Previous studies have shown that visual cortical neurons in old mammals exhibit higher spontaneous activity,higher responsiveness to visual stimuli,and lower selectivity for stimulus orientations and motion directions...Previous studies have shown that visual cortical neurons in old mammals exhibit higher spontaneous activity,higher responsiveness to visual stimuli,and lower selectivity for stimulus orientations and motion directions than did neurons in young adult counterparts.However,whether the responsive difference in cortical neurons between young and old animals resulted from different effects induced by anesthetics has remained unclear.To clarify this issue,we recorded the response properties of individual neurons in the primary visual cortex of old and young adult cats while systematically varying the anesthesia level of urethane,a widely used anesthetic in physiology experiments.Our results showed that cumulatively administrating 50 mg and 100 mg of urethane upon the minimal level of urethane required to anesthetize an old or young adult cat did not significantly alter the degree of neuronal response selectivity for stimulus orientations and motion directions nor significantly change the visually-driven response and spontaneous activity of neurons in old and young adult cats.Cumulatively administrating 150 mg of urethane decreased neuronal responsiveness similarly in both age groups.Therefore,urethane appears to exert similar effects on neuronal response properties of old and young adult animals.展开更多
Reports on physical functions during maintenance period of the elderly with cardiac and other serious diseases are limited. This study aims to clarify age and gender-related differences in their physical functions. Pa...Reports on physical functions during maintenance period of the elderly with cardiac and other serious diseases are limited. This study aims to clarify age and gender-related differences in their physical functions. Participants included 167 elderly individuals (males, 78;mean age, 76.5 years;SD = 6.0 years;females, 89;mean age, 75.5 years;SD = 4.5 years) who participated in a 1-year regular exercise therapy twice a week. The following eight physical function tests were selected: grip strength, 10-m obstacle walking time, one-legged balance with eyes open, sit-ups, sitting trunk flexion, 6-min walk, stepping by sitting position, and a timed up & go (TUG). Two-way analysis of variance was used to examine mean differences by gender and age: young elderly group (aged 65 - 74 years) and old elderly group (aged ≥ 75 years). In the grip strength, sit-ups, 6-min walk, 10-m obstacle walking time, stepping by sitting position, and sitting trunk flexion tests, males were superior in the former four tests, and females were superior in the latter two tests. The young elderly group was superior in all tests except for sit-ups compared with the old elderly group. The balance during one-legged with eyes open test was superior in males compared with females in the young elderly group, but decreased in males in the old elderly group. In conclusion, physical functions of the elderly during maintenance period are different between genders. Muscle strength, muscle endurance, whole-body endurance, and walking ability are superior in males, whereas flexibility and agility are superior in females. The old elderly group was inferior in all the elements of physical function except muscle endurance.展开更多
This article expounds the advantages and three schemes of applying combined cycle to the modernized retrofit of old thermal power plants. Through analyzing and comparing technical economics of these three schemes, it ...This article expounds the advantages and three schemes of applying combined cycle to the modernized retrofit of old thermal power plants. Through analyzing and comparing technical economics of these three schemes, it is concluded that to use feedwater heating and heat recovery steam generator (HRSG) is suitable for the units with unit capacity below 100 MW, while to use exhaust gas reburning is suitable for units with unit capacity of 125 MW, 200 MW and above.展开更多
As the basic unit of a city,community is an important carrier of residents’ healthy life.With the development of society,the environmental status of old communities has been unable to meet the needs of residents’ he...As the basic unit of a city,community is an important carrier of residents’ healthy life.With the development of society,the environmental status of old communities has been unable to meet the needs of residents’ healthy life,and it is urgent to optimize the community environment.The emergence of novel coronavirus also put forward more strict requirements for the grassroots governance of old communities in China.Taking Fuguoli community in Beijing City as an example,the problems existing in the external environment of old communities were excavated from the perspective of functional requirements,and the distributed green space layout pattern and the dynamic simulation of community microclimate environment was constructed through the method of field survey and numerical simulation.Furthermore,the environmental optimization strategies of old communities with combination of peacetime and epidemic situation were put forward to help the epidemic prevention and control.展开更多
BACKGROUND Diabetic kidney disease(DKD)is a common complication of diabetes.The patient’s prognosis is poor once DKD progresses to advanced stage.Accurate diagnosis and timely treatment of early DKD are important for...BACKGROUND Diabetic kidney disease(DKD)is a common complication of diabetes.The patient’s prognosis is poor once DKD progresses to advanced stage.Accurate diagnosis and timely treatment of early DKD are important for improving patient’s prognosis and reducing mortality.AIM To explore the value of elastography point quantification(ElastPQ)in improving the accuracy of early DKD diagnosis.METHODS A total of 69 patients with type 2 diabetes were recruited from Naval Military Medical University Affiliated Gongli Hospital.Patients were divided into early DKD group and medium DKD group according to pathological results and urinary albumin excretion rate(UAER).Another 40 patients with simple diabetes were included as the diabetes group.The baseline data,laboratory diagnostic indicators,and ultrasound indicators for each patient were recorded.The differences of the indicators in the three groups were compared.Multivariate logistic regression was used to analyze the influencing factors of the development from simple diabetes into early DKD and from early DKD into medium DKD.Receiver operating characteristic analyses of potential indicators in identifying early DKD and medium DKD,and early DKD and simple diabetes were established.RESULTS Multivariate logistic regression analysis showed that UAER(P<0.001),renocortical Young's Modulus(YM)(P<0.001),and renal parenchymal thickness(P=0.013)were the independent influencing factors of the development from early DKD into medium DKD.Diabetes duration(P=0.041),UAER(P=0.034),and renocortical YM(P=0.017)were the independent influencing factors of the development from simple diabetes into early DKD.Receiver operating characteristic analysis indicated that UAER,renocortical YM,and renal parenchymal thickness were accurate in identifying early DKD and medium DKD[all area under curve(AUC)>0.9].The accuracy of UAER(AUC=0.744),diabetes duration(AUC=0.757),and renocortical YM(AUC=0.782)for the diagnosis of early DKD and simple diabetes were limited.However,the combined diagnosis of UAER,diabetes duration,and renocortical YM was accurate in identifying early DKD and simple diabetes(AUC=0.906),which was significantly higher than any of the three indicators(all P<0.05).CONCLUSION ElastPQ is of great value in the diagnosis of early DKD.When combined with the diabetes duration and UAER,it is expected to diagnose accurately early DKD.展开更多
Objective: To compare the clinical characteristics, histological types, stage at diagnosis and treatment between young (< or =40 years) and older (> or =70 years) patients with lung cancer. Methods: The study wa...Objective: To compare the clinical characteristics, histological types, stage at diagnosis and treatment between young (< or =40 years) and older (> or =70 years) patients with lung cancer. Methods: The study was designed as a retrospective review of 808 lung cancer patients referred to the Sir Run Run Shaw Hospital over a 6-year period from 1995 to 2001. Data regarding demographics, presentation symptoms, histology, tumor staging, and treatment modality were obtained from all patients. Results: We found significantly more female patients and adenocarcinoma in the younger group compared with the older patients. Cough was the most common presenting symptom in both the younger and older groups followed by dyspnea, hemoptysis in the older group or chest pain in the younger group. There was no difference in the stage of disease at initial presentation between the younger and older groups. The young patients tended to receive aggressive treatment more readily than the older patients, and the older patients frequently received supportive care only. Conclusion: The female sex and adenocarcinoma were predominant in young patients compared with the older patients. Young patients tended to receive more aggressive treatment and may have better survival.展开更多
This study examined the factors associated with financial support in old age from three primary mechanisms-personal savings,family support,and social insurance-to explore the implications for the future development of...This study examined the factors associated with financial support in old age from three primary mechanisms-personal savings,family support,and social insurance-to explore the implications for the future development of China's rural social welfare system.Cross-sectional surveys of 1392 young and middle-aged rural residents were conducted in July and August2012.The results showed that while social insurance was increasingly acceptable,personal savings and family support still had fundamental value.Combining the three mechanisms,the rural old-age welfare system presented nontraditional features.China's new rural endowment insurance is discussed as a means to address the need for financial support among the rural aging population.展开更多
The effect of the surface gravity waves over sea surface roughness length (z0) is investigated from several idealized numerical experiments with the Wave-Watch-III (WW3) model. The WW3 model is combined with a simplif...The effect of the surface gravity waves over sea surface roughness length (z0) is investigated from several idealized numerical experiments with the Wave-Watch-III (WW3) model. The WW3 model is combined with a simplified model to estimate z0, CD, u* and U10 as function of the sea state. The impacts related to the presence of the ocean waves over z0 are obtained from conditions of growing (young waves) and mature seas (old waves). The wave spectrum is obtained from WW3 model for each idealized simulation under uniform wind conditions. Uniform wind experiments range from 15 to 45 m/s. The simplified algorithm determines z0, CD, u* and U10 for cases of young waves, old waves and by the Charnock method. The results show that when the ocean is characterized by young waves, both z0 and CD (drag coefficient) increase while U10 is reduced. In Charnock case, the values of z0, CD and U10 have no dependence with the presence of gravity waves. Experiments using winds higher than 30 m/s result in young waves’ CD values higher than the CD value for old waves. Even for young waves CD values are high for cases of strong winds. The results also show that in experiments using winds higher than 30 m/s the dependence between CD and wave age becomes stronger, which is in accordance with other studies.展开更多
Psychophysical experiments on human and animal subjects have proven that aged individuals show significantly reduced visual contrast sensitivity compared with young adults.To uncover the possible neural mechanisms,we ...Psychophysical experiments on human and animal subjects have proven that aged individuals show significantly reduced visual contrast sensitivity compared with young adults.To uncover the possible neural mechanisms,we used extracellular single-unit recording techniques to examine the response of V1(primary visual cortex) neurons as a function of visual stimulus contrast in both old and young adult cats(Felis catus).The mean contrast sensitivity of V1 neurons to visual stimuli in old cats decreased significantly relative to young adult cats,consistent with findings reported in old primates.These results indicate that aging can affect contrast sensitivity of visual cortical cells in both primate and non-primate mammalian animals,and might contribute to the reduction of perceptual visual contrast sensitivity in aged individuals.Further,V1 cells of old cats exhibited increased responsiveness,decreased signal-to-noise ratio,and enlarged receptive field(RF) size compared with that of young adult cats,which indicated that decreased contrast sensitivity of V1 neurons accompanied a reduction of intracortical inhibition during senescence.展开更多
Objective:To compare the clinical therapeutic effect of bridge combined internal fixation system and locking compression plate internal fixation in the treatment of displaced midshaft clavicle fractures by emphaticall...Objective:To compare the clinical therapeutic effect of bridge combined internal fixation system and locking compression plate internal fixation in the treatment of displaced midshaft clavicle fractures by emphatically observing fracture healing and shoulder joint function.Methods:Totally 44 elderly patients with Robinson type 2B displaced midshaft clavicle fractures were included from the Department of Orthopaedics,Shenyang Fourth People's Hospital during February 2016 and December 2018,including 23 males and 21 females,mean age(69.8±10.2)years old.The patients were divided into a bridge combined internal fixation system group(bridge group,n=22)and a locking compression plate internal fixation group(plate group,n=22)according to the internal fixation methods.The operation time,intraoperative blood loss,fracture healing time,and postoperative complications were recorded.At 12 months after surgery,the shoulder joint Constant-Murley score and DASH score were used to assess the recovery of joint function.The serum levels of bone turnover biochemical markers procollagen I N-terminal peptide(P1NP),cross-linked Carboxy-terminal telopeptide of typeⅠcollagen(CTX-I),and osteoblast specific factor(OSF)were measured before and 3 months after surgery.Results:The operation time,intraoperative blood loss and fracture healing time of the bridge group were significantly shorter than those of the plate group(P<0.05).Constant scores and DASH scores in the bridge group were significantly better than those of the plate group at 12 months after surgery(P<0.05).Serum levels of CTX-I was significantly decreased,while the P1NP and OSF were significantly increased compared with before surgery in the both groups(P<0.05),and the changes were more obvious in the bridge group(P<0.05).The incidence of complications was similar between the two groups(P<0.05).Conclusion:Compared with the locking plate system,the bridge combined internal fixation system can effectively improve the operation efficiency,have more benefits on fracture healing,better promote the recovery of patients'function,and reduce the failure rate of internal fixation,thus providing a better choice to treat displaced midshaft clavicle fractures by intraoperative internal fixation.展开更多
The novel I vecchi e i giovani has been the object of numerous critical interpretations,including those of Leonardo Sciascia,Gaetano Trombatore,and Massimo Onofri,in particular.Taking as its starting point Pirandello...The novel I vecchi e i giovani has been the object of numerous critical interpretations,including those of Leonardo Sciascia,Gaetano Trombatore,and Massimo Onofri,in particular.Taking as its starting point Pirandello’s phrase,“la gioventùsacrificata potrebbe dare un crollo a questa oltracotante oppressione dei vecchi e prendersi finalmente uno sfogo e affermarsi vittoriosa”and applying Freudian principles,this work seeks primarily to highlight the autobiographical element that is expressed in the father/son,Luigi/Stefano,and Lando Laurentano/Stefano Landi relationships.展开更多
Objective To explore the clinical effect of the trans-atlantoaxial pedicle screw-rod internal fixation and fusion in treatment of old odontoid fracture combined with atlantoaxial instability. Methods The study involve...Objective To explore the clinical effect of the trans-atlantoaxial pedicle screw-rod internal fixation and fusion in treatment of old odontoid fracture combined with atlantoaxial instability. Methods The study involved 48 patients with展开更多
Background:Artemisinin-based combination therapies are recommended as first-line treatments for uncomplicated falciparum malaria,but there is little evaluation of their efficacy and effects on uncomplicated malaria-as...Background:Artemisinin-based combination therapies are recommended as first-line treatments for uncomplicated falciparum malaria,but there is little evaluation of their efficacy and effects on uncomplicated malaria-associated anaemia in children aged 2 years and under.Methods:Parasitological efficacy and effects on malaria-associated anaemia were evaluated in 250 malarious children aged 2 years and under,and efficacy was evaluated in 603 malarious children older than two but younger than 5 years of age following treatment with artesunate-amodiaquine(AA)or artemether-lumefantrine(AL).Kinetics of the disposition of parasitaemia following treatment were evaluated using a non-compartment model.Late-appearing anaemia(LAA)was diagnosed using the following criteria:clearance of parasitaemia,fever and other symptoms occurring within 7 days of starting treatment,adequate clinical and parasitological response on days 28–42,haematocrit(HCT)≥30%at 1 and/or 2 weeks,a fall in HCT to<30%occurring at 3–6 weeks,absence of concomitant illness at 1–6 weeks,and absence of asexual parasitaemia detected using both microscopy and polymerase chain reaction(PCR)at 1–6 weeks.Results:Overall,in children aged 2 years and under,the PCR-corrected parasitological efficacy was 97.2%(95%CI 92.8–101.6),which was similar for both treatments.In children older than 2 years,parasitological efficacy was also similar for both treatments,but parasite prevalence 1 day after treatment began was significantly higher,and fever and parasite clearance times were significantly faster in the AA-treated children compared with the AL-treated children.Declines in parasitaemia were monoexponential with an estimated elimination half-time of 1 h.Elimination half-times were similar for both treatments.In children aged 2 years and under who were anaemic at presentation,the mean anaemia recovery time was 12.1 days(95%CI 10.6–13.6,n=127),which was similar for both treatments.Relatively asymptomatic LAA occurred in 11 children(4.4%)aged 2 years and under,the recovery from which was uneventful.Conclusion:This study showed that AA and AL are efficacious treatments for uncomplicated falciparum malaria in Nigerian children aged 2 years and under,and that AA clears parasitaemia and fever significantly faster than AL in children older than 2 years.Both treatments may cause a relatively asymptomatic LAA with uneventful recovery in a small proportion of children aged 2 years and under.Trials registration:Pan African Clinical Trial Registry PACTR201508001188143,3 July 2015;PACTR201510001189370,3 July 2015;PACTR201508001191898,7 July 2015 and PACTR201508001193368,8 July 2015 http://www.pactr.org.展开更多
基金Supported by Natural Science Foundation of Anhui Province (070413138)the Key Research Foundation of Anhui Province Education Department (KJ2009A167)
文摘Previous studies have shown that visual cortical neurons in old mammals exhibit higher spontaneous activity,higher responsiveness to visual stimuli,and lower selectivity for stimulus orientations and motion directions than did neurons in young adult counterparts.However,whether the responsive difference in cortical neurons between young and old animals resulted from different effects induced by anesthetics has remained unclear.To clarify this issue,we recorded the response properties of individual neurons in the primary visual cortex of old and young adult cats while systematically varying the anesthesia level of urethane,a widely used anesthetic in physiology experiments.Our results showed that cumulatively administrating 50 mg and 100 mg of urethane upon the minimal level of urethane required to anesthetize an old or young adult cat did not significantly alter the degree of neuronal response selectivity for stimulus orientations and motion directions nor significantly change the visually-driven response and spontaneous activity of neurons in old and young adult cats.Cumulatively administrating 150 mg of urethane decreased neuronal responsiveness similarly in both age groups.Therefore,urethane appears to exert similar effects on neuronal response properties of old and young adult animals.
文摘Reports on physical functions during maintenance period of the elderly with cardiac and other serious diseases are limited. This study aims to clarify age and gender-related differences in their physical functions. Participants included 167 elderly individuals (males, 78;mean age, 76.5 years;SD = 6.0 years;females, 89;mean age, 75.5 years;SD = 4.5 years) who participated in a 1-year regular exercise therapy twice a week. The following eight physical function tests were selected: grip strength, 10-m obstacle walking time, one-legged balance with eyes open, sit-ups, sitting trunk flexion, 6-min walk, stepping by sitting position, and a timed up & go (TUG). Two-way analysis of variance was used to examine mean differences by gender and age: young elderly group (aged 65 - 74 years) and old elderly group (aged ≥ 75 years). In the grip strength, sit-ups, 6-min walk, 10-m obstacle walking time, stepping by sitting position, and sitting trunk flexion tests, males were superior in the former four tests, and females were superior in the latter two tests. The young elderly group was superior in all tests except for sit-ups compared with the old elderly group. The balance during one-legged with eyes open test was superior in males compared with females in the young elderly group, but decreased in males in the old elderly group. In conclusion, physical functions of the elderly during maintenance period are different between genders. Muscle strength, muscle endurance, whole-body endurance, and walking ability are superior in males, whereas flexibility and agility are superior in females. The old elderly group was inferior in all the elements of physical function except muscle endurance.
文摘This article expounds the advantages and three schemes of applying combined cycle to the modernized retrofit of old thermal power plants. Through analyzing and comparing technical economics of these three schemes, it is concluded that to use feedwater heating and heat recovery steam generator (HRSG) is suitable for the units with unit capacity below 100 MW, while to use exhaust gas reburning is suitable for units with unit capacity of 125 MW, 200 MW and above.
基金General Project of Natural Science Foundation of Beijing City (8202017)Youth Talent Support Program of 2018 Beijing Municipal University Academic Human Resources Development (PXM2018_014212_000043)。
文摘As the basic unit of a city,community is an important carrier of residents’ healthy life.With the development of society,the environmental status of old communities has been unable to meet the needs of residents’ healthy life,and it is urgent to optimize the community environment.The emergence of novel coronavirus also put forward more strict requirements for the grassroots governance of old communities in China.Taking Fuguoli community in Beijing City as an example,the problems existing in the external environment of old communities were excavated from the perspective of functional requirements,and the distributed green space layout pattern and the dynamic simulation of community microclimate environment was constructed through the method of field survey and numerical simulation.Furthermore,the environmental optimization strategies of old communities with combination of peacetime and epidemic situation were put forward to help the epidemic prevention and control.
基金Shanghai Health and Family Planning Commission,No.201440051Shanghai Pudong New Area Health and Family Planning Commission,No.PW2016A-19
文摘BACKGROUND Diabetic kidney disease(DKD)is a common complication of diabetes.The patient’s prognosis is poor once DKD progresses to advanced stage.Accurate diagnosis and timely treatment of early DKD are important for improving patient’s prognosis and reducing mortality.AIM To explore the value of elastography point quantification(ElastPQ)in improving the accuracy of early DKD diagnosis.METHODS A total of 69 patients with type 2 diabetes were recruited from Naval Military Medical University Affiliated Gongli Hospital.Patients were divided into early DKD group and medium DKD group according to pathological results and urinary albumin excretion rate(UAER).Another 40 patients with simple diabetes were included as the diabetes group.The baseline data,laboratory diagnostic indicators,and ultrasound indicators for each patient were recorded.The differences of the indicators in the three groups were compared.Multivariate logistic regression was used to analyze the influencing factors of the development from simple diabetes into early DKD and from early DKD into medium DKD.Receiver operating characteristic analyses of potential indicators in identifying early DKD and medium DKD,and early DKD and simple diabetes were established.RESULTS Multivariate logistic regression analysis showed that UAER(P<0.001),renocortical Young's Modulus(YM)(P<0.001),and renal parenchymal thickness(P=0.013)were the independent influencing factors of the development from early DKD into medium DKD.Diabetes duration(P=0.041),UAER(P=0.034),and renocortical YM(P=0.017)were the independent influencing factors of the development from simple diabetes into early DKD.Receiver operating characteristic analysis indicated that UAER,renocortical YM,and renal parenchymal thickness were accurate in identifying early DKD and medium DKD[all area under curve(AUC)>0.9].The accuracy of UAER(AUC=0.744),diabetes duration(AUC=0.757),and renocortical YM(AUC=0.782)for the diagnosis of early DKD and simple diabetes were limited.However,the combined diagnosis of UAER,diabetes duration,and renocortical YM was accurate in identifying early DKD and simple diabetes(AUC=0.906),which was significantly higher than any of the three indicators(all P<0.05).CONCLUSION ElastPQ is of great value in the diagnosis of early DKD.When combined with the diabetes duration and UAER,it is expected to diagnose accurately early DKD.
文摘Objective: To compare the clinical characteristics, histological types, stage at diagnosis and treatment between young (< or =40 years) and older (> or =70 years) patients with lung cancer. Methods: The study was designed as a retrospective review of 808 lung cancer patients referred to the Sir Run Run Shaw Hospital over a 6-year period from 1995 to 2001. Data regarding demographics, presentation symptoms, histology, tumor staging, and treatment modality were obtained from all patients. Results: We found significantly more female patients and adenocarcinoma in the younger group compared with the older patients. Cough was the most common presenting symptom in both the younger and older groups followed by dyspnea, hemoptysis in the older group or chest pain in the younger group. There was no difference in the stage of disease at initial presentation between the younger and older groups. The young patients tended to receive aggressive treatment more readily than the older patients, and the older patients frequently received supportive care only. Conclusion: The female sex and adenocarcinoma were predominant in young patients compared with the older patients. Young patients tended to receive more aggressive treatment and may have better survival.
基金supported by some projects from Chinese central universities'basic scientific research[Grant No.SKZD201206]Humanities and Social Sciences Project from Education Ministry[grant number:13YJC630131]Nanjing Agricultural University Social Science Fund[Grant No.SK2012006]
文摘This study examined the factors associated with financial support in old age from three primary mechanisms-personal savings,family support,and social insurance-to explore the implications for the future development of China's rural social welfare system.Cross-sectional surveys of 1392 young and middle-aged rural residents were conducted in July and August2012.The results showed that while social insurance was increasingly acceptable,personal savings and family support still had fundamental value.Combining the three mechanisms,the rural old-age welfare system presented nontraditional features.China's new rural endowment insurance is discussed as a means to address the need for financial support among the rural aging population.
文摘The effect of the surface gravity waves over sea surface roughness length (z0) is investigated from several idealized numerical experiments with the Wave-Watch-III (WW3) model. The WW3 model is combined with a simplified model to estimate z0, CD, u* and U10 as function of the sea state. The impacts related to the presence of the ocean waves over z0 are obtained from conditions of growing (young waves) and mature seas (old waves). The wave spectrum is obtained from WW3 model for each idealized simulation under uniform wind conditions. Uniform wind experiments range from 15 to 45 m/s. The simplified algorithm determines z0, CD, u* and U10 for cases of young waves, old waves and by the Charnock method. The results show that when the ocean is characterized by young waves, both z0 and CD (drag coefficient) increase while U10 is reduced. In Charnock case, the values of z0, CD and U10 have no dependence with the presence of gravity waves. Experiments using winds higher than 30 m/s result in young waves’ CD values higher than the CD value for old waves. Even for young waves CD values are high for cases of strong winds. The results also show that in experiments using winds higher than 30 m/s the dependence between CD and wave age becomes stronger, which is in accordance with other studies.
基金Supported by National Natural Science Foundation of China(31171082)Natural Science Foundation of Anhui Province(070413138)the Key Research Foundation of Anhui Province Education Department(KJ2009A167)
文摘Psychophysical experiments on human and animal subjects have proven that aged individuals show significantly reduced visual contrast sensitivity compared with young adults.To uncover the possible neural mechanisms,we used extracellular single-unit recording techniques to examine the response of V1(primary visual cortex) neurons as a function of visual stimulus contrast in both old and young adult cats(Felis catus).The mean contrast sensitivity of V1 neurons to visual stimuli in old cats decreased significantly relative to young adult cats,consistent with findings reported in old primates.These results indicate that aging can affect contrast sensitivity of visual cortical cells in both primate and non-primate mammalian animals,and might contribute to the reduction of perceptual visual contrast sensitivity in aged individuals.Further,V1 cells of old cats exhibited increased responsiveness,decreased signal-to-noise ratio,and enlarged receptive field(RF) size compared with that of young adult cats,which indicated that decreased contrast sensitivity of V1 neurons accompanied a reduction of intracortical inhibition during senescence.
文摘Objective:To compare the clinical therapeutic effect of bridge combined internal fixation system and locking compression plate internal fixation in the treatment of displaced midshaft clavicle fractures by emphatically observing fracture healing and shoulder joint function.Methods:Totally 44 elderly patients with Robinson type 2B displaced midshaft clavicle fractures were included from the Department of Orthopaedics,Shenyang Fourth People's Hospital during February 2016 and December 2018,including 23 males and 21 females,mean age(69.8±10.2)years old.The patients were divided into a bridge combined internal fixation system group(bridge group,n=22)and a locking compression plate internal fixation group(plate group,n=22)according to the internal fixation methods.The operation time,intraoperative blood loss,fracture healing time,and postoperative complications were recorded.At 12 months after surgery,the shoulder joint Constant-Murley score and DASH score were used to assess the recovery of joint function.The serum levels of bone turnover biochemical markers procollagen I N-terminal peptide(P1NP),cross-linked Carboxy-terminal telopeptide of typeⅠcollagen(CTX-I),and osteoblast specific factor(OSF)were measured before and 3 months after surgery.Results:The operation time,intraoperative blood loss and fracture healing time of the bridge group were significantly shorter than those of the plate group(P<0.05).Constant scores and DASH scores in the bridge group were significantly better than those of the plate group at 12 months after surgery(P<0.05).Serum levels of CTX-I was significantly decreased,while the P1NP and OSF were significantly increased compared with before surgery in the both groups(P<0.05),and the changes were more obvious in the bridge group(P<0.05).The incidence of complications was similar between the two groups(P<0.05).Conclusion:Compared with the locking plate system,the bridge combined internal fixation system can effectively improve the operation efficiency,have more benefits on fracture healing,better promote the recovery of patients'function,and reduce the failure rate of internal fixation,thus providing a better choice to treat displaced midshaft clavicle fractures by intraoperative internal fixation.
文摘The novel I vecchi e i giovani has been the object of numerous critical interpretations,including those of Leonardo Sciascia,Gaetano Trombatore,and Massimo Onofri,in particular.Taking as its starting point Pirandello’s phrase,“la gioventùsacrificata potrebbe dare un crollo a questa oltracotante oppressione dei vecchi e prendersi finalmente uno sfogo e affermarsi vittoriosa”and applying Freudian principles,this work seeks primarily to highlight the autobiographical element that is expressed in the father/son,Luigi/Stefano,and Lando Laurentano/Stefano Landi relationships.
文摘Objective To explore the clinical effect of the trans-atlantoaxial pedicle screw-rod internal fixation and fusion in treatment of old odontoid fracture combined with atlantoaxial instability. Methods The study involved 48 patients with
基金supported by a Swiss Pharma Nigeria PLC Grant given to AS,and by World Bank Malaria Booster Project and the Global Fund for Malaria to Federal Ministry of Health,Abuja,Nigeria through Drug Therapeutic Efficacy Testing in Nigeria.
文摘Background:Artemisinin-based combination therapies are recommended as first-line treatments for uncomplicated falciparum malaria,but there is little evaluation of their efficacy and effects on uncomplicated malaria-associated anaemia in children aged 2 years and under.Methods:Parasitological efficacy and effects on malaria-associated anaemia were evaluated in 250 malarious children aged 2 years and under,and efficacy was evaluated in 603 malarious children older than two but younger than 5 years of age following treatment with artesunate-amodiaquine(AA)or artemether-lumefantrine(AL).Kinetics of the disposition of parasitaemia following treatment were evaluated using a non-compartment model.Late-appearing anaemia(LAA)was diagnosed using the following criteria:clearance of parasitaemia,fever and other symptoms occurring within 7 days of starting treatment,adequate clinical and parasitological response on days 28–42,haematocrit(HCT)≥30%at 1 and/or 2 weeks,a fall in HCT to<30%occurring at 3–6 weeks,absence of concomitant illness at 1–6 weeks,and absence of asexual parasitaemia detected using both microscopy and polymerase chain reaction(PCR)at 1–6 weeks.Results:Overall,in children aged 2 years and under,the PCR-corrected parasitological efficacy was 97.2%(95%CI 92.8–101.6),which was similar for both treatments.In children older than 2 years,parasitological efficacy was also similar for both treatments,but parasite prevalence 1 day after treatment began was significantly higher,and fever and parasite clearance times were significantly faster in the AA-treated children compared with the AL-treated children.Declines in parasitaemia were monoexponential with an estimated elimination half-time of 1 h.Elimination half-times were similar for both treatments.In children aged 2 years and under who were anaemic at presentation,the mean anaemia recovery time was 12.1 days(95%CI 10.6–13.6,n=127),which was similar for both treatments.Relatively asymptomatic LAA occurred in 11 children(4.4%)aged 2 years and under,the recovery from which was uneventful.Conclusion:This study showed that AA and AL are efficacious treatments for uncomplicated falciparum malaria in Nigerian children aged 2 years and under,and that AA clears parasitaemia and fever significantly faster than AL in children older than 2 years.Both treatments may cause a relatively asymptomatic LAA with uneventful recovery in a small proportion of children aged 2 years and under.Trials registration:Pan African Clinical Trial Registry PACTR201508001188143,3 July 2015;PACTR201510001189370,3 July 2015;PACTR201508001191898,7 July 2015 and PACTR201508001193368,8 July 2015 http://www.pactr.org.