Cannabidiol (CBD), the primary non-psychoactive constituent of cannabis plants, has emerged as a research focus in neuropsychiatric disorders in recent years due to its multi-target regulatory properties. This review summarizes the potential therapeutic targets of CBD and its current application in common neuropsychiatric disorders so as to promote clinical implementation of CBD in managing neuropsychiatric disorders.

Cannabidiol (CBD), the primary non-psychoactive constituent of cannabis plants, has emerged as a research focus in neuropsychiatric disorders in recent years due to its multi-target regulatory properties. This review summarizes the potential therapeutic targets of CBD and its current application in common neuropsychiatric disorders so as to promote clinical implementation of CBD in managing neuropsychiatric disorders.

OBJECTIVE To explore the improvement mechanism of proanthocyanidins on acute kidney injury （AKI） induced by gentamicin in rats. METHODS Gentamicin sulfate was injected intraperitoneally to construct the AKI rat model； the model rats were randomly divided into model control group， benazepril hydrochloride 5 mg/kg group （positive control）， proanthocyanidins 50 mg/kg group， proanthocyanidins 100 mg/kg group， and proanthocyanidins 200 mg/kg group， with 10 rats in each group； in addition， 10 normal rats were selected to be treated as the normal control group. The rats in each administration group were given corresponding liquid intragastrically， and the normal control group and model control group were given equal volumes of normal saline intragastrically， once a day， for 28 consecutive days. After the last administration， the levels of serum creatinine （SCr）， blood urea nitrogen （BUN）， malondialdehyde （MDA）， superoxide dismutase （SOD）， glutathione peroxidase （GSH-Px） and 24 h urinary protein （UP） were detected； the renal index was calculated； the pathological changes of renal tissue were observed and the pathological score was calculated； the apoptotic rate of cells in renal tissue and the expression levels of Caspase-3 and Bcl-2 associated X protein （Bax）， as well as the phosphorylation levels of silent information regulator of transcription 1 （SIRT1） and AMP-activated protein kinase （AMPK） were detected. RESULTS Compared with the model control group， the levels of SCr， BUN， UP and MDA， the renal index， the pathological score of renal tissue， the apoptotic rate of cells in renal tissue， the protein expression levels of Caspase-3 and Bax in renal tissue of rats in each administration group were decreased significantly； SOD and GSH-Px levels， phosphorylation levels of SIRT1 and AMPK protein were increased significantly （P＜0.05）， and the effect of proanthocyanidins was in a dose-dependent manner （P＜0.05）. There were no significant differences in the above indexes between proanthocyanidins 200 mg/kg group and benazepril hydrochloride 5 mg/kg group （P＞0.05）. CONCLUSIONS The improvement effect of proanthocyanidins on AKI rats may be related to the activation of SIRT1/AMPK signaling pathway to inhibit oxidative stress.

Objective To investigate the expression of urinary galectin-3 binding protein(Gal-3BP)and V-set containing immunoglobulin domain 4(VSIG4)in urine from patient with systemic lupus erythematosus(SLE)and its relationship with disease activity and kidney injury.Methods A total of 105 SLE patients(SLE group)and 50 normal patients(control group)admitted to Danzhou People's Hospital were selected as the study objects.According to SLEDAI score,105 SLE patients were divided into mild active group(SLEDAI≤9 points,n=51),moderate active group(14 point≥SLEDAI≥10 points,n=29)and severe active group(SLEDAI ≥ 15 points,n=25).According to the degree of renal function impairment,they were divided into normal renal function group,mild renal function impairment group and moderate and severe renal function impairment group.Enzyme linked immunosorbent assay was used to detect the expressions of Gal-3BP and VSIG4.Multiple Logistic regression was applied to analyze the risk factors of kidney injury in SLE patients,and ROC curve was drawn to analyze the value of urinary Gal-3BP and VSIG4 levels in predicting kidney injury in SLE patients.Results The urinary Gal-3BP(251.38±46.75 ng/ml)and VSIG4(13.40±4.27 ng/ml)levels in the SLE group were higher than those in the control group(117.50±18.24 ng/ml,2.73±0.85ng/ml),and the differences were statistically significant(t=19.315,15.681,all P＜0.001).The higher the activity level of SLE patients,the higher the urinary Gal-3BP and VSIG4 levels,with severe activity group＞moderate activity group＞mild activity group,and the differences were statistically significant(F=23.416,17.380,all P＜0.001).The urinary Gal-3BP and VSIG4 levels in the moderate to severe renal function group and mild renal function group were higher than those in the normal renal function group(t=24.580,18.163,20.864,15.947),and the urinary Gal-3BP and VSIG4 levels in the moderate to severe renal function group were higher than those in the mild renal function group(t=19.837,11.215),and the differences were statistically significant(all P＜0.001),respectively.Multiple logistic regression analysis showed that elevated levels of urinary Gal-3BP(OR=3.472,95％CI:2.685～11.463)and VSIG4(OR=2.376,95％CI:1.842～9.105)were risk factors for renal injury in SLE patients(all P＜0.05).ROC curve analysis showed that the combination of Gal-3BP and VSIG4 had the highest area under the curve(95％confidence interval)[AUC(95％CI)]for predicting renal injury in SLE patients[0.909(0.846～0.973)],with an accuracy of 88.6％.Correlation analysis showed that the urinary Gal-3BP level was positively correlated with VSIG4 level(r=0.813,P＜0.05),and the levels of urinary Gal-3BP and VSIG4 were positively correlated with SCr,BUN,24-hour urine protein,anti-dsDNA antibodies,and SLEDAI scores(r=0.358～0.702,all P＜0.05),while urinary Gal-3BP and VS1G4 levels were negatively correlated with hemoglobin and eGFR in SLE patients(r=-0.479～-0.670,all P＜0.05).Conclusion Urinary Gal-3BP and VSIG4 levels are elevated in SLE patients,and their high expressions are related to disease activity and renal injury.The combination of the two have good value in predicting renal injury in SLE patients.

Objective To analyze the epidemic status and characteristics of mumps in Shushan area, and to provide scientific reference for formulating prevention and control strategies. Methods The data of mumps cases in Shushan District from 2015 to 2020 were retrieved from China Disease Control and Prevention Information Management System. The data of vaccination rate were obtained from the Anhui Province Immunization Program Information Management System. The data were analyzed by descriptive epidemiological methods. Results A total of 799 cases of mumps were reported in Shushan District. The average annual incidence was 21.58/100 000, and the incidence was increasing year by year. Cases were reported in every month, with 20.90% cases reported from April to May. The number of males and females were 513 and 286 respectively, and the incidence rate of males (27.55/10) was higher than that of females (15.51/100,000). The youngest patient was 2 months old and the oldest was 84 years old. The age distribution was mainly under 10 years old, with a total of 573 cases (71.71%). The incidence rate decreased with age. The occupational distribution was mainly primary and secondary school students and kindergarten children, accounting for 371 cases (46.43%) and 262 cases (32.79%), respectively. Cases were reported in 11 towns (streets) in Shushan District, mainly in Wulidun Street, Jinggang Town and Bijiashan Street, accounting for 23.53% (188 cases), 17.52% (140 cases), and 13.64% (109 cases), respectively. More than 97 percent of eligible children born between 2015 and 2019 received mumps vaccines. Conclusion Students and kindergarten children are the main prevention and control groups for mumps. Epidemic surveillance and health education should be effectively carried out. At the same time, children who miss mumps vaccine should be vaccinated with mumps vaccine to strengthen immunity and prevent the onset of mumps.

Objective:To analyse osteonecrosis induced by glucocorticoids in the clinical practice,and provide basis for early prevention,diagnosis and treatment.Methods:128 cases of osteonecrosiss were induced by glucocorticoidstreatment during the 10 years between 1986 and 1995,and the aspects of age,sex,course of diseases,primary diseases,dose of glucocorticoids,and early clinical manifestation were analysed.Results:The incidence of osteonecrosis was lower in doses normlly than in doses abnormally,and the incidence was higher in long treatment course than in short treatment course.Conclusion:Rational use of glucocorticoids and early prevention can reduce the incidence of osteonecrosis.

Objective:To analyse osteonecrosis induced by glucocorticoids in the clinical practice,and provide basis for early prevention,diagnosis and treatment.Methods:128 cases of osteonecrosiss were induced by glucocorticoidstreatment during the 10 years between 1986 and 1995,and the aspects of age,sex,course of diseases,primary diseases,dose of glucocorticoids,and early clinical manifestation were analysed.Results:The incidence of osteonecrosis was lower in doses normlly than in doses abnormally,and the incidence was higher in long treatment course than in short treatment course.Conclusion:Rational use of glucocorticoids and early prevention can reduce the incidence of osteonecrosis.

The pathological changes of pulmonary fat emdoiksm were studied in ratsby means of an intravenous injection with autosnbcutaneous fat.The resultsshowed that most fat ernboli appeared in pulmonary arterioles and capillariesafter 24 hours.By 4 days,large number of sudan Ⅲ-positive emboli were seenthroughout the lungs.The inflammatory cellular infiltration including the histoc-ytes,macrophages,polymorphonuclear leucocytes and occasional eosinophils,pulmonary edema and focal hemorrhage were observed.After 7 days,most fatemboli disappeared.No fat embolism in other organs was found.