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Objective To evaluate the effect of the different opportunity for antibiotic prophylaxis in ureterscopic Holmium Laser Lithotripsy in the treatment of ureteral calculus. Methods We retrospectively analyzed the data of 178 patients treated with ureteroscopic holmium: YAG laser lithotripsy from January 2008 to January 2013 at the Department of Urology in Anqing municipal Hospital, including A group (81 cases preventative application of antibiotics before operation inside 30 minutes) and B group (97 cases preventative application of antibiotics before operation beyond 30 minutes). We analyzed the variables such as patients infection, surgery time, and infection rate. Results The postoperation urinary infection rate in group A was 16.05%, while it was 6.19% in group B. The statistically significant difference was identified between the two groups in terms of the infection rate (P < 0.05). Conclusion The earlier antibiotic prophylaxis of ureteral calculi with the ureteroscopic holmium laser lithotripsy will decrease the urinary infection rate. [ABSTRACT FROM AUTHOR]

The article presents a case study of a 51‑year old man, who was presented with a 5‑month history of acute pain bilaterally on the posterolateral aspect of his hip. It mentions that neurological examination revealed that the Lasegue sign was bilaterally positive, along with mild motor weakness. It mentions diagnosis of lumber nerve root cavernous angioma.

Soil stoichiometric ratios serve as valuable indicators for the composition and quality of soil organic matter. While available studies predominantly examine the soil stoichiometric ratios of carbon (C), nitrogen (N), and phosphorus (P), limited attention has been paid on the influence of forest restoration on soil stoichiometric ratios of potassium (K), calcium (Ca), and magnesium (Mg). We analyzed soil K, Ca, and Mg content, as well as elemental stoichiometric ratios, in secondary forests with varying restoration periods (5, 8, 21, 27 and 40 years) and a natural forest, in order to examine the impact of forest restoration on soil stoichiometry. The results showed that soil C and N contents decreased significantly with increasing soil layers. Soil stoichiometric ratios decreased significantly with increasing soil layers except for K:P, Mg:P, and P:Ca. With the increases of forest restoration years, soil C and N contents significantly increased in 0-10 cm soil layer, Ca content in 10-20 cm soil layer significantly increased, and total P content in 20-40 cm layer significantly decreased. However, soil K and Mg contents in each soil layer did not differ among five restoration ages. With the increases of restoration years, C:Ca, N:Ca and P:Ca in 0-10 cm soil layer significantly increased, and C:P, N:P, and K:P in 20-40 cm soil layer significantly increased, while P:Ca in 20-40 cm soil layer significantly decreased. In all soil layers, K:P and Mg:P were significantly and negatively correlated with soil total P content, and C:Ca and N:Ca were significantly and positively correlated with soil mineral N, available P, and available K content. With the increases of the restoration ages of secondary forests, soils are gradually P-limited and progressively restricted by Ca element in the later years, leading to the limitation of multiple nutrients.

We examined the effects of low temperature on egg hatching and killing rate of the 2nd instars of Meloi-dogyne incognita (J2) in the laboratory. We further evaluated the effects of two soil treatment methods on the survival rate of M. incognita in northern China in a field experiment. The results of laboratory experiment showed that survival rate of J2 was 0 after being subjected to -7 ℃ for 24 hours, and that egg hatching was completely inhibited 24 hours after being subjected to -9 ℃. The survival rate of J2 was 0 after being subjected to -1, -2, -3, and -4 ℃ for 8, 5, 3, and 1.5 d, respectively. Egg hatching was completely inhibited after being subjected to -2, -3, -4, and -5 ℃ for 9, 6, 4, and 1 d, respectively. Results of the fitting analysis showed that both the relationships between the temperature and the lethal time of J2 as well as the temperature and the non-hatching time of the eggs followed exponential functions. The results of field test showed that death rate of M. incognita in 0-50 cm soil layer after ridging treatment and 0-30 cm soil layer after leveling treatment could reach 100%, while the disease index of the former in 30-40 cm and 40-50 cm was 84.9% and 75.8%, respectively, which was lower than that in the greenhouse. Our results suggest that preventing and controlling M. incognita in greenhouses through low-tempe-rature in winter could achieve a better control effect in Yulin City and the northward region. The proposed technique is convenient and has high potential for popularization.

Objective: To explore the relationship between spinous process deviation and lumbar disc herniation in young patients., Methods: From March 2015 to January 2022, 30 treated young (under the age of 30) patients with lumbar disc herniation were included as the young group. In addition 30 middle-aged patients (quinquagenarian group) with lumbar disc herniation and 30 patients with non-degenerative spinal diseases (young non-degenerative group) were selected as control groups. The angle of the spinous process deviation was measured on CT and statistically analyzed by various groups. All the data were measured twice and the average value was taken and recorded., Results: The average angle of spinous process deviation in the degenerative lumbar vertebra of young patients were (3.89±3.77) degrees, similar to the (3.72±2.98) degrees of quinquagenarian patients( P =0.851). The average angle of s spinous process deviation young non-degenerative group were (2.20±2.28) degrees, significantly less than young group( P =0.040). The spinous process deviation angle of the superior vertebral of the degenerative lumbar in the young group was (4.10±3.44) degrees, which similar to the (3.47±2.87) degrees in the quinquagenarian group ( P =0.447). A total of 19 young patients had the opposite deviation direction of the spinous process of the degenerative lumbar vertebra and upper vertebra, while only 7 quinquagenarian patients had this condition( P =0.02). The type of lumbar disc herniation in young patients had no significant relationship with the direction of spinous process deflection of the degenerative or upper lumbar vertebra ( P >0.05)., Conclusion: Spinous process deviation is a risk factor of young lumbar disc herniation patients. If the deviation directions of adjacent lumbar spinous processes are opposite, it will increase the incidence of lumbar disc herniation in young patients. There was no significant correlation between the type of disc herniation and the deviation direction of the spinous process of the degenerative or upper lumbar vertebra. People with such anatomical variation can strengthen the stability of spine and prevent lumbar disc herniation through reasonable exercise.

Aims: The purpose of this paper is to prospectively evaluate the performance of an artificial intelligence (AI) system in diagnosing thyroid nodules and to assess its potential value in comparison with the performance of radiologists with different levels of experience, as well as the factors affecting its diagnostic accuracy., Background: In recent years, medical imaging diagnosis using AI has become a popular topic in clinical application research., Objective: This study aimed to evaluate the performance of an AI system in diagnosing thyroid nodules and compare it with the performance levels of different radiologists., Methods: This study involved 426 patients screened for thyroid nodules at the First Affiliated Hospital of Guangzhou Medical University between July 2017 and March 2019. All of the nodules were evaluated by radiologists with various levels of experience and an AI system. The diagnostic performances of two junior and two senior radiologists, an AI system, and an AI-assisted junior radiologist were compared, as were their diagnostic results with respect to nodules of different sizes., Results: The senior radiologists, the AI system, and the AI-assisted junior radiologist performed better than the junior radiologist (p < 0.05). The area under the curves of the AI system and the AI-assisted junior radiologist were similar to the curve of the senior radiologists (p > 0.05). The diagnostic results concerning the two nodule sizes showed that the diagnostic error rates of the AI system, junior radiologists, and senior radiologists for nodules with a maximum diameter of ≤1 cm (Dmax ≤ 1 cm) were higher than those for nodules with a maximum diameter of 1 cm (D max > 1 cm) (23.4% vs. 12.1%, p = 0.002; 26.6% vs. 7.3%, p < 0.001; and 38.3% vs. 14.6%, p < 0.001)., Conclusion: The AI system is a decision-making tool that could potentially improve the diagnostic efficiency of junior radiologists. Micronodules with Dmax ≤ 1cm were significantly correlated with diagnostic accuracy; accordingly, more micronodules of this size, in particular, should be added to the AI system as training samples. Other: The system could be a potential decision-making tool for effectively improving the diagnostic efficiency of junior radiologists in the community., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)

Objective: To evaluate the clinical effect and safety of transurethral 180 W front-firing GreenLight laser vaporization of the prostate (PVP) in the treatment of benign prostatic hyperplasia (BPH)., Methods: A total of 61 BPH patients underwent 180W front-firing GreenLight laser PVP (n = 30, the PVP group) or transurethral plasmakinetic resection of the prostate (n = 31, the control group) from March to December 2019. We collected the pre-, intra- and post-operative clinical data and compared them between the two groups of patients., Results: Operations were successfully completed in all the cases with no blood transfusion or serious complications. Compared with the controls, the patients of the PVP group showed remarkably less intra-operative blood loss (［62.3 ± 15.9］ vs ［48.8 ± 9.6］ ml, P < 0.05), shorter operation time (［75.0 ± 9.9］ vs ［57.5 ± 19.0］ min, P < 0.05), postoperative bladder lavage time (［64.4 ± 10.5］ vs ［25.2 ± 11.5］ h, P < 0.05), catheter-indwelling time (［5.1 ± 0.5］ vs ［2.5 ± 0.5］ d, P < 0.05) and hospitalization time (［7.3 ± 1.7］ vs ［4.1 ± 0.6］ d, P < 0.05), and a lower incidence of postoperative hematuria (12.9% ［4/31］ vs 0% ［0/30］, P < 0.05). No statistically significant differences, however, were found between the two groups in the incidence rates of capsular perforation, transurethral resection syndrome (TURS), urinary incontinence, urethral stricture and post-extubation urinary retention. Significant improvement was observed in IPSS, QOL, Qmax and PVR in both groups post-operatively (P < 0.05)., Conclusions: Compared with transurethral plasmakinetic resection of the prostate, 180W front-firing GreenLight laser PVP, with the advantages of less bleeding, shorter catheter-indwelling time and faster recovery, is safer and more effective for the treatment of BPH, with no need for drug withdrawal for those taking anticoagulants, and especially applicable to the elderly and high-risk patients.

Nitrogen deposition is one of the most important factors affecting carbon (C) and nitrogen (N) cycling in terrestrial ecosystem. A six-year N addition experiment was carried out to explore how N deposition affected C and N fractions in soil aggregates in the secondary aspen forest (YHL) and primary Korean pine broad-leaved forest (HSL). We investigagted the effects of N addition on dissolved organic carbon and nitrogen (DOC and DON), microbial biomass carbon and nitrogen (MBC and MBN), particulate organic carbon and nitrogen (POC and PON) in soil aggregates with different particle sizes. The results showed that the contents of carbon and nitrogen fractions generally increased with the decrease of particle sizes of soil aggregates except for POC and PON. In soil aggregates of HSL, POC and PON significantly decreased by 20.7% and 22.6% in N treatment, respectively, but DOC increased by 11.6%. In YHL, N addition treatment had no signi-ficant effect on C and N fractions in soil aggregates. Total carbon or nitrogen correlated well with the active C and N fractions in soil aggregates, with a great significant negative correlation between POC and DOC in HSL (r=-0.503) and a significant positive correlation between DOC and MBC (r=0.462). In HSL, the negative effect of N treatment on POC and PON and the positive effect on DOC was mainly attributed to the accelerated decomposition of POM by stimulating microbial activity. Soil C and N pools in HSL were more vulnerable to N deposition than that in YHL.

Background: Prolyl 4-Hydroxylase Subunit Alpha 1 (P4HA1) is the active catalytic component of prolyl 4-hydroxylase and plays a crucial role in modulating extracellular matrix hemostasis. P4HA1 has been reported to promote tumor progression by enhancing invasion and angiogenesis. Overexpression of P4HA1 is associated with decreased survival for patients with breast and prostate cancer. However, the prognostic significance of P4HA1 for glioma patients remains undefined., Methods: The expression of P4HA1 in 290 gliomas (WHO grade II-IV) and 10 normal brain tissues was examined with TMA-based immunohistochemistry assay. The correlation between P4HA1 expression and clinicopathological parameters as well as the prognosis of glioma patients was investigated., Results: Cytoplasmic expression of P4HA1 is high in 37.93% of all glioma cases, with 44.98% in high-grade gliomas and 19.75% in low-grade gliomas respectively. Increased P4HA1 level was correlated with advanced histological grade (p<0.01) and old age (p=0.01). Upregulation of P4HA1, as well as histological grade, was an independent risk factor for unfavorable prognosis. Subgroup analysis demonstrated that high P4HA1 expression was significantly associated with poor prognosis for high-grade gliomas (p<0.01) but not for low-grade gliomas., Conclusions: P4HA1 was upregulated in gliomas. High expression of P4HA1 was correlated with the malignancy of gliomas and could serve as a prognostic indicator for patients with high-grade gliomas., (Copyright © 2017 Elsevier GmbH. All rights reserved.)

Taking the Zhifanggou watershed in Ansai, Shaanxi Province of Northwest China as a study unit, an investigation on the arthropods in 8 forest stands was conducted from 2006 to 2008, with the species-area and species-abundance relationships of the arthropods in these stands analyzed by various mathematical models. In these forest stands, the species-area relationship of the arthropods accorded with the formula S= CAm With the increase of investigation area, the species number approached to a constant, and the corresponding smallest investigation area was in the order of natural bush > natural forest > Populus davidiana+Robinia pseudoacacia forest > Hippaphae rhamnoides +Caragana mocrophylla forest> Periploca sepium forest > Hippaphae rhamnoides forest > Robinia pseudoacacia forest > Caragana mocrophylla forest, indicating that the more complex the stands, the larger the minimum area needed to be investigated. Based on sampling investigation, the species-abundance models of the arthropods in various stands were established. Lognormal distribution model (LN) was most suitable to fit the arthropod community in natural recovery stands, suggesting that in the arthropod community, there were more species with medial individual amount and fewer abundant species and rare species, and no obvious dominant species. LogCauchy distribution model (LC) was most suitable to fit the arthropod community in mixed and pure stands. As compared with natural recovery stand, mixed and pure stands had more abundant and rare species, and more dominant species.