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Objective To summarize the clinical characteristic of stroke in the plateau area with altitude of 4000 m above, and to screen the risk factors of hemorrhagic stroke. Methods The clinical data of 103 stroke patients (including 71 hemorrhagic stroke and 32 ischemic stroke) admitted to Ngari Prefecture People's Hospital of Tibet Autonomous Region from January 2017 to December 2018 were retrospectively analyzed, and the clinical characteristic of hemorrhagic stroke and ischemic stroke were compared. Univariate and multivariate Logistic regression analyses were used to screen the risk factors of hemorrhagic stroke. Results The age of hemorrhagic stroke patients was lower than that of ischemic stroke patients [(57.48 ± 10.81) years vs. (64.03 ± 10.96) years; t = 2.836, P = 0.006], and the systolic blood pressure at admission [(171.92 ± 28.95) mm Hg vs. (141.81 ± 23.24) mm Hg; t = 5.174, P = 0.000], diastolic blood pressure [(107.58 ± 18.76) mm Hg vs. (93.44 ± 14.94) mm Hg; t = 3.757, P = 0.000], hemoglobin [(189.54 ± 28.12) g/L vs. (165.35 ± 25.42) g/L; t = 4.111, P = 0.000] and total cholesterol [(4.60 ± 0.88) mmol/L vs. (4.04 ± 0.82) mmol/L; t = 3.118, P = 0.002] were higher than those of ischemic stroke patients. Logistic regression analysis showed that systolic blood pressure on admission (OR = 1.048, 95%CI: 1.024-1.073; P = 0.000) and hemoglobin (OR = 1.043, 95%CI: 1.015-1.072; P = 0.002) elevation were risk factors of hemorrhagic stroke. Conclusions Hemorrhagic stroke is the main type of stroke in the plateau area with altitude of 4000 m above. Patients with high systolic blood pressure on admission and hemoglobin are more likely to have hemorrhagic stroke.

BACKGROUND Studies on soil, water and other media in the Western Sichuan Plateau show that the selenium content in this area is very low. The selenium concentrations of the natural soil profile, surface soil, sediment, surface water, and groundwater are 0.06-0.16μg/g, 0.075-0.204μg/g, 0.069-0.310μg/g, nd-0.096μg/L and nd-0.058μg/L, respectively, which are all lower than the average selenium content in the corresponding environmental media in China, affecting the health of local people. OBJECTIVES To explore the geochemical characteristics of selenium in rocks in the study area and to find the influencing factors for low selenium in rocks. METHODS Eighty rock samples were collected from the Western Sichuan Plateau, and six core samples were collected at the same time. These samples were mainly slate, sandstone, limestone and shale. Atomic fluorescence spectrometry (AFS) was used to determine the selenium content, and the geochemical characteristics of selenium in rocks and core samples in the Aba area of the Western Sichuan Plateau were studied. RESULTS The selenium content of rocks ranged from 0.030 to 0.282μg/g, with an average value of 0.09μg/g, which was lower than the crustal abundance of selenium. The content of selenium in different types of rocks was:shale > limestone > slate > sandstone. The selenium content in the rock also showed large differences in different regions:Songpan > Aba > Land Pond > Maerkang > Jiuzhaigou > Ruoergai > Hongyuan, which may be caused by rock type, organic matter and geological environment. The minimum, maximum and average selenium content in each section of the core was 0.02-0.07μg/g, 0.21-0.34μg/g and 0.06-0.17μg/g, respectively. Moreover, the selenium content of each borehole was significantly lower than the crustal abundance of selenium. CONCLUSIONS The distribution of selenium in rocks is significantly affected by organic matter, lithology and rock compactness. Low selenium in rocks is mainly due to low selenium in environmental media in Western Sichuan.

Immunophenotyping of inflammatory dermal infiltrates in Malassezia folliculitis (MF) and pityriasis versicolor (PV) lesions is less reported. Immunohistochemistry was performed on 21 MF lesions, 10 PV lesions, and 10 control skin. CD3+, CD4+, CD8+, CD20+, CD68+, and CD117+ cells were increased in MF compared with PV and normal skin (P  < 0.01–0.05), while CD3+, CD4+, and CD20+ cells were higher in PV than in normal skin (P  < 0.05). Dermal CD1a+ cells were higher only in PV (P  < 0.05). Although both cellular and humoral immune responses are involved in pathogenesis of MF and PV, their difference may contribute to clinicopathological discrepancy between two disorders. Lay Summary Malassezia folliculitis and pityriasis versicolor are common Malassezia -induced superficial mycoses. Their clinicopathological discrepancy may be due to the difference of cellular and humoral immune responses. [ABSTRACT FROM AUTHOR]

Since embryonic heart development is a complex process and acquisition of human embryonic specimens is challenging, the mechanism by which the embryonic conduction system develops remains unclear. Herein, we attempt to gain insights into this developmental process through immunohistochemical staining and 3D reconstructions. Expression analysis of T‐box transcription factor 3, cytoskeleton desmin, and nucleoskeleton lamin A protein in human embryos in Carnegie stages 11–20 showed that desmin is preferentially expressed in the myocardium of the central conduction system compared with the peripheral conduction system, and is co‐expressed with T‐box transcription factor 3 in the central conduction system. Further, lamin A was first expressed in the embryonic ventricular trabeculations, where the terminal ramifications of the peripheral conduction system develop, and extended progressively to all parts of the central conduction system. The uncoupled spatiotemporal distribution pattern of lamin A and desmin indicated that the association of cytoskeleton desmin and nucleoskeleton lamin A may be a late event in human embryonic heart development. Compared with model animals, our data provide a direct morphological basis for understanding the arrhythmogenesis caused by mutations in human DES and LMNA genes. [ABSTRACT FROM AUTHOR]

To study the efficacy and safety of hematoma puncture catheter drainage under CT real-time guide for treatment of intracerebral hemorrhage (ICH). Methods A total of 80 ICH patients with hematoma volume 15-30 ml were given conservative treatment (control group, 40 cases including 6 cases with hematoma volume 15-20 ml and 34 cases with hematoma volume > 20-30 ml) and hematoma puncture and catheter drainage under CT real-time guide (operation group, 40 cases with hematoma volume > 20-30 ml). Conscious states were evaluated by Glasgow Coma Scale (GCS) on admission and 3 d after onset. Neurological deficits of patients were evaluated by National Institutes of Health Stroke Scale (NIHSS) on admission and discharge. Hospitalization days and complications (including rebleeding, epilepsy, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer) were recorded. Results The GCS scores 3 d after onset (P = 0.000) and NIHSS scores on discharge (P = 0.000) of 2 groups were significantly lower than those on admission. The GCS score of operation group was significantly higher (P = 0.003) and NIHSS score was significantly lower (P = 0.000) than that of control group. The hospitalization time of operation group was significantly lower than those of control group [(10.53 ± 2.64) d vs. (17.30 ± 4.92) d; t = 7.673, P = 0.000]. Complications including rebleeding, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer did not occur in patients of 2 groups. Conclusions For supratentorial hemorrhage patients with hematoma volume 15-30 ml, in comparison with conservative treatment, operation with hematoma puncture and catheter drainage under CT real-time guide can save hospitalization days, relieve edema peak response and improve the prognosis. [ABSTRACT FROM AUTHOR]