Characters and environmental driving factors of bacterial community in soil of Beijing urban parks

In an era of unprecedented human influence, different human activities have different degrees of impact on specific bacteria, resulting in the regional biological homogenization of soil bacteria. However, the contribution of the impact that a large number of anthropogenic activities on bacteria remains unknown. Here, by high-throughput amplicon sequencing, we characterized the composition, diversity and influencing factors of soil microbes in Beijing urban parks at geographic space and park management aspect. It is the first time to quantify and compare the importance of the impact of up to 15 human activities on soil bacterial communities. The results show that the dominant bacterial phyla in Beijing urban parks were Actinobacteria, Proteobacteria, Acidobacteria and Chloroflexi. The environmental management of different park types, as well as the land use history and development conditions of different regions, had significant differences in soil bacterial community structure. Soil bacteria in urban parks were disturbed by direct human interference far more than natural causes. The most important factors were related to the number of tourists and residents, industrial production and land use patterns. These factors may also be related to the abundance of unknown bacteria in urban parks. This also directly shows that human activities have a non-negligible impact on soil bacteria. The ways in which different human activities brought by global urbanization and their impacting mechanisms are used should be the starting point of future research.

Perianal magnetic resonance imaging findings and their potential impact on outcome in children with perianal fistulizing Crohn disease

BACKGROUND

Children with perianal fistulizing Crohn disease require intensive medical management but also have a higher risk for subsequent surgical interventions.

OBJECTIVE

We performed a retrospective study to identify patient factors and perianal anatomical features by pelvic MR that are associated with surgical interventions in these children.

MATERIALS AND METHODS

We included children with Crohn disease and perianal fistula who underwent pelvic MR with available, archived images and collected demographic, clinical and laboratory data. Radiologists reviewed pelvic MR exams and identified Park classification and additional anatomical features of perianal fistulas, including fistula branching, horseshoe ramifications, abscess, inflammatory mass, supralevator extension, anal sphincter damage, proctitis and posterior anal space involvement. We performed univariate and subsequent multivariate analysis to determine features associated with subsequent surgical intervention.

RESULTS

Ninety-nine children with Crohn disease underwent pelvic MR. In this cohort, 69 children had no surgical interventions prior to baseline MRI, with subsequent median clinical follow-up of 5.5 years. Univariate analysis demonstrated that branching (P=0.009), supralevator extension (P=0.015) and anal sphincter damage (P=0.031) were significantly associated with subsequent surgical intervention. Age at baseline MRI was also associated with intervention (hazard ratio [HR] every 5 years: 2.13; 95% confidence interval [CI]: 1.18-3.83; P=0.012). A multivariable model identified only fistula branching (HR: 2.31; 95% CI: 1.28-4.15; P=0.005) and age (HR: 5.18; CI: 1.57-17.14; P=0.007) as independent predictors of subsequent surgery. No demographic, clinical or laboratory parameter predicted subsequent surgical intervention.

CONCLUSION

Age and anatomical MR features indicating fistula complexity (branching, supralevator extension) and sphincter damage confer a higher risk of subsequent surgical intervention in children with perianal Crohn disease.