The present study investigates the effect of DPI resistance and inhalation flow rates on the lung deposition of orally inhaled mannitol dry powder. Mannitol powder radiolabeled with Tc-DTPA was inhaled from an Osmohaler™ by healthy human volunteers at 50-70L/min peak inhalation flow rate (PIFR) using both a low and high resistance Osmohaler™, and 110-130L/min PIFR using the low resistance Osmohaler™ (n=9). At 50-70L/min PIFR, the resistance of the Osmohaler™ did not significantly affect the total and peripheral lung deposition of inhaled mannitol [for low resistance Osmohaler™, 20% total lung deposition (TLD), 0.3 penetration index (PI); for high resistance Osmohaler™, 17% TLD, 0.23 PI]. Increasing the PIFR 50-70L/min to 110-130L/min (low resistance Osmohaler™) significantly reduced the total lung deposition (10% TLD) and the peripheral lung deposition (PI 0.21). The total lung deposition showed dependency on the in vitro FPF (R=1.0). On the other hand, the PI had a stronger association with the MMAD (R=1.0) than the FPF (R=0.7). In conclusion the resistance of Osmohaler™ did not significantly affect the total and regional lung deposition at 50-70L/min PIFR. Instead, the total and regional lung depositions are dependent on the particle size of the aerosol and inhalation flow rate, the latter itself affecting the particle size distribution.

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Objective. This study is aimed at exploring alteration in motor-related effective connectivity in individuals with transient ischemic attack (TIA). Methods. A total of 48 individuals with TIA and 41 age-matched and sex-matched healthy controls (HCs) were recruited for this study. The participants were scanned using MRI, and their clinical characteristics were collected. To investigate motor-related effective connectivity differences between individuals with TIA and HCs, the bilateral primary motor cortex (M1) was used as the regions of interest (ROIs) to perform a whole-brain Granger causality analysis (GCA). Furthermore, partial correlation was used to evaluate the relationship between GCA values and the clinical characteristics of individuals with TIA. Results. Compared with HCs, individuals with TIA demonstrated alterations in the effective connectivity between M1 and widely distributed brain regions involved in motor, visual, auditory, and sensory integration. In addition, GCA values were significantly correlated with high- and low-density lipoprotein cholesterols in individuals with TIA. Conclusion. This study provides important evidence for the alteration of motor-related effective connectivity in TIA, which reflects the abnormal information flow between different brain regions. This could help further elucidate the pathological mechanisms of motor impairment in individuals with TIA and provide a new perspective for future early diagnosis and intervention for TIA.

Aiming to look at the problems of the unreasonable layout of medical facilities and low coverage of primary medical services. This paper selects tertiary grade A hospitals, general hospitals, specialized hospitals, community-level hospitals, clinics, and pharmacies in the main urban areas of Chongqing as research objects. The nearest analysis, kernel density, mean center, and standard deviational ellipse method were used to analyze the spatial differentiation characteristics of medical facilities and public transportation stations. Spatial accessibility was assessed from the perspective of service area ratios and service population ratios by constructing multiple modes of transportation (pedestrian systems, bus lines, rail lines). The results show that (1) the spatial layout of medical facilities in the main urban area of Chongqing is unbalanced; and the spatial distribution of medical facilities is characterized by “large agglomeration, small dispersion” and “multi-center group”; (2) the sub-core circle is centered on the Southwest University Area in Beibei District, the University Town Area in Shapingba, the Yudong Area and Lijiatuo Area in Banan District, the Pingan Light Rail Station Area in Dadukou District, the Chongqing No. 8 Middle School Area in Jiulongpo District, the Tea Garden Area in Nanan District, and the Jiangbei Airport Area in Yubei District; (3) the medical facilities with the weakest average accessibility are tertiary grade A hospitals, and the strongest are pharmacies; (4) the areas with vital average accessibility are Yuzhong District, Shapingba District, Dadukou District, and Nanan District.

IntroductionPanum’s limiting case is one of the typical configurations of monocular occlusion region. The matching rule of Panum’s limiting case is the key to understanding how monocular occlusion region produces stereopsis. There are currently two main views on the matching rule of Panum’s limiting case, namely double fusion and uniqueness constraint. This paper further discusses its matching mechanism on the basis of previous studies.MethodsIn this study, fold line Panum’s stimuli were used to study the matching rule of Panum’s limiting case. In Experiment 1, fixation position was adopted to present the stimulus in a short time to explore the matching rules in Panum’s limiting case. In Experiment 2, the effect of fixation position on Panum’s limiting case matching results was further investigated.ResultsThe results of Experiment 1 show that when stimuli are presented in a short period of time, the reported result that a single feature in one eye may be matched alternately with two features in the other eye. This matching rule is called “fast alternative matching” in this article. The results of Experiment 2 results show that the position of the fixation could affect the matching result of participants.ConclusionIn conclusion, the matching rule of Panum’s limiting case is fast alternative matching, and the matching result is related to the attention state of the participant. These results not only provide a new perspective for matching rules in Panum’s limiting case, but also show that depth perception results in stereopsis can be influenced by top-down cognitive processing. This study provides a theoretical basis for studying the formation of stereopsis in the monocular region to a certain extent. In summary, the matching rule of Panum’s limiting case is fast alternative matching. In previous studies, the perceived result of double fusion may be caused by fast alternative matching. Also, the matching results are related to the participant’s state of attention, which suggests that the depth perception results of stereopsis are influenced by top-down cognitive processing.