Systemic immune inflammatory index is an independent predictor for the requirement of decompressive craniectomy in large artery occlusion acute ischemic stroke patients after mechanical thrombectomy.

Background and purpose: Following mechanical thrombectomy (MT), patients with large artery occlusive acute ischemic stroke (LAO-AIS) often have cerebral herniation due to its complications, resulting in poor prognosis. Decompressive craniectomy (DC) can markedly improve patient prognosis. This study aimed to verify the predictive value of clinical parameters such as the systemic immune-inflammatory index (SII) for DC in patients with LAO-AIS after MT. Methods: Clinical data of a total of 173 patients with LAO-AIS treated with MT between January 2020 and January 2022 were retrospectively analyzed. Patients receiving DC were grouped into an experimental group or a control group (no DC). The patients were randomly divided into the training set (n = 126, 75%) and validation set (n = 43, 25%). Multivariate logistic regression was used to construct a nomogram predictive model. Results: The SII value in the experimental group (median: 2851.1×109/L) was significantly higher than that in the control group (median: 1898.6 × 109/L) (P = 0.019). Receiver operating characteristic (ROC) analyses showed that the best cutoff value of the SII was 2505.7 × 109/L with a sensitivity of 55%, a specificity of 75.8%, and an area under the curve (AUC) of 0.649. Multivariate logistic regression indicated that the SII was an independent predictor for performing DC in patients with LAO-AIS after MT (OR = 3.579, 95% CI = 1.360-9.422, P = 0.01). The AUC was 0.728 in the training set and 0.583 in the validation set. The average error of the calibration curve was 0.032 in the training set and 0.023 in the validation set. The average error was relatively small and consistent in the training set and validation set. The C-index of the nomogram was 0.804 suggesting good accuracy. Conclusions: The SII at admission is an independent predictor for the requirement of DC in patients with LAO-AIS after MT. The SII-based nomogram helps doctors make decisions on whether DC is needed timely and rationally, and thereby may improve the prognosis of these patients.

Organic Liquid Fertilizer Coupled With Single Application of Chemical Fertilization Improves Growth, Biomass, and Yield Components of Cotton Under Mulch Drip Irrigation.

Excessive fertilization, low nutrient utilization rate, and continuous deterioration of cotton field environment have adversely affected the sustainable development of cotton in Xinjiang province of China. To overcome these issues, we hypothesized that an appropriate combination of liquid organic fertilizer and chemical fertilizer (CF) would effectively reduce the input of CF without sacrificing the quality and yield of cotton. A 2-year field experiment explores the effects of three fertilization treatments on the growth, biomass accumulation, and yield of cotton. The three fertilization treatments, namely, no application of fertilizer (CK), the single application of CF, and the combined application of organic liquid fertilizer and CF (F0.6-F1.4), were set up in five ratios. Compared with CF treatment, the combined application of organic liquid fertilizer and CF treatments (F0.6-F1.2) speeded the growth period of cotton by 2-7 days with increased plant height, stem diameter, functional leaf width, and more number of branches, with 9.7-23.5 and 8.4-28.5% higher total plant biomass (TPB) and reproductive organs biomass (ROB), respectively. Compared with CF treatment, the rapid growth duration and maximum accumulation rate of reproductive organs were the highest in F0.8 treatment, with an average increase of 4.6 days and 20.3%. Increment in biomass accumulation contributed to an average increase of 21.8 and 18.9% in cotton boll number and yield, respectively, under F0.8 treatment. Principal component analysis shows that the total biomass, ROB, and total bolls per unit area were positively correlated with the yield, while stem diameter and vegetative organ biomass are negatively correlated with the yield. In conclusion, under film mulching with drip irrigation, organic liquid fertilizer combined with CF reduced by 20% (F0.8 treatment: N, P2O5, and K2O were 182, 104, and 76 kg hm-2, respectively) can sustain the normal growth, promote the accumulation rate of ROB, and lead to efficient cotton production.

[Responses of root physiological characteristics of different drought-tolerant cotton varieties to drought]. / ä¸¤ä¸ªä¸åŒè€æ—±æ€§æ£‰èŠ±å“ç§æ ¹ç³»ç”Ÿç†ç‰¹æ€§å¯¹å¹²æ—±çš„å“åº”.

In order to explore the physiological responses of root system of different drought-resistant cotton varieties to drought and their relationships with biomass, we examined the effects of drought stress on root vigor, antioxidant enzyme activities and anatomic structure (duct diameter, number) and biomass of different drought-tolerant varieties, including the drought-inolerant variety 'Xinluzao 17' (L17) and the drought-tolerant variety 'Xinluzao 22' (L22). Both varieties were grown under soil column cultivation conditions, with conventional irrigation (CK), mild drought (W1) and moderate drought (W2) treatments. The results showed that drought stress caused significant reductions in soluble protein (SP) content, root vigor (RV), the number of cork layers, the number of rhizome ducts, the diameter of the ducts in both varieties. The higher root MDA content, CAT, POD and SOD activities in response to drought led to reduction of aboveground dry mass. Compared with that of L17, SP content, 0-40 cm and 80-120 cm soil layer RV, the number of cork layers, the number of rhizome ducts, the diameter of ducts, and the aboveground dry mass of L22 all signi-ficantly increased. Under the W2 treatment, the RV decrease of L22 was 26.2% lower than that of L17, and CAT, POD, SOD activities and the thickness of cortex were 43.6%, 6.9%, 25.4%, 19.9% higher than that of L17. There were positive correlations between dry mass and RV, SOD, POD, the number of cork layers, the diameter and number of rhizome ducts. Therefore, cotton variety with strong drought tolerance could maintain higher root activity, cork layer number, the diameter of rhizome ducts, and number under drought conditions, and thus promote the accumulation of aboveground biomass, which was the physiological mechanism for their stronger drought tolerance.

[Responses of cotton canopy structure characteristics to drip irrigation quota in north Xinjiang, China]. / æ–°ç–†åŒ—éƒ¨æ£‰èŠ±å† å±‚ç»“æž„ç‰¹å¾å¯¹æ»´çŒå®šé¢çš„å“åº”.

We investigated the effects of different drip irrigation quotas on leaf area index (LAI), diffuse non-interceptance (DIFN), light interception rate (LIR), canopy apparent photosynthetic rate (CAP), and cotton yield of Xinluzao 45 in field of north Xinjiang. There were five drip irrigation treatments, i.e. W1: 600 m3·hm-2, W2: 540 m3·hm-2, W3: 480 m3·hm-2, W4: 420 m3·hm-2, W5: 360 m3·hm-2. The results showed that with the decrease in drip irrigation quota, LAI, LIR and CAP of cotton substantially decreased, with the difference between W1 and W2 being not statistically significant from the full squaring to boll opening stage. Moreover, DIFN was enhanced with the reduction in drip irrigation quota. Highest seed and lint yield (6549 kg·hm-2 and 2677 kg·hm-2, respectively) presented in W1. W2 got a 6.5% reduction of seed cotton yield compared with W1, but the irrigation water use efficiency was enhanced by 3.9%. LAI, LIR and CAP were positively correlated with seed cotton yield from full flowering stage to full boll stage. Therefore, drip irrigation quota at 540 m3·hm-2 could increase irrigation water use efficiency, maintain higher leaf area index, increase diffuse non-interceptance, and ensure light interception rate from full flowering stage to full boll stage, which could enhance canopy apparent photosynthetic rate and water use efficiency without sacrificing yield.

Rapid recovery of photosynthetic rate following soil water deficit and re-watering in cotton plants (Gossypium herbaceum L.) is related to the stability of the photosystems.

The responses of gas exchange, chlorophyll fluorescence and the anti-oxidative system of cotton leaves were studied during water deficit and recovery. The results show that water deficit led to a reversible reduction in the photosynthetic rate. This reduction was mainly accompanied by stomatal limitation. The activity of photosystem II (PSII) and photosystem I (PSI) was relatively stable during water deficit and recovery. Water deficit caused an enhanced production of reactive oxygen species (ROS) and increased lipid peroxidation. Proline accumulation and the anti-oxidative enzymes such as superoxide dismutase (SOD), ascorbate peroxidase (APX) and peroxidase (POD), along with the antioxidant ascorbate (AsA), increased during water deficit. On re-watering, the ROS generation rate, anti-oxidative enzymes activities and the extent of the lipid peroxidation returned to near control values. Overall, rapid recovery of the photosynthetic rate is related to the stability of the photosystems which appears to be a critical mechanism allowing cotton plants to withstand and survive drought environments.

Different strategies of acclimation of photosynthesis, electron transport and antioxidative activity in leaves of two cotton species to water deficit.

To better understand the adaptation mechanisms of the photosynthetic apparatus of cotton plants to water deficit conditions, the influence of water deficit on photosynthesis, chlorophyll a fluorescence and the activities of antioxidant systems were determined simultaneously in Gossypium hirsutum L. cv. Xinluzao 45 (upland cotton) and Gossypium barbadense L. cv. Xinhai 21 (pima cotton). Water deficit decreased photosynthesis in both cotton species, but did not decrease chlorophyll content or induce any sustained photoinhibition in either cotton species. Water deficit increased ETR/4-AG, where ETR/4 estimates the linear photosynthetic electron flux and AG is the gross rate of carbon assimilation. The increase in ETR/4-AG, which represents an increase in photorespiration and alternative electron fluxes, was particularly pronounced in Xinluzao 45. In Xinluzao 45, water deficit increased the activities of antioxidative enzymes, as well as the contents of reactive oxygen species (ROS), which are related to the Mehler reaction. In contrast, moderate water deficit particularly increased non-photochemical quenching (NPQ) in Xinhai 21. Our results suggest that Xinluzao 45 relied on enhanced electron transport such as photorespiration and the Mehler reaction to dissipate excess light energy under mild and moderate water deficit. Xinhai 21 used enhanced photorespiration for light energy utilisation under mild water deficit but, when subjected to moderate water deficit, possessed a high capacity for dissipating excess light energy via heat dissipation.

Alternative electron sinks are crucial for conferring photoprotection in field-grown cotton under water deficit during flowering and boll setting stages.

To clarify the photoprotective mechanisms of cotton leaves under water deficit in the field, leaf gas exchange, chlorophyll a fluorescence as well as the corresponding physiological responses were examined in cotton (Gossypium hirsutum L.) to evaluate electron flux distribution. With increasing water deficit, net photosynthetic rate (Pn) significantly decreased, the total electron flux through PSII [Je(PSII)] gradually decreased and the fraction of electron flux required to sustain CO2 assimilation [Je(PCR)] markedly declined. Simultaneously, the ratio of quantum efficiency of PSII [Φ(PSII)] to the quantum efficiency of CO2 fixation [Φ(CO2)] increased, accompanied by an increase in the alternative electron flux (Ja). The enhanced alternative electron flux of O2-dependent Ja(O2-dependent) indicated that electrons had been transported to O2 in the Mehler-peroxide reaction (MPR) and that the remaining alternative electron flux Ja(O2-independent) had been used for nitrate reduction, as indicated by an increase in nitrate reductase (NR) and glutathinone reductase (GR) activities. In addition, mild water deficit increased the proportion of electron flux for the photorespiratory carbon oxidation [Je(PCO)]. Water deficit significantly increased surperoxide radical production rate (O2-•) and hydrogen peroxide content (H2O2), and the activities of superoxide dismutase (SOD), ascorbate peroxidase (APX), peroxidase (POD) and catalase (CAT) in cotton leaves also increased under water deficit. Therefore, the Mehler-peroxidation reaction, photorespiration and nitrate reduction helped to dissipated excess light energy, being important photoprotective mechanisms for adapting the photosynthetic apparatus to mild and moderate water deficit in cotton.

[Effects of drought and re-watering on endogenous hormone contents of cotton roots and leaves under drip irrigation with mulch].

Under the climatic and ecological conditions of Xingjiang, Northwest China, different degrees of drought stress were installed during the growth stages of cotton, and the drip irrigation with mulch was adopted, aimed to study the effects of drought stress and re-watering on the endogenous hormones (abscisic acid, ABA; and zeatins, ZRs) contents of cotton roots and leaves and the stomatal conductance (gs) of cotton leaves. With the increase of drought stress at different growth stages, the ABA contents of cotton roots and leaves increased, while the ZRs contents of cotton roots and leaves and the gsand photosynthetic rate (Pn) of cotton leaves decreased, with greater decrements in the treatment of soil moisture content being 40% -45% of field capacity at early flowering-full flowering stage. After re-watering, the ABA contents of cotton roots and leaves d:d not have a decrease with the improvement of soil moisture regime, while the ZRs contents of cotton roots recovered rapidly or exceeded the control after 1-3 days of re-watering. There was a positive correlation between the ZRs contents of cotton roots and the gs of cotton leaves. In the treatment of soil moisture content being 50% -55% of field capacity at full budding-early flowering stage, the ZRs contents and gs of cotton leaves recovered more quickly and with greater increments. It was suggested that the higher ZRs contents of cotton roots after re-watering could be the main cause for the higher stomatal conductance and photosynthetic rate of cotton leaves.

[Effects of water and nitrogen management modes on the leaf photosynthetic characters and yield formation of cotton with under-mulch drip irrigation].

Taking different genotype cotton varieties as test materials, a soil column culture experiment was conducted to study the effects of water and nitrogen management modes on the photosynthetic characters and yield formation of cotton with under-mulch drip irrigation in Xinjiang, Northwest China. Under the management mode W4N2, i.e., pre-sowing irrigation + limited drip irrigation before full-flowering + abundant drip irrigation after full-flowering in combining with basal 20% N + topdressing 80% N, the chlorophyll content, net photosynthetic rate (Pn), stomatal conductance (gs) , actual photochemical efficiency of photosystem II (Psi PSII), and photochemical quenching coefficient (qp) at full-flowering stage all decreased significantly, the non-photochemical quenching (NPQ) increased, and the aboveground dry matter accumulation was inhibited, as compared with those under common drip irrigation. From full-flowering stage to boll-opening stage, the chlorophyll content, gs, Pn, Psi PSII, and qp increased with increasing water and nitrogen supply, and the aboveground dry matter accumulation was enhanced by compensation, which benefited the translocation and distribution of photosynthates to seed cotton. Under the fertilization mode of basal 20% N + topdressing 80% N, the seed cotton yield of Xinluzaol3 was the highest in treatment pre-sowing irrigation + common drip irrigation (W3), but that of Xinluzao43 was the highest in treatment pre-sowing irrigation + limited drip irrigation before full-flowering + abundant drip irrigation after full-flowering (W4). It was concluded that under the condition of pre-sowing irrigation, to appropriately decrease the water and nitrogen supply before full-flowering stage and increase the water and nitrogen supply at middle and late growth stages could extend the active photosynthesis duration and promote the photosynthates allocation to reproductive organ, which would fully exploit the yield-increasing potential of cotton with under-mulch drip irrigation.

[Canopy light distribution and its correlation with photosynthetic production in super-high yielding cotton fields of Xinjiang, Northwest China].

Taking the super-high yielding cotton fields (lint yield > or = 4000 kg x hm(-2)) in Xinjiang as the objects, this paper studied the canopy light distribution, photosynthetic rate, and dry matter accumulation at different growth stages, as well as the relationships between the characteristics of canopy light environment and the photosynthetic production. From full flowering stage to late full bolling stage, the light absorption proportion in the upper, middle and lower canopy layers in the super-high yielding cotton fields was 2:2:1, and the canopy transmission coefficients for radiation penetration and diffuse penetration were 0.20-0.55 and 0.22-0.56, respectively, being at reasonable level. The leaves in the middle and lower canopy layers could well accept light, and the leaf photosynthetic rate had little difference among different canopy layers. Compared with high yielding (3500 kg x hm(-2)) and generally high yielding (3000 kg x hm(-2)) cotton fields, super-high yielding cotton field had higher leaf area index and the highest canopy photosynthesis rate at early full boiling stage, and slowly decreased leaf area index, higher canopy photosynthesis rate, increased contribution of non-foliar organs to photosynthetic production, and larger dry matter accumulation from early boll-opening stage to full boll-opening stage. In cotton cultivation, to adjust the canopy structure for the equidistribution of light and canopy photosynthesis capacity in vertical direction could be the important strategy for the efficient utilization of absorbed light energy and the realization of super-high yielding.

[Effects of water storage in deeper soil layers on the root growth, root distribution and economic yield of cotton in arid area with drip irrigation under mulch].

Taking cotton cultivar Xinluzao 13 as test material, a soil column culture expenment was conducted to study the effects of water storage in deeper (> 60 cm) soil layer on the root growth and its relations with the aboveground growth of the cultivar in arid area with drip irrigation under mulch. Two levels of water storage in 60-120 cm soil layer were installed, i. e., well-watered and no watering, and for each, the moisture content in 0-40 cm soil layer during growth period was controlled at two levels, i.e., 70% and 55% of field capacity. It was observed that the total root mass density of the cultivar and its root length density and root activity in 40-120 cm soil layer had significant positive correlations with the aboveground dry mass. When the moisture content in 0-40 cm soil layer during growth season was controlled at 70% of field capacity, the total root mass density under well-watered and no watering had less difference, but the root length density and root activity in 40-120 cm soil layer under well-watered condition increased, which enhanced the water consumption in deeper soil layer, increased the aboveground dry mass, and finally, led to an increased economic yield and higher water use efficiency. When the moisture content in 0-40 cm soil layer during growth season was controlled at 55% of field capacity and the deeper soil layer was well-watered, the root/shoot ratio and root length density in 40-120 cm soil layer and the root activity in 80-120 cm soil layer were higher, the water consumption in deeper soil layer increased, but it was still failed to adequately compensate for the negative effects of water deficit during growth season on the impaired growth of roots and aboveground parts, leading to a significant decrease in the economic yield, as compared with that at 70% of field capacity. Overall, sufficient water storage in deeper soil layer and a sustained soil moisture level of 65% -75% of field capacity during growth period could promote the downward growth of cotton roots, which was essential for achieving water-saving and high-yielding cultivation of cotton with drip irrigation under mulch.

Important photosynthetic contribution from the non-foliar green organs in cotton at the late growth stage.

Non-foliar green organs are recognized as important carbon sources after leaves. However, the contribution of each organ to total yield has not been comprehensively studied in relation to the time-course of changes in surface area and photosynthetic activity of different organs at different growth stages. We studied the contribution of leaves, main stem, bracts and capsule wall in cotton by measuring their time-course of surface area development, O(2) evolution capacity and photosynthetic enzyme activity. Because of the early senescence of leaves, non-foliar organs increased their surface area up to 38.2% of total at late growth stage. Bracts and capsule wall showed less ontogenetic decrease in O(2) evolution capacity per area and photosynthetic enzyme activity than leaves at the late growth stage. The total capacity for O(2) evolution of stalks and bolls (bracts plus capsule wall) was 12.7 and 23.7% (total ca. 36.4%), respectively, as estimated by multiplying their surface area by their O(2) evolution capacity per area. We also kept the bolls (from 15 days after anthesis) or main stem (at the early full bolling stage) in darkness for comparison with non-darkened controls. Darkening the bolls and main stem reduced the boll weight by 24.1 and 9%, respectively, and the seed weight by 35.9 and 16.3%, respectively. We conclude that non-foliar organs significantly contribute to the yield at the late growth stage.

Two distinct strategies of cotton and soybean differing in leaf movement to perform photosynthesis under drought in the field.

This paper reports an experimental test of the hypothesis that cotton and soybean differing in leaf movement have distinct strategies to perform photosynthesis under drought. Cotton and soybean were exposed to two water regimes: drought stressed and well watered. Drought-stressed cotton and soybean had lower maximum CO2 assimilation rates than well-watered (control) plants. Drought reduced the light saturation point and photorespiration of both species - especially in soybean. Area-based leaf nitrogen decreased in drought-stressed soybean but increased in drought-stressed cotton. Drought decreased PSII quantum yield (ΦPSII) in soybean leaves, but increased ΦPSII in cotton leaves. Drought induced an increase in light absorbed by the PSII antennae that is dissipated thermally via ΔpH- and xanthophylls-regulated processes in soybean leaves, but a decrease in cotton leaves. Soybean leaves appeared to have greater cyclic electron flow (CEF) around PSI than cotton leaves and drought further increased CEF in soybean leaves. In contrast, CEF slightly decreased in cotton under drought. These results suggest that the difference in leaf movement between cotton and soybean leaves gives rise to different strategies to perform photosynthesis and to contrasting photoprotective mechanisms for utilisation or dissipation of excess light energy. We suggest that soybean preferentially uses light-regulated non-photochemical energy dissipation, which may have been enhanced by the higher CEF in drought-stressed leaves. In contrast, cotton appears to rely on enhanced electron transport flux for light energy utilisation under drought, for example, in enhanced nitrogen assimilation.

[Regulation effect of water storage in deeper soil layers on root physiological characteristics and leaf photosynthetic traits of cotton with drip irrigation under mulch].

A soil column culture experiment was conducted under the ecological and climatic conditions of Xinjiang to study the effects of water storage in deeper (> 60 cm) soil layers on the root physiological characteristics and leaf photosynthetic traits of cotton variety Xinluzao 13. Two treatments were installed, i.e., well-watered and no watering. The moisture content in plough layer was controlled at 70% +/- 5% and 55% +/- 5% of field capacity by drip irrigation under mulch during growth season. It was shown that the water storage in deeper soil layers enhanced the SOD activity and the vigor of cotton root, and increased the water use efficiency of plant as well as the leaf water potential, chlorophyll content, and net photosynthesis rate, which finally led to a higher yield of seed cotton and higher water use efficiency. Under well-watered condition and when the moisture content in plough layer was maintained at 55% of field capacity, the senescence of roots in middle and lower soil layers was slower, and the higher root vigor compensated the negative effects of impaired photosynthesis caused by water deficit to some extent. The yield of seed cotton was lower when the moisture content in plough layer was maintained at 55% of field capacity than at 70% of field capacity, but no significant difference was observed in the water use efficiency. Our results emphasized the importance of pre-sowing irrigation in winter or in spring to increase the water storage of deeper soil layers. In addition, proper cultivation practices and less frequent drip irrigation (longer intervals between successive rounds of irrigation) were also essential for conserving irrigation water and achieving higher yield.

[Neuroendoscopic surgery for symptomatic septum pellucidum cyst: report of 10 cases].

OBJECTIVE: To discuss the diagnosis, surgical indication, endoscopic fenestration procedures, and prognosis of symptomatic septum pellucidum cyst. METHOD: Ten patients with symptomatic septum pellucidum cyst showing clinical symptoms of elevated intracranial pressure and epilepsy with the maximal cyst width ranging from 12 to 35 mm underwent endoscopic cystoventriculostomy. RESULTS: During the follow-up period, 8 patients were symptom-free, one had significant improvement of the symptoms, but one failed to respond to the treatment. CONCLUSION: Endoscopic cystoventriculostomy is effective in the treatment of symptomatic septum pellucidum cyst, but care must be taken to avoid collateral injury in the operation.