Search

BackgroundLeisure, work, and sports activities that involve ascending to high altitudes (HA) are growing in popularity, yet they also pose the risk of developing acute mountain sickness (AMS). Despite the dynamic nature of AMS, its prevalence, clinical manifestations, and associated risks have still not to be comprehensively characterized.MethodsA total of 770 healthy males, ranging in age from 18 to 45 years, were included in this study. The subjects were divided into two cohorts: a fast ascent cohort (n = 424) who ascended to 3,650 m by airplane, and a slow ascent cohort (n = 346) who ascended to the same altitude by bus. Subsequently, they all further ascended to 4,400 m. AMS was diagnosed using the Lake Louise Scoring system (LLS), with either the old or new version were employed.ResultsAs diagnosed by the old LLS and new LLS, the incidence of AMS was 37.9 and 32.4% at 3650 m, respectively, which decreased to 35.7 and 32.4% after further ascending to 4,400 m in the fast ascent cohort; the incidence of AMS was 26.5 and 23.2% at 3650 m, which increased to 44.5 and 42.3% after further ascending to 4,400 m in the slow ascent cohort. Furthermore, there were noticeable disparities in the occurrence and progression of AMS-related symptoms among cohorts adhering to different ascent protocols. Specifically, fast ascent protocol posed a risk during the initial phase of the ascent, but transformed into a protective effect upon further ascent to a higher altitude.ConclusionAscent protocol emerged as the pivotal influence on the prevalence of AMS and associated manifestations, demonstrating a transition from a risk factor during initial ascent to a protective factor following further ascent to higher altitudes. These findings suggest an innovative strategy for high-altitude expeditions and work endeavors, emphasizing the importance of a strategic plan for ascending to higher altitudes.

Lodging of soybean (Glycine max (L.) Merril.) significantly reduces seed yield and quality, particularly in high-yielding environments. This phenomenon occurs when stems weaken under the weight of the plants, complicating harvesting. This study investigated the relationship between soybean stem chemical composition, physical traits, and lodging resistance to improve yield and resilience. We found that as plant density increased, stem hardness decreased, and the elasticity increased, heightening the risk of lodging. Conversely, high temperature (28 °C) boosted lignin, cellulose and pectin content in the stem cell walls, enhancing the lodging resistance. Additionally, after excluding differences in phylogenetic relationships through cluster analysis, we mapped environment-stable genes linked to lodging resistance and identified new QTLs on Chr3 and Chr16. Candidate genes associated with these QTLs were confirmed using qRT–PCR and hormone treatments across diverse soybean varieties. It was found that the expression of stem tip genes was closely related to stem node diameter. These findings provide a theoretical foundation for breeding high-yielding soybean varieties with improved lodging resistance, and advance efforts to develop resilient soybean cultivars.

BackgroundPatients with atrial fibrillation (AF) who undergo radiofrequency catheter ablation (RFCA) necessitate the administration of antiarrhythmic drugs to prevent early recurrence. The clinical outcomes among these patients may be influenced by varying antiarrhythmic regimens.ObjectivesTo identify the risk factors associated with early recurrence and compare the clinical outcomes among different antiarrhythmic regimens in elderly patients with AF following radiofrequency catheter ablation (RFCA) during a 3-month period.MethodsA retrospective observational study encompassed 420 elderly patients with AF following RFCA. Baseline data were collected during the initial postoperative visit and clinical outcomes were carefully monitored over a 3-month follow-up period. Logistic regression and Cox-proportional hazard regression analyses were performed to investigate the relationship between various antiarrhythmic regimens and the clinical outcomes.ResultsMultivariate logistic regression analysis revealed that age (p = 0.001), left atrial diameter (p

The plant rhizosphere underlies the crosstalk between plant and soil and has a crucial role in plant growth and development under various environments. We examined the effect of temperature rise on the rhizosphere environment of soybean roots to clarify the rhizosphere crosstalk between roots and soil in response to warm temperature rises in a global warming background. The in situ results of root enzyme activity revealed that soybean roots secrete β-glucosidase, and enzyme spectrum imaging demonstrated different enzymatic activities under different temperature environments. The soil enzyme kinetics results showed that soil enzymatic activity increased with increasing temperature, and soybean rhizosphere soil enzymatic activity was higher than that of non-rhizosphere soil. Rhizosphere soil and non-rhizosphere soil showed that the dominant bacterial phylum in soybean rhizosphere soil was Acidobacteria, and the dominant bacterial genus was JG30-KF-AS9. Compared with non-rhizosphere soil, rhizosphere soil was more nutrient-rich, and root secretions provided abundant carbon sources and other nutrients for soil microorganisms in the rhizosphere. Rhizosphere microorganisms affect plant growth by influencing the decomposition of soil organic carbon. The organic carbon content of rhizosphere soil was higher than that of non-rhizosphere soil under high temperatures.