Neutrophil-to-lymphocyte ratio (NLR) as a predictive index for liver and coagulation dysfunction in preeclampsia patients.

BACKGROUND: Pre-eclampsia (PE) is a pregnancy disorder that is related to an enhanced immune response. Immune cell characteristics such as neutrophil or monocyte to lymphocyte ratios (NLR, MLR) are known to be related to kidney and liver dysfunction in hypertensive patients. Here, we aimed to analyze the correlations between NLR, MLR and platelet to lymphocyte ratio (PLR) and liver, renal and coagulation functional parameters and the impacts of these immune cell profiles to the prognostic significance in PE patients. METHODS: Pre-delivery hematological and biochemical parameters of 320 first-time pregnant women registered at the Obstetrics Department of Yanbian University Hospital from 2016 to 2019 were analyzed retrospectively. Patients were divided into normal pregnancy (normal, n = 161), mild PE (mPE, n = 28) and severe PE (sPE, n = 131) groups according to diagnostic criteria. Pearson correlation analysis were performed and area under the curve (AUC) were conducted for the diagnostic values of NLR, MLR and PLR. Results were validated with data from the Department of Obstetrics and Gynecology of Seoul National University Hospital (SNUH). RESULTS: Kidney functional indexes were adversative in mPE and sPE and liver and coagulation indexes were worse in sPE compared to normal groups. Among immune cells, lymphocytes were increased in mPE and sPE patients, resulted in reduced NLR, MLR and PLR in PE groups, more significant difference were shown in sPE. NLR and PLR were associated with CREA and/or BUN negatively and positive associations were observed with total protein (TP) and albumin (ALB) in sPE. Only NLR showed positive associations with coagulation indexes (PT and APTT) in sPE. AUC analysis for NLR, MLR and PLR were 0.700, 0.656, 0.643, respectively, and NLR < 3.7 predicted hypertension (95% CI in all participants: 0.647-0.749, p < 0.001). Blood pressure, liver, kidney and coagulation indexes were worse at cut off value (NLR < 3.7), and this was validated with the data from SNUH. CONCLUSION: NLR could be used as an independent predictor of liver and coagulation dysfunction in PE patients. Our results may provide non-invasive and efficient way of the risk assessment among PE patients.

[Source and Influencing Factor Analysis of Soil Heavy Metals Based on PMF Model and GeoDetector].

In Lijiang City, as a typical example, 93 soil samples were collected from the study area, and soil pH； organic matter； and heavy metals arsenic （As）, mercury （Hg）, copper （Cu）, zinc （Zn）, lead （Pb）, cadmium （Cd）, and chromium （Cr） were determined. We explored the sources of heavy metals in the study area by means of Positive Definite Matrix Factorization （PMF） modeling and analyzed the impact of influencing factors by combining seven heavy metals with 13 influencing factors in a GeoDetector. The results showed that the mean values of soil heavy metals ω（As）, ω（Hg）, ω（Cu）, ω（Zn）, ω（Pb）, ω（Cd）, and ω（Cr） in the study area were 17.55, 0.19, 86.75, 164.84, 28.95, 0.39, and 167.87 mg·kg-1, respectively, which were greater than the background values of soils in Yunnan Province （except for As and Pb）. Regarding spatial distribution, the high values of Cu and Cr content were mainly concentrated in Yulong Naxi Autonomous County； the high value areas of As, Hg, Pb, and Cd were mainly concentrated in Ninglang Yi Autonomous County； and the high value of Zn content was mainly concentrated in Huaping County. Correlation analysis and PMF modeling revealed that the main sources of heavy metals As and Hg in the study area were industrial sources, Zn was from transportation pollution sources, Cr and Cu were from natural sources, and Cd and Pb were from agricultural sources. Further, the factor detector of the GeoDetector found that soil pH and organic matter （OC） had strong explanatory power for the content of seven heavy metals, and the interaction detector found that the results following the interaction of different influencing factors were nonlinear enhancement or two-factor enhancement, in which the interaction of OC and pH was the dominant factor for the spatial differentiation of heavy metals. This provides an important scientific basis for the protection of the soil environmental health and sustainable development in Lijiang City.

[Analysis of Heavy Metal Pollution Evaluation and Correlation of Farmland Soil and Vegetables in Zhaotong City].

A farmland area in Zhaotong City was taken as the research object， and the method of point-to-point collaborative sampling was used to collect farmland soil and vegetables in Zhaotong and test the content of six heavy metals， namely As， Pb， Cu， Zn， Cd， and Cr. The geo-accumulation index and potential ecological risk index were used to evaluate the heavy metal pollution of soil. The health risk model was used to evaluate the risk to the human body imposed by vegetables. The results showed that Cu， Zn， Pb， Cd， and Cr pollution existed in the research area. Compared with the risk screening value of farmland， the over-standard rates were 34.35%， 6.87%， 2.29%， 80.15%， and 6.11%， respectively； Pb， Cd， and Cr were found in vegetables. Compared with the pollutant limit in food， the over-standard rates were 6.87%， 15.27%， and 36.64%， respectively. According to the soil pollution evaluation， Cd in the soil showed a strong ecological risk， and other heavy metals in the soil showed a mild ecological risk. The human health risk evaluation model showed that both non-carcinogenic risk and carcinogenic risk were out of the acceptable range and had a greater influence on children. Correlation analysis showed that As in the soil had an antagonistic effect on Cu and Zn absorption by vegetables， whereas Cr in the soil could promote Cu and Zn absorption by vegetables.

[Progress of studies on the mechanism of acupuncture treatment of acute ischemic cerebral stroke].

In the present paper, the authors review the current development of studies on mechanisms of acupuncture treatment of acute ischemic cerebral apoplexy from (1) blood rheology, (2) cerebral microcirculation, 3) metabolism of cerebral tissue, (4) cerebral electrical activity, (5) free radicals and lipid peroxidation reaction, (6) excitatory aminoacid, (7) calcium overload, (8) nitrogen monoxidum, and (9) cerebral apoptosis. Cerebral stroke includes ischemic stroke and hemorrhagic stroke. Ischemic cerebral stroke accounted for about 60%-70% of all the stroke cases. At present, the main remedies for treating acute ischemic cerebral stroke includes thrombolysis, anti-platelet aggregation, improving microcirculation and symptomatic therapy. In stroke, highlighting the efficacy of acupuncture therapy in the treatment of stroke.