Rarer dementias are associated with atypical symptoms and younger onset,which result in a higher burden of care.We provide a review of the global literature on longitudinal decline in activities of daily living(ADLs)i...Rarer dementias are associated with atypical symptoms and younger onset,which result in a higher burden of care.We provide a review of the global literature on longitudinal decline in activities of daily living(ADLs)in dementias that account for less than 10%of dementia diagnoses.Published studies were identified through searches conducted in Medical Literature Analysis and Retrieval System Online(MEDLINE),Excerpta Medica Database(Embase),Excerpta Medica Care(Emcare),PsycINFO,and Cumulative Index in Nursing and Allied Health Literature(CINAHL).The search criteria included terms related to‘rarer dementias’,‘activities of daily living’and‘longitudinal or cross-sectional studies’following a predefined protocol registered.Studies were screened,and those that met the criteria were citation searched.Quality assessments were performed,and relevant data were extracted.20 articles were selected,of which 19 focused on dementias within the frontotemporal dementia/primary progressive aphasia spectrum,while one addressed posterior cortical atrophy.Four studies were cross-sectional and 16 studies were longitudinal,with a median duration of 2.2 years.The Disability Assessment for Dementia was used to measure decline in 8 of the 20 studies.The varied sequences of ADL decline reported in the literature reflect variation in diagnostic specificity between studies and within-syndrome heterogeneity.Most studies used Alzheimer’s disease staging scales to measure decline,which cannot capture variant-specific symptoms.To enhance care provision in dementia,ADL scales could be deployed postdiagnosis to aid treatment and planning.This necessitates staging scales that are variant-specific and span the disease course from diagnosis to end of life.展开更多
With the rapidly aging human population,age-related cognitive decline and dementia are becoming increasingly prevalent worldwide.Aging is considered the main risk factor for cognitive decline and acts through alterati...With the rapidly aging human population,age-related cognitive decline and dementia are becoming increasingly prevalent worldwide.Aging is considered the main risk factor for cognitive decline and acts through alterations in the composition of the gut microbiota,microbial metabolites,and the functions of astrocytes.The microbiota–gut–brain axis has been the focus of multiple studies and is closely associated with cognitive function.This article provides a comprehensive review of the specific changes that occur in the composition of the gut microbiota and microbial metabolites in older individuals and discusses how the aging of astrocytes and reactive astrocytosis are closely related to age-related cognitive decline and neurodegenerative diseases.This article also summarizes the gut microbiota components that affect astrocyte function,mainly through the vagus nerve,immune responses,circadian rhythms,and microbial metabolites.Finally,this article summarizes the mechanism by which the gut microbiota–astrocyte axis plays a role in Alzheimer’s and Parkinson’s diseases.Our findings have revealed the critical role of the microbiota–astrocyte axis in age-related cognitive decline,aiding in a deeper understanding of potential gut microbiome-based adjuvant therapy strategies for this condition.展开更多
Increasing temperatures and severe droughts threaten forest vitality globally.Prediction of forest response to climate change requires knowledge of the spatiotemporal patterns of monthly or seasonal climatic impacts o...Increasing temperatures and severe droughts threaten forest vitality globally.Prediction of forest response to climate change requires knowledge of the spatiotemporal patterns of monthly or seasonal climatic impacts on the growth of tree species,likely driven by local climatic aridity,climate trends,edaphic conditions,and the climatic adaption of tree species.The ability of tree species to cope with changing climate and the effects of environmental variables on growth trends and growth-climate relationships across diverse bioclimatic regions are still poorly understood for many species.This study investigated radial growth trends,interannual growth variability,and growth-climate sensitivity of two dominant tree species,Pinus tabulaeformis(PT)and Pinus sylvestris var.mongolica(PS),across a broad climatic gradient with a variety of soil properties in temperate Northern China.Using a network of 83 tree ring chronologies(54 for PT and 29 for PS)from 1971 to 2010,we documented that both species maintained constant growth trends at wet sites,while both displayed rapid declines at dry sites.We reported the species-specific drivers of spatial heterogeneity in growth trends,interannual growth variability,and growth-climate relationships.Calculated climatic variables and soil properties were identified as the most critical factors affecting the growth trends and growth-climate relationships.However,climatic variables play more essential roles than soil properties in determining the spatial heterogeneity of the growth-climate relationship.Lower clay content and higher soil nutrient regimes can exacerbate the moisture-related susceptibility of tree growth.Our findings highlight that soil properties emerged as important modulating factors to predict the drought vulnerability of forests in addition to climatic variables.Considering the continued climate warmingdrying trend in the future,both pines will face a more severe growth decline and increase in drought vulnerability at drier sites with lower clayed soil or higher nutrient regimes.展开更多
In January and February of 2025,China's textile and clothing exports totaled 42.88 billion US dollars,marking a 4.5%decrease compared to the same period in the previous year.The primary factors contributing to thi...In January and February of 2025,China's textile and clothing exports totaled 42.88 billion US dollars,marking a 4.5%decrease compared to the same period in the previous year.The primary factors contributing to this decline are as follows:First,China’s textile and clothing exports nearly reached USD 45 billion in January and February of 2024,setting a high base.Second,in order to avoid tariffs imposed by the United States,enterprises generally concentrated their exports at the end of last year and January this year.展开更多
Americans have always been proud of their democratic system. Since the end of World War Ⅱ, the United States has even used its democratic system as a template to “democratize” some other countries. However, in rece...Americans have always been proud of their democratic system. Since the end of World War Ⅱ, the United States has even used its democratic system as a template to “democratize” some other countries. However, in recent years, the domestic democratic chaos in the United States has intensified, causing widespread doubts about the American political system and its democratic model.展开更多
Warm-wet climatic conditions are widely regarded as conducive to remarkable tree growth,alleviating climatic pressures.However,the notable decline in tree growth observed in the southern edge of boreal forests has hei...Warm-wet climatic conditions are widely regarded as conducive to remarkable tree growth,alleviating climatic pressures.However,the notable decline in tree growth observed in the southern edge of boreal forests has heightened concerns over the spatial-temporal dynamics of forest decline.Currently,attaining a comprehensive grasp of the underlying patterns and their propelling factors remains a formidable challenge.We collected tree ring samples from a network of 50 sites across the Greater Xing'an Mountains.These samples were subsequently grouped into two distinct clusters,designated as Groups A and B.The percentage change of growth(GC,%)and the proportion of declining sites were utilized to assess forest decline.The decline in tree growth within Larix gmelinii forests exhibits significant regional variation,accompanied by temporal fluctuations even within a given region.Group A exhibited a pronounced increase in frequency(59.26%)of occurrences and encountered more severe declines(21.65%)in tree growth subsequent to the 1990s,contrasting sharply with Group B,which observed lower frequencies(20.00%)and relatively less severe declines(21.02%)prior to the 1980s.The primary impetus underlying the opposite radial growth increments observed in Larix gmelinii trees from the interplay between their differential response to temperatures and wetter climatic conditions,which is significantly influenced by varying stand densities.In cold-dry conditions,low-density forests may experience soil water freezing,exacerbating drought conditions and thereby inhibiting tree growth,in Group B.Trees growth in high-density stands is restrained by warm-wet conditions,in Group A.These results provide new insights into the variability at the southern edge of the boreal forest biome with different responses to density and climate.展开更多
The decline in groundwater level is a key factor contributing to cover collapse in karst areas.In this study,the model tests and numerical simulations are conducted to reveal the breeding process and formation mechani...The decline in groundwater level is a key factor contributing to cover collapse in karst areas.In this study,the model tests and numerical simulations are conducted to reveal the breeding process and formation mechanism of cover collapse sinkholes caused by the decline of groundwater level in karst area.Firstly,the model tests confirm that the decline of groundwater level generates negative pressure at the lower edge of overlying soil.The negative pressure experiences four distinct phases during the groundwater drawdown process:rapid rise,slow decline,rapid decline,and gradual dissipation.The maximum negative pressure is influenced by the particle size distribution of the overlying soil.Then,the numerical simulations are carried out to investigate the change process of negative pressure caused by the loss of fillers in karst pipe.The simulated results indicate that the rate of groundwater decline and the thickness and initial void ratio of the overlying soil can affect the maximum negative pressure.As groundwater level drops,a negative pressure zone forms underground,causing tensile failure in the surrounding soil and creating an arched soil hole,which weakens the support for the overlying soil.This phenomenon can also lead to the collapse of the overlying soil under its self-weight.Groundwater table decline in karst areas can result in both internal and surface collapses.When the overlying soil is thin,internal and surface collapses occur simultaneously.In contrast,for thick overlying soil,internal collapse happens first,followed by a layer-by-layer collapse,ultimately forming sinkholes.Finally,the breeding process and formation mechanism of the Yujiawan Reservoir sinkholes are discussed.Geological conditions and groundwater level decline significantly affect internal collapse in karst areas,requiring careful consideration from on-site engineers.展开更多
Objective:Inflammation in the central nervous system plays a crucial role in the occurrence and development of sepsis-associated encephalopathy.This study aims to explore the effects of maresin 1(MaR1),an anti-inflamm...Objective:Inflammation in the central nervous system plays a crucial role in the occurrence and development of sepsis-associated encephalopathy.This study aims to explore the effects of maresin 1(MaR1),an anti-inflammatory and pro-resolving lipid mediator,on sepsis-induced neuroinflammation and cognitive impairment.Methods:Mice were randomly assigned to 4 groups:A sham group(sham operation+vehicle),a cecal ligation and puncture(CLP)group(CLP operation+vehicle),a MaR1-LD group(CLP operation+1 ng MaR1),and a MaR1-HD group(CLP operation+10 ng MaR1).MaR1 or vehicle was intraperitoneally administered starting 1 h before CLP operation,then every other day for 7 days.Survival rates were monitored,and serum inflammatory cytokines[tumor necrosis factor alpha(TNF-α),interleukin(IL)-1β,and IL-6]were measured 24 h after operation using enzyme-linked immunosorbent assay(ELISA).Cognitive function was assessed 7 days after operation using the Morris water maze(MWM)test and novel object recognition(NOR)task.The mRNA expression of TNF-α,IL-1β,IL-6,inducible nitric oxide synthase(iNOS),IL-4,IL-10,and arginase 1(Arg1)in cortical and hippocampal tissues was determined by real-time reverse transcription PCR(RT-PCR).Western blotting was used to determine the protein expression of iNOS,Arg1,signal transducer and activator of transcription 6(STAT6),peroxisome proliferator-activated receptor gamma(PPARγ),and phosphorylated STAT6(p-STAT6)in hippocampal tissue.Microglia activation was visualized via immunofluorescence.Mice were also treated with the PPARγantagonist GW9662 to confirm the involvement of this pathway in MaR1’s effects.Results:CLP increased serum levels of TNF-α,IL-1β,and IL-6,and reduced body weight and survival rates(all P<0.05).Both 1 ng and 10 ng doses of MaR1 significantly reduced serum TNF-α,IL-1β,and IL-6 levels,improved body weight,and increased survival rates(all P<0.05).No significant difference in efficacy was observed between the 2 doses(all P>0.05).MWM test and NOR task indicated that CLP impaired spatial learning,which MaR1 mitigated.However,GW9662 partially reversed MaR1’s protective effects.Real-time RTPCR results demonstrated that,compared to the sham group,mRNA expression of TNF-α,IL-1β,and iNOS significantly increased in hippocampal tissues following CLP(all P<0.05),while IL-4,IL-10,and Arg1 showed a slight decrease,though the differences were not statistically significant(all P>0.05).Compared to the CLP group,both 1 ng and 10 ng MaR1 decreased TNF-α,IL-1β,and iNOS mRNA expression in hippocampal tissues and increased IL-4,IL-10,and Arg1 mRNA expression(all P<0.05).Immunofluorescence results indicated a significant increase in Iba1-positive microglia in the hippocampus after CLP compared to the sham group(P<0.05).Administration of 1 ng and 10 ng MaR1 reduced the percentage area of Iba1-positive cells in the hippocampus compared to the CLP group(both P<0.05).Western blotting results showed that,compared to the CLP group,both 1 ng and 10 ng MaR1 down-regulated the iNOS expression,while up-regulated the expression of Arg1,PPARγ,and p-STAT6(all P<0.05).However,the inclusion of GW9662 counteracted the MaR1-induced upregulation of Arg1 and PPARγcompared to the MaR1-LD group(all P<0.05).Conclusion:MaR1 inhibits the classical activation of hippocampal microglia,promotes alternative activation,reduces sepsis-induced neuroinflammation,and improves cognitive decline.展开更多
The shale revolution has turned the United States from an oil importer into an oil exporter.The success of shale oil production in the U.S.has inspired many countries,including China,to begin the exploitation and deve...The shale revolution has turned the United States from an oil importer into an oil exporter.The success of shale oil production in the U.S.has inspired many countries,including China,to begin the exploitation and development of shale oil resources.In this study,the production curves of over 30,000 shale oil wells in the Bakken,Eagle Ford(EF)and Permian are systematically analyzed to provide reference and guidance for future shale oil development.To find out the most suitable decline curve models for shale oil wells,fifteen models and a new fitting method are tested on wells with production history over 6 years.Interestingly,all basins show similar results despite of their varieties in geological conditions:stretched exponential production decline(SEPD)+Arps model provides most accurate prediction of estimated ultimate recovery(EUR)for wells with over 2 years'production,while the Arps model can be used before the two years'switch point.With the EUR calculated by decline curve analysis,we further construct simple regression models for different basins to predict the EUR quickly and early.This work helps us better understand the production of shale oil wells,as well as provide important suggestions for the choices of models for shale oil production prediction.展开更多
[Objective] The aim was to research relationship between SPAD decline index after full-heading stage （SDIFHS） and productivity of rice. fertilized with nitro- gen in order to provide theoretical and practical refere...[Objective] The aim was to research relationship between SPAD decline index after full-heading stage （SDIFHS） and productivity of rice. fertilized with nitro- gen in order to provide theoretical and practical references for selection and breed- ing of rice varieties. [Method] From 2008 to 2010, 18 mid-season hybrid rice vari- eties were researched every year to explore relationship＇ between SDIFHS and pro- ductivity of rice fertilized with nitrogen. [Result] The productivity of rice fertilized with nitrogen was of extremely significant positive corretation with SDIFHS, because the higher SPAD decline index is, the higher LAI decline index and the transformation ratio of dry matter to spikes in overground plant would be. [Conclusion] The re- search established a new method to predict productivity of rice fertilized with nitro- gen based on SPAD decline index.展开更多
Objective To examine whether the selectivity of visual cortical neurons to stimulus spatial frequencies would be affected by aging in cats.Methods In vivo extracellular single-unit recording techniques were employed t...Objective To examine whether the selectivity of visual cortical neurons to stimulus spatial frequencies would be affected by aging in cats.Methods In vivo extracellular single-unit recording techniques were employed to record the tuning responses of V1 neurons to different stimulus spatial frequencies in old and young adult cats.Results Statistical analysis showed that the mean optimal spatial frequency of grating stimuli that evoked the maximal response of V1 neurons in old cats was significantly lower than that in young adult cats.Furthermore,the mean high cut-off spatial frequency of grating stimuli that evoked the half amplitude of the maximal response of V1 neurons in old cats was also significantly lower than that in young adult cats.Conclusion These results are consistent with those reported in the V1 of old monkeys,suggesting that the age-related decline in the selectivity of visual cortical cells to spatial frequency could be generalized to all mammalian species and might contribute to visual acuity reduction in senescent individuals.展开更多
Forest structure and function are subject to risks of growth declines from intensified drought and frequent extreme events related to climate warming.Knowledge of tree growth declines will help anticipate future respo...Forest structure and function are subject to risks of growth declines from intensified drought and frequent extreme events related to climate warming.Knowledge of tree growth declines will help anticipate future responses of forests to climate change.In this study,we investigated tree growth declines over the last four centuries in a juniper forest on the eastern Tibetan Plateau.By analyzing the radial growth trajectories of individual trees,we identified two events of intense growth decline,one in 1817–1830 and the other in 1969–1999 over the past four centuries.The intensity of the recent decline was unprecedented in the period under study.Ring-width chronology showed a positive correlation with self-calibrating Palmer Drought Severity Indices and a negative correlation with mean monthly temperatures in May and June.The recent intensified growth decline may have been due to temperatureinduced frequent droughts in the study area.Our findings suggest that trees in this juniper forest may face a higher risk of growth decline and even mortality under continued climate warming.展开更多
Chronic stress is generally accepted as the main risk factor in the development of cognitive decline;however,the underlying mechanisms remain unclear.Previous data have demonstrated that the levels of homocysteine(Hcy...Chronic stress is generally accepted as the main risk factor in the development of cognitive decline;however,the underlying mechanisms remain unclear.Previous data have demonstrated that the levels of homocysteine(Hcy)are significantly elevated in the plasma of stressed animals,which suggests that Hcy is associated with stress and cognitive decline.To test this hypothesis,we analyzed the cognitive function,plasma concentrations of Hcy,and brain-derived neurotropic factor(BDNF)levels in rats undergoing chronic unpredicted mild stress(CUMS).The results showed that decreased cognitive behavioral performance and decreased BDNF transcription and protein expression were correlated with hyperhomocysteinemia(HHcy)levels in stressed rats.Diet-induced HHcy mimicked the cognitive decline and BDNF downregulation in the same manner as CUMS,while Hcy reduction(by means of vitamin B complex supplements)alleviated the cognitive deficits and BDNF reduction in CUMS rats.Furthermore,we also found that both stress and HHcy disturbed the DNA methylation process in the brain and induced DNA hypermethylation in the BDNF promoter.In contrast,control of Hcy blocked BDNF promoter methylation and upregulated BDNF levels in the brain.These results imply the possibility of a causal role of Hcy in stress-induced cognitive decline.We also used ten-eleven translocation(TET1),an enzyme that induces DNA demethylation,to verify the involvement of Hcy and DNA methylation in the regulation of BDNF expression and the development of stress-related cognitive decline.The data showed that TET1-expressing viral injection into the hippocampus inhibited BDNF promoter methylation and significantly mitigated the cognitive decline in HHcy rats.Taken together,novel evidence from the present study suggests that Hcy is likely involved in chronic stress-induced BDNF reduction and related cognitive deficits.In addition,the negative side-effects of HHcy may be associated with Hcy-induced DNA hypermethylation in the BDNF promoter.The results also suggest the possibility of Hcy as a target for therapy and the potential value of vitamin B intake in preventing stress-induced cognitive decline.展开更多
Cognitive decline is a common complication after cardiac surgery with cardiopulmonary bypass（CPB）,but as such no pharmacological therapy has been shown to be efficacious in preventing the decline.However,gastrodin h...Cognitive decline is a common complication after cardiac surgery with cardiopulmonary bypass（CPB）,but as such no pharmacological therapy has been shown to be efficacious in preventing the decline.However,gastrodin has been shown to have multi-pharmacological effects on neurological functions.We undertook this study to test the hypothesis that gastrodin would potentially prevent CPB-associated neurocognitive decline.We randomly assigned 200 patients undergoing mitral valve replacement surgery to receive either gastrodin（40 mg/kg） or saline after the induction of anesthesia and subsequently evaluated cognitive function before surgery,at discharge,and at 3rd month after surgery by using a battery of five neurocognitive tests,or adverse effects of gastrodin postoperatively.Neurocognitive decline in postoperative function was defined as a drop of 1 SD or more in the scores on tests of any one of the four domains of cognitive function.Cognitive decline occurred in 9% of the patients in the gastrodin group in contrast to 42% in the control group（P〈0.01） at discharge.Cognitive outcome could be determined at 3rd month in 87 patients in the gastrodin group and 89 in the control group.Cognitive decline was detected in 6% in the gastrodin group and 31% in the control group（P〈0.01）.The incidences of possible adverse effects were similar between two groups.These results indicate that gastrodin is an effective and a safe drug for the prevention of neurocognitive decline in patients undergoing mitral valve replacement surgery with CPB.展开更多
Eucalyptus species are the native and major plant group in Australian landscapes. Since European settlement, eucalypt trees heavily decline in the tablelands .of New South Wales. Tree recruitment bog down and the land...Eucalyptus species are the native and major plant group in Australian landscapes. Since European settlement, eucalypt trees heavily decline in the tablelands .of New South Wales. Tree recruitment bog down and the landscape ecosystem hardly recovers to the original state. This paper introduces the history of eucalypt trees and native shrubs decline, analyzes reasons of seedling recruitment decrease in this region, such as clearing, grazing, fire, competition from exotic species, dieback, insects, drought and so on, and summarizes the probable conditions of eucalypt tree recruitment, such as suitable conditions of seedling survival, sufficient seed supply, keep from predation, suitable germination conditions, non-grazed environment, mechanical treatment, weed control, fire regime, disease control etc, lending suggests how to preserve and encourage eucalypt trees recruitment in the area.展开更多
Production decline analysis has been considered as an important method to obtain the flow parameters, reservoir properties and original gas in place. Although advanced Blasingame production decline analysis methods fo...Production decline analysis has been considered as an important method to obtain the flow parameters, reservoir properties and original gas in place. Although advanced Blasingame production decline analysis methods for vertical wells, fractured wells and horizontal wells are widely used, limited study has conducted on Blasingame production decline type curves for multi-fractured horizontal well(MFHW). Based on the perpendicular bisection(PEBI) grids, a numerical model was developed and the solution was obtained using control volume finite element method and the fully implicit method. Blasingame production decline-type curves of the infinitely conductive MFHW were plotted through computer programming. A field case was presented to analyse and verify the model developed. Five flow regimes, including early formation linear flow, early radial flow, compound linear flow, transient flow and pseudo-radial flow, are recognized. Fracture spacing is the main factor that affects early radial flow, compound linear flow and transient flow, the distance from the well to the circular boundary affects the pseudo-radial flow, and the type curves are also significantly affected by the formation permeability, fracture number and fracture half-length. The validation of field case suggests that the Blasingame production decline type curves proposed in this work can be applied to the production decline analysis for MFHW in tight gas reservoirs.展开更多
Progressive rising population of diabetes and related nephropathy, namely, diabetic kidney disease and associated end stage renal disease has become a major global public health issue. Results of observational studies...Progressive rising population of diabetes and related nephropathy, namely, diabetic kidney disease and associated end stage renal disease has become a major global public health issue. Results of observational studies indicate that most diabetic kidney disease progresses over decades; however, certain diabetes patients display a rapid decline in renal function, which may lead to renal failure within months. Although the definition of rapid renal function decline remained speculative, in general,it is defined by the decrease of estimated glomerular filtration rate(e GFR) in absolute rate of loss or percent change. Based on the Kidney Disease: Improving Global Outcomes 2012 clinical practice guidelines, a rapid decline in renal function is defined as a sustained declinein e GFR of 】 5 m L/min per 1.73 m2 per year. It has been reported that potential factors contributing to a rapid decline in renal function include ethnic/genetic and demographic causes, smoking habits, increased glycated hemoglobin levels, obesity, albuminuria, anemia, low serum magnesium levels, high serum phosphate levels, vitamin D deficiency, elevated systolic blood pressure, pulse pressure, brachial-ankle pulse wave velocity values, retinopathy, and cardiac autonomic neuropathy. This article reviews current literatures in this area and provides insight on the early detection of diabetic subjects who are at risk of a rapid decline in renal function in order to develop a more aggressive approach to renal and cardiovascular protection.展开更多
This study investigated the pH/temperature decline of beef carcasses in a typical Chinese abattoir and color development as pH declined during rigor onset. A natural cubic spline model was used to model the pH/tempera...This study investigated the pH/temperature decline of beef carcasses in a typical Chinese abattoir and color development as pH declined during rigor onset. A natural cubic spline model was used to model the pH/temperature decline for those carcasses which passed through pH 6.0. Six of the 97 carcasses that exhibited a high （-〉6.10） ultimate pH （pHu） （darkcutting） in the M. Iongissimus lumborum （LL） were sampled, along with the same numbers of normal pHu and intermediate pHu carcasses （5.40-5.79; 5.80-6.10, respectively）, to examine color development within 24 h postmortem. It was shown that 66.7% of the modeled carcasses were outside the ideal pH/temperature window with a temperature@pH6.0 lower than ideal, suggesting the need for acceleration of the pH decline. The stable and low a^＊, b^＊ and chroma values of high pHu beef within the first 12 h indicated dark-cutting beef might be detected earlier than expected.展开更多
BACKGROUND Decreased ovarian reserve function is an ovarian hypofunction disease that occurs in women before 40 years of age,leading to a decline in fertility and perimeno-pausal symptoms,such as irregular menstruatio...BACKGROUND Decreased ovarian reserve function is an ovarian hypofunction disease that occurs in women before 40 years of age,leading to a decline in fertility and perimeno-pausal symptoms,such as irregular menstruation,amenorrhea,infertility,de-creased libido,and autonomic nervous dysfunction.Fenmatong(FMT)is a com-pound mixture of estradiol tablets and estradiol didroxyprogesterone tablets,which can improve ovarian reserve function by supplementation of exogenous estrogen.However,this treatment has also been shown to cause breast pain,gastrointestinal discomfort,irregular vaginal bleeding,and changes in sexual desire.In severe cases,FMT can promote the development of breast cancer,endometrial cancer,and venous embolic disease.AIM To observe the effects of Kuntai capsules and FMT on endocrine indexes and uterine artery blood circulation in patients with decreased ovarian reserve func-tion.METHODS Patients(130)with decreased ovarian reserve function,who were treated in our hospital from May 2018 to May 2020,were divided into two groups:The FMT group,in which patients were treated with FMT,and the observation group,in which patients were treated with Kuntai capsules.Chinese medicine symptom scores,uterine artery blood flow parameters,ovarian ultrasound test indexes,pictorial blood loss assessment chart(PBAC)scores,and hormone levels were recorded,and total effective rates were calculated for both groups.RESULTS The total effective rate in the observation group was higher than that in the FMT group(P<0.05).After treatment,primary symptoms,including low menstrual volume,delayed menstruation,red color and thick consistency of menses,di-zziness,palpitation,weakness at the waist and knee,insomnia and excessive dreaming,irritability,and dryness and astringency of the pudendal canal in the observation group decreased,and scores for primary and secondary symptoms in the observation group were significantly lower than those in the FMT group(P<0.05).The systolic peak flow rate(PSV),end-diastolic flow rate(EDV),ovarian diameter,sinus follicle count,and resistance index(RI)of the uterine arteries in the observation group and FMT group increased after treatment.Notably,the PSV,EDV,ovarian diameter,and antral follicle count in the observation group were higher than those in the FMT group,whereas the RI in the observation group was lower than that in the FMT group(P<0.05).The PBAC scores in the observation and FMT groups increased after treatment,with that in the ob-servation group becoming significantly higher than that in the FMT group(P<0.05).After treatment,estradiol(E2)and anti-Mullerian hormone(AMH)levels increased,whereas follicle-stimulating hormone(FSH)levels decreased in the observation group and FMT group;E2 and AMH levels became significantly higher and FSH levels became significantly lower in the observation group than in the FMT group(P<0.05).CONCLUSION Compared with FMT,Kuntai capsules promoted uterine artery blood circulation,improved menstruation,relieved symptoms,regulated endocrine function,and improved curative effects.展开更多
基金supported by UKResearch and Innovation(MR/S03546X/1)National BrainAppeal,Economic and Social ResearchCouncil(ES/S010467/1)+4 种基金Wellcome Trust(221915/Z/20/Z),ESRC(ES/W006014/1)Royal National Institute for Deaf People-Dunhill Medical Trust Pauline Ashley(204841/Z/16/Z,PA23)London Hospitals Biomedical Research Centre(221915/Z/20/Z)Bloomsbury and East London Doctoral Training Partnership(ES/P000592/1)National Institute for Health Research.
文摘Rarer dementias are associated with atypical symptoms and younger onset,which result in a higher burden of care.We provide a review of the global literature on longitudinal decline in activities of daily living(ADLs)in dementias that account for less than 10%of dementia diagnoses.Published studies were identified through searches conducted in Medical Literature Analysis and Retrieval System Online(MEDLINE),Excerpta Medica Database(Embase),Excerpta Medica Care(Emcare),PsycINFO,and Cumulative Index in Nursing and Allied Health Literature(CINAHL).The search criteria included terms related to‘rarer dementias’,‘activities of daily living’and‘longitudinal or cross-sectional studies’following a predefined protocol registered.Studies were screened,and those that met the criteria were citation searched.Quality assessments were performed,and relevant data were extracted.20 articles were selected,of which 19 focused on dementias within the frontotemporal dementia/primary progressive aphasia spectrum,while one addressed posterior cortical atrophy.Four studies were cross-sectional and 16 studies were longitudinal,with a median duration of 2.2 years.The Disability Assessment for Dementia was used to measure decline in 8 of the 20 studies.The varied sequences of ADL decline reported in the literature reflect variation in diagnostic specificity between studies and within-syndrome heterogeneity.Most studies used Alzheimer’s disease staging scales to measure decline,which cannot capture variant-specific symptoms.To enhance care provision in dementia,ADL scales could be deployed postdiagnosis to aid treatment and planning.This necessitates staging scales that are variant-specific and span the disease course from diagnosis to end of life.
基金supported by the Haihe Laboratory of Cell Ecosystem Innovation Foundation,No.22HHXBSS00047(to PL)Graduate Science and Technology Innovation Project of Tianjin,No.2022BKY173(to LZ)Tianjin Municipal Science and Technology Bureau Foundation,No.20201194(to PL).
文摘With the rapidly aging human population,age-related cognitive decline and dementia are becoming increasingly prevalent worldwide.Aging is considered the main risk factor for cognitive decline and acts through alterations in the composition of the gut microbiota,microbial metabolites,and the functions of astrocytes.The microbiota–gut–brain axis has been the focus of multiple studies and is closely associated with cognitive function.This article provides a comprehensive review of the specific changes that occur in the composition of the gut microbiota and microbial metabolites in older individuals and discusses how the aging of astrocytes and reactive astrocytosis are closely related to age-related cognitive decline and neurodegenerative diseases.This article also summarizes the gut microbiota components that affect astrocyte function,mainly through the vagus nerve,immune responses,circadian rhythms,and microbial metabolites.Finally,this article summarizes the mechanism by which the gut microbiota–astrocyte axis plays a role in Alzheimer’s and Parkinson’s diseases.Our findings have revealed the critical role of the microbiota–astrocyte axis in age-related cognitive decline,aiding in a deeper understanding of potential gut microbiome-based adjuvant therapy strategies for this condition.
基金funded by the National Key Research and Development Plan of China(No.2022YFE0127900)the National Natural Science Foundation of China(Nos.32071558,32171559)+2 种基金the Natural Science Foundation Key Project of Inner Mongolia Autonomous Region,China(No.2023ZD23)the Hulunbuir Science and Technology Plan Project(No.SF2022001)the Fundamental Research Funds of CAF(CAFYBB2023ZA002).
文摘Increasing temperatures and severe droughts threaten forest vitality globally.Prediction of forest response to climate change requires knowledge of the spatiotemporal patterns of monthly or seasonal climatic impacts on the growth of tree species,likely driven by local climatic aridity,climate trends,edaphic conditions,and the climatic adaption of tree species.The ability of tree species to cope with changing climate and the effects of environmental variables on growth trends and growth-climate relationships across diverse bioclimatic regions are still poorly understood for many species.This study investigated radial growth trends,interannual growth variability,and growth-climate sensitivity of two dominant tree species,Pinus tabulaeformis(PT)and Pinus sylvestris var.mongolica(PS),across a broad climatic gradient with a variety of soil properties in temperate Northern China.Using a network of 83 tree ring chronologies(54 for PT and 29 for PS)from 1971 to 2010,we documented that both species maintained constant growth trends at wet sites,while both displayed rapid declines at dry sites.We reported the species-specific drivers of spatial heterogeneity in growth trends,interannual growth variability,and growth-climate relationships.Calculated climatic variables and soil properties were identified as the most critical factors affecting the growth trends and growth-climate relationships.However,climatic variables play more essential roles than soil properties in determining the spatial heterogeneity of the growth-climate relationship.Lower clay content and higher soil nutrient regimes can exacerbate the moisture-related susceptibility of tree growth.Our findings highlight that soil properties emerged as important modulating factors to predict the drought vulnerability of forests in addition to climatic variables.Considering the continued climate warmingdrying trend in the future,both pines will face a more severe growth decline and increase in drought vulnerability at drier sites with lower clayed soil or higher nutrient regimes.
文摘In January and February of 2025,China's textile and clothing exports totaled 42.88 billion US dollars,marking a 4.5%decrease compared to the same period in the previous year.The primary factors contributing to this decline are as follows:First,China’s textile and clothing exports nearly reached USD 45 billion in January and February of 2024,setting a high base.Second,in order to avoid tariffs imposed by the United States,enterprises generally concentrated their exports at the end of last year and January this year.
文摘Americans have always been proud of their democratic system. Since the end of World War Ⅱ, the United States has even used its democratic system as a template to “democratize” some other countries. However, in recent years, the domestic democratic chaos in the United States has intensified, causing widespread doubts about the American political system and its democratic model.
基金National Nature Science Foundation of China(No.32371871)。
文摘Warm-wet climatic conditions are widely regarded as conducive to remarkable tree growth,alleviating climatic pressures.However,the notable decline in tree growth observed in the southern edge of boreal forests has heightened concerns over the spatial-temporal dynamics of forest decline.Currently,attaining a comprehensive grasp of the underlying patterns and their propelling factors remains a formidable challenge.We collected tree ring samples from a network of 50 sites across the Greater Xing'an Mountains.These samples were subsequently grouped into two distinct clusters,designated as Groups A and B.The percentage change of growth(GC,%)and the proportion of declining sites were utilized to assess forest decline.The decline in tree growth within Larix gmelinii forests exhibits significant regional variation,accompanied by temporal fluctuations even within a given region.Group A exhibited a pronounced increase in frequency(59.26%)of occurrences and encountered more severe declines(21.65%)in tree growth subsequent to the 1990s,contrasting sharply with Group B,which observed lower frequencies(20.00%)and relatively less severe declines(21.02%)prior to the 1980s.The primary impetus underlying the opposite radial growth increments observed in Larix gmelinii trees from the interplay between their differential response to temperatures and wetter climatic conditions,which is significantly influenced by varying stand densities.In cold-dry conditions,low-density forests may experience soil water freezing,exacerbating drought conditions and thereby inhibiting tree growth,in Group B.Trees growth in high-density stands is restrained by warm-wet conditions,in Group A.These results provide new insights into the variability at the southern edge of the boreal forest biome with different responses to density and climate.
基金supported by the Natural Science Foundation of Shandong Province,China(Grant No.ZR2020QE110)the National Natural Science Foundation of China,China(Grant No.52104089).
文摘The decline in groundwater level is a key factor contributing to cover collapse in karst areas.In this study,the model tests and numerical simulations are conducted to reveal the breeding process and formation mechanism of cover collapse sinkholes caused by the decline of groundwater level in karst area.Firstly,the model tests confirm that the decline of groundwater level generates negative pressure at the lower edge of overlying soil.The negative pressure experiences four distinct phases during the groundwater drawdown process:rapid rise,slow decline,rapid decline,and gradual dissipation.The maximum negative pressure is influenced by the particle size distribution of the overlying soil.Then,the numerical simulations are carried out to investigate the change process of negative pressure caused by the loss of fillers in karst pipe.The simulated results indicate that the rate of groundwater decline and the thickness and initial void ratio of the overlying soil can affect the maximum negative pressure.As groundwater level drops,a negative pressure zone forms underground,causing tensile failure in the surrounding soil and creating an arched soil hole,which weakens the support for the overlying soil.This phenomenon can also lead to the collapse of the overlying soil under its self-weight.Groundwater table decline in karst areas can result in both internal and surface collapses.When the overlying soil is thin,internal and surface collapses occur simultaneously.In contrast,for thick overlying soil,internal collapse happens first,followed by a layer-by-layer collapse,ultimately forming sinkholes.Finally,the breeding process and formation mechanism of the Yujiawan Reservoir sinkholes are discussed.Geological conditions and groundwater level decline significantly affect internal collapse in karst areas,requiring careful consideration from on-site engineers.
基金supported by the National Natural Science Foundation (81601728,31500726)the Natural Science Foundation of Hunan Province (2021JJ41002),China。
文摘Objective:Inflammation in the central nervous system plays a crucial role in the occurrence and development of sepsis-associated encephalopathy.This study aims to explore the effects of maresin 1(MaR1),an anti-inflammatory and pro-resolving lipid mediator,on sepsis-induced neuroinflammation and cognitive impairment.Methods:Mice were randomly assigned to 4 groups:A sham group(sham operation+vehicle),a cecal ligation and puncture(CLP)group(CLP operation+vehicle),a MaR1-LD group(CLP operation+1 ng MaR1),and a MaR1-HD group(CLP operation+10 ng MaR1).MaR1 or vehicle was intraperitoneally administered starting 1 h before CLP operation,then every other day for 7 days.Survival rates were monitored,and serum inflammatory cytokines[tumor necrosis factor alpha(TNF-α),interleukin(IL)-1β,and IL-6]were measured 24 h after operation using enzyme-linked immunosorbent assay(ELISA).Cognitive function was assessed 7 days after operation using the Morris water maze(MWM)test and novel object recognition(NOR)task.The mRNA expression of TNF-α,IL-1β,IL-6,inducible nitric oxide synthase(iNOS),IL-4,IL-10,and arginase 1(Arg1)in cortical and hippocampal tissues was determined by real-time reverse transcription PCR(RT-PCR).Western blotting was used to determine the protein expression of iNOS,Arg1,signal transducer and activator of transcription 6(STAT6),peroxisome proliferator-activated receptor gamma(PPARγ),and phosphorylated STAT6(p-STAT6)in hippocampal tissue.Microglia activation was visualized via immunofluorescence.Mice were also treated with the PPARγantagonist GW9662 to confirm the involvement of this pathway in MaR1’s effects.Results:CLP increased serum levels of TNF-α,IL-1β,and IL-6,and reduced body weight and survival rates(all P<0.05).Both 1 ng and 10 ng doses of MaR1 significantly reduced serum TNF-α,IL-1β,and IL-6 levels,improved body weight,and increased survival rates(all P<0.05).No significant difference in efficacy was observed between the 2 doses(all P>0.05).MWM test and NOR task indicated that CLP impaired spatial learning,which MaR1 mitigated.However,GW9662 partially reversed MaR1’s protective effects.Real-time RTPCR results demonstrated that,compared to the sham group,mRNA expression of TNF-α,IL-1β,and iNOS significantly increased in hippocampal tissues following CLP(all P<0.05),while IL-4,IL-10,and Arg1 showed a slight decrease,though the differences were not statistically significant(all P>0.05).Compared to the CLP group,both 1 ng and 10 ng MaR1 decreased TNF-α,IL-1β,and iNOS mRNA expression in hippocampal tissues and increased IL-4,IL-10,and Arg1 mRNA expression(all P<0.05).Immunofluorescence results indicated a significant increase in Iba1-positive microglia in the hippocampus after CLP compared to the sham group(P<0.05).Administration of 1 ng and 10 ng MaR1 reduced the percentage area of Iba1-positive cells in the hippocampus compared to the CLP group(both P<0.05).Western blotting results showed that,compared to the CLP group,both 1 ng and 10 ng MaR1 down-regulated the iNOS expression,while up-regulated the expression of Arg1,PPARγ,and p-STAT6(all P<0.05).However,the inclusion of GW9662 counteracted the MaR1-induced upregulation of Arg1 and PPARγcompared to the MaR1-LD group(all P<0.05).Conclusion:MaR1 inhibits the classical activation of hippocampal microglia,promotes alternative activation,reduces sepsis-induced neuroinflammation,and improves cognitive decline.
基金funded by the National Natural Science Foundation of China(Grant No.52374043)the Key Program of National Natural Science Foundation of China(Grant No.52234003)。
文摘The shale revolution has turned the United States from an oil importer into an oil exporter.The success of shale oil production in the U.S.has inspired many countries,including China,to begin the exploitation and development of shale oil resources.In this study,the production curves of over 30,000 shale oil wells in the Bakken,Eagle Ford(EF)and Permian are systematically analyzed to provide reference and guidance for future shale oil development.To find out the most suitable decline curve models for shale oil wells,fifteen models and a new fitting method are tested on wells with production history over 6 years.Interestingly,all basins show similar results despite of their varieties in geological conditions:stretched exponential production decline(SEPD)+Arps model provides most accurate prediction of estimated ultimate recovery(EUR)for wells with over 2 years'production,while the Arps model can be used before the two years'switch point.With the EUR calculated by decline curve analysis,we further construct simple regression models for different basins to predict the EUR quickly and early.This work helps us better understand the production of shale oil wells,as well as provide important suggestions for the choices of models for shale oil production prediction.
基金Supported by Southuest China Rice Innovation System and Crop High-yielding Project by Science and Technology (2011BAD02A05) Transformation Project of Agricultural Fruits into Capitals (2006GB2F000256)+2 种基金Sichuan Academic Leaders Training FundSichuan Rice Cultivation Key ProjectSichuan Financial Distribution Project~~
文摘[Objective] The aim was to research relationship between SPAD decline index after full-heading stage （SDIFHS） and productivity of rice. fertilized with nitro- gen in order to provide theoretical and practical references for selection and breed- ing of rice varieties. [Method] From 2008 to 2010, 18 mid-season hybrid rice vari- eties were researched every year to explore relationship＇ between SDIFHS and pro- ductivity of rice fertilized with nitrogen. [Result] The productivity of rice fertilized with nitrogen was of extremely significant positive corretation with SDIFHS, because the higher SPAD decline index is, the higher LAI decline index and the transformation ratio of dry matter to spikes in overground plant would be. [Conclusion] The re- search established a new method to predict productivity of rice fertilized with nitro- gen based on SPAD decline index.
基金supported by Natural Science Foundation of Anhui Province(No. 070413138)the Key Research Foundation of Education Department of Anhui Province,China(No. KJ2009A167)
文摘Objective To examine whether the selectivity of visual cortical neurons to stimulus spatial frequencies would be affected by aging in cats.Methods In vivo extracellular single-unit recording techniques were employed to record the tuning responses of V1 neurons to different stimulus spatial frequencies in old and young adult cats.Results Statistical analysis showed that the mean optimal spatial frequency of grating stimuli that evoked the maximal response of V1 neurons in old cats was significantly lower than that in young adult cats.Furthermore,the mean high cut-off spatial frequency of grating stimuli that evoked the half amplitude of the maximal response of V1 neurons in old cats was also significantly lower than that in young adult cats.Conclusion These results are consistent with those reported in the V1 of old monkeys,suggesting that the age-related decline in the selectivity of visual cortical cells to spatial frequency could be generalized to all mammalian species and might contribute to visual acuity reduction in senescent individuals.
基金financially supported by the National Natural Science Foundation of China project(No.31330015)
文摘Forest structure and function are subject to risks of growth declines from intensified drought and frequent extreme events related to climate warming.Knowledge of tree growth declines will help anticipate future responses of forests to climate change.In this study,we investigated tree growth declines over the last four centuries in a juniper forest on the eastern Tibetan Plateau.By analyzing the radial growth trajectories of individual trees,we identified two events of intense growth decline,one in 1817–1830 and the other in 1969–1999 over the past four centuries.The intensity of the recent decline was unprecedented in the period under study.Ring-width chronology showed a positive correlation with self-calibrating Palmer Drought Severity Indices and a negative correlation with mean monthly temperatures in May and June.The recent intensified growth decline may have been due to temperatureinduced frequent droughts in the study area.Our findings suggest that trees in this juniper forest may face a higher risk of growth decline and even mortality under continued climate warming.
基金This work was supported by Grants from the National Natural Science Foundation of China(31771290 and 81702454)the Beijing National Science Foundation(5222033)+1 种基金the Military Logistics Scientific Research Foundation of China(BWS17J027)the National Basic Scientific Research Program of China(JCKY2019548B001).
文摘Chronic stress is generally accepted as the main risk factor in the development of cognitive decline;however,the underlying mechanisms remain unclear.Previous data have demonstrated that the levels of homocysteine(Hcy)are significantly elevated in the plasma of stressed animals,which suggests that Hcy is associated with stress and cognitive decline.To test this hypothesis,we analyzed the cognitive function,plasma concentrations of Hcy,and brain-derived neurotropic factor(BDNF)levels in rats undergoing chronic unpredicted mild stress(CUMS).The results showed that decreased cognitive behavioral performance and decreased BDNF transcription and protein expression were correlated with hyperhomocysteinemia(HHcy)levels in stressed rats.Diet-induced HHcy mimicked the cognitive decline and BDNF downregulation in the same manner as CUMS,while Hcy reduction(by means of vitamin B complex supplements)alleviated the cognitive deficits and BDNF reduction in CUMS rats.Furthermore,we also found that both stress and HHcy disturbed the DNA methylation process in the brain and induced DNA hypermethylation in the BDNF promoter.In contrast,control of Hcy blocked BDNF promoter methylation and upregulated BDNF levels in the brain.These results imply the possibility of a causal role of Hcy in stress-induced cognitive decline.We also used ten-eleven translocation(TET1),an enzyme that induces DNA demethylation,to verify the involvement of Hcy and DNA methylation in the regulation of BDNF expression and the development of stress-related cognitive decline.The data showed that TET1-expressing viral injection into the hippocampus inhibited BDNF promoter methylation and significantly mitigated the cognitive decline in HHcy rats.Taken together,novel evidence from the present study suggests that Hcy is likely involved in chronic stress-induced BDNF reduction and related cognitive deficits.In addition,the negative side-effects of HHcy may be associated with Hcy-induced DNA hypermethylation in the BDNF promoter.The results also suggest the possibility of Hcy as a target for therapy and the potential value of vitamin B intake in preventing stress-induced cognitive decline.
基金supported partly by grants from the National Natural Sciences Foundation of China (No. 30271255)the Natural Sciences Foundation of Hubei Province, China (No. 2006ABB023)
文摘Cognitive decline is a common complication after cardiac surgery with cardiopulmonary bypass（CPB）,but as such no pharmacological therapy has been shown to be efficacious in preventing the decline.However,gastrodin has been shown to have multi-pharmacological effects on neurological functions.We undertook this study to test the hypothesis that gastrodin would potentially prevent CPB-associated neurocognitive decline.We randomly assigned 200 patients undergoing mitral valve replacement surgery to receive either gastrodin（40 mg/kg） or saline after the induction of anesthesia and subsequently evaluated cognitive function before surgery,at discharge,and at 3rd month after surgery by using a battery of five neurocognitive tests,or adverse effects of gastrodin postoperatively.Neurocognitive decline in postoperative function was defined as a drop of 1 SD or more in the scores on tests of any one of the four domains of cognitive function.Cognitive decline occurred in 9% of the patients in the gastrodin group in contrast to 42% in the control group（P〈0.01） at discharge.Cognitive outcome could be determined at 3rd month in 87 patients in the gastrodin group and 89 in the control group.Cognitive decline was detected in 6% in the gastrodin group and 31% in the control group（P〈0.01）.The incidences of possible adverse effects were similar between two groups.These results indicate that gastrodin is an effective and a safe drug for the prevention of neurocognitive decline in patients undergoing mitral valve replacement surgery with CPB.
基金This study was supported by CSC (Chinese Scholarship Communi ), CSIRO and Australia-China Council
文摘Eucalyptus species are the native and major plant group in Australian landscapes. Since European settlement, eucalypt trees heavily decline in the tablelands .of New South Wales. Tree recruitment bog down and the landscape ecosystem hardly recovers to the original state. This paper introduces the history of eucalypt trees and native shrubs decline, analyzes reasons of seedling recruitment decrease in this region, such as clearing, grazing, fire, competition from exotic species, dieback, insects, drought and so on, and summarizes the probable conditions of eucalypt tree recruitment, such as suitable conditions of seedling survival, sufficient seed supply, keep from predation, suitable germination conditions, non-grazed environment, mechanical treatment, weed control, fire regime, disease control etc, lending suggests how to preserve and encourage eucalypt trees recruitment in the area.
基金Project(2013CB228005)supported by the National Basic Research Program of China
文摘Production decline analysis has been considered as an important method to obtain the flow parameters, reservoir properties and original gas in place. Although advanced Blasingame production decline analysis methods for vertical wells, fractured wells and horizontal wells are widely used, limited study has conducted on Blasingame production decline type curves for multi-fractured horizontal well(MFHW). Based on the perpendicular bisection(PEBI) grids, a numerical model was developed and the solution was obtained using control volume finite element method and the fully implicit method. Blasingame production decline-type curves of the infinitely conductive MFHW were plotted through computer programming. A field case was presented to analyse and verify the model developed. Five flow regimes, including early formation linear flow, early radial flow, compound linear flow, transient flow and pseudo-radial flow, are recognized. Fracture spacing is the main factor that affects early radial flow, compound linear flow and transient flow, the distance from the well to the circular boundary affects the pseudo-radial flow, and the type curves are also significantly affected by the formation permeability, fracture number and fracture half-length. The validation of field case suggests that the Blasingame production decline type curves proposed in this work can be applied to the production decline analysis for MFHW in tight gas reservoirs.
文摘Progressive rising population of diabetes and related nephropathy, namely, diabetic kidney disease and associated end stage renal disease has become a major global public health issue. Results of observational studies indicate that most diabetic kidney disease progresses over decades; however, certain diabetes patients display a rapid decline in renal function, which may lead to renal failure within months. Although the definition of rapid renal function decline remained speculative, in general,it is defined by the decrease of estimated glomerular filtration rate(e GFR) in absolute rate of loss or percent change. Based on the Kidney Disease: Improving Global Outcomes 2012 clinical practice guidelines, a rapid decline in renal function is defined as a sustained declinein e GFR of 】 5 m L/min per 1.73 m2 per year. It has been reported that potential factors contributing to a rapid decline in renal function include ethnic/genetic and demographic causes, smoking habits, increased glycated hemoglobin levels, obesity, albuminuria, anemia, low serum magnesium levels, high serum phosphate levels, vitamin D deficiency, elevated systolic blood pressure, pulse pressure, brachial-ankle pulse wave velocity values, retinopathy, and cardiac autonomic neuropathy. This article reviews current literatures in this area and provides insight on the early detection of diabetic subjects who are at risk of a rapid decline in renal function in order to develop a more aggressive approach to renal and cardiovascular protection.
基金supported by the Shandong Province Natural Science Fund,China(ZR2015CQ013)the earmarked fund for China Agriculture Research System(beef)(CARS-37)+2 种基金the General Financial Grant from the China Postdoctoral Science Foundation(2016M592229)the Special Fund for Innovation Team of Modern Agricultural Industrial Technology System in Shandong Province(SDAIT-09-09)the funds of Shandong“Double Tops”Program,China(SYL2017XTTD12)
文摘This study investigated the pH/temperature decline of beef carcasses in a typical Chinese abattoir and color development as pH declined during rigor onset. A natural cubic spline model was used to model the pH/temperature decline for those carcasses which passed through pH 6.0. Six of the 97 carcasses that exhibited a high （-〉6.10） ultimate pH （pHu） （darkcutting） in the M. Iongissimus lumborum （LL） were sampled, along with the same numbers of normal pHu and intermediate pHu carcasses （5.40-5.79; 5.80-6.10, respectively）, to examine color development within 24 h postmortem. It was shown that 66.7% of the modeled carcasses were outside the ideal pH/temperature window with a temperature@pH6.0 lower than ideal, suggesting the need for acceleration of the pH decline. The stable and low a^＊, b^＊ and chroma values of high pHu beef within the first 12 h indicated dark-cutting beef might be detected earlier than expected.
文摘BACKGROUND Decreased ovarian reserve function is an ovarian hypofunction disease that occurs in women before 40 years of age,leading to a decline in fertility and perimeno-pausal symptoms,such as irregular menstruation,amenorrhea,infertility,de-creased libido,and autonomic nervous dysfunction.Fenmatong(FMT)is a com-pound mixture of estradiol tablets and estradiol didroxyprogesterone tablets,which can improve ovarian reserve function by supplementation of exogenous estrogen.However,this treatment has also been shown to cause breast pain,gastrointestinal discomfort,irregular vaginal bleeding,and changes in sexual desire.In severe cases,FMT can promote the development of breast cancer,endometrial cancer,and venous embolic disease.AIM To observe the effects of Kuntai capsules and FMT on endocrine indexes and uterine artery blood circulation in patients with decreased ovarian reserve func-tion.METHODS Patients(130)with decreased ovarian reserve function,who were treated in our hospital from May 2018 to May 2020,were divided into two groups:The FMT group,in which patients were treated with FMT,and the observation group,in which patients were treated with Kuntai capsules.Chinese medicine symptom scores,uterine artery blood flow parameters,ovarian ultrasound test indexes,pictorial blood loss assessment chart(PBAC)scores,and hormone levels were recorded,and total effective rates were calculated for both groups.RESULTS The total effective rate in the observation group was higher than that in the FMT group(P<0.05).After treatment,primary symptoms,including low menstrual volume,delayed menstruation,red color and thick consistency of menses,di-zziness,palpitation,weakness at the waist and knee,insomnia and excessive dreaming,irritability,and dryness and astringency of the pudendal canal in the observation group decreased,and scores for primary and secondary symptoms in the observation group were significantly lower than those in the FMT group(P<0.05).The systolic peak flow rate(PSV),end-diastolic flow rate(EDV),ovarian diameter,sinus follicle count,and resistance index(RI)of the uterine arteries in the observation group and FMT group increased after treatment.Notably,the PSV,EDV,ovarian diameter,and antral follicle count in the observation group were higher than those in the FMT group,whereas the RI in the observation group was lower than that in the FMT group(P<0.05).The PBAC scores in the observation and FMT groups increased after treatment,with that in the ob-servation group becoming significantly higher than that in the FMT group(P<0.05).After treatment,estradiol(E2)and anti-Mullerian hormone(AMH)levels increased,whereas follicle-stimulating hormone(FSH)levels decreased in the observation group and FMT group;E2 and AMH levels became significantly higher and FSH levels became significantly lower in the observation group than in the FMT group(P<0.05).CONCLUSION Compared with FMT,Kuntai capsules promoted uterine artery blood circulation,improved menstruation,relieved symptoms,regulated endocrine function,and improved curative effects.
