Effects of Boric Acid Gel on Vaginal Candida albicans Infections and the Local Immune System in Mice

The objective was to determine the effect of 5% boric acid gel on vaginal Candida albicans (CA) infections in mice and its effect on the local immune system (i.e., Th1, Th2, and Th17). Female mice were divided into four groups, with 10 mice in each group. Mycelial suspensions were administered into the vaginal lumen close to the cervix in groups B, F, and M. Mice in group B were given boric acid gel, and group F was treated with fluconazole gel for 30 min every 12 h. Group M was treated with sterile water, and group N was not given treatment. After the seventh day of treatment, each group was observed with the naked eye, and vaginal lavage fluid and vaginal tissue were collected. Expression levels of cytokines were measured using enzyme-linked immunosorbent assays (ELISA) and immunohistochemistry. Periodic acid Schiff (PAS) staining was used to measure the fungi in vaginal tissues. There were no significant changes in group M. In groups B and F, there was less vaginal injury and less exudate, with group B doing better than group F. The numbers of CA colonies were higher in groups B, F, and M than in group N (P < 0.01). There was less vaginal colonization of CA in group B than in group F (P < 0.01). After the seventh day of treatment, levels of IFN-γ, IL-17, IL-6, TGF-β, IL-4, and IL-10 were significantly greater in groups B, F, and M than in group N (P < 0.001); levels of IFN-γ, IL-17, IL-6, and TGF-β in groups B and F were higher than those of group M (P < 0.01), while IL-4 and IL-10 levels were significantly lower (P < 0.001). The trends of cytokine increases and decreases were more significant in group B than in group F (P < 0.05). Immunohistochemical results were similar to ELISA results. PAS staining revealed that boric acid inhibited hyphal reproduction. The boric acid significantly reduced the symptoms associated with CA vaginal infection. It inhibited the CA growth, prevented vaginal lesions, promoted the secretion of Th1 and Th17 cytokines, and reduced Th2 cytokines

Continuous theta burst stimulation over right cerebellum for speech impairment in Parkinson’s disease: study protocol for a randomized, sham-controlled, clinical trial

BackgroundSpeech impairment is a common symptom of Parkinson’s disease (PD) that worsens with disease progression and affects communication and quality of life. Current pharmacological and surgical treatments for PD have inconsistent effects on speech impairment. The cerebellum is an essential part of sensorimotor network that regulates speech production and becomes dysfunctional in PD. Continuous theta-burst stimulation (cTBS) is a non-invasive brain stimulation technique that can modulate the cerebellum and its connections with other brain regions.ObjectiveTo investigate whether cTBS over the right cerebellum coupled with speech-language therapy (SLT) can improve speech impairment in PD.MethodsIn this randomized controlled trial (RCT), 40 patients with PD will be recruited and assigned to either an experimental group (EG) or a control group (CG). Both groups will receive 10 sessions of standard SLT. The EG will receive real cTBS over the right cerebellum, while the CG will receive sham stimulation. Blinded assessors will evaluate the treatment outcome at three time points: pre-intervention, post-intervention, and at a 12-week follow-up. The primary outcome measures are voice/speech quality and neurobehavioral parameters of auditory-vocal integration. The secondary outcome measures are cognitive function, quality of life, and functional connectivity determined by resting-state functional magnetic resonance imaging (fMRI).SignificanceThis trial will provide evidence for the efficacy and safety of cerebellar cTBS for the treatment of speech impairment in PD and shed light on the neural mechanism of this intervention. It will also have implications for other speech impairment attributed to cerebellar dysfunctions.Clinical trial registrationwww.chictr.org.cn, identifier ChiCTR2100050543

Edaravone Guards Dopamine Neurons in a Rotenone Model for Parkinson's Disease

3-methyl-1-phenyl-2-pyrazolin-5-one (edaravone), an effective free radical scavenger, provides neuroprotection in stroke models and patients. In this study, we investigated its neuroprotective effects in a chronic rotenone rat model for Parkinson's disease. Here we showed that a five-week treatment with edaravone abolished rotenone's activity to induce catalepsy, damage mitochondria and degenerate dopamine neurons in the midbrain of rotenone-treated rats. This abolishment was attributable at least partly to edaravone's inhibition of rotenone-induced reactive oxygen species production or apoptotic promoter Bax expression and its up-regulation of the vesicular monoamine transporter 2 (VMAT2) expression. Collectively, edaravone may provide novel clinical therapeutics for PD

A Quick Band-to-Band Mis-Registration Detection Method for Sentinel-2 MSI Images

A band-to-band mis-registration (BBMR) error often occurs in remote sensing (RS) images acquired by multi-spectral push broom spectrometers such as the Sentinel-2 Multi-spectral Instrument (MSI), leading to adverse impacts on the reliability of further RS applications. Although the systematic band-to-band registration conducted during the image production process corrects most BBMR errors, there are still quite a few images being observed with discernible BBMR. Thus, a quick BBMR detection method is needed to assess the quality of online RS products. We here propose a hybrid framework for detecting BBMR between the visible bands in MSI images. This framework comprises three main steps: first, candidate chips are captured based on Google Earth Engine (GEE) spatial analysis functions to shrink the valid areas inside image scenes as potential target chips. The redundant data pertaining to the local operation process are thus narrowed down. Second, spectral abnormal areas are precisely extracted from inside every single chip, excluding the influences of clouds and water surfaces. Finally, the abnormal areas are matched pixel by pixel between bands, and the best-fit coordinates are then determined to compare with tolerance. Here, the proposed method was applied to 71,493 scenes of MSI Level-1C images covering China and its surrounding areas on the GEE platform. From these images, 4356 chips from 442 scenes were detected with inter-band offsets among the visible bands. Further manual visual inspection revealed that the proposed method had an accuracy of 98.07% at the chip scale and 88.46% at the scene scale

Investigations on the Control of COVID-19 and Suggestions for Re-Open Based on Model Study

Data-based analysis gives out an estimation of the incubation period. A dynamic model is established and discussed. Disease reproduction number reveals the high probability of COVID-19 pandemic, but strengthening the exposure of asymptomatic people will help to curb the transmission, and measures of contact-tracking and stay-at-home play a replaceable role. Discussions point out that social disruption can be avoided if the contact tracking rate can be more than 0.5. Investigations for re-opening show that a city of the same size as Wuhan can be reopened if new cases are continuously below 1000 for a few days and when they are less than 500, with the assurance of contact tracking associated with extensive testing. In short, tracking and testing are the prioritized strategies, while maintaining awareness can shorten the epidemic period and mobility restrictions can be avoided

Investigations on the Control of COVID-19 and Suggestions for Re-Open Based on Model Study

Data-based analysis gives out an estimation of the incubation period. A dynamic model is established and discussed. Disease reproduction number reveals the high probability of COVID-19 pandemic, but strengthening the exposure of asymptomatic people will help to curb the transmission, and measures of contact-tracking and stay-at-home play a replaceable role. Discussions point out that social disruption can be avoided if the contact tracking rate can be more than 0.5. Investigations for re-opening show that a city of the same size as Wuhan can be reopened if new cases are continuously below 1000 for a few days and when they are less than 500, with the assurance of contact tracking associated with extensive testing. In short, tracking and testing are the prioritized strategies, while maintaining awareness can shorten the epidemic period and mobility restrictions can be avoided

Physical ischaemia induced by isometric exercise facilitated collateral development in the remote ischaemic myocardium of humans

Abstract The aim of the present study was to investigate the effects of isometric-handgrip-induced PIT (physical ischaemia training) on remote coronary recruitment and growth. A total of 74 CAD (coronary artery disease) patients were randomly assigned to either the IHG (isometric handgrip group) or NEG (non-exercise group). Patients in the IHG performed isometric handgrip exercises during 1 min of coronary balloon occlusion, whereas patients in the NEG remained sedentary. CFI (collateral flow index), HR (heart rate), SBP (systolic blood pressure) and DBP (diastolic blood pressure) were evaluated before and at the end of occlusion. In a second study, 21 CAD patients were randomly divided into the IHT (isometric handgrip training) group or the NTG (non-training group). Patients in the IHT group performed 3 months of IHT, whereas patients in the control group remained sedentary. SPECT (single-photon emission computed tomography) was used to evaluate myocardial perfusion, and VEGF (vascular endothelial growth factor) levels were determined using ELISA. In the IHG, CFI was significantly higher than in the control group (P < 0.01). HR, SBP and DBP in the IHG were significantly higher than in the NEG (P < 0.01) at the end of occlusion. In the second study, myocardial perfusion (P < 0.05) and left ventricular ejection fraction (P < 0.01) were significantly improved in the IHT group. VEGF levels in the IHT group were significantly increased (P < 0.01). Levels of VEGF were negatively correlated with the summed rest score of SPECT (r = − 0.60, P < 0.01). In conclusion, isometric handgrip exercise-induced PIT may promote remote collateral recruitment and growth in CAD patients