Lactate is a potentially harmful substitute for brain glucose fuel:consequences for metabolic restoration of neurotransmission

The metabolite lactate (L-lactate) can be generated and released by diverse brain cells,including neurons,astrocytes,and oligodendrocytes (Kann,2023;Rae et al.,2024).Lactate production usually requires the degradation of glucose (D-glucose)-and glycogen in astrocytes-to pyruvate by glycolysis and subsequent conversion of pyruvate to lactate by the enzyme lactate dehydrogenase(Figure 1A;Dienel,2019;Rae et al.,2024).

From single to combinatorial therapies in spinal cord injuries for structural and functional restoration

Spinal cord injury results in paralysis, sensory disturbances, sphincter dysfunction, and multiple systemic secondary conditions, most arising from autonomic dysregulation. All this produces profound negative psychosocial implications for affected people, their families, and their communities;the financial costs can be challenging for their families and health institutions. Treatments aimed at restoring the spinal cord after spinal cord injury, which have been tested in animal models or clinical trials, generally seek to counteract one or more of the secondary mechanisms of injury to limit the extent of the initial damage. Most published works on structural/functional restoration in acute and chronic spinal cord injury stages use a single type of treatment: a drug or trophic factor, transplant of a cell type, and implantation of a biomaterial. Despite the significant benefits reported in animal models, when translating these successful therapeutic strategies to humans, the result in clinical trials has been considered of little relevance because the improvement, when present, is usually insufficient. Until now, most studies designed to promote neuroprotection or regeneration at different stages after spinal cord injury have used single treatments. Considering the occurrence of various secondary mechanisms of injury in the acute and sub-acute phases of spinal cord injury, it is reasonable to speculate that more than one therapeutic agent could be required to promote structural and functional restoration of the damaged spinal cord. Treatments that combine several therapeutic agents, targeting different mechanisms of injury, which, when used as a single therapy, have shown some benefits, allow us to assume that they will have synergistic beneficial effects. Thus, this narrative review article aims to summarize current trends in the use of strategies that combine therapeutic agents administered simultaneously or sequentially, seeking structural and functional restoration of the injured spinal cord.

Restoration of common bile duct diameter within 2 weeks after endoscopic stone retraction is a preventive factor for stone recurrence

Background： Little information is available about the relationship between restoration of common bileduct （CBD） diameter after endoscopic stone retraction and recurrence of CBD stones in elderly patients.The present study was to determine whether restoration of CBD diameter is a preventive factor for CBDstone recurrence in elderly patients who underwent endoscopic retrograde cholangiopancreatography（ERCP）.

Plant Diversity Performance After Natural Restoration in Reclaimed Deyeuxia angustifolia Wetland

Deyeuxia angustifolia wetlands were widely distributed in the Sanjiang Plain in Northeast China. Due to strong demand for food production, large-area wetlands were reclaimed to farmlands, which threatened regional ecological security greatly. Since the 21 th century, returning farmlands to wetlands was widely adopted for natural restoration in the Sangjiang Plain. As the first reflection of wetland restoration, vegetation succession of restored D. angustifolia wetlands should be fully assessed. In this study, vegetation investigation was carried out in three restored D. angustifolia wetlands with 5, 8 and 12 yr restoration, respectively. Meanwhile, a natural D. angustifolia wetland was selected as reference wetland. Results showed that community composition changed greatly and there was visible community succession. Community dominant species changed from composite to gramineae as restoration time increasing.At first, weeds community appeared in the restored wetlands, especially the xerophytes developed to the pioneer species rapidly. And then, mesophytes and wetland species became the dominant species in the restored wetlands. Finally, wetland species, especially D. angustifolia, occupied the dominant position of restored community. Shannon-wiener index(H) and Simpson index(D) both decreased to close to natural D. angustifolia wetlands. Compared with natural D. angustifolia wetland, species composition and diversity in restored wetlands were more complex and higher. As restoration time increasing, there were not significant differences between community characteristics of restored wetlands and natural wetland. All these suggested that vegetation in reclaimed D. angustifolia wetland could be restored naturally, but its restored period is 10 yr at least. From another angle, it is important to protect current natural wetlands.

Post-fire habitat restoration of sables during winter season in northern slope of the Great Xing＇an Mountains

Habitat loss and fragmentation have been associated with the decline of endangered species. In 1987, a catastrophic fire in the northern Great Hing＇an Mountains of China, where the main habitat of sables （Martes zibellina） is located, aggravated the loss and fragmentation of the forest landscape. Due to restricted distribution and low population density, sables were listed in the national first-grade protected species in China. The objective of this paper was to identify to what extent the habitat of sables had been restored 13 years after the fire. Based on the behavioral data, which came from field survey information by radio-tracking, GPS （Global Positioning System） and forest inventory data, suitability habitat maps were derived using the Ecological Niche Suitability Model （ENSM）. In addition, the habitat structure was analyzed with selected landscape indices. Although forest cover mostly had been restored by 2000, the results indicated that, compared to the pre-fire situation, the areas of suitable habitat had been reduced significantly, especially those of less suitable, marginally suitable and moderately suitable designation. Fragmentation was aggravated, and suitable patches were found to be further isolated with the exception of those in most suitable areas. The ratio of the patch perimeter to area in unsuitable, moderately suitable and suitable areas decreased, while the ratios within other suitability types increased. Moreover, the percentage of soft boundaries decreased slightly, which can influence the redistribution of sables. The results above indicated that the suitable habitat had deteriorated, and the restoration of the sables＇ habitat remained to be done.

Bradykinin postconditioning protects rat hippocampal neurons after restoration of spontaneous circulation following cardiac arrest via activation of the AMPK/mTOR signaling pathway

Bradykinin(BK)is an active component of the kallikrein-kinin system that has been shown to have cardioprotective and neuroprotective effects.We previously showed that BK postconditioning strongly protects rat hippocampal neurons upon restoration of spontaneous circulation(ROSC)after cardiac arrest.However,the precise mechanism underlying this process remains poorly understood.In this study,we treated a rat model of ROSC after cardiac arrest(induced by asphyxiation)with 150μg/kg BK via intraperitoneal injection 48 hours after ROSC following cardiac arrest.We found that BK postconditioning effectively promoted the recovery of rat neurological function after ROSC following cardiac arrest,increased the amount of autophagosomes in the hippocampal tissue,inhibited neuronal cell apoptosis,up-regulated the expression of autophagy-related proteins LC3 and NBR1 and down-regulated p62,inhibited the expression of the brain injury marker S100βand apoptosis-related protein caspase-3,and affected the expression of adenosine monophosphate-activated protein kinase/mechanistic target of rapamycin pathway-related proteins.Adenosine monophosphate-activated protein kinase inhibitor compound C clearly inhibited BK-mediated activation of autophagy in rats after ROSC following cardiac arrest,which aggravated the injury caused by ROSC.The mechanistic target of rapamycin inhibitor rapamycin enhanced the protective effects of BK by stimulating autophagy.Our findings suggest that BK postconditioning protects against injury caused by ROSC through activating the adenosine monophosphate-activated protein kinase/mechanistic target of the rapamycin pathway.

Tree Planting:How Fast Can It Accelerate Post-fire Forest Restoration?——A Case Study in Northern Da Hinggan Mountains,China

In 1987,a catastrophic fire burned over 1330000 ha in the densely forested area of the Da Hinggan Mountains in the northeastern China.After the fire,intensive management including burned trunk harvesting and coniferous tree planting had been conducted to accelerate forest restoration.To study the long term effect of these activities on forest recovery,we used a simulation modeling approach to study long-term(300 years) forest dynamics under current planting and natural regeneration scenarios.Results indicate that under tree planting scenario in the severely burned area,the dominant species Dahurian larch(Larix gmelinii) can reach pre-fire level(60% of the area) within 20 years and the maximum abundance can reach nearly 90% within 100 years.While under natural regeneration scenario,it needs about 250 years to reach its pre-fire level.From the perspective of timber production,tree planting can bring twice as much timber volume as that under natural regeneration within 300 years,which is the average longevity of L.gmelinii.It needs about 70 years to reach the timber volume of pre-fire level under the planting scenario,whereas it requires at least 250 years to reach the timber volume of pre-fire level under natural regeneration scenario.Another dominant species Asian White birch(Betula platyphylla) responded negatively to the planting of coniferous species.In general,tree planting of coniferous species after fire can greatly accelerate forest restoration in terms of species abundance and target timber volume,with desirable ecological and economic returns.

Vegetation Restoration Monitoring in Yingxiu Landslide Area after the 2008 Wenchuan Earthquake

A total of more than 50000 landslides has occurred in Sichuan province since the"5·12"Wenchuan earthquake,resulting in serious damage to the surface vegetation in southwestern China.In this study,we select Yingxiu,the epicenter of Wenchuan earthquake,as the experimental area.The vegetation coverage information of the experimental area is extracted from the remote sensing images collected in the year of 2005,2011 and 2013,respectively.The surface vegetation coverage in different periods is analyzed,and the vegetation recovery rate of the whole area is calculated.The experimental results show that in the first three years after the earthquake,the speed of vegetation restoration is slow,and the vegetation coverage rate is less than 20%better than 0.241,while in 2013,the vegetation coverage increases significantly.

Resilience in a Mexican Pacific Mangrove after Hurricanes: Implications for Conservation Restoration

High resilience is a mangrove trait that is compatible with life in a dynamic environment, however, catastrophic disturbance can lead to the entire forest structure being re-defined. In the Pochutla district of Oaxaca, two hurricanes made landfall in 1997 and one more in 2012. Following the 1997 hurricanes, extensive mangrove restoration was carried out in the study area. A cohort of Rhizophora mangle saplings planted in 2007 showed 10% mortality during the first year after transplantation, an average growth of 39 cm, and a positive association between growth rate and the level of water in the lagoon. Following Hurricane Carlotta of 2012, measurements of structural impact and tree mortality were taken in restored R. mangle stands and in naturally regenerated patches of Laguncularia racemosa. The role of tree girth in R. mangle susceptibility to wind damage was also investigated. The stands of R. mangle suffered 80% reduction in stem density and 86% loss of basal area, whereas the corresponding values for L. racemosa were 26% and 15%, respectively. Within stands of R. mangle, mortality conserved a positive relationship with structural impact categories and the frequency of snapped stems was segregated across girth classes. The results suggest that L. racemosa has greater resilience to hurricane damage, which has some consistency with previous research and implications for conservation restoration protocols. In order to promote a system with higher resilience, we recommend an on-going restoration effort with mixed mangrove species.

Ecological problems and ecological restoration zoning of the Aral Sea

The Aral Sea was the fourth largest lake in the world but it has shrunk dramatically as a result of irrational human activities, triggering the "Aral Sea ecological crisis". The ecological problems of the Aral Sea have attracted widespread attention, and the alleviation of the Aral Sea ecological crisis has reached a consensus among the five Central Asian countries(Kazakhstan, Uzbekistan, Tajikistan, Kyrgyzstan, and Turkmenistan). In the past decades, many ecological management measures have been implemented for the ecological restoration of the Aral Sea. However, due to the lack of regional planning and zoning, the results are not ideal. In this study, we mapped the ecological zoning of the Aral Sea from the perspective of ecological restoration based on soil type, soil salinity, surface water, groundwater table, Normalized Difference Vegetation Index(NDVI), land cover, and aerosol optical depth(AOD) data. Soil salinization and salt dust are the most prominent ecological problems in the Aral Sea. We divided the Aral Sea into 7 first-level ecological restoration subregions(North Aral Sea catchment area in the downstream of the Syr Darya River(Subregion Ⅰ);artificial flood overflow area in the downstream of the Aral Sea(Subregion Ⅱ);physical/chemical remediation area of the salt dust source area in the eastern part of the South Aral Sea(Subregion Ⅲ);physical/chemical remediation area of severe salinization in the central part of the South Aral Sea(Subregion Ⅳ);existing water surface and potential restoration area of the South Aral Sea(Subregion Ⅴ);Aral Sea vegetation natural recovery area(Subregion Ⅵ);and vegetation planting area with slight salinization in the South Aral Sea(Subregion Ⅶ)) and 14 second-level ecological restoration subregions according to the ecological zoning principles. Implementable measures are proposed for each ecological restoration subregion. For Subregion Ⅰ and Subregion Ⅱ with lower elevations, artificial flooding should be carried out to restore the surface of the Aral Sea. Subregion Ⅲ and Subregion Ⅳ have severe salinization, making it difficult for vegetation to grow. In these subregions, it is recommended to cover and pave the areas with green biomatrix coverings and environmentally sustainable bonding materials. In Subregion Ⅴ located in the central and western parts of the South Aral Sea, surface water recharge should be increased to ensure that this subregion can maintain normal water levels. In Subregion Ⅵ and Subregion Ⅶ where natural conditions are suitable for vegetation growth, measures such as afforestation and buffer zones should be implemented to protect vegetation. This study could provide a reference basis for future comprehensive ecological management and restoration of the Aral Sea.

Stepwise Ecological Restoration:A framework for improving restoration outcomes

Ecosystem degradation is one of the critical constraints for the sustainable development of our planet.However,recovering an ecosystem to a pre-impairment condition is often not practical.The International Restoration Standards provide the first framework for practical guidance on what constitutes the process of ecological repair and how this repair process can be influenced to improve net ecological benefits.In these Standards,Restorative Continuum is highlighted and it recognises that many do not,yet there is still value in aspiring to improvements to the highest extent possible,with some sites potentially being able to be improved in a stepwise manner.Here we elaborate on these Standards by providing a cross-ecosystem theoretical framework of Stepwise Ecological Restoration(STERE)for promoting higher environmental benefits.STERE allows the selection of suitable restorative modes by considering the degree of degradation while encouraging a transition to a higher state.These models include environmental remediation for completely modified and degraded ecosystems,ecological rehabilitation for highly modified and degraded ecosystems,and ecological restoration for degraded native ecosystems.STERE requires selecting tailored restorative modes,setting clear restorative targets and reference ecosystems,applying a systematic-thinking approach,and implementing a continuous monitoring program at all process stages to achieve a resilient trajectory.STERE allows adaptive management in the context of climate change,and when the evidence is available,to“adapt to the future”to ensure climate resilience.The STERE framework could assist in initiating and implementing restoration projects worldwide,especially in developing countries.

Effects of restoration modes on the spatial distribution of soil physical properties after land consolidation: a multifractal analysis

Soil physical properties(SPP)are considered to be important indices that reflect soil structure,hydrological conditions and soil quality.It is of substantial interest to study the spatial distribution of SPP owing to the high spatial variability caused by land consolidation under various land restoration modes in excavated farmland in the loess hilly area of China.In our study,three land restoration modes were selected including natural restoration land(NR),alfalfa land(AL)and maize land(ML).Soil texture composition,including the contents of clay,silt and sand,field capacity(FC),saturated conductivity(Ks)and bulk density(BD)were determined using a multifractal analysis.SPP were found to possess variable characteristics,although land consolidation destroyed the soil structure and decreased the spatial autocorrelation.Furthermore,SPP varied with land restoration and could be illustrated by the multifractal parameters of D1,ΔD,ΔαandΔf in different modes of land restoration.Owing to multiple compaction from large machinery in the surface soil,soil particles were fine-grained and increased the spatial variability in soil texture composition under all the land restoration modes.Plough numbers and vegetative root characteristics had the most significant impacts on the improvement in SPP,which resulted in the best spatial distribution characteristics of SPP found in ML compared with those in AL and NR.In addition,compared with ML,Δαvalues of NR and AL were 4.9-and 3.0-fold that of FC,respectively,andΔαvalues of NR and AL were 2.3-and 1.5-fold higher than those of Ks,respectively.These results indicate that SPP can be rapidly improved by increasing plough numbers and planting vegetation types after land consolidation.Thus,we conclude that ML is an optimal land restoration mode that results in favorable conditions to rapidly improve SPP.

Effect of sequential nursing care combined with communication intervention on visual recovery and pain after cataract ultrasound emulsification

BACKGROUND Cataracts are a common ophthalmic disease and postoperative vision recovery is crucial to patient quality of life.Rational and efficient care models play an impor-tant role in promoting vision recovery.AIM To evaluate the clinical effectiveness of procedural nursing care combined with communication intervention in vision recovery after cataract ultrasound emulsi-fication.METHODS A randomized controlled study was conducted on 100 patients with cataracts who underwent ultrasound emulsification surgery.They were randomly assigned to an experimental group or a control group.The experimental group received procedural nursing combined with Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication intervention,whereas the control group received conventional nursing.The effectiveness of the nursing model was assessed by comparing differences in vision recovery,pain scores,and mental health status between the two groups.RESULTS It was found that over time the visual acuity of patients in both groups gradually recovered and patients in the experimental group had lower pain scores and superior mental health status than the control group(P<0.05).CONCLUSION Procedural nursing combined with CICARE communication intervention has positive effects on vision recovery in patients after cataract ultrasound emulsification.

Restoration of outer segments of foveal photoreceptors after resolution of malignant hypertensive retinopathy

Dear Sir,I am Dr. Xiao-Qiang Liu, from the Department of Ophthalmology, Shanghai Tenth People’s Hospital,Tongji University School of Medicine, Shanghai, China. I write to report a case of malignant hypertensive retinopathy demonstrated by spectral domain optical coherence

Restoration,Strengthening and Planning in Italian and German Reconstruction after World War Ⅱ:Essay in Three Steps

Post WWⅡ reconstruction took place at a time of fundamental importance for our understanding of the divide,theoretical and technical,between consolidation,reconstruction and restoration.Indeed,this period represents the moment in which the earliest stages of this rift emerged.In this essay,we shall attempt to provide an account of this phenomenon by citing case studies considered important within the Italian and German context:post-WWⅡ reconstruction work in the Veneto region(at key sites such as the Basilica Palladiana in Vicenza,the Palazzo dei Trecento in Treviso and the Church of the Eremitani in Padua),reconstruction of the Alte Pinakothek in Munich,and reconstruction and work for new use of the hospital,Ospedale Maggiore,in Milan,as a seat for the Università Statale.Considering these instances provides us with an opportunity to reconsider the transition,theoretical and technical,between conservation of ruins and reconstruction of memory.

Novel rehabilitation paradigm for restoration of hand functions after tetraplegia

The letter by Bouton et al.（2016）“Restoring cortical control of functional movement in a human with quadriplegia”presents a case report of a 24 year old male with tetraplegia（C5–6）.The goal of the work was to bypass the spinal cord injury（SCI）lesion to stimulate the right forearm muscles to perform six movements and daily functional tasks.

Tissue restoration after improper laser gingivectomy: A case report

We report the case of 27-year-old female patient applied to our clinic with several pain at her upper teeth and weakness complaints. Anamnesis revealed that she experienced laser gingivectomy to have remarkable teeth. Clinical examination showed that maxillar alveolar bone was partially uncovered with gingivae and periosteum. Interproximal necrosed area was observed. She had sensitivity at her maxillar anterior teeth. Furthermore, she was so anxious and depressed. In order to ensure more blood supply and clot formation, perforations on uncovered cortical bone was prepared. Avoiding from infection antibiotic, antiseptic gel and for epithelization vitamin E gel were prescribed. During one month she was recalled every third day. Recall times diminished periodically, as new tissue evolves. Although laser's irreversible photothermal effects on soft and hard tissue, after a year all denuded areas were covered with healthy tissues without any surgical procedures. Histopathologic comparing showed severe lymphocyte infiltration and increased fibrosis and kollagenization in restored gingiva, additionally epithelial loss was observed. Since there is not a case report about the complications of laser gingivectomy in litera-ture, we tried to represent a treatment plan that may be elucidative for clinicians.

Progress and Prospects of the Natural Restoration of Damaged Vegetation after the Earthquake

Vegetation plays an important role in soil and water conservation, water conservation and carbon sequestration of an ecosystem. The restoration of damaged vegetation is of great significance to the maintenance of species diversity and the restoration of the regional ecological environment. It is also one of the most effective measures to improve the fragile ecosystem. This paper summarizes the research results from decades of damaged vegetation recovery in the process of vegetation recovery, the main driving factor and the restoration mode.

Feature extraction and analysis of reclaimed vegetation in ecological restoration area of abandoned mines based on hyperspectral remote sensing images

The vegetation growth status largely represents the ecosystem function and environmental quality.Hyperspectral remote sensing data can effectively eliminate the effects of surface spectral reflectance and atmospheric scattering and directly reflect the vegetation parameter information.In this study,the abandoned mining area in the Helan Mountains,China was taken as the study area.Based on hyperspectral remote sensing images of Zhuhai No.1 hyperspectral satellite,we used the pixel dichotomy model,which was constructed using the normalized difference vegetation index(NDVI),to estimate the vegetation coverage of the study area,and evaluated the vegetation growth status by five vegetation indices(NDVI,ratio vegetation index(RVI),photochemical vegetation index(PVI),red-green ratio index(RGI),and anthocyanin reflectance index 1(ARI1)).According to the results,the reclaimed vegetation growth status in the study area can be divided into four levels(unhealthy,low healthy,healthy,and very healthy).The overall vegetation growth status in the study area was generally at low healthy level,indicating that the vegetation growth status in the study area was not good due to short-time period restoration and harsh damaged environment such as high and steep rock slopes.Furthermore,the unhealthy areas were mainly located in Dawukougou where abandoned mines were concentrated,indicating that the original mining activities have had a large effect on vegetation ecology.After ecological restoration of abandoned mines,the vegetation coverage in the study area has increased to a certain extent,but the amplitude was not large.The situation of vegetation coverage in the northern part of the study area was worse than that in the southern part,due to abandoned mines mainly concentrating in the northern part of the Helan Mountains.The combination of hyperspectral remote sensing data and vegetation indices can comprehensively extract the characteristics of vegetation,accurately analyze the plant growth status,and provide technical support for vegetation health evaluation.

Restoration of the JPEG Maximum Lossy Compressed Face Images with Hourglass Block-GAN

In the context of high compression rates applied to Joint Photographic Experts Group(JPEG)images through lossy compression techniques,image-blocking artifacts may manifest.This necessitates the restoration of the image to its original quality.The challenge lies in regenerating significantly compressed images into a state in which these become identifiable.Therefore,this study focuses on the restoration of JPEG images subjected to substantial degradation caused by maximum lossy compression using Generative Adversarial Networks(GAN).The generator in this network is based on theU-Net architecture.It features a newhourglass structure that preserves the characteristics of the deep layers.In addition,the network incorporates two loss functions to generate natural and high-quality images:Low Frequency(LF)loss and High Frequency(HF)loss.HF loss uses a pretrained VGG-16 network and is configured using a specific layer that best represents features.This can enhance the performance in the high-frequency region.In contrast,LF loss is used to handle the low-frequency region.The two loss functions facilitate the generation of images by the generator,which can mislead the discriminator while accurately generating high-and low-frequency regions.Consequently,by removing the blocking effects frommaximum lossy compressed images,images inwhich identities could be recognized are generated.This study represents a significant improvement over previous research in terms of the image resolution performance.