Comparison of biportal endoscopic technique and uniportal endoscopic technique in Unilateral Laminectomy for Bilateral Decomprssion (ULBD) for lumbar spinal stenosis.

OBJECTIVE: Unilateral laminotomy for bilateral decompression (ULBD) has been adopted widely to treat lumbar spinal stenosis (LSS). The objective of the study is to investigate clinical and radiological outcomes of the biportal endoscopic ULBD (BE-ULBD) and uniportal endoscopic ULBD (UE-ULBD). METHODS: We collected retrospectively 65 patients' data who met the inclusion criteria (July 2019-June 2021). 33 patients underwent BE-ULBD surgery, and 32 patients underwent the UE-ULBD surgery, and were followed up for at least 1 year. The following preoperative and postoperative outcomes were compared between groups: the visual analog scale (VAS) for pain, the Oswestry disability index (ODI) for nerve function, and modified Macnab criteria for satisfaction, the cross-sectional area of the dural sac (DSCSA), the mean angle of facetectomy. RESULTS: Age, BMI, gender, levels of involvement and duration of symptoms were not significantly different at baseline in this study. Clinical data showed that postoperative ODI, VAS scores and Modified Macnab Criteria were not statistically different between the two groups. The BE-ULBD group had a shorter operation time than the UE-ULBD group (P < 0.001). Patients in the BE-ULBD group had a larger postoperative expansion of DSCSA expansion postoperatively (85.58 ± 3.16 mm2 VS 71.43 ± 3.35 mm2, P < 0.001) and a larger contralateral facetectomy angle (63.95 ± 3.34° vs 57.80 ± 3.43°, P < 0.001) compared with patients in the UE-ULBD group. There were no statistical differences in the incidence of postoperative complications between the two groups. CONCLUSION: Both the BE-ULBD and the UE-ULBD yielded clinical improvement in terms of pain and stenosis symptoms. The BE-ULBD technique has the advantages of the shorter operation time, larger DSCSA expansion and larger contralateral facetectomy angle.

Global hotspots and trends in research on preschool children's motor development from 2012 to 2022: a bibliometric analysis.

Background: Motor development plays an important role in human development throughout the lifespans, from conception to death, and has received increasing scholarly attention in recent years. However, valuable comprehensive reviews and literature analysis on this topic are still lacking. Here, this bibliometric study aimed to identify global motor development research hotspots and trends on preschool children's motor development from 2012 to 2022. Methods: CiteSpace 6.1.R4 was used to visualize and analyze general bibliometric characteristics, research hotspots, and trends through a review of 2,583 articles on the motor development of preschool children, which were published from 2012 to 2022 and included in the Web of Science Core Collection. Results: Research on motor development in preschool children has been carried out into a phase of rapid development. The top five frequently occurring keywords were physical activity (n = 489), performance (n = 319), intervention (n = 222), health (n = 196), and executive function (n = 165); The top five keywords in terms of centrality are academic achievement (0.22), low birth weight (0.16), association (0.14), brain (0.13), and cerebral palsy (0.13). Thirteen keyword clusters were produced from the log-likelihood ratio (Q = 0.74, S = 0.88), and five research topics has been received focused attention in recent years. The keywords with the strongest citation bursts in the last 5 years are developing country (S = 5.92), school-aged children (S = 5.86), middle-income country (S = 3.46), efficacy (S = 5.41), readiness (S = 3.21), motor proficiency (S = 3.6), and screen time (S = 3.3), indicating newly emerging research trends. Conclusion: The results indicated that interventions involving fundamental movement skills, cognitive function, 24-h movement behaviors, neurodevelopmental disorders, and health-related fitness were hot topics in the field of motor development over the last decade. Emerging research trends generally center on school readiness, socioeconomic status, motor proficiency, and screen time.

Circ_0022920 Maintains the Contractile Phenotype of Human Aortic Vascular Smooth Muscle Cells Via Sponging microRNA-650 and Promoting Transforming Growth Factor Beta Receptor 1 Expression in Angiotensin II-Induced Models for Aortic Dissection.

Background Abnormal regulation of vascular smooth muscle cells is regarded as the iconic pathological change of aortic dissection (AD). Herein, we aim to identify circ_0022920 as a crucial regulator in AD. Methods and Results Microarray analysis of circular RNAs, messenger RNAs, and micro RNAs in patients with AD was performed, and we identified that circ_0022920 was significantly downregulated in these patients. The Pearson correlation analysis uncovered the negative correlation between miR-650 and circ_0022920 or TGFßR1 (transforming growth factor beta receptor 1). Angiotensin II was used to treat human aortic vascular smooth muscle cells (HASMCs) and mice as models for AD. Hematoxylin and eosin and Masson's trichrome staining were used to analyze AD histopathology. Cell proliferation was analyzed with Cell Counting Kit-8 assay and EdU incorporation. Cell migration was assessed with transwell and wound healing assays. Enhanced circ_0022920 expression dramatically inhibited HASMC proliferation and migration and maintained contractile marker expression induced by angiotensin II, whereas miR-650 exerted opposite effects. MiR-650 was a target of circ_0022920. MiR-650 targeted IRF1 (interferon regulatory factor 1) and thus negatively regulated TGFßR1 expression to promote HASMC proliferation and migration and inhibit contractile marker expression. Circ_0022920 suppressed the progression of AD in vivo. Conclusions Circ_0022920 modulates the contractile phenotype of HASMCs via regulating the miR-650-IRF1-TGFßR1 axis in angiotensin II-induced models for AD, which provides potential therapeutic targets for AD.

[Research advances in neonatal nasal intermittent positive pressure ventilation].

Nasal intermittent positive pressure ventilation (NIPPV) can augment nasal continuous positive airway pressure (nCPAP) by delivering intermittent positive pressure ventilation in a noninvasive way and can provide a new option for neonatal noninvasive respiratory support. NIPPV has an advantage over nCPAP in primary and post-extubation respiratory support. Moreover, it can reduce severe apnea of prematurity. Synchronized NIPPV has promising application prospects. This review article summarizes the advances in the application of NIPPV in neonatal respiratory support to promote the understanding and standardization of this technique.

Brominated flame retardants (BFRs) in indoor and outdoor air in a community in Guangzhou, a megacity of southern China.

Indoor environments contribute a significant portion of human exposure to brominated flame retardants (BFRs) because of their extensive use in various household products. This study investigates the occurrence of a number of BFRs in the indoor and outdoor air in a megacity in southern China, in which little information on indoor BFRs contamination is available. The estimated total PBDE concentrations ranged from 1.43 to 57 pg/m(3) indoors and from 1.21 to 1522 pg/m(3) outdoors. The indoor concentrations of lower brominated PBDEs that are mainly derived from the technical penta- and octa-BDE mixtures were higher than or comparable to the outdoors, while the indoor levels of DecaBDEs and decabromodiphenyl ethane (DBDPE) were apparently lower than the outdoors. The seasonal variations of BFR concentrations indicated that evaporation from old indoor products is the primary source of Penta- and OctaBDEs in the air, whereas most DecaBDEs and DBDPE concentrations showing weak temperature-dependence are largely released from industrial activities. The PBDE congener profiles in the air were generally similar, which were dominated by BDE209, 28, and 47; whereas the appreciable indoor-outdoor differences in the compositions are possibly due to emission sources, photochemical degradation, or congener-specific transport of BFRs in the indoor and outdoor air. Significant correlations between the indoor and outdoor BFRs were observed suggesting the exchange of BFRs between the two compartments, which are more noticeable for PentaBDEs and DecaBDEs with strong indoor and outdoor emission sources, respectively. This study provides significant insights into the sources of BFRs in urban air in China.

[Polychlorinated biphenyls in house dust at an e-waste site and urban site in the Pearl River Delta, southern China: sources and human exposure and health risks].

Polychlorinated biphenyls (PCBs) were measured in house dust from an e-waste site and urban site in the Pearl River Delta, southern China. The PCB concentrations in house dust at the e-waste site ranged from 12.4 to 87 765 ng x g(-1), with an average of 10 167 ng x g(-1). There was no significant difference in the PCB concentrations between indoor and outdoor dust. The PCB homologue pattern was dominated by tri-, penta-, hexa-, and tetra-CBs, which was not similar to that in Chinese technical PCB product. There was also no significant difference in the PCB compositions between indoor and outdoor dust. PCB sources in house dust at the e-waste site were apportioned by chemical mass balance (CMB) model. The results showed that the PCBs were derived primarily from Aroclor 1262 (36.7% ), Aroclor 1254 (26.7%), Aroclor 1242 (21.4%), and Aroclor 1248 (18.5%). The daily exposure doses were 42, 17, and 2.9 ng x (kg x d)(-1) for toddlers, children/adolescents, and adults in the e-waste area, respectively. Risk assessment indicated that the hazard quotients were higher than 1 for toddlers and children/adolescents indicating adverse effects for them. The lifetime average excess carcinogenic risk for population in the e-waste area was 4.5 x 10(-5), within the acceptable range of U. S. Environmental Protection Agency. The mean concentrations of PCBs in house dust in Guangzhou was 48.7 ng x g(-1). The low PCB level is consistent with the fact that technical PCBs were not widely used in China in the past. The risks of exposure to PCBs via house dust in Guangzhou are very low.

Sources of halogenated brominated retardants in house dust in an industrial city in southern China and associated human exposure.

Halogenated flame retardants (HFRs) are a class of ubiquitous pollutants in the environment and attract increasing attention. In the present study, HFR concentrations were measured in indoor and outdoor dust in an important industrial city (Dongguan) in southern China, in which their presence and associated human exposure are unknown. The HFRs were dominated by polybrominated diphenyl ethers (PBDEs) and decabromodiphenyl ethane (DBDPE), with mean concentrations of 2365 and 2441 ng/g in the indoor dust, respectively, which were 2-3 order of magnitude higher the concentrations of other HFRs. However elevated tri- to hepta-BDE concentrations (869 ng/g) were found in Houjie Town, a furniture manufacturing center. The mean indoor/outdoor (I/O) ratios of HFR concentrations in the dust were all larger than one (1.55-16.4), suggesting the importance of indoors sources for HFRs in indoor dust in this industrial city. Principal component analysis (PCA) showed that the correlations among the HFRs in the indoor dust probably revealed differences in their commercial applications, while most HFRs in the outdoor dust have similar sources except for phased-out BDE47 and 99. The compositions of lower brominated PBDEs varied among the towns, probably due to their different sources or influence of photo-degradation. Nevertheless, the similar composition of highly brominated congeners indicated little photo-degradation encountered in the ambient environment. The non-cancer risk associated with indoor dust ingestion is low for the general population in Dongguan, but some children in the furniture manufacturing center have significantly high risk of exposure to banned PBDEs.

Ghrelin and obestatin levels in hypertensive obese patients.

OBJECTIVES: To investigate plasma total ghrelin and obestatin levels and the ghrelin/obestatin ratio prospectively, in hypertensive obese patients. METHODS: Height, weight, and waist and hip circumferences were measured in hypertensive and normotensive obese patients and matched healthy controls; the body mass index and waist to hip ratio were calculated. Fasting glucose and insulin levels were measured and the homeostasis model assessment of insulin resistance (HOMA-IR) was determined. Fasting ghrelin and obestatin concentrations were measured by radioimmunoassay and the ghrelin/obestatin ratio was calculated. RESULTS: A total of 38 hypertensive obese patients, 40 normotensive obese patients and 38 controls were enrolled. Hypertensive obese patients had lower plasma levels of ghrelin and obestatin than normotensive obese patients or controls. In addition, normotensive obese patients had lower plasma ghrelin and obestatin levels than controls. In hypertensive obese patients, ghrelin and obestatin levels were negatively associated with systolic and diastolic blood pressure, fasting insulin and HOMA-IR. In normotensive obese patients, ghrelin, obestatin and the ghrelin/obestatin ratio were negatively associated with fasting insulin and HOMA-IR. In both patient groups, fasting obestatin and ghrelin concentrations were significantly and positively correlated with each other. CONCLUSION: Changes in the levels of ghrelin and obestatin may play a role in the pathophysiology of obesity and hypertension.

Occurrence of brominated flame retardants (BFRs), organochlorine pesticides (OCPs), and polychlorinated biphenyls (PCBs) in agricultural soils in a BFR-manufacturing region of North China.

We investigated the occurrence of brominated flame retardants (BFRs), organochlorine pesticides (OCPs), and polychlorinated biphenyls (PCBs) in the surface soils from the largest BFR-manufacturing and vegetable farming center (Shouguang) of North China. The total concentrations of BFRs ranged from 39.9 to 8,145 ng/g dry weight with a mean of 1,947 ng/g. The BFRs were dominated by decabromodiphenylethane (deca-BDEs) and tetrabromobisphenol A (TBBPA), with means of 1127 and 672 ng/g, respectively, followed by decabromodiphenyl ethane (DBDPE) (111 ng/g) and hexabromocyclododecanes (HBCD) (37.5 ng/g). This profile was generally consistent with the BFR production and use in China, except for TBBPA. Although the lower brominated BDEs (tri- through hepta-BDEs) in the soil may originate from technical deca-BDE mixtures as trace impurities and/or from the degradation of deca-BDEs, deca-BDE was shown to be persistent in the soil. The concentrations of OCPs (44 ng/g) were significantly lower than those of BFRs and displayed a spatial distribution opposite to that of BFRs, which was concentrated in the industrial zone. PCBs (with the lowest levels) showed a relatively uniform spatial distribution because of regional diffusive sources. The mass inventories for the entire land soil (20-cm) were estimated to be 1042, 26, and 3.7 t for BFRs, OCPs, and PCBs, respectively.

Elevated levels of polychlorinated biphenyls in plants, air, and soils at an E-waste site in Southern China and enantioselective biotransformation of chiral PCBs in plants.

E-waste that contains polychlorinated biphenyls (PCBs) is moved across national boundaries, often from industrialized countries in the northern hemisphere, where the items were formerly used, to subtropical and tropical regions in southeastern Asia and Africa. As a result, there is a high likelihood that PCBs will be released into the environment from a primary source due to the elevated temperatures encountered in these low-latitude regions. In the present study, PCBs and enantiomer fractions (EFs) of chiral PCBs (PCB 84, 95, 132, 136, 149, and 183) were analyzed in air, eucalyptus leaves, pine needles, and soil at an e-waste site and a rural site in southern China. The concentrations of PCBs at the e-waste site ranged from 7825 to 76330 pg/m(3), 27.5 to 1993 ng/g, and 24.2 to 12045 ng/g in the air (gas plus particle), plant leaves, and soils, respectively. The atmospheric PCB composition profiles in the present study indicated relatively high abundances of penta- and hexa-PCBs, which were different from those previously observed in the air across China. The Clausius-Clapeyron regression analysis indicated that evaporation from local contaminated surfaces constitutes a primary emission source of PCBs in the air at the e-waste site. The chiral signatures of PCBs in the air at the e-waste site were essentially racemic (mean EFs = (0.484 ± 0.022)-(0.499 ± 0.004) in the gaseous phase) except for PCB 84 (0.420 ± 0.050), indicating that racemic sources dominate the PCB emission in the air. PCB chiral signatures in the soils ((0.422 ± 0.038)-(0.515 ± 0.016)) were similar to those in the air except for PCB 95. However, the chiral PCBs in the plants (especially the eucalyptus leaves) had significantly nonracemic residues ((0.368 ± 0.075)-(0.561 ± 0.045)) compared to those in the air and soil. This finding suggests that enantioselective biotransformation of these atropisomeric PCBs was very likely to occur in the plant leaves, possibly due to metabolism by cytochrome P-450 enzymes in leaves. To our knowledge, this is the first report on the enantioselective metabolism of chiral PCBs in plants under field conditions.

Air-plant exchange of brominated flame retardants at a rural site: Influencing factor, interspecies difference, and forest scavenging.

Brominated flame retardants (BFRs) in eucalyptus leaves and pine needles from a rural site in southern China were measured to investigate the air-plant exchange. Mean concentrations of BFRs were higher in pine needles (79.8 ng/g dry wt) than in eucalyptus leaves (74.5 ng/g), whereas an inverse result was found for the leaf surface particles, with mean concentrations of 3490 ng/g and 5718 ng/g, respectively. For most of the BFRs, the correlations between their concentrations in plants and those in the vapor phase, atmospheric particles, leaf surface particles, and the environmental variables (temperature, wind speed, and relative humidity) at this site were in contrast to the results the authors observed at an electronic waste site previously, indicating that ambient air level plays a vital role in the relationships. The interspecies difference in the BFR profiles and the correlations above implied that pine needles likely have more advantages for uptake of BFRs from gaseous deposition than eucalyptus leaves, for which particle-bound deposition is more important. Like the electronic waste site, the leaf scavenging ratios of BFRs were also controlled by their octanol-air partition coefficient. It was estimated that approximately 154 kg of BFRs in the atmosphere are scavenged annually by forest in this region, which was 1.7 times larger than that via atmospheric deposition to nonforest ground.