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Background and purpose The present study aimed to examine how long-term migration to high-altitude regions affects mentality and cognition, and the correlation with various physiological and biochemical changes. Methods The WHO Neurobehavioral Core Test Battery, Raven's Standard Progressive Matrices (RSPM) and Pittsburgh Sleep Quality Index questionnaire were used to assess 141 young male subjects who lived in plain regions and 217 young male subjects who had migrated to a 4500 m high-altitude region and lived there for 1–5 years. Arterial oxyhemoglobin saturation, cerebral tissue oxygenation indices (TOIs), serum S100B and brain-derived neurotrophic factor (BDNF) were also measured. Results Long-term migrators to a high-altitude region exhibited exacerbated mood disorders, retarded color discrimination ability, decreased visual memory capacity, and impaired perceptual motor skill and motion stability. In addition, the migrators exhibited lower RSPM scores and lower sleep quality. Further analyses revealed significant correlations between sleep quality and cerebral TOIs, mood and sleep quality, mood and certain cognitive functions, mood and serum BDNF levels, and RSPM scores and serum S100B levels. Conclusions Long-term living at high altitudes causes significant impairment of psychological and cognitive function. Cerebral hypoxic extent, sleep quality and biochemical dysfunction are major influencing factors.

In this paper, we studied the effect of earthworm loads on the removal rates of chemical oxygen demand (COD), ammonia nitrogen (NH3-N), total nitrogen, and total phosphorus from synthetic domestic sewage and on the bacterial community structure and diversity of substrates in earthworm packing beds. The different vermifiltrations (VFs), including the control, are successful in removing both organic matter (OM) and nutrients. The removal rate of NH3-N at 12.5 g of earthworm/L of soil VF is higher compared with that at 0 and 4.5 earthworm load VFs. The highest Shannon index, in the earthworm packing bed, occurred at 16.5 earthworm load VF. Furthermore, the COD removal rate is significantly correlated with the Shannon index, which reveals that OM removal for synthetic domestic sewage treatment at VF might be more dependent on bacterial diversity at the earthworm packing bed. The band distributions and diversities of the bacterial community for samples from different earthworm loads in VFs suggest that the bacterial community structure was only affected within the earthworm packing bed when the earthworm load reached a certain level. The present study adds to the current understanding of OM and nutrient degradation processes in VF domestic wastewater treatment.