With the rapid advancement of refractive surgery, small incision lenticule extraction(SMILE)has become a mainstream procedure due to its biomechanical advantage in preserving the integrity of the anterior elastic layer and epithelium. However,postoperative stromal tissue removal and stress redistribution may still compromise corneal biomechanical stability, potentially affecting long-term corneal stability and visual quality. This review focuses on the mechanisms underlying biomechanical changes after SMILE, summarizing recent findings on corneal thinning, reduced mechanical strength, and stress remodeling, and their impact on corneal morphology and visual quality. It further explores potential contributors to postoperative ectasia, increased higher-order aberrations(HOAs), and visual fluctuations, highlighting individual variability and current controversies in the literature. Moreover, current evidence on adjunctive strategies such as corneal cross-linking(CXL)in enhancing biomechanical strength, reducing complications, and improving optical quality was analyzed. Finally, optimal timing for CXL, threshold values of biomechanical metrics, and the role of individualized preoperative assessment and postoperative management was discussed, aiming to provide a theoretical and clinical basis for improving safety and visual outcomes following SMILE.

Humans ; Venous Thromboembolism/prevention & control* ; Anticoagulants/therapeutic use* ; Pulmonary Embolism ; Patients ; Hospitalization ; Risk Factors

Humans ; Hospital Mortality ; Pulmonary Embolism ; Comorbidity ; Registries ; Neoplasms/complications*

For wild natural medicine, unanticipated biodiversity as species or varieties with similar morphological characteristics and sympatric distribution may co-exist in a single batch of medical materials, which affects the efficacy and safety of clinical medication. DNA barcoding as an effective species identification tool is limited by its low sample throughput nature. In this study, combining DNA mini-barcode, DNA metabarcoding and species delimitation method, a novel biological sources consistency evaluation strategy was proposed, and high level of interspecific and intraspecific variations were observed and validated among 5376 Amynthas samples from 19 sampling points regarded as "Guang Dilong" and 25 batches of proprietary Chinese medicines. Besides Amynthas aspergillum as the authentic source, 8 other Molecular Operational Taxonomic Units (MOTUs) were elucidated. Significantly, even the subgroups within A. aspergillum revealed here differ significantly on chemical compositions and biological activity. Fortunately, this biodiversity could be controlled when the collection was limited to designated areas, as proved by 2796 "decoction pieces" samples. This batch biological identification method should be introduced as a novel concept regarding natural medicine quality control, and to offer guidelines for in-situ conservation and breeding bases construction of wild natural medicine.

Objective:To understand the prevalence of other infectious diarrhea in Urumqi, Xinjiang from 2014 to 2018, to explore application of ARIMA model to predict other infectious diarrhea, and to provide a basis for scientific prevention and treatment.Methods:The epidemiological data of other perceptual diarrhea in a tertiary hospital from 2014 to 2018 and the data of laboratory test result in the " China Disease Prevention and Control Information System" were collected and sorted for descriptive epidemiological analysis, and SPSS software was used to predict the ARIMA model.Results:Other infectious diarrhea cases in a tertiary hospital from 2014 to 2018 were mainly concentrated in June to October (1 748 cases), accounting for 65.89% of the total cases in the whole year. Children under 10 years of age were the main population for other infectious diarrhea (1 699 cases), accounting for 49.26%. Rotavirus infection was the main cause of other infectious diarrhea (339 cases), accounting for 93.38% of all detected pathogens. ARIMA (0, 1, 2)(0, 1, 1) 12 was the optimal model, which verified that the average relative error of the number of cases in Urumqi from January to December in 2018 was 20%, and the actual value was within the 95% confidence interval of the predicted value. Conclusions:Health education on the prevention of other infectious diarrhea should be strengthened for children under 10 years of age and their parents in Urumqi, focusing on rotavirus diarrhea, and the promotion and vaccination of rotavirus vaccine for children under 10 years old should be done well. ARIMA (0, 1, 2)(0, 1, 1) 12 has certain value in predicting the incidence of other infectious diarrhea.

Objective:To study the regulatory effect of miR-200a on mesenchymal-epithelial transition factor (MET) and its impact on the biological behavior of hepatoma carcinoma cells.Method:A luciferase reporter assay was used to determine miR-200a's regulatory impact on MET. Human hepatoma HepG2 cells were divided into a control group, a miR-200a group, a MET overexpression group, and a co-transfection group (miR-200a+MET). After culture, cell proliferation ability, cell migration ability, apoptosis, cell invasion ability, and the expression of MET and apoptosis-related (Bcl-2, Caspase-3, Bax) proteins were detected and observed by cell counting kit-8 (CCK-8), scratch assay, Annexin V-FITC staining, transwell chambers, and western blotting. The two groups were compared using the independent sample t-test. The multiple groups were statistically analyzed using one-way ANOVA.Results:The luciferase experiment showed that miR-200a had target MET. The proliferation rate, number of invasions in cells (55.00 ± 7.21, 85.00 ± 7.94, 164.67 ± 19.22, 104.00± 12.29), scratch healing rate (28.33% ± 5.03%, 61.67% ± 4.04%, 74.67% ± 7.02%, 49.33% ± 9.02%), and expression levels of MET, Bcl-2, and Caspase-3 proteins were lower in the miR-200a group than those in the control group, MET overexpression group, and co-transfection group, while the MET overexpression group had higher indexes than the other three groups, with statistically significant differences between the groups ( P <0.05). The apoptosis rate of HepG2 cells and the expression level of Bax protein were higher in the miR-200a group than those in the control group, MET overexpression group, and co-transfection group (19.25% ± 2.98%, 6.80% ± 1.15%, 3.42% ±0.76%, 9.90% ± 2.72%), while the levels of various indexes in the MIF overexpression group were lower than those in the other three groups. The control group and co-transfection group were between the two groups, and the difference between the groups was statistically significant ( P <0.05). Conclusion:HepG2 cell proliferation, migration, invasion, and cell apoptosis induction can be inhibited by miR-200a, and the functional mechanism for this may be associated with the miR-200a target’s ability to down-regulate MET expression in HepG2 cells.

Objective:To study the risk factors for ipsilateral severe hearing impairment in patients with hemifacial spasm (HFS) after microvascular decompression (MVD).Methods:MVD was performed in 3700 patients with HFS, admitted to our hospital from October 2007 to August 2020; according to the existence of ipsilateral severe hearing impairment, these patients were divided into severe hearing impairment group and non-severe hearing impairment group. The clinical data of these patients were compared. Multivariate linear regression analysis was used to determine the independent influencing factors for ipsilateral severe hearing impairment.Results:Forty-five patients (1.2%) had ipsilateral severe hearing impairment after MVD; no one got recovery of hearing impairment during the follow-up period (0.6-11.8 years, 6.3 years in average). As compared with those in the non-severe hearing impairment group, patients in the severe hearing impairment group had significantly older age, significantly higher percentages of male patients, and patients with left HFS, hypertension, and diabetes mellitus, statistically higher percentage of patients having small posterior fossa volume, arachnoid thickening and adhesion, and vertebral artery compression, significantly lower percentage of patients with anterior inferior cerebellar artery compression, significantly higher percentage of patients with arteriosclerosis of offending arteries and difficult decompression ( P<0.05). Multivariate linear regression analysis revealed that hypertension, vertebral artery compression, arteriosclerosis of offending artery and difficult decompression were independent risk factors for severe hearing impairment in patients with HFS after MVD. Conclusion:It's difficult to get recovery for severe hearing impairment in patients with HFS after MVD; this complication is much common in patients with hypertension, vertebral artery compression, arteriosclerosis of offending artery or difficult decompression.

Objective:To understand the epidemiological, clinical and pathogenic characteristics of febrile respiratory syndrome in Urumqi.Methods:Epidemiological andclinical information and laboratory test result of febrile respiratory syndrome cases from 2018 to 2019 were collected for descriptive research and statistical analysis.Results:A total of 485 cases of febrile respiratory syndrome were collected, mainly fever (99.17%), cough (82.27%), and expectoration (41.65%). Pneumonia cases accounted for 56.29% of the total number of cases. The overall rate of viral positivity was 45.77%. Among them, the positive detection rate of respiratory syncytial virus was the highest (8.87%), followed by influenza A virus H1N1 subtype (7.42%), influenza B virus (4.95%) and adenovirus (4.95%). The main pathogens that occurred in winter and spring were influenza virus and respiratory syncytial virus, parainfluenza virus type 1, type 3 and rhinovirus disease in summer and autumn.Conclusions:The pathogens that cause febrile respiratory syndrome cases in Urumqi are mainly respiratory syncytial virus, influenza virus and adenovirus. In winter and spring, prevention and control of influenza and respiratory syncytial virus is important, and in summer and autumn prevention and control of parainfluenza virus and rhinovirus infection is important. Control andcareful differential diagnosis of various viruses and novel coronaviruses in the cases with fever respiratory group are mandatory.

Objective To systematic evaluate the curative effect of total hip arthroplasty (THA) through direct anterior approach versus (DAA) posterolateral approach (PSA).Methods All the randomized controlled trial (RCT) articles and observational research articles about the curative effect of THA through direct anterior approach (DAA group) versus posterolateral approach (PSA group)for treatment of hip disease that published at home and abroad included from database establishing to December 2017 were retrieved from Cochrane Library,Pubmed,Web of Science,CBM and China national knowledge internet (CNKI) through computer.The articles were screened and the information was extracted independently by two authors.A Meta-analysis was performed utilizing the RevMan 5.3 software.Results Two hundred and forty-nine articles were searched out in the initial stage.After screening,7 Chinese articles and 2 English articles (942 cases)were included in the final analysis,including 8 RCT articles and 1 observational research article,and 463 patients in direct anterior approach and 479 patients in posterolateral approach.The results of Meta-analysis demonstrated that the incision length,operation time,intraoperative blood less,Harris hip function scores at 1 month after surgery,visual analogue scale (VAS) scores at 24 hours after surgery,postoperative bed rest time and the hospital stay were better in DAA group compared to PSA group (SMD =-2.51,95％ CI:-4.84,-0.19,P=0.03);(SMD=0.84,95％ CI:0.10,1.59,P=0.03);(SMD=-1.52,95％ CI:-2.98,-0.05,P=0.04);(SMD=2.58,95％ CI:0.65,4.51,P=0.009);(SMD=-0.65,95％ CI:-0.91,-0.38,P＜0.01);(SMD=-1.85,95％ CI:-3.00,-0.70,P=0.002);(SMD =-1.12,95％ CI:-1.62,-0.61,P ＜0.01).There were no statistical difference in drainage (SMD =-1.45,95％ CI:-3.40,0.49,P =0.14),Harris hip function scores at last follow-up (SMD =0.91,95％ CI:-0.31,2.14,P =0.15),VAS scores at 48 hours after surgery (SMD =-1.21,95％ CI:-3.03,0.61,P =0.19),acetabular anteversion angles (SMD =-0.50,95％ CI:-1.06,0.05,P =0.07),acetabular abduction angles (SMD =-0.01,95％ CI:-0.32,0.30,P =0.97) and incidence of complications (OR =1.10,95％ CI:0.59,2.07,P =0.77) between the 2 groups.The result of analysis of publication bias according to Harris hip function scores at last follow-up and incidence of complications showed that the funnel-plot was essentially bilateral symmetry.Conclusions THA through DAA can significantly reduce the soft-tissue damage,and it is beneficial for patient's quick recovery,also it conforms to the current concept of minimally invasive treatment that worthy of promotion.

Parkinson′s disease (PD) is the common progressive neurodegenerative disorder affecting older adults. Alterations of the circadian system occur in PD patients. However, the molecular mechanisms and pathophysiological process remain elusive. Circadian rhythm is modulated by both internal and external factors and using bright light and melatonin as chronotherapeutic tools may be potential therapies to improve symptoms of PD in the future. This article reviewed the abnormal changes of circadian parameters in clinical symptoms of PD and the possible mechanisms of circadian rhythm to provide basis for exploring the therapeutic strategies of circadian rhythm in PD.