Congenital abnormalities of the biliary system are a consideration in children with biliary symptomatology. The preoperative diagnosis rate is still not satisfactory, despite progresses made in imaging technology, with the potential of biliary tract injury if surgery is indicated. The double gallbladder is a rare developmental abnormality of the biliary tract with several anatomical variations. This abnormality was accurately delineated in a 7-year-old child by MRI/MRCP, allowing the ductal anatomy to be accurately identified and safe laparoscopic cholecystectomies to be performed.

Resumo As plantas medicinais são as principais fontes de cuidados de saúde entre as pessoas dos países em desenvolvimento, nas aldeias e cidades locais. É importante documentar e relatar o conhecimento tradicional de plantas medicinais, dado que pode contribuir para o desenvolvimento da pesquisa farmacêutica. Por esta razão, apresentamos neste estudo nossas descobertas sobre plantas etnomedicinais do condado de Lingchuan, Shanxi, China, uma área inexplorada e rica em recursos de plantas medicinais. As informações sobre as plantas etnomedicinais foram coletadas por meio de questionário/entrevista semiestruturada com 180 participantes, incluindo curandeiros. As pesquisas de campo foram realizadas em 53 aldeias do condado de Lingchuan, entre 2017 e 2018. O consentimento informado foi obtido de cada participante antes de conduzir o processo de entrevista. Foi realizada uma análise quantitativa de cada espécie registrada, através da Frequência Relativa de Citação (RFC), Valor de Uso (UV) e Fator de Consenso dos Informantes (FCI). As doenças foram categorizadas em doze grupos. Foram registradas 138 espécies de plantas medicinais, pertencentes a 123 gêneros de 58 famílias. Asteraceae foi a família de plantas dominante, totalizando 19 espécies, seguida pelas famílias Rosaceae e Fabaceae. As ervas foram consideradas como as principais formas de vida vegetal usadas, com 96 espécies, seguidas por arbustos e árvores (15 espécies cada). As raízes foram as partes de plantas mais utilizadas com 58 espécies, seguidas de plantas inteiras e frutos (28 espécies cada). A maioria das espécies relatadas foram estabelecidas como não tóxicas (84, 60%), seguida de plantas com toxicidade desconhecida (35, 25%), venenosas e menos tóxicas (19, 14%). A análise quantitativa revelou que a espécie Forsythia suspensa alcançou o maior (0,33) valor de RFC, e a Scutellaria baicalensis obteve o maior (0,91) valor de UV registrado. As doenças tratadas foram categorizadas em 12 grupos e avaliadas pelos seus respectivos valores de FCI, onde as doenças ginecológicas apresentaram maior (0,93) valor de FCI, seguido pelas doenças do sistema urinário. Foi concluído que a maioria das plantas medicinais são usadas para amenizar calores e alívio tópico. O presente estudo revelou que a população local do condado de Lingchuan confia no uso de plantas etnomedicinais para lidar com seus problemas de saúde. Seria válido aprofundar as investigações relativas aos índices mais altos obtidos nas análises quantitativas das espécies analisadas, visto que podem possuir compostos fitoquímicos valiosos que podem resultar em novos medicamentos para o tratamento de diversas doenças humanas.

Abstract Medicinal plants are the primary sources of healthcare among the people of developing countries in villages and local towns. Documenting and reporting the traditional knowledge of medicinal plants may contribute to pharmaceutical research development. For this reason, we present our findings on ethnomedicinal plants from Lingchuan County, Shanxi, China, an unexplored area rich in medicinal plant resources. Information of ethnomedicinal plants were collected through questionnaire/semi-structured interviews from 180 informants, including traditional healers. Field surveys were conducted in 53 villages of Lingchuan County from 2017 to 2018. Informed consent was obtained from each participant before conducting the interview process. Quantitative analysis was performed for each recorded species, such as Relative Frequency Citation (RFC), Use Value (UV), and Factor of Informant Consensus (FIC). Diseases were categorized into twelve groups. A total 138 species of medicinal plants were recorded, belonging to 123 genera of 58 families. Asteraceae was the dominant plant family with 19 species, followed by Rosaceae and Fabaceae. Herbs were dominant among plant life-forms with 96 species, followed by shrubs and trees (15 species each). Roots were the most commonly used plant parts with 58 species, followed by whole plants and fruits (28 species each). Most plant species were reported non-toxic (84, 60%), followed by unknown toxicity (35, 25%), poisonous, and less toxic (19, 14%). Quantitative analysis revealed that Forsythia suspensa was with higher (0.33) RFC value, and Scutellaria baicalensis was recorded with a higher (0.91) UV. Treated diseases were categorized in 12 groups and evaluated by their FIC value, in which gynecological diseases have higher (0.93) FIC value followed by urinary system diseases. Most medicinal plants are used to clear away heat and relieve the surface. The present study revealed that local people of Lingchuan County confidently use ethnomedicinal plants for their healthcare needs. The higher indices value of a plant species resulted from quantitative analysis warrants further investigation, which may possess valuable phytochemical compounds that may result in new drugs for treating various human disorders.

Abstract In the present study the white-rot fungi BP was selected to study the degradation of nitrogen heterocyclic compounds in real and simulated coking wastewater. The study incorporated analysis of the degradation process, mechanism of action of white-rot fungi on nitrogen heterocyclic compounds, changes of enzyme activity and white-rot fungi biomass growth rate in coking wastewater (simulated and actual). The results showed that the addition of ammonia nitrogen and phenol in simulated wastewater had insignificant effects on the degradation of indole. Moreover, the promoting effect of phenol on quinoline degradation was greater than the inhibition effects of ammonia nitrogen. Degradation rates of quinoline, indole and pyridine are consistent with the zero-order kinetics equation. It was also found that the addition of Mg (II) and Mn (II) promotes the degradation of quinoline by white-rot fungi in the actual wastewater, while degradation of pyridine was inhibited by three ions, out of which the inhibition of Cu (II) was the most obvious. Cu (II) was also found to have positive effects on the levels of activity of laccase enzyme secreted by the white-rot fungi as opposed to other metal ions tested. However, it was found to have inhibitory effects on the development of white-rot fungi, while Mg (II) and Mn (II) were found to promote the development of the white-rot fungi. The activity of the enzyme and the growth rate of the biomass of white-rot fungi first reached the maximum levels followed by a significant decline.

ABSTRACT The Beijing oil (BJO) chicken is an autochthona Chinese breed which shows outstanding meat quality characteristics compared with fast-growing imported chickens such as Arbor Acres (AA) chickens. Gut microbial diversity has been shown to influence host factors such as energy and nutrient metabolism, immune response and fertility. Consequently, it is hoped that analyses into host microbial populations will ultimately help to improve the quality of associated meat products. Two distinct chicken breeds, Arbor Acres (AA) and Beijing oil (BJO), were selected to analyze the composition of the 16S rRNA gene V3-V5 hypervariable regions using high-throughput sequencing technology. Upon elucidation of gut-colonizing bacteria, the Firmicutes were observed to encompass the dominant phylum. The abundance of Firmicutes in the BJO chickens (84.9%) was lower than in the AA chickens (89.9%). Conversely, the prevalence of Proteobacteria was 4.8% in BJO chickens, with a significantly lower abundance observed in AA chickens (1.3%). In the cecum, the Firmicutes were once more the dominant phylum in BJO chickens (60.2%) and AA chickens (63.7%). The abundance of bacteroidetes was 37.7% in BJO chickens and 34.9% in AA chickens, respectively. These discoveries provide a perception into the composition of the gut microbiotain both breeds. The study also provides a foundation for future research relating to gut bacterial factors that may influence the development and progression of gastrointestinal disease in chickens and other animals.

Cetuximab is widely used in patients with metastatic colon cancer expressing wildtype KRAS. However, acquired drug resistance limits its clinical efficacy. Exosomes are nanosized vesicles secreted by various cell types. Tumor cell-derived exosomes participate in many biological processes, including tumor invasion, metastasis, and drug resistance. In this study, exosomes derived from cetuximab-resistant RKO colon cancer cells induced cetuximab resistance in cetuximab-sensitive Caco-2 cells. Meanwhile, exosomes from RKO and Caco-2 cells showed different levels of phosphatase and tensin homolog (PTEN) and phosphor-Akt. Furthermore, reduced PTEN and increased phosphorylated Akt levels were found in Caco-2 cells after exposure to RKO cell-derived exosomes. Moreover, an Akt inhibitor prevented RKO cell-derived exosome-induced drug resistance in Caco-2 cells. These findings provide novel evidence that exosomes derived from cetuximab-resistant cells could induce cetuximab resistance in cetuximab-sensitive cells, by downregulating PTEN and increasing phosphorylated Akt levels.

Abstract Carbon nanoparticles (CNPs) have been synthesized by laser ablation of polycrystalline graphite in water using a pulsed Nd:YAG laser (1064 nm) with a width of 8 ns. Structural and mesoscopic characterization of the CNPs in the supernatant by Raman spectroscopy provide evidence for the presence of mainly two ranges of particle sizes: 1-5 nm and 10-50 nm corresponding to amorphous carbon and graphite NPs, respectively. These results are corroborated by complementary characterization using atomic force microscopy (AFM) and transmission electron microscopy (TEM). In addition, large (10-100 μm) graphite particles removed from the surface are essentially unmodified (in structure and topology) by the laser as confirmed by Raman analysis.

This study aimed to explore the effects of continuous blood purification (CBP) treatment in pigs affected with acute respiratory distress syndrome (ARDS). A total of 12 healthy male pigs, weighing 12±1.8 kg, were randomly and equally assigned to the control and experimental groups. The ARDS pig model was prepared by intravenous injections of endotoxin (20 µg/kg). The control group was given conventional supportive therapy, while the experimental group was given continuous veno-venous hemofiltration therapy. During the treatment process, the variations in dynamic lung compliance, oxygenation index, hemodynamics, and urine volume per hour at different times (Baseline, 0, 2, 4, and 6 h) were recorded. The levels of tumor necrosis factor (TNF-α), interleukin 6 (IL-6), and IL-10 in serum and bronchoalveolar lavage fluid (BALF) were measured using the enzyme-linked immunosorbent assay. The histomorphological changes of the lung, heart, and kidney were visualized using a light microscope. The nuclear factor κB p65 protein content of the heart, lung, and kidney tissues was also detected using western blot. The experimental group outperformed the control group in both respiratory and hemodynamic events. CBP treatment cleared TNF-α, IL-6, and IL-10 partially from serum and BALF. The pathological examination of the heart, lung, and kidney tissues revealed that the injury was less severe in the experimental group. CBP treatment can improve the organ functions of pigs affected with endotoxin-induced ARDS and protect these organs to some extent.

Phosphorylated-cyclic adenosine monophosphate response element-binding protein (Phospho-CREB) has an important role in the pathogenesis of myocardial ischemia. We isolated the iridoid glycoside cornin from the fruit of Verbena officinalis L, investigated its effects against myocardial ischemia and reperfusion (I/R) injury in vivo, and elucidated its potential mechanism in vitro. Effects of cornin on cell viability, as well as expression of phospho-CREB and phospho-Akt in hypoxic H9c2 cells in vitro, and myocardial I/R injury in vivo, were investigated. Cornin attenuated hypoxia-induced cytotoxicity significantly in H9c2 cells in a concentration-dependent manner. Treatment of H9c2 cells with cornin (10 µM) blocked the reduction of expression of phospho-CREB and phospho-Akt in a hypoxic condition. Treatment of rats with cornin (30 mg/kg, iv) protected them from myocardial I/R injury as indicated by a decrease in infarct volume, improvement in hemodynamics, and reduction of severity of myocardial damage. Cornin treatment also attenuated the reduction of expression of phospho-CREB and phospho-Akt in ischemic myocardial tissue. These data suggest that cornin exerts protective effects due to an increase in expression of phospho-CREB and phospho-Akt.

Milk fat globule epidermal growth factor 8 (MFG-E8) is an opsonin involved in the phagocytosis of apoptotic cells. In patients with chronic obstructive pulmonary disease (COPD), apoptotic cell clearance is defective. However, whether aberrant MFG-E8 expression is involved in this defect is unknown. In this study, we examined the expression of MFG-E8 in COPD patients. MFG-E8, interleukin (IL)-1β and transforming growth factor (TGF)-β levels were measured in the plasma of 96 COPD patients (93 males, 3 females; age range: 62.12±10.39) and 87 age-matched healthy controls (85 males, 2 females; age range: 64.81±10.11 years) using an enzyme-linked immunosorbent assay. Compared with controls, COPD patients had a significantly lower plasma MFG-E8 levels (P<0.01) and significantly higher plasma TGF-β levels (P=0.002), whereas there was no difference in plasma IL-1β levels between the two groups. Moreover, plasma MFG-E8 levels decreased progressively between Global Initiative for Chronic Obstructive Lung Disease (GOLD) I and GOLD IV stage COPD. Multiple regression analysis showed that the forced expiratory volume in 1 s (FEV1 % predicted) and smoking habit were powerful predictors of MFG-E8 in COPD (P<0.01 and P=0.026, respectively). MFG-E8 was positively associated with the FEV1 % predicted and negatively associated with smoking habit. The area under the receiver operating characteristic curve was 0.874 (95% confidence interval: 0.798-0.95; P<0.01). Our findings demonstrated the utility of MFG-E8 as a marker of disease severity in COPD and that cigarette smoke impaired MFG-E8 expression in these patients.

A long-term field experiment was conducted over a twenty year period to examine the effects of three different soil management regimes (Abandonment, Fallow and Cropping) and eight nutrient management regimes under Cropping on soil organic carbon (SOC), N and P levels, microbial biomass, and enzymatic activities related to C, N, and P cycling in a loess soil. The nutrient management regimes examined involved treatment with various combinations of inorganic nitrogen, phosphorus, and potassium fertilizers (N, NP, PK, and NPK), as well as combinations of NPK fertilizers with either residual plant material (SNPK) or manure (MN1PK and MN2PK). Abandonment resulted in greater levels of soil microbial biomass than did Cropping but similar levels of enzyme activity were observed under both regimes. The Fallow regime gave significantly lower soil organic carbon levels and enzyme activities than did Cropping. Within the Cropping system, the treatments containning nitrogen and phophorus significantly improved SOC, N and P levels and also increased microbial biomass and enzyme activity relative to the control. In general, the highest values of the tested soil parameters were observed under the M2NPK treatment. With the exception of invertase, the activity of all soil enzymes tested correlated significantly with SOC and microbial biomass. It was concluded that the use of fertilization regimes involving applying organic material in conjunction with NPK fertilizers should be encouraged in order to maintain or improve the chemical and biological properties of the tested loess soil and to thereby increase its productivity.

In a greenhouse experiment, Medicago sativa was grown in iron-rich soil inoculated with arbuscular mycorrhizal fungi (Funelliformis mosseae, FM) and/or iron (Fe) -reducing bacteria (IRB, Klebsiella pneumoniae strain L17) with three exogenous labile C input forms (no C source, as a single dose, and as a pulse) at rates of P0 and P5 (0 and 5 mg P2O5 kg-1, KH2PO4), which is to understand the role of IRB in enhancing the Fe-P utilization with exogenous labile C in subtropical soil. The results showed when inoculated with IRB, labile C as a pulsed input significantly improved the mycorrhiza colonization and hyphal length density, and increased the shoot P content, microbial biomass C and glomalin content at P5 rate; meanwhile, the labile C input also promoted the Fe (II) production, when inoculated with IRB, labile C as a pulsed input increased the C/A extractable Fe (II), oxalate-extractable P and microbial biomass P content. These facts suggested that application of labile C as a pulsed input enhanced the ability of IRB in improving the Fe reduction and Fe-P utilization in subtropical soil.

Four types of soil (red, yellow, cinnamon, and paddy soil) from China were used to conduct experiments in pots to study the influence of humic acid (humic acid (HA) and fulvic acid (FA)) on the accumulation of lead (Pb) and cadmium (Cd) in tobacco leaves. In non-polluted soils, the tobacco leaf uptake of Cd was dramatically influenced by the total soil metal concentration and soil properties, with no relationship observed for Pb. However, in soils that were polluted with 500 mg kg-1 of Pb or10 mg kg-1 of Cd, negative relationships were observed between the soil pH and the metal concentration in the tobacco leaves. When the soil was polluted with Pb, the application of 4 g kg-1 humic acids (HA or FA) decreased the leaf Pb concentration by 17.78%-48.32% in the acidic red and paddy soils but increased the concentration by 11.69%-37.54% in the alkaline cinnamon soil. A 8.74%-32.84% decrease in the leaf Cd concentration occurred in the acidic soils due to 4 g kg-1 HA, while there was a 4.45%-8.13% decrease and a 14.20%-46.37% increase in leaf Cd concentration in the yellow and cinnamon soils when HA and FA were applied, respectively. This finding suggests that the effects of humic acids on metal availability to plants in soil were pH-dependent, with inhibitory and stimulatory effects on acidic and alkaline soils, respectively. Therefore, humic acids (HA and FA) could be used to reduce Pb and Cd accumulation in plants growing in polluted acidic soil but not in alkaline soils.

OBJECTIVES: The standard predictive factors of actuarial survival such as T and N stage become less important as patients live for more than 10 years after treatment of cancer. Reports of actual 10-year survivors of oesophageal squamous cell carcinoma (SCC) are rare, and demographic and clinicopathological factors associated with 10-year survival have not been well documented. In this research we evaluated factors predictive of actual, as opposed to actuarial, 10-year survival. METHODS: We retrospectively analysed 1 046 patients who had undergone oesophagectomy for oesophageal SCC. The demographic and clinicopathological characteristics of patients who were alive more than 10 years after oesophagectomy and those of patients who had died were compared. RESULTS: Univariate analysis showed that 18 factors differed significantly between the two groups. Based on logistic regression analysis, factors associated with 10-year survival were younger age, female gender, absence of dysphagia, a left transthoracic surgical approach, lower pathological T stage, and fewer metastatic lymph nodes. CONCLUSION: The independent positive predictors of actual as opposed to actuarial 10-year survival are younger age, female gender, absence of dysphagia, lower pathological T stage, and fewer metastatic lymph nodes.

A pharmaceutically active material diclofenac was intercalated into a layered double hydroxide by co-precipitation method, release studies suggest that the result diclofenac acid-pillared hydrotalcites (Dic-LDHs) have significant sustained release effect. The complex materials were characterrized using XRD, FTIR, DSC-TG, EA and ICP. The result show that the interlayer distance of the Dic-LDHs is expanded to 1.83nm and the thermal stability of material increases after the intercalation of diclofenac.

Foram estudadas características da bioquímica do sangue, da pressão arterial e da freqüência de pulso de 12 bezerros mantidos sob anestesia por 13 horas, utilizando-se propofol para a indução e isofluorano para manutenção, associados à administração de morfina intra-tecal. Os valores de freqüência de pulso, pressão arterial e glicemia apresentaram pequenas variações e se mantiveram próximos dos valores de referência para bezerros anestesiados. Ao longo do período de anestesia houve aumento significativo, mas discreto, do hematócrito, hemoglobina, pCO2, CO2 total, bicarbonato e potássio. O pH do sangue, pO2, Na+ e Ca++ apresentaram reduções significativas. Este protocolo anestésico foi seguro para a manutenção de bezerros anestesiados por período prolongado.

Several arterial blood chemistry parameters, arterial pressure, and pulse frequency were assessed in 12 calves kept under anesthesia for 13 hours. Propofol and isoflurane were used for induction and maintenance, respectively, in association with intra-thecal injection of morphine. Pulse frequency, arterial pressure, and blood glucose levels had mild oscillations, with values close to the reference range for calves under anesthesia. There was a mild but significant increase in the packed cell volume, hemoglobin, pCO2, total CO2, bicarbonate, and K+, throughout the duration of the anesthesia, whereas blood pH, pO2, Na+, and Ca++ levels decreased significantly. This protocol proved safe for maintenance of calves under anesthesia for prolonged periods of time.