The role of autotransplantation in end-stage hepatic alveolar echinococcosis (AE) is unclear. We aimed to present our 15-case experience and propose selection criteria for autotransplantation. All ...patients were considered to have unresectable hepatic AE by conventional resection due to critical invasion to retrohepatic vena cava, hepatocaval region along with three hepatic veins, and the tertiary portal and arterial branches. All patients successfully underwent ex vivo extended right hepatectomy and autotransplantation without intraoperative mortality. The median autograft weight was 706 g (380–1000 g); operative time was 15.5 hours (11.5–20.5 hours); and anhepatic time was 283.8 minutes (180–435 min). Postoperative hospital stay was 32.3 days (12–60 days). Postoperative complication Clavien–Dindo grade IIIa or higher occurred in three patients including one death that occurred 12 days after the surgery due to acute liver failure. One patient was lost to follow-up after the sixth month. Thirteen patients were followed for a median of 21.6 months with no relapse. This is the largest reported series of patients with end-stage hepatic AE treated with liver autotransplantation. The technique requires neither organ donor nor postoperative immunosuppressant. The early postoperative mortality was low with acceptable morbidity. Preoperative precise assessment and strict patient selection are of utmost importance.
The prevalence of diabetes in China is among the highest in the world. For this reason, findings from the 2016 Global Burden of Disease (GBD) study were used to calculate the burden of hyperglycaemia ...and diabetes in China.
Following the general analytical strategy used in GBD 2016, diabetes prevalence and mortality were analyzed by age and gender. Trends in disability-adjusted life years (DALYs) due to diabetes were assessed in 33 province-level administrative units from 1990 to 2016, and similar data were provided for chronic kidney disease (CKD) related to diabetes and, as an overall summarizing measure, for hyperglycaemia expressed as high fasting plasma glucose (HFPG).
From 1990 to 2016, all-age prevalence of diabetes rose from 3.7% to 6.6%, and all-age diabetes and diabetes-related CKD mortality rates increased by 63.5% and 33.3%, respectively, with both rates increasing more rapidly in diabetes patients aged 15–49 years than in any other age groups. In 2016, HFPG became China's sixth leading cause of DALYs, and the attributable DALYs burden was 1802.3/100,000 population. Although the number of diabetes DALYs increased by 95% from 1990 to 2016, age-standardized diabetes DALYs rates increased by only 2.3%. Also, from 1990 to 2016, rates of age-standardized DALYs due to diabetes decreased in 14 provinces, but increased in 19 provinces. High BMI Scores and diets low in whole grains, nuts and seeds were the most important risk factors for diabetes in 2016.
Diabetes and hyperglycaemia constitute a huge health burden in China. The substantial increase in diabetes-related burden represents an ongoing challenge, given the rapidly ageing Chinese population. Thus, a targeted control and preventative strategy needs to be developed at risk factor level to reduce this burden.
► The particle size progressively decreases with increase in milling time. ► The use of stearic acid can was found to achieve fine uniform spherical powders. ► High BPR has a significant influence on ...the rate of decrease of crystallite size. ► High-temperature sintering leads to relative density increase and grain growth. ► Canning-HIP technique has a significant improvement in mechanical properties.
Nanostructured ferritic oxide dispersion strengthened (ODS) alloys are promising materials for both high temperature creep properties and irradiation resistance. These alloys were produced by mechanical alloying (MA) which is a complex process and a number of process variables need to be controlled to achieve the desired properties. In this study, the effect of mechanical alloying and consolidation processes on the microstructure and properties of nanostructured ferritic ODS alloy were investigated. The powder mixtures were milled in Spex mill for different milling times (1
h, 3
h, 8
h, and 15
h). The effect of process control agents (PCAs) and ball to power ratio (BPR) were studied. Two-stage sintering and canning-HIP processes were introduced as new consolidation methods to produce ODS alloys with improved mechanical properties. The results showed that crystallite size during milling decrease with milling time and higher BRP has a significant influence on the rate of decrease of the crystallite size. The use of stearic acid as PCA led to fine, uniform and spherical particles during the ball milling. Additionally, the samples sintered at the elevated temperatures over long periods resulted in a reduction in porosity; however, the microstructure became coarser, accompanied by a decrease in the hardness. The canning-HIP technique can effectively minimize the content of oxygen and carbon impurities to achieve high relative density and high hardness.
Aims
This study investigated the role of L‐3‐n‐Butylphthalide (NBP) in cardiac protection.
Methods
The left anterior descending coronary arteries (LAD) of the rats were occluded for 30 min following ...by 2‐h reperfusion to make the ischaemia/reperfusion models. Neonatal cardiomyocytes were cultured and subjected to hypoxia. L‐3‐n‐Butylphthalide was administered intraperitoneally 2 h before the surgery and right after the reperfusion in the in vivo experiments or added to the culture medium in vitro. Haemodynamic parameters were recorded to evaluate the cardiac functions, triphenyltetrazolium chloride (TTC) and Evens blue staining were used to determine the area of risk and infarct area, apoptotic cell numbers were counted with terminal deoxynucleotidyl transferase dUTP nick end labelling (TUNEL) staining. Western blotting was used to determine the apoptotic protein levels and immune staining to determine the translocation of Glyceraldehyde‐3‐phosphate dehydrogenase (GAPDH) protein.
Results
Our research showed for the first time that L‐3‐n‐Butylphthalide had great effects in improving cardiac hemodynamic function and decreasing cardiac infarct areas and apoptotic cell numbers in the peri‐infarct areas. The apoptotic signals investigation showed that L‐3‐n‐Butylphthalide affected the mitochondrial pathway including Bcl‐2 protein expression, inhibition of caspase 3 activation and cytochrome C releasing. Besides, Glyceraldehyde‐3‐phosphate dehydrogenase protein translocation was inhibited by L‐3‐n‐Butylphthalide treatment, and this effect was mediated by endogenous reactive oxygen species (ROS).
Conclusion
L‐3‐n‐Butylphthalide protects cardiomyocytes from ischaemia/reperfusion‐induced apoptosis by antioxidant effect and affecting mitochondrial apoptotic pathway.
The evaluation of natural capital and environmental services has always been an important step in the implementation of sustainable development concepts and policies. The results presented in this ...study address the demand for environmental support of the economy of Xilinguole League in the Inner Mongolia Autonomous Region as well as the value of its natural and human-made capital. The results show that the reliance of the economy of Xilinguole League on local and imported non-renewable resources (coal and minerals) decreases both the environmental and economic sustainability of the area. Emergy-based performance indicators of the Xilinguole League economy show a low sustainability index (ESI=0.79), though it is higher than for the Chinese economy as a whole (ESI=0.47), as well as a low percentage of renewable resources being used (%REN=0.16, though this is higher than for all of China, 0.09). In contrast, the grassland-based livestock sector shows a higher renewability index (%REN=0.67) and sustainability (ESI=9.61). The emergy exchange ratios (exported emergy/imported emergy) are calculated to be 4.38 for the livestock system and 4.28 for the Xilinguole economy, which is much higher than the value of 1.74 for the overall Chinese economy, indicating uncompensated overexploitation of local systems (meat and coal, respectively). Intensified coal exploitation and intensive cattle grazing are discussed to support the decision-making process for setting local energy policy and ecological compensation. It is proposed that conservation of coal resources (avoiding misuse and moderating excess extraction and trade) and protection of natural grassland capital are more advantageous in emergy terms than the “blind” pursuit of accelerated, economic growth.
•The sustainability of theXilinguole League, Inner Mongolia, China, is assessed.•The study deals with the impact of local coal and grassland overexploitation.•Policies for impact reduction by more appropriate resource use are suggested.•Sustainability assessment is based on the emergy accounting approach.
Because of its use in on-board hydrogen portable hydrogen-air fuel cell, hydrogen generation based on the reaction between aluminum and water was evaluated. In the present work, the effect of CoCl2 ...and NiCl2 on aluminum–water reaction was studied. The amount of hydrogen generated linearly increased with increasing NiCl2 concentration from 1 M to 2.5 M, and reached the maximum with 1–1.5 M CoCl2. However, it dramatically decreased with further increase in CoCl2 and NiCl2 concentration. The formation of Co/Al and Ni/Al galvanic cell, the decrease in pH, and the permeation of chloride in the oxide layer supported hydrogen generation. Besides these factors, amorphous Co with higher specific surface area acted as the catalyst to hasten hydrogen generation. The hydrogen evolution in 1 M CoCl2 increased from 30 °C to 45 °C, and then it obviously decreased at 60 °C. The hydrogen generation in NiCl2 showed similar behavior. The by-product Co or Ni could be easily separated by use of a magnetic stirring bar and reused in subsequent rounds of aluminum–water reaction.
•Increasing CoCl2 concentration, the amount of hydrogen generated increased.•Increasing temperature, the amount of hydrogen generated nonlinearly increased.•Amorphous Co with high specific surface promoted Al–H2O reaction.•The by-product could be easily separated by the magnetic property.
Cystic fibrosis (CF) transmembrane conductance regulator (CFTR) is expressed in the epithelial cells of a wide range of organs/tissues from which most cancers are derived. Although accumulating ...reports have indicated the association of cancer incidence with genetic variations in CFTR gene, the exact role of CFTR in cancer development and the possible underlying mechanism have not been elucidated. Here, we report that CFTR expression is significantly decreased in both prostate cancer cell lines and human prostate cancer tissue samples. Overexpression of CFTR in prostate cancer cell lines suppresses tumor progression (cell growth, adhesion and migration), whereas knockdown of CFTR leads to enhanced malignancies both in vitro and in vivo. In addition, we demonstrate that CFTR knockdown-enhanced cell proliferation, cell invasion and migration are significantly reversed by antibodies against either urokinase plasminogen activator (uPA) or uPA receptor (uPAR), which are known to be involved in various malignant traits of cancer development. More interestingly, overexpression of CFTR suppresses uPA by upregulating the recently described tumor suppressor microRNA-193b (miR-193b), and overexpression of pre-miR-193b significantly reverses CFTR knockdown-enhanced malignant phenotype and abrogates elevated uPA activity in prostate cancer cell line. Finally, we show that CFTR gene transfer results in significant tumor repression in prostate cancer xenografts in vivo. Taken together, the present study has demonstrated a previously undefined tumor-suppressing role of CFTR and its involvement in regulation of miR-193b in prostate cancer development.
The grasslands of Inner Mongolia are not only the source of the necessary resources for the survival and development of herdsmen, but also represent a significant green ecological barrier in North ...China. Coal-mining production is important in maintaining GDP growth in Inner Mongolia. However, over-exploitation has created serious problems, such as pollution of the environment and significant decreases in grassland ecosystem services, in addition to impacting the well-being of herdsmen and other humans. Based on questionnaires survey performed among 864 herdsmen addressing the relationship between coal exploitation in grasslands and human well-being in Xilinguole League in Inner Mongolia, we found that (1) coal resource exploitation in these grasslands does not benefit the herdsmen by increasing their income; (2) the rapid development of this resource has not obviously materially improved the life of the herdsmen; and (3) these activities have increased the risks that herdsman will have to endure in the future. Overall, coal resource exploitation in grasslands has more negative than positive effects on the well-being of herdsmen. We propose the conservation of coal resources and improvement of ecological compensation should be carried out without blindly pursuing economic growth, instead of focusing on economic development and structural adjustments.
•Evaluation of the human well-being of the Xilinguole grassland, Inner Mongolia, China.•Impact of mining affects herdsmen well-being in grassland ecosystem.•Quantity of questionnaires survey.•Addressing the relationship between coal exploitation in grasslands and human well-being.
The inability of membranes to handle a wide spectrum of pollutants is an important unsolved problem for water treatment. Here we demonstrate water desalination via a membrane distillation process ...using a graphene membrane where water permeation is enabled by nanochannels of multilayer, mismatched, partially overlapping graphene grains. Graphene films derived from renewable oil exhibit significantly superior retention of water vapour flux and salt rejection rates, and a superior antifouling capability under a mixture of saline water containing contaminants such as oils and surfactants, compared to commercial distillation membranes. Moreover, real-world applicability of our membrane is demonstrated by processing sea water from Sydney Harbour over 72 h with macroscale membrane size of 4 cm
, processing ~0.5 L per day. Numerical simulations show that the channels between the mismatched grains serve as an effective water permeation route. Our research will pave the way for large-scale graphene-based antifouling membranes for diverse water treatment applications.
The recent development of ultrashort laser pulses allows for optical control of structural and electronic properties of complex quantum materials. The layered transition-metal dichalcogenideMoTe2, ...which can crystallize into several different structures with distinct topological and electronic properties, provides possibilities to control or switch between different phases. In this study, we report a photoinduced subpicosecond structural transition between the type-II Weyl semimetal phase and normal-semimetal phase in bulk crystallineMoTe2by using ultrafast pump-probe and time-resolved second-harmonic-generation spectroscopy. The phase transition is most clearly characterized by the dramatic change of the shear oscillation mode and the intensity loss of second-harmonic generation. This work opens up new possibilities for ultrafast manipulation of the topological properties of solids, enabling potentially practical applications for a topological switch device with ultrafast excitations.
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