Efficacy of Children Neuropsychological and Behavioral Scale in Screening for Autism Spectrum Disorders through a Combination of Developmental Surveillance

Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveillance.Methods All participants were evaluated by the CNBS-R2016 and Gesell Developmental Schedules(GDS).Spearman’s correlation coefficients and Kappa values were obtained.Taking GDS as a reference assessment,the performance of the CNBS-R2016 for detecting the developmental delays of children with ASD was analyzed with receiver operating characteristic(ROC)curves.The efficacy of the CNBS-R2016 to screen for ASD was explored by comparing Communication Warning Behavior with Autism Diagnostic Observation Schedule,Second Edition(ADOS-2).Results In total,150 children aged 12–42 months with ASD were enrolled.The developmental quotients of the CNBS-R2016 were correlated with those of the GDS(r=0.62–0.94).The CNBS-R2016 and GDS had good diagnostic agreement for developmental delays(Kappa=0.73–0.89),except for Fine Motor.There was a significant difference between the proportions of Fine Motor,delays detected by the CNBS-R2016 and GDS(86.0%vs.77.3%).With GDS as a standard,the areas under the ROC curves of the CNBS-R2016 were above 0.95 for all the domains except Fine Motor,which was 0.70.In addition,the positive rate of ASD was 100.0%and 93.5%when the cut-off points of 7 and 12 in the Communication Warning Behavior subscale were used,respectively.Conclusion The CNBS-R2016 performed well in developmental assessment and screening for children with ASD,especially by Communication Warning Behaviors subscale.Therefore,the CNBS-R2016 is worthy of clinical application in children with ASD in China.

PEDF、END在UUO肾组织的表达及ADSCs对其的影响

目的动态观察大鼠单侧输尿管梗阻(UUO)肾组织中色素上皮衍生因子(PEDF)及内皮抑素(END)的变化,以及脂肪干细胞(ADSCs)对其的影响。方法复制UUO动物模型,以ADSCs进行干预,选取UUO术后第3、7和14天为时间点,观察大鼠在UUO后肾损伤及纤维化的进程,以及PEDF和END蛋白的表达变化。结果肾损伤、纤维化程度及PEDF的表达随梗阻时间延长而加重或增加。END在术后先增加后降低,但仍高于对照组。ADSCs干预在各个时间点均能使END和PEDF的表达降低。结论 UUO后PEDF和END蛋白表达上调可能是梗阻后微血管损伤、血管生成调节异常介导的微血管闭塞产生的重要机制之一。ADSCs干预可通过抑制PEDF和END的表达,促进损伤血管的修复和新生血管的生成。

Evaluation of the hepatoprotective and antioxidant activities of Rubus parvifolius L.

The hepatoprotective and antioxidant activities of the n-butanol extract of Rubus parvifolius L. (RPL), a widely used medicinal plant, were evaluated. Results demonstrated that RPL extract possessed pronounced hepatoprotective effects against carbon tetrachloride (CCl4)-induced hepatic injury in mice, which was at least partially attributed to its strong antioxidant capacity. Treatment with RPL extract markedly attenuated the increases in serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels caused by CCl4 intoxication. It also significantly prevented the decrease in superoxide dismutase (SOD) activity and the increase in malondialdehyde (MDA) content of liver tissue. Meanwhile, histopathological changes of hepatic damage were also remarkably ameliorated. Phytochemical analysis based on high-performance liquid chromatography/tandem mass spectrometry (HPLC-MS/MS) revealed the presence of various phenolic compounds, including caffeic acid conjugates, ellagic acid glycosides, and flavonol glycosides, which might be responsible for the hepatoprotective and antioxidant activities of RPL.

Spleen volume is associated with overt hepatic encephalopathy after transjugular intrahepatic portosystemic shunt in patients with portal hypertension

BACKGROUND Portal shunt and immune status related to the spleen are related to the occurrence of hepatic encephalopathy(HE).It is unknown whether spleen volume before transjugular intrahepatic portosystemic shunt(TIPS)is related to postoperative HE.AIM To investigate the relationship between spleen volume and the occurrence of HE.METHODS This study included 135 patients with liver cirrhosis who underwent TIPS,and liver and spleen volumes were elevated upon computed tomography imaging.The Kaplan-Meier curve was used to compare the difference in the incidence rate of HE among patients with different spleen volumes.Univariate and multivariate Cox regression analyses were performed to identify the factors affecting overt HE(OHE).Restricted cubic spline was used to examine the shapes of the dose-response association between spleen volumes and OHE risk.RESULTS The results showed that 37(27.2%)of 135 patients experienced OHE during a 1-year follow-up period.Compared with preoperative spleen volume(901.30±471.90 cm3),there was a significant decrease in spleen volume after TIPS(697.60±281.0 cm^(3))in OHE patients.As the severity of OHE increased,the spleen volume significantly decreased(P<0.05).Compared with patients with a spleen volume≥782.4 cm^(3),those with a spleen volume<782.4 cm^(3) had a higher incidence of HE(P<0.05).Cox regression analysis showed that spleen volume was an independent risk factor for post-TIPS OHE(hazard ratio=0.494,P<0.05).Restricted cubic spline model showed that with an increasing spleen volume,OHE risk showed an initial increase and then decrease(P<0.05).CONCLUSION Spleen volume is related to the occurrence of OHE after TIPS.Preoperative spleen volume is an independent risk factor for post-TIPS OHE.

边坡位移智能预测算法

目的:边坡位移预测是实现滑坡灾害预报的有效手段,对降低滑坡灾害导致的损失具有重要意义。本文针对三峡库区广泛分布的"阶跃型"滑坡,采用三种不同的机器学习算法:长短期记忆(LSTM)神经网络、随机森林(RF)算法和门控递归单元(GRU),预测三个不同的三峡库区边坡位移,并对比三种算法的预测精度,从而选择适用于边坡位移预测的机器学习算法。创新点:1.建立了基于时间序列分解和机器学习算法的动态预测模型,并能够准确预测边坡位移。2.对比了不同的机器学习算法预测边坡周期项位移的精度。方法:1.基于时间序列分解原理,将边坡累积位移分解为趋势项位移和周期项位移。2.利用多项式拟合对边坡趋势项位移进行预测。3.基于位移影响因素采用三种机器学习模型(LSTM、GRU和RF)预测边坡周期项位移。结论:1.本文提出的基于时间序列分解和机器学习算法的动态预测模型可以准确预测三峡库区"阶跃型"边坡位移。2.LSTM和GRU算法可以充分利用滑坡历史信息,精确预测边坡位移的周期项。