BACKGROUND Peripheral nerve injury can result in significant clinical complications that have uncertain prognoses.Currently,there is a lack of effective pharmacological interventions for nerve damage,despite the exist...BACKGROUND Peripheral nerve injury can result in significant clinical complications that have uncertain prognoses.Currently,there is a lack of effective pharmacological interventions for nerve damage,despite the existence of several small compounds,Despite the objective of achieving full functional restoration by surgical intervention,the persistent challenge of inadequate functional recovery remains a significant concern in the context of peripheral nerve injuries.AIM To examine the impact of exosomes on the process of functional recovery following a complete radial nerve damage.METHODS A male individual,aged 24,who is right-hand dominant and an immigrant,arrived with an injury caused by a knife assault.The cut is located on the left arm,specifically below the elbow.The neurological examination and electrodiagnostic testing reveal evidence of left radial nerve damage.The sural autograft was utilized for repair,followed by the application of 1 mL of mesenchymal stem cell-derived exosome,comprising 5 billion microvesicles.This exosome was split into four equal volumes of 0.25 mL each and delivered microsurgically to both the proximal and distal stumps using the subepineural pathway.The patient was subjected to a period of 180 d during which they had neurological examination and electrodiagnostic testing.RESULTS The duration of the patient’s follow-up period was 180 d.An increasing Tinel’s sign and sensory-motor recovery were detected even at the 10th wk following nerve grafting.Upon the conclusion of the 6-mo post-treatment period,an evaluation was conducted to measure the extent of improvement in motor and sensory functions of the nerve.This assessment was based on the British Medical Research Council scale and the Mackinnon-Dellon scale.The results indicated that the level of improvement in motor function was classified as M5,denoting an excellent outcome.Additionally,the level of improvement in sensory function was classified as S3+,indicating a good outcome.It is noteworthy that these assessments were conducted in the absence of physical therapy.At the 10th wk post-injury,despite the persistence of substantial axonal damage,the nerve exhibited indications of nerve re-innervation as evidenced by control electromyography(EMG).In contrast to the preceding.EMG analysis revealed a significant electrophysiological enhancement in the EMG conducted at the 6th-mo follow-up,indicating ongoing regeneration.CONCLUSION Enhanced comprehension of the neurobiological ramifications associated with peripheral nerve damage,as well as the experimental and therapy approaches delineated in this investigation,holds the potential to catalyze future clinical progress.展开更多
Historically,streamer-to-leader transition studies mainly focused on the rod-plane gap and low altitude analysis,with limited attention paid to the sphere-plane gap at high altitude analysis.In this work,sphere-plane ...Historically,streamer-to-leader transition studies mainly focused on the rod-plane gap and low altitude analysis,with limited attention paid to the sphere-plane gap at high altitude analysis.In this work,sphere-plane gap discharge tests were carried out under the gap distance of 5 m at the Qinghai Ultra High Voltage(UHV)test base at an altitude of 2200 m.The experiments measured the physical parameters such as the discharge current,electric field intensity and instantaneous optical power.The duration of the dark period and the critical charge of streamer-toleader transition were obtained at high altitude.Based on radial thermal expansion of the streamer stem,we established a modified streamer-to-leader transition model of the sphere-plane gap discharge at high altitude,and calculated the stem temperature,stem radii and the duration of streamer-to-leader transition.Compared with the measured duration of sphere-plane electrode discharge at an altitude of 2200 m,the error rate of the modified model was 0.94%,while the classical model was 6.97%,demonstrating the effectiveness of the modified model.From the comparisons and analysis,several suggestions are proposed to improve the numerical model for further quantitative investigations of the leader inception.展开更多
In this study, we loaded human umbilical cord mesenchymal stem cells onto human amniotic membrane with epithelial cells to prepare nerve conduits, i.e., a relatively closed nerve regeneration chamber. After neurolysis...In this study, we loaded human umbilical cord mesenchymal stem cells onto human amniotic membrane with epithelial cells to prepare nerve conduits, i.e., a relatively closed nerve regeneration chamber. After neurolysis, the injured radial nerve was enwrapped with the prepared nerve conduit, which was fixed to the epineurium by sutures, with the cell on the inner surface of the conduit. Simultaneously, a 1.0 mL aliquot of human umbilical cord mesenchymal stem cell suspension was injected into the distal and proximal ends of the injured radial nerve with 1.0 cm intervals. A total of 1.75 x 107 cells were seeded on the amniotic membrane. In the control group, patients received only neurolysis. At 12 weeks after cell transplantation, more than 80% of patients exhibited obvious improvements in muscular strength, and touch and pain sensations. In contrast, these improvements were observed only in 55-65% of control patients. At 8 and 12 weeks, muscular electrophysiological function in the region dominated by the injured radial nerve was significantly better in the transplantation group than the control group. After cell transplantation, no immunological rejections were observed. These findings suggest that human umbilical cord mesenchymal stem cell-loaded amniotic membrane can be used for the repair of radial nerve injury.展开更多
Relationships between stem growth and climatic and edaphic factors,notably air temperatures and soil moisture for different slopes,are not completely understood.Stem radial variations were monitored at the bottom and ...Relationships between stem growth and climatic and edaphic factors,notably air temperatures and soil moisture for different slopes,are not completely understood.Stem radial variations were monitored at the bottom and top slope positions in a Larix principis-rupprechtii plantation during the 2017 and 2018 growing seasons.Total precipitation during the growing season in 2017 and 2018 was 566 mm and 728 mm,respectively.Stem contractions typically occurred after mid-morning followed by swelling in the late afternoon in both plots,reflecting the diurnal cycle of water uptake and loss.Trees at the two locations showed the same growth initiation(mid-May)because of the small differences in air and soil temperatures.There were no significant differences in cumulative stem radial growth between the bottom plot(1.57±0.34 mm)and the top plot(1.55±0.26 mm)in 2018.However,in 2017,the main growth period of the bottom plot ceased 17 days earlier than in the top plot,while cumulative seasonal growth of the bottom plot(1.08±0.25 mm)was significantly less than the top plot(1.54±0.43 mm).Maximum daily stem shrinkage was positively correlated with air and soil temperatures,solar radiation,vapor pressure deficits,and negatively correlated with volumetric soil moisture content.The maximum daily shrinkage reflected transpiration rates as affected by environmental factors.Daily radial stem increment was correlated with precipitation and volumetric soil moisture in both years,but with air temperatures only in 2017.The seasonal growth of L.principis-rupprechtii Mayr thus shows interannual dynamics,while precipitation constitutes a key driving factor.展开更多
Climatic factor＇s effect was studied on the radial growth of teak （Tectona grandis L.F.） by using the stem analysis of 36 trees distributed in 6 plantations in Parakou and Tchaourou districts in northern Benin. The...Climatic factor＇s effect was studied on the radial growth of teak （Tectona grandis L.F.） by using the stem analysis of 36 trees distributed in 6 plantations in Parakou and Tchaourou districts in northern Benin. The results showed that the plantations of Parakou were in general more productive than those of Tchaourou. The annual average growth was estimated in the first five years at 0.86 cm/year for Parakou and 0.76 cm/year at Tchaourou. The analysis of the radial growth showed that a significant percentage of the variance was allotted to the growth model. It follows that a big part of the ring width was predetermined before the intervention of the other factors, in particular the climatic conditions. The percentage of the variance related to the climatic conditions was thus more reduced for the plantations of Tchaourou than those of Parakou. The radial growth was influenced by the conditions of humidity （evapotranspiration, humidity and rain） of February to May on the one hand and those from August to October on the other hand.展开更多
基金approved by the medical ethics committee of the authors’institution(protocol number:56733164-203-E.5863).
文摘BACKGROUND Peripheral nerve injury can result in significant clinical complications that have uncertain prognoses.Currently,there is a lack of effective pharmacological interventions for nerve damage,despite the existence of several small compounds,Despite the objective of achieving full functional restoration by surgical intervention,the persistent challenge of inadequate functional recovery remains a significant concern in the context of peripheral nerve injuries.AIM To examine the impact of exosomes on the process of functional recovery following a complete radial nerve damage.METHODS A male individual,aged 24,who is right-hand dominant and an immigrant,arrived with an injury caused by a knife assault.The cut is located on the left arm,specifically below the elbow.The neurological examination and electrodiagnostic testing reveal evidence of left radial nerve damage.The sural autograft was utilized for repair,followed by the application of 1 mL of mesenchymal stem cell-derived exosome,comprising 5 billion microvesicles.This exosome was split into four equal volumes of 0.25 mL each and delivered microsurgically to both the proximal and distal stumps using the subepineural pathway.The patient was subjected to a period of 180 d during which they had neurological examination and electrodiagnostic testing.RESULTS The duration of the patient’s follow-up period was 180 d.An increasing Tinel’s sign and sensory-motor recovery were detected even at the 10th wk following nerve grafting.Upon the conclusion of the 6-mo post-treatment period,an evaluation was conducted to measure the extent of improvement in motor and sensory functions of the nerve.This assessment was based on the British Medical Research Council scale and the Mackinnon-Dellon scale.The results indicated that the level of improvement in motor function was classified as M5,denoting an excellent outcome.Additionally,the level of improvement in sensory function was classified as S3+,indicating a good outcome.It is noteworthy that these assessments were conducted in the absence of physical therapy.At the 10th wk post-injury,despite the persistence of substantial axonal damage,the nerve exhibited indications of nerve re-innervation as evidenced by control electromyography(EMG).In contrast to the preceding.EMG analysis revealed a significant electrophysiological enhancement in the EMG conducted at the 6th-mo follow-up,indicating ongoing regeneration.CONCLUSION Enhanced comprehension of the neurobiological ramifications associated with peripheral nerve damage,as well as the experimental and therapy approaches delineated in this investigation,holds the potential to catalyze future clinical progress.
基金supported by National Natural Science Foundation of China(Scientific Funds for Young Scientists)(No.52007064)。
文摘Historically,streamer-to-leader transition studies mainly focused on the rod-plane gap and low altitude analysis,with limited attention paid to the sphere-plane gap at high altitude analysis.In this work,sphere-plane gap discharge tests were carried out under the gap distance of 5 m at the Qinghai Ultra High Voltage(UHV)test base at an altitude of 2200 m.The experiments measured the physical parameters such as the discharge current,electric field intensity and instantaneous optical power.The duration of the dark period and the critical charge of streamer-toleader transition were obtained at high altitude.Based on radial thermal expansion of the streamer stem,we established a modified streamer-to-leader transition model of the sphere-plane gap discharge at high altitude,and calculated the stem temperature,stem radii and the duration of streamer-to-leader transition.Compared with the measured duration of sphere-plane electrode discharge at an altitude of 2200 m,the error rate of the modified model was 0.94%,while the classical model was 6.97%,demonstrating the effectiveness of the modified model.From the comparisons and analysis,several suggestions are proposed to improve the numerical model for further quantitative investigations of the leader inception.
基金the Science and Technology Foundation of Shenyang in China,No.F10-217-1-00
文摘In this study, we loaded human umbilical cord mesenchymal stem cells onto human amniotic membrane with epithelial cells to prepare nerve conduits, i.e., a relatively closed nerve regeneration chamber. After neurolysis, the injured radial nerve was enwrapped with the prepared nerve conduit, which was fixed to the epineurium by sutures, with the cell on the inner surface of the conduit. Simultaneously, a 1.0 mL aliquot of human umbilical cord mesenchymal stem cell suspension was injected into the distal and proximal ends of the injured radial nerve with 1.0 cm intervals. A total of 1.75 x 107 cells were seeded on the amniotic membrane. In the control group, patients received only neurolysis. At 12 weeks after cell transplantation, more than 80% of patients exhibited obvious improvements in muscular strength, and touch and pain sensations. In contrast, these improvements were observed only in 55-65% of control patients. At 8 and 12 weeks, muscular electrophysiological function in the region dominated by the injured radial nerve was significantly better in the transplantation group than the control group. After cell transplantation, no immunological rejections were observed. These findings suggest that human umbilical cord mesenchymal stem cell-loaded amniotic membrane can be used for the repair of radial nerve injury.
基金supported by the Ningxia Hui Autonomous Region(QCYL-2018-12)the National Key Research and Development Program of China(2016YFC0501603,2017YFC0504602)the National Natural Science Foundation of China(41671025).
文摘Relationships between stem growth and climatic and edaphic factors,notably air temperatures and soil moisture for different slopes,are not completely understood.Stem radial variations were monitored at the bottom and top slope positions in a Larix principis-rupprechtii plantation during the 2017 and 2018 growing seasons.Total precipitation during the growing season in 2017 and 2018 was 566 mm and 728 mm,respectively.Stem contractions typically occurred after mid-morning followed by swelling in the late afternoon in both plots,reflecting the diurnal cycle of water uptake and loss.Trees at the two locations showed the same growth initiation(mid-May)because of the small differences in air and soil temperatures.There were no significant differences in cumulative stem radial growth between the bottom plot(1.57±0.34 mm)and the top plot(1.55±0.26 mm)in 2018.However,in 2017,the main growth period of the bottom plot ceased 17 days earlier than in the top plot,while cumulative seasonal growth of the bottom plot(1.08±0.25 mm)was significantly less than the top plot(1.54±0.43 mm).Maximum daily stem shrinkage was positively correlated with air and soil temperatures,solar radiation,vapor pressure deficits,and negatively correlated with volumetric soil moisture content.The maximum daily shrinkage reflected transpiration rates as affected by environmental factors.Daily radial stem increment was correlated with precipitation and volumetric soil moisture in both years,but with air temperatures only in 2017.The seasonal growth of L.principis-rupprechtii Mayr thus shows interannual dynamics,while precipitation constitutes a key driving factor.
文摘Climatic factor＇s effect was studied on the radial growth of teak （Tectona grandis L.F.） by using the stem analysis of 36 trees distributed in 6 plantations in Parakou and Tchaourou districts in northern Benin. The results showed that the plantations of Parakou were in general more productive than those of Tchaourou. The annual average growth was estimated in the first five years at 0.86 cm/year for Parakou and 0.76 cm/year at Tchaourou. The analysis of the radial growth showed that a significant percentage of the variance was allotted to the growth model. It follows that a big part of the ring width was predetermined before the intervention of the other factors, in particular the climatic conditions. The percentage of the variance related to the climatic conditions was thus more reduced for the plantations of Tchaourou than those of Parakou. The radial growth was influenced by the conditions of humidity （evapotranspiration, humidity and rain） of February to May on the one hand and those from August to October on the other hand.
