Analysis of Clinical Characteristics and Influencing Factors of Early Neurological Deterioration in Patients With Mild Stroke by Intravenous Alteplase Therapy.

OBJECTIVES: Thrombolysis treatment for patients with mild stroke is controversial. The aim of our study was to investigate the clinical characteristics and influencing factors of early neurological deterioration (END) in this group of patients. METHODS: A retrospective analysis was performed on ischemic stroke patients with intravenous thrombolysis (IVT) in Wenzhou Central Hospital. Subgroup analyses were performed for the mild stroke group and nonmild stroke group, END group, and non-early neurological deterioration group in mild stroke patients, respectively. RESULTS: A total of 498 patients were included in this study. Compared with the control group, the mild stroke group was younger age, less atrial fibrillation, previous history of stroke and less use of antithrombotic drugs, more dyslipidemia, smoking, and drinking. Small artery occlusion type was more common in mild stroke, cardioembolism and stroke of undetermined etiology type were less. In the mild stroke group, the symptomatic intracerebral hemorrhage (sICH) rate was 2.54%, and the END rate was 16.1%. Predictors of END included systolic blood pressure, blood glucose, cardioembolism subtype, sICH, and large vessel occlusion. In END patients, the sICH rate was 10.53%, and 84.21% of cases started to worsen within 12 hours after IVT. There was no statistically significant difference in the time to exacerbation among different subtypes. CONCLUSIONS: The occurrence of mild stroke in young patients was largely related to unhealthy lifestyles. The incidence of END in mild stroke IVT patients was low, with most occurring within 12 hours of IVT. There were many risk factors for END: large vessel occlusion and hyperglycemia were independent risk factors for END after IVT. sICH was an important but rare risk factor for END.

Vital Sign Detection during Large-Scale and Fast Body Movements Based on an Adaptive Noise Cancellation Algorithm Using a Single Doppler Radar Sensor.

The non-contact detection of human vital signs (i.e., respiration rate (RR) and heartbeat rate (HR)) using a continuous-wave (CW) Doppler radar sensor has great potential for intensive care monitoring, home healthcare, etc. However, large-scale and fast random body movement (RBM) has been a bottleneck for vital sign detection using a single CW Doppler radar. To break this dilemma, this study proposed a scheme combining adaptive noise cancellation (ANC) with polynomial fitting, which could retrieve the weak components of both respiration and heartbeat signals that were submerged under serious RBM interference. In addition, the new-type discrete cosine transform (N-DCT) was introduced to improve the detection accuracy. This scheme was first verified using a numerical simulation. Then, experiments utilizing a 10-GHz Doppler radar sensor that was built from general-purpose radio frequency (RF) and communication instruments were also carried out. No extra RF/microwave components and modules were needed, and neither was a printed circuit board nor an integrated-chip design required. The experimental results showed that both the RR and HR could still be extracted during large-scale and fast body movements using only a single Doppler radar sensor because the RBM noises could be greatly eliminated by utilizing the proposed ANC algorithm.

[Screening and phosphate-solubilizing characteristics of phosphate-solubilizing actinomycetes in rhizosphere of tree peony.] / ç‰¡ä¸¹æ ¹é™ æº¶ç£·æ”¾çº¿èŒçš„ç­›é€‰åŠå ¶æº¶ç£·ç‰¹æ€§.

A strain PSPSA1 with strong phosphate-solubilizing ability was isolated from the rhi-zosphere of tree peony. This strain was identified based on morphological characteristics, physiological and biochemical experiments, and 16S rDNA sequence analysis. Furthermore, its genetic stabi-lity and phosphate-solubilizing characteristics were investigated. Strain PSPSA1 was identified as the actinomycete Streptomyces albireticuli and showed high genetic stability. The order of phosphate solubilization capacity (PSC) in different phosphorus-source culture media was calcium phosphate (158.5 mg·L-1) > aluminum phosphate (139.9 mg·L-1) > ferric phosphate (127.7 mg·L-1) > lecithin (45.6 mg·L-1). The PSC and pH were significantly negatively correlated in inorganic phosphorus solution, but were not correlated in organic phosphorus solution. When using different carbon sources, PSC was in the order of lactose > glucose > maltose > fructose > sucrose > starch > cellulose. For different nitrogen sources, PSC was in the order of peptone > ammonium nitrate > ammonium sulfate > potassium nitrate > urea. Using glucose as a carbon source and peptone as a nitrogen source, strain PSPSA1 achieved the highest PSC of 202.6 mg·L-1. After incubated for 60 days, the available phosphorus content in soil with a single application of strain PSPSA1 increased by 68.2% compared with control, and the available phosphorus content in soil with mixed application of strain PSPSA1 and organic fertilizer increased by 76.7% compared with a single application of organic fertilizer. The results indicated that the strain PSPSA1 had a strong ability to dissolve insoluble phosphorus and its mixed application with organic fertilizer improved the phosphorus solubilization. Thus, PSPSA1 is a promising microbial resource for the production of high-efficiency biological phosphorus fertilizer.

Association of Matrix Metalloproteinase-1 and Matrix Metalloproteinase-3 Gene Variants with Ischemic Stroke and Its Subtype.

BACKGROUND: Genetic variations in the genes of matrix metalloproteinases (MMPs) may play an important role in the pathogenesis of ischemic stroke (IS). Here we investigate the association between MMP-1 -1607 1G/2G and MMP-3 -1171 5A/6A genetic polymorphisms and etiological subtypes of IS in the Han Chinese population. METHODS: A total of 640 eligible patients with IS and 637 age- and gender-matched apparently healthy volunteers were enrolled. Subtypes of IS were classified by Trial of Org 10172 in Acute Stroke Treatment criteria. MMP-1 (-1607 1G/2G) and MMP-3 (-1171 5A/6A) polymorphisms were evaluated using polymerase chain reaction-restriction fragment length polymorphism. RESULTS: The frequencies of the 5A/6A + 5A/5A genotypes and 5A allele were significantly higher in patients with IS than in controls (P <.001, P <.001, respectively). No association was found between MMP-1 1G/2G polymorphism and overall IS. In subgroup analyses, MMP-1 1G/2G and 2G/2G genotypes increased the risk of small-artery occlusion (SAO) subtype (multivariate-adjusted, P <.001, P = .002, respectively), and MMP-3 5A/6A + 5A/5A genotypes were related with large-artery atherosclerosis (LAA) subtype (multivariate-adjusted, P <.001). Haplotype analyses indicated that 2G-6A and 1G-5A increased the risk of SAO (multivariate-adjusted, P = .029) and LAA (multivariate-adjusted, P <.001), respectively. CONCLUSIONS: MMP-1 (-1607 1G/2G) and MMP-3 (-1171 5A/6A) polymorphisms may contribute to different subtypes of IS susceptibility.

Impact of 5A/6A polymorphism of matrix metalloproteinase-3 on recurrent atherosclerotic ischemic stroke in Chinese.

Little is known about the impact of the 5A/6A polymorphism of matrix metalloproteinase-3 (MMP-3) on recurrence of atherosclerotic ischemic stroke in Chinese. The aim of this study was to investigate the association of MMP-3 serum level and 5A/6A genetic polymorphism with the recurrence of atherosclerotic ischemic stroke in the Chinese Han population. We analyzed 106 large artery atherosclerosis (LAA) recurrent ischemic stroke patients and 545 LAA first onset ischemic stroke patients from January 2009 to June 2014. Serum MMP-3 concentrations were measured with an enzyme-linked immunosorbent assay. The genotypes of MMP-3 promoter polymorphism (-1171 5A/6A) were determined using polymerase chain reaction-restriction fragment length polymorphism. The frequencies of MMP-3 5A/6A+5A/5A (32.08% vs. 21.47%, p = 0.02) genotype and 5A (16.98% vs. 11.01%, p = 0.01) allele in the recurrent group was significantly higher than those in the first onset group. After adjustment for vascular risk factors, multivariate logistic regression analysis suggested that the MMP-3 5A/6A+5A/5A genotype was an independent risk factor for LAA recurrent ischemic stroke (odds ratio [OR], 1.74; 95% confidence interval [CI], 1.09-2.79, p = 0.021). No significant difference was observed for the MMP-3 serum concentrations between the recurrent group and the first onset group (22.23 ± 8.31 vs. 21.49 ± 7.89 ng/ul, t = 0.88, p = 0.38). The MMP-3 (-1171 5A/6A) polymorphism may contribute to LAA recurrent ischemic stroke susceptibility. Analysis of 5A/6A polymorphism in MMP-3 may identify patients at higher risk for LAA ischemic stroke recurrence, who may be selected for intensive preventive therapy.

[Effects of bamboo biochar addition on temperature rising, dehydration and nitrogen loss during pig manure composting].

Composting is an effective way to realize the treatment and recycling of livestock manure. However, traditional composting process has the problems of slow temperature rising, poor dehydration effect and serious nitrogen loss. Composting experiments of pig manure were carried out to investigate the influence of different rates of bamboo biochar addition on the temperature rising speed, dehydration effect and nitrogen loss during the composting process. The results showed that the addition of bamboo biochar could shorten the temperature rising time of the pile by 24-48 h, increase the dehydration rate by 13.6%-21.4%, and prolong the lasting time of the thermophilic phase by 216-264 h. The NH(4+)-N, NO(3-)-N, and total nitrogen contents in the pile were higher under the treatments with bamboo biochar amendment than under the control, and moreover, the nitrogen fixation percentage increased by 28.3%-65.4% as compared to the control.

[Nitrogen loss and its control during livestock manure composting].

Composting is an effective way to realize livestock manure treatment and recycling. However, the nitrogen loss during manure composting is relatively serious. Studies on this nitrogen loss and its control could provide theoretic basis and practical reference for efficient nitrogen loss control. This paper described the nitrogen transformation and the main nitrogen loss ways during the composting, and summarized the main factors (including raw material characteristics, environment factors, and technological conditions) affecting the nitrogen loss in the composting. In addition, the research progress in the nitrogen loss control, including adjusting carbon and nitrogen metabolism, changing nitrogen form, adding ammonia adsorbent, and controlling pile aeration and temperature, was reviewed, and the prospects for future research were presented.

Effects of bamboo charcoal and bamboo vinegar on nitrogen conservation and heavy metals immobility during pig manure composting.

Composting is an effective methodology for the treatment of organic waste like pig manure (PM) before land application. However, nitrogen loss through NH(3) volatilization during the thermophilic phase is one of the major disadvantages of composting. The presence of Cu and Zn in compost arising from pig feed additives is also an issue. In this study the effects of bamboo charcoal (BC) and bamboo vinegar (BV) added to composting piles on nitrogen conservation and immobility of Cu and Zn during PM composting was investigated. Total Kjeldahl nitrogen (TKN) loss and mobility of Cu and Zn decreased with increased BC addition. TKN loss and mobility of Cu and Zn in the treatment with 9% BC at the end of composting significantly decreased by 65%, 35% and 39% respectively, as compared to the control. Addition of BV further decreased TKN loss. After composting, TKN loss in the treatment with 3% BC+0.4% BV was 23% lower than that in the treatment with 9% BC. The final results indicated that by adding BC or BC+BV into PM composting is an effective method to reduce TKN loss and control the mobility of Cu and Zn.