RESUMO
BACKGROUND: Intracranial high-density areas (HDAs) have attracted considerable attention for predicting clinical outcomes; however, whether HDAs predict worse neurological function and mental health remains controversial and unclear, which requires further investigation. AIM: To investigate the predictive value of intracranial HDAs for neurological function and mental health after endovascular treatment. METHODS: In this prospective study, 96 patients with acute ischemic stroke (AIS) who accepted endovascular mechanical thrombectomy (EMT) were included. The enrolled patients underwent cranial computed tomography (CT) examination within 24 hours after EMT. Clinical data in terms of National Institutes of Health Stroke Scale (NIHSS), the 3-month modified Rankin Scale (mRS), self-rating depression scale (SDS), and self-rating anxiety scale (SAS) scores were collected and compared between patients with HDAs and non-HDAs and between patients with good and poor clinical prognosis. RESULTS: Compared to patients without HDAs, patients with HDAs presented severe neurological deficits (admission NIHSS score: 18 ± 3 vs 19 ± 4), were more likely to have post-stroke disabilities (mRS < 3: 35% vs 62%), and suffered more severe depression (SDS score: 58 ± 16 vs 64 ± 13) and anxiety disorder (SAS score: 52 ± 8 vs 59 ± 10). Compared to patients with a good prognosis, patients with a poor prognosis presented severe neurological deficits (admission NIHSS score: 17 ± 4 vs 20 ± 3), were more likely to have HDAs on CT images (64% vs 33%), and suffered more severe depression (SDS score: 55 ± 19 vs 65 ± 11) and anxiety (SAS score: 50 ± 8 vs 58 ± 12). Multivariate analysis revealed that HDAs were independent negative prognostic factors. CONCLUSION: In conclusion, HDAs on CT images predicted poor prognosis and severe depressive and anxiety symptoms in patients with AIS who underwent EMT.
RESUMO
Soil phosphorus (P) deficiency is one of the main factors that diminish the yield of crops on the Loess Plateau. Fagopyrum tataricum is a dominant cereal plant on the Loess Plateau, whose responses to low-P stress are significantly different and dependent on its genotypes. Therefore, screening genotypes with efficient P utilization is an important approach to increase the yield of F. tataricum and promote the sustainable development of local agriculture. With fourteen F. tataricum genotypes, the agronomic traits, physiology and biochemical characters of F. tataricum at seedling stage under normal (2 mmol·L-1) and low-P treatment (0.2 mmol·L-1) were studied by using sand culture. By examining the characters of selected F. tataricum at seedling stage, the varieties of F. tataricum with low-P tolerance were screened out and their evaluation indices were assessed to provide theoretical basis for the breeding of F. tataricum with high P-efficiency and the infertile soil cultivation on the Loess Plateau. The results showed that under low-P stress, the shoots of all genotypes were more affected than roots, with the decline of shoot aboveground index, average root diameter, root surface area and root volume, whereas the length of main root was elongated. Root activity and soluble protein content were decreased. In contrast, other physiological and biochemical indicators were increased. Moreover, plant total phosphorus content and plant phosphorus accumulation reduced, but phosphorus use efficiency increased. The principal component analysis divided the 22 individual indicators into four mutually independent comprehensive indicators (cumulative contribution rate of 90.1%). Cluster analysis divided 14 kinds of F. tataricum into three categories: Low phosphorus tolerant, intermediate and phosphorus sensitive. In order to investigate the index of low-P tolerance of F. tataricum at seedling stage, the optimal regression equation was established with the comprehensive evaluation value of low-P tolerance (D value) as the dependent variable and the low-P tolerance index of each indicator as the independent variables. Seven indicators of root surface area, root length, plant height, aboveground dry mass, acid phosphatase, phosphorus accumulation and POD activity were examined, which could be used for the rapid identification of low-P tolerance of F. tataricum at seedling stage.