1.Effects of Duhuo Jisheng Decoction on TNF-α-induced proliferation,apoptosis and inflammation of fibroblast-like synoviocytes in rheumatoid arthritis
Jing-Ruo WU ; Ya-Nan BU ; Jin-Ru YUE ; Jia CHEN ; Gui-Yu WANG ; Yu-Min ZHANG
Chinese Pharmacological Bulletin 2024;40(9):1665-1673
		                        		
		                        			
		                        			Aim To explore the effect of serum contai-ning Duhuo Jisheng Decoction on the proliferation,ap-optosis and inflammation of fibroblast-like synoviocytes(FLS)induced by tumor necrosis factor-α(TNF-α)in rheumatoid arthritis(RA)and to reveal the under-lying mechanism.Methods The MH7A cells were divided into five groups:normal group(10%blank se-rum),model group(10 μg·L-1 TNF-α+10%blank serum),Duhuo Jisheng Decoction low(10 μg·L-1 TNF-α+2.5%drug-containing serum+7.5%blank serum),medium(10 pg·L-1 TNF-α+5%drug-con-taining serum+5%blank serum),high(10 μg·L-1 TNF-α+10%drug-containing serum)dose group.The concentration of serum containing Duhuo Jisheng Decoction was screened by MTT method.Cell prolifer-ation was detected using EdU staining.The expression of proliferation marker Ki67 was detected using immu-nofluorescence staining.The apoptosis rate was meas-ured by flow cytometry.The contents of IFN-γ,IL-4,IL-6 and IL-10 in each group were detected by ELISA.The mRNA and protein expression of Bax,Bcl-2,caspase-3 and TLR4/MyD88/NF-κB signaling pathway were detected by RT-qPCR and Western blot.Results Compared with the normal group,the cell prolifera-tion activity of the model group significantly increased,and the level of apoptosis decreased.The content of IFN-γ and IL-6 increased,and the content of IL-4 and IL-10 decreased.The TLR4/MyD88/NF-κB signaling pathway was activated.After the intervention of low,medium and high dose groups of serum containing Du-huo Jisheng Decoction,it could effectively improve the abnormal proliferation of cells and enhance apoptosis.At the same time,it inhibited the inflammatory re-sponse and the activation of TLR4/MyD88/NF-κB sig-naling pathway.Conclusions The serum containing Duhuo Jisheng Decoction can inhibit the abnormal pro-liferation of RA-FLS induced by TNF-α and the secre-tion of pro-inflammatory factors,and enhance apoptosis and anti-inflammatory levels.The mechanism may be related to the regulation of TLR4/MyD88/NF-κB sig-naling pathway.
		                        		
		                        		
		                        		
		                        	
		                				2.Screening of natural drug molecules against Fusarium oxysporum  of ginseng root rot based on machine learning
		                			
		                			Gui-ping ZHAO ; Ruo-qi YANG ; Jie LI ; Ying-ying CHEN ; Da-de YU ; Xi-wen LI
Acta Pharmaceutica Sinica 2023;58(6):1713-1721
		                        		
		                        			
		                        			 italic>Fusarium oxysporum widely exists in farmland soil and is one of the main pathogenic fungi of root rot, which seriously affects the growth and development of plants and often causes serious losses of cash crops. In order to screen out natural compounds that inhibit the activity of 
		                        		
		                        	
3.Comparison of mouse models of depression induced by different modeling methods.
Pei-Pei LI ; Shuo WANG ; Tao CHEN ; Ruo-Lan LONG ; Dan FENG ; Yang-Fei WEI ; Zhi-Bo SONG ; Yu-Lin LI ; Jing SUN
Acta Physiologica Sinica 2023;75(3):379-389
		                        		
		                        			
		                        			The present article was aimed to compare the effectiveness of different induction methods for depression models. Kunming mice were randomly divided into chronic unpredictable mild stress (CUMS) group, corticosterone (CORT) group, and CUMS+CORT (CC) group. The CUMS group received CUMS stimulation for 4 weeks, and the CORT group received subcutaneous injection of 20 mg/kg CORT into the groin every day for 3 weeks. The CC group received both CUMS stimulation and CORT administration. Each group was assigned a control group. After modeling, forced swimming test (FST), tail suspension test (TST) and sucrose preference test (SPT) were used to detect the behavioral changes of mice, and the serum levels of brain-derived neurotrophic factor (BDNF), 5-hydroxytryptamine (5-HT) and CORT were detected with ELISA kits. Attenuated total refraction (ATR) spectra of mouse serum were collected and analyzed. HE staining was used to detect morphological changes in mouse brain tissue. The results showed that the weight of model mice from the CUMS and CC groups decreased significantly. There was no significant change in immobility time of model mice from the three groups in FST and TST, while the glucose preference of model mice from the CUMS and CC groups was significantly reduced (P < 0.05). The serum 5-HT levels of model mice from the CORT and CC groups were significantly reduced, while the serum BDNF and CORT levels of model mice from the CUMS, CORT, and CC groups showed no significant changes. Compared with their respective control groups, the three groups showed no significant difference in the one-dimensional spectrum of serum ATR. The difference spectrum analysis results of the first derivative of the spectrogram showed that the CORT group had the greatest difference from its respective control group, followed by the CUMS group. The structures of hippocampus in the model mice from the three groups were all destroyed. These results suggest that both CORT and CC treatments can successfully construct a depression model, and the CORT model is more effective than the CC model. Therefore, CORT induction can be used to establish a depression model in Kunming mice.
		                        		
		                        		
		                        		
		                        			Mice
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Depression/etiology*
		                        			;
		                        		
		                        			Antidepressive Agents/pharmacology*
		                        			;
		                        		
		                        			Brain-Derived Neurotrophic Factor
		                        			;
		                        		
		                        			Serotonin
		                        			
		                        		
		                        	
4.The role of mother-child relationship in the association between maternal parenting stress and emotional and behavioral problems in preschool children.
Hai-Yan HE ; Min YU ; Man NING ; Xiao-Chen CUI ; Li-Yuan JIA ; Ruo-Yu LI ; Yu-Hui WAN
Chinese Journal of Contemporary Pediatrics 2023;25(4):394-400
		                        		
		                        			OBJECTIVES:
		                        			To study the moderating effect of mother-child relationship in the association between maternal parenting stress and emotional and behavioral problems in preschool children, and to provide reference for the prevention and control of emotional and behavioral problems in preschool children.
		                        		
		                        			METHODS:
		                        			Using a stratified cluster sampling method, 2 049 preschool children were surveyed from November to December 2021, who sampled from 12 kindergartens in Wuhu City, Anhui Province. The emotional and behavioral problems of preschool children were assessed with the Strength and Difficulties Questionnaire. Pearson correlation analysis was used to evaluate the relationship of maternal parenting stress and mother-child relationship with children's emotional and behavioral problems. The PROCESS Macro was used to analyze the moderating effect of conflicted and dependent mother-child relationships in the association between maternal parenting stress and emotional and behavioral problems in these preschool children.
		                        		
		                        			RESULTS:
		                        			Among these preschool children, maternal parenting stress was positively correlated with the scores of emotional symptoms, conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001); intimate mother-child relationships were negatively correlated with the scores of conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001); conflicted and dependent mother-child relationships were positively correlated with the scores of emotional symptoms, conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001). After controlling for relevant confounding factors, conflicted mother-child relationship (β=0.05, P=0.001) and dependent mother-child relationship (β=0.04, P=0.012) were found to have a moderating effect on the association between maternal parenting stress and total difficulty scores in these preschool children.
		                        		
		                        			CONCLUSIONS
		                        			Negative mother-child relationships play a moderating role in the association between maternal parenting stress and emotional and behavioral problems in preschool children. Prevention of emotional and behavioral problems in preschool children should focus on reducing maternal parenting stress and improving negative mother-child relationships.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Child, Preschool
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Problem Behavior/psychology*
		                        			;
		                        		
		                        			Parenting/psychology*
		                        			;
		                        		
		                        			Emotions
		                        			;
		                        		
		                        			Mother-Child Relations
		                        			;
		                        		
		                        			Surveys and Questionnaires
		                        			;
		                        		
		                        			Mothers/psychology*
		                        			
		                        		
		                        	
5.Metformin use and risk of ischemic stroke in patients with type 2 diabetes: A cohort study.
Huan YU ; Ruo Tong YANG ; Si Yue WANG ; Jun Hui WU ; Meng Ying WANG ; Xue ying QIN ; Tao WU ; Da Fang CHEN ; Yi Qun WU ; Yong Hua HU
Journal of Peking University(Health Sciences) 2023;55(3):456-464
		                        		
		                        			OBJECTIVE:
		                        			To explore the association between the use of metformin and the risk of ischemic stroke in patients with type 2 diabetes.
		                        		
		                        			METHODS:
		                        			A prospective cohort study was designed from the Fangshan family cohort in Beijing. According to metformin use at baseline, 2 625 patients with type 2 diabetes in Fangshan, Beijing were divided into metformin group or non-metformin group and the incidence of ischemic stroke between the different groups during follow-up was estimated and compared by Cox proportional hazard regression model. The participants with metformin were first compared with all the parti-cipants who did not use metformin, and then were further compared with those who did not use hypoglycemic agents and those who used other hypoglycemic agents.
		                        		
		                        			RESULTS:
		                        			The patients with type 2 diabetes were with an average age of (59.5±8.7) years, and 41.9% of them were male. The median follow-up time was 4.5 years. A total of 84 patients developed ischemic stroke during follow-up, with a crude incidence of 6.4 (95%CI: 5.0-7.7) per 1 000 person-years. Among all the participants, 1 149 (43.8%) took metformin, 1 476 (56.2%) were metformin non-users, including 593 (22.6%) used other hypoglycemic agents, and 883 (33.6%) did not use any hypoglycemic agents. Compared with metformin non-users, the Hazard ratio (HR) for ischemic stroke in metformin users was 0.58 (95%CI: 0.36-0.93; P = 0.024). Compared with other hypoglycemic agents, HR was 0.48 (95%CI: 0.28-0.84; P < 0.01); Compared with the group without hypoglycemic agents, HR was 0.65 (95%CI: 0.37-1.13; P=0.13). The association between metformin and ischemic stroke was statistically significant in the patients ≥ 60 years old compared with all the metformin non-users and those who used other hypoglycemic agents (HR: 0.48, 95%CI: 0.25-0.92; P < 0.05). Metformin use was associated with a lower incidence of ischemic stroke in the patients with good glycemic control (0.32, 95%CI: 0.13-0.77; P < 0.05). In the patients with poor glycemic control, and the association was not statistically significant (HR: 0.97, 95%CI: 0.53-1.79; P>0.05). There was an interaction between glycemic control and metformin use on incidence of ischemic stroke (Pinteraction < 0.05). The results of the sensitivity analysis were consistent with the results in the main analysis.
		                        		
		                        			CONCLUSION
		                        			Among patients with type 2 diabetic in rural areas of northern China, metformin use was associated with lower incidence of ischemic stroke, especially in patients older than 60 years. There was an interaction between glycemic control and metformin use in the incidence of ischemic stroke.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Metformin/adverse effects*
		                        			;
		                        		
		                        			Diabetes Mellitus, Type 2/drug therapy*
		                        			;
		                        		
		                        			Cohort Studies
		                        			;
		                        		
		                        			Ischemic Stroke/complications*
		                        			;
		                        		
		                        			Prospective Studies
		                        			;
		                        		
		                        			Hypoglycemic Agents/adverse effects*
		                        			;
		                        		
		                        			Stroke/prevention & control*
		                        			;
		                        		
		                        			Retrospective Studies
		                        			
		                        		
		                        	
6.Mechanism of Learning and Memory Impairment in Rats Exposed to Arsenic and/or Fluoride Based on Microbiome and Metabolome.
Xiao Li ZHANG ; Sheng Nan YU ; Ruo Di QU ; Qiu Yi ZHAO ; Wei Zhe PAN ; Xu Shen CHEN ; Qian ZHANG ; Yan LIU ; Jia LI ; Yi GAO ; Yi LYU ; Xiao Yan YAN ; Ben LI ; Xue Feng REN ; Yu Lan QIU
Biomedical and Environmental Sciences 2023;36(3):253-268
		                        		
		                        			OBJECTIVE:
		                        			Arsenic (As) and fluoride (F) are two of the most common elements contaminating groundwater resources. A growing number of studies have found that As and F can cause neurotoxicity in infants and children, leading to cognitive, learning, and memory impairments. However, early biomarkers of learning and memory impairment induced by As and/or F remain unclear. In the present study, the mechanisms by which As and/or F cause learning memory impairment are explored at the multi-omics level (microbiome and metabolome).
		                        		
		                        			METHODS:
		                        			We stablished an SD rats model exposed to arsenic and/or fluoride from intrauterine to adult period.
		                        		
		                        			RESULTS:
		                        			Arsenic and/fluoride exposed groups showed reduced neurobehavioral performance and lesions in the hippocampal CA1 region. 16S rRNA gene sequencing revealed that As and/or F exposure significantly altered the composition and diversity of the gut microbiome,featuring the Lachnospiraceae_NK4A136_group, Ruminococcus_1, Prevotellaceae_NK3B31_group, [Eubacterium]_xylanophilum_group. Metabolome analysis showed that As and/or F-induced learning and memory impairment may be related to tryptophan, lipoic acid, glutamate, gamma-aminobutyric acidergic (GABAergic) synapse, and arachidonic acid (AA) metabolism. The gut microbiota, metabolites, and learning memory indicators were significantly correlated.
		                        		
		                        			CONCLUSION
		                        			Learning memory impairment triggered by As and/or F exposure may be mediated by different gut microbes and their associated metabolites.
		                        		
		                        		
		                        		
		                        			Rats
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Arsenic/toxicity*
		                        			;
		                        		
		                        			Fluorides
		                        			;
		                        		
		                        			RNA, Ribosomal, 16S/genetics*
		                        			;
		                        		
		                        			Rats, Sprague-Dawley
		                        			;
		                        		
		                        			Metabolome
		                        			;
		                        		
		                        			Microbiota
		                        			
		                        		
		                        	
7.Expression and significance of jumonji domain-containing protein 2B and hypoxia inducible factor-1α in non-Hodgkin lymphoma tissues in children.
Yu-Qiao DIAO ; Jian WANG ; Xiu-Li ZHU ; Jian CHEN ; Yu ZHENG ; Lian JIANG ; Yue-Ping LIU ; Ruo-Heng DAI ; Yi-Wei YAN
Chinese Journal of Contemporary Pediatrics 2023;25(11):1150-1155
		                        		
		                        			OBJECTIVES:
		                        			To investigate the expression and significance of jumonji domain-containing protein 2B (JMJD2B) and hypoxia-inducible factor-1α (HIF-1α) in non-Hodgkin's lymphoma (NHL) tissues in children.
		                        		
		                        			METHODS:
		                        			Immunohistochemistry was used to detect the expression of JMJD2B and HIF-1α in lymph node tissue specimens from 46 children with NHL (observation group) and 24 children with reactive hyperplasia (control group). The relationship between JMJD2B and HIF-1α expression with clinicopathological characteristics and prognosis in children with NHL, as well as the correlation between JMJD2B and HIF-1α expression in NHL tissues, were analyzed.
		                        		
		                        			RESULTS:
		                        			The positive expression rates of JMJD2B (87% vs 21%) and HIF-1α (83% vs 42%) in the observation group were higher than those in the control group (P<0.05). The expression of JMJD2B and HIF-1α was correlated with serum lactate dehydrogenase levels and the risk of international prognostic index in children with NHL (P<0.05). The expression of JMJD2B was positively correlated with the HIF-1α expression in children with NHL (rs=0.333, P=0.024).
		                        		
		                        			CONCLUSIONS
		                        			JMJD2B and HIF-1α are upregulated in children with NHL, and they may play a synergistic role in the development of pediatric NHL. JMJD2B can serve as a novel indicator for auxiliary diagnosis, evaluation of the severity, treatment guidance, and prognosis assessment in pediatric NHL.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Child
		                        			;
		                        		
		                        			Hypoxia-Inducible Factor 1, alpha Subunit
		                        			;
		                        		
		                        			Prognosis
		                        			;
		                        		
		                        			Hypoxia
		                        			;
		                        		
		                        			Lymphoma, Non-Hodgkin
		                        			
		                        		
		                        	
8.Genetic Polymorphism of 16 X-STR Loci in Xinjiang Uygur Population.
Chun-Yan YUAN ; Ruo-Cheng XIA ; Su-Hua ZHANG ; Li-Qin CHEN ; Ya-Li WANG ; Yi-Ling QU ; Guang-Yuan YANG ; Xin-Yu DONG ; Si-Yu CHAI ; Cheng-Tao LI ; Rui-Yang TAO
Journal of Forensic Medicine 2022;38(4):500-506
		                        		
		                        			OBJECTIVES:
		                        			To study the genetic polymorphism and population genetic parameters of 16 X-STR loci in Xinjiang Uygur population.
		                        		
		                        			METHODS:
		                        			The Goldeneye® DNA identification system 17X was used to amplify 16 X-STR loci in 502 unrelated individuals (251 females and 251 males). The amplified products were detected by 3130xl genetic analyzer. Allele frequencies and population genetic parameters were analyzed statistically. The genetic distances between Uygur and other 8 populations were calculated. Multidimensional scaling and phylogenetic tree were constructed based on genetic distance.
		                        		
		                        			RESULTS:
		                        			In the 16 X-STR loci, a total of 67 alleles were detected in 502 Xinjiang Uygur unrelated individuals. The allele frequencies ranged from 0.001 3 to 0.572 4. PIC ranged from 0.568 8 to 0.855 3. The cumulative discrimination power in females and males were 0.999 999 999 999 999 and 0.999 999 999 743 071, respectively. The cumulative mean paternity exclusion chance in trios and in duos were 0.999 999 997 791 859 and 0.999 998 989 000 730, respectively. The genetic distance between Uygur population and Kazakh population was closer, and the genetic distance between Uygur and Han population was farther.
		                        		
		                        			CONCLUSIONS
		                        			The 16 X-STR loci are highly polymorphic and suitable for identification in Uygur population, which can provide a powerful supplement for the study of individual identification, paternity identification and population genetics.
		                        		
		                        		
		                        		
		                        			Female
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			DNA, Ribosomal
		                        			;
		                        		
		                        			Ethnicity/genetics*
		                        			;
		                        		
		                        			Gene Frequency
		                        			;
		                        		
		                        			Paternity
		                        			;
		                        		
		                        			Phylogeny
		                        			;
		                        		
		                        			Polymorphism, Genetic
		                        			;
		                        		
		                        			Microsatellite Repeats
		                        			;
		                        		
		                        			Chromosomes, Human, X/genetics*
		                        			
		                        		
		                        	
9.Application of SifaInDel 45plex System in the Han and Mongolian Populations.
Guang-Yuan YANG ; Chun-Yan YUAN ; Rui-Yang TAO ; Ruo-Cheng XIA ; Ya-Li WANG ; Xin-Yu DONG ; Si-Yu CHAI ; Li-Ming WU ; Zhi-Wei JIANG ; Ting-Ting JIANG ; Kai-Qin CHEN ; Cheng-Tao LI ; Li-Qin CHEN
Journal of Forensic Medicine 2022;38(6):733-738
		                        		
		                        			OBJECTIVES:
		                        			To investigate the genetic polymorphism of InDel loci in SifalnDel 45plex system in the Han population in Jiangsu Province and the Mongolian population in Inner Mongolia, and to evaluate the effectiveness of the system in forensic medicine.
		                        		
		                        			METHODS:
		                        			SifaInDel 45plex system was used for genotyping in blood samples of 398 unrelated individuals from the above two populations, and allele frequencies and population genetic parameters of the two populations were calculated respectively. Eight intercontinental populations in the gnomAD database were used as reference populations. The genetic distances between the two studied populations and eight reference populations were calculated based on the allele frequencies of 27 autosomal-InDels (A-InDels). The phylogenetic trees and multidimensional scaling (MDS) analysis diagrams were constructed accordingly.
		                        		
		                        			RESULTS:
		                        			Among two studied populations, the 27 A-InDels and 16 X-InDels showed no linkage disequilibrium between each other and the allele frequency distributions were in Hardy-Weinberg equilibrium. The CDP of the 27 A-InDels in two studied populations were all higher than 0.999 999 999 9, and the CPEtrio were all less than 0.999 9. The CDP of the 16 X-InDels in Han in Jiangsu and Mongolian in Inner Mongolia female and male samples were 0.999 997 962, 0.999 998 389, and 0.999 818 940, 0.999 856 063, respectively. The CMECtrio were all less than 0.999 9. The results of population genetics showed that the Jiangsu Han nationality, Inner Mongolia Mongolian nationality and East Asian population clustered into one branch, showing closer genetic relationship. The other 7 intercontinental populations clustered into another group. And the above 3 populations displayed distant genetic relationships with the other 7 intercontinental populations.
		                        		
		                        			CONCLUSIONS
		                        			The InDels in the SifaInDel 45plex system have good genetic polymorphism in the two studied populations, which can be used for forensic individual identification or as an effective complement for paternity identification, and to distinguish different intercontinental populations.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Phylogeny
		                        			;
		                        		
		                        			Gene Frequency
		                        			;
		                        		
		                        			Polymorphism, Genetic
		                        			;
		                        		
		                        			Genetics, Population
		                        			;
		                        		
		                        			Asian People/genetics*
		                        			;
		                        		
		                        			China
		                        			;
		                        		
		                        			INDEL Mutation
		                        			
		                        		
		                        	
10.Implement of mixed reality navigation based on multimodal imaging in the resection of intracranial eloquent lesions.
Zi Yu QI ; Jia Shu ZHANG ; Xing Hua XU ; Zhi Chao GAN ; Ruo Chu XIONG ; Shi Yu ZHANG ; Jing Yue WANG ; Ming Hang LIU ; Ye LI ; Qun WANG ; Fang Ye LI ; Xiao Lei CHEN
Chinese Journal of Surgery 2022;60(12):1100-1107
		                        		
		                        			
		                        			Objective: To examine the clinical feasibility of mixed reality navigation (MRN) technology based on multimodal imaging for the resection of intracranial eloquent lesions. Methods: Fifteen patients with intracranial eloquent lesions admitted to the Department of Neurosurgery, the First Medical Center, People's Liberation Army General Hospital from September 2020 to September 2021 were retrospectively enrolled. There were 7 males and 8 females, aged (50±16) years (range: 16 to 70 years). Postoperative pathological diagnosis included meningioma (n=7), metastatic carcinoma (n=3), cavernous hemangioma, glioma, ependymoma, aneurysmal changes and lymphoma (n=1, respectively). The open-source software was used to perform the three-dimensional visualization of preoperative images, and the self-developed MRN system was used to perform the fusion and interaction of multimodal images, so as to formulate the surgical plan and avoid damaging the eloquent white matter fiber tracts. Traditional navigation, intraoperative ultrasound and fluorescein sodium angiography were used to determine the extent of lesion resection. The intraoperative conditions of MRN-assisted surgery were analyzed, and the setup time and localization error of MRN system were measured. The changes of postoperative neurological function were recorded. Results: MRN based on multimodal imaging was achieved in all patients. The MRN system setup time (M(IQR)) was 36 (12) minutes (range: 20 to 44 minutes), and the localization error was 3.2 (2.0) mm (range: 2.6 to 6.7 mm). The reliability of eloquent white matter fiber tracts localization based on MRN was rated as "excellent" in 11 cases, "medium" in 3 cases, and "poor" in 1 case. There were no perioperative death and no new impairment in motor, language, or visual functions after operation. Transient limb numbness occurred in 1 patient after operation, and recovered to the preoperative state in 2 weeks after operation. Conclusion: The MRN system based on multimodal imaging can improve the surgical accuracy and safety, and reduce the incidence of iatrogenic neurological dysfunction.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Augmented Reality
		                        			;
		                        		
		                        			Reproducibility of Results
		                        			;
		                        		
		                        			Retrospective Studies
		                        			;
		                        		
		                        			Multimodal Imaging
		                        			
		                        		
		                        	
            
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