Vestibular function and hearing preservation in children following a minimally invasive cochlear implantation.

PURPOSE: This retrospective cohort study aimed to investigate the effect of minimally invasive cochlear implantation (CI) on the vestibular function (VF) and residual hearing (RH) as well as their relationship in pediatric recipients before and after surgery. METHODS: Twenty-four pediatric patients with preoperative low frequency residual hearing (LFRH) (250 or 500 Hz ≤ 80 dB HL) who underwent minimally invasive CI were enrolled. Pure-tone thresholds, the cervical/ocular vestibular-evoked myogenic potential (cVEMP/oVEMP), and video head impulse test (vHIT) were all evaluated in the 24 pediatric patients with preoperative normal VF before and at 1 and 12 months after surgery. The relationship between changes in hearing and VF was analyzed preoperatively and at 1 and 12 months postoperatively. RESULTS: There were no significant differences on VF preservation and hearing preservation (HP) at both 1 and 12 months post-CI (p > 0.05). At 1 month post-CI, the correlations of the variations in vestibulo-ocular reflex (VOR) gains of horizontal semicircular canal (HSC) and posterior semicircular canal (PSC) and the shift in 250 Hz threshold were negatively correlated (r = - 0.41, p = 0.04 and r = - 0.43, p = 0.04, respectively). At 12 months post-CI, the shift in 250 Hz threshold negatively correlated to the variations in VOR gain of superior semicircular canal (SSC) (r = - 0.43, p = 0.04); the HP positively correlated to the variation in oVEMP-amplitude ratio (AR) (r = 0.41, p = 0.04). CONCLUSION: Our study confirmed that there were partial correlations between VF preservation and HP both in the short- and long-terms after atraumatic CI surgery, especially with the 250 Hz threshold. Regarding the variation of PSC function, the correlation with hearing status was variable with time after atraumatic CI surgery. Minimally invasive techniques for HP are successful and effective for the preservation of VF in pediatric patients both in the short- and long-terms.

Impact of union practices on labor relations in China: Institutional trust as a moderator.

The particularities of Chinese union practices in the private sector and their impacts on the labor relations climate have raised much controversy. This paper presents the findings of a study that analyzed data from 926 enterprises in Chongqing, China, through the lens of institutional trust. The study was designed to examine the influence of union practices on the labor relations climate at the enterprise level. Particular attention was paid to the possible moderator effect that both employee and management trust in unions had on the labor relations climate. We found that employee-union trust positively moderated the impact of union practice on the labor relations climate. However, if management-union trust exceeded employee-union trust, management-union trust weakened the moderator effect of employee-union trust. In other words, management-union trust negatively moderated employee-union trust. This article is organized as follows. In section "Introduction," we introduce the institutions Chinese unions operate in, especially regarding disputes over the effects on the labor relations climate. In section 'Theory and hypotheses," we review the literature and develop the hypotheses. In section "Materials and methods", we describe the data and method, and in section "Results," we present the results of the model. Finally, in section "Discussion," we discuss the implications for China's union development and note the limitations of the study.

[Spatiotemporal evolution of habitat quality in three basins of Hainan Island based on InVEST model]. / 基于InVEST模型的海南岛三大流域生境质量时空演变.

Based on land use data of five periods during 1980 to 2020, using the InVEST model and the methods of land use transfer, habitat quality change rate and spatial statistical analysis, we explored the changes of habitat quality and its spatial distribution characteristics in the three major basins of Hainan Island (Nandu River, Changhua River and Wanquan River). The results showed that woodlands were the main land use type in the three basins of Hainan Island, accounting for more than 70% of the total area. From 1980 to 2020, the area of construction land increased the most, reaching up to 169.09 km2, mainly from cultivated land and woodland. The spatial distribution pattern of habitat quality in the study area was higher in the upstream and head water areas and lower in the mid and downstream regions. Overall, habitat quality index increased slightly for a short period and then decreased significantly during the study period. Among the three basins, habitat quality of Wanquan River Basin was the highest, followed by Changhua River Basin, and Nandu River Basin was the lowest. The habitat quality of Nandu River Basin fluctuated greatly and was strongly affected by human disturbance. From 1980 to 2020, the change rate of habitat quality in the three basins generally decreased by 0.5%, which was significantly degraded from 2010 to 2020. From 1980 to 2020, the spatial distribution of habitat quality in the study area displayed strong autocorrelation and significant aggregation. The hot spot area of habitat quality was mainly concentrated near the head water and upstream areas of the three basins, while the cold spot area was mainly distributed in the estuary area of the three basins, along with the mid and downstream areas of the Nandu River. These results would provide scientific reference for biodiversity conservation and ecological restoration efforts in the three basins of Hainan Island.

Performance enhancement and population structure of denitrifying phosphorus removal system over redox mediator at low temperature.

The development of denitrifying polyphosphate accumulating organisms (DPAOs) presents a strategy to carbon competition between denitrifying bacteria and phosphorus removing bacteria. However, low temperature inhibits the rate of enzyme-catalyzed and substrate diffusion during denitrifying phosphorus removal (DPR). Therefore, the present study assessed the addition of NQS (100 µmol/L) for enhancing the removal of TP and TN in DPR reactors operated at alternating anaerobic and anoxic phases and different influent phosphate concentrations. The results showed that the removal efficiency of TP and TN in NQS-DPR system at 10 °C were 99.9% and 42.0%, respectively, which were 2.1 and 2.0 times higher than that of DPR system. Adding NQS significantly alleviated the increase of pH under anoxic condition and decreased the ORP value of the reactor, which in turn enhanced the PHAs accumulation process. The determination of functional genes (nirK, narG and phoD) showed that Dechloromonas, Lentimicrobium, and Terrimonas were the dominant functional bacteria in NQS-DPR system at 10 °C with the relative abundance of 3.09%, 2.99% and 2.28%, respectively. This study can provide valuable information for the effects of the addition of the redox mediator on denitrifying phosphorus removal technology.

Application of moving bed biofilm reactor - nanofiltration - membrane bioreactor with loose nanofiltration hollow fiber membranes for synthetic roxithromycin-containing wastewater treatment: Long-term performance, membrane fouling and microbial community.

The present study operated the novel moving bed biofilm reactor-nanofiltration-membrane bioreactor (MBBR-NF-MBR) with loose polyamide NF membranes for the first time to treat roxithromycin (ROX) wastewater. Results showed that both MBBR-NF-MBRs achieved superior COD removal of 98.4% and 97.2% and excellent removal of ROX at 74.1% and 65.5%, respectively. The main membrane fouling mechanism was reversible fouling caused by the combination of abundant polysaccharides, proteins and Ca-P precipitates, which could be effectively removed by acidic cleaning. Sorption and biodegradation were the main removal routes of ROX in MBBR. Partial retention of loose NF membrane contributed to microbial metabolism and increased microbial diversity, especially the genera Hyphomicrobium in attached biofilm, which was reasonable for ROX removal. The cleavage of cladinose, demethylation, phosphorylation and ß-oxidation in macrolactone ring were the main biotransformation reactions of ROX. This study provides novel insights for micropollutants wastewater treatment by using loose NF membrane in MBR.

Synergy of developed micropores and electronic structure defects in carbon-doped boron nitride for CO2 capture.

With the aim of relieving the serious environmental and climate issues arising from excessive emission of anthropogenic CO2, extensive solid absorbents have been developed for CO2 capture. Among them, porous boron nitride (BN) is considered an ideal candidate due to its high specific surface area, abundant structural defects, low density, and outstanding chemical inertness. Herein, BN absorbents were synthesized from pyrolysis of melamine-boric acid precursors, and the effect of pyrolysis temperature (900, 1000, 1050 and 1100 °C) on the properties and performances was investigated. Various characterizations were performed to evaluate the physicochemical properties and CO2 uptake capacities of BN absorbents. The result demonstrated that a carbon-doped BN structure was achieved instead of a pure BN material, and the carbonization degree was enhanced with the increase of pyrolysis temperatures. BN absorbent pyrolyzed at 1100 °C exhibited the highest CO2 adsorption capacity of 3.71 mmol/g (273 K). The reason should be that the doping of carbon in the framework of BN contributed to the formation of abundant micropores, which enhanced the physical adsorption by offering more adsorption sites. At the same time, more negative charges on BN were induced by structural defects, which favored the chemical adsorption of CO2 by invoking charge-induced chemisorption interaction. This study clarified the role of pore structure and electronic structure defects in CO2 adsorption capacity of carbon-doped BN, which would open up more spacious avenues for the development of promising BN-based absorbents, or even catalysts.

Gross ecosystem product accounting of national park: Taking Hainan Tropical Rainforest National Park as an example.

Hainan Tropical Rainforest National Park has the most representative and largest contiguous tropical rainforest in China, which has advantages in exploring the realization mechanism of ecological product value in national parks. Based on the basic framework of "The Technical Guideline on Gross Ecosystem Product (GEP)", we constructed a GEP accounting system in line with the characteristics of tropical rain forest national park, and calculated the GEP of Hainan Tropical Rainforest National Park in 2019. The results showed that the GEP of Hainan Tropical Rainforest National Park in 2019 was 204.513 billion yuan, and the GEP per unit area was 0.046 billion yuan·km-2. Among all the service types, the value of material services was 4.850 billion yuan, accounting for 2.4% of the total GEP in the national park. The ecosystem regulation service value was 168.891 billion yuan, accounting for 82.6%. The value of cultural services was 30.772 billion yuan, accounting for 15.0%. Among different ecosystem types, the unit area value of the tropical rain forest ecosystem represented by mountain rain forest, lowland rain forest, deciduous monsoon forest, and tropical cloud forest was much higher than that of plantation or other ecosystems, indicating the dominant role of tropical rain forest ecosystem in providing ecosystem services. In addition, based on the GEP accounting results of the national park, we put forward relevant suggestions for further exploring the realization path and realization mechanism of ecological product value.

Application of co-pyrolysis biochar for the adsorption and immobilization of heavy metals in contaminated environmental substrates.

Heavy metal pollution has been considered as a serious threat to the environment and human in the past decades due to its toxic and unbiodegradable properties. Recently, extensive studies have been carried out on the removal of heavy metals, and various adsorption materials have been successfully developed. Among, biochar is a promising option because of its advantages of various biomass sources, abundant microporous channels and surface functional groups, as well as its attractive economic feasibility. However, the application of pristine biochar is limited by its low adsorption capacity and nonregenerative property. Co-pyrolysis biochar, produced from the pyrolysis of biomass with the addition of another biomass or non-biomass precursor, is potential in overcoming the limitation of pristine biochar and achieving superior performance for heavy metal adsorption and immobilization. Therefore, this article summarizes the recent advances in development and applications of co-pyrolysis biochar for adsorption and immobilization of various heavy metals in contaminated environmental substrates. In details, the production, characteristics and advantages of co-pyrolysis biochar are initially presented. Subsequently, the adsorption behaviors and mechanisms of different heavy metals (including Hg, Zn, Pb, Cu, Cd, Cr, As, etc.) in flue gas and wastewater by co-pyrolysis biochar are reviewed, as well as factors influencing their adsorption capacities. Meanwhile, the immobilization of heavy metals in both biochar itself and contaminated soils by co-pyrolysis biochar is discussed. Finally, the limitations of current studies and future prospects are proposed. It aims at providing a guideline for the exploitation and application of cost-effective and environmental-friendly co-pyrolysis biochar in the decontamination of environmental substrates.

Study of SARS-CoV-2 transmission in urban environment by questionnaire and modeling for sustainable risk control.

Caused by SARS-CoV-2, COVID-19 has become a severe threaten to society and human health, its epidemic control emerges as long-term issue. A sustainable epidemic and environmental transmission risk control (SEERC) in urban area is urgently needed. This work aims to conduct a new investigation on the transmission risk of SARS-COV-2 as virus/hazardous material through various environmental medias, routes and regions in the entirely urban area for guiding the SEERC. Specifically, 5 routes in 28 regions (totally 140 scenarios) are considered. For a new perspective, the risk evaluation is conducted by the quantification of frontline medicals staffs' valuable experience in this work. 207 specialists responsible for the treatment of over 9000 infected patients are involved. The result showed that degree of risk was in the order of breath>contact-to-object>contact-to-human>intake>unknown. The modeling suggested source control as the prior measure for epidemic control. The combination of source control & mask wearing showed high efficiency in SEERC. The homeworking policy needed to cooperate with activity limitation to perform its efficiency. Subsequently, a new plan for SEERC was discussed. This work delivered significant information to researchers and decision makers for the further development of sustainable control for SARS-COV-2 spreading and COVID-19 epidemic.

Alteration of denitrifying microbial communities by redox mediators available at low temperature.

Four sequential batch reactors (SBRs) containing synthetic sewage for denitrification were investigated in this study. Three of them had added one of the three redox mediators, which were anthraquinone-1,5-disulfonate (AQDS), 1,2-naphthoquinone-4-sulfonate (NQS), and 2-hydroxy-1,4-naphthoquinone (LAW), operated at 20 °C and 10 °C, and an additional one to serve as the control. Results showed that 10 °C inhibited denitrification to a considerable extent, but the addition of mediators increased the denitrification rate and efficiency. The total nitrogen removal efficiency increased in the presence of three different redox mediators (100 µmol/L), among which LAW express the best accelerating effectiveness at normal temperature and NQS at low temperature. This may be due to the growth of microorganisms, whose community compositions changed considerably when the different redox mediators were added. Therefore, Illumina MiSeq sequencing was used to identify the different microbial communities. Thauera was dominant at 10 °C (25.60%). Furthermore, the addition of mediators greatly promoted Thauera growth (31.11%-42.41%), especially LAW (42.41%). At 20 °C, Candidatus Competibacter (8.31%-9.59%) and Denitratisoma (6.33%-7.39%) were dominant. Thauera and Denitratisoma are denitrifiers. These results could improve understanding of the sewage biological process at low temperature.

Apolipoprotein A-I: A favorable prognostic marker in infective endocarditis.

BACKGROUND: Decreased apolipoprotein A-I (apoA-I) and high-density lipoprotein cholesterol (HDL-C) are common in inflammation and sepsis. No study with a large sample size has been performed to investigate the prognostic value of apoA-I or HDL-C in infective endocarditis (IE). OBJECTIVE: The present study aimed to explore the prognostic value of apoA-I and HDL-C for adverse outcomes in IE patients. METHODS: Patients with a definite diagnosis of IE between January 2009 and July 2015 were enrolled and divided into 3 groups according to their apoA-I tertiles at admission. Univariate and multivariate analyses were performed to evaluate the relationship of apoA-I and HDL-C with clinical outcomes. RESULTS: Of the 593 included patients, 40 (6.7%) died in hospital. Patients with lower apoA-I experienced markedly higher rates of in-hospital mortality (10.7%, 7.0%, and 2.5% in tertiles 1-3, respectively; P = .006) and major adverse clinical events (32.5%, 24.1%, and 8.6% in tertiles 1-3, respectively; P < .001). ApoA-I (area under the curve, 0.671; P < .001) and HDL-C (area under the curve, 0.672; P < .001) had predictive values for in-hospital death. Multivariate logistic regression showed that apoA-I <0.90 g/L and HDL-C <0.78 mmol/L were independent risk predictors for in-hospital death. A multivariate Cox proportional hazard analysis revealed that apoA-I (increments of 1 g/L; hazard ratio, 0.36; 95% confidence interval, 0.15-0.87; P = .023) and HDL-C (increments of 1 mmol/L; hazard ratio, 0.38; 95% confidence interval, 0.18-0.83; P = .015) were independently associated with long-term mortality. CONCLUSIONS: ApoA-I and HDL-C were inversely associated with adverse IE prognosis.

Toxoplasma gondii GRA15II effector-induced M1 cells ameliorate liver fibrosis in mice infected with Schistosomiasis japonica.

Recent studies indicated that type II Toxoplasma gondii (Tg) GRA15II favored the generation of classically activated macrophages (M1), whereas type I/III TgROP16I/III promoted the polarization of alternatively activated macrophages (M2). A number of studies have demonstrated that M2 cells are involved in the pathogenesis of the liver fibrogenesis caused by Schistosoma japonicum. The purpose of the present study was to explore the inhibitory effect of Toxoplasma-derived TgGRA15II on mouse hepatic fibrosis with schistosomiasis. The gra15II and rop16I/III genes were amplified from strains T. gondii PRU and Chinese 1 Wh3, respectively. Lentiviral vectors containing the gra15II or rop16I/III plasmid were constructed and used to infect the RAW264.7 cell line. The polarization of the transfected cells was evaluated, followed by co-culture of the biased macrophages with mouse hepatic stellate JS1 cells. Then, mice were injected with GRA15II-driven macrophages via the tail vein and infected with S. japonicum cercariae. TgGRA15II induced a M1-biased response, whereas TgROP16I/III drove the macrophages to a M2-like phenotype. The in vitro experiments indicated that JS1 cell proliferation and collagen synthesis were decreased following co-culture with TgGRA15II-activated macrophages. Furthermore, mice inoculated with TgGRA15II-biased macrophages displayed a notable alleviation of collagen deposition and granuloma formation in their liver tissues. Our results suggest that TgGRA15II-induced M1 cells may dampen the M2 dominant pathogenesis of hepatic fibrosis and granulomatosis. These results provide insights into the use of parasite-derived immunomodulators as potential anti-fibrosis agents and to re-balance the schistosomiasis-induced immune response.

Thrombospondin-1 Production Regulates the Inflammatory Cytokine Secretion in THP-1 Cells Through NF-κB Signaling Pathway.

Thrombospondin-1 (TSP-1) is upregulated in several inflammatory diseases. Recent data have shown that macrophages from TSP-1-deficient mice have a reduced inflammatory phenotype, suggesting that TSP-1 plays a part in macrophage activation. DNA microarray approach revealed that Porphyromonas gingivalis lipopolysaccharide (P. gingivalis LPS) may induce the enhanced TSP-1 expression in human monocytes, suggesting a role of TSP-1-mediated pathogenesis in periodontitis. Until recently, the function of TSP-1 has been a matter of debate. In this study, we explored the role of TSP-1 in inflammatory cytokine secretions and its putative mechanism in pathogenesis of periodontitis. We demonstrated that TSP-1 expression was significantly upregulated in gingival tissues with periodontitis and in P. gingivalis LPS-stimulated THP-1 cells. Deficiency of TSP-1 by transfecting siRNAs decreased IL-6, IL-1ß, and TNF-α secretions in THP-1 cells, whereas overexpression of TSP-1 resulted in an upregulation of IL-6, IL-1ß, and TNF-α productions. Additional experiments showed that Pyrrolidine dithiocarbamate (PDTC) inhibited IL-6, IL-1ß, and TNF-α expression induced by overexpression of TSP-1, accompanying with downregulation of phosphorylated p65 and IκBα protein levels in response to P. gingivalis LPS. These results indicated that TSP-1 played a significant role in P. gingivalis LPS-initiated inflammatory cytokines (IL-6, IL-1ß, and TNF-α) secretions of THP-1 cells, and the NF-κB signaling is involved in its induction of expression. Thus, TSP-1 effectively elevated P. gingivalis LPS-induced inflammation mediated by the NF-κB pathway and may be critical for pathology of periodontitis.

Prevalence of Toxoplasma gondii infection in HIV-infected patients and food animals and direct genotyping of T. gondii isolates, Southern Ghana.

Toxoplasma gondii is of public health and veterinary importance causing severe diseases in immunocompromised individuals including HIV/AIDS patients and in congenital cases and animals. There is limited information on the epidemiology of T. gondii infection in humans, particularly HIV patients and food animals and the parasite genotypes in Ghana. A total of 394 HIV-infected patients from three hospitals were screened for T. gondii anti-IgG and IgM using ELISA. DNAs from blood samples of seropositve participants and 95 brain tissues of food animals were PCR assayed to detect Toxoplasma gra6. DNA positive samples were genotyped using multilocus nested polymerase chain reaction restriction fragment length polymorphism at 10 loci: sag1, alt.sag2, sag3, btub, gra6, l358, c22-8, c29-2, pk1, and apico. The overall seroprevalence was 74.37% (293/394). Toxoplasma DNAs were detected in 3.07% of the seropositive participants and 9.47% of the animals. Six of the human DNA positive samples were partly typed at sag3: 33.33, 50, and 16.67% isolates had type I, II, and III alleles, respectively. All nine isolates from food animals typed at nine loci except apico were atypical: six isolates were identical to ToxoDB #41 and #145, and one was identical to TgCkBrRj2 all identified in Brazil. The genotype of two isolates has not been reported previously and was named as TgCtGh1. T. gondii seroprevalence is high among the HIV-infected individuals with T. gondii circulating in Ghana being genetically diverse.

Macrophages Polarized by Expression of ToxoGRA15II Inhibit Growth of Hepatic Carcinoma.

A growing body of evidence suggests that tumor-associated macrophages are deeply involved in the hepatocellular carcinoma proliferation and account for the large proportion of infiltrated cells in tumor tissues and play a major role in promotion of tumor growth. On the other hand, studies have demonstrated that Toxoplasma gondii virulence-associated molecule of dense granule protein (ToxoGRA15II) tends to induce classically activated macrophages (M1) differentiation. Thus, we explored the M1 induced by ToxoGRA15IIin vitro and its inhibitory impact on the proliferation, invasion, and metastasis of hepatic carcinoma in murine model. Here, we constructed recombinant plasmid of pegfp-gra15II and subsequently ligate it to lentivirus (Lv) vector, with which RAW264.7 was transfected. The results showed that the transfected macrophages were polarized to M1. Coculture of the M1 with Hepa1-6 cells showed a remarkable inhibition of migration and invasion of the tumor cells and decreased expressions of matrix metalloproteinase (MMP)-9 and MMP-2 without notable apoptosis of Hepa1-6 cells. Subsequently, ToxoGRA15II-polarized macrophages inoculated to tumor-bearing C57BL/6 mice were seen in both spleen and tumor tissues, and tumor growth was sharply restricted. Particularly, interleukin-6 (IL-6) expression, which is closely associated with the cancer malignant behaviors, was significantly dampened in tumor tissues. In addition, expression of TNF-α and IL-12 mRNAs was increased, whereas IL-6 and interleukin-10 mRNAs were downregulated in splenocytes. Our results indicate that the effector molecule of ToxoGRA15II may induce macrophage polarization to M1 that has a restrictive effect on tumor growth via its related cytokines profile in tumor and spleen tissues. Besides, ToxoGRA15II, due to its early activation of specified cell population and non-toxicity to mammalians, has a potential value for a novel therapeutic strategy of enhancing host innate immunity against tumor development.

Patients with type 2 diabetes exhibit cognitive impairment with changes of metabolite concentration in the left hippocampus.

Type 2 diabetes mellitus (T2DM) is associated with cognitive dysfunction. Previous studies have reported the relationship between cerebral metabolite changes and glucose levels. However, the specific aspects of cognition that are affected by metabolic changes in T2DM- related cognitive impairment remain undetermined. In this study, 188 T2DM patients and 266 controls were recruited. Proton magnetic resonance spectra with a single voxel stimulated echo acquisition mode (STEAM) were acquired from the left hippocampus and the frontal lobe. Presence of T2DM negatively affected the scores of Mini-Mental State Examination (MMSE), sub-tests (i.e., attention and language) of MMSE, Montreal Cognitive Assessment (MoCA) according to the Beijing version, and sub-tests (i.e., visuospatial/executive reasoning, attention, and language) of MoCA, rather than the Wechsler Memory Scale - Revised in China (WMS-RC), and all memory sub-tests contained with the MMSE and MoCA frameworks. T2DM positively affected creatine and myoinositol peak areas from the left hippocampus, rather than metabolites in the left frontal lobe. Negative correlations were shown between the left hippocampal myoinositol levels and language scores, and between the left hippocampal creatine levels and visuospatial/executive scores in T2DM. These findings suggest that T2DM may be an independent risk factor for cognitive impairment. Further, the cognitive domains of visuospatial /executive reasoning, attention and language may be predominantly impaired in the early phases of T2DM-related cognitive impairment. In addition, left hippocampal myoinositol and creatine concentrations were associated with cognitive impairment in patients with T2DM.

Relationships among serum C-reactive protein, receptor for advanced glycation products, metabolic dysfunction, and cognitive impairments.

BACKGROUND: We examined the clinical value of two serum markers of low-grade inflammation, C-reactive protein (CRP) and receptor of advanced glycation products (RAGE), as prognostic indices for cognitive decline. METHODS: Patients with cognitive impairment (n = 377) and controls (n = 66) were examined by blood biochemistry tests, including ELISAs of serum CRP and RAGE, the Mini-mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA), and STEAM 1H-MRS of the left hippocampus and thalamus. RESULTS: Compared to the control group, the cognitive impairment group was older (63.10 ± 9.70 years vs. 55.09 ± 10.77 years, P = 0.000) and had fewer years of formal education (9.01 ± 4.01 vs. 12.94 ± 3.0, P = 0.000). There were no significant differences in the frequencies of type 2 diabetes, hypertension, or hyperlipidemia between groups. Serum CRP and RAGE were higher in the cognitive impairment group (CRP: 2.08 mg/L, range 1.07 - 3.36 mg/L vs. 0.21 mg/L, range 0.18 - 0.42 mg/L; RAGE: 4.01, range 2.49 - 5.71, vs. 2.28, range 1.84 - 3.03; P < 0.05 for both). In patients with cognitive impairment, there were negative correlations between cognitive function (as measured by MMSE and MoCA) and both CRP and RAGE levels (P < 0.05). Patients over 55 years exhibited a positive correlation between CRP and myo-inositol peak area in the left hippocampus (P < 0.05), while there was no relationship between RAGE and any metabolite (P > 0.05). Multiple linear regression revealed that CRP was influenced by hypertension (P = 0.026) and cognitive impairment (P = 0.042). CONCLUSIONS: Chronic low-grade inflammation is present in patients with cognitive impairment. Serum CRP, RAGE, and left hippocampal myo-inositol may provide prognostic information on cognitive decline.