Ultrasound-guided,direct suprainguinal injection for fascia iliaca block for total hip arthroplasty:A retrospective study

BACKGROUND Peripheral regional block combined with general anesthesia might be a preferable anesthetic regimen for elderly patients undergoing total hip arthroplasty.AIM To investigate whether ultrasound-guided,direct suprainguinal injection for fascia iliaca block accelerated recovery after general anesthesia and relieved postoperative pain after total hip arthroplasty.METHODS Patients who underwent total hip arthroplasty under general anesthesia in 2015 or 2019 at The Second Affiliated Hospital of Xuzhou Medical University were retrospectively analyzed.The patients were grouped based on whether preoperative suprainguinal fascia iliaca block was performed or not.The time to tracheal extubation and time spent in the post-anesthesia care unit(PACU),intraoperative remifentanil dosage,fentanyl consumption in the PACU,postoperative cumulative fentanyl consumption within 48 h after operation,visual analogue scale at rest and during movement on the first and second days after surgery,and adverse reactions were compared.RESULTS Thirty-one elderly patients who underwent total hip arthroplasty were included in the study(block group,n=16;no-block group,n=15).The visual analog scale scores at rest and during movement on the first and second days were significantly lower in the block group than in the no-block group(all P<0.05).Compared with the no-block group,the intraoperative remifentanil dosage was lower,the time to tracheal extubation and the time spent in the PACU were shorter in the block group(all P<0.01).Fentanyl consumption in the PACU and postoperative cumulative fentanyl consumption in 48 h after operation were lower in the block group(all P<0.01).The incidence of dizziness was higher in the no-block group than in the block group(P=0.037).CONCLUSION Ultrasound-guided,direct suprainguinal injection for fascia iliaca block led to faster recovery after general anesthesia and early postoperative pain relief in elderly patients undergoing total hip arthroplasty.

Effects Assessment of Summer Fishing Moratorium in Daya Bay in the Northern South China Sea

In order to assess effects of Summer Fishing Moratorium (SFM) in Daya Bay, variations in stock density, fish diversity, fish species composition, fish body length and weight, and bio-environments during the pre-SFM (May in 2015) and post-SFM (August in 2015) in Daya Bay were analyzed, based on trawl survey data. Results showed that the average stock density in the post-SFM was 5.65 times of that in the pre-SFM, and the average species numbers in the post-SFM was 1.76 times of that in the pre-SFM. Analysis of fish body length and weight indicated that fish grew faster during the SFM, and body weight was more uniform in the post-SFM. In the post-SFM, the Shannon-Wiener diversity index and Pielou evenness index increased by 0.36 and 0.14, respectively, indicating that the fish biodiversity and community structure improved. SFM alleviated fishing intensity, recovered and conserved coastal fish resource. In order to improve efficiency and impacts of SFM and to promote sustainable development of coastal fish resource, prolonging the time of SFM, reducing the number of coastal fishing boats and enforcing the conservation of fish resources were suggested.

Transparent and anti-fogging AlPO_(4)-5 films constructed by oblique oriented nano-flake crystals

In the present work,transparent and anti-fogging AlPO_(4)-5 films were prepared on glass substrates using a novel developed process.The process entails a simple in-situ sol–gel followed by vapor phase transport.The in-situ sol–gel process was implemented by coating the precursor sols for the synthesis of AlPO4-5 on the glass substrates successively using the spin-coating method.The films and powders scribed from the films were characterized by X-Ray diffraction(XRD),Fourier transform infrared spectroscopy(FT-IR),scanning electron microscope(SEM),atomic force microscope(AFM),X-ray photoelectron spectroscopy and transmission electron microscope(TEM).The unique films were composed of oblique oriented nanoflake AlPO_(4)-5 crystals with the thickness of about 20 nm.The formation of nano-flake crystals can be ascribed to the high concentration of the precursors,resulting in the formation of a supersaturation system.The obtained films showed high antifogging performance due to the superhydrophilicity with a water contact angle of lower than 1.0°.The silicone oil contact angle was also low about 8.2°.In addition,heteroatom-substituted AlPO_(4)-5 films showing different colors can be obtained easily by simply adding transition metal ions in the phosphate acid solution during the preparation that can extend the application of the method for different coating demand.

Zeolite A enhanced chitosan films with high water absorption ability and antimicrobial activity

Zeolite A/CS xerogel hybrid films were prepared by in-situ crystallization method with uniform structure and good strength.The hybrid films prepared from the precursor films dried at 50℃showed zeolite A was well crystallized.The hybrid films show high water absorption,good elastic strength and Young modulus.The antimicrobial ability of the hybrid films was investigated after Ag^(+)-ion exchanged.The Ag^(+)-exchanged hybrid films with 35%(mass)content of zeolite A showed the highest antimicrobial activity,which could reduce the concentration of the microbial to zero after 7 h.

Identification of the E2F1-RAD51AP1 axis as a key factor in MGMT-methylated GBM TMZ resistance

Objective:Epidermal growth factor receptor variant III(EGFRvIII)is a constitutively-activated mutation of EGFR that contributes to the malignant progression of glioblastoma multiforme(GBM).Temozolomide(TMZ)is a standard chemotherapeutic for GBM,but TMZ treatment benefits are compromised by chemoresistance.This study aimed to elucidate the crucial mechanisms leading to EGFRvIII and TMZ resistance.Methods:CRISPR-Cas13a single-cell RNA-seq was performed to thoroughly mine EGFRvIII function in GBM.Western blot,realtime PCR,flow cytometry,and immunofluorescence were used to determine the chemoresistance role of E2F1 and RAD51-associated protein 1(RAD51AP1).Results:Bioinformatic analysis identified E2F1 as the key transcription factor in EGFRvIII-positive living cells.Bulk RNA-seq analysis revealed that E2F1 is a crucial transcription factor under TMZ treatment.Western blot suggested enhanced expression of E2F1 in EGFRvIII-positive and TMZ-treated glioma cells.Knockdown of E2F1 increased sensitivity to TMZ.Venn diagram profiling showed that RAD51AP1 is positively correlated with E2F1,mediates TMZ resistance,and has a potential E2F1 binding site on the promoter.Knockdown of RAD51AP1 enhanced the sensitivity of TMZ;however,overexpression of RAD51AP1 was not sufficient to cause chemotherapy resistance in glioma cells.Furthermore,RAD51AP1 did not impact TMZ sensitivity in GBM cells with high O6-methylguanine-DNA methyltransferase(MGMT)expression.The level of RAD51AP1 expression correlated with the survival rate in MGMT-methylated,but not MGMT-unmethylated TMZ-treated GBM patients.Conclusions:Our results suggest that E2F1 is a key transcription factor in EGFRvIII-positive glioma cells and quickly responds to TMZ treatment.RAD51AP1 was shown to be upregulated by E2F1 for DNA double strand break repair.Targeting RAD51AP1 could facilitate achieving an ideal therapeutic effect in MGMT-methylated GBM cells.

Stability analysis of hydro-turbine governing system based on machine learning

Hydro-turbine governing system is a time-varying complex system with strong non-linearity,and its dynamic characteristics are jointly affected by hydraulic,mechanical,electrical,and other factors.Aiming at the stability of the hydroturbine governing system,this paper first builds a dynamic model of the hydro-turbine governing system through mechanism modeling,and introduces the transfer coefficient characteristics under different load conditions to obtain the stability category of the system.BP neural network is used to perform the machine study and the predictive analysis of the stability of the system under different working conditions is carried out by using the additional momentum method to optimize the algorithm.The test set results show that the method can accurately distinguish the stability category of the hydro-turbine governing system(HTGS),and the research results can provide a theoretical reference for the operation and management of smart hydropower stations in the future.

Low cervical incision combined with video-assisted thoracoscopy for resection of a goiter extending to the posterior mediastinum:A case report and literature review

Approximately 25%of goiters extend to the substernal area,and most of them can be removed through a cervical incision.Goiters that extend into the posterior mediastinum are very rare,and resection usually requires thoracotomy.In recent years,there have been several reports of resection of substernal goiters by minimally invasive surgery.Here,we present a 75-year-old female with a giant substernal goiter who successfully underwent resection of the goiter extending to the posterior mediastinum using low cervical incision combined with video-assisted thoracoscopy.

Expression Analysis of Heat Shock Protein 70 Gene in Rice(Oryza sativa L.)

[Objectives]This study was conducted to construct a pColdI-HSP70 recombinant prokaryotic expression vector.[Methods]With rice‘N22’as the test variety,hydroponic experiments were set up for rice seedlings with normal growth(CK),high temperature treatment(H),drought treatment(D)and drought-high temperature cross treatment(DH).The recombinant prokaryotic expression vector was constructed by the method of prokaryotic expression,and its induction expression time,IPTG concentration and temperature were optimized.[Results]The pColdI-HSP70 expression vector was successfully constructed,and the fusion protein was highly expressed in host strain BL21,and the expressed proteins were all in a soluble form.By optimizing the induction expression conditions,it was found that the optimal expression conditions were the IPTG concentration of 0.5 mmol/L and induction at 20℃for 36 h.The expression analysis of the rice HSP70 gene under different stress treatments was carried out by qRT-PCR technology,and it was found that H,D and DH stresses all could induce its expression,and its expression levels were 4.65,1.40 and 17.66 times higher than that of the CK group,respectively.[Conclusions]This study lays a solid foundation for the isolation,purification and functional study of rice HSP70 proteins.

Involvement of triadimefon induced early ABA-dependent H2O2 accumulation in soybean against water stress

The present study showed that pretreatment of triadimefon(TDM),a triazole compound,could improve tolerance of soybean seedlings to subsequent water stress.TDM pretreatment resulted in early and late rise in superoxide dismutase(SOD)and catalase(CAT)activities,and upregulation of ascorbate(As A)content in non-stressed and water-stressed seedlings,leading to late increase in net photosynthetic rate(Pn),late decrease in hydrogen peroxide(H2O2)and electrolyte leakage in stressed ones.These TDM-induced changes were blocked by application of abscisic acid(ABA)biosynthesis inhibitor tungstate,which inhibited early rise of ABA and H2O2contents in non-stressed and stressed seedlings.However,ABA pretreatment overcomed the effects of this inhibitor.Application of NADPH oxidase inhibitor diphenyleneiodonium(DPI),polyamine oxidase(PAO)inhibitor 2-hydroxyethylhydrazine(2-HEH)and H2O2scavenger dimethylthiourea(DMTU)prevented early TDM-induced rise of H2O2content.DPI,2-HEH and DMTU also decreased SOD,CAT and As A levels,but did not affect ABA content during early and late phases in both seedlings pretreated with TDM.In addition,these chemicals decreased Pn,and increased H2O2content and electrolyte leakage during late phase in TDM-pretreated stressed seedlings.Overall,these results indicated that TDM pretreatment alleviated adverse effects of water stress on soybean seedlings,which was at least in part,due to increase of antioxidant capacity and decrease of oxidative damage induced by early ABA-dependent H2O2generation.

Visible Light-Induced Collapse of Molecular Microcrystals into Droplets by E-to-Z Photoisomerization and Melting Phase Transition

Harnessing photoresponsive behavior in organic crystals,such as shape and morphology deformation,on multiple scales is intriguing with respect to precise spatiotemporal operation,because dynamic deformations are promising in fabricating future intelligent devices.Here,we synthesized a new photoresponsive molecular crystal composed of dimethyl(E)-2-(3-(naphthalen-1-yl)allylidene)malonate((E)-DNAM)that undergoes E-to-Z photoisomerization accompanied by photoinduced crystal-to-liquid melting phase transition when exposed to visible light.Instead of expanding in bulk polycrystals,single-crystal(E)-DNAM rectangular microplates in an aqueous solution rapidly collapsed into liquid droplets,showing a remarkable drastic reduction in surface area of more than 97%after light illumination.We deduce that the unique microscopic morphology of microplates with high aspect ratios of length-tothickness reaching up to 1000 is mainly responsible for the photoinduced melting leading to drastic collapse.In addition,the cohesive forces of liquid photoproduct facilitate the overall deformations and transformation.We have shown a facile way to achieve the remarkable collapse of molecular crystals into droplets by photochemical reaction and phase transition.

Prevention of urinary tract infection using a silver alloy hydrogel-coated catheter in critically ill patients: A single-center prospective randomized controlled study

Background:A new type of silver alloy hydrogel-coated(SAH)catheter has been shown to prevent bacterial adhesion and colonization by generating a microcurrent,and to block the retrograde infection pathway.However,these have only been confirmed in ordinary patients.This study aims to evaluate the effectiveness of a SAH catheter for preventing urinary tract infections in critically ill patients.Methods:This was a prospective single-center,single-blind,randomized,controlled study.A total of 132 patients requiring indwelling catheterization in the intensive care unit(ICU)of the First Affiliated Hospital of the University of Science and Technology of China between October 2022 and February 2023 and who met the study inclusion/exclusion criteria were randomly divided into two groups.Patients in the SAH catheter group received a SAH catheter,while patients in the conventional catheter group received a conventional siliconized latex Foley catheter.The main outcome measure was the incidence of catheter-associated urinary tract infections(CAUTIs).Secondary outcome indicators included urine positivity for white blood cells and positive urine cultures on 3 days,7 days,10 days,and 14 days after catheterization,number of viable bacteria in the catheter biofilm on day 14,pathogenic characteristics of positive urine cultures,length of ICU stay,overall hospital stay,ICU mortality,and 28-day mortality.All the data were compared between the two groups.Results:A total of 68 patients in the conventional catheter group and 64 patients in the SAH catheter group were included in the study.On day 7 after catheter placement,the positivity rate for urinary white blood cells was significantly higher in the conventional catheter group than in the SAH catheter group(33.8%vs.15.6%,P=0.016).On day 10,the rates of positive urine cultures(27.9%vs.10.9%,P=0.014)and CAUTIs(22.1%vs.7.8%,P=0.023)were significantly higher in the conventional catheter group than in the SAH catheter group.On day 14,the numbers of viable bacteria isolated from the catheter tip([3.21±1.91]×10^(6) colony-forming units[cfu]/mL vs.[7.44±2.22]×10^(4) cfu/mL,P<0.001),balloon segment([7.30±1.99]×10^(7) cfu/mL vs.[3.48±2.38]×10^(5) cfu/mL,P<0.001),and tail section([6.41±2.07]×10^(5) cfu/mL vs.[8.50±1.46]×10^(3) cfu/mL,P<0.001)were significantly higher in the conventional catheter group than in the SAH catheter group.The most common bacteria in the urine of patients in both groups were Escherichia coli(n=13)and Pseudomonas aeruginosa(n=6),with only one case of Candida in each group.There were no significant differences between the two groups in terms of ICU hospitalization time,total hospitalization time,ICU mortality,and 28-day mortality.Conclusion:SAH catheters can effectively inhibit the formation of catheter-related bacterial biofilms in critically ill patients and reduce the incidence of CAUTIs,compared with conventional siliconized latex Foley catheters;however,regular replacement of the catheter is still necessary.

人工髋关节置换术后个体化持续性干预方案的应用效果评价

目的制订个体化持续性干预方案,并探讨其在全髋关节置换术后患者居家康复早期中的应用效果。方法以江苏大学附属武进医院骨科2019年4月1日至2020年6月30日收治的单侧人工全髋关节置换术100例患者为研究对象进行前瞻性随机对照研究。其中男性47例,女性53例;年龄58~83岁,平均年龄(70.12±13.74)岁。将研究对象按随机数字表法分为干预组和对照组,每组各50例。两组患者的一般资料差异无统计学意义(P>0.05),具有可比性。试验组采用视频应用、围手术期强化、出院前再次巩固等方法;对照组仅采用常规护理方法。对比两组患者在住院期间,出院后1个月和3个月髋关节功能评分和生活质量评分等指标的差异。结果出院后3个月试验组的髋关节功能评分为(78.02±7.80)分,高于对照组的(71.35±9.47)分;出院后3个月试验组的生活质量评分为(98.47±14.94)分,高于对照组的(93.06±17.34)分,差异有统计学意义(P<0.05)。试验组在其他两个时间节点的评分也明显高于对照组,差异有统计学意义(P<0.05)。结论对于THA术后患者,应根据不同时期关节功能的变化特点,采取个性化的干预方案,以提高患者髋关节功能及生活能力。

Blockage of EGFR/AKT and mevalonate pathways synergize the antitumor effect of temozolomide by reprogramming energy metabolism in glioblastoma

Background Metabolism reprogramming plays a vital role in glioblastoma(GBM)progression and recurrence by producing enough energy for highly proliferating tumor cells.In addition,metabolic reprogramming is crucial for tumor growth and immune-escape mechanisms.Epidermal growth factor receptor(EGFR)amplification and EGFR-vIII mutation are often detected in GBM cells,contributing to the malignant behavior.This study aimed to investigate the functional role of the EGFR pathway on fatty acid metabolism remodeling and energy generation.Methods Clinical GBM specimens were selected for single-cell RNA sequencing and untargeted metabolomics analysis.A metabolism-associated RTK-fatty acid-gene signature was constructed and verified.MK-2206 and MK-803 were utilized to block the RTK pathway and mevalonate pathway induced abnormal metabolism.Energy metabolism in GBM with activated EGFR pathway was monitored.The antitumor effect of Osimertinib and Atorvastatin assisted by temozolomide(TMZ)was analyzed by an intracranial tumor model in vivo.Results GBM with high EGFR expression had characteristics of lipid remodeling and maintaining high cholesterol levels,supported by the single-cell RNA sequencing and metabolomics of clinical GBM samples.Inhibition of the EGFR/AKT and mevalonate pathways could remodel energy metabolism by repressing the tricarboxylic acid cycle and modulating ATP production.Mechanistically,the EGFR/AKT pathway upregulated the expressions of acyl-CoA synthetase short-chain family member 3(ACSS3),acyl-CoA synthetase long-chain family member 3(ACSL3),and long-chain fatty acid elongation-related gene ELOVL fatty acid elongase 2(ELOVL2)in an NF-κB-dependent manner.Moreover,inhibition of the mevalonate pathway reduced the EGFR level on the cell membranes,thereby affecting the signal transduction of the EGFR/AKT pathway.Therefore,targeting the EGFR/AKT and mevalonate pathways enhanced the antitumor effect of TMZ in GBM cells and animal models.Conclusions Our findings not only uncovered the mechanism of metabolic reprogramming in EGFR-activated GBM but also provided a combinatorial therapeutic strategy for clinical GBM management.

Vibratile Dihydrophenazines with Controllable Luminescence Enabled by Precise Regulation of π-Conjugated Wings

A series of vibratile π-extended dihydrophenazines(BPs)and a tetrahydrodiphenazine(TP)were synthesized via direct C-N coupling reactions.Structural alterations of the fused acene wings lead to diverse intermolecular packing arrangements as well as tunable photophysical properties.These compounds exhibit intriguing features,including large Stokes shift,multiple emissions,and environmental effects.Notably,a dramatic hypsochromic shift in emission is observed when the acene wing is linearly extended from benzene to naphthalene and anthracene.This unusual π-conjugation length-dependent emission is explained by the close correlation between the calculated fluorescence-emitting energy and the π-conjugation length of the acene subunit.In addition,the TP bearing two flexible units exhibits dynamic photophysical properties resembling those of BPs.Our results reveal a balanced control over π-conjugation and luminescence in vibratile π-systems,thereby providing new insight into the molecular design of organic near-infrared fluorophores with large Stokes shifts and dynamic emissions.

A novel AH-D-A-type phase junction material to improve photovoltaic performance and device stability in fullerene OSCs

In order to boost power conversion efficiency(PCE) and operation stability of organic solar cells(OSCs),we propose a new idea of phase junction materials(PJMs) used as a photoactive layer component to improve device performance and stability.For this purpose,a novel PJM of H-TRC8 based on rhodanine unit was designed with a conjugated AH-D-A framework.Here,AH is a hydrogen-donating electron acceptor unit,D-A is an electron donor-acceptor unit.It is found that H-TRC8 has a good carriertransporting ability,as well as definite hydrogen-bond and D-A interaction with donor/acceptor materials.While H-TRC8 is added into the PBDB-T/PC60BM blend film with 1.0 vol% DIO(1,8-diiodooctane),the resulting blend film exhibited an enhanced absorption and improved morphology.The intermolecular hydrogen bond between H-TRC8 and PBDB-T plays an important role for them,which is confirmed via FT-IR spectra and 2D 1H NMR.As a result,the PBDB-T/PC60BM-based devices with 1.25 wt%H-TRC8 and 1.0 vol% DIO exhibit a significantly improved PCE of 8.06%,which is increased by 20.6% in comparison to that in the binary devices with 1.0 vol% DIO only(PCE=6.68%).Furthermore,the device stability is significantly enhanced with only 43% PCE roll-off at 150℃ for 120 h.This work indicates that AH-D-A-type PJMs are promising photovoltaic materials used as photoactive-layer components to achieve high-performance fullerene OSCs with high device stability.