Under the influence of long-term space flights and the confined space environment,it is very easy to induce space depression syndrome,mainly manifested as decreased emotional stability,sleep disorders,mental fatigue,etc.,which seriously affect the living conditions and working abilities of astronauts.The current treatment methods mainly focus on psychological support and drug intervention.Acupuncture has a good effect in treating depression.Therefore,starting from the TCM pathogenesis and modern medical pathogenesis of aerospace depression syndrome,we conducted literature retrieval from databases such as the Chinese Medical Classic,China National Knowledge Infrastructure(CNKI),Wanfang,VIP,PubMed,and Web of science.For the included literature,we adopted the stratified evidence scoring method and combined the TCM mechanism and modern medical mechanism of the effect of acupuncture.A prescription for acupuncture points was constructed to provide a basis for selecting acupuncture points for the prevention of aerospace depression syndrome through acupuncture.

Background Perfluorinated and polyfluoroalkyl substances (PFAS), a large group of emerging pollutants, are ubiquitous in the ecological environment. Their multiple organ toxic effects on human body are reported. Understanding the exposure level of PFAS in cord serum and associated influencing factors can provide scientific evidence for studying maternal and newborn health effects and risk regulation. Objective To explore the exposure levels of PFAS in cord serum and potential impact factors. Methods This study was based on the maternal and infant database and the cord serum sample bank of the Sheyang Mini Birth Cohort Study (SMBCS) established in 2009. A self-designed questionnaire was used to collect information on sociodemographic characteristics, living environment, and lifestyle of mothers during pregnancy. A total of 1097 cord serum samples were measured utilizing ultra-high performance liquid chromatography-Q-Exactive Orbitrap high-resolution mass spectrometry. Multiple linear regression models were used to identify influencing factors related to PFAS exposure level in cord serum. Results A total of 38 types of PFAS were detected in the cord serum samples, including 20 perfluorocarboxylic acids (PFCA), 14 perfluorosulfonic acids (PFSA), and 4 other types of PFAS. The detection rates of 14 PFAS compounds were above 50%. The detection rates of perfluoro-1-hexanesulfonic acid (PFHxS), perfluoro-1-octanesulfonic acid (PFOS), perfluorononanoic acid (PFNA), perfluorooctanoic acid (PFOA), perfluorodecanoic acid (PFDA), and perfluoroundecanoic acid (PFUdA) were in the range of 99.18%-100.00%. The median concentrations of PFOA and 6∶2 chlorinated polyfluorinated ether sulfonic acid (6∶2CI-PFESA) were higher than those of the other compounds, which were 3.76 µg·L⁻¹ and 2.61 µg·L⁻¹, respectively. The correlation coefficients among cord serum PFAS were in the wide range of 0.0911-0.8429 (P < 0.05). The associations between PFHxS and perfluoro-1-heptanesulfonic acid (PFHpS) (r=0.8429, P < 0.05), PFOS and PFHpS (r=0.7012, P < 0.05), and PFUdA and perfluorododecanoic acid (PFDoA) (r=0.7875, P < 0.05) were positive. The proportions of PFCA and PFSA in the cord serum samples were 60.1% and 38.4%, respectively. PFOA and 6∶2 Cl-PFESA were the predominant compounds in the cord serum samples, whose proportions were 37.8% and 19.3%, respectively. The concentrations of specific types of cord serum PFAS had varied associations with the following demographic variables of pregnant women: age, parity, education level, gestational age, and occupation. The multiple linear regression analysis found that the concentrations of 8 PFAS (PFHxS, PFHpS, PFNA, PFOS, PFDA, PFUdA, PFDoA, and 6∶2 CI-PFESA) in umbilical cord serum were lower in pregnant women aged 25 years and older than in those under the age of 25 years; compared to pregnant women with education levels at or below junior middle school, those with education levels at or above high school had lower concentrations of perfluoroheptanoic acid (PFHpA); the concentration of PFHpA in cord serum was negatively correlated with household annual income; multiparous women had higher concentrations of PFNA, PFUdA, and PFDoA than primiparous women; compared to mothers engaged in manual labor, the concentration of perfluoro-1-butanesulfonic acid (PFBS) in umbilical cord serum was lower in mothers engaged in mental labor, while the concentrations of PFBS and PFOA were lower and the concentrations of perfluorotridecanoic acid (PFTrDA) and 8∶2 chlorinated polyfluorinated ether sulfonic acid (8∶2CI-PFESA) were higher in mothers of other occupational types; the concentrations of umbilical cord serum PFOA, PFOS, PFUdA, and PFDoA were positively correlated with the gestational age of pregnant women, while N-methylperfluoro-1-octanesulfonamido acetic acid (N-MeFOSAA) was negatively correlated with the gestational age of pregnant women; PFTrDA was negatively correlated with the birth weight of newborns; compared with those with insufficient gestational weight gain, those with adequate gestational weight gain had lower PFDoA, while those with excess gestational weight gain had higher N-MeFOSAA. Conclusion PFAS compounds exposure is common in the mothers and infants in the study area. PFOA and 6∶2 CI-PFESA are the two main compounds in cord serum. Cord serum PFAS are associated with several demographic characteristics of the pregnant women. Future research needs to pay more attention to PFAS alternatives and other emerging contaminants.

Facial rhytidectomy is the main surgical treatment for facial rejuvenation. With the increase of People’s understanding of the facial aging mechanism and structural changes, the surgical methods are also changing. This article summarized the development of the rhytidoplasty by combining the origin, development steps and the anatomical levels involved in different surgical methods. It detailed both advantages and disadvantages of various surgery methods related to the skin and subcutaneous, superficial musculoa-poneurotis system, and subperiosteal plane, as well as the optimization plans proposed during the development process to comply with the trend of minimally invasive surgery and less postoperative complications. Improved surgical methods were proposed for specific common facial aging problems such as nasolabial folds, perioral mounds and double chins.

Facial rhytidectomy is the main surgical treatment for facial rejuvenation. With the increase of People’s understanding of the facial aging mechanism and structural changes, the surgical methods are also changing. This article summarized the development of the rhytidoplasty by combining the origin, development steps and the anatomical levels involved in different surgical methods. It detailed both advantages and disadvantages of various surgery methods related to the skin and subcutaneous, superficial musculoa-poneurotis system, and subperiosteal plane, as well as the optimization plans proposed during the development process to comply with the trend of minimally invasive surgery and less postoperative complications. Improved surgical methods were proposed for specific common facial aging problems such as nasolabial folds, perioral mounds and double chins.

OBJECTIVE To investigate the effect of myricetin(Myr) on immune function in rats with inflammatory bowel disease(IBD) by regulating the cAMP/PKA/CREB signaling pathway. METHODS IBD rat models were established and separated into control group, model group, low, medium, and high dose Myr(Myr-L, Myr-M, Myr-H, 28, 56, 112 mg·kg−1·d−1 Myr) groups, and high dose Myr+PKA inhibitor H89(Myr-H+H89 112 mg·kg−1·d−1 Myr+7 mg·kg−1·d−1 H89) group. The disease activity index(DAI) of rats was scored; immune function indicators and colon length were measured; the levels of IL-6, IL-17A, TNF-α, and cAMP in serum were determined by the kit; the pathological changes of colon tissue were observed by HE staining; the proportion of Treg cells was determined by flow cytometry; immunohistochemistry was used to detect the expression of MPO in colon tissue; Western blotting was used to determine cAMP/PKA/CREB signaling pathway related proteins. RESULTS Compared with the control group, the colon tissue cells in the model group were disorderly arranged, with a large number of inflammatory cell infiltration, severe ulceration, a large number of cell necrosis, mucosal edema, the DAI score, IL-6, TNF-α, and IL-17A levels, spleen coefficient, thymus coefficient, and MPO optical density values were obviously increased(P<0.05), the colon length, Treg cell ratio, cAMP concentration, p-PKA/PKA, and p-CREB/CREB levels were obviously reduced(P<0.05). Compared with the model group, the arrangement of colon tissue cells in the Myr-L, Myr-M, and Myr-H groups was relatively neat; mucosal edema inflammatory cell infiltration, cell necrosis and ulcer phenomenon were reduced; the DAI score, IL-6, TNF-α, and IL-17A levels, spleen coefficient, thymus coefficient, and MPO optical density values were gradually reduced(P<0.05); the colon length, Treg cell ratio, cAMP concentration, p-PKA/PKA, and p-CREB/CREB levels were gradually increased(P<0.05). Compared with the Myr-H group, the pathological changes in the colon tissue of the Myr-H+H89 group worsened, the DAI score, IL-6, TNF-α, and IL-17A levels, spleen coefficient, thymus coefficient, and MPO optical density values were obviously increased(P<0.05), the colon length, Treg cell ratio, cAMP concentration, p-PKA/PKA, and p-CREB/CREB levels were obviously reduced(P<0.05). CONCLUSION Myr may inhibit inflammation levels, regulate immune function, and exert protective effects on IBD rats by activating the cAMP/PKA/CREB signaling pathway.

Objective To evaluate the application effect of joint inventory management method in drug procurement and control management in multiple hospital areas.Methods Based on the joint inventory management model,four pilot drugs were selected from a certain group hospital by reasonable data processing methods for research.The effects of the model application were compared and analyzed from aspects such as inventory cost,turnover situation,and supply situation.Results After applying the joint inventory management model led by the central hospital,the inventory and amount of drugs in the three pilot hospitals were significantly reduced,with the inventory reduced by 31.93%and the average inventory amount decreased by 16.23%;The inventory turnover days had significantly decreased,with the turnover days of all three branches decreasing by more than one day;The drug shortage rate had significantly decreased,with the most significant change among the pilot drugs being the doxorubicin liposome injection,which had a 6.7%decrease in the shortage rate;The comparison results of each group of data showed statistical significance(P＜0.05).Conclusion Adopting a central hospital led joint inventory management model in multiple hospital areas could significantly improve the effectiveness of drug procurement management and inventory management,which enhanced the efficiency of hospital fund utilization.

Objective:To investigate whether there is an correlation between exposure to fine particulate matter (PM 2.5) in different environments during pregnancy and iodine nutritional levels of pregnant women. Methods:From March to August 2023, a case-control study method was used to select Midong District of Urumqi City with severe PM 2.5 pollution and Bole City of Bortala Mongolian Autonomous Prefecture with higher air quality index as the survey sites. Pregnant women before 28 weeks of pregnancy who voluntarily participated in this study and met the inclusion and exclusion criteria, were selected as the study subjects at the above locations. The basic information of the study subjects was investigated in the form of questionnaires. Whole blood, saliva, and urine samples were collected from the study subjects to determine serum iodine, salivary iodine, urinary iodine, and urinary creatinine levels. The average daily PM 2.5 exposure concentrations of pregnant women in outdoor, indoor, and multiple environments were calculated in Midong District and Bole City, respectively. The correlation between PM 2.5 exposure concentrations in different environments during pregnancy and iodine nutrition level of pregnant women was analyzed through a generalized linear model. Results:Midong District included 157 pregnant women, and Bole City included 145 pregnant women. There were statistically significant differences in the outdoor daily average PM 2.5 exposure concentration, indoor daily average PM 2.5 exposure concentration, daily maximum PM 2.5 exposure concentration in multiple environments, and daily minimum PM 2.5 exposure concentration in multiple environments among pregnant women between the two regions ( P < 0.05). The serum iodine [ M ( Q1, Q3): 83.99 (71.93, 93.39), 86.93 (76.90, 98.31) μg/L] and salivary iodine levels [76.90 (44.93, 140.36), 50.22 (24.12, 82.77) μg/L] of pregnant women in the two regions were compared, and the differences were statistically significant ( P < 0.05). The overall indoor and outdoor daily average PM 2.5 exposure concentrations of pregnant women in Midong District and Bole City were positively correlated with salivary iodine levels ( P < 0.001), and the daily minimum PM 2.5 exposure concentration in multiple environments was positively correlated with serum iodine levels ( P = 0.019). Conclusion:There are differences in iodine nutrition levels among pregnant women in different PM 2.5 exposure areas, and exposure to PM 2.5 during pregnancy may lead to fluctuations in iodine nutrition levels among pregnant women.

Objective:To investigate whether there is an correlation between exposure to fine particulate matter (PM 2.5) in different environments during pregnancy and iodine nutritional levels of pregnant women. Methods:From March to August 2023, a case-control study method was used to select Midong District of Urumqi City with severe PM 2.5 pollution and Bole City of Bortala Mongolian Autonomous Prefecture with higher air quality index as the survey sites. Pregnant women before 28 weeks of pregnancy who voluntarily participated in this study and met the inclusion and exclusion criteria, were selected as the study subjects at the above locations. The basic information of the study subjects was investigated in the form of questionnaires. Whole blood, saliva, and urine samples were collected from the study subjects to determine serum iodine, salivary iodine, urinary iodine, and urinary creatinine levels. The average daily PM 2.5 exposure concentrations of pregnant women in outdoor, indoor, and multiple environments were calculated in Midong District and Bole City, respectively. The correlation between PM 2.5 exposure concentrations in different environments during pregnancy and iodine nutrition level of pregnant women was analyzed through a generalized linear model. Results:Midong District included 157 pregnant women, and Bole City included 145 pregnant women. There were statistically significant differences in the outdoor daily average PM 2.5 exposure concentration, indoor daily average PM 2.5 exposure concentration, daily maximum PM 2.5 exposure concentration in multiple environments, and daily minimum PM 2.5 exposure concentration in multiple environments among pregnant women between the two regions ( P < 0.05). The serum iodine [ M ( Q1, Q3): 83.99 (71.93, 93.39), 86.93 (76.90, 98.31) μg/L] and salivary iodine levels [76.90 (44.93, 140.36), 50.22 (24.12, 82.77) μg/L] of pregnant women in the two regions were compared, and the differences were statistically significant ( P < 0.05). The overall indoor and outdoor daily average PM 2.5 exposure concentrations of pregnant women in Midong District and Bole City were positively correlated with salivary iodine levels ( P < 0.001), and the daily minimum PM 2.5 exposure concentration in multiple environments was positively correlated with serum iodine levels ( P = 0.019). Conclusion:There are differences in iodine nutrition levels among pregnant women in different PM 2.5 exposure areas, and exposure to PM 2.5 during pregnancy may lead to fluctuations in iodine nutrition levels among pregnant women.

Objective:To investigate the clinical significance of vertebral body partition in the unipedicular percutaneous vertebroplasty (PVP) for osteoporotic vertebral fractures.Methods:From July 2019 to October 2021, 89 patients with osteoporotic vertebral fracture were treated by unipedicular PVP at Department of Spinal Surgery, Zhengzhou Orthopaedic Hospital. They were 37 males and 52 females, with a mean age of (70.5±4.8) years (from 60 to 80 years). According to the vertebral body partition, the patients were divided into group a (32 cases), group b (20 cases), group c (21 cases), group d (11 cases), group e (0 case) and group f (5 cases). The therapeutic effects were evaluated by comparing the improvement rates of visual analogue scale (VAS) and Oswestry disability index (ODI) between preoperation and postoperative 1-day among all partition groups. The imaging efficacy was evaluated by comparing the proportions of bone cement diffusion area in the posteroanterior and lateral DR films and the leakage of bone cement among all partition groups.Results:The improvement rates of VAS score between preoperation and postoperation: group a [77.8 (75.0, 82.5) %] > group b [71.4 (71.4, 71.4) %] > group c [66.7 (66.7, 66.7) %] > group d [60.0 (60.0, 62.5) %] > group f [57.1 (50.0, 57.1)%], showing a statistically significant difference between any 2 groups ( P<0.001). The improvement rates of ODI score: group a (58.0%±4.2%) > group b (47.5%±2.5%) > group c (42.9%±2.9%) > group d (39.6%±3.2%) > group f (34.2%±8.4%), showing a statistically significant difference between any 2 groups ( P<0.001). The proportions of bone cement diffusion area: group a (76.9%±3.5%) > group b (71.3%±3.1%) > group c (66.1%±3.6%) > group d (60.2%±2.6%) > group f (54.0%±4.2%), showing a statistically significant difference between any 2 groups ( P<0.001). Bone cement leakage occurred in 7 cases, including 3 ones of anterior vertebral leakage (1 case in group a and 2 cases in group b), and 4 ones of leakage into the paravertebral venous plexus (2 cases in group c and 2 cases in group d). There was no intraspinal leakage, or symptoms of nerve compression or lesion. Conclusion:In the unipedicular PVP for osteoporotic vertebral fractures, our vertebral body partition can guide puncturing for bone cement injection because it indicates the optimal and the risky partitions.

Objective:To investigate the clinical experience of using orbital fat pedicle to correct eyebags with the tear trough and palpebromalar groove deformity.Methods:From February 2020 to May 2021, 35 patients with lower blepharoplasty combined with orbital fat-release were treated in the Facial and Neck Plastic Surgery Center of the Plastic Surgery Hospital of Chinese Academy of Medical Sciences, including 4 males and 31 females. Their age ranged from 35 to 63 years, with an average age of 47.5 years. Different degrees of lower eyelid skin laxity, orbital fat herniation, moderate and severe tear trough, palpebromalar groove deformity were observed in all patients. Preoperative examination showed no symptoms such as lower eyelid ectropion and lower eyelid retreat ment. All 35 patients were treated with transcutaneous incision blepharoplasty, in which the orbital septal fat was released, pulled downward and internally fixed to the appropriate position to fill the tear trough and palpebromalar groove.Results:All patients obtained primary healing, no complications such as hematoma, and infection occured. Postoperative follow-up lasted from 3 to 18 months, with an average of 8.6 months. 35 patients′ eye bags with tear trough and palpebromalar groove deformity were obviously alleviated. Unilateral mild eye bag remained in 2 patients in postoperative 1 month, and 2 cases appeared mild lower eyelid ectropion postoperatively, none of these patients received special treatment and recovered after 3 months.Conclusions:Lower blepharoplasty combined with orbital fat release can effectively repair eye bags and correct tear trough and palpebromalar groove deformity.