Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia.

BACKGROUND: Stroke is a common cause of neurological dysfunction, often resulting in hemiplegia. Thus, rehabilitation of limb function in stroke patients is an important step towards accelerating recovery and improving quality of life. AIM: To investigate whether unilateral strength training in hemiplegic stroke patients could lead to cross-migration, an increase in bilateral muscle strength, and an improvement in lower limb motor function. METHODS: We randomly divided 120 patients with hemiplegic stroke into two groups: Eexperimental and control groups, with 60 patients in each group. Both groups received routine rehabilitation treatment, while the experimental group additionally received ankle dorsiflexion resistance training on the healthy side for 6 wk. We measured the maximum voluntary contract (MVC), changes in surface electromyography (EMG), and the lower limb motor function using the simplified Fugl Meyer Motor Function Assessment Scale (FMA) before and within 1 wk after training. RESULTS: The FMA score in the experimental group improved significantly compared to both their pre-training score and the control group's post-training score (P < 0.05). The integrated EMG of the anterior tibialis muscle and pulmonary intestine muscle in the experimental group were significantly different after training than before (P < 0.05). Furthermore, the MVC of the anterior tibialis muscle on both the healthy and affected sides and the MVC of the pulmonary intestine muscle on both sides showed significant improvement compared with before training and the control group (P < 0.05). CONCLUSION: Our findings suggest that ankle dorsiflexion resistance training on the healthy side in hemiplegic stroke patients can increase strength in the opposite tibialis anterior muscle and antagonist's muscle, indicating a cross-migration phenomenon of strength training. Furthermore, this type of training can also improve lower limb motor function, providing a new exercise method for improving early ankle dorsiflexion dysfunction.

c.753_754delAG, a novel CFTR mutation found in a Chinese patient with cystic fibrosis: A case report and review of the literature.

BACKGROUND: Cystic fibrosis (CF) is rare in Asian populations relative to the Caucasian population. In this paper, we report the cystic fibrosis transmembrane conductance regulator (CFTR) variation in a family of Chinese CF patients, and systematically review the previous literature. CASE SUMMARY: Here we report a 30-month-old Chinese girl who was diagnosed with CF based on her history and symptoms such as recurrent productive cough, wheezing with repeated infection of Pseudomonas aeruginosa, and parasinusitis. Chest computed tomography (CT) scanning revealed obvious exudative lesions and bilateral bronchiectasis. Liver CT scanning revealed a low-density lesion in the left lobe of the liver. A diagnosis of CF was made based upon CFTR gene tests. The CFTR gene was sequenced using the blood samples of her and her parents and showed a heterozygous novel missense mutation of c.753_754delAG in exon 7. In addition, a heterozygous c.1240 C>T mutation was found in exon 10 of the CFTR. The mutation c.753_754delAG was verified to have been inherited from her mother, and the c.1240 C>T mutation was from her father who was diagnosed with congenital absence of vas deferens. CONCLUSION: A novel mutation of CFTR, c.753_754delAG, was found in a Chinese CF child. c.2909G>A is the most common mutation among Chinese CF patients.

Multisystem smooth muscle dysfunction syndrome in a Chinese girl: A case report and review of the literature.

BACKGROUND: Multisystemic smooth muscle dysfunction syndrome (MSMDS) is a rare genetic disease worldwide. The main mutation is the actin alpha 2 (ACTA2) gene p.R179H. In this paper, we report a Chinese MSMDS patient and systematically review the previous literature. CASE SUMMARY: Here, we report a 9.6-month-old Chinese girl who was diagnosed with MSMDS based on her history and symptoms, such as recurrent cough, wheezing, and complications with congenital fixed dilated pupils. Chest high-resolution computed tomography revealed inhomogeneous lung transparency, obvious exudative lesions, and some lung fissures that were markedly thickened. Cranial magnetic resonance imaging excluded bleeding and infarction but showed abnormal signals in the centrum ovale majus and bilateral periventricular regions. Echocardiography only showed patent foramen ovale, and no patent ductus arteriosus, pulmonary artery dilatation, or pulmonary hypertension was found. Bronchoscopy indicated moderate bronchial malacia. These examinations in conjunction with the typical eye abnormality suggested a diagnosis of MSMDS, and sequencing of exon 6 of the ACTA2 gene demonstrated the heterozygous mutation c.536G>A, p.R179H. However, her parents' gene analyses were normal. CONCLUSION: MSMDS is a rare genetic disease mainly caused by the mutation of the ACTA2 gene p.R179H. Early genetic diagnosis should be performed for children presenting with congenital fixed dilated pupils and patent ductus arteriosus. During the process of diagnosis and treatment, clinicians should be on high alert for cerebrovascular, cardiovascular, and pulmonary complications.

[Key Production Process of Nitrous Oxide and Nitrogen Sources in Tuojia River].

The nitrogen (N) pollution of water is a common global problem. To understand the key production process of N2 O and identify the dominant N sources, Tuojia River, a typical agricultural watershed in a subtropical area, was investigated. To analyze the characteristics of dual nitrate isotopes (δ15N-NO3-,δ18O-NO3-) in water, and N isotope (δ15Norg) and carbon-nitrogen ratio (C/N) in sediment organic matter from four reaches(S1-S4), the stable isotopes method was used. The results showed that the sources of nitrate varied significantly among river segments and were affected by agricultural production and human habitation on the land surface. The average δ15N-NO3- in reaches S1, S2, S3, and S4 were 1.72‰, 2.62‰, 4.10‰, and -1.28‰, respectively, while the average δ18O-NO3- were 2.60‰,-0.06‰, 0.85‰, and -0.62‰. The N in terrestrial soil made a large contribution to nitrate sources in reach S1, while soil N, ammonium N fertilizer, and manure played a main role in reaches S2 and S3. Most of the nitrate came from ammonium N fertilizer in reach S4. We also found that δ15Norg in sediment organic matter ranged from -0.69‰ to 11.21‰, and C/N was between 7.30 and 12.02. The mean δ15Norg in reaches S1-S4 were 1.91‰, 2.96‰, 4.72‰, and 3.23‰, respectively, and the mean C/N values were 10.62, 8.63, 9.05, and 9.22, respectively. Although there were some differences in δ15Norg among reaches S2-S4, the dominant N source was sewage in those reaches. However, soil organic matter was the main N source in the sediments of reach S1. The mean δ18O-NO3- in reaches S1-S4 were -7.01‰,-0.17‰,-0.28‰, and -0.60‰, respectively, indicating that nitrification was the key N2 O production process in these reaches. The ratios of δ15N-NO3- and δ18O-NO3- were 0.66,-41.01,-30.23, and 9.39 in reaches S1-S4, respectively. Finally, we found that there was a positive correlation between NO3--N and δ15N-NO3-. To summarize, the N transformation and N2 O production could be dominated by the nitrification process in Tuojia River.

[Key pathway of methane production and characteristics of stable carbon isotope of the Tuojia River waterbody.] / 脱甲河水系CH4å ³é”®äº§ç”Ÿé€”å¾„åŠå ¶ç¨³å®šç¢³åŒä½ç´ ç‰¹å¾.

This study aimed at exploring the key pathway of methane production and clarifying the composition and distribution of carbon (C) isotopes in the Tuojia River waterbody in Hunan Pro-vince. We estimated CH4 concentrations and fluxes of four reaches (S1, S2, S3 and S4) by a two-layer diffusion model and gas chromatography. The spatial and temporal distribution of CH4 flux and its relationship with environmental factors were examined. The key pathway of CH4 production was investigated by stable C isotope method to analyze the distribution characteristics of 13C isotope (δ13C) of water dissolved CH4 and seston/benthic organic matter. There was significant seasonal variability in water pH, with mean value of (7.27±0.03). The concentration of dissolved oxygen (DO) showed strong seasonal and spatial variations, with the range of 0.43-13.99 mg·L-1. The maximum value of DO occurred in S1 and differed significantly in summer and autumin. In addition, DO differed significantly in winter and other seasons in S2, S3 and S4. The concentration of dissolved organic carbon (DOC) showed a gradual increasing trend from source to estuary. The highest concentration of DOC (8.32 mg·L-1) was found in S2, while the lowest was observed in S1 (0.34 mg·L-1). The electrical conductivity (EC) and oxidation-reduction potential (ORP) of water ranged from 17 to 436 µS·cm-1 and from -52.30 to 674.10 mV, respectively, which were significantly different among the four reaches (P＜0.05). Water ammonium nitrogen (NH4+-N) and nitrate nitrogen (NO3--N) concentrations were in the ranges of 0.30-1.35 (averaged 0.90±0.10) mg·L-1 and 0.82-2.45 (averaged 1.62±0.16) mg·L-1, respectively. The dissolved concentration and diffusion flux of CH4 ranged from 0 to 5.28 µmol·L-1 and from -0.34 to 619.72 µg C·m-2·h-1, respectively, with significant temporal and spatial variations. They showed a similar trend among reaches. Their values were highest in spring, followed by in winter and lowest in summer and autumn. Spatially, the CH4 concentration and flux followed the order of S2>S3>S4>S1. The correlation analysis showed that CH4 flux was positively correlated with NH4+-N and DOC. The pathway of CH4 production of all reaches was dominated by acetic acid fermentation, while there were obvious differences among the four reaches. The contribution of CH4 from acetic acid fermentation was greatest (87%) in S1, followed by S4(81%), S2(78%) and S3(76%). The mean value of the δ13C for dissolved CH4, seston organic matter and benthic organic matter was -41.64‰±1.91‰, -14.07‰±1.06‰ and -26.20‰±1.02‰, respectively. There was a positive correlation between the δ13C of dissolved CH4 and benthic organic matter, whereas the δ13C value of dissolved CH4 was negatively correlated with CH4 flux.

Statin as a Combined Therapy for Advanced-Stage Ovarian Cancer: A Propensity Score Matched Analysis.

Background. Despite the great achievements in the treatment of advanced-stage ovarian cancer, it is still a severe condition with an unfavorable 5-year survival rate. Statins have been suggested to reduce the risk of several cancers beyond their cholesterol-lowing effects. However, the prognostic significance of statins in patients with advanced-stage ovarian cancer remains controversial. Methods. A retrospective study was performed to evaluate the association between statin intake and overall survival (OS) among patients with advanced-stage ovarian cancer. Patients who underwent cytoreductive surgery followed by courses of intravenous chemotherapy were matched through a propensity score analysis. Results. A total of 60 propensity-matched patients were included. Women in statin group showed a similar OS than the nonstatin counterparts (P = 0.966), whereas residual tumor was significantly associated with better OS (P = 0.013) and was an independent factor that associated with OS (P = 0.002, hazard ratio = 5.460, and 95% confidence interval: 1.894 to 15.742) in multivariable analysis. Conclusions. Our results suggested that statin usage was not associated with improved OS in patients with advanced-stage ovarian cancer undergoing surgery and chemotherapy. Considering the retrospective nature and the relative small sample size of the study, further prospective studies and random control trials are needed.

Cumulative score based on preoperative plasma fibrinogen and serum C-reactive protein could predict long-term survival for esophageal squamous cell carcinoma.

The present study was to establish a prognostic indicator based on preoperative fibrinogen and C-reactive protein (CRP) (FC score) in esophageal squamous cell carcinoma (ESCC). Clinicopathologic characteristics, preoperative plasma fibrinogen and serum CRP levels were reviewed in patients who underwent transthoracic esophagectomy. The optimal cut-off value for fibrinogen and CRP was defined as 4.0 g/dL and 10.0 mg/L according to previous reports. Patients with elevated fibrinogen and CRP levels were assigned a score of 2, those with only one of these two abnormalities were allocated a score of 1, and those with neither of the two abnormalities were assigned a score of 0. Preoperative FC score was significantly correlated with degree of differentiation, depth of invasion, tumor-node-metastasis (TNM) stage and modified Glasgow Prognostic Score (mGPS). No significant differences in age, gender, tumor length, tumor location, lymph node status or smoking were identified between groups. Univariate survival analysis demonstrated that high preoperative FC score (1/2) was significantly associated with impaired disease free survival (DFS) [hazard ratio (HR), 1.650; 95% confidence interval (CI), 1.181-2.303; P=0.003] and overall survival (OS) (HR, 1.879; 95% CI, 1.333-2.648; P<0.001), and it remained an independent predictor for both DFS (HR, 1.468; 95% CI, 1.043-2.067; P=0.028) and OS (HR, 2.070; 95% CI, 1.266-3.385; P=0.004) in multivariate Cox regression analysis. Preoperative FC score might represent a new potential marker of worst prognosis that warrants further evaluation in prospective and large cohort studies among ESCC patients who underwent transthoracic esophagectomy.

The preoperative sensitive-modified Glasgow prognostic score is superior to the modified Glasgow prognostic score in predicting long-term survival for esophageal squamous cell carcinoma.

The present study was designed to investigate the prognostic significance of the preoperative sensitive-modified Glasgow prognostic score (S-mGPS) and its superiority in esophageal squamous cell carcinoma (ESCC). Clinicopathologic characteristics, preoperative albumin and C-reactive protein (CRP) levels were retrospectively collected in 442 patients who underwent transthoracic esophagectomy. The S-mGPS was calculated before surgery based on optimal cutoff values of 45.6 g/L for albumin and 10.0 mg/L for CRP. 360, 74 and 8 cases were assigned an mGPS of 0, 1 and 2, respectively. In contrast, the S-mGPS was 0 in 114, 1 in 258 and 2 in 70 patients. Of the 360 patients with an mGPS of 0, 246 migrated to the S-mGPS-1 group. Both mGPS and S-mGPS were significantly correlated with tumor length, depth of invasion, pathological tumor-node-metastasis (pTNM) stage and adjuvant treatment. In addition, they were significantly associated with disease free survival (DFS) and overall survival (OS) in univariate analysis. Furthermore, multivariate Cox regression analysis identified S-mGPS as an independent prognostic indicator for both DFS [hazard ratio (HR), 1.577; 95% confidence interval (CI), 1.149-2.163; P = 0.005] and OS (HR, 1.762; 95% CI, 1.250-2.484; P = 0.001), but not mGPS (HR, 0.957; 95% CI, 0.692-1.323; P = 0.790 for DFS and HR, 1.089; 95% CI, 0.781-1.517; P = 0.615 for OS, respectively). Moreover, subgroup analysis revealed that the prognostic impact of the S-mGPS was especially striking in pTNM stage II patients. The preoperative S-mGPS is superior to the mGPS as a prognostic predictor in patients with resectable ESCC.

[Effects of long-term fertilization on soil organic carbon pool and carbon sequestration under double rice cropping].

This paper studied the effects of 30 years (1981-2010) fertilization with chemical N, P, and K, pig manure (PM), and rice straw (RS) on the soil organic carbon (SOC) and its components contents under intensive double rice cropping. The experiment was established on a typic Hapli-Stagnic Anthrosols in Hunan in 1981, and the soil samples were collected in November 2010. In treatment NPK, the contents of SOC, particulate organic C (POC), and KMnO4-oxidizable C (KMnO4-C) were higher than those in treatments NP and NK. The combined application of chemical and organic fertilizers (treatments NK+PM, NP+RS, and NPK+RS) made the contents of SOC, POC, and KMnO4-C have a significant increase, as compared with chemical fertilizations. Treatment NK+PM had the highest contents of SOC (84.71 t C.hm-2), POC (8.94 t C.hm-2), and KMnO4-C (21.09 t C.hm-2) in top soil (0-45 cm), followed by treatment NPK+RS. Treatment NK+PM had the highest C sequestration (485 kg C.hm-2.a-1) , followed by treatment NPK+RS (375 kg C.hm-2.a-1). The C sequestration efficiency (CSE) of SOC in the treatments of chemical fertilizers plus pig manure or rice straw was obviously higher than that in the treatments of chemical fertilizations, and the CSE of the POC in fertilization treatments (ranging from 0.4% and 1.2%) was lower than that of the KMnO4-C (ranging from 3.0% to 8.3%). By using the values of humification constant (h) and the decay constant (k) in Jenkinson' s equation, it was possible to predict the SOC storages in different treatments in the year 2010; and by using Jenkinson' s equation, it was possible to calculate the C input required to maintain the SOC storages in the year 1981 (AE). The increase of the SOC in treatments NK+PM, NP+RS, and NPK+RS was due to the annual C input being higher than the AE. It was considered that in the double rice cropping areas in subtropical region of China, long-term application of chemical fertilizers combined with pig manure or rice straw could promote the organic carbon sequestration in paddy soils.

Two new species of Gieysztoria (Platyhelminthes, Rhabdocoela, Dalyelliidae) from a freshwater artificial lake in Shenzhen, China.

Two new species of the "Aequales" of genus Gieysztoria were collected and described from an artificial lake on the Shenzhen University campus. Gieysztoria bimaculata n. sp., is distinguished based on two groups clavate pigmentations dorsally between the pharynx and intestine, and has a sclerotic stylet comprising a proximal girdle with 40-46 distal dagger-shape spines, thus has the maximum number of spines within "Aequales" group. Gieysztoria guangdongensis n. sp. has a sclerotic stylet with a proximal girdle and 18 distal blade-shaped spines. Comparison with similar species based mainly on stylet morphology suggests that Gieysztoria bimaculata n. sp. and Gieysztoria guangdongensis n. sp. are apparently different from the known species of Gieysztoria in this moment. In addition, the stability of the amount of distal spines of "Aequales" species is briefly discussed.

[Effects of early treatment on physical and intelligence development in children with congenital hypothyroidism].

OBJECTIVE: To compare differences in the intelligence and physical developmental levels of children with congenital hypothyroidism (CH) who received initial treatment at different times. METHODS: Forty-nine children with CH diagnosed by neonatal screening between September 2008 and September 2011 were enrolled in this study. According to the timing of initial treatment with thyroid hormone, they were classified into two groups: <1 month and 1 to 3 months of life. At 6 months old, 1 year and 2 years old, their intelligence levels were evaluated by Gessell test. Their physical developmental levels were also measured. Their thyroid functions were examined with fluorescence immunoassay. RESULTS: With treatment, there were no significant differences in thyroid hormones (FT3, FT4 and TSH) between the two groups (P>0.05) at 6 months old, 1 year and 2 years old. However, heights and weights in the <1 month treatment group were significantly higher than in the 1 to 3 months treatment group at all time points (P<0.05). At 6 months old, intelligence developmental levels in the <1 month treatment group were better than the 1 to 3 months treatment group (P<0.05) but significant differences were not noted at 1 and 2 years old (P>0.05). CONCLUSIONS: The timing of initial treatment with thyroid hormone appears to be associated with the intelligence and physical development in children with CH. Treatment starting at less than 1 month of life contributes to improved physical and intelligence development compared with treatment starting at 1 to 3 months of life.

[Effects of controlled release nitrogen fertilizer on surface water N dynamics and its runoff loss in double cropping paddy fields in Dongtinghu Lake area].

By using leakage pond to simulate the double cropping paddy fields in Dongtinghu Lake area, this paper studied the effects of urea (CF) and controlled release nitrogen fertilizer (CRNF) on the dynamics of surface water pH, electrical conductivity (EC), total nitrogen (TN), ammonia nitrogen (NH4(+)-N) and nitrate nitrogen (NO3(-)-N) and the runoff loss of TN in alluvial sandy loamy paddy soil and purple calcareous clayed paddy soil, the two main paddy soils in this area. The results showed that after applying urea, the surface water TN and NH4(+)-N concentrations reached the peak at the 1st and 3rd day, respectively, and decreased rapidly then. Surface water NO3(-)-N concentration was very low, though it showed a little raise at the 3rd to 7th day after applying urea in purple calcareous clayed paddy soil. In early rice field, surface water pH rose gradually within 15 days after applying urea, while in late rice field, it did within 3 days. EC kept consistent with the dynamics of NH4(+)-N. CRNF, especially 70% N CRNF, gave rise to distinctly lower surface water pH, EC, and TN and NH4(+)-N concentrations within 15 days after application, but NO3- concentration rose slightly at late growth stages, compared with urea application. The monitoring of TN runoff loss indicated that during double cropping rice growth season, the loss amount of TN under urea application was 7.70 kg x hm(-2), accounting for 2.57% of applied urea-N. The two runoff events occurred within 20 days after urea application contributed significantly to the TN runoff loss. CRNF application resulted in a significantly lower TN concentration in runoff water from the 1st runoff event occurred within 10 days of its application, and thereafter, the total TN runoff loss for CRNF and 70% N CRNF application was decreased by 24.5% and 27.2%, respectively, compared with urea application.