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Aims: Pinus yunnanesis is commercially, culturally and economically important, but there is a lack of ecological data on its role in stand dynamics. Our aims are to clarify the structure, composition, regeneration and growth trends of primary mature P. yunnanensis forests. Study area: The Tianchi National Nature Reserve in the Xuepan Mountains, Yunlong County, northwestern Yunnan, China. Methods: We investigated forests containing P. yunnanensis, measured tree ages and analyzed the data. Results: Six forest types were identified: (1) coniferous forest: Pinus yunnanensis (Type 1); (2) mixed coniferous and evergreen broad-leaved forest: P. yunnanensis-Lithocarpus variolosus (Type 2); (3) mixed coniferous and deciduous broad-leaved forest: P. yunnanensis-Quercus griffithii (Type 3); (4) mixed evergreen broad-leaved and coniferous forest: Castanopsis orthacantha-P. yunnanensis-Schima argentea (Type 4); (5) mixed coniferous, evergreen and deciduous broad-leaved forest: Pinus yunnanensis-Schima argentea-Quercus griffithii (Type 5); (6) mixed coniferous and evergreen broad-leaved forest: Pinus armandii-Quercus rehderiana-Pinus yunnanensis (Type 6). The size- and age-structure and regeneration patterns of P. yunnanensis were highly variable within these six forest types. P. yunnanensis regeneration was well balanced in forest Type 1 as compared to the other five types. All six forest types were identified as rare and old-growth with P. yunnaensis trees reaching ages of more than 105 years (a maximum age of 165 years with a diameter 116 cm at breast height) except for the Type 4 forest (a 90-year-old stand). Growth rates of P. yunnanensis, based upon ring width measurements, were high for the first 10 years, then declined after the 10th year. In contrast, basal area increment (BAI) increased for the first 25 years, plateaued, and only declined as trees became older. Trees in the older age classes grew more quickly than younger trees at the same age, a consequence of either site quality or competitive differences. The BAI of P. yunnanensis in all age classes in the Tianchi National Nature Reserve was much higher than those of the secondary and degraded natural P. yunnanensis forests of other areas. Conclusions: The P. yunnanensis forests of the Tianchi area appear to be some of the last remnants of primeval and old-growth forests of this species. These forests are structurally diverse and contain a rich diversity of overstory, mid-story, and understory species. Taxonomic reference: Editorial Committee of Flora Republicae Popularis Sinicae (1959–2004) for vascular plants. Abbreviations: BA = basal area; BAI = basal area increment; DBH = diameter at breast height; H = height; RBA = relative basal area.

Abstract Background Schima genus of Theaceae is confined to subtropics and tropics of South, East and Southeast Asia. Thirteen species of Schima are distributed in subtropical China. Many of them appear as dominant canopy species in the subtropical forests. To date, Schima species richness distribution patterns of China have remained unknown. Meanwhile, there has been a longtime debate as to whether forests dominated by Schima species are early or late successional forests. We aim to clarify Schima species richness patterns and these species’ roles in the forest succession and regeneration dynamics of the subtropical ecosystem in Yunnan Province, China. Method We mapped Schima species richness distribution patterns in China. Based on 71 vegetation plots, we analyzed forest characteristics, population structure, and regeneration dynamics of Schima species in Yunnan. Results Yunnan was found to harbor the greatest richness and the highest rarity-weighted richness of Schima species in the subtropical regions of China. We classified five primary and six secondary forest types containing Schima species as one of dominants. Yunnan had the high floristic diversity and varying stand structure of forests containing Schima species. The Schima species studied generally had a sporadic regeneration type and a long life-span. Four species (Schima argentea, Schima villosa, Schima sinensis, Schima sericans) were shade-intolerant. But three species (Schima noronhae, Schima khasiana and Schima wallichii) were considered as bi-modal type species having shade-intolerant and shade-tolerant traits. Schima noronhae was seen to be a top dominant in late successional forests, while S. wallichii was found as a top-dominant in early or middle or late successional forests. S. khasiana, Schima villosa, Schima sinensis usually appeared as a top dominant in early or middle successional secondary forests, though they also presented as a second dominant in late-successional forests. Schima argentea and Schima sericans dominated only in the early or middle/seral successional forests. Schima species’ regeneration establishment depended mainly on forest canopy gap formation through moderate human and natural disturbances. Conclusions Yunnan has high species richness and rarity-weighted richness of Schima. Both moderate human and natural disturbances have provided regeneration niches for Schima species. Some of the Schima species studied as a second dominant (rare as the top-dominant) present in the late-successional forests. Some of them are more often as the top-dominant in early or middle successional forests, where as time goes by the dominance of Schima species would be replaced by their associated dominant taxa such as Castanopsis species.

Dipentodon sinicus Dunn. (Dipentodonaceae) is a rare and threatened relict plant species usually found co-dominating with other relict plants in subtropical forest patches in highly fragmented habitats of southwestern China, northern Vietnam and northeastern Myanmar of East Asia. To date, its management and conservation strategies in the light of climate change have not been explored. We evaluated effects of climate change on the distribution of climatically suitable areas of D. sinicus as found prevailing during the last glacial maximum (LGM), the mid-Holocene and the present time, and predicted the distribution of climatically suitable habitats in 2070 throughout East Asia. The results as derived from ecological niche modeling (ENM) show the current distribution to be limited to the prehistoric (the mid-Holocene and LGM) refugia, and to indicate decreasing probability of presence and a reducing range of distribution for 2070. In addition, the suitable areas predicted with high probability (0.5–1) only account for on average 9.8% of the total area of potential habitats (threshold‒1) among the models for the year 2070, thereby indicating that D. sinicus is highly vulnerable. Under all the future scenarios for the year 2070, 69–74.2% of potential habitats in China would be outside protected areas. We assess and propose priorities for protected areas, and provide suggestions for conservation management strategies.

Abstract We study the spin- and valley-dependent energy band and transport property of silicene under a periodic potential, where both spin and valley degeneracies are lifted. It is found that the Dirac point, miniband, band gap, anisotropic velocity, and conductance strongly depend on the spin and valley indices. The extra Dirac points appear as the voltage potential increases, the critical values of which are different for electron with different spins and valleys. Interestingly, the velocity is greatly suppressed due to the electric field and exchange field, other than the gapless graphene. It is possible to achieve an excellent collimation effect for a specific spin near a specific valley. The spin- and valley-dependent band structure can be used to adjust the transport, and perfect transmissions are observed at Dirac points. Therefore, a remarkable spin and valley polarization is achieved which can be switched effectively by the structural parameters. Importantly, the spin and valley polarizations are greatly enhanced by the disorder of the periodic potential.

This paper studies the system unbalance caused by rooftop Photovoltaic Generation Systems (PVGSs) in distribution networks and proposes an improved method. The voltage and current unbalance studies for three extreme cases considering all rooftop PVGSs being connected to one single phase and then the stochastic analyses for the integration cases of rooftop PVGSs are considered. These three extreme cases lead to severe system unbalance problems. An improving method that combines the On Load Tap Changer (OLTC) and the optimal phase arrangement of distribution transformers is proposed in this paper to mitigate the system unbalance. The OLTC-based improving method is applied first. If the system unbalance is still out of range, the optimal phase arrangement of distribution transformers is further used to mitigate the system unbalance problem. The objective function of optimal phase arrangement is to minimize the system unbalance with the constraints of voltage limits, line flow limit, etc. Test results show that the proposed method can improve the system unbalance significantly even under very extreme cases.

Fault Current Indicators (FCIs) with communication interfaces have been widely used in distribution systems to reduce fault-finding time. The effectiveness of a Fault Management System (FMS) composed of FCIs greatly depends on the performance of the communication network deployed by the FCIs and the failure rates of distribution systems. The conventional techniques only focus on the issues of optimal number and location of FCIs or communication network deployment individually; therefore, the effectiveness of an FMS cannot be assessed realistically. A systematic effectiveness assessment methodology for FMS considering the performance of the communication network deployed by the FCIs and the failure rates of distribution systems is vital and is investigated in this paper. A communication evaluation platform is designed in this paper and used to acquire the field measurements of communication parameters. The communication parameters, especially the Packet Success Rate (PSR), between two adjacent FCIs are measured, and the Probability Density Function (PDF) of the PSR can be built accordingly. The effectiveness of the FMS is then assessed by stochastic analysis considering the failure rates of the distribution system and PSR PDFs between two adjacent FCIs. Due to the characteristics of easy installation, maintenance, longer battery life, lower cost, and so on of ZigBee, the ZigBee-based FCI is mainly discussed in this paper. In order to efficiently find the communication route when a fault occurs, a fast communication route tracking method is also proposed in this paper and its feasibility is demonstrated in an actual distribution system. Experimental and simulation results demonstrate the validity of the proposed systematic effectiveness assessment methodology for an FMS composed of FCIs. The proposed assessment methodology can more realistically react to the actual conditions of the FMS and therefore save on installation time and costs.

Abstract Background Androgenetic alopecia (AGA), one of the most common types of hair loss, is associated with oxidative stress, inflammation and aging. Derinat, a transient receptor potential canonical channels (TRPCs) inhibitor, restrains TRPCs-mediated increase intracellular Ca2+ signaling, which initiates the skin aging process with intracellular reactive oxygen species (ROS) accumulation. This study investigated whether Derinat protected skin from oxidative stress-induced damage and aging, thus inhibiting AGA pathogenesis. Methods The lifespan of Caenorhabditis elegans was measured to examine the capacity of Derinat to oppose the oxidative stress induced-aging process, which drives the hair cycle from anagen to catagen phase. The experiments that used BALB/c-nu and C57BL/6 mice determined the effects of Derinat on hair cycle and oxidative stress in skin. To further apply Derinat to clinical study, the resulting relationship between AGA pathogenesis and TRPCs-regulated oxidative stress was confirmed using the bioinformatics approach. We consequently used the parameters of hair density, hair diameter, hair recovery and quality of life index to evaluate the effect of Derinat treatment on AGA subjects. Results Derinat restrained the oxidative stress induced-aging process sufficiently to extend the lifespan of worms. Derinat also changed the hair growth patterns of mice by maintenance of the hair cycle at the anagen phase. This efficacy was due to reduction of TRPCs-mediated ROS accumulation. Because the bioinformatics analysis found that AGA pathogenesis is associated with TRPCs-regulated oxidative stress and inflammation, treatment with Derinat in AGA subjects increased positive outcomes of oral medication while mitigating the impairment of AGA subjects’ quality of life. Conclusions Derinat restrains AGA pathogenesis and may provide a new therapeutic approach for treating AGA. ClinicalTrials.gov Identifier NCT05450861, https://register.clinicaltrials.gov , date of registration 07/11/2022. Trial registration ClinicalTrials.gov Identifier NCT05450861, https://register.clinicaltrials.gov , date of registration 07/11/2022

Diabetic retinopathy (DR) is one of the most common retinal vascular diseases and one of the main causes of blindness worldwide. Early detection and treatment can effectively delay vision decline and even blindness in patients with DR. In recent years, artificial intelligence (AI) models constructed by machine learning and deep learning (DL) algorithms have been widely used in ophthalmology research, especially in diagnosing and treating ophthalmic diseases, particularly DR. Regarding DR, AI has mainly been used in its diagnosis, grading, and lesion recognition and segmentation, and good research and application results have been achieved. This study summarizes the research progress in AI models based on machine learning and DL algorithms for DR diagnosis and discusses some limitations and challenges in AI research.

Aims: Pinus yunnanesis is commercially, culturally and economically important, but there is a lack of ecological data on its role in stand dynamics. Our aims are to clarify the structure, composition, regeneration and growth trends of primary mature P. yunnanensis forests. Study area: The Tianchi National Nature Reserve in the Xuepan Mountains, Yunlong County, northwestern Yunnan, China. Methods: We investigated forests containing P. yunnanensis, measured tree ages and analyzed the data. Results: Six forest types were identified: (1) coniferous forest: Pinus yunnanensis (Type 1); (2) mixed coniferous and evergreen broad-leaved forest: P. yunnanensis-Lithocarpus variolosus (Type 2); (3) mixed coniferous and deciduous broad-leaved forest: P. yunnanensis-Quercus griffithii (Type 3); (4) mixed evergreen broad-leaved and coniferous forest: Castanopsis orthacantha-P. yunnanensis-Schima argentea (Type 4); (5) mixed coniferous, evergreen and deciduous broad-leaved forest: Pinus yunnanensis-Schima argentea-Quercus griffithii (Type 5); (6) mixed coniferous and evergreen broad-leaved forest: Pinus armandii-Quercus rehderiana-Pinus yunnanensis (Type 6). The size- and age-structure and regeneration patterns of P. yunnanensis were highly variable within these six forest types. P. yunnanensis regeneration was well balanced in forest Type 1 as compared to the other five types. All six forest types were identified as rare and old-growth with P. yunnaensis trees reaching ages of more than 105 years (a maximum age of 165 years with a diameter 116 cm at breast height) except for the Type 4 forest (a 90-year-old stand). Growth rates of P. yunnanensis, based upon ring width measurements, were high for the first 10 years, then declined after the 10th year. In contrast, basal area increment (BAI) increased for the first 25 years, plateaued, and only declined as trees became older. Trees in the older age classes grew more quickly than younger trees at the same age, a consequence of either site quality or competitive differences. The BAI of P. yunnanensis in all age classes in the Tianchi National Nature Reserve was much higher than those of the secondary and degraded natural P. yunnanensis forests of other areas. Conclusions: The P. yunnanensis forests of the Tianchi area appear to be some of the last remnants of primeval and old-growth forests of this species. These forests are structurally diverse and contain a rich diversity of overstory, mid-story, and understory species. [ABSTRACT FROM AUTHOR]

Dipentodon sinicus is an extant relict plant of East Asia. It is a small deciduous broad-leaved tree, the sole surviving representative of the Dipentodonaceae. We investigated forest features, population structure, and regeneration dynamics of forest stands containing this species in Caojian Forest Station of Yunnan Province and Yushe National Forest Parks of Guizhou Province, southwestern China. We identified six forest types: Carpinus kweichowensis-Liquidambar formosana-Lithocarpus glaber-Dipentodon sinicus forest (Type 1); Illicium simonsii-Salix matsudana-Schima khasiana-Dipentodon sinicus forest (Type 2); Dipentodon sinicus forest (Type 3); Dipentodon sinicus-Schima khasiana forest (Type 4); Dipentodon sinicus-Tetracentron sinense forest (Type 5); Pterocarya macroptera var. delavayi-Tetracentron sinense-Populusyunnanensis-Salix matsudana forest (Type 6). Among the six forest types, D. sinicus forest (Type 3) had the lowest values in species richness, Shannon-Wiener and Simpson's diversity indices. The maximum age of D. sinicus was 54 years, reaching 34 cm DBH, with 14 m maximum height. Its frequency distribution in DBH-and age-class displayed a sporadic pattern in various forests. Its regeneration was more active in D. sinicus forest (Type 3), Dipentodon sinicus-Tetracentron sinense forest (Type 5), and Carpinus kweichowensis-Liquidambar formosana-Lithocarpus glaber-Dipentodon sinicus forest (Type 1) than that in the other forests (Types 2, 4 and 6). D. sinicus' growth rate generally fluctuated from 1.15 to 5.62 mm/year. Its regeneration modes were seedlings and sprouts. Its seedling establishment depends on forest gaps formation by disturbances. It is clear that the population persistence of D. sinicus was maintained in habitats where natural disturbances were frequent. [ABSTRACT FROM AUTHOR]

[INLINE:1] Alzheimer’s disease (AD) is affected by genetic factors. Polymorphisms in the glutathione S-transferase omega-1 (Gsto1) gene have been shown by genetic correlation analyses performed in different ethnic populations to be genetic risk factors for AD. Gene expression profile data from BXD recombinant inbred mice were used in combination with genetic and bioinformatic analyses to characterize the mechanisms underlying regulation of Gsto1 variation regulation and to identify network members that may contribute to AD risk or progression. Allele-specific assays confirmed that variation in Gsto1 expression is controlled by cis-expression quantitative trait loci. We found that Gsto1 mRNA levels were related to several central nervous system traits, such as glial acidic fibrillary protein levels in the caudate putamen, cortical gray matter volume, and hippocampus mossy fiber pathway volume. We identified 2168 genes whose expression was highly correlated with that of Gsto1. Some genes were enriched for the most common neurodegenerative diseases. Some Gsto1-related genes identified in this study had previously been identified as susceptibility genes for AD, such as APP, Grin2b, Ide, and Psenen. To evaluate the relationships between Gsto1 and candidate network members, we transfected astrocytes with Gsto1 siRNA and assessed the effect on putative downstream effectors. We confirmed that knockdown of Gsto1 had a significant influence on Pa2g4 expression, suggesting that Pa2g4 may be a downstream effector of Gsto1, and that both genes interact with other genes in a network during AD pathogenesis.

Background: The prognosis of and occurrence of complications in patients with different clinical features of cirrhosis differ, and cirrhosis with different etiologies has varying clinical characteristics. The aim of this study was to describe the liver function markers, hepatic complications, and psychological features differentiating patients with hepatitis B virus (HBV) infection-related and alcohol-related cirrhosis. Materials and Methods: This was a retrospective and observational study that analyzed the medical data of inpatients with alcohol-related or HBV infection-related cirrhosis from May 2014 to May 2020. Markers of liver function, portal hypertension, and psychological symptoms were compared between the two groups. Results: Patients with alcohol-related cirrhosis showed higher Self-Rating Anxiety Scale scores and prevalence of hypoproteinemia, fatty liver, and depression than those with HBV infection-related cirrhosis (all P < 0.05). After adjustment for potential confounders, patients with alcohol-related cirrhosis also showed higher risks of increased total cholesterol (odds ratio [OR] =2.671, 95% confidence interval [CI]: 1.160–6.151, P = 0.021), increased high-density lipoprotein-cholesterol (OR = 2.714, 95% CI: 1.009–7.299, P = 0.048), and fatty liver (OR = 2.713, 95% CI: 1.002–7.215, P = 0.048); however, splenomegaly and splenectomy were significantly associated with HBV infection-related cirrhosis (OR = 2.320, 95% CI: 1.066–5.050, P = 0.034). Conclusion: Patients with alcohol-related cirrhosis were more likely to develop hyperlipidemia, fatty liver, and psychological symptoms, whereas those with HBV-related cirrhosis had a higher risk of splenomegaly.

Background: Yersinia pestis is the pathogen of the plague and caused three pandemics worldwide. Pneumonic plague is rarer than bubonic and septicemic plague. We report detailed clinical and pathogenic data for all the three sporadic cases of pneumonic plagues in China in 2014.Case Presentation: All the three patients are herders in Gansu province of China. They were all infected by Yersinia pestis and displayed in the form of pneumonic plague respectively without related. We tested patient specimens from the upper (nasopharyngeal swabs) or the lower (sputum) respiratory tract and whole blood, plasma, and serum specimens for Yersinia pestis. All patients had fever, cough and dyspnea, and for patient 2 and 3, unconscious. Respiratory symptoms were predominant with acute respiratory failure. The chest X-ray showed signs consistent with necrotizing inflammation with multiple lobar involvements. Despite emergency treatment, all patients died of refractory multiple organ failure within 24 h after admission to hospital. All the contacts were quarantined immediately and there were no secondary cases.Conclusions: Nowadays, the plague is epidemic in animals and can infect people who contact with the infected animals which may cause an epidemic in human. We think dogs maybe an intermediate vector for plague and as a source of risk for humans who are exposed to pet animals or who work professionally with canines. If a patient has been exposed to a risk factor and has fever and dyspnea, plague should be considered. People who had contact with a confirmed case should be isolated and investigated for F1 antigen analysis and receive post-exposure preventive treatment. A vaccination strategy might be useful for individuals who are occupationally exposed in areas where endemically infected reservoirs of plague-infected small mammals co-exist. [ABSTRACT FROM AUTHOR]

AIM: To evaluate a deep learning-assisted diagnostic system with an artificial intelligence for the detection of diabetic retinopathy(DR). METHODS:A total of 186 patients(372 eyes)with diabetes were recruited from January to July 2017. Discrepancies between manual grades and artificial intelligence results were sent to a reading center for arbitration. The sensitivity and specificity in the detection of DR were determined by comparison with artificial intelligence diagnostic system and experts human grading. RESULTS:Based on manual grades, the results as follows: non DR(NDR)in 42 eyes(11.3%), 330 eyes(88.7%)in different stages of DR. Among 330 DR eyes, there were mild non proliferative DR(NPDR)in 62 eyes(16.7%), moderate NPDR in 55 eyes(14.8%), severe NPDR in 155 eyes(41.7%), and proliferative DR(PDR)in 58 eyes(15.6%). Based on artificial intelligence diagnostic system, the results were as follows: NDR in 38 eyes(10.2%), PDR in 44 eyes(11.8%), others were NPDR. The sensitivity and specificity of artificial intelligence diagnostic system, compared with human expert grading, for the detection of any DR were 0.82 and 0.91, and the kappa value was 0.77(χ2=20.39, PCONCLUSION: This study shows that a deep learning-assisted diagnostic system with an artificial intelligence for grading diabetic retinopathy is a reliable alternative to diabetic retinopathy assessment, thus the use of this system may be a valuable tool in evaluating the DR.

Spontaneous chromosome doubling via union of unreduced (2n) gametes has been thought to be the way that common wheat ( Triticum aestivum L.) was originated from the hybridization of T. turgidum L. with Ae. tauschii Cosson. Previous works have observed unreduced gametes in F1 hybrids of Ae. tauschii with six of the eight T. turgidum subspecies. It is not clear, however, whether the formation of these unreduced gametes is a norm in the F1 hybrids. In the present study, we tried to answer this question by assessing the occurrence frequency of unreduced gametes in 115 T. turgidum– Ae. tauschii hybrid combinations, involving 76 genotypes of seven T. turgdium subspecies and 24 Ae. tauschii accessions. Our data show that these hybrid combinations differed significantly ( P ≤ 0.01, F = 11.40) in selfed seedset, an indicator for production of unreduced gametes. This study clearly showed that meiotic restitution genes are widely distributed within T. turgidum. However, significant differences were found between as well as within T. turgidum subspecies and in the interaction of the T. turgidum genotypes with those of Ae. taushii. The possible application of the meiotic restitution genes from T. turgidum in production of double haploids is also discussed. [ABSTRACT FROM AUTHOR]

To investigate theα1B-adrenoceptor (α1B-AR)-mediated cAMP response and underlying mechanisms in HEK293 cells.Full-length cDNA encodingα1B-AR was transfected into HEK293 cells using the calcium phosphate precipitation method, andα1B-AR expression and cAMP accumulation were determined by using the saturation radioligand binding assay and ion-exchange chromatography, respectively.Under agonist stimulation,α1B-AR mediated cAMP synthesis in HEK293 cells, and blockade by PLC-PKC or tyrosine kinase did not reduce cAMP accumulation induced by NE. Pretreatment with pertussis toxin (PTX) had little effect on basal cAMP accumulation as well as norepinephrine (NE)-stimulated cAMP accumulation. In addition, pretreatment with cholera toxin (CTX) neither mimicked nor blocked the effect induced by NE. The extracellular Ca2+ chelator egtazic acid (EGTA), nonselective Ca2+ channel blocker CdCl2 and calmodulin (CaM) inhibitor W-7 significantly reduced NE-induced cAMP accumulation from 1.59%±0.47% to 1.00%±0.31%, 0.78%±0.23%, and 0.90%±0.40%, respectively.By coupling with a PTX-insensitive G protein,α1BAR promotes Ca2+ influx via receptor-dependent Ca2+ channels, then Ca2+ is linked to CaM to form a Ca2+-CaM complex, which stimulates adenylyl cyclase (AC), thereby increasing the cAMP production in HEK293 cell lines. [ABSTRACT FROM AUTHOR]

AIM: To discuss the efficacy of senile cataract with corneal astigmatism treated with Acrysof toric intraocular lens(IOL)implantation. to observe the clinical preoperative and postoperative visual function of Acrysof toric IOL implantation.METHODS: In this is a retrospective observational study, 34 senile(39 eyes)cataract patients with corneal astigmatism underwent phacoemulsification combined with Acrysof toric IOL implantation. The preoperative and 3mo postoperative uncorrected visual acuity(UCVA), best corrected visual acuity(BCVA), postoperative residual astigmatism, toric lens axis, and spectacle independence were detected and compared.RESULTS: Thirty-four patients(39 eyes)underwent phacoemulsification combined with Acrysof toric IOL implantation successfully. Preoperative UCVA was 0.15±0.06, 3mo postoperative UCVA increased to 0.65±0.15(PPPCONCLUSION: Implantation of Acrysof totic IOL for correcting astigmatism is effective, the IOL has good rotation stability, and provides postoperative visual function.

AIM: To evaluate the efficacy of optical coherence tomography(OCT)in highly myopic macular hole after silicone oil tamponade. METHODS: A retrospective analysis of 20 cases of high myopia macular hole with retinal detachment after vitrectomy with silicone oil tamponade was performed. The mean follow-up time was 7 months. OCT examination was given to assess the macular hole closure and retinal reset during the follow-up. Best corrected visual acuity(BCVA)was recorded.RESULTS: There were three kinds of postoperative OCT performance: macular hole closure in 2 eyes(10%), macular hole was not closed but the retinal reattachment in 16 eyes(80%), macular hole was not closed with shallow retinal detachment in 2 eyes(10%). Postoperative BCVA improved compared with that of preoperative. The improvement of visual acuity was closely related to the anatomy reset of macular hole. No serious postoperative complications occurred.CONCLUSION: OCT for macular hole in high myopia silicone oil tamponade postoperative follow-up can confirm the diagnosis of macular hole closure and retinal reset, providing the means of reference for the timing of silicone oil removal.

AIM: To evaluate the relation between the position shift of intraocular lenses(IOL)and the change of refraction, after phacoemulcification with IOL implantation.METHODS: This study analyzed the anterior chamber depth, the change of the refraction, the distant vision and the near vision in 102 eyes of 102 patients at 1, 3, 6mo and 2a after phacoemulcification and monofocal one-piece foldable IOL implantation. The position shift of IOL detected by anterior segment optical coherence tomography(AS-OCT)was observed too. All of the patients were followed up for 24±3.8mo.RESULTS: The distant vision of the 102 eyes after cataract surgery and IOL implantation at 1, 3, 6mo and 2a were 0.78±0.13,0.75±0.14,0.72±0.12,0.72±0.10 respectively. The near vision were 0.38±0.12,0.41±0.13,0.46±0.12,0.47±0.10. The anterior chamber depth after surgerces were 3.75±0.16, 3.69±0.13, 3.61±0.12, 3.62±0.11mm. And the refractive degree was -0.47±0.26,-0.65±0.28,-0.93±0.24,-0.95±0.20. The position of the IOL was forward in the AS-OCT with time. The differences of the four indicators at 1, 3 and 6mo postoperatively were significant by multiple comparison(PCONCLUSION: The movement of IOL in eyes after cataract surgery leads to the reduction of the distance vision and the increase of the near vision, which were stabilized at 6mo after surgeries.

OBJECTIVES:Endothelial progenitor cells (EPCs) can be used to repair tissues after myocardial infarction (MI) but EPC activators have adverse reactions. Rehmannia glutinosa is a herb used in traditional Chinese medicine, which can promote bone-marrow proliferation and protect the ischemic myocardium. We investigated the effects of Rehmannia glutinosa extract (RGE) on EPCs in a rat model of MI. METHODS:A total of 120 male Wistar rats were randomized to 2 groups (n=60 each) for treatment: high-dose RGE (1.5 g·kg(-1)·day(-1) orally) for 8 weeks, then left anterior descending coronary artery ligation, mock surgery or no treatment, then RGE orally for 4 weeks; or normal saline (NS) as the above protocol. The infarct region of the left ventricle was assessed by serial sectioning and morphology. EPCs were evaluated by number and function. Protein and mRNA levels of CD133, vascular endothelial growth factor receptor 2 (VEGFR2), chemokine C-X-C motif receptor 4 (CXCR4), stromal cell-derived factor-1α (SDF-1α) were measured by immunohistochemistry, Western blot and quantitative PCR analysis. RESULTS:RGE significantly improved left ventricular function, decreased the ischemic area and the apoptotic index in the infarct myocardium, also decreased the concentration of serum cardiac troponin T and brain natriuretic peptide at the chronic stage after MI (from week 2 to week 4). RGE increased EPC number, proliferation, migration and tube-formation capacity. It was able to up-regulate the expression of angiogenesis-associated ligand/receptor, including CD133, VEGFR2 and SDF-1α/CXCR4. In vitro, the effect of RGE on SDF-1α/CXCR4 cascade was reversed by the CXCR4 specific antagonist AMD3100. CONCLUSION:RGE may enhance the mobilization, migration and therapeutic angiogenesis of EPCs after MI by activating the SDF-1α/CXCR4 cascade.

AIM: To observe the corneal refractive state stability time and changes of corneal refraction after excision of pterygium.METHODS:There were 46 cases(54 eyes), who had undergone excision of pterygium, randomly selected for corneal topography examination operated on the 3rd, 7th, 14th, 30th and 90th day after surgery. And statistic analysis was undertaken.RESULTS:Astigmatism after pterygium excision decreased significantly. Ks value, astigmatism in the 3rd postoperative day compared with that in other observation phases showed differences of statistical significance(Pth days compared with that in other observation phases showed differences of no statistical significance(P>0.05). CONCLUSION: Corneal refractive status is stable in 7 days afterpterygium excision surgery.