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Background: The role of mechanical power on pulmonary outcomes after thoracic surgery with one-lung ventilation was unclear. We investigated the association between mechanical power and postoperative pulmonary complications in patients undergoing thoracoscopic lung resection surgery. Methods: In this single-center, prospective observational study, 622 patients scheduled for thoracoscopic lung resection surgery were included. Volume control mode with lung protective ventilation strategies were implemented in all participants. The primary endpoint was a composite of postoperative pulmonary complications during hospital stay. Multivariable logistic regression models were used to evaluate the association between mechanical power and outcomes. Results: The incidence of pulmonary complications after surgery during hospital stay was 24.6% (150 of 609 patients). The multivariable analysis showed that there was no link between mechanical power and postoperative pulmonary complications. Conclusions: In patients undergoing thoracoscopic lung resection with standardized lung-protective ventilation, no association was found between mechanical power and postoperative pulmonary complications. Trial registration: Trial registration number: ChiCTR2200058528, date of registration: April 10, 2022. [ABSTRACT FROM AUTHOR]

Background: Sugammadex has been reported to lower the incidence of postoperative residual neuromuscular blockade. Despite the advantages, until recently the effects of sugammadex on postoperative pulmonary complications (PPCs) were controversial. We conducted a systematic review and meta-analysis to determine whether reversal with sugammadex was associated with a lower risk of PPCs compared with neostigmine. Methods: PubMed, Embase, and Cochrane Central Register of Controlled Trials were searched from inception to May 2022. Randomized controlled trials (RCTs) and observational studies comparing PPCs in patients receiving sugammadex or neostigmine as reversal agent at the end of surgery were included. The primary outcomes focused on PPCs including desaturation, pneumonia, atelectasis, noninvasive ventilation (NIV) and reintubation. Trial sequential analysis was performed on the primary outcomes to confirm whether firm evidence was reached. Results: Meta-analysis of included studies showed that the rate of desaturation (43.2% vs 45.0%, RR = 0.82; 95% CI 0.63 to 1.05; p = 0.11) were comparable between the two groups. When looking at other primary outcomes, significantly lower risk of pneumonia (1.37% vs 2.45%, RR = 0.65; 95% CI 0.49 to 0.85; p = 0.002), atelectasis (24.6% vs 30.4%, RR = 0.64; 95% CI 0.42 to 0.98; p = 0.04), NIV (1.37% vs 2.33%, RR = 0.65; 95% CI 0.43 to 0.98; p = 0.04) and reintubation (0.99% vs 1.65%, RR = 0.62; 95% CI 0.43 to 0.91; p = 0.01) in the sugammadex group were detected compared with the neostigmine group. Conclusions: We concluded that sugammadex is more effective at reducing the incidence of PPCs including pneumonia, atelectasis, NIV and reintubation compared with neostigmine. Further evidence, preferably from RCTs, is required to confirm these findings. [ABSTRACT FROM AUTHOR]

Background: Valvular heart disease remains common in both developed and developing countries, and it requires timely surgical treatment when necessary. However, the stability of hemodynamics during anesthesia induction in patients undergoing valve replacement surgery is difficult to maintain due to their impaired cardiac function. Remimazolam, a novel and ultrashort-acting intravenous sedative-hypnotic, may be beneficial to stable hemodynamics, but the evidence is limited. Therefore, this study aims to evaluate the effect of remimazolam induction on hemodynamics compared with midazolam and etomidate in patients undergoing valve replacement surgery. Methods: This is a prospective, multicenter randomized controlled trial (RCT). Three hundred and sixty-three non-obese adult patients aged 45 to 80 years old undergoing valve surgery with cardiopulmonary bypass will be randomly allocated to receive remimazolam tosilate, midazolam, or etomidate during anesthetic induction. The primary outcome is the incidence of hypotension within 20 min after the administration of investigated drugs. The hypotension is defined as systolic blood pressure (SBP) < 90 mmHg or a 30% reduction in SBP from baseline or the application of vasoactive drugs. Secondary outcomes include incidence of successful sedation, time to successful sedation, incidence of delirium and postoperative low cardiac output syndrome within 7 days after surgery, hospital mortality, mechanical ventilation time, ICU length of stay, and hospital length of stay. Discussion: To our knowledge, this is the first prospective RCT to investigate the efficacy and safety of remimazolam induction in adult cardiac surgery compared with midazolam and etomidate. This study will provide important information on the application of remimazolam in cardiac surgery in the future. Trial registration: Chinese Clinical Trial Registry chictr.org.cn ChiCTR2100050122. Registered on August 16, 2021. [ABSTRACT FROM AUTHOR]

Through the self-assembly reaction of 5-substituted isophthalic acid and bis(imidazolyl) ligands with Cd(II) ion or Zn(II) ion, two new coordination polymers with the chemical formulae of [Cd(5-meo-ip)(bmip)]n (1) and [Zn(5-pro-ip)(bip)]n·2 n(H2O) (2) (5-meo-H2ip = 5-methoxyisophthalic acid, 5-pro-H2ip = 5-propoxyisophthalic acid, bmip = 1,3-bis(2-methylimidazolyl)propane bip = 1,3-bis(imidazolyl)propane) were successfully obtained and structurally characterized by a series of characterization techniques. Moreover, compounds 1–2 show intense blue luminescence at room temperature. Furthermore, the assessment of their treatment activity on the uterine fibroids combined with ultrasound therapy was evaluated and the specific mechanism was investigated at the same time. Firstly, the effect of compound treatment on uterine fibroids apoptosis was detected via flow cytometry. Next, the apoptotic signaling pathway activation was detected through the Caspase-3 and Caspase-8 Activity Assay Kit. [ABSTRACT FROM AUTHOR]

Taking the MG2∗55/250-BWD shearer as the research object and considering the influence of the rock on the working performance of the shearer, the shearer-coal-rock coupled discrete element model was established and its dynamic working process has been studied. The single-factor analysis method was used to study the variation law of the cutting depth, traction speed, and the drum's rotational speed on the three-way force acting on the drum, the coal loading rate, and the trajectory of the coal particles. The simulation showed that the coal loading rate fluctuated during the start-up phase of the shearer, and it was then constant as the time increased. The value of the cutting resistance was the largest, the traction resistance was the second largest, the axial force was the smallest, and the fluctuation coefficient of the axial force was the largest of all of them. The research showed that the coal loading rate of the drum decreased with the increase of the cutting depth, increased with the increase of the rotating speed of the drum, and decreased with the increase of the traction speed. The three-way force of the drum increased with the increase of the traction speed, decreased with the increase of the drum's rotational speed, and increased with the increase of the cutting depth. According to the analysis of the coal cutting force and the coal loading rate, the drum could achieve high-efficiency cutting if the cutting depth, rotational speed, and traction speed of the dynamic were matched. [ABSTRACT FROM AUTHOR]

Gametophyte morphology and development of three species of Cyrtogonellum Ching (Dryopteridaceae) were described with the aim to increase our knowledge on the gametophytic stage of this fern genus especially the occurrence of sexual structures. Spore germination followed the Vittaria-type development, whereas prothallus growth followed the Aspidium-type development. Unicellular glandular hairs were located on both margins and surface of the prothalli. The heart-shaped prothalli of C. caducum showed irregularly lobed margins with multicellular filamentous to wing-like extensions. One to several agamously formed embryos were found on a single mature gametophyte of C. inaequale but only one of these developed into a mature sporophyte. Young sporophytes possessed scales with one to several glandular cells. Antheridia were found in all three species, but archegonia were observed only on mature prothalli of C. fraxinellum, which were always located near the midrib of the cordate-thalloid prothallus. The rarity of archegonia and lack of evidence for the functionality of archegonia in these species raised questions about sexual reproduction in Cyrtogonellum. [ABSTRACT FROM AUTHOR]

Abstract: The complexes of [Ln(2,3,4-tmoba)3phen]2 (Ln=Dy (1), Eu (2), Tb (3); 2,3,4-tmoba=2,3,4-trimethoxybenzoate; phen=1,10-phenanthroline) were synthesized and characterized by a series of techniques including the elemental analysis, IR and fluorescent spectra and TG/DSC-FTIR technology. The crystal structures were determined by X-ray crystallography. Each complex include two Ln3+ ions, six 2,3,4-tmoBA and two phen molecules forming a binuclear structure, giving the coordination number of nine. The three-dimensional IR accumulation spectra of gaseous products for the complexes 1 to 3 are analyzed and the thermal decomposition processes are further authenticated. Through means of differential scanning calorimeter (DSC), two solid-solid phase transition endothermic peaks were found in the complex 2, which was different from the complexes 1 and 3. The heat capacities of these complexes were measured and fitted to a polynomial equation with the least squares method for each complex on the basis of the reduce temperature x (x =[T −(T max + T min)/2]/[(T max − T min)/2]) over the range from (256.15 to 476.15)K. Subsequently, the smoothed molar heat capacities and thermodynamic functions (H T−H 298.15K), (S T−S 298.15K), and (G T−G 298.15K) of the complexes 1 to 3 were calculated based on the fitted polynomial of the heat capacities. The fluorescent intensity of the complexes 2 and 3 are markedly improved as well. [Copyright &y& Elsevier]

Abstract: In order to determine the baseline contamination by polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) in different areas in China, prior to the construction of municipal solid waste incinerators (MSWIs), a total of 32 representative soil samples was collected near 16 incinerators and analyzed for their PCDD/F concentrations. The PCDD/F baseline concentrations in the soil samples ranged from 0.32 to 11.4ng I-TEQ kg−1 (dry matter), with average and median value of 2.73 and 2.24ng I-TEQ kg−1 (dry matter), respectively, and a span between maximum and minimum recorded value of 36. The PCDD homologues predominated in 26 out of 32 soil samples, with the ratio (PCDDs)/(PCDFs) ranging from 1.1 to 164; however in the other 6 samples, PCDF homologues were larger, with the same ratio varying from 0.04 to 0.8. Principal component analysis (PCA) and hierarchical cluster analysis (HCA) were used to examine PCDD/F amount and profile in these soil samples, and their possible associations with known emission sources: in this process 6 really distinct isomer fingerprints were identified. Background PCDD/F levels and profiles were comparable to those found in soils from China and other countries and indicate a rather low baseline PCDD/F contamination of soils. The present data provide the tools for future assessment of a possible impact of these MSWIs. [Copyright &y& Elsevier]

Abstract: Two series of Ni/MgO catalysts were prepared by reducing NiO/MgO samples of fixed Ni loading but different calcination temperatures and of varying Ni loadings but fixed calcination temperature. These catalysts were investigated in CO2 reforming of methane under atmospheric pressure and characterized with XRD, TPR and H2-TPD techniques. A complete incorporation of NiO into the MgO “support” to form NiO–MgO solid solution during the calcination stage of the catalyst preparation was identified essential for the formation of stable Ni/MgO catalysts, and the presence of readily reducible “free” NiO in the calcined (unreduced) NiO/MgO samples was shown to produce the deactivating Ni/MgO catalysts during the CO2/CH4 reaction. The reactivities of CO2/CH4 were found sensitive to the particle size (or dispersion) of metallic Ni; the catalytic activity by CH4 turnover frequency (TOF) decreased with increasing the Ni particle size. The reduced catalysts showed two H2-TPD peaks and the nickel sites corresponding to H2-TPD peak at higher temperature showed a higher activity than those associated with the peak at lower temperature. Our data demonstrate that the support in the stable catalysts was actually a kind of Ni x Mg1−x O (x =0.02–0.15) solid solution and the stable catalytic sites were associated with nanosized Ni particles (3–20nm) in strong interaction with the solid solution support.. [Copyright &y& Elsevier]

Background: Understanding geospatial impacts of multi-sourced influencing factors on the epidemic of hand-foot-and-mouth disease (HFMD) is of great significance for formulating disease control policies tailored to regional-specific needs, yet the knowledge is very limited. We aim to identify and further quantify the spatiotemporal heterogeneous effects of environmental and socioeconomic factors on HFMD dynamics. Methods: We collected monthly province-level HFMD incidence and related environmental and socioeconomic data in China during 2009–2018. Hierarchical Bayesian models were constructed to investigate the spatiotemporal relationships between regional HFMD and various covariates: linear and nonlinear effects for environmental covariates, and linear effects for socioeconomic covariates. Results: The spatiotemporal distribution of HFMD cases was highly heterogeneous, indicated by the Lorenz curves and the corresponding Gini indices. The peak time (R2 = 0.65, P = 0.009), annual amplitude (R2 = 0.94, P<0.001), and semi-annual periodicity contribution (R2 = 0.88, P<0.001) displayed marked latitudinal gradients in Central China region. The most likely cluster areas for HFMD were located in south China (Guangdong, Guangxi, Hunan, Hainan) from April 2013 to October 2017. The Bayesian models achieved the best predictive performance (R2 = 0.87, P<0.001). We found significant nonlinear associations between monthly average temperature, relative humidity, normalized difference vegetation index and HFMD transmission. Besides, population density (RR = 1.261; 95%CI, 1.169–1.353), birth rate (RR = 1.058; 95%CI, 1.025–1.090), real GDP per capita (RR = 1.163; 95%CI, 1.033–1.310) and school vacation (RR = 0.507; 95%CI, 0.459–0.559) were identified to have positive or negative effects on HFMD respectively. Our model could successfully predict months with HFMD outbreaks versus non-outbreaks in provinces of China from Jan 2009 to Dec 2018. Conclusions: Our study highlights the importance of refined spatial and temporal data, as well as environmental and socioeconomic information, on HFMD transmission dynamics. The spatiotemporal analysis framework may provide insights into adjusting regional interventions to local conditions and temporal variations in broader natural and social sciences. Author summary: Hand-foot-and-mouth disease (HFMD) is one of the most common pediatric infectious diseases worldwide and it has affected up to two million children annually in China since 2008. This study used Bayesian spatiotemporal modeling to analyze provincial-level HFMD cases, environmental and socioeconomic data during 2009–2018. We found that both environmental (temperature, relative humidity and normalized difference vegetation index) and socioeconomic covariates (population density, birth rate, real GDP per capita and school vacation) are associated with HFMD occurrence under spatiotemporal scales. This model may help to (1) identify outbreaks of HFMD, including their timing, location and severity; (2) understand the transmission dynamics by mapping the spread of HFMD over time and space; (3) indicate areas of higher risk or the emergence of new outbreaks by detecting clusters of HFMD cases in specific geographic locations. Overall, this study provides valuable information for public health decision-makers and researchers, allowing them to better understand the spread of the disease and target their efforts more efficiently to control its transmission and prevent outbreaks. [ABSTRACT FROM AUTHOR]

Background: Culex pipiens pallens (Diptera: Culicidae) can survive at low temperature for long periods. Understanding the effects of low-temperature stress on the gut microflora and gene expression levels in Cx. pipiens pallens, as well as their correlation, will contribute to the study of the overwintering mechanism of Cx. pipiens pallens. Methods: The gut bacteria were removed by antibiotic treatment, and the survival of Cx. pipiens pallens under low-temperature stress was observed and compared with the control group. Then, full-length 16S rRNA sequencing and the Illumina HiSeq X Ten sequencing platform were used to evaluate the gut microflora and gene expression levels in Cx. pipiens pallens under low-temperature stress. Results: Under the low-temperature stress of 7 °C, the median survival time of Cx. pipiens pallens in the antibiotic treatment group was significantly shortened by approximately 70% compared to that in the control group. The species diversity index (Shannon, Simpson, Ace, Chao1) of Cx. pipiens pallens decreased under low-temperature stress (7 °C). Non-metric multidimensional scaling (NMDS) analysis divided all the gut samples into two groups: control group and treatment group. Pseudomonas was the dominant taxon identified in the control group, followed by Elizabethkingia and Dyadobacter; in the treatment group, Pseudomonas was the dominant taxon, followed by Aeromonas and Comamonas. Of the 2417 differentially expressed genes (DEGs), 1316 were upregulated, and 1101 were downregulated. Functional GO terms were enriched in 23 biological processes, 20 cellular components and 21 molecular functions. KEGG annotation results showed that most of these genes were related to energy metabolism-related pathways. The results of Pearson's correlation analysis showed a significant correlation between the gut microcommunity at the genus level and several DEGs. Conclusions: These results suggest that the mechanism of adaptation of Cx. pipiens pallens to low-temperature stress may be the result of interactions between the gut bacterial community and transcriptome. [ABSTRACT FROM AUTHOR]

Abstract: A one-step approach is employed to prepare an asymmetric cellulose acetate (CA) membrane that is used for total heat recovery (heat and moisture recovery). The process only involves a cheap raw material of CA, an environmental friendly solvent acetic acid and an additive deionized water. A porous support layer and a dense skin layer are formed simultaneously during the solvent and coagulant medium exchange. Investigations found that the approach is successful in making membranes for heat and moisture recovery. The new membranes have high moisture permeability. Moreover, the permeation of other unwanted gases like CO2 is effectively prohibited. Analysis found that the optimum solution compositions for casting membranes are: acetic acid to deionized water ratio 70:30. The approach provides an environmental friendly yet economical solution for preparing membranes for heat and moisture recovery. [ABSTRACT FROM AUTHOR]

Abstract Neuron damage contributes to ischemic brain injury. Although FMS-like tyrosine kinase-3 (FLT3) plays a critical role in neuron survival, its function and molecular mechanism in cerebral ischemia/reperfusion injury is unclear. In the present study, we exposed SH-SY5Y cells to oxygen and glucose deprivation/reoxygenation (OGD/R) to mimic ischemia/reperfusion injury. We found that FLT3 and MAPK14/p38α expression increased in OGD/R-treated cells. FLT3 silence significantly increased OGD/R-induced SH-SY5Y cell survival, inhibited reactive oxygen species production. Also, we observed that FLT3 silence suppressed OGD/R-induced SH-SY5Y cell apoptosis, apoptosis related protein Bax level and caspase-3 activity was decreased and Bcl-2 expression was increased in FLT3 silence SH-SY5Y cell treated with OGD/R. Furthermore, FLT3 depletion induced MAPK14/p38α inhibition in SH-SY5Y cultures after OGD/R exposure. These findings suggest that MAPK14/p38α overexpression reverses the action of FLT3 silence in OGD/R-induced SH-SY5Y cells. They also provide the first evidence that FLT3 silence has a neuroprotective role in OGD/R-induced SH-SY5Y cell damage. These data provide insight about potential neuroprotective molecular for ischemia/reperfusion injury. Highlights • FLT3 and P-p38α expression increased in OGD/R-treated cells. • FLT3 silence increased OGD/R-induced cell survival and inhibited apoptosis. • FLT3 silence inhibited OGD/R-induced cell ROS production. • FLT3 depletion induced MAPK14/p38α inhibition. • MAPK14/p38α overexpression reverses the action of FLT3 silence. [ABSTRACT FROM AUTHOR]

Because synonymy treatment traditionally relies on morphological judgments, it usually causes many problems in species delimitation and in the biodiversity catalogue. For example, Diplopterygium simulans, which belongs to the Gleicheniaceae family, has been considered to be synonymous with D. glaucum or D. giganteum based mainly on the morphology of its pinna rachis and blade. In the absence of molecular evidence, these revisions remain doubtful. DNA barcoding, which is considered to be a powerful method for species-level identification, was employed to assess the genetic distance among 9 members of the Diplopterygium genus. The results indicate that D. simulans is an independent species rather than a synonymy of D. glaucum or D. giganteum. Moreover, phylogenetic analysis uncovered the sisterhood of D. simulans and D. cantonense, which is supported by their geographical distributions and morphological traits. Incorrect synonymy treatment is prevalent in the characterization of biological diversity, and our study proposes a convenient and effective method for validating synonym treatments and discovering cryptic species. [ABSTRACT FROM AUTHOR]

Candida albicans causes mastitis in dairy cows, which reduces milk production, causes milk quality decline and increases the risk of foodborne infections. Antimicrobial peptides (AMPs) play important roles in insects due to their ability to inhibit the growth of bacteria, fungi and viruses. Moreover, sorbic acid and benzoic acid are widely used preservatives in the food industry. In this study, one of the housefly larval AMPs, Phormicin C-NS, modified with sorbic acid or benzoic acid, was synthesized, and the anti- C. albicans activity was evaluated. In addition, the potential mechanism of action of Phormicin C-NS against C. albicans was revealed by transcriptomic analysis. Phormicin C-NS inhibited the C. albicans bud-to-hyphal transition and biofilm formation by downregulating the hypha-specific genes HWP1 , Ece1p and Als3. Moreover, it inhibited C. albicans propagation in pasteurized milk. The MIC of Phormicin C-NS for C. albicans was nearly 30 times lower than that of sorbic acid. Furthermore, Phormicin C-NS will significantly reduce sorbic acid usage in the milk industry as an alternative peptide. Eventually, the peptide is degraded into amino acids. In summary, Phormicin C-NS has good biosafety, enhances milk amino acid levels, and has great potential as a new preservative for use in the milk industry. [Display omitted] • Phormicin is an insect peptide, and a hemolysis assay demonstrated its good biosafety. • Phormicin is modified with sorbic acid, which is widely used in the food industry. • Phormicin C-NS alternatives would greatly reduce sorbic acid usage. • Phormicin C-NS is spontaneously degraded into amino acids in milk and is nontoxic. • Phormicin C-NS inhibits C. albicans growth in milk, and the underlying mechanism was revealed. [ABSTRACT FROM AUTHOR]

Background: Ectopic angiogenesis within the intima and media is considered to be a hallmark of advanced vulnerable atherosclerotic lesions. Some studies have shown that specific matrix metalloproteinases (MMPs) might play different roles in angiogenesis. Therefore, we investigated the predominant effects of specific MMPs in intraplaque angiogenesis and plaque instability in a rabbit model of atherosclerosis. Methods and Results: New Zealand rabbits underwent balloon injury of the abdominal artery and ingestion of a high-cholesterol (1%) diet to establish an atherosclerotic animal model. At weeks 4, 6, 8, 10, and 12 after balloon injury, five rabbits were euthanized and the abdominal aorta was harvested. Blood lipid analysis, intravascular ultrasound imaging, pathologic and immunohistochemical expression studies, and western blotting were performed. From weeks 4 to 12, the expression of MMP-1, -2, -3, and -9 and vascular endothelial growth factor A (VEGF-A) increased with atherosclerotic plaque development in the abdominal aorta, while the expression of MMP-14 substantially decreased. The vulnerability index (VI) gradually increased over time. Intraplaque neovessels appeared at week 8. The microvessel density (MVD) was greater at week 12 than at week 8. The VI, MVD, and VEGF-A level were positively correlated with the MMP-1, -2,-3, and -9 levels within plaques. Negative correlations were noted between the MMP-14 level and the VI, MVD, and VEGF-A level. Conclusion: Upregulation of MMP-1, -2, -3, and -9 and downregulation of MMP-14 may contribute to intraplaque angiogenesis and plaque instability at the advanced stage of atherosclerosis in rabbits. [ABSTRACT FROM AUTHOR]

The bactericidal permeability-increasing protein (BPI) is a multifunctional cationic protein produced by neutrophils with antibacterial, antitumor, and LPS-neutralizing properties. In teleost, a number of BPIs have been reported, but their functions are very limited. In this study, an N-terminal peptide, BO18 (with 18 amino acids), derived from rock bream (Oplegnathus fasciatus) BPI, was synthesized and investigated for its antibacterial spectrum, action mechanism, immunoregulatory property as well as the inhibition effects on bacterial invasion and human colon cancer cells growth. The results showed that BO18 was active against Gram-positive bacteria Bscillus subiilis , Micrococcus luteus , and Staphylococcus aureus , as well as Gram-negative bacteria Vibrio alginolyticus , Vibrio litoralis , Vibrio parahaemolyticus and Vibrio vulnificus. BO18 treatment facilitated the bactericidal process of erythromycin and rifampicin by enhancing the permeability of the outer membrane. During its interaction with V. alginolyticus , BO18 exerted its antibacterial activity by destroying cell membrane integrity, penetrating into the cytoplasm and binding to genomic DNA and total RNA. In vitro analysis indicated BO18 could enhance the respiratory burst ability and regulate the expression of immune related genes of macrophages. In vivo detection showed the administration of fish with BO18 before bacterial infection significantly reduced pathogen dissemination and replication in tissues. In addition, BO18 exerted a cytotoxic effect on the growth of human colon cancer cells HT-29. Together, these results add new insights into the function of teleost BPIs, and support that BO18 is a novel and broad-spectrum antibacterial peptide with potential to apply in fighting pathogenic infection in aquaculture. • A rock bream BPI derived peptide BO18 was active against both Gram-positive and Gram-negative bacteria. • BO18 destroyed cell membrane integrity, penetrated into the cytoplasm, and bound with the nucleic acids. • BO18 enhanced the respiratory burst and regulated the immune related genes expression of macrophages. • BO18 inhibited bacterial invasion in olive flounder. • BO18 exerted a cytotoxic effect on human colon cancer cells HT-29. [ABSTRACT FROM AUTHOR]

• Puerariae Lobatae Radix Flavonoids (PLF) and puerarin alleviated alcohol-induced hepatic steatosis in zebrafish larvae. • The underlying mechanism of anti-AFLD effect was that PLF and puerarin regulated alcohol and lipid metabolism. • PLF and puerarin affect lipid accumulation via AMPKα-ACC pathways in zebrafish larvae with AFLD. Exessive drinking is commonly associated with a wide spectrum of liver injuries. The term alcoholic liver disease (ALD) is generally used to refer to this spectrum of hepatic abnormalities, and the term hepatic steatosis denotes early lesions. Puerariae Lobatae Radix (PLR) is a common traditional Chinese medicine and has been widely used as an efficient treatment for alcohol-induced damage. Flavonoids are the principal components of PLR that could potentially be responsible for the activation of alcohol metabolism and lipid-lowering effects. However, little is known about the mechanisms underlying their activity against alcoholic injury. In this study, PLR flavonoids (PLF) were obtained by microwave extraction. A 2% ethanol solution was used to establish a model of alcoholic fatty liver disease by exposure of zebrafish larvae for 32 h, and then the zebrafish were administered PLF and puerarin. The results showed that PLF and puerarin significantly decreased lipid accumulation and the levels of total cholesterol and triglycerides in zebrafish larvae. Moreover, PLF and puerarin downregulated the expression of genes related to alcohol and lipid metabolism (CYP2y3 , CYP3a65 , ADH8a , ADH8b , HMGCRB , and FASN), endoplasmic reticulum stress, and DNA damage (CHOP , EDEM1 , GADD45αa , and ATF6) and reduced levels of inflammatory factors (IL-1β, TNF-α) in zebrafish larvae. PLF and puerarin increased the phosphorylation of AMP-activated protein kinase-α (AMPKα) and decreased the total protein level of ACC1. The findings suggested that PLF and puerarin alleviated alcohol-induced hepatic steatosis in zebrafish larvae by regulating alcohol and lipid metabolism, which was closely related to the regulation of the AMPKα-ACC signaling pathway. In conclusion, the study provided a possible therapeutic drug for ALD treatment. [ABSTRACT FROM AUTHOR]

In this study, we performed a network meta-analysis to compare the outcomes of seven most common surgical procedures to fix DRF, including bridging external fixation, non-bridging external fixation, K-wire fixation, plaster fixation, dorsal plating, volar plating, and dorsal and volar plating. Published studies were retrieved through PubMed, Embase and Cochrane Library databases. The database search terms used were the following keywords and MeSH terms: DRF, bridging external fixation, non-bridging external fixation, K-wire fixation, plaster fixation, dorsal plating, volar plating, and dorsal and volar plating. The network meta-analysis was performed to rank the probabilities of postoperative complication risks for the seven surgical modalities in DRF patients. This network meta-analysis included data obtained from a total of 19 RCTs. Our results revealed that compared to DRF patients treated with bridging external fixation, marked differences in pin-track infection (PTI) rate were found in patients treated with plaster fixation, volar plating, and dorsal and volar plating. Cluster analysis showed that plaster fixation is associated with the lowest probability of postoperative complication in DRF patients. Plaster fixation is associated with the lowest risk for postoperative complications in DRF patients, when compared to six other common DRF surgical methods examined. [ABSTRACT FROM AUTHOR]