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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]