Research on Correlation between TCM Syndrome Distribution Characteristics and Prognosis of Hypertensive Intracerebral Hemorrhage Operation

Objective: This study is to analyze correlation between traditional Chinese medicine (TCM) syndrome distribution characteristics and prognosis of hypertensive intracerebral hemorrhage (HICH) operation. Methods: In this study, a total of 150 patients who had received HICH operation from April, 2017 to December, 2020 in our hospital and conformed to inclusion standards were selected. According to classification of TCM syndromes, amount of bleeding of patients was recorded through multiple radiological technologies, baseline information was collected, and prognosis was investigated. The final event was long-term follow-up visit of all-cause mortalities. Moreover, correlation between prognosis and TCM syndromes was analyzed. Results: It found through investigations that there are no statistically significant differences in composition ratio of TCM syndromes among patients with different genders and different age ranges (P > 0.05). Among so many TCM syndromes, bleeding amount of patients with declining vitality and distraction is the highest, while bleeding amount of patients with stirring wind due to yin deficiency is the lowest. With respect NIHSS scores, the patients with declining vitality and distraction show the highest NIHSS scores at admission and 10 d of the course of the disease, followed by patients with upward disturbance of wind-fire. There are statistically significant differences among these two groups (P < 0.05). In this study, follow-up visits are performed to all 150 patients and the average follow-up visit time ranges within 2 - 15 months. A total of 13 deaths are reported. Number of all-cause deaths has statistically significant differences among different syndromes (P < 0.05). Conclusions: Evolutionary characteristics of TCM syndromes of HICH are manifested by development from evidence-based symptoms to deficiency syndromes. Different syndromes are correlated with prognosis of patients. On the one hand, this can be used as an objective index for TCM syndrome classification. On the other hand, this is conducive to judge prognosis recovery of patients and to apply the corresponding symptomatic treatment.

Research Progresses in the Inhibitory Effect of Bone Mesenchymal Stem Cell-Derived Exosome on Blood-Brain Barrier Disruption following Intracerebral Hemorrhage in Rats

Mesenchymal Stem Cells (MSCs) are a type of non-hematopoietic progenitor cells which have self-replication capacity and multilineage differentiation. They have widely applied in studies of various diseases due to their effects in damaged tissue repair, neuroprotection and immunoregulation. MSCs can secret exosomes through multiple ways in the physiological or pathological state. Many researches’ results on MSC-Exo show that it possesses many functions similar to MSCs, such as immunoregulation and regeneration promotion of damaged tissues. Hence, MSC-Exo is believed to have considerable research potentials in regenerative medicines. This study reviewed the research progresses on biological characteristics and functions of MSC-Exo.

Research on Applications of Shenmai Injection on Hypertensive ICH Combined with Cerebrocardiac Syndromes

Objective: This study is to observe the therapeutic effects of Shenmai injection on patients with hypertensive ICH and cerebrocardiac syndromes as well as its effects on prognosis. Methods: A total of 72 patients with severe hypertensive ICH and cerebrocardiac syndromes were selected and divided into the control group and the experimental group (Shenmai injection group) randomly, 36 patients in each group. The control group was treated by conventional therapy, while the experimental group was administrated by intravenous drip of the mixture of 50 ml Shenmai injection and 250 ml 5% glucose injection based on the treatment of the control group, once everyday, 2 weeks continuously. Results: Myocardial enzyme indexes of two groups at 3d, 7d and 14d were observed (Table 1). Myocardial enzyme index of the experimental group was improved quickly and significantly. Myocardial enzyme data of two groups at 3d, 7d and 14d were P < 0.05. According to the electrocardiographic examinations results, ECG anomalies of the experimental group at 7d and 14d were also improved quickly (P < 0.05). There are no evident anomalies in GCS scores of two groups at 7d, but GCS score of the experimental group at 14d of the medication was significantly higher than that of the control group (P < 0.05). Conclusions: Shenmai injection has some therapeutic effects on cerebral injuries and myocardial damages. It can treat brain and heart simultaneously, realize the goal of addressing both symptoms and root causes, and improve prognosis of patients with severe hypertensive ICH.

Simultaneous degradation of sulfadiazine and dissolved organic matter based on low-impact development facilities

Sulfadiazine(SD)is a common antibiotic administered to treat bacterial infections in livestock,and its fate andmigration are greatly affected by dissolved organicmatter(DOM).The soil infiltration system[a typical low-impact development(LID)facility]can significantly alterDOMproperties during runoff pollution,thus affecting the complexation of SDwithDOM.Here,the binding characteristics of different DOM components and SD in the soil infiltration system were explored using spectroscopic techniques(excitation–emission matrices,parallel factor analysis,and synchronous fluorescence spectroscopy).Combined with the weakening of DOM fluorescence intensity and 78.63%reduction in mean SD concentration following treatment,synchronous degradation may have occurred.The binding sequence of SD and DOM fluorophores was further explored using two-dimensional correlation spectroscopy.Effluent DOM showed greater sensitivity to SD and more binding sites than influent DOM.Moreover,hydrophobic protein-like substances exhibited higher log K_(M) values than other fluorescent components,indicating that protein-like components play significant roles in SD complexation.The soil percolation system improved the complexation stability and binding sequence of fulvic-like substances.Thus,SD–DOM can be intercepted and degraded using LID facilities to reduce the risk of SD in aquatic environments.

Improving sludge dewaterability via Fe^(2+) chelated citrate activated peroxydisulfate oxidation

Citrate (Ct) was chosen as a typical chelator used in the Fe^(2+)-peroxydisulfate (PDS) process to improve sludge dewaterability.The PDS-Fe^(2+)-Ct process exhibited better performance in sludge dewatering than PDS-Fe^(2+).Specifically,with a PDS dosage of 1.2 mmol/g VS,the molar ratio of PDS/Fe^(2+)and Ct/Fe^(2+)were 4:5 and 1:4,respectively,the capillary suction time decreased from 155.8 to 24.8sec,and the sludge cake water content decreased from 82.62%to 64.11%(-0.06MPa).The oxidation led to a reduced negative charge and a decrease in particle size.The enhanced sludge dewaterability and changes of sludge properties were attributed to the decomposition of extracellular polymeric substances,and it was explored by protein,polysaccharide,3D-EEMs,and FT-IR.Additionally,the quenching experiments of radical species demonstrated that SO_(4)-·played a more important role than·OH,and its productivity was improved with the addition of Ct.Moreover,the reasons for the improved productivity of radicals with the addition of Ct were discussed.The results of this study could serve as a basis for improving sludge dewatering using the PDS-Fe^(2+)-Ct process and suggest that the addition of Ct may improve the productivity of SO_(4)-·in the activation o PDS via Fe^(2+).

Investigating the spectral characteristic and humification degree of dissolved organic matter in saline-alkali soil using spectroscopic techniques

Soil samples were collected from the areas surrounding Wuliangsuhai Lake in China. Dissolved organic matter （DOM） was extracted from the samples and characterized by fluorescence and UV-Vis spectra. Spectral properties and humification degree of DOM were studied. The results indicated that both humic- and protein- like fluorophores were present in the DOM spectra, and the former was the dominant component. The analysis of humification （HIX） and r （A, C） indices revealed that the maximum humification degree in three agricultural soils （AAF, ASC, and ASW） was presented in the second soil layer （20-40 cm）. However, the humification degree of the two Halophytes soils （SSE and GKF） decreased with increasing depth. One index, I344/270, showed that humification degree increased gradually with an increasing proportion of humic-like acid. There was a significant positive correlation between humification degree （HIX） and aromaticity （SUVA254）, indicating that a higher aromaticity corresponded to a higher humification degree. Land use was an important factor responsible for the major difference of cation exchange capacity （CEC） in different soils, which led to a higher CEC value in the second soil layer for the three agricultural soils. CEC values and humification degree had the same trend for all five soils. The correlation analysis showed that there was a significant positive correlation between HIX and CEC,and a negative correlation between the r （A, C） index and CEC, indicating that humification degree increases gradually with increasing CEC values.