Clinical analysis of the therapeutic effect of plasma exchange on hypertriglyceridemic acute pancreatitis: A retrospective study.

BACKGROUND: The therapeutic effect of plasma exchange (PE) on hypertriglyceridemic acute pancreatitis (HTGAP) is unclear. Therefore, we aimed to explore this therapeutic effect. STUDY DESIGN AND METHODS: This study included 204 patients with HTGAP who underwent treatment at two provincial tertiary grade A hospitals in Fujian Province from October 2012 to May 2021. Patients were divided into a conventional group and a PE group. The Student's t-test and chi-square test were used for data analysis. RESULTS: Among 204 patients, 56 and 148 were included in the PE and conventional groups, respectively. After propensity score matching (PSM), the PE and conventional groups each had 42 patients. There was no significant difference in age; sex; pregnancy; comorbidities; laboratory findings; incidences of complications, and multiple organ dysfunction syndrome (MODS); organ support treatment; surgical rate; mortality; and hospital stay between the groups (p > 0.05). The total expenses were significantly higher in the PE group than in the conventional group (p < 0.05). There was no statistically significant difference in the times of PE; total volume of PE; incidences of complications, and MODS; organ support treatment; surgical rate; mortality; and hospital stay between the early PE and delayed PE groups (p > 0.05). All patients in the PE group and conventional group with acute renal failure had significantly higher D-dimer levels than those without acute renal failure (p < 0.05). DISCUSSION: Compared with conventional treatment, PE does not have a better therapeutic effect on HTGAP. The D-dimer level can predict whether patients with HTGAP will have acute renal failure.

Basal forebrain GABAergic neurons promote arousal and predatory hunting.

Predatory hunting is an important approach for animals to obtain valuable nutrition and energy, which critically depends on heightened arousal. Yet the neural substrates underlying predatory hunting remain largely undefined. Here, we report that basal forebrain (BF) GABAergic neurons play an important role in regulating predatory hunting. Our results showed that BF GABAergic neurons were activated during the prey (cricket)-hunting and food feeding in mice. Optogenetic activation of BF GABAergic neurons evoked immediate predatory-like actions to both artificial and natural preys, significantly reducing the attack latency while increasing the attack probability and the number of killed natural prey (crickets). Similar to the effect of activating the soma of BF GABAergic neurons, photoactivation of their terminals in the ventral tegmental area (VTA) also strongly promotes predatory hunting. Moreover, photoactivation of GABAergic BF - VTA pathway significantly increases the intake of various food in mice. By synchronous recording of electroencephalogram and electromyogram, we showed that photoactivation of GABAergic BF - VTA pathway induces instant arousal and maintains long-term wakefulness. In summary, our results clearly demonstrated that the GABAergic BF is a key neural substrate for predatory hunting, and promotes this behavior through GABAergic BF - VTA pathway.

Warming but Not Nitrogen Addition Alters the Linear Relationship Between Microbial Respiration and Biomass.

Soil contains a large amount of organic matter, which constitutes the largest terrestrial carbon pool. Heterotrophic or microbial respiration (Rh) that results from microbial decomposition of soil organic carbon (SOC) constitutes a substantial proportion of soil C efflux. Whether soil microbial biomass is of primary importance in controlling Rh remains under debate, and the question of whether the microbial biomass-decomposition relationship changes with warming and nitrogen (N) deposition has rarely been assessed. We conducted an incubation experiment to test the relationship between Rh and the size of soil microbial communities in two layers of soil collected from a natural subtropical forest and to examine whether the relationship was affected by changes in temperature and by added N in different forms. The results showed that regardless of the added N species, the N load did not significantly affect Rh or the size of the soil microbial communities. These results could be due to a long-term N-rich soil condition that acclimates soil microbial communities to resist N inputs into the studied forest; however, warming may significantly stimulate SOC decomposition, reducing soil microbial biomass under high temperatures. A significant linear soil microbial biomass-decomposition relationship was observed in our study, with the coefficients of determination ranging from 54 to 70%. Temperature rather than N additions significantly modified the linear relationship between soil microbial biomass and respiration. These results suggest that warming could impose a more substantial impact than N addition on the relationship between soil microbial biomass and SOC decomposition.