ABSTRACT Introduction: According to the American Heart Association guideline for coronary artery bypass grafting (CABG), female patients undergoing on-pump CABG (ONCAB) are at higher risk of short-term adverse outcomes than male patients. However, whether off-pump CABG (OPCAB) can improve the short-term outcome of female patients compared to ONCAB remains unclear. Methods: We conducted a meta-analysis to study the effect of the female sex on short-term outcomes of OPCAB vs. ONCAB. A total of 31,115 patients were enrolled in 12 studies, including 20,245 females who underwent ONCAB and 10,910 females who underwent OPCAB. Results: The in-hospital mortality in female patients who underwent OPCAB was significantly lower than in those in the ONCAB group with (2.7% vs. 3.4%; odds ratio [OR] 0.76; 95% confidence interval [CI] 0.65-0.89) and without (OR 0.68; 95% CI 0.52-0.89) adjustment for cardiovascular risk factor. The incidence of postoperative stroke in female patients who underwent OPCAB was lower than in those in the ONCAB group (1.2% vs. 2.1%; OR 0.59; 95% CI 0.48-0.73) before cardiovascular risk factor adjustment but was not significant (OR 0.87; 95% CI 0,66-1.16) after adjustment. There was no significant difference in the incidence of postoperative myocardial infarction between women who underwent OPCAB and those in the ONCAB group (1.3% vs. 2.3%; OR 0.88; 95% CI 0.54-1.43). Conclusion: In contrast to the American Heart Association CABG guideline, female patients who had OPCAB don’t have unfavorable outcomes compared with the ONCAB group.

This study aimed to evaluate in vitro the possible mechanisms underlying the estrogenic potential of benzalkonium chloride (BAC) as a disinfectant emerging contaminant. Effects of BAC at the environmentally-relevant concentrations on estrogen synthesis and estrogen receptor (ER) signaling were assessed using the H295R steroidogenesis assay and the MCF-7 proliferation assay, respectively. Results showed that exposure to BAC at concentrations of 1.0-1.5 mg/L for 48 h significantly increased estradiol production of H295R cells in a concentration-dependent manner. Transcription of steroidogenic genes 3β‐HSD2, 17β‐HSD1, 17β‐HSD4, and CYP19A were significantly enhanced by BAC. In ER-positive MCF-7 cells, exposure to 0.5-1.5 mg/L BAC for 48 h significantly promoted cell proliferation and increased the expressions of ERα and G-protein coupled estrogen receptor 1. Flow cytometry analysis showed that 0.5-1.5 mg/L BAC significantly decreased the percentage of cells in G0/G1 phase, increased the percentage in S phase, and BAC at concentrations of 1.0 and 1.5 mg/L increased the G2/M phase cells. Findings of the study suggested that BAC at environmentally-relevant concentrations might act as a xenoestrogen through its inhibitory effect on steroidogenesis and ER-mediated mechanism.

ABSTRACT Purpose: Diabetes mellitus is a serious health problem worldwide, and diabetic nephropathy is the complication. The diabetic nephropathy considerably enhances the oxidative stress, glycation, lipid parameters and inflammatory reaction. Ellipticine has potent free radical scavenging and anti-inflammatory effect. Methods: In the current study, our objectives were to thoroughly examine the renal protective effects of ellipticine in a rat model of streptozotocin (STZ)-induced diabetic nephropathy (DN) and to elucidate the underlying mechanisms involved. For the induction of diabetic nephropathy, streptozotocin (50 mg/kg) was used, and rats were separated into groups and given varying doses of ellipticine (2.5, 5 and 7.5 mg/kg). The body weight, and renal weight were estimated. The inflammatory cytokines, renal biomarkers, inflammatory antioxidant, and urine parameters were estimated. Results: Result showed that ellipticine considerably enhanced the body weight and reduced the renal tissue weight. Ellipticine treatment significantly (P < 0.001) repressed the level of blood urea nitrogen, serum creatinine, uric acid, blood glucose and altered the lipid parameters. Ellipticine significantly (P < 0.001) repressed the level of malonaldehyde and boosted the glutathione, catalase, superoxide dismutase, and glutathione peroxidase. Ellipticine treatment significantly (P < 0.001) reduced the inflammatory cytokines and inflammatory mediators. Conclusions: Ellipticine could be a renal protective drug via attenuating the inflammatory reaction, fibrosis and oxidative stress in streptozotocin induced rats.

Abstract Objectives: The Lateral Arm Free Flap (LAFF) offers advantageous features like variable thickness and minimal hair growth. LAFF is primarily used in orofacial and pharyngeal reconstructions, with limited reports on tracheal/esophageal applications. Also, the psychological prognosis and quality of life in patients with LAFF reconstruction are lacking. Methods: This retrospective case series presents outcomes of LAFF reconstruction for head and neck surgical defects which included 19 patients. The disease type, location of reconstruction, TNM staging, tumor size, chemoradiation status, anxiety, depression, quality of life and detailed perioperative information of the LAFF reconstruction surgery were presented in a descriptive pattern. Subgroup analysis was conducted using Mann–Whitney U and Pearson r test Conclusions: The lateral arm free flap exhibits remarkable versatility and multifunctionality, providing advantageous outcomes in head and neck reconstruction. Level of evidence: Level 4 according to OCEBM.

Abstract Introduction: the frail status of elderly hypertensive patients easily damages the function of many physiological systems. Objectives: we aimed to investigate the correlation between the frail status and lower extremity function of elderly hospitalized patients with hypertension. Methods: a total of 336 eligible subjects were assigned to frail, pre-frail and non-frail groups according to the “Frail” scale. Lower extremity function was assessed by the Short Physical Performance Battery including chair-sit-to-stand, three-posture balance and 6-meter gait speed tests. The influences of factors on frailty were evaluated using the Cox multivariate regression analysis. The correlation between frailty score and lower extremity function score was explored by Spearman's analysis. The values of factors for predicting frail status were analyzed by plotting receiver operating characteristic (ROC) curves. Results: the three groups had similar age, systolic blood pressure, and nutritional, sleepiness and lower extremity function statuses (p < 0.05). Compared with the non-frail group, the lower extremity function score of the frail group was lower (p < 0.05). Age, systolic blood pressure and sleepiness status were the independent risk factors of frailty (p < 0.05), and lower extremity function parameters were independent protective factors (p < 0.05). There were negative correlations between frail status and lower extremity function parameters (p < 0.05). The area under the ROC curve was 0.850, and the optimal cutoff value was 7.80. Lower extremity function had a high value for predicting frail status. Conclusions: lower extremity function is negatively correlated with the frail status of elderly hospitalized patients with hypertension, as a protective factor of frailty, which can be used to predict frail status.

Resumen Introducción: el estado frágil de los pacientes hipertensos de edad avanzada daña fácilmente la función de muchos sistemas fisiológicos. Objetivos: nuestro objetivo fue investigar la correlación entre el estado frágil y la función muscular de pacientes ancianos hospitalizados con hipertensión. Métodos: un total de 336 sujetos elegibles fueron asignados a grupos de frágiles, pre-frágiles y no frágiles de acuerdo con la escala de fragilidad. La función muscular se evaluó mediante la batería de rendimiento físico corto, que incluye las pruebas de sentarse y levantarse de una silla, equilibrio de tres posturas y velocidad de marcha de 6 metros. Las influencias de los factores sobre la fragilidad se evaluaron mediante el análisis de regresión multivariante de Cox. La correlación entre el puntaje de fragilidad y el puntaje de función muscular se exploró con el análisis de Spearman. Los valores de los factores para predecir el estado frágil se analizaron mediante el trazado de curvas características de funcionamiento del receptor (ROC). Resultados: los tres grupos tenían edades similares y valores similares de presión arterial sistólica y estado nutricional, somnolencia y función muscular (p < 0,05). En comparación con el grupo no frágil, la puntuación de la función muscular del grupo frágil fue menor (p < 0,05). La edad, la presión arterial sistólica y el estado de somnolencia fueron los factores de riesgo independientes de fragilidad (p < 0,05), y los parámetros de función muscular fueron factores protectores independientes (p < 0,05). Hubo correlaciones negativas entre el estado frágil y los parámetros de la función muscular (p < 0,05). El área bajo la curva ROC fue de 0,850 y el valor de corte óptimo fue de 7,80. La función muscular tuvo un valor alto para predecir el estado frágil. Conclusiones: la función muscular se correlaciona negativamente con el estado frágil de los pacientes ancianos hospitalizados con hipertensión, como factor protector de la fragilidad, que se puede utilizar para predecir el estado frágil.

This study investigated the mechanism underlying the suppression of estrogen receptor-positive MCF-7 cell growth by regorafenib. MCF-7 cells were treated with regorafenib, and the effect of regorafenib on multiple cancer-associated pathways was evaluated. Although regorafenib effectively inhibited the proliferation of MCF-7 cells, it had no effect on the proliferation of the normal breast epithelial cell line MCF10A. Regorafenib suppressed MCF-7 cell migration, probably by regulating the homeostatic expression of matrix metalloproteinases and the tissue inhibitor of MMPs. Furthermore, it upregulated p21 expression, downregulated cyclin B1 and cyclin D1 expresssions, and caused cell cycle arrest. In addition, regorafenib induced apoptosis in MCF-7 cells by reducing Mcl-1 expression and activating caspase signaling. These results demonstrate that regorafenib has the potential to be an effective drug for treating breast cancer

High specific surface area activated carbon prepared by Perilla frutescens (PFHSAAC) was modified on the surface of the glassy carbon electrode (GCE) by drop-coating method to construct a PFHSAAC/GCE. The electrochemical properties of the modified electrode were investigated in detail by some electrochemical methods such as cyclic voltammetry (CV), differential pulse voltammetry (DPV) and electrochemical impedance spectroscopy (EIS). Experiment results show that the modified electrode has excellent redox activity and distinction capability toward the two isomers of catechol (CC) and hydroquinone (HQ). The separation of oxidation peak potential for HQ and CC of DPV is 112.8 mV. Under the optimal conditions, the oxidation peak currents of HQ and CC show good linear relationships with their concentrations in the ranges of 1.0 × 10-6-2.0 × 10-4 and 1.0 × 10-6-1.5 × 10-4 mol L-1, respectively. The limits of detection for HQ and CC are 3.57 × 10-7 and 4.23 × 10-7 mol L-1, respectively. The PFHSAAC/GCE exhibits good stability, repeatability and sensitivity. The developed method was used to determine HQ and CC in water samples with best results.

The relationship between endogenous ethylene production and natural defoliation rate was examined in sugarcane cultivars with different natural defoliation traits. Ethylene production was examined at different positions on leaf sheaths and leaf scars at various sugarcane maturation stages using gas chromatography as an external standard method. During the sugarcane maturation process, ethylene production was greatest in the 2nd leaf sheath scar, followed by the 5th and 10th, in that order. It was also greatest during the early maturation stage, followed by the mid-maturation and harvest stages. Ethylene production of the leaf sheaths and leaf scars differed significantly among the sugarcane cultivars. Cultivars that defoliate easily produced significantly more ethylene than those that do not defoliate easily. The natural defoliation rates was greatest in the harvest stage, followed by mid-maturation and early maturation stage. Correlation analysis indicated that ethylene production was positively correlated with natural defoliation rates, particularly during early- and mid-maturation stages.

Graphite oxide (GO) was prepared with graphite flakes, KMnO4, and a mixture of concentrated H2SO4/H3PO4 by an improved green synthesis method. To obtain fully oxidized GO, an orthogonal array design L9 was applied to select the optimum preparing conditions. The effects of the quantity of graphite, the quantity of KMnO4, reaction time, and temperature on the degree of oxidization of GO were evaluated by the orthogonal array design (OAD). The results show that the factors arranged in important order as the follows: reaction time, reaction temperature, the quantity of KMnO4, the quantity of graphite. Graphite oxide obtained at the optimal parameters by the improved method was characterized by UV-Vis, FT-IR, Raman spectrum, and XRD techniques, and compared with GO produced by the modified Hummers' method. The results indicate that the GO obtained by the improved green synthesis method has fewer defects in the basal plane and is more oxidized than the modified Hummers' method.

ObjectiveTo study the effect of ischemia preconditioning (IP) on renal ischemia/reperfusion (I/R)-associated functional injury and expression of renal adhesion molecules in rats.Materials and MethodsThe ischemia preconditioning plan adopted in this experiment involved renal warm ischemia for 6 min. and blood flow for 4 min., repeated four times. The Wistar rat kidneys used for warm ischemia preconditioning were subjected to 60 min of renal warm ischemia followed by reperfusion. The rat kidneys with ischemia/reperfusion were compared with the ischemia preconditioning group to observe rat renal function and changes in the expression of renal adhesion molecules ICAM-1, P--Selectin, and E-Selectin.ResultsThe expression of rat renal adhesion molecules (ICAM-1, P-Selectin, and E-Selectin) with ischemia preconditioning was significantly lower than that of the ischemia/reperfusion group. Serum creatinine was significantly lower than that in the ischemia/reperfusion group after 48 hours.ConclusionsIschemia preconditioning has a protective effect on renal function. Reduced expression of renal adhesion molecules is likely a mechanism involved in the observed protection.

Magnesium oxide and magnesium aluminate (MgAl2O4) spinel (MAS) powders have been synthesized by a simple aqueous sol-gel process using citrate polymeric precursors derived from magnesium chloride, aluminium nitrate and citrate. The thermal decomposition of the precursors and subsequent formation of cubic MgO and MAS were investigated by X-ray diffraction (XRD), scanning electron microscopy (SEM), thermogravimetry-differential scanning calorimetry (TG-DSC) and Fourier transform infrared spectra (FTIR). The single phase cubic MgO powder and MAS powder form after heat treatment at 800 and 1200 °C, respectively. The particle size of the MgO and MAS powders is about 100 nm and several micrometers, respectively. Ball milling eliminates the size of MgO and MgAl2O4 spinel powders by decreasing the conglomeration of the powders.

A compreensão da estrutura da variabilidade especial das propriedades hidráulicas do solo de encostas íngremes é importante na modelagem dos processos de infiltração e de escoamento superficial da água. O objetivo deste estudo foi investigar a variabilidade destas propriedades em uma encosta íngreme do "Loess Plateau" do noroeste da China. Uma área de 9600 m² foi sistematicamente amostrada em um grid de 106 pontos espaçados de 10 m x 10 m. As propriedades hídricas foram determinadas com um infiltrômetro de disco operando sob múltiplas cargas hidráulicas (-15, -9, -6, -3, 0 cm) em cada ponto de observação. Métodos clássicos e geoestatísticos foram empregados na análise dos dados. Os resultados mostraram que a variação do índice a de Gardner e das condutividades hidráulicas em todas as cargas aplicadas foi moderada e que a heterogeneidade das condutividades hidráulicas aumentou à medida que a carga hidráulica aumentava. Na direção do declive, as condutividades geralmente decresceram a jusante, enquanto os a de Gardner flutuavam moderadamente. Os a de Gardner das encostas sombreadas foram maiores do que os das encostas ensolaradas. As condutividades hidráulicas das encostas sombreadas foram maiores para cargas hidráulicas maiores em comparação com as encostas ensolaradas, mas menores que as das encostas ensolaradas para cargas hidráulicas menores. A análise de correlação mostrou uma correlação negativa entre a condutividade hidráulica e os teores de matéria orgânica e argila (<0.01 mm). As condutividades hidráulicas sob cargas de -3, -6, -9, -15 cm variaram em toda encosta e suas dependências espaciais aumentaram à medida que a carga diminuía. A heterogeneidade e a dependência espacial das propriedades hídricas foram maiores para as áreas em encostas sombreadas em comparação com as encostas ensolaradas, entretanto, à medida que a carga hidráulica decrescia, elas apresentaram progressivamente uma estrutura especial mais intensa, e esta estrutura se comportou cada vez mais similar para as encostas sombreadas e ensolaradas.

The understanding of the structure of the spatial variability of soil surface hydraulic properties on steep slopes is important for modeling infiltration and runoff processes. The objective of this study was to investigate the spatial variability of these properties on a steep slope of the Loess Plateau in northwest China. A 9600 m² area was systematically sampled in a grid of 106 points spaced 10 m x 10 m. Hydraulic properties were determined with a disc infiltrometer under multiple pressure heads (-15, -9, -6, -3, 0 cm) at each sample point. Classical and geo-statistical methods were used for data analysis. The results indicated that the variation of Gardner's a and hydraulic conductivities at all applied pressure heads was moderate and the heterogeneity for hydraulic conductivities increased as the applied pressure head increased. Along the slope, hydraulic conductivities generally decreased downwards, while the Gardner's a fluctuated slightly. The Gardner's a of the shaded aspect of the slope was greater than that of the sunny aspect. The hydraulic conductivities of the shaded aspect were greater at higher pressure heads as compared to the sunny aspect, but lower than those of the sunny aspect at lower pressure heads. Correlation analysis showed a negative correlation between hydraulic conductivity and soil organic matter and clay (<0.01 mm) contents. Hydraulic conductivities at pressure heads of -3, -6, -9, -15 cm varied across the slope and their spatial dependence increased as the pressure head declined. The heterogeneity and spatial dependence of hydraulic properties were larger for the areas with shaded aspect as compared to the sunny aspect, however, as pressure decreased they showed a progressively increasing spatial structure, and their spatial structure behaved increasingly similar in both the shaded and sunny aspects.