[Effects of Nano-copper Oxide on Physiobiochemical Properties of Brassica chinensis L. and Its Heavy Metal Accumulation Under Cadmium Stress]

To investigate the effects of nano-copper oxide (CuO NPs) on plant growth, physio-biochemical characteristics, and heavy metal content under cadmium stress, a hydroponics experiment was conducted on the effects of single and combined treatments of CuO NPs (0, 10, 20, and 50 mg·L-1) and Cd (0, 1, and 5 μmol·L-1) on the fresh weight, photosynthetic pigment content, MDA content, antioxidant enzyme activity (CAT, POD, SOD, and GR), and Cu and Cd contents in Brassica chinensis L. The results showed that under the single addition of CuO NPs, the fresh weight and activities of CAT, POD, and GR were inhibited as a whole. Photosynthetic pigment content and SOD activity increased first and then decreased with the increase in CuO NPs concentration, whereas MDA content in leaves and roots, and Cu content in subcells of B. chinensis L. increased with the increasing of CuO NPs. As compared with that in the control, CuO NPs promoted the growth of B. chinensis L., and the fresh weight increased by 8.70%-44.87% at 1 μmol·L-1 Cd. When the content of Cd was up to 5 μmol·L-1, a low content (10 mg·L-1) of CuO NPs promoted the growth of B. chinensis L., whereas a high concentration (50 mg·L-1) showed an inhibitory effect. The addition of CuO NPs could increase photosynthetic pigment and MDA contents under different Cd stress, and MDA content in leaves and roots of B. chinensis L. increased by 4.34%-36.27% and 13.43%-131.04%, respectively, than that in the control groups. Under the same concentration of 1 μmol·L-1 Cd, the addition of CuO NPs decreased the activities of CAT and GR, whereas the activity of POD increased. When the content of Cd was up to 5 μmol·L-1, CuO NPs increased the POD activity and inhibited the activity of SOD and GR. The activities of CAT and CAT in the leaves of B. chinensis L. initially showed an increasing and then decreasing trend. CuO NPs and Cd showed antagonistic effects, the maximum reduction of Cd content in leaves and roots of Brassica chinensis L. under 1 μmol·L-1 Cd treatment was 45.64% and 33.39%, and that under 5 μmol·L-1 Cd treatment was 18.25% and 25.35%, respectively. The content of Cu and Cd in subcellular organs of the plants decreased, but the proportion of soluble components increased. These results indicated that CuO NPs at low concentrations promoted plant growth under Cd stress and further inhibited the absorption of Cd but increased the oxidative damage to B. chinensis L.

[Concordance between three integrated scores based on prostate biopsy and grade-grouping of radical prostatectomy specimen]

Objective: To analyze three different integrated scoring schemes of prostate biopsy and to compare their concordance with the scoring of radical prostatectomy specimens. Methods: A retrospective analysis of 556 patients with radical prostatectomy performed in Nanjing Drum Tower Hospital, Nanjing, China from 2017 to 2020. In these cases, whole organ sections were performed, the pathological data based on biopsy and radical prostatectomy specimens were summarized, and 3 integrated scores of prostate biopsy were calculated, namely the global score, the highest score and score of the largest volume. Results: Among the 556 patients, 104 cases (18.7%) were classified as WHO/ISUP grade group 1, 227 cases (40.8%) as grade group 2 (3+4=7); 143 cases (25.7%) as grade group 3 (4+3=7); 44 cases (7.9%) as grade group 4 (4+4=8) and 38 cases (6.8%) as grade group 5. Among the three comprehensive scoring methods for prostate cancer biopsy, the consistency of global score was the highest (62.4%). In the correlation analysis, the correlation between the scores of radical specimens and the global scores was highest (R=0.730, P<0.01), while the correlations of the scores based on radical specimens with highest scores and scores of the largest volume based on biopsy were insignificant (R=0.719, P<0.01; R=0.631, P<0.01, respectively). Univariate and multivariate analyses showed tPSA group and the three integrated scores of prostate biopsy were statistically correlated with extraglandular invasion, lymph node metastasis, perineural invasion and biochemical recurrence. Elevated global score was an independent prognostic risk factor for extraglandular invasion and biochemical recurrence in patients; increased serum tPSA was an independent prognostic risk factor for extraglandular invasion; increased hjighest score was an independent risk factor for perineural invasion. Conclusions: In this study, among the three different integrated scores, the overall score is most likely corresponded to the radical specimen grade group, but there is difference in various subgroup analyses. Integrated score of prostate biopsy can reflect grade group of radical prostatectomy specimens, thereby providing more clinical information for assisting in optimal patient management and consultation.

[Expression of GPNMB in renal eosinophilic tumors and its value in differential diagnosis]

Objective: To investigate the expression of glycoprotein non metastatic melanoma protein B (GPNMB) in renal eosinophilic tumors and to compare the value of GPNMB with CK20, CK7 and CD117 in the differential diagnosis of renal eosinophilic tumors. Methods: Traditional renal tumor eosinophil subtypes, including 22 cases of renal clear cell carcinoma eosinophil subtype (e-ccRCC), 19 cases of renal papillary cell carcinoma eosinophil subtype (e-papRCC), 17 cases of renal chromophobe cell carcinoma eosinophil subtype (e-chRCC), 12 cases of renal oncocytoma (RO) and emerging renal tumor types with eosinophil characteristics [3 cases of eosinophilic solid cystic renal cell carcinoma (ESC RCC), 3 cases of renal low-grade eosinophil tumor (LOT), 4 cases of fumarate hydratase-deficient renal cell carcinoma (FH-dRCC) and 5 cases of renal epithelioid angiomyolipoma (E-AML)], were collected at the Affiliated Drum Tower Hospital of Nanjing University Medical School from January 2017 to March 2022. The expression of GPNMB, CK20, CK7 and CD117 was detected by immunohistochemistry and statistically analyzed. Results: GPNMB was expressed in all emerging renal tumor types with eosinophil characteristics (ESC RCC, LOT, FH-dRCC) and E-AML, while the expression rates in traditional renal eosinophil subtypes e-papRCC, e-chRCC, e-ccRCC and RO were very low or zero (1/19, 1/17, 0/22 and 0/12, respectively); the expression rate of CK7 in LOT (3/3), e-chRCC (15/17), e-ccRCC (4/22), e-papRCC (2/19), ESC RCC (0/3), RO (4/12), E-AML(1/5), and FH-dRCC (2/4) variedly; the expression of CK20 was different in ESC RCC (3/3), LOT(3/3), e-chRCC(1/17), RO(9/12), e-papRCC(4/19), FH-dRCC(1/4), e-ccRCC(0/22) and E-AML(0/5), and so did that of CD117 in e-ccRCC(2/22), e-papRCC(1/19), e-chRCC(16/17), RO(10/12), ESC RCC(0/3), LOT(1/3), E-AML(2/5) and FH-dRCC(1/4). GPNMB had 100% sensitivity and 97.1% specificity in distinguishing E-AML and emerging renal tumor types (such as ESC RCC, LOT, FH-dRCC) from traditional renal tumor types (such as e-ccRCC, e-papRCC, e-chRCC, RO),respectively. Compared with CK7, CK20 and CD117 antibodies, GPNMB was more effective in the differential diagnosis (P<0.05). Conclusion: As a new renal tumor marker, GPNMB can effectively distinguish E-AML and emerging renal tumor types with eosinophil characteristics such as ESC RCC, LOT, FH-dRCC from traditional renal tumor eosinophil subtypes such as e-ccRCC, e-papRCC, e-chRCC and RO, which is helpful for the differential diagnosis of renal eosinophilic tumors.

[The prevalence of atrial cardiomyopathy in patients with different types of acute ischemic stroke and its relationship with cryptogenic stroke]

Objective: To investigate the prevalence of atrial cardiomyopathy in patients with different types of acute ischemic stroke and its relationship with cryptogenic stroke. Methods: Patients with acute ischemic stroke within 7 days of onset who were admitted to the Department of Neurology of the First Affiliated Hospital of Zhengzhou University from January to September 2019 were prospectively and consecutively enrolled. All included patients were classified according to TOAST classification of ischemic stroke. Chi-square test was used to compare the prevalence of atrial cardiomyopathy among patients with different TOAST classifications. Multivariate logistic regression model was used to analyze the related factors of cryptogenic stroke. Results: A total of 1 098 patients with acute ischemic stroke were enrolled in the study, including 661 males and 437 females, with a median age [M(Q₁,Q₃)] of 61 (53, 68) years. The prevalence of atrial cardiomyopathy in patients with cryptogenic stroke[53.5% (46/86)] was higher than that in patients with large artery atherosclerosis [38.0%(63/166), P=0.018] and small vessel occlusion [19.4%(37/191), P<0.001], but was lower than that of patients in the cardioembolic group [97.3% (72/74), P<0.001]. Multivariate logistic regression analysis showed that atrial cardiomyopathy was an associated factor for cryptogenic stroke (OR=2.945, 95%CI: 1.766-4.911, P<0.001). Conclusions: Atrial cardiomyopathy is associated with cryptogenic stroke. The prevalence of atrial cardiomyopathy in patients with cryptogenic stroke is higher than that in patients with large artery atherosclerosis and small vessel occlusion, but lower than that in patients with cardiac embolism.

[The correlation between plasma heat shock proteins 90α levels and white matter hyperintensity in patients with cerebral small vessel disease]

Objective: To investigate the relationship between plasma heat shock proteins 90α(Hsp90α) levels and the white matter hyperintensity(WMH) in patients with cerebral small vessel disease(SVD). Methods: Patients admitted to the Department of Neurology, the First Affiliated Hospital of Zhengzhou University from March to August 2021 and diagnosed with WMH by magnetic resonance examination (MRI) were selected as the case group, matched with physical examination patients who visited the Department of Medical Examination during the same period and showed no WMH on MRI and no history of neurological diseases as the control group, and the level of plasma Hsp90α was quantitatively detected by enzyme-linked immunosorbent assay. Mann-Whitney U test was used to compare whether there was a difference in plasma Hsp90α levels between the control group and the case group.Multivariate logistic regression analysis was used to explore the related factors of WMH in patients with SVD. Results: Of the 183 subjects, the control group (n=73) consisted of 28 males and 45 females, aged (54±10) years, while the case group (n=110) consisted of 71 males and 39 females, aged (64±10) years old. Plasma Hsp90α level was higher in the case group than that of the control group [53.33(35.33, 70.09) ng/ml vs 35.02(18.51, 54.95) ng/ml, P<0.001]. After adjusting for confounding factors by multivariate analysis, the results showed that plasma Hsp90α levels greater than 58.34 ng/ml was associated with WMH (P=0.002, OR=5.931, 95%CI:1.955-17.995). Conclusion: Higher level of plasma Hsp90α is associated with WMH in patients with SVD.

Porous Cr2O3 Architecture Assembled by Nano-Sized Cylinders/Ellipsoids for Enhanced Sensing to Trace H2S Gas

How to achieve high sensing of Cr₂O₃-based sensors for harmful inorganic gases is still a challenge. To this end, Cr₂O₃ nanomaterials assembled from different building blocks were simply prepared by chromium salt immersion and air calcination with waste scallion roots as the biomass template. The hierarchical architecture calcined at 600 °C is constructed from nanocylinders and nanoellipsoids (named as Cr₂O₃-600), and also possesses multistage pore distribution for target gas accessibility. Interestingly, the synergism of two shapes of nanocrystals enables the Cr₂O₃-based sensor to realize highly sensitive detection of trace H₂S gas. At 170 °C, Cr₂O₃-600 exhibits a high response of 42.8 to 100 ppm H₂S gas, which is 3.45 times larger than that of Cr₂O₃-500 assembled from nanocylinders. Meanwhile, this sensor has a low detection limit of 1.0 ppb (S = 1.4), good selectivity, stability, and moisture resistance. These results show that the combination of nanosized cylinders/ellipsoids together with exposed (104) facet can effectively improve the sensing performance of the p-type Cr₂O₃ material. In addition, the Cr₂O₃-600 sensor shows satisfactory results for actual monitoring of the corruption process of fresh chicken.

[Variations in Cadmium Accumulation and Transport and Ionomic Traits Among Different Winter Wheat Varieties]

A field trial was conducted to identify the key factors affecting intraspecific variation in the cadmium (Cd) content in the grain of winter wheat. Three wheat cultivars with low Cd accumulation and two wheat cultivars with high Cd accumulation were planted. The Cd accumulation and transport and ionomic traits were examined in different organs of the tested wheat cultivars. Additionally, correlation analysis and principal component analysis were used to identify the key plant organs, translocation pathways, and elements that determine the intraspecific variation in the Cd content in wheat grain. The results showed that the bioaccumulation factors of Cd in glume, rachis, internode 1, and node 1, as well as the transport factors of Cd from rachis to grain, from rachis to glume, from internode 1 to rachis, and from node 1 to internode 1, were significantly correlated with Cd bioaccumulation factors in grain. The above-mentioned bioaccumulation factors and transport factors of Cd made a great contribution to the principal components that could discriminate between the wheat cultivars with low and high Cd accumulation and were significantly different among cultivars. Therefore, glume, rachis, internode 1, and node 1 were the key organs affecting the genotype differences in Cd content in wheat grain, and Cd translocation from rachis to grain, from rachis to glume, from internode 1 to rachis, and from node 1 to internode 1 were the key pathways controlling the variety differences in Cd accumulation in wheat grain. The analysis of wheat ionome showed that the bioaccumulation factors of Mg and Mn in the key organs and the transport factors of Mo, Cr, and Pb in the key transport pathways were significantly correlated with the bioaccumulation factor of Cd in wheat grain and contributed greatly to the differentiation between the wheat cultivars with low and high Cd accumulation in the principal component analyses. Thus, in the above-mentioned key organs and transport pathways, Mg, Mn, Mo, Cr, and Pb were the key elements affecting the genotype differences in Cd content in wheat grain.

Exosome-mediated transfer of MIF confers temozolomide resistance by regulating TIMP3/PI3K/AKT axis in gliomas

Temozolomide (TMZ) resistance is an important cause of clinical treatment failure and poor prognosis in gliomas. Increasing evidence indicates that cancer-derived exosomes contribute to chemoresistance; however, the specific contribution of glioma-derived exosomes remains unclear. The aim of this study was to explore the role and underlying mechanisms of exosomal macrophage migration inhibitory factor (MIF) on TMZ resistance in gliomas. We first demonstrated that MIF was upregulated in the exosomes of TMZ-resistant cells, engendering the transfer of TMZ resistance to sensitive cells. Our results indicated that exosomal MIF conferred TMZ resistance to sensitive cells through the enhancement of cell proliferation and the repression of cell apoptosis upon TMZ exposure. MIF knockdown enhanced TMZ sensitivity in resistant glioma cells by upregulating Metalloproteinase Inhibitor 3 (TIMP3) and subsequently suppressing the PI3K/AKT signaling pathway. Additionally, exosomal MIF promoted tumor growth and TMZ resistance of glioma cells in vivo, while IOS-1 (MIF inhibitor) promotes glioma TMZ sensitive in vivo. Taken together, our study demonstrated that exosome-mediated transfer of MIF enhanced TMZ resistance in glioma through downregulating TIMP3 and further activating the PI3K/AKT signaling pathway, highlighting a prognostic biomarker and promising therapeutic target for TMZ treatment in gliomas.

[Effects of Intercropping of Brassica chinenesis L. and Tagetes patula L. on the Growth and Cadmium Accumulation of Plants]

A pot experiment was conducted to reveal the effects of intercropping a low-cadmium (Cd) accumulating cultivar and a Cd hyperaccumulator on the safe utilization and phytoextraction of Cd-polluted soils. Two cultivars of Brassica chinensis L. (the low-Cd accumulating cultivar Huajun, and the common cultivar Hanlü), were intercropped with four cultivars of Tagetes patula L. (Dwarf Red, Dwarf Yellow, Tall Red, and Tall Yellow). We examined the biomass, photosynthetic characteristics, and Cd accumulation in the plants and available Cd content and dissolved organic carbon (DOC) content in the soils. The results show that under the intercropping treatments, the biomass of B. chinensis decreased significantly and those of T. patula increased significantly, compared with the monoculture treatments. When intercropped with T. patula, the net photosynthetic rate, stomatal conductance, and transpiration rate in the leaves of B. chinensis decreased significantly, compared with the monoculture treatments. When Huajun was intercropped with Dwarf Red, the shoot Cd content of Huajun significantly decreased by 14.5%, and that of Dwarf Red increased significantly by 36.5% compared with the monoculture. Under the other intercropping treatments, the shoot Cd content of B. chinensis increased significantly, or showed no significant change, and that of T. patula showed no significant change. Under the intercropping treatments, the total amount of Cd in the shoot of B. chinensis decreased significantly, and that of T. patula increased significantly, compared with the monoculture. There were no significant differences in the Cd extraction ratios between the intercropping treatments and the monoculture of T. patula. The shoot Cd content of B. chinensis was significantly correlated with soil available Cd content and DOC content (P<0.01 and P<0.05, respectively). In conclusion, the intercropping treatment of Huajun and Dwarf Red significantly reduced shoot Cd content in B. chinensis and increased that in T. patula, and it did not affect the Cd extraction ratio. This is suitable for the safe utilization and phytoextraction of Cd-polluted soils.

[Effect of Mn-Modified Biochar on the Characteristics of Aggregate Structure and the Content of Cd in Weakly Alkaline Cd-Contaminated Soil]

Field experiments were conducted to investigate the effects of Mn-based modified rice husk biochar on soil organic carbon, aggregate structure, mass load, and the content of available Cd in aggregates. The results showed that the concentration of soil organic carbon increased gradually with additional modified biochar, resulting in a 3.2%-32% increase compared with the CK. Modified biochar improved the composition structure and stability of soil aggregates, and increased the amount of large aggregates (5-8 mm and 2-5 mm), while micro-aggregate production was inhibited (≤0.25 mm). Compared with the CK, mean weight diameter (MWD), geometrical mean weight (GMD), and soil aggregate structural body (R_0.25) of the soil aggregates increased by 15.1%-20.3%, 8.1%-22.4%, and 0.43%-7.6%, respectively. Cd was preferentially enriched on small aggregates, and the mass loading of Cd in soil aggregates increased gradually with decreasing particle size. The distribution factor of Cd showed significant enrichment in the 0.5-1 mm and 0.25-0.5 mm grain sizes, whereas it showed a clear loss in particle sizes of 5-8 mm and 2-5 mm. The addition of modified biochar reduced the content of DTPA-Cd in soil aggregates, causing 7.6%-15.1%, 15.6%-24.3%, 3.6%-13.8%, and 11.6%-13.7% reductions in 5-8, 2-5, 0.5-1.0, and 0.25-0.5 mm particle sizes, respectively. In general, modified biochar not only has a favorable optimizing function on the structure of soil aggregates, but also decreases the content of available Cd in different sizes of soil aggregates, increasing its significance in the remediation of Cd-contaminated soil.

[Effect of Different Passivating Agents on the Stabilization of Heavy Metals in Chicken Manure Compost and Its Maturity Evaluating Indexes]

We explore the effects of different passivating agents on livestock manure treatment by using chicken manure and straw as raw materials and thermophilic rapid fermentation. We investigate the effects of sepiolite (SE), calcium magnesium phosphate fertilizer (NP), biochar (BI), compounds of sepiolite plus calcium magnesium phosphate fertilizer (S+N), sepiolite plus biochar (S+B), calcium magnesium phosphate fertilizer plus biochar (N+B), and sepiolite plus calcium magnesium phosphate fertilizer and biochar (SNB) on the physical and chemical characteristics, heavy metal fraction and distribution, and organic matter content in chicken manure compost. The results showed that the addition of different passivating agents significantly increased the pH in chicken manure organic fertilizer (P<0.05). The seed germination rate was increased after applying of passivation agents, being>80%, and the germination inhibition rate decreased accordingly, whereas the values of electric conductivity (EC) and organic carbon were inhibited. The total nitrogen content and carbon/nitrogen ratio (C/N) were lower than of those before composting, and all of the indicators reached the standard of organic fertilizer maturity. However, differences among the groups after composting were that the pH increase in the compounding treatment was comparatively higher, and that the EC decreased significantly under the treatment of the single sepiolite and calcium magnesium phosphate, whereas the total nitrogen content and C/N ratio of organic carbon were not significantly different in each group. Although the total amount of heavy metals in our organic chicken manure fertilizer increased due to a concentration effect, the proportion of exchangeable heavy metals in the fertilizer decreased, and while the ratio of the residual heavy metals increased. The passivation effect on heavy metals under combined treatments of different materials was better than that of a single agent, and the SNB treatment had the best effect on the passivation of Ni, Zn, As, and Pb. After composting treatment, the concentrations of humic substances (HS) and humic acid (HA) increased significantly (P<0.05), and the highest concentrations increased by 19.8% and 78.9%, respectively. The amount of fulvic acid (FA) decreased by 4.47%-20.11% compared with the initial conditions. Infrared spectroscopy analysis showed that the small molecular substances of polysaccharides increased after composting. In summary, the addition of a passivation agent can promote the heavy metal passivation in chicken manure organic fertilizers to potentially render the compost as harmless.

[Substructure Characteristics of Combined Acid-Base Modified Sepiolite and Its Adsorption for Cd(Ⅱ)]

To enhance the adsorption capacity of sepiolite (Sep) on Cd²⁺ in solution, an acid-base Sep (ABsep) was obtained using the method of combined acid-base modification. The structural properties of Sep and ABsep were analyzed by adsorption-desorption isotherms of N₂, scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM-EDS), transmission electron microscopy (TEM), Fourier-transform infrared spectroscopy (FTIR), and X-ray powder diffraction (XRD). Static adsorption experiments were carried out to evaluate the effects of time, mass ratio of ABsep/Cd²⁺, temperature, adsorbent dose, pH, and co-existing ions on the adsorption of Cd²⁺ by ABsep. The results showed that the pore structure of the ABsep was more developed than that of Sep. In comparison to Sep, the specific surface area, average pore diameter, and pore volume of ABsep increased by 66.1%, 15.7%, and 34.8%, respectively, and the exchangeable ion contents also increased. The main components of the ABsep were SiO₂ and Mg(OH)₂. The adsorption process of Cd²⁺ by Sep and ABsep could be well fitted with a pseudo-second-order kinetic equation and Langmuir isotherm, and both were spontaneous endothermic reactions, which were mainly chemical adsorption along with physical adsorption. The best mass ratio of ABsep:Cd²⁺ was 3:1, and the maximum saturated adsorption capacity fitted by the Sips model of the ABsep on Cd²⁺ at 298 K was 142.43 mg·g^-1, which was 3.55 times that of Sep. As the adsorbent dose increased, the adsorption amounts of Cd²⁺ first increased and then decreased, with the optimum dose being 0.3 g·L^-1. The amount of Cd²⁺ adsorption by the ABsep increased with the initial pH of the solution, whereby the best pH was 7. We also found that the presence of K⁺, Na⁺, Mg²⁺, and Ca²⁺ at different concentrations could inhibit the adsorption of Cd²⁺, whereby the inhibition of Mg²⁺ was the highest.

[Efficacy of nasal CPAP and aerobic exercise of different intensity in patients with obstructive sleep apnea hypopnea syndrome and type 2 diabetes mellitus]

Objective: To explore the therapeutic efficacy of nasal Continuous Positive Airway Pressure (CPAP) and aerobic exercise of different intensity in patients with Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) and Type 2 Diabetes Mellitus (T2DM). Methods: A total of 112 patients with OSAHS and T2DM, including 53 males and 59 females, with a mean age of (66.9±7.8) years old, from the Fourth Rehabilitation Hospital of Shanghai and the Second Affiliated Hospital of Soochow University from January 2017 to December 2018 were enrolled prospectively. There were divided into two groups based on whether received nasal CPAP therapy: 50 cases in nasal CPAP+aerobic exercise group and 62 cases in aerobic exercise group. Subsequently, patients in nasal CPAP+aerobic exercise group were randomly divided into two subgroups: moderate and low intensity aerobic exercise (26 and 24 cases respectively). All patients completed nasal CPAP and (or) aerobic exercise of different intensity for 20 weeks. The therapeutic efficacy of polysomnography (PSG) parameters, glycolipid metabolism, 6 minutes walking distance (6 MWD), and rate of perceived exertion (RPE) were compared between each group before and after treatment. Results: Pre-and post-intervention, PSG parameters, body mass index (BMI) [(26.6±3.7) vs (24.3±2.8) kg/m(2)], RPE [(16.4±1.3) vs (12.2±2.6) score], 6 MWD [(372.6±59.7) vs (441.5±75.6) m] and glucolipid metabolism indexes were improved significantly in nasal CPAP+aerobic exercise group (all P<0.05), such as fasting blood glucose [(7.4±2.4) vs (6.2±1.6) mmol/L], glycosylated hemoglobin [(7.6±1.2)% vs (6.6±0.7)%], fasting insulin [(10.8±4.4) vs (6.9±3.4) μU/L], insulin resistance index [(3.5±1.9) vs (1.9±1.2)], total cholesterol [(4.0±0.9) vs (3.5±0.9) mmol/L], low density lipoprotein cholesterol [(4.2±0.6) vs (3.1±0.8) mmol/L]; BMI, exercise endurance, some glucolipid metabolism indexes and PSG parameters were also improved in aerobic exercise group (P<0.05). After 20 weeks' intervention, it showed statistically significant differences in PSG parameters, glycometabolism, some lipid metabolism indexes and RPE (all P<0.05), and no significantly difference in BMI [(24.3±2.7) vs (24.3±2.8) kg/m(2)] between the two groups. Compared with the low intensity subgroup, there were significant improvement in 2 hours' postprandial insulin, insulin resistance index, low density lipoprotein cholesterol, lipoprotein A, RPE, 6 MWD in moderate subgroup (P<0.05). Conclusion: Nasal CPAP combined with moderate intensity aerobic exercise can effectively improve the glucolipid metabolism, insulin resistance and exercise tolerance in patients with OSAHS and T2DM.

Large-Scale Synthesis of Hierarchically Porous ZnO Hollow Tubule for Fast Response to ppb-Level H2S Gas

Response and recovery time to toxic and inflammable hydrogen sulfide (H₂S) gas are important indexes for metal oxide sensors in real-time environmental monitoring. However, large-scale production of ZnO-based sensing materials for fast response to ppb-level H₂S has been rarely reported. In this work, hierarchically porous hexagonal ZnO hollow tubule was simply fabricated by zinc salt impregnation and subsequently calcination using absorbent cotton as the template. The influence of calcination temperature on the corresponding morphology and sensing properties is also explored. The hollow tubules calcined at 600 °C are constructed from abundant cross-linked nanoparticles (∼20 nm). Its Brunauer-Emmett-Teller surface area is 31 m²·g^-1 and the meso- and macroporous sizes are centered at 35 and 115 nm, respectively. The sensor with a lower detection limit of 10 ppb exhibits a fast response speed of 29 s toward the 50 ppb H₂S rather than those of the reported intrinsic and doped ZnO-based sensing materials. Furthermore, the sensor shows a wide linear range (10-1000 ppb), good reproducibility, and stability. Such excellent trace ppb-level H₂S performances are mainly related to the inherent characteristics of hierarchically porous hollow tubular structure and the surface-adsorbed oxygen control type mechanism.

[Predictive value of serum glycosylated hemoglobin for the onset of nonalcoholic fatty liver disease]

Objective: To discuss the affect of glycosylated hemoglobin (HbA1c) level for the onset of nonalcoholic fatty liver disease (NAFLD) in cohort population. Methods: An epidemiological survey of the relationship between HbA1c and NAFLD conducted in 2012 was based at cohort baseline, and three follow-up sessions conducted in 2013, 2014 and 2015. In total 2 811 subjects were included in the study after exclusion of NAFLD patients at baseline and those who lost their lives due to relocation, and death. The Cox proportional hazard model was used to analyze the relationship between glycosylated hemoglobin and other risk factors of NAFLD. Continuous variables were compared using the t-test or the Mann-Whitney test. χ (2)-test was used for the measurement of categorical data. Results: A total of 2 811 subjects with mean age of 59 (58.2±9.8) years old, including 1 664 males and 1 147 females. Age, waist circumference, body mass index, systolic blood pressure, γ-glutamyltransferase and fasting blood glucose level of HbA1c abnormal group were higher than normal group. The incidence of NAFLD in the abnormal HbA1c level group (25.4%) was higher than normal group (14.9 %), and diastolic blood pressure, high-density lipoprotein cholesterol was lower than normal group and the differences were statistically significant. During the three follow-up intervals, there were 440 new cases of NAFLD, consisting 285 males and 155 females with cumulative incidence of 15.7% (440/2 811). Multivariate Cox regression analysis showed that patients with elevated HbA1c had a higher risk of developing NAFLD (HR 1.796; 95% CI 1.335~2.418; P < 0.01), and the increased HbA1c level after adjustment for gender, age, and metabolic syndrome-related factors remained an independent risk factors for NAFLD (HR 1.580; 95.0% CI 1.161-2.152; P < 0.01). Conclusion: An elevated HbA1c levels have a positive predictive value for the onset of NAFLD.

[The correlation between CT score of lung injury and oxygenation index in patients with acute hydrogen sulphide poisoning]

Objective: To explore correlation between chest CT score and oxygenation index in patients with acute hydrogen sulphide poisoning, whether CT score can be applied to assess acute lung injury after acute hydrogen sulfide poisoning and provide basis and reference. Methods: The clinic and a series of CT datas of 32 acute hydrogen sulphide poisoning cases were retrospectively analysed and compared, According to GBZ31-2002 (the diagnostic standard of occupational H(2)S acute poisoning) , these patients were divided into 2 grouds including moderate groud and severe groud; The CT score were improved, referenceing the scoring criteria of the chest X-ray; The difference of the CT score and the oxygenation index were analyzed between moderate and severe group in the acute phase and the disperse phase; The correlation between CT score and oxygenation index were analyzed. Results: The CT score in moderate poisoning group were lower than severe group (2.26±1.37 vs 10.44±2.55, 1.34±0.65 vs 4.55±2.45, all P<0.05) in the acute phase and the dissipation phase.The oxygen index of the 19 cases in the acute phase were 307.55±28.29, and the oxygen index of the 8 cases in the dissipation phase was 435.75±37.00; The oxygen index of the 9 cases in the acute phase and the dissipation phase were respectively 193.17±36.41, 347.67±44.49. The oxygen partial pressure and oxygenation index in severe group were significantly lower than those in moderate group (all P<0.01) in the acute phase and the dissipation phase. Pearman correlation analysis showed that the CT score were negatively correlated to the oxygen index in the acute phase and the dissipation phase, respectively (r=-0.97、-0.75, all P<0.01) . Conclusions: The CT score of lung injury and oxygenation index is negatively correlated. The CT score can be used to evaluate the degree of lung injury, and can be used in the evaluation of acute lung injury after acute hydrogen sulfide poisoning.

[Characteristics of Heavy Metals in Chicken Manure Organic Fertilizers in the Huang-Huai-Hai Region and related Environmental Risk Assessment]

One hundred and twenty types of chicken manure organic fertilizer samples were collected from five provinces and two cities in the Huang-Huai-Hai region, to investigate heavy metal content, fractionation, and environmental risk through toxicity characteristic leaching procedures. Results showed that content of heavy metals in chicken manure organic fertilizer varied greatly, in the order of Zn > Cu > Pb > As > Cd. When compared with the standard for organic manure, ratios of Cd, As, and Pb exceeded the standard by 6.7%, 47.05%, and 14.28%, respectively. Moreover, the content of heavy metals varied significantly in different provinces. Cd and Zn in organic manure fertilizers were mainly Fe and Mn oxide-bound fractions, accounting for 37.3% and 43.79%, respectively. However, the proportion of residual fractions of Pb, organically-bound fractions of Cu, and exchangeable forms of As were higher. Contents of TCLP-Zn,-Cu,-Cd,-Pb and-As in organic manure were 41.11, 33.3, 0.07, 1.25, and 0.21 mg·kg^-1, respectively. The number of samples in which Zn and Pb in organic manure exceeded the standard was 6 and 5, respectively, with these mainly obtained from Hebei and Jiangsu provinces. There was a significant correlation between total content of Zn, Cu, Cd, and As in organic manure and content of TCLP (P<0.05). Based on an annual manure application rate of chicken manure of 15 t·hm^-2, safe application of chicken manure is in the order of Henan > Tianjin > Anhui=Shandong=Jiangsu > Hebei > Beijin.

[Effect of Foliar Zinc Application on Bioaccessibility of Cadmium and Zinc in Pakchoi]

Two cultivars of pakchoi with different cadmium (Cd) accumulation were grown in nutrient solutions containing low and sufficient zinc (Zn) levels. ZnSO₄ and ZnNa₂ EDTA were applied as foliar fertilizers. The bioaccessibilities of Cd and Zn in pakchoi were assessed by the in vitro digestion method, and the bioaccessible established daily intakes (BEDI) of Cd and Zn from pakchoi were calculated. The effect of foliar zinc application on concentrations, bioaccessibilities, and BEDIs of Cd and Zn in pakchoi was evaluated. Results show that the Cd concentrations in shoots of the tested pakchoi cultivars under sufficient Zn condition were significantly lower than those under low Zn condition, and foliar application of ZnNa₂ EDTA significantly decreased the Cd concentrations of pakchoi. The tested pakchoi cultivars with sufficient Zn had a significantly higher mean shoot Zn concentration than those with low Zn. Foliar Zn treatments significantly increased shoot Zn concentrations of pakchoi, with the highest in the ZnSO₄ treatment. Cd bioaccessibility in the tested pakchoi cultivars with sufficient Zn was significantly lower than that with low Zn. Foliar applied Zn could significantly reduce Cd bioaccessibility in the gastric phase, with a maximal reduction of 35.81% compared to the control. Foliar treatment with ZnSO₄ could significantly decrease Cd bioaccessibility in the small intestinal phase, with a maximal reduction of 59.24% compared to the control. Foliar Zn treatments reduced significantly the Zn bioaccessibility of pakchoi in the gastric and small intestinal phases, with a maximal reduction of 68.90% compared to the control. The reduction of Zn bioaccessibility was higher in the ZnSO₄ treatment than in the ZnNa₂ EDTA treatment. Via the consumption of the Cd-contaminated common cultivar Hanlv, the BEDI values of Cd were higher than that of the provisional tolerable daily intake (PTDI) standard of WHO [0.83 μg·(kg·d)^-1]. However, via the consumption of the low-Cd accumulating cultivar Huajun or pakchoi with foliar application of ZnSO₄, the BEDI values of Cd decreased significantly and were below the PTDI value. Via the consumption of pakchoi in the control or low-level ZnNa₂ EDTA treatments, the BEDI values of Zn were below that of the recommended nutrient intake for Zn. However, via the consumption of pakchoi with foliar application of ZnSO₄ or high-level ZnNa₂ EDTA, the BEDI values of Zn were higher than that of the recommended nutrient intake and met the human needs for Zn from vegetables. Under the ZnSO₄ treatment, the BEDI values of Zn from pakchoi were the highest. In conclusion, foliar zinc application could significantly reduce the bioaccessibilities of Cd and Zn in pakchoi and the BEDI values of Cd and increase the BEDI values of Zn. Foliar application with ZnSO₄ was the most suitable treatment to reduce Cd intake and increase Zn intake from pakchoi.

Development of novel DNA markers for genetic analysis of grey hamsters by cross-species amplification of microsatellites

The grey hamster has been used in biomedical research for decades. However, effective molecular methods for evaluating the genetic structure of this species are lacking, which hinders its wider usage. In this study, we employed cross-amplification of microsatellite loci of species within the same genus by polymerase chain reaction. Loci screened included 107 from the Mongolian gerbil (MG) and 60 from the Chinese hamster (CH); of these, 15 polymorphic loci were identified for the grey hamster. Of the 167 loci screened, 95 (56.9%) with clear bands on agarose gel were initially identified. After sequencing, 74 (77.9%) of these matched the criteria for microsatellite characteristics, including 41 from MG and 33 from CH. Lastly, 15 (20.3%) loci with more than two alleles for each locus were identified through capillary electrophoresis scanning. To justify the applicability of the 15 grey hamster loci, genetic indexes of grey hamsters were evaluated using 46 generations of outbred stock, established 20 years ago, from Xinjiang, China. Mean effective allele numbers and expected heterozygosity of stock were as low as, respectively, 1.2 and 0.14; these were 2.8 and 4.0 times inferior, respectively, to wild grey hamsters. This finding suggests that the genetic structure of the stock-bred population is too weak to resist artificial and natural selection, mutation and genetic drifting. In conclusion, we have developed de novo microsatellite markers for genetic analysis of the grey hamster, providing data and methodology for the enrichment of a genetic library for this species.

Temporal variations of mobile carbohydrates in Abies fargesii at the upper tree limits

Low temperatures are associated high-altitude treelines, but the functional mechanism of treeline formation remains controversial. The relative contributions of carbon limitation (source activity) and growth limitation (sink activity) require more tests across taxa and regions. We examined temporal variations of mobile carbon supply in different tissues of Abies fargesii across treeline ecotones on north- and south-facing slopes of the Qinling Mountains, China. Non-structural carbohydrate (NSC) concentrations in tissues along the altitudinal gradient on both slopes changed significantly in the early and late growing season, but not in the mid-growing season, indicating the season-dependent carbon supply status. Late in the growing season on both slopes, trees at the upper limits had the highest NSC concentrations and total soluble sugars and lowest starch concentrations compared to trees at the lower elevations. NSC concentrations tended to increase in needles and branches throughout the growing season with increasing elevation on both slopes, but declined in roots and stems. NSC concentrations across sampling dates also indicated increases in needles and branches, and decreases in roots and stem with increasing elevation. Overall altitudinal trends of NSC in A. fargesii revealed no depletion of mobile carbon reserves at upper elevation limits, suggesting limitation of sink activity dominates tree life across treeline ecotones in both north- and south-facing slopes. Carbon reserves in storage tissues (especially roots) in the late growing season might also play an important role in winter survival and early growth in spring at upper elevations on both slopes, which define the uppermost limit of A. fargesii.

Highly selective and efficient adsorption dyes self-assembled by 3D hierarchical architecture of molybdenum oxide

A novel hierarchical architecture of MoO₃ exhibits a fast and selective adsorption to the organic pollutants.

[Immobilization remediation of Cd and Pb contaminated soil: remediation potential and soil environmental quality]

A pot experiment was conducted to investigate the immobilization remediation effects of sepiolite on soils artificially combined contamination by Cd and Pb using a set of various pH and speciation of Cd and Pb in soil, heavy metal concentration in Oryza sativa L., and soil enzyme activity and microbial quantity. Results showed that the addition of sepiolite increased the soil pH, and the exchangeable fraction of heavy metals was converted into Fe-Mn oxide, organic and residual forms, the concentration of exchangeable form of Cd and Pb reduced by 1.4% - 72.9% and 11.8% - 51.4%, respectively, when compared with the control. The contents of heavy metals decreased with increasing sepiolite, with the maximal Cd reduction of 39.8%, 36.4%, 55.2% and 32.4%, respectively, and 22.1%, 54.6%, 43.5% and 17.8% for Pb, respectively, in the stems, leaves, brown rice and husk in contrast to CK. The addition of sepiolite could improve the soil environmental quality, the catalase and urease activities and the amount of bacteria and actinomycete were increased to some extents. Although the fungi number and invertase activity were inhibited compared with the control group, it was not significantly different (P > 0.05). The significant correlation between pH, available heavy metal content, urease and invertase activities and heavy metal concentration in the plants indicated that these parameters could be used to evaluate the effectiveness of stabilization remediation of heavy metal contaminated soil.

Low-dose epidural dexmedetomidine improves thoracic epidural anaesthesia for nephrectomy

Thoracic epidural anaesthesia alone is an applied technique of anaesthesia for nephrectomy which has both advantages and limitations. Dexmedetomidine is a highly selective alpha2-adrenoreceptor agonist which has both central and peripheral analgesic properties. Forty patients undergoing nephrectomy were enrolled in this clinical trial and allocated randomly to two groups, a control group (C group) and a dexmedetomidine group (D group). The C group received epidural 0.75% levobupivacaine 12 ml with 1 ml of isotonic sodium chloride solution, while the D group received epidural 0.75% levobupivacaine 12 ml with 1 ml (0.5 µg/kg) of dexmedetomidine. Haemodynamic changes, onset time and duration of sensory and motor block, muscle relaxation score, verbal rating score for pain, sedation score and the total postoperative analgesic consumption were evaluated. Sensory blockade duration was longer in the D group than in the C group (P=0.01). The incidence of motor block and the muscle relaxation score were significantly higher in the D group compared with the C group (P=0.01). Compared with the C group, pain scores were significantly lower in the first four postoperative hours in the D group (two hours rest P=0.038; two hours activity P=0.009; four hours rest P=0.044; four hours activity P=0.003). The total amount of flurbiprofen analgesic was significantly lower in the D group compared with the C group (P=0.03). Epidural dexmedetomidine 0.5 µg/kg appears to intensify thoracic epidural anaesthesia with levobupivacaine.

Influence of aggressive nutritional support on growth and development of very low birth weight infants

AIM

To investigate the influence of the early postnatal aggressive nutritional support on the very low birth weight infants (VLBWI) during hospitalization.

MATERIALS AND METHODS

Surviving premature infants without obvious deformity, with gestational age more than 28 weeks and less than 32 weeks, birth weight 1,000 g to 1,500 g, admitted in NICU in Affiliated Children's Hospital of Suzhou University during 12 hours after birth and stay for two weeks or more from January 2008 to December 2011 were selected, including 44 cases (admitted from September 2010 to December 2011) in the observation group and 36 cases in the control group (admitted from January 2008 and September 2010). The infants in the observation group were treated by aggressive nutritional management, while traditional nutritional management for infants in the control group. The variations of nutritional intake, weight gain, jaundice index, blood biochemistry, serum electrolytes indexes, and complications were compared between the two groups.

RESULTS

Compared to the control group, the average growth rate and the albumin (ALB) and prealbumin (PA) levels two week after birth and before leaving hospital of the infants in the observation group was significantly higher (p < 0.05), and the incidence of the extrauterine growth retardation was significantly decreasing (p < 0.05). However, the days of hyperbilirubinemia, highest value of the serum bilirubin, duration ofjaundice, platelets after intravenous nutrition, liver function, blood lipid levels, blood glucose, blood PH, serum creatinine, urea nitrogen, and electrolytes of the first day and the seventh day after birth and the in- cidence of parenteral nutrition-associated cholestasis (PNAC) and necrotizing enterocolitis (NEC) between the two group had no difference (p > 0.05).

CONCLUSION

The implementation of aggressive nutritional management on the with VLBWI was safe and effective.

[Effect and mechanism of immobilization of cadmium and lead compound contaminated soil using new hybrid material]

The effect of new hybrid material and its compound treatments with phosphate on immobilization of cadmium and lead in contaminated soil was investigated using a pot-culture experiment, and the immobilization mechanism of hybrid material was clarified through analysis of heavy metal fractions, sorption equilibration experiment and X-ray photoelectron spectroscopy (XPS). The single treatments of hybrid material could not significantly promote growth of Brassica chinensis, while the compound treatments of hybrid material and phosphate markedly increased dry biomass of shoots and roots, with maximal increases of 75.53% and 151.22%, respectively. Different hybrid material treatments could significantly reduce Cd and Pb concentrations in shoots, with maximal reductions of 66.79% and 48.62%, respectively, and the compound amendment treatments appeared more efficient than the single amendment treatments in reducing Cd and Pb uptake of B. chinensis. Different hybrid material treatments could significantly decrease concentrations of toxicity characteristic leaching procedure (TCLP) extractable Cd and Pb, and the compound hybrid material treatments appeared more efficient than the single treatments in reducing TCLP extractable Cd and Pb. Through the formation of bidentate ligand between metal ions and surface sulfhydryl by complexing reaction, the hybrid material could absorb and fix mobile fractions of Cd and Pb in soil, and promote transformation of acid extractable Cd and Pb into residual fraction, resulting in significant reduction of heavy metals bioavailability and mobility and then fixing remediation of contaminated soil. In summary, the compound treatment of hybrid material and phosphate is the most effective treatment for immobilization of Cd and Pb in contaminated soils, and the hybrid material inactivates Cd and Pb in soil mainly through special chemical adsorption.

[Effects of acid and heating treatments on the structure of sepiolite and its adsorption of lead and cadmium]

The effects of acid and heating treatment on the structure of sepiolite and its adsorption capacities for Pb2+ and Cd2+ were investigated using X-ray powder diffraction, infrared spectroscopy, surface area analyses and batch sorption experiments in this paper. The results showed that the BET surface area of the sepiolite samples grew with increase concentrations of HCl and prolong treatment time and no obvious structural changes were observed. CaCO3 as the impurity in the natural sepiolite can not be removed completely in the treatment process with 0.5 mol x L(-1) HCl. The surface area of sepiolite treated with 6 mol x L(-1) HCl and continuous stirring 72 h reached the maximum 301.47 m2 x g(-1). A decrease in the BET surface area was observed for the samples treated with acid at higher temperature. The BET surface area of samples treated with different acid species arranged in the order HCl > HNO3 > H2SO4. The calcinations process decreased the BET surface area from 21.44 m2 x g(-1) at 100 degrees C to 0.17 m2 x g(-1) at 900 degrees C. The adsorption results indicated that despite increases in the surface areas upon acid activation, improvements in the adsorption were not observed for heavy metal Pb2+ and Cd2+ ions. Pb2+ ions have higher affinity for specific adsorption onto the sepiolite samples than Cd2+ ions. H2SO4 treatment was found to be more effective for the removal of Pb2+ and Cd2+ ions than HCl and HNO3 treatments. It is apparent that PbSO4 and CdSO4 were formed during the sorption process. The calcinations treatment exhibited no significant effects on the adsorption of Pb2+ ions onto sepiolite, but the adsorption of Cd2+ ions obviously increased above 700 degrees C.

Chronic lumbar paraspinal compartment syndrome: a case report and review of the literature

A 25-year-old male weightlifter felt increasing intractable low back pain during training but denied any acute injury. The physical examination, blood parameters, radiographs and MRI were unremarkable. He had been treated non-operatively by various means, with only temporary relief. The pressures in the lumbar paraspinal compartment were abnormally high and he was treated by surgical decompression. This gave rapid relief, he returned to training, and one year later the pain had not recurred.

Chronic lumbar paraspinal compartment syndrome: a case report and review of the literature

A 25-year-old male weightlifter felt increasing intractable low back pain during training but denied any acute injury. The physical examination, blood parameters, radiographs and MRI were unremarkable. He had been treated non-operatively by various means, with only temporary relief. The pressures in the lumbar paraspinal compartment were abnormally high and he was treated by surgical decompression. This gave rapid relief, he returned to training, and one year later the pain had not recurred.

Tris(4-hydroxy-pyridinium) hydrogen sulfate-sulfate monohydrate

In the crystal structure of the title salt, 3C(5)H(6)NO(+)·HSO(4) (-)·SO(4) (2-)·H(2)O, the hydrogen sulfate ion is linked to the sulfate ion by an O-H⋯O hydrogen bond. The hydrogen sulfate-sulfate anion is a hydrogen-bond acceptor for the three independent cations and the uncoordinated water mol-ecule, the hydrogen-bonding inter-actions giving rise to a three-dimensional hydrogen-bonded network. In the hydrogen sulfate-sulfate species, one of the sulfate groups is disordered in respect of its O atoms in a 2:1 ratio.

2,2'-[Ethyl-enebis(azanediyl-methyl-ene)]diphenol

In the title compound, C₁₆H₂₀N₂O₄, the mol­ecule features a zigzag –CH₂–NH–CH₂–CH₂–NH–CH₂– chain whose ends are connected to the hydroxy­phenyl rings. The mol­ecules lies about a center of inversion. The imino group is a hydrogen-bond donor for the hydr­oxy group, which is a hydrogen-bond donor for the imino group of an adjacent mol­ecule. This latter inter­molecular hydrogen bonding leads to a layer structure.

4-Hydroxy-pyridinium hydrogen sulfate

The crystal structure of the title salt, C₅H₆NO⁺·HSO₄⁻, consists of planar(r.m.s. deviation = 0.001 Å) 4-hydroxy­pyridinium cations and hydrogen sulfate anions which are hydrogen bonded into a layer motif. In the anion, the S—O bond [1.551 (2) Å] involving the O atom bearing the acid H atom is longer than the other three S—O bonds, which range from 1.437 (1) to 1.454 (1) Å.

Bis(4-hydroxy-pyridinium) sulfate monohydrate

In the crystal structure of the title salt, 2C₅H₆NO⁺·SO₄²⁻·H₂O, one planar (r.m.s. deviation = 0.01 Å) cation is stacked approximately over the other [dihedral angle between planes = 8.6 (1)°]. The pyridinium and hydr­oxy H atoms are hydrogen-bond donor atoms to the O atoms of the sulfate anion; the cations, anions and water mol­ecules are consolidated into a three-dimensional network through O—H⋯O and N—H⋯O hydrogen bonds.

Urethral cystoscopic realignment and early end-to-end anastomosis develop different influence on erectile function in patients with ruptured bulbous urethra

The objective of this study is to compare the influence on erectile function between urethral cystoscopic realignment and early end-to-end anastomosis treating ruptured bulbous urethra. 58 cases were selected, 32 had urethral cystoscopic realignment (group I) and 26 cases had urethral end-to-end anastomosis (group II). The parameters of P-CDU (Penile Color Duplex Ultrasound), NPT (Nocturnal Penile Tumescence), and IIEF-5 (International Index of Erectile Function) were compared between the two groups 6 months after operation. Group I was higher than group II in IIEF (21 vs 14) with significant differences. With P-CDU we observed an improvement in penile vascularization in group I as confirmed by the detection of an increase in peak systolic velocity (PSV) (26 cm/s vs 16 cm/s, p<0.01) and a decrease in end diastolic velocity (EDV) (3 cm/s vs 6 cm/s p<0.05), resulting in an increase in resistive index (RI) (0.85 vs 0.56, p<0.05). The parameters of NPT showed a significant increase compared to group II (p<0.01) in satisfactory erection number (5 vs 1.5), maximum rigidity (80% vs 42%), and total time that the increase in circumference was greater than 30% of baseline during sleep (100 sec vs 30 sec). Urethral cystoscopic realignment treating ruptured bulbous urethra can reduce the incidence of erectile dysfunction [ED]. A long term follow-up should be studied.

Reduced semen quality in chronic prostatitis patients that induce the release of apoptotic protein Omi/HtrA2 from spermatozoa

The relationship between chronic prostatitis and fertility has been disputed for many years. Several groups have shown infection and autoimmune response against prostate antigens could have a deleterious effect on semen quality and fertility. This study was conducted to test the hypothesis that Omi/HtrA2-induced apoptosis in chronic prostatitis could be a mechanism underlying the observed clinical benefit. The Omi/HtrA2 serine protease is a nuclear-encoded mitochondrial protein, which can be released from mitochondria into the cytosol after apoptosis stimuli, inducing apoptosis in caspase-dependent and independent manners. Forty-one patients diagnosed as suffering from chronic prostatitis were included. Healthy normal individuals were included as controls. Human spermatozoa in the semen were purified by Percoll-gradient technique to separate the seminal plasma and other round cells. Measurements for sperm concentration, motility, morphology, proinflammatory cytokines, Omi/HtrA2 mRNA and protein levels in spermatozoa of chronic protatitis patients, were performed accordingly. Significantly increased levels of proinflammatory cytokines were detected in seminal plasma from these prostatitis patients. Omi/HtrA2 mRNA and protein levels were significantly higher in prostatitis men than in normal men. This study shows that chronic prostatitis patients present important alterations in their semen quality parameters, Omi/HtrA2 mRNA and protein levels of spermatozoa. We speculate that the inflammatory process involved may affect male fertility by release of proapoptotic protein Omi/HtrA2.

One-step preparation of MgO hollow spheres and hexagonal cylinders via Zn template

Polycrystalline hollow spheres and single crystalline hexagonal cylinders of MgO have been fabricated by chemical vapor deposition using ZnO and Mg as the starting materials. The Zn produced during the chemical reaction serves as template material, and vaporization of which leads to the formation of the hollow structures. The presence of trace amount of Si in the source material is identified to be critical for the existence of the stable MgO hollow structures, which otherwise would be damaged during the Zn template removal process. The same principle can be readily adopted in many other material systems and result a variety of hollow structures for catalyst, sensor and medical applications.

Antibody response to four secretory proteins from Mycobacterium tuberculosis and their complex antigen in TB patients

OBJECTIVE

To evaluate antibody responses to a panel of four protein antigens secreted from Mycobacterium tuberculosis, CFP-21, ESAT-6, MPT-63 and MPT-64, and their complex antigen.

DESIGN

Seventy-eight samples of serum and cerebral spinal fluid were tested by ELISA.

RESULTS

Serum IgM antibody positive rates of protein antigens CFP-21, ESAT-6, MPT-63 and MPT-64 and their multi-antigen complex were respectively 34.6%, 60.3%, 52.6%, 78.2% and 96.2%; IgG antibody positive rates were respectively 46.2%, 64.1%, 93.6%, 57.7% and 84.6%. The specificity of the antibodies to the four proteins secreted from M. tuberculosis and its mixture antigen was 100%; sensitivity to the multi-antigen complex was higher than for the four single antigens. Among the IgM positive rates, the differences between the multi-antigen complex and CFP-21, ESAT-6, MPT-63 and MPT-64 were significant (P < 0.01); among the IgG positive rates, the differences between the multi-antigen complex and CFP-21, ESAT-6 and MPT-64 were significant (P < 0.01). Although the IgG positive rate for MPT-63 was higher than for the multi-antigen complex, the difference was not significantly different (P > 0.05).

CONCLUSION

These findings indicate that the multi-antigen complex composed of CFP-21, ESAT-6, MPT-63 and MPT-64 may be useful in the diagnosis of TB.

Fabrication of nanopeas with ZnSe-filled SiO(2) nanotube/nanowire configuration

Composite nanopeas with ZnSe nanodots/rods embedded in an SiO(2) nanowire/tube configuration have been fabricated via a simple thermochemistry method. The nanopeas are uniform with an average outer diameter of approximately 80 nm. The SiO(2) nanowires/tubes are amorphous, whereas the encapsulated ZnSe nanodots/rods are single crystalline. Two key experimental factors are identified for the composite nanopea formation, which enables such methodology to be generally applied to a variety of other material systems.

Lewis base effects in the Baylis-Hillman reaction of imines with cyclohex-2-en-1-one and cyclopent-2-en-1-one

In the Baylis-Hillman reaction of N-benzylidene-4-methyl-benzenesulfonamide with cyclohex-2-en-1-one or cyclopent-2-en-1-one, we found that, in the presence of a catalytic amount of DMAP, the Baylis-Hillman reaction can be greatly accelerated to give the normal Baylis-Hillman adduct 1 or 3 in good or very high yields: moreover, using PBu3 as a Lewis base in the reaction of N-benzylidene-4-methylbenzenesulfonamide with cyclopent-2-en-1-one, the normal Baylis-Hillman adducts 3 could be obtained in very high yields within 5 h, however, using PBu3 or DBU as a Lewis base in the reaction of N-benzylidene-4-methyl-benzenesulfonamide with cyclohex-2-en-1-one, beside the normal Baylis-Hillman adduct 1 abnormal Baylis-Hillman adduct 3-aryl-2-[(4-methylphenyl)sulfonyl]-2-azabicyclo[2.2.2]octan-5-one 2 was formed at the same time; the substituent's effects were also examined.

Seven new sesquiterpene glycosides from the root bark of Dictamnus dasycarpus

From the water-soluble constituents of the root bark of Dictamnus dasycarpus, six new eudesmane-type sesquiterpene glycosides, dictamnosides H-M (1-6), and a new trinorguaiane-type sesquiterpene glycoside, dictamnoside N (7), together with four known sesquiterpene glycosides, dictamnosides A (8), B (9), D (10), and G (11), were isolated. Their structures were elucidated by spectroscopic analyses and chemical evidence. In vitro tests for immunological activity showed dictamnoside A (8) to possess remarkable activity in stimulating the proliferation of T-cells.

Enhanced continent mechanism of tapered ileum by extramural support from the pouch and abdominal walls: a preliminary report of a clinical study

PURPOSE

We constructed a reliable continent tube that is easy to catheterize and surgically simple.

MATERIALS AND METHODS

Eight patients with bladder cancer underwent a procedure in which ileal segment was tapered as an efferent tube, of which a part was placed between the back surface of the rectus muscle and the ileal pouch wall. The internal orifice of the tapered ileum was anastomosed to the ileal pouch and its external orifice was anastomosed to the umbilicus. Urodynamic and radiological studies were done postoperatively in 7 cases.

RESULTS

The stoma was easily catheterized with a 16Fr catheter in all cases. One patient died of heart disease 55 days postoperatively, while 6 of the remaining 7 were completely continent day and night. Urodynamic study of the efferent tubes showed that maximum close pressure with the pouch full was significantly higher than with the pouch empty (p <0.001). Retrograde radiography of the efferent tubes demonstrated perfect canalization without stenosis.

CONCLUSIONS

This study indicates that the continent mechanism of tapered ileum may be greatly enhanced by fixing it between the abdominal and pouch walls. This maneuver also provides easy catheterization and surgical simplicity.

Preparation and Defluorination Performance of Activated Cerium(IV) Oxide/SiMCM-41 Adsorbent in Water

By using the wetness impregnation-coprecipitation method, a new adsorbent, cerium(IV) oxide coated on SiMCM-41 ((Ce)SiMCM-41), was prepared for removal of fluoride ions from water. Factors investigated were number of impregnations, Ce/Si ratios, concentrations of F(-) ions, pH values, and calcination temperatures. The dynamics, isotherms, and mechanism of adsorption of F(-) ions were discussed. Copyright 2001 Academic Press.

Effects of magnesium lithospermate B on aggregation and 5-HT release in rabbit washed platelets

AIM

To study the effects and mechanism of magnesium lithospermate B(MLB) on rabbit platelet aggregation and 5-HT release.

METHODS

The platelet aggregation was determined by Born's method. Release of serotonin (5-HT) and formation of thromboxane A2 (TXA2) were measured by fluorophotometry and radioimmunoassay (RIA) respectively. Cytoplasmic free Ca2+ concentration ([Ca2+]i) in platelets was measured by Fura 2-AM fluorescence technique.

RESULTS

In washed platelets, thrombin (200 U/L) or arachidonic acid (AA) (30 mumol/L)-induced aggregation was inhibited by MLB 50-800 mg/L in a concentration-dependent manner. In addition, MLB had more inhibitory effects on platelet aggregation in the absence of extracellular calcium with IC50 of 102 mg/L than in the presence of CaCl2 1 mmol/L with IC50 of 194 mg/L. MLB concentration-dependently decreased the thrombin-activated release of 5-HT, whereas it did not affect the formation of TXA2 in platelets. Furthermore, MLB not only inhibited the rise of [Ca2+]i in thrombin stimulated platelets, but decreased the [Ca2+]i in resting platelets.

CONCLUSION

MLB inhibited the aggregation and 5-HT release in rabbit platelets and it is probably by attenuating intracellular calcium concentration.

Free radical scavenging and inhibition of lipid peroxidation by magnesium lithospermate B

AIM

To study the effect of magnesium lithospermate B (MLB) on the lipid peroxidation and on its free radical scavenging activity.

METHODS

MLB was incubated in rat tissue homogenate or in a free radical generating system. MLB induced inhibition of lipid peroxidation and its scavenging activity on superoxide anions and hydroxyl radicals was studied using colorimetric estimation.

RESULTS

MLB inhibited the lipid peroxidation induced by either an auto-oxidant or Fe2+/VitC in vitro, in the liver homogenate, the inhibitory rate of MLB (10 mg/L) being 69.2% and 57.7%, respectively. MLB (25 and 50 mg/kg) decreased the amount of thiobarbituric acid reactive substances (TBARS) in rat serum, liver, kidney, and heart. However, it did not inhibit the lipid peroxidation of brain homogenate ex vivo. MLB scavenged superoxide anions generated from xanthine/xanthine oxidase system and iron-dependent hydroxyl radicals.

CONCLUSION

MLB is an inhibitor of lipid peroxidation and scavenge superoxide anions and hydroxyl radicals both in vitro and ex vivo.