Summary Intervertebral disc (IVD) degeneration is a complicated process that involves both age-related change and tissue damage caused by multiple stresses. In a degenerative IVD, cellular senescence ...accumulates and is associated with reduced proliferation, compromised self-repair, increased inflammatory response, and enhanced catabolic metabolism. In this review, we decipher the senescence mechanism of IVD degeneration (IVDD) by interpreting how aging coordinates with age-related, microenvironment-derived stresses in promoting disc cell senescence and accelerating IVDD. After chronic and prolonged replication, cell senescence may occur as a natural part of the disc aging process, but can potentially be accelerated by growth factor deficiency, oxidative accumulation, and inflammatory irritation. While acute disc injury, excessive mechanical overloading, diabetes, and chronic tobacco smoking contribute to the amplification of senescence-inducing stresses, the avascular nature of IVD impairs the immune-clearance of the senescent disc cells, which accumulate in cell clusters, demonstrate inflammatory and catabolic phenotypes, deteriorate disc microenvironment, and accelerate IVDD. Anti-senescence strategies, including telomerase transduction, supply of growth factors, and blocking cell cycle inhibitors, have been shown to be feasible in rescuing disc cells from early senescence, but their efficiency for disc regeneration requires more in vivo validations. Guidelines dedicated to avoiding or alleviating senescence-inducing stresses might decelerate cellular senescence and benefit patients with IVD degenerative diseases.
Background
Previous studies comparing early laparoscopic cholecystectomy (ELC) with delayed laparoscopic cholecystectomy (DLC) for acute cholecystitis were incomplete. A meta‐analysis was undertaken ...to compare the cost‐effectiveness, quality of life, safety and effectiveness of ELC versus DLC.
Methods
PubMed, Embase, the Cochrane Library and Web of Science were searched for randomized clinical trials (RCTs) that compared ELC (performed within 7 days of symptom onset) with DLC (undertaken at least 1 week after symptoms had subsided) for acute cholecystitis.
Results
Sixteen studies reporting on 15 RCTs comprising 1625 patients were included. Compared with DLC, ELC was associated with lower hospital costs, fewer work days lost (mean difference (MD) –11·07 (95 per cent c.i. –16·21 to −5·94) days; P < 0·001), higher patient satisfaction and quality of life, lower risk of wound infection (relative risk 0·65, 95 per cent c.i. 0·47 to 0·91; P = 0·01) and shorter hospital stay (MD −3·38 (−4·23 to −2·52) days; P < 0·001), but a longer duration of operation (MD 11·12 (4·57 to 17·67) min; P < 0·001). There were no significant differences between the two groups in mortality, bile duct injury, bile leakage, conversion to open cholecystectomy or overall complications.
Conclusion
For patients with acute cholecystitis, ELC appears as safe and effective as DLC. ELC might be associated with lower hospital costs, fewer work days lost, and greater patient satisfaction.
The sooner the better
In superconductors, electrons are paired and condensed into the ground state. An impurity can break the electron pairs into quasiparticles with energy states inside the superconducting gap. The ...characteristics of such in-gap states reflect accordingly the properties of the superconducting ground state. A zero-energy in-gap state is particularly noteworthy, because it can be the consequence of non-trivial pairing symmetry or topology. Here we use scanning tunnelling microscopy/spectroscopy to demonstrate that an isotropic zero-energy bound state with a decay length of ∼10 Å emerges at each interstitial iron impurity in superconducting Fe(Te,Se). More noticeably, this zero-energy bound state is robust against a magnetic field up to 8 T, as well as perturbations by neighbouring impurities. Such a spectroscopic feature has no natural explanation in terms of impurity states in superconductors with s-wave symmetry, but bears all the characteristics of the Majorana bound state proposed for topological superconductors, indicating that the superconducting state and the scattering mechanism of the interstitial iron impurities in Fe(Te,Se) are highly unconventional.
Radially inhomogeneous gamma-ray burst (GRB) jets release variable photospheric emission and can have internal shocks occurring above the photosphere. We generically formulate a photospheric emission ...model of GRBs including Compton up-scattered photospheric (UP) emission off the electrons (and positrons) in the internal shocks, and find that the photospheric emission may correspond to the traditional (band) component at ≲1 MeV and the UP emission to the high-energy emission observed by Fermi/LAT for some GRBs at ≳10 MeV. The two components can be separate from each other in the spectrum in some cases or can mimic a smooth broad-band spectrum in other cases. We apply our formulation to the well-studied long and short LAT GRBs, GRB 080916C, GRB 090902B and GRB 090510, and typically find reasonable parameters for fitting the time-binned spectra, although fine-tuning of several parameters is required. The observed delays of the high-energy emission with respect to the MeV emission which are large compared to the variability times are unlikely to be due to simple kinematic effects of a non-evolving jet. These delays may instead be attributed to the temporal evolution of the physical parameters of the jet, and thus the delay time-scales could provide a potential tool for investigating the structures of GRB jets themselves and their progenitors. The difference of the delay time-scales of long and short GRBs inferred from the Fermi data might be due to the differences in the progenitors of long and short GRBs. Some other properties and consequences of this model are discussed, including temporal correlations among the prompt optical, the soft X-ray and the distinct high-energy component as well as the band component.
Double neutron star (DNS) merger events are promising candidates of short gamma-ray burst (sGRB) progenitors as well as high-frequency gravitational wave (GW) emitters. On August 17, 2017, such a ...coinciding event was detected by both the LIGO-Virgo gravitational wave detector network as GW170817 and Gamma-Ray Monitor on board NASA's Fermi Space Telescope as GRB 170817A. Here, we show that the fluence and spectral peak energy of this sGRB fall into the lower portion of the distributions of known sGRBs. Its peak isotropic luminosity is abnormally low. The estimated event rate density above this luminosity is at least Formula: see text Gpc
yr
, which is close to but still below the DNS merger event rate density. This event likely originates from a structured jet viewed from a large viewing angle. There are similar faint soft GRBs in the Fermi archival data, a small fraction of which might belong to this new population of nearby, low-luminosity sGRBs.
The origin of enhanced superconductivity over 50 K in the recently discovered FeSe monolayer films grown on SrTiO
(STO), as compared to 8 K in bulk FeSe, is intensely debated. As with the ...ferrochalcogenides A
Fe
Se
and potassium-doped FeSe, which also have a relatively high-superconducting critical temperature (T
), the Fermi surface (FS) of the FeSe/STO monolayer films is free of hole-like FS, suggesting that a Lifshitz transition by which these hole FSs vanish may help increasing T
. However, the fundamental reasons explaining this increase of T
remain unclear. Here we report a 15 K jump of T
accompanying a second Lifshitz transition characterized by the emergence of an electron pocket at the Brillouin zone centre, which is triggered by high-electron doping following in situ deposition of potassium on FeSe/STO monolayer films. Our results suggest that the pairing interactions are orbital dependent in generating enhanced superconductivity in FeSe.
Our understanding of when and how humans adapted to living on the Tibetan Plateau at altitudes above 2000 to 3000 meters has been constrained by a paucity of archaeological data. Here we report data ...sets from the northeastern Tibetan Plateau indicating that the first villages were established only by 5200 calendar years before the present (cal yr B.P.). Using these data, we tested the hypothesis that a novel agropastoral economy facilitated year-round living at higher altitudes since 3600 cal yr B.P. This successful subsistence strategy facilitated the adaptation of farmers-herders to the challenges of global temperature decline during the late Holocene.
A 56‐day feeding trial was carried out to investigate the effect of dietary glutamate (Glu) supplementation on growth performance, digestive enzyme activities and intestinal antioxidant capacity of ...grass carp (Ctenopharyngodon idella). A total of 540 grass carp with average initial weight of 370 ± 3.8 g were fed three diets supplemented with 0, 8 and 16 g kg⁻¹ Glu. The per cent weight gain, specific growth rate, feed conversion ratio, and protein and lipid productive value were significantly improved by dietary Glu supplementation. Feed intake, condition factor, visceral somatic index and perivisceral fat ratio were not significantly different between dietary groups. Hepatosomatic index, intestinal somatic index, intestine length index, intestine protein content, trypsin activity in hepatopancreas and intestine, lipase activity in proximal and mid‐intestine (MI) and hepatopancreas, alkaline phosphatase and gamma‐glutamyl transpeptidase activities in intestine, creatine kinase activities in the mid‐ and distal intestine, intestinal folds height in the proximal and MI were significantly increased with increased Glu. Malondialdehyde and protein carbonyl contents in the intestine decreased with increased Glu. Superoxide anion and hydroxyl radical scavenging ability, glutathione reducase, catalase and total superoxide dismutase activities, and glutathione content in the intestine were increased with increased Glu. These results suggested that dietary Glu supplementation increased intestinal antioxidant capacity, digestive and absorptive ability and improved fish growth.
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