ABSTRACT Purpose: This study aims to evaluate the safety and efficacy of ultrasound-guided balloon dilation compared to non-balloon dilation for percutaneous nephrolithotomy (PCNL). Materials and methods: A systematic review and meta-analysis were conducted by searching PubMed, EMBASE, and the Cochrane Library. Results were filtered using predefined inclusion and exclusion criteria as described and meta-analysis was performed using Review Manager 5.4 software. Results: A total of six studies involving 1189 patients who underwent PCNL were included. The meta-analysis results demonstrated that compared to non-balloon dilation, balloon dilation was associated with reduced haemoglobin drop [mean difference (MD) = -0.26, 95% CI = -0.40 ~ -0.12, P = 0.0002], decreased transfusion rate [odds ratio (OR) = 0.47, 95% CI = 0.24 ~ 0.92, P = 0.03], shorter tract establishment time (MD = -1.30, 95% CI = -1.87 ~ -0.72, P < 0.0001) and shorter operation time (MD = -5.23, 95% CI = -10.19 ~ -0.27, P = 0.04). Conclusions: Overall, ultrasound-guided balloon dilatation offered several advantages in PCNL procedures. It facilitated faster access establishment, as evidenced by shorter access creation time. Additionally, it reduced the risk of kidney injury by minimizing postoperative haemoglobin drop and decreasing the need for transfusions. Moreover, it enhanced the efficiency of surgery by reducing the operation time. However, it is important to note that the quality of some included studies was subpar, as they did not adequately control for confounding factors that may affect the outcomes. Therefore, further research is necessary to validate and strengthen these findings. Purpose ultrasoundguided ultrasound guided nonballoon non PCNL. . (PCNL) methods metaanalysis meta analysis PubMed EMBASE Library 54 5 4 5. software 118 mean MD 0.26, 026 0 26 -0.26 95 0.40 040 40 -0.4 0.12, 012 12 -0.12 0.0002, 00002 0.0002 , 0002 0.0002] odds OR (OR 047 47 0.47 024 24 0.2 092 92 0.92 0.03, 003 0.03 03 0.03] 1.30, 130 1 30 -1.30 1.87 187 87 -1.8 0.72, 072 72 -0.72 0.0001 00001 0001 5.23, 523 23 -5.23 10.19 1019 10 19 -10.1 0.27, 027 27 -0.27 0.04. 004 0.04 04 0.04) Conclusions Overall procedures Additionally transfusions Moreover However subpar outcomes Therefore findings (PCNL 11 0.26 02 2 -0.2 9 0.4 -0. 0.12 01 -0.1 0000 0.000 000 0. 09 0.9 00 0.0 1.30 13 3 -1.3 1.8 18 8 -1. 0.72 07 7 -0.7 5.23 52 -5.2 10.1 101 -10. 0.27 -0 0.1 0.00 1.3 1. -1 0.7 5.2 -5. 10. -10 - -5

RESUMEN Introducción: Los jóvenes son una importante fuente de reserva de fuerza entre los patinadores de velocidad corta, por lo que es necesario realizar un entrenamiento de fuerza especial para los músculos de las extremidades inferiores de los jóvenes, mejorando al mismo tiempo la resistencia y la función física de los atletas. Objetivo: Estudiar el desarrollo sistemático de la preparación física de los atletas de patinaje de velocidad. Métodos: El autor utiliza el método de la experimentación y la estadística matemática, se seleccionaron atletas masculinos de primer nivel como objetos experimentales, y se utilizó el método de prueba de doble ciego para realizar un estudio comparativo a través de experimentos. Resultados: Estadísticamente, las consideraciones de la prueba T del grupo de control y del grupo experimental en la prueba de despegue unipodal y de salto deslizante bilateral mostraron diferencias estadísticas (P>0,05). La comparación del grupo experimental antes y después de la intervención indica que el rendimiento del grupo experimental en este ítem de la prueba aumentó significativamente después del entrenamiento (P<0,05). Conclusión: La adaptación de los entrenadores de nivel inicial al concepto de entrenamiento científico desempeñó un papel auxiliar en los resultados al aumentar el énfasis en el entrenamiento de los grupos musculares pequeños. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento. Introducción corta Objetivo Métodos matemática experimentales experimentos Resultados Estadísticamente P>0,05. P005 P P>0,05 . 0 05 (P>0,05) P<0,05. P<0,05 (P<0,05) Conclusión pequeños II tratamiento P00 P>0,0 (P>0,05 P<0,0 (P<0,05 P0 P>0, (P>0,0 P<0, (P<0,0 P>0 (P>0, P<0 (P<0, P> (P>0 P< (P<0 (P> (P< (P

ABSTRACT Introduction: Youngsters are an important source of reserve strength among short-speed skaters, so it is necessary to perform special strength training for young lower limb muscles while improving athletes’ endurance and physical function. Objective: Study the systematic development of physical training of speed skating athletes. Methods: The author uses the method of experimentation and mathematical statistics, the first level male athletes were selected as experimental objects, and the double-blind test method was used to conduct a comparative study through experiments. Results: Statistically, the T-test considerations of the control and experimental groups in the unipodal take-off stand and bilateral sliding jump tests showed statistical differences (P>0.05). The comparison of the experimental group pre and post-intervention indicates that the experimental group's performance in this test item increased significantly after training(P<0.05). Conclusion: The adaptation of the entry-level trainers to the scientific training concept played an auxiliary role in the results by increasing the emphasis on small muscle group training. Level of evidence II; Therapeutic studies - investigation of treatment outcomes. Introduction shortspeed short skaters function Objective Methods statistics objects doubleblind double blind experiments Results Statistically Ttest T takeoff take off P>0.05. P005 P P>0.05 . 0 05 (P>0.05) postintervention post intervention s trainingP<0.05. trainingP005 trainingP P<0.05 training(P<0.05) Conclusion entrylevel entry II outcomes P00 P>0.0 (P>0.05 trainingP<0.05 trainingP00 P<0.0 training(P<0.05 P0 P>0. (P>0.0 trainingP<0.0 trainingP0 P<0. training(P<0.0 P>0 (P>0. trainingP<0. P<0 training(P<0. P> (P>0 trainingP<0 P< training(P<0 (P> trainingP< training(P< (P training(P

RESUMO Introdução: Os jovens são uma importante fonte de força de reserva entre os patinadores de velocidade curta, portanto é necessário realizar um treinamento de força especial para os jovens músculos dos membros inferiores, melhorando ao mesmo tempo a resistência e a função física dos atletas. Objetivo: Estudar o desenvolvimento sistemático do treinamento físico dos atletas de patinação de velocidade. Métodos: O autor utiliza o método de experimentação e estatística matemática, foram selecionados como objetos experimentais os atletas do primeiro nível masculino, e o método de teste duplo-cego foi utilizado para conduzir um estudo comparativo através de experimentos. Resultados: Estatisticamente, as considerações do teste T do grupo de controle e do grupo experimental no suporte de decolagem unipodal e teste bilateral de salto deslizante apresentaram diferença estatística (P>0,05). A comparação do grupo experimental pré e pós intervenção indica que o desempenho do grupo experimental neste item de teste aumentou significativamente após o treinamento(P<0,05). Conclusão: A adaptação dos treinadores de nível básico para o conceito de treinamento científico desempenhou um papel auxiliar nos resultados, aumentando a ênfase no treinamento dos pequenos grupos musculares. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento. Introdução curta inferiores Objetivo Métodos matemática masculino duplocego duplo cego experimentos Resultados Estatisticamente P>0,05. P005 P P>0,05 . 0 05 (P>0,05) treinamentoP<0,05. treinamentoP005 treinamentoP P<0,05 treinamento(P<0,05) Conclusão musculares II tratamento P00 P>0,0 (P>0,05 treinamentoP<0,05 treinamentoP00 P<0,0 treinamento(P<0,05 P0 P>0, (P>0,0 treinamentoP<0,0 treinamentoP0 P<0, treinamento(P<0,0 P>0 (P>0, treinamentoP<0, P<0 treinamento(P<0, P> (P>0 treinamentoP<0 P< treinamento(P<0 (P> treinamentoP< treinamento(P< (P treinamento(P

Abstract Background Osteoarthritis (OA) is one of the most frequent chronic diseases with high morbidity worldwide, marked by degradation of the cartilage and bone, joint instability, stiffness, joint space stenosis and subchondral sclerosis. Due to the elusive mechanism of osteoarthritis (OA), we aimed to identify potential markers for OA and explore the molecular mechanisms underlying OA. Methods Expression profiles data of OA were collected from the Gene Expression Omnibus database to identify differentially expressed mRNAs (DEmRNAs) and differentially expressed lncRNAs (DElncRNAs) in OA. Functional annotation and protein–protein interaction (PPI) networks were performed. Then, nearby DEmRNAs of DElncRNAs was obtained. Moreover, GO and KEGG pathway enrichment analysis of nearby DEmRNAs of DElncRNAs was performed. Finally, expression validation of selected mRNAs and lncRNAs was performed by quantitative reverse transcriptase-polymerase chain reaction. Results In total, 2080 DEmRNAs and 664 DElncRNAs were determined in OA. PI3K-Akt signaling pathway, Endocytosis and Rap1 signaling pathway were significantly enriched KEGG pathways in OA. YWHAB, HSPA8, NEDD4L and SH3KBP1 were four hub proteins in PPI network. The AC093484.4/TRPV2 interact pair may be involved in the occurrence and development of OA. Conclusion Our study identified several DEmRNAs and DElncRNAs associated with OA. The molecular characters could provide more information for further study on OA. (OA worldwide bone instability stiffness sclerosis OA, , (DEmRNAs (DElncRNAs proteinprotein protein (PPI Then obtained Moreover Finally transcriptasepolymerase transcriptase polymerase reaction total 208 66 PI3KAkt PIKAkt PI3K Akt PI K Rap YWHAB HSPA8 HSPA NEDDL NEDD L SHKBP SH KBP SH3KBP network AC0934844TRPV2 ACTRPV AC093484 4 TRPV2 AC TRPV AC093484.4/TRPV 20 6 KAkt PIK AC0934844TRPV AC09348 2 AC0934 AC093 AC09 AC0

Abstract Triptolide is a natural active compound that has significant neuroprotective properties and shows promising effects in the treatment of Alzheimer’s disease (AD). Recent studies have shown that autophagy occurs in AD. In this study, we determined whether autophagy regulated by triptolide ameliorates neuronal death caused by amyloid-Beta1-42 (Aβ1-42). We examined the effects of triptolide on cell viability, autophagy, apoptosis, and the protein kinase B/mammalian target of the rapamysin/70 kDa ribosomal protein S6 kinase (Akt/mTOR/p70S6K) signaling pathway in PC12 cells. The results indicated that triptolide treatment exhibited a cytoprotective effect against cell injury induced by Aβ1-42. Triptolide also reduced apoptosis and enhanced cell survival by decreasing autophagosome accumulation and inducing autophagic degradation. Furthermore, our results also showed that activating the Akt/mTOR/p70S6K mechanism was one reason for the protection of triptolide. Triptolide treatment protected against Aβ1-42-induced cytotoxicity by decreasing autophagosome accumulation, and inducing autophagic degradation in PC12 cells. These findings also suggest that the reduction of autophagosome accumulation observed in triptolide-treated cells was Akt/mTOR/p70S6K pathway dependent. Overall, triptolide exhibits a neuron protective effect and this study provides new insight into AD prevention and treatment.

Abstract The influences of 3-N-butyphthalide (NBP) on early brain injury (EBI) induced via mild subarachnoid hemorrhage (SAH) and its mechanism were explored. Establishment of SAH model was via autologous blood injection. The protection of NBP on EBI in SAH model mice was evaluated. Determination of neuronal apoptosis was conducted. Detection of blood brain barrier (BBB), ZO-1, claudin-5, occludin and MMP-9 was manifested. The effects of NBP on oxidative stress, inflammation, and the SIRT1/NF-κB and the LKB-1/AMP-activated protein kinase (AMPK) pathways were investigated. NBP could alleviate neurological deficits and BBB dysfunction, repress cerebral edema and mitigate brain histomorphology. NBP repressed apoptosis in brain tissues, oxidative stress, inflammation, NF-κB activity but facilitated SIRT1. Finally, NBP activated the LKB-1/AMPK pathway. NBP may lighten BBB dysfunction, oxidative stress, inflammation and apoptosis after SAH via activating the LKB-1/AMPK pathway, thereby mitigating EBI.

Abstract To enhance the dissolution and oral bioavailability of poorly water-soluble biphenyl dimethyl dicarboxylate (BDD), the supersaturatable self-microemulsifying drug delivery system (S-SMEDDS) was developed by adding a water-soluble polymer PVP to prevent precipitation of the drug and maintain a supersaturate state in vivo. Ternary phase diagrams were drawn to evaluate the microemulsification domain. The formulations were characterized by testing the physical stability of the drug, particle size and zeta potential. The pharmacokinetic study in beagle dogs was performed for the S-SMEDDS, SMEDDS formulation and the market drop pills. The optimized S-SMEDDS formulation consist of 35% (w/w) Cremphor EL35, 33% (w/w) Transcutol HP, 30% (w/w) MCT and 2% (w/w) PVPK30 of each excipient showed minimum mean droplet size (37.71 ± 0.87nm) and optimal drug release profile and better physical stability in water compared with the PVP absent SMEDDS. The in vivo studies showed that S-SMEDDS had significantly increased the Cmax and area under the plasma concentration-time curve (AUC) (P < 0.01). The S-SMEDDS formulation should be an effective oral dosage form for improving oral bioavailability of water-insoluble BDD.

Abstract Circulating miRNAs presenting in plasma in a stable manner have been demonstrated their potential role as a promising biomarkers in many human diseases, such as Alzheimer’s disease, melanoma and ovarian carcinoma. However, few circulating miRNAs could be used for breast ductal cancer diagnosis. Here, we identified miR-1273g-3p as a biomarker for detecting breast ductal cancer. We detected miR-1273g-3p levels in the plasma of 39 sporadic breast ductal cancer patients and 40 healthy donors by Stem-loop Quantitative Real-time PCR (qRT-PCR). The results showed the plasma miR-1273g-3p level were significantly up-regulated in breast ductal cancer patients compared with healthy donors (p=0.0139). Receiver operating characteristic (ROC) curve also revealed the significantly diagnostic ability of miR-1273g-3p in patients (p=0.0414). In addition, the plasma level of miR-1273g-3p was closely related to IIIB-IIIC TNM stage. We also confirmed the higher expression level of miR-1273g-3p in breast cancer cell lines MCF-7 (4.872±0.537) than normal breast cells (Hs 578Bst). Taken together, miR-1273g-3p could represent as a potential biomarker for early breast ductal cancer diagnosis.

Abstract Avocado is an economically important crop and widely cultivated in the tropical and subtropical regions of China, whereas little is known about its genetic diversification. Twenty-six EST-SSR markers were developed based on avocado EST sequences. Molecular characterization was applied to assess the genetic relationships among different accessions. In total, nine gSSRs and nine EST-SSRs were selected to illuminate the genetic relationships within the 92 samples. Diversity parameters associated to the selected markers indicated the relatively low genetic diversity and a certain degree of inbreeding in the 92 avocado accessions. Clustering method and principal coordinate analysis clearly distinguished the accessions in accordance to the botanical races and geographic regions by molecular characterization. Moreover, the botanical race or hybrids of some unknown race accessions from different geographic origins could be determined based on known genotypes in the same cluster..

ABSTRACT Objective: To report our experience of retroperitoneoscopic technique in semi-lateral decubitus position for the retroperitoneal nonadrenal ganglioneuromas in 18 patients, and to evaluate its clinical outcomes. Materials and Methods: From January 2012 to May 2016, 18 patients with retroperitoneal nonadrenal ganglioneuromas underwent retroperitoneoscopic resection. With the patients in semi-lateral decubitus position, a 4-port retroperitoneal approach was used. Data were collected on the tumor size, tumor location, perioperative outcomes, pathology, and last-known disease status. We reviewed the operative videos to identify surgical tips and tricks. Results: All procedures were carried out successfully without converting to open surgery. The tumors had an average size of 5.2cm. The mean operative time was 86.5 min, with a mean estimated blood loss of 85.4mL. There were three patients suffering from intraoperative complications. Postoperatively, all patients achieved an uneventful recovery; the mean postoperative hospital stay was 5.5 days. The postoperative pathology revealed to be retroperitoneal ganglioneuromas. With a mean follow-up of 39.5 months, all patients were recurrence free. The review of the operative videos revealed several tips and tricks, including keeping peritoneum and posterior Gerota fascia intact to provide a favorable operative exposure of tumors, and placing the harmonic scalpel through different ports during tumor dissection. Conclusions: With the patient in semi-lateral decubitus position and a 4-port retroperitoneal approach, retroperitoneoscopic resection of retroperitoneal nonadrenal ganglioneuroma is a feasible, effective, and safe procedure. This approach has distinct advantages including direct access to the tumor, optimal exposure of tumor and less intraperitoneal interference.

This paper presented a study of friction and wear on 9Cr18Mo when rubbed against other materials (steel-304, steel-440C, steel-GCr15 or silicon nitride ceramic ball) at high temperature conditions. Friction and wear tests were carried out with universal a friction and wear testing machine. The wear morphology was analyzed by a Nanovea three-dimensional profilometer and trinocular positive Gang metallurgical microscope. The Vickers hardness of 9Cr18Mo at different temperatures was tested by means of a high temperature vacuum hardometer. Results showed that the friction and wear on the contact surface of the 9Cr18Mo sample are higher when the hardness of counter materials is higher than or similar to that of the sample. Under dry sliding conditions, the 9Cr18Mo sample surface presented various degrees of adhesion, plowing and pit, particularly if tested in the presence of a high temperature environment. During the worn stages, the counter materials on the worn surface successively produced cracks, crack growth, and wear debris under the action of load. Moreover, the frictional pair 9Cr18Mo-ceramic showed good anti-wear behavior at 400 °C that proved the anti high temperature performance of 9Cr18Mo.

PURPOSE: To investigate the effect of remote ischemic post-conditioning (RIPoC) against ischemia-reperfusion (I/R) injury on flaps of rats. METHODS: Sprague-Dawley rats were randomized into the Sham, Control, RIPoC1 and RIPoC2 groups. All the animals were submitted to a 5×4 cm superficial inferior epigastric artery flap. Eight hours of flap ischemia was induced and two protocols of limb RIPoC were applied. Tissue MDA level and SOD activity in 24-h reperfusion were assessed. Flap survival was assessed 7 days postoperatively. RESULTS: Compared to the Control group, the RIPoC1 group showed statistically decreased MDA level at 6-, 12-, and 24-h reperfusion (P = 0.01, P < 0.01 and P < 0.01, respectively), and statistically increased SOD activity at 12- and 24-h reperfusion (P < 0.05 and P < 0.01, respectively). Flap survival rate on the 7th day was significantly higher in the RIPoC1 group than the control group (47.9 ± 6.4 vs . 29.4 ± 7.1 %, P < 0.01). CONCLUSION: Three cycles of 5-min Limb remote ischemic post-conditioning rather than a single cycle of 15-min limb RIPoC has protective effect on flaps against ischemia-reperfusion injury by attenuating oxidative stress.

ABSTRACTPurpose:RNA activation (RNAa) is a mechanism of gene activation triggered by promoter-targeted small double stranded RNAs (dsRNAs), also known as small activating RNAs (saRNAs). Myogenic regulatory factor MyoD is regarded as the master activator of myogenic differentiation cascade by binding to enhancer of muscle specific genes. Stress urinary incontinence (SUI) is a condition primarily resulted from urethral sphincter deficiency. It is thus expected that by promoting differentiation of adipose-derived stem cells (ADSCs) into myoblasts by activating MyoD gene through RNAa may offer benefits to SUI.Materials and Methods:Rats ADSCs were isolated, proliferated in vitro, and identified by flow cytometry. Purified ADSCs were then transfected with a MyoD saRNA or control transfected. Real-time polymerase chain reaction (RT-PCR) and western blotting were used to detect MyoD mRNA and protein expression, respectively. Immunocytochemical staining was applied to determine the expression of desmin protein in transfected cells. Cell viability was measured by using CellTiter 96® AQueous One Solution Cell Proliferation Assay kit.Results:Transfection of a MyoD saRNA (dsMyoD) into ADSCs significantly induced the expression of MyoD at both the mRNA and protein levels, and inhibited cell proliferation. Desmin protein expression was detected in dsMyoD treated ADSCs 2 weeks later.Conclusion:Our findings show that RNAa mediated overexpression of MyoD can promote transdifferentiation of ADSCs into myoblasts and may help treat stress urinary incontinence (SUI)–a condition primarily resulted from urethral sphincter deficiency.

BACKGROUND: Although numerous efforts have been made, the pathogenesis underlying lung squamous-cell carcinoma (SCC) remains unclear. This study aimed to identify the CNV-driven genes by an integrated analysis of both the gene differential expression and copy number variation (CNV). RESULTS: A higher burden of the CNVs was found in 10-50 kb length. The 16 CNV-driven genes mainly located in chr 1 and chr 3 were enriched in immune response [e.g. complement factor H (CFH) and Fc fragment of IgG, low affinity Ilia, receptor (FCGR3A)], starch and sucrose metabolism [e.g. amylase alpha 2A (AMY2A)]. Furthermore, 38 TFs were screened for the 9 CNV-driven genes and then the regulatory network was constructed, in which the GATA-binding factor 1, 2, and 3 (GATA 1, GATA2, GATA3) jointly regulated the expression of TP63. CONCLUSIONS: The above CNV-driven genes might be potential contributors to the development of lung SCC.

To observe effect of E2F decoy DNA on proliferation and apoptosis of androgen-independent prostate cancer cell line PC-3M the binding specificity of the E2F decoy DNA to the PC-3M nuclear protein was detected by electrophoretic mobility shift assay (EMSA). E2F decoy DNA, ARE decoy DNA and Control decoy DNA were respectively transfected into PC-3M cells with lipofectamine.Their influence on cell proliferative activity was detected by MTT assay.The cell apoptotic rate was determined by flow cytometric(FCM) analysis and chromosome DNA ladder was detected by DNA gel electrophoresis.The change of mRNA expression of C-myc and CyclinD1 were detected by RT-PCR.The change of mRNA expression of C-myc and CyclinD1 were detected by Western-blot. EMSA demonstrated specific binding of the E2F decoy to E2F transcription factor.The PC-3M cell growth was inhibited after transfection. The apoptotic rate was 26.35% and DNA ladder could be observed after transfection.The expression of C-myc and CyclinD1 were inhibited. All these results indicated that E2F decoy DNA induced apoptosis of androgen-independent prostate cancer cell lines PC-3M and inhibited cell proliferation via inhibiting expression of C-myc and CyclinD1.