Background: Multiple sclerosis is often a longitudinal disease continuum with an initial relapsing-remitting phase (RRMS) and later secondary progression (SPMS). Most currently approved therapies are not sufficiently effective in SPMS. Early detection of SPMS conversion is therefore critical for therapy selection. Important decision-making tools may include testing of partial cognitive performance and magnetic resonance imaging (MRI). Aim of the work: To demonstrate the importance of cognitive testing and MRI for the prediction and detection of SPMS conversion. Elaboration of strategies for follow-up and therapy management in practice, especially in outpatient care. Material and methods: Review based on an unsystematic literature search. Results: Standardized cognitive testing can be helpful for early SPMS diagnosis and facilitate progression assessment. Annual use of sensitive screening tests such as Symbol Digit Modalities Test (SDMT) and Brief Visual Memory Test-Revised (BVMT-R) or the Brief International Cognitive Assessment for MS (BICAMS) test battery is recommended. Persistent inflammatory activity on MRI in the first three years of disease and the presence of cortical lesions are predictive of SPMS conversion. Standardized MRI monitoring for features of progressive MS can support clinically and neurocognitively based suspicion of SPMS. Discussion: Interdisciplinary care of MS patients by clinically skilled neurologists, supported by neuropsychological testing and MRI, has a high value for SPMS prediction and diagnosis. The latter allows early conversion to appropriate therapies, as SPMS requires different interventions than RRMS. After drug switching, clinical, neuropsychological, and imaging vigilance allows stringent monitoring for neuroinflammatory and degenerative activity as well as treatment complications.
Acute abdomen is a frequent clinical picture in emergency diagnostics. Pathologic changes of the female genital organs play an important role. Gynecologic emergencies threaten fertility and are potentially life-threatening. Many differential diagnoses must be considered in the diagnostic process, depending on the age of the patient and any pregnancy. In particular, acute gastrointestinal symptoms often cannot be differentiated from gynecologic emergencies on clinical examination. Here, imaging makes a significant contribution to narrowing the differential diagnosis, making treatment decisions, and monitoring therapy. This review article will discuss the central role of imaging in the context of common gynecologic emergencies.
The possibility of preoperative prediction of pathologic complete response in rectal cancer has been studied in order to identify patients who would respond to neoadjuvant therapy and to individualize therapeutic strategies. Endoscopic ultrasound of the rectum is an accurate method for the evaluation of local tumor and lymph node invasion. Objective: To evaluate the potential of endoscopic ultrasound as a predictor of complete pathological response to neoadjuvant treatment in patients with locally advanced rectal cancer. Material and methods: Retrospective study of patients with rectal cancer from January 2014 to December 2016. Results: We obtained a statistical association between T stage by endoscopic ultrasound and complete pathological response (p = 0.015). It is not so for N, sphincter involvement, circumferential involvement and maximum tumor thickness (p = 0.723, p = 0.510, p = 0.233 and p = 0.114, respectively). When multivariate logistic regression analysis was applied to assess the degree of influence of the predictor variables on pathologic response, none of these variables was associated with complete pathologic response. Conclusion: Prediction of pathologic complete response in rectal cancer has been considered as the crucial point upon which treatments for rectal cancer could be individualized. So far, no imaging method has been able to demonstrate efficacy in predicting complete pathologic response, and in turn there is no direct association between any endosonographic finding that can accurately predict it.
Problem: in recent years, new studies have been published on biological effects of strong static magnetic fields and on thermal effects of high-frequency electromagnetic fields as used in magnetic resonance imaging (MRI). Many of these studies have not yet been incorporated into current safety recommendations. Method: scientific publications from 2010 onwards on the biological effects of static and electromagnetic fields of MRI were searched and evaluated. Results: new studies confirm older work that has already described effects of static magnetic fields on sensory organs and the central nervous system accompanied by sensory perception. A new result is the direct effect of Lorentz forces on ionic currents in the semicircular canals of the vestibular organ. Recent studies on thermal effects of radiofrequency fields focused on the development of anatomically realistic body models and more accurate simulation of exposure scenarios. Recommendation for practice: strong static magnetic fields can cause unpleasant perceptions, especially dizziness. In addition, they can impair the performance of the medical personnel and thus potentially endanger patient safety. As a precaution, medical personnel should move slowly in the field gradient. High-frequency electromagnetic fields cause tissues and organs to heat up in patients. This must be taken into account in particular for patients with impaired thermoregulation as well as for pregnant women and newborns; exposure in these cases must be kept as low as possible.
In recent years, phytoremediation as a promising ecological restoration technique has emerged. Phytoremediation is a repair method that uses green plants to transfer, contain, or convert contaminants to the environment. Phytoremediation is a heavy metal, organic or radioactive element contaminated soil and water. The results show
that the use of plant absorption, volatilization, root filtration, degradation, stability and other effects, can purify soil
or water pollutants, to achieve the purpose of purifying the environment, so phytoremediation is a great potential, the development of the clean environment Pollution of green technology. The use of plants to repair contaminated soil is a cheap and durable bioremediation technique. The protection and management of Taihu Lake is an indispensable measure for the protection of Taihu Lake water, and the advantages of phytoremedry investment, low freight and
low leakage of pollutants show that its promotion has this unusual significance. This paper expounds the difference
of remediation soil between Taihu Lake Ecological Shelter Forest, and the comparison of the soil capacity of the
experimental tree species. Second, the correlation between the monitoring projects is discussed.
With the continuous development of facilities and horticulture, the area of vegetable planting in facilities increased year by year. Watermelon (Citrullus vulgaris Schrad) as the main cultivars within the facility, the continuous cropping problem is very serious, resulting in continuous cropping obstacles become increasingly obvious, the incidence of fusarium wilt increased year by year. Grafted watermelon roots developed to improve the growth of grafted roots of the conditions, resulting in robust plant growth. At the same time, the use of different purposes of the rootstock can make watermelon in different soil conditions under normal growth, such as the use of low temperature, drought, salt tolerance, barren and other characteristics of the rootstock. Secondly, the rootstock of the strong absorption of water absorption capacity, to promote the growth of grafted watermelon plants strong, large watermelon fruit, high yields. In addition, grafted watermelon seedlings grow fast early, for early maturing cultivation and overcome the seedless watermelon early growth slow defects is extremely favorable. So the use of pumpkin as a watermelon grafting rootstock, can effectively improve the effect of watermelon resistance to Fusarium wilts. And provide the theoretical basis and scientific basis for the further study of photosynthetic characteristics, disease resistance breeding and effective control of watermelon. In this experiment, the watermelon varieties with different resistance to fusarium wilt were selected, and the anti-fusarium wilt watermelon was studied systematically. There are changes in physiological characteristics during growth and development. In conclusion, grafting promotes the growth of watermelon and physiological characteristics of the index rose.
KEYWORDS: watermelon; fusarium wilt; growth period; physiological characteristics
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