Brain Functional Network Changes in Patients with Poststroke Cognitive Impairment Following Acupuncture Therapy

Background: The mechanisms by which acupuncture affects poststroke cognitive impairment (PSCI) remain unclear. Objective: To investigate brain functional network (BFN) changes in patients with PSCI after acupuncture therapy. Methods: Twenty-two PSCI patients who underwent acupuncture therapy in our hospital were enrolled as research subjects. Another 14 people matched for age, sex, and education level were included in the normal control (HC) group. All the subjects underwent resting-state functional magnetic resonance imaging (rs-fMRI) scans;the PSCI patients underwent one scan before acupuncture therapy and another after. The network metric difference between PSCI patients and HCs was analyzed via the independent-sample t test, whereas the paired-sample t test was employed to analyze the network metric changes in PSCI patients before vs. after treatment. Results: Small-world network attributes were observed in both groups for sparsities between 0.1 and 0.28. Compared with the HC group, the PSCI group presented significantly lower values for the global topological properties (γ, Cp, and Eloc) of the brain;significantly greater values for the nodal attributes of betweenness centrality in the CUN. L and the HES. R, degree centrality in the SFGdor. L, PCG. L, IPL. L, and HES. R, and nodal local efficiency in the ORBsup. R, ORBsupmed. R, DCG. L, SMG. R, and TPOsup. L;and decreased degree centrality in the MFG. R, IFGoperc. R, and SOG. R. After treatment, PSCI patients presented increased degree centrality in the LING.L, LING.R, and IOG. L and nodal local efficiency in PHG. L, IOG. R, FFG. L, and the HES. L, and decreased betweenness centrality in the PCG. L and CUN. L, degree centrality in the ORBsupmed. R, and nodal local efficiency in ANG. R. Conclusion: Cognitive decline in PSCI patients may be related to BFN disorders;acupuncture therapy may modulate the topological properties of the BFNs of PSCI patients.

Decreased LDHB expression in breast tumor cells causes NK cell activation and promotes tumor progression

Objective: Abnormal metabolism is the underlying reason for breast cancer progression. Decreased lactate dehydrogenase B(LDHB) has been detected in breast cancer but the function of LDHB remains unknown.Methods: Western blot was used to analyze LDHB expression in breast cancer cells. The impact of LDHB on tumor cell migration and invasion was determined using Transwell assays, wound healing assays, and a mouse lung metastasis model. Subcutaneous tumor formation, a natural killer(NK) cell cytotoxicity assay, and flow cytometry evaluated NK cell activation. Immunofluorescence and quantitative real-time PCR detected NK cell activation markers. Kaplan-Meier analysis evaluated the effect of immune cell infiltration on prognosis. Single-sample gene set enrichment analysis determined NK cell activation scores. A support vector machine predicted the role of LDHB in NK cell activation.Results: In this study we showed that LDHB inhibits the breast cancer cell metastasis and orchestrates metabolic reprogramming within tumor cells. Our results revealed that LDHB-mediated lactic acid clearance in breast cancer cells triggers NK cell activation within the tumor microenvironment. Our findings, which were confirmed in a murine model, demonstrated that LDHB in tumor cells promotes NK cell activation and ultimately results in the eradication of malignant cells. Clinically, our study further validated that LDHB affects immune cell infiltration and function. Specifically, its expression has been linked to enhanced NK cell-mediated cytotoxicity and improved patient survival. Furthermore, we identified LDHB expression in tumors as an important predictor of NK cell activation, with strong predictive ability in some cancers.Conclusions: Our results suggest that LDHB is a promising target for activating the tumor immune microenvironment in breast cancer, where LDHB-associated lactic acid clearance leads to increased NK cell activity. This study highlights the critical role of LDHB in regulating immune responses and its potential as a therapeutic target for breast cancer.

Correlation Study of Color Doppler Examination of Deep Veins of Both Lower Extremities Combined with Fibrinolysis System in Hypertension during Pregnancy

Objective: To investigate the correlation between deep static color Doppler ultrasound of both lower extremities combined with fibrinolytic system detection in pregnancy-induced hypertension. Methods: A total of 70 normal pregnant women, 70 pregnant women with hypertension during pregnancy, and 50 healthy non-pregnant women in the same period were selected as the research objects. The deep veins of both lower limbs were examined by Rili Erlangshen’s color Doppler ultrasound diagnostic instrument (CDU), and the fibrinolysis system was tested by enzyme-linked immunosorbent assay (ELISA) method and automatic hemagglutination analyzer. Results: Compared with the non-pregnant group, the inner diameters of the left/right femoral vein (CFV) and popliteal vein (POV) in the normal pregnancy group and the pregnancy-induced hypertension group were significantly widened, and the peak blood flow spectrum was significantly reduced. The difference was statistically significant (P < 0.01);FIB, PLG, t-PA, PAI, D-Dimer were significantly increased, the difference was statistically significant (P < 0.01);Compared with the normal pregnancy group, the inner diameter of the left/right femoral vein (CFV) in the hypertensive pregnancy group was significantly wider than that in the normal pregnancy group, and the peak value of the left/right POV blood flow spectrum was significantly lower than that in the normal pregnancy group, the difference was statistically significant (P < 0.01), while the left/right popliteal vein (POV) inner diameter, left/right CFV blood flow peak value did not change significantly from the normal pregnancy group, and the difference was not statistically significant (P > 0.05);FIB, PLG, PAI, D-Dimer of the hypertensive disease group during pregnancy significantly increased, the difference was statistically significant (P < 0.01), while t-PA was not statistically significant (P > 0.05). Conclusion: Normal pregnant women have a hypercoagulable state compared with healthy non-pregnant women, and pregnant women with hypertension during pregnancy are more likely to be in a pre-thrombotic state than pregnant women with normal pregnancy. Deep vein CDU examination of both lower extremities combined with blood fibrinolysis monitoring is of great value in the prevention and treatment of hypertension during pregnancy.

基于叔丁氧基苯基和吡啶环高性能聚酰亚胺的制备及性能

通过分子设计制备一种二胺单体——4-(4-(叔丁氧基)苯基)-2,6-双(4-氨基苯基)吡啶(TPAP),将TPAP分别与均苯四甲酸二酐(PMDA)、2,3,3′,4′-二苯醚四甲酸二酐(ODPA)、3,3′,4,4′-联苯二酐(BPDA)、3,3′,4,4′-二苯酮四酸二酐(BTDA)、2,2′-双(3,4-二羧酸)六氟丙烷二酐(6FDA),通过两步法溶液缩聚反应制备一系列聚酰胺酸(PAA)。特性黏数测试显示PAA的黏度范围为0.31~1.55dL/g。再通过热亚胺化制备一系列聚酰亚胺薄膜。结果表明,聚合物具有较好的溶解性能,能溶于N,N-二甲基甲酰胺(DMF)、二甲亚砜(DMSO)、1-甲基-2-吡咯烷酮(NMP)等溶剂中;突出的热性能,其玻璃化转变温度(Tg)范围为325~349℃,热质量损失10%的温度超过535℃,800℃时残炭率均高于63%;优异的疏水性能,接触角范围为84.1°~91.0°,吸水率范围为0.66%~0.99%。

Effects of Different Modes of Labor Analgesia on Neonatal Neurobehavior

The term “painless delivery” originated from foreign countries and has a history of more than 100 years. It is actually called “childbirth analgesia” in medicine. Labor analgesia, as its name implies, is the use of various methods to reduce or even eliminate the pain during labor. With the development of anesthesiology and pain, it has been widely used in foreign countries, especially in some developed countries in the West. The rate of labor analgesia in the United States is > 85%, and even as high as 90% in Britain. The best childbirth analgesia should include side effect is small to puerpera and fetus, exact analgesic effect, quick effect, maintain time is long, can satisfy normal labor course;puerpera is awake, can cooperate childbirth and do not affect uterine contraction, and do not affect labor course progress. In 2000, WHO proposed that medical institutions should provide various labor analgesic services for parturient women to reduce labor pain as much as possible. Encourage the use of non-pharmaceutical analgesic techniques. In this paper, the effects of different modes of labor analgesia on neonates are described as follows.

含吗啉基苯基可溶性聚酰胺的制备及性能

通过分子设计制备一种新型二胺单体4-(4-吗啉基苯基)-2,6-双(4-胺基苯基)吡啶(MPAP)及3种含吗啉基苯基及吡啶环可溶性聚酰胺(PA)。研究结果表明,所制备的PA具有良好的溶解性能,在室温下能溶于高沸点有机溶剂,如N,N-二甲基甲酰胺(DMF)、二甲亚砜(DMSO)、N-甲基吡口各烷酮(NMP),在加热条件下能部分溶于四氢呋喃(THF)和丙酮等低沸点溶剂;较高的耐热性,玻璃化转变温度(Tg)均高于205℃,氮气中10%热失重温度在461℃以上;优异的光学性能,截止波长低于396nm,542nm处的透过率均超过80%。此外,PA薄膜具有较好的力学性能,其拉伸强度为62~83 MPa,断裂伸长率为4.6%~12.8%,弹性模量为0.6~1.7GPa。

儿茶酚-聚乙烯亚胺原位化学沉积聚偏氟乙烯杂化膜的制备及染料过滤性能

水中可溶有机物的去除,特别是溶解染料的去除,是目前污水处理领域的重要研究课题。文中将儿茶酚和聚乙烯亚胺(PEI)在聚偏氟乙烯(PVDF)溶液中进行贻贝仿生化学沉积,向PVDF铸膜液中引入亲水聚合物单元来改善膜的亲水性、调控膜孔结构,制备了带有亲水单元的PVDF杂化膜,并评价了其过滤染料水溶液的性能。红外光谱和X射线光电子能谱图均证明儿茶酚-PEI在PVDF溶液中发生了化学沉积反应;杂化膜的水接触角从纯PVDF膜的84°降至43°,膜的亲水性得到改善。杂化膜表面的等电位点pH值从3.54提高到4.26,儿茶酚-PEI的化学沉积为膜表面引入了更多正电荷。化学沉积聚合物的引入降低了膜中海绵结构的厚度,增大了指状孔的直径,降低了膜阻力,提高了膜的水通量。当PEI-儿茶酚的质量分数为1.0%、固含量为16%时,膜对10 mg/L结晶紫溶液的截留大于99%,经50 h后,膜的截留率稳定在74.1%。

The design and synthesis of dextran-doxorubicin prodrug-based pH-sensitive drug delivery system for improving chemotherapy efficacy

Tumor cells show acidic conditions compared with normal cells,which further inspires scientist to build nanocarrier responsive to tumor microenvironment(TME)for enhancing tumor therapeutic efficacy.Here,we report a pH-sensitive and biocompatible polyprodrug based on dextran-doxorubicin(DOX)prodrug(DOXDT)for enhanced chemotherapy.Highdensity DOX component was covalently decorated on the nanocarrier and the drug molecules could be effectively released in the acidic tumor tissue/cells,improving chemotherapy efficacy.Specifically,a dextran-based copolymer was preliminarily prepared by one-step atom transfer radical polymerization(ATRP);then DOX was conjugated on the copolymer component via pH-responsive hydrazone bond.The structure of DOXDT can be well-controlled.The resulting DOXDT was able to further self-assemble into nanoscale micelles with a hydration diameter of about 32.4 nm,which presented excellent micellar stability.Compared to lipid-based drug delivery system,the DOXDT prodrug showed higher drug load capacity up to 23.6%.In addition,excellent stability and smaller size of the nanocarrier contributed to better tissue permeability and tumor suppressive effects in vivo.Hence,this amphipathic DOXDT prodrug is promising in the development of translational DOX formulations,which would be widely applied in cancer therapy.

The Dynamic Properties of a Deterministic SIR Epidemic Model in Discrete-Time

In this paper, a class of discrete deterministic SIR epidemic model with vertical and horizontal transmission is studied. Based on the population assumed to be a constant size, we transform the discrete SIR epidemic model into a planar map. Then we find out its equilibrium points and eigenvalues. From discussing the influence of the coefficient parameters effected on the eigenvalues, we give the hyperbolicity of equilibrium points and determine which point is saddle, node or focus as well as their stability. Further, by deriving equations describing flows on the center manifolds, we discuss the transcritical bifurcation at the non-hyperbolic equilibrium point. Finally, we give some numerical simulation examples for illustrating the theoretical analysis and the biological explanation of our theorem.

Compact Co3O4/Co in-situ nanocomposites prepared by pulsed laser sintering as anode materials for lithium-ion batteries

With the development of portable electronic devices, electric vehicles, and power storage systems, the demand for rechargeable batteries with high energy density is growing rapidly [1–5]. In the field of lithium-ion batteries, the unconventional anode materials such as tin, silicon, metallic lithium, and transition-metal oxides have been extensively studied due to the high capacity, but they are still inapplicable because of the low initial coulombic efficiency(ICE) and/or the poor cycling stability [5–9].

Exploring NiCo2S4 nanosheets arrays by hydrothermal conversion for enhanced high-rate batteries

Highly cross-linked porous NiCo2S4 nanosheets arrays are synthesized by a high-efficiency hydrothermal conversion from the preformed electrodeposited NiCo2O4 arrays. By using thioacetamide as the sulfur source, the electrodeposited NiCo2O4 is directly converted into NiCo2O4 nanosheets arrays without hightemperature sulfurization. Higher porosity and better electrical conductivity are obtained for the NiCo2O4 nanosheets arrays. In addition, reduced diffusion paths of electrons/ions and alleviated volume expansion during cycling are achieved due to the unique porous structure of NiCo2S4. Consequently, as the cathode of alkaline batteries, the obtained NiCo2S4 nanosheets arrays show better electrochemical performance with a high specific capacity(83.5 m Ah g-1 at 0.5 A g-1) and better cycling stability(capacity retention of 93% after 5000 cycles) than the NiCo2O4 counterpart arrays(40.3 mAh g-1 at 0.5 A g-1). Our work demonstrates that sulfurization on binary metal oxides can greatly enhance electrochemical performance and shows a new way for construction of advanced electrodes for high-rate batteries.

Genetic diversity in two threatened species in Vietnam:Taxus chinensis and Taxus wallichiana

Taxus chinensis and T. wallichiana in have been threatened in their distribution areas in recent decades because of their over-exploitation and reduction and destruction of native habitats. Determining the genetic diversity in populations of the two species will provide guidelines for their protection and preservation. Two hundred and fifteen trees from six populations of T. chinensis and150 sampled trees of T. wallichiana were sampled. Six microsatellite primer pairs selected from 16 primer pairs were used to investigate genetic variation at the population and species levels. Five yielded polymorphic alleles, and among the 13 putative alleles amplified, 11 were polymorphic（accounting for 76.33 %）.Shannon＇s information index（I） and percentage of polymorphic bands（PPB）（I = 0.202 and PPB = 67.22 % for T. chinensis; I = 0.217 and PPB = 65.03 % for T. wallichiana）. Both species had low levels of genetic diversity（mean Ho= 0.107, He= 0.121 for T. chinensis; Ho= 0.095, He= 0.109 for T. wallichiana）. Genetic differentiation among populations was higher（FST= 0.189） for T. chinensis and lower（0.156） for T.wallichiana, indicating limited gene flow（Nm） among populations for T. chinensis（0.68） and T. wallichiana（0.65）.Variation among individuals of T. chinensis was 63.59 and73.12 % for T. wallichiana. Thus, the threatened status of the two conifers is related to a lack of genetic diversity. All populations are isolated in small forest remnants. An ex situ conservation site should be established with a new population for these species that comprises all the genetic groups for the best chance to improve their fitness under environmental stresses.

Observation on the Efficacy of Autologous Blood Transfusion Combined with Controlled Hypotension in Patients with Spinal Internal Fixation during the Outbreak of New Coronavirus Pneumonia in Western Guangxi (in Guixi)

Objective: To explore the therapeutic effect of autologous blood reinfusion combined with controlled hypotension in surgical spinal fixation during the outbreak of COVID-19. Methods: 30 patients with spinal internal fixation autologous blood transfusion combined with controlled hypotension were selected as the subjects during the epidemic period from December 2019 to June 2020 in our hospital and during the operation, on the basis of routine blood pressure reduction, the American Haemonetice Corporation autologous blood continuous reinfusion system was used to infuse the blood recovered during the operation to the patient through filtration and other procedures. Results: 30 patients had no complications such as fever and hemolysis;And after the operation, the tube was dialed according to the drainage volume, the cervical thoracic and lumbar brace was customized, and the patient walked on the ground for one week;After no abnormalities, the patient was discharged. Intraoperative comparison of white blood cells (WBC), red blood cells (RBC), red blood cell pressure (HCT), hemoglobin (HGB), and coagulation time (PT) of patients with autologous blood before and after transfusion showed statistically significant differences before and after surgery (P < 0.001). Conclusion: During the new coronavirus pneumonia epidemic, the internal fixation of spinal surgery used a recovery machine to collect intraoperative blood for reinfusion. Intraoperative antihypertensive drugs were used to control blood pressure within a certain safe range. The postoperative clinical observation effect was significant and safe;especially at present the clinical significance during the epidemic was significant.

Application of Serum Ferritin Combined with Blood Routine Testing in the Screening of Obstetrics and Gynecology Diseases

Objective: To understand the application of serum ferritin combined with blood routine testing in the screening of obstetrics and gynecology diseases in this region. Methods: From January 1, 2017, to October 28, 2020, all obstetric pregnant women, inpatient maternal, gynecological outpatient, and gynecological inpatients in our hospital’s outpatient and inpatient clinics were collected for serum ferritin determination and blood routine related index detection and analysis Changes in results. The application value of serum special protein in gynecological and obstetrical disease screening was put forward. Results: A total of 15,656 cases of obstetrics and gynecology patients were collected, of which 15,300 were pregnant women. Comparing maternity checkups with hospitalized puerpera, the difference of all indexes except RBC was statistically significant (P < 0.05);Comparison of various indicators between gynecological outpatient clinics and gynecological hospitalizations, maternity checkups and gynecological outpatient clinics, inpatient maternal and gynecological hospitalizations, etc.;there was no statistically significant difference in all indicators (P > 0.05). Comparison of hospitalized puerpera and gynecological hospitalization, the difference of other indexes except for MCV, MCH was statistically significant (P < 0.05);Comparing hospitalized puerpera and gynecological clinics, the difference of HGB results was statistically significant (P < 0.05), but the difference of other indexes was not statistically significant (P > 0.05). Conclusion: During the maternity check-up period, the ferritin consumption is too large, the blood volume increases, and the blood routine-related items are reduced. The consumption is greater for a period of time after delivery, and recovery requires a certain process, which is relatively low;The ferritin in the body slowly recovered and the ferritin concentration increased. This process is a process of physiological change and does not involve related diseases, but from this result, we are also required to strengthen nutrition for pregnant women in order to give birth to healthier babies. The ferritin test of gynecological patients is mainly a screening of related diseases, and the results of this time did not screen out serious diseases.

The COP9 Signalosome Controls Adipocyte Differentiation by Regulating CHOP Protein Stability

Obesity is a serious health problem of our time. Dysfunction of adipogenesis, the differentiation of adipocytes, is a hallmark of obesity. Therefore here we investigate the role of the COP9 signalosome and of CHOP in the differentiation of LiSa-2 preadipocytes.

Extracellular Disintegration of Viral Proteins as an Innovative Strategy for Developing Broad-Spectrum Antivirals Against Coronavirus

The coronavirus disease 2019(COVID-19)pandemic,caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),has claimedmillions of lives and caused innumerable economic losses worldwide.Unfortunately,state-of-the-art treatments still lag behind the continual emergence of new variants.Key to resolving this issue is developing antivirals to deactivate coronaviruses regardless of their structural evolution.Here,we report an innovative antiviral strategy involving extracellular disintegration of viral proteins with hyperanion-grafted enediyne(EDY)molecules.The core EDY generates reactive radical species and causes significant damage to the spike protein of coronavirus,while the hyperanion groups ensure negligible cytotoxicity of the molecules.The EDYs exhibit antiviral activity down to nanomolar concentrations,and the selectivity index of up to 20,000 against four kinds of human coronavirus,including the SARS-CoV-2 Omicron variant,suggesting the high potential of this new strategy in combating the COVID-19 pandemic and a future“disease X.”

Identification of Epsin1 as a regulator for hepatic lipid and glucose metabolism

Obesity related non-alcoholic fatty liver disease(NAFLD),which can progress to steatohepatitis and insulin resistance,has become a major chronic liver disease worldwide.1 As an adaptor of clathrin-mediated endocytosis,Epsin1 plays a role in many diseases,including tumors,atherosclerosis and diabetic wound healing.

近场动力学研究进展与岩石破裂过程模拟

近场动力学(Peridynamics,PD)作为一种新兴的非局部性理论,在非连续处不需要任何处理,能够很好表述模型从连续到非连续的过程.首先,在PD基本理论简介的基础上,系统回顾了PD的国内外研究现状.其次,采用键型PD理论对非均匀性的圆孔岩板单轴拉伸破裂过程进行了二维数值模拟,采用态型PD理论对单轴、常规三轴以及真三轴等不同压缩条件下的岩石破裂过程进行了三维数值模拟,并以加拿大Mine-by隧洞为例对现场岩体破裂过程进行了模拟,结果表明PD在岩石破裂过程模拟上具有较强适用性.最后,指出当前PD在岩石破裂过程模拟中存在的主要问题和未来值得开展的若干研究课题.

等级医院评审视角下的医院质量监督反馈体系优化与实践

质量监督是医院质量与安全工作的重要保证, 也是浙江省第四周期等级医院评审的核心内容。杭州市妇产科医院立足评审标准, 利用信息技术优化医院的质量监督反馈体系, 建立了可追溯的质量与安全闭环督查体系。该体系可以实现督查问题储存与抽取、督查结果在线记录、督查结果实时反馈、被督查科室整改意见线上反馈、职能科室追踪评价5大功能点。该体系运行后, 医院的质量督查作业流程全部实现信息化操作, 所有时间点均可在线追踪, 提高了医院质量管理效率, 更好地保障医疗制度的落实与患者安全, 促进医疗质量指标的持续提升。

The glucosinolate regulation in plant: A new view on lanthanum stimulating the growth of plant

The harmful effect of low-concentration lanthanum [La(Ⅲ)] on plants was investigated by choosing horseradish as a representative of plants and using the methods of physics, analytical chemistry and biology. The results show that the genetic expressions related to glucosinolates(GLS, the marker of plant resisting harmful effects) synthesis are significantly increased after the endocytosis in leaf cells is initiated by low-concentrations La(Ⅲ). Consequently, the activities in the key enzymes for catalyzing the GLS synthesis are promoted. Meanwhile, the contents of the precursors and substrates in GLS synthesis are increased. All the above changes accelerate the GLS synthesis and result in the maximum increase in GLS content by 14%. Finally, the uptake of nutrient elements in horseradish is enhanced, and the yield of horseradish is maximally increased by 25%. Therefore, low-concentration La(Ⅲ) is harmful to plants, and plants can promote growth to resist the harmful effects of low-concentration La(Ⅲ) by regulating GLS content. The results show a new insight into how rare earth elements stimulate plant growth, and provide a reference for the risk assessment of rare earth elements.