Abstract Background: This study aimed to evaluate the impact of Infiltration between the Popliteal Artery and Capsule of the posterior Knee (IPACK) combined with an adductor canal block under the guidance of ultrasound on early motor function after Total Knee Arthroplasty (TKA). Methods: A sample of 60 cases who were scheduled for elective unilateral TKA were divided into two groups using random number table method: a group with IPACK combined with an adductor canal block (I group, n = 30), and a group with femoral nerve block combined with superior popliteal sciatic nerve block (FS group, n = 30). Before anesthesia induction was completed, the patients in I group received an ultrasound-guided adductor canal block with 15 mL of 0.375% ropivacaine and an IPACK block with 25 mL of ropivacaine, and the patients in FS group received a femoral nerve block and a superior popliteal sciatic nerve block with 20 mL of 0.375% ropivacaine under ultrasound guidance. Post-operation, all the patients received patient-controlled intravenous analgesia combined with an oral celecoxib capsule to relieve pain and maintain a visual analogue scale score of ≤ 3. Results: The quadriceps femoris muscle strength score was significantly higher in I group than in FS group (p = 0.001), while the modified Bromage score were significantly lower and walking distance results were significantly higher in I group than in FS group (both p = 0.000). Conclusion: Compared with femoral nerve block combined with superior popliteal sciatic nerve block, IPACK combined with adductor canal block had a mild impact on early motor functions after TKA.

Abstract Acanthopanax gracilistylus W.W.Smith (AGS) is an traditional Chinese medicine and its leaves that have rich biological activities has been long used as a fresh vegetable in Chinese folk. There are two lupane-type triterpenoids, 3α,11α-dihydroxy-23-oxo-lup-20(29)-en-28-oic acid (1) and 3α,11α,23-trihydroxy-lup-20(29)-en-28-oic acid (2), were isolated as the active constituents from leaves of AGS. However, the anti-inflammatory effects and potential mechanisms of 1 and 2 on LPS-induced RAW264.7 Macrophages have not been evaluated. In this study, the results shown that compounds 1 and 2 reduced the levels of early pro-inflammatory cytokines TNF-α, IL-1β, the secretion of late pro-inflammatory cytokine HMGB1, as well as the activation of transcription factor NF-κB in RAW 264.7 macrophages induced by LPS. In conclusion, two lupane-type triterpenes (1 and 2) have anti-inflammatory activities in LPS-induced RAW264.7 cells through inhibiting expression of proinflammatory cytokines and NF‐κB activation and could be potentially used in treatment of inflammatory-related diseases in the future.

Abstract Acanthopanax trifoliatus (L.) Merr. have been used as folk medicine to treat various diseases traditionally and the young leaves and shoots of A. trifoliatus are popularly consumed as vegetables and herbal tea in southern China. In the study, we firstly tested the cytotoxicity and NO production of 18 fractions that extracted from the leaves, stems and roots of A. trifoliatus to select the bioactive fraction. The increasing evidence suggested that the dichloromethane extract prepared from stems of A. trifoliatus (ATSDC) have anti-inflammatory activity. Therefore, the study followed to investigate the effects of ATSDC on the inflammatory response and the molecular mechanisms underpinning this effect in lipopolysaccharide (LPS)-stimulated RAW264.7 cells. The manuscript showed that ATSDC effectively inhibited NO production in LPS-stimulated cells and significantly reduced the production of pro-inflammatory cytokines IL-6, at a dose of 40 µg/mL, whereas TNF-α production tended to decrease under ATSDC treatment. We also confirmed a dose-dependent and significant inhibition of iNOS and COX-2 protein expression. In conclusion, ATSDC exerted strong inhibitory effect on the expression of iNOS and COX-2 protein in LPS-induced RAW 264.7 macrophages and could be potentially used in treatment of inflammatory-related diseases in the future.

Abstract Ultrasound-assisted extraction (UAE) was used to extract procyanidins (PC) from the perilla seed hull. Four independent variables, namely, liquid-to-solid ratio, ethanol concentration, UAE time, and UAE temperature were investigated. Response surface methodology was performed on the basis of results of single-factor tests. The optimal conditions for PC extraction were as follows: a liquid-to-solid ratio of 15:1, an ethanol concentration of 62%, a UAE time of 29 min, and a UAE temperature of 53 °C. Under these conditions, the experimental yield of PC was 2.185 mg/g (n = 3), which is correlated with the predicted value of 2.2 mg/g. The extracted and purified PC showed excellent antioxidant activity against 2,2-diphenyl-1-picrylhydrazyl, hydroxyl, and 2,2’-azino-bis (3-ethylbenzothiazoline-6-sulfonic acid) radicals in vitro.

ABSTRACT BACKGROUND: This study aimed to compare the effects on mortality of albumin and crystalloid, used for fluid resuscitation among adult patients with septic shock, through conducting a meta-analysis and trial sequential analysis (TSA). DESIGN AND SETTING: Meta-analysis and TSA conducted at Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China. METHODS: Data were collected from several major databases including MEDLINE, EMBASE, Clinical Trials.gov and Cochrane Central Register of Controlled Trials. Studies that compared the effects of albumin therapy versus crystalloid therapy on mortality among adult septic shock patients were eligible for inclusion in the analyses. The study name, year of publication, country of the trial, albumin concentration, type of crystalloid and all reported mortalities at different follow-up endpoints were extracted. RESULTS: Compared with crystalloid, albumin did not decrease all-cause mortality at the final follow-up. However, in TSA, the required information size was not achieved in all groups, which means that the effect size was not definitive and further RCTs are needed to confirm or deny these findings CONCLUSIONS: Compared with crystalloid solutions, albumin was unable to decrease all-cause mortality. However, TSA indicated that these results could be false-negative. Additional randomized controlled trials are needed to clarify this discrepancy.

Abstract: Sustainably managed soils can increase soil quality, biodiversity, and reduce soil erosion and nutrient losses. In several regions of China, long-term monocultures such as watermelon are leading to severe degradation of soil biological functions due to contamination by dominant and deleterious microbes, particularly Fusarium spp., resulting in decreased soil productivity and quality. The main goal of this study was to assess a new bio-organic fertilizer in monoculture areas by testing the interactions between Fusarium oxysporum f. sp. niveum and microbial communities to inhibit it. The results showed that the tested organism significantly reduced Fusarium wilt in a watermelon monoculture plantation in China. The rate of wilt incidence following bio-fertilizer treatment was decreased by 70% at 63 days and the Fusarium counts in the watermelon rhizosphere declined too. Moreover, total abundance of bacteria increased, but total abundance of actinomycetes decreased. The beneficial microbes increased and became dominant while deleterious microbes, particularly Fusarium spp., were inhibited. The main conclusions of this study were that: i) a controlled bio-organic fertilizer stimulated the growth of ecologically beneficial microbes and naturally existing autochthonous antagonistic microbes; and, ii) the beneficial population structure and soil functions recovered following the reconstruction of functional microbial communities. Our results will add more useful information to understand how long-term crop monocultures can lead to detrimental effects on the soil microbial communities that will, in turn, affect the growth of plants and normal soil functions.

RESUMEN El flujo de detritos que cae en los tributarios de los ríos puede bloquear los ramales principales y eventualmente convertirse en un riesgo. El rompimiento de uno de estos represamientos de agua puede causar inundaciones en las zonas de la corriente, además de víctimas y daños a propiedades. Este estudio propone un método para evaluar la formación de represamientos de agua por flujo de detritos bajo dos condiciones: (1) los sedimentos transportados por el flujo de detritos deben alcanzar el lecho del río; (2) el grosor de los depósitos por el flujo de detritos debe ser mayor que la profundidad de agua in situ. Esta metodología se utilizó para estudiar el caso de represamiento por el flujo de detritos en el río Er de Taiwán, el cual bloqueó el río Chishan y que condujo a la formación de la presa Namasha. Esta metodología también puede aplicarse para identificar la formación de represamientos por flujo de detritos.

ABSTRACT Debris flows in tributaries rush into and block the main branches of rivers and often result in serious hazards. Dam failures cause large floods in the downstream area and can lead to fatalities and property damage. This study proposes an assessment method to evaluate the formation of a debris flow dam, which includes two conditions: (1) the sediment transported by the debris flow must reach across the river; and (2) the thickness of the deposit by the debris flow must be higher than the in situ water depth. This methodology was used to study the case of a debris flow dam caused by debris flow across the Er River in Taiwan, which blocked the Chishan River and led to the formation of the Namasha debris flow dam. This methodology can also be applied to identify the formation of debris flow dams.

Abstract On the basis of visual origin, shock wave reflection, and jet interference theories, this study aims to (1) divide the process of jet penetration into a hermetic single-cell structure into six parts, (2) establish a theoretical model of a single-cell structure interacting with a jet during its penetration into a structure, and (3) obtain the time expressions of a hermetic single-cell structure interfering with a jet. A residual penetration experiment is conducted to verify the accuracy of the model.

ABSTRACT Homogeneity evaluations are usually performed on the total annual precipitation data, which often fails to detect non-homogeneity in seasonal precipitation. Furthermore, it is required to assess homogeneity using multiple methods as the performance of homogeneity testing methods depend on the distribution of the data. This is particularly important for the arid region where distributions of seasonal and annual rainfall are often non-normal. The homogeneity of annual and monthly precipitation datasets of 14 meteorological stations located in the arid region of Pakistan was assessed in this study using the Pettitt’s test, the standard normal homogeneity test (SNHT), the cumulative deviation test, the von Neumann’s ratio test, the Bayesian test, the Worsley’s likelihood ratio test, and Student’s t-test at a 95% confidence level. The rainfall series were categorized into three classes, namely “useful”, “doubtful” and “suspect” based on the results of different homogeneity tests. Results suggest that rainfall time series for most of the months in all the stations are useful. The rainfall time series are found doubtful for the month of June at two stations, for April at one station, and suspect for November at only one station. On the other hand, the annual series were found useful at 12 stations and suspect at two stations. Comparison of different homogeneity tests revealed that SNHT and Worsley’s tests are the most sensitive, and cumulative deviation test is the least sensitive to changes in monthly precipitation data. In the case of annual series, the von Neumann’s test was found most sensitive compared to other tests.

RESUMEN Las evaluaciones de homogeneidad se realizan por lo general mediante datos de precipitación total anual, que a menudo fallan en la detección de homogeneidad en la precipitación estacional. Más aún, es necesario valorar la homogeneidad utilizando varios métodos, ya que el desempeño del método para probar la homogeneidad depende de la distribución de los datos. Esto es particularmente importante en regiones áridas, donde la distribución de la precipitación anual y estacional a menudo no son normales. En este estudio se evaluó la homogeneidad de conjuntos de datos de precipitación mensual y anual de 14 estaciones meteorológicas ubicadas en la región árida de Paquistán, utilizando para ello las pruebas bayesiana, de Pettitt, de homogeneidad normal estándar (SNHT, por sus siglas en inglés), de desviación acumulativa, de proporcionalidad de von Neumann, de verosimilitud de proporciones de Worsley y t de Student a un nivel de confianza de 95%. Las series de precipitación se clasificaron en tres clases, a saber “útiles”, “dudosas” y “sospechosas”, con base en los resultados de diferentes pruebas de homogeneidad. Los resultados sugieren que las series de tiempo de precipitación para la mayoría de los meses en todas las estaciones son útiles. Las series de tiempo de precipitación resultan dudosas para junio en dos estaciones y para abril en una estación; también se sospecha que sean dudosas para noviembre en otra estación. Por otra parte, se encontró que las series anuales son útiles en 12 estaciones y sospechosas en otras dos. La comparación de diferentes pruebas de homogeneidad reveló que las pruebas SNHT y Worsley son más sensibles, en tanto que la prueba de desviación acumulativa es la menos sensible a los cambios en los datos de precipitación mensual. En el caso de la precipitación anual, se encontró que la prueba de von Neumann es más sensible en comparación con las otras.

Abstract Response surface methodology (RSM) was used to optimize ultrasound-assisted extraction (UAE) of functional components from perilla leaves. The factors investigated were ethanol concentration, extraction temperature, and extraction time. The results revealed that ethanol concentration had significant effects on all extraction parameters. Based on the RSM results, the optimal conditions were an ethanol concentration of 56%, a UAE temperature of 54 °C, and a UAE time of 55 min. Under these conditions, the experimental TPC (total phenolic content), RA (rosmarinic acid), FRAP (ferric reducing antioxidant power) and DPPH (1,1-diphenyl-2-picrylhydrazyl) values were 48.85 mg GAE/g DW (mg gallic acid equivalent /g of dry weight), 31.02 mg/g DW, 85.55 μmol Fe2+/g DW and 73.35%, respectively. The experimental values were in agreement with those predicted by RSM models, confirming suitability of the model employed and the success of RSM for optimization of the extraction conditions.

Boron isotopes in teeth has been a new proxy for dietary reconstructions and its resistance to diagenetic alteration. In this study a method using inductively coupled plasma source mass spectrometry (ICP-MS) for the measurement of boron isotope ratio in human dental enamel has been developed. Human dental enamel were digested with HNO3-H2O2 in a microwave system. Boron in solution was separated from the matrix components using Amberlite IRA-743 resin. The factors that may affect precision and accuracy in isotope ratio determination by ICP-MS, including memory effects, mass bias drift, and concentration effects, were investigated to obtain optimum conditions. Then, the 10B/11B ratios in teeth were measured. The results showed that 2% of HNO3 + 2% of NH3•H2O, selected as the diluent/rinse solution could be effective in the elimination of boron memory effect. There was no concentration effect on boron isotope ratios when the ratio of samples B concentration to standard B concentration (refers to Csample/Cstd) varied from 0.5 to 2. The result of 10B/11B ratios in tooth enamel by sex and age fluctuated over a broad range, ranged from 0.2007 to 0.2574. This method is expected to be used for boron isotope ratio analyses in archeometry, forensic identification, paleoecology, and other disciplines in the future.

In China, alcohol consumption is increasing faster than anywhere else in the world. A steady increase in alcohol production has also been observed in the country, together with a rise in alcohol-related harm. Despite these trends, China's policies on the sale and consumption of alcoholic beverages are weak compared with those of other countries in Asia. Weakest of all are its policies on taxation, drink driving laws, alcohol sale to minors and marketing licenses. The authors of this descriptive paper draw attention to the urgent need for public health professionals and government officials in China to prioritize population surveillance, research and interventions designed to reduce alcohol use disorders. They describe China's current alcohol policies and recent trends in alcohol-related harm and highlight the need for health officials to conduct a thorough policy review from a public health perspective, using as a model the World Health Organization's global strategy to reduce the harmful use of alcohol.

En China, el consumo de alcohol está aumentando con mayor rapidez que en cualquier otro lugar del mundo, y también se ha observado un crecimiento constante de la producción de alcohol en el país, junto con un aumento de los daños relacionados con esta sustancia. A pesar de estas tendencias, las políticas chinas sobre la venta y consumo de bebidas alcohólicas son débiles en comparación con las de otros países asiáticos. Las políticas más débiles son las que regulan los impuestos, las leyes de consumo y conducción, la venta de alcohol a menores de edad y las licencias para la venta de alcohol. Los autores de este artículo descriptivo llaman la atención sobre la necesidad urgente de que los funcionarios gubernamentales y los profesionales de la sanidad pública chinos den prioridad a la vigilancia de la población, a la investigación y a las intervenciones diseñadas para reducir los trastornos provocados por el consumo de alcohol. Describen las políticas actuales chinas relativas al alcohol, así como las tendencias presentes de los daños relacionados con el alcohol y destacan la necesidad de que los funcionarios de salud lleven a cabo una revisión de toda la política desde la perspectiva de la sanidad pública, usando como modelo la estrategia global de la Organización Mundial de la Salud para reducir el uso nocivo de alcohol.

En Chine, la consommation d'alcool augmente plus rapidement que partout ailleurs dans le monde. Une augmentation constante de la production d'alcool a également observée dans le pays, ainsi qu'une augmentation des méfaits de l'alcool. Malgré ces tendances, les politiques de la Chine en matière de vente et de consommation de boissons alcoolisées sont faibles comparées à celles des autres pays d'Asie. Les plus faibles de toutes sont ses politiques sur la taxation, les lois relatives à l'alcool au volant, la vente d'alcool aux mineurs et la commercialisation des licences. Les auteurs de cet article descriptif attirent l'attention sur la nécessité urgente pour les professionnels de la santé publique et les fonctionnaires gouvernementaux chinois d'accorder la priorité à la surveillance de la population, la recherche et les interventions destinées à réduire les troubles liés à la consommation d'alcool. Ils décrivent les politiques actuelles sur l'alcool en Chine et les tendances récentes des méfaits de l'alcoolisme. Ils soulignent également la nécessité pour les autorités sanitaires de procéder à un examen approfondi de la politique dans une perspective de santé publique, en prenant comme modèle la stratégie globale de l'Organisation mondiale de la Santé afin de réduire l'usage nocif de l'alcool.

Cardiovascular complications are a leading cause of mortality in patients with diabetes mellitus (DM). The present study was designed to investigate the effects of trimetazidine (TMZ), an anti-angina drug, on transient outward potassium current (Ito) remodeling in ventricular myocytes and the plasma contents of free fatty acid (FFA) and glucose in DM. Sprague-Dawley rats, 8 weeks old and weighing 200-250 g, were randomly divided into three groups of 20 animals each. The control group was injected with vehicle (1 mM citrate buffer), the DM group was injected with 65 mg/kg streptozotocin (STZ) for induction of type 1 DM, and the DM + TMZ group was injected with the same dose of STZ followed by a 4-week treatment with TMZ (60 mg·kg-1·day-1). All animals were then euthanized and their hearts excised and subjected to electrophysiological measurements or gene expression analyses. TMZ exposure significantly reversed the increased plasma FFA level in diabetic rats, but failed to change the plasma glucose level. The amplitude of Ito was significantly decreased in left ventricular myocytes from diabetic rats relative to control animals (6.25 ± 1.45 vs 20.72 ± 2.93 pA/pF at +40 mV). The DM-associated Ito reduction was attenuated by TMZ. Moreover, TMZ treatment reversed the increased expression of the channel-forming alpha subunit Kv1.4 and the decreased expression of Kv4.2 and Kv4.3 in diabetic rat hearts. These data demonstrate that TMZ can normalize, or partially normalize, the increased plasma FFA content, the reduced Ito of ventricular myocytes, and the altered expression Kv1.4, Kv4.2, and Kv4.3 in type 1 DM.

The reaction mechanism between cyclopropenylidene and ethylene has been systematically investigated employing the MP2/6-311+G* level of theory to better understand the cyclopropenylidene reactivity with unsaturated hydrocarbons. Geometry optimization, vibrational analysis, and energy property for the involved stationary points on the potential energy surface have been calculated. Energies of all the species are also further refined by the CCSD(T)/6-311+G* single-point calculations. Firstly, one important reaction intermediate (INTa) has been located via a transition state (TSa). After that, the common intermediate (INTb) for the two pathways (1) and (2) has been formed via TSb. At last, two different products possessing three- and four-membered ring characters have been obtained through two reaction pathways. In the reaction pathway (1), a three-membered ring alkyne compound has been obtained. As for the reaction pathway (2), a four-membered ring conjugated diene compound has been formed, which is the most favorable reaction to occur from the kinetic and thermodynamic viewpoints.

OBJECTIVES: Detection of mutations associated to nucleos(t)ide analogs and hepatitis B virus (HBV) genotyping are essential for monitoring treatment of HBV infection. We developed a multiplex polymerase chain reaction-ligase detection reaction (PCR-LDR) assay for the rapid detection of HBV genotypes and mutations associated with lamivudine, adefovir, and telbivudine resistance in HBV-infected patients. METHODS: HBV templates were amplified by PCR, followed by LDR and electrophoresis on a sequencer. The assay was evaluated using plasmids that contained wild-type or mutant HBV sequences and 216 clinical samples. RESULTS: The PCR-LDR assay and sequencing gave comparable results for 158 of the 216 samples (73.1%) with respect to mutation detection and genotyping. Complete agreement between the two methods was observed for all the samples (100%) at codon 180 and codon 204. Concordant results were observed for 99.4% of the 158 samples at codon 181 and 98.7% at codon 236. The genotyping results were completely concordant between the PCR-LDR assay and sequencing. The PCR-LDR assay could detect a proportion of 1% mutant plasmid in a background of wild-type plasmid. CONCLUSION: The PCR-LDR assay is sensitive and specific for detection of HBV genotypes and drug resistance mutations, and could be helpful for decision making in the treatment of HBV infection.