacity of MB13C in the biocrusts-covered soil were 15.7 and 19.5 times of that in the bare soil, respectively. The turnover rate of MB13C in the biocrusts-covered soil and bare soil was 2.94 and 3.30 times per month, respectively, implying that the turnover time of MB13C in the biocrusts-covered soil was 1.1 times longer than that in the bare soil. In conclusion, biocrusts could greatly change the distribution characteristics of each C fraction and increase C turnover rate, highlighting its important roles in C cycling in dryland ecosystems.

[Distribution of exogenous nitrogen fractions and their fate in moss-dominated biological soil crusts]. / å¤–æºè¾“å ¥æ°®ç´ åœ¨è—“ç±»ç”Ÿç‰©åœŸå£¤ç»“çš®ä¸­å„æ°®ç»„åˆ†çš„åˆ†é ç‰¹å¾ä¸Žå½’è¶‹é€”å¾„.

Nitrogen (N) labeled with 15N was evenly added into plots of moss-dominated biological soil crusts (BSCs) and bare soil on the Chinese Loess Plateau. After that, the surface BSCs and bare soil samples were continuously collected within 1-30 days. The 15N content of each N fraction in soil, microorganisms, and mosses was measured for each sample. The effects of BSCs on soil N fate and cycling was determined through analyzing the differences in the distribution of 15N fractions between the BSCs and bare soil. Our results showed that: 1) The 15N content of total N (TN), microbial biomass N (MBN), and dissolved organic N (DON) in the BSCs was 2.9, 17.5, and 9.0 times higher than that in the bare soil, respectively. The 15N content of moss plants in the BSCs was 4.73 mg kg-1. 2) The residual rate of 15N in the BSCs and bare soil was 13.0% and 3.3%, respectively, indicating that the N fixing and holding ability of BSCs was four times higher than that of bare soil. The percentage of each 15N fraction in T15N in the BSCs was in the order of MBN (54.3%)>moss plant N (22.5%)>DON (6.2%), while that in the bare soil was in the order of MBN (11.5%)>DON (2.6%). Over all, microorganisms and mosses in the BSCs had 65.3% higher capacity of N fixation as compared with the bare soil. 3) The transferred amount and storage capacity of MB15N in the BSCs were 17.2 and 20.5 times higher than that in the bare soil, respectively. Accordingly, the turnover rate of MB15N in the BSCs and bare soil was 5.8 and 7.2 times per month, respectively, with the turnover time of MB15N in the BSCs being 1.2 times longer than that in bare soil. In conclusion, BSCs fix and hold more N than bare soil and change the distribution of each N fraction, implying that BSCs play a critical role in N cycling in dryland ecosystems.

Minimally invasive (sinus tarsi) approach for calcaneal fractures.

BACKGROUND: According to the anatomic characteristics of the calcaneus and the sinus tarsi approach, we designed a combined plate. The goal of this study was to retrospectively assess the functional outcomes and complications of treatment with our self-designed plate. METHODS: From March 2014 to October 2015, 18 patients with closed calcaneal fractures (14 Sanders type II and 4 type III) were treated with our combined locking plate through a minimally invasive sinus tarsi approach. All patients underwent both clinical and radiological evaluations. RESULTS: The follow-up duration for all patients ranged from 6 to 13.5 months. The radiographs demonstrated significant corrections of the calcaneal width, length, height, Böhler angle, and Gissane angle from preoperatively to 3 months postoperatively and the last follow-up. However, there were no significant differences in the variables between 3 months postoperatively and the last follow-up. The mean Maryland foot score was 88.1 ± 8.8, in which excellent outcomes were achieved in 11 patients, good in 4, and fair in 3 (excellent and good rate, 83.3% (15 of 18)). No statistical significances in the mean Maryland foot score (88.1 ± 8.8 vs 87.8 ± 10.1, p = 0.9), and the excellent and good rate (85.7 vs 75.0%, p = 1.0) was found between type II and type III fractures. No complications were observed in all fractured feet. CONCLUSION: Treatment with our self-designed combined plate through a sinus tarsi approach may be safe and effective for type II and type III calcaneal fractures.

[Modified procedure for prolapse and hemorrhoids to prevent and treat postoperative complications].

OBJECTIVE: To investigate the complications of procedure for prolapse and hemorrhoids (PPH) and their management. METHOD: The clinical data of 147 cases of severe hemorrhoids treated by modified PPH were analyzed in view of the operation method and postoperative complications. RESULT: All the prolapsed hemorrhoids recovered immediately after the operation. The main complications on the first postoperative day were abdominal distention caused by dysuria, pain, and constant sense of defecation urgency, which lasted for 1 to 16 days. Thirty-six cases had intermittent hemafecia 1 to 12 days after operation, improved with expectant treatment. No stoma stenosis, copracrasia or relapse of prolapse occurred during the follow-up for 1 to 37 months. CONCLUSION: All postoperative complications can be prevented, alleviated and cured with modified PPH.

Myofibrotic malformation vessels: unique angiodysplasia toward the progression of hemorrhoidal disease.

BACKGROUND: The etiology and pathogenesis of hemorrhoids is unclear, although hemorrhoids are a worldwide disease in men and women, with peak prevalence at 45-65 years of age. Hemorrhoidal cushions as the anal venous plexi are normal anatomical structures from infancy. This study attempts to reveal the angiodysplasia and other pathological changes in association with different degrees of symptomatic hemorrhoids. MATERIALS AND METHODS: A total of 281 patients with internal hemorrhoids from degree I to IV underwent hemorrhoidectomy. The vascular changes were analyzed by microscopic assessment and software analysis, with Masson's trichrome, CD34, and smooth muscle actin. RESULTS: The hemorrhoidal tissues exhibited abnormal vessels in the mucosae and submucosae that we termed them as myofibrotic malformation vessels (MMVs). MMVs are not ascribed to arteries or veins because they exhibit enlarged and tortuous lumens with smooth muscle dysplasia and fibrotic deposition in the walls without overlying mucosal ulceration. The muscularis mucosae also showed smooth muscle dysplasia and fibrosis, even if it were interrupted by the intruding MMVs. The statistical data indicated that the severity of all the changes correlate positively with the progression of hemorrhoids (P<0.001). Hemorrhoidal patients are prone for reoccurrence even with prolapsing hemorrhoid when compared with the conventional hemorrhoidectomy. Multiple logistic regression analysis showed that MMVs in mucosal propria, mean thickness of mucosal muscularis layer, and fibrotic changes in MMV were independent risk factors for MMVs in hemorrhoidal disease. CONCLUSION: MMVs and muscularis mucosae dysplasia reciprocally contribute to hemorrhoidal exacerbation. The novel findings of this study propose that the characteristic features of MMVs and muscularis mucosae dysplasia of the anorectal tube ultimately cause symptomatic hemorrhoids, which could affect the clinical management of hemorrhoidal disease through the use of surgery to target the malformed vessels.

[Therapeutical effect of Zhiranxiao tablets on internal hemorrhoid hemorrhage: a clinical observation in 569 cases].

OBJECTIVE: To investigate the therapeutic effect of Zhiranxiao tablets derived from compound Zhiranxiao decoction, a preparation from traditional Chinese medicine, on internal hemorrhoid hemorrhage. METHODS: The treatment group consisted of 596 patients with internal hemorrhoid hemorrhage who received oral Zhiranxiao tablets in a course of 6 d for treatment, and another 60 such patients were given a different preparation from traditional Chinese medicine, Zhining tablets, to serve as the control group. The volume of hemorrhage was recorded and scored before and after the treatment to evaluate the therapeutic effect of the tested dosage forms. RESULTS: The scores for hemorrhage in both groups were significantly decreased after the administration of the two dosage forms, but no statistical difference was observed (P > 0.05) between the two groups. CONCLUSION: Zhiranxiao tablets are also effective in the treatment of internal hemorrhoid hemorrhage.