Clinical outcomes of S2 Alar-Iliac screw technique in the treatment of severe spinal sagittal imbalance: a retrospective 2-year follow-up study

Background: The treatment of adult spinal deformity (ASD) remains a significant challenge, especially in elderly patients. This study aimed to evaluate the outcomes of the S2AI screw technique in the treatment of severe spinal sagittal imbalance with a minimum 2-year follow-up.Methods: From January 2015 to December 2018, 23 patients with severe degenerative thoracolumbar kyphosis who underwent placement of S2AI screws for long segment fusion were retrospectively reviewed. Patients were divided into group A (no mechanical complications, 13 cases) and group B (with mechanical complications, 10 cases) according to the occurrence of mechanical complications at the last follow-up. Radiographic parameters were compared between groups preoperatively, 1 month postoperatively and at the last follow-up. Risk factors for mechanical complications were analyzed.Results: The incidence of mechanical complications was 43.5% and the revision rate was 17.4%. At 1 month postoperatively, sagittal correction was better in group A than in group B (p<0.05). The area under the curve for predicting mechanical complications of sacral slope (SS), lumbar lordosis (LL), PI (pelvic incidence)-LL at 1 month postoperatively were 0.762 (p=0.035), 0.896 (p=0.001) and 0.754 (p=0.041) respectively and the best cut-off values were 24.1°, 32.8°and 12.0°. The sagittal correction of both groups was partially lost at the last follow-up.Conclusions: A high incidence of mechanical complications was observed in long-segment corrective surgery with the S2AI screw technique for severe spinal sagittal imbalance. Inadequate sagittal correction is a risk factor for the development of mechanical complications.

The Effects of Warfarin on the Pharmacokinetics of Senkyunolide I in a Rat Model of Biliary Drainage After Administration of Chuanxiong

The aim of this study was to elucidate the effects of warfarin on senkyunolide I in a rat model of biliary drainage after oral administration Chuanxiong extract based on pharmacokinetics. Thirty-two rats were randomly divided into four groups: CN, healthy rats after a single administration of Chuanxiong; CO, rats with biliary drainage after a single administration of Chuanxiong; WCN, healthy rats after the administration of Chuanxiong and warfarin; WCO, rats with biliary drainage after the administration of Chuanxiong and warfarin. A series of blood samples were collected at different time points before and after oral administration. An ultra-performance liquid chromatography coupled to tandem mass spectrometry (UPLC-MS/MS) method for quantification of the main components of Chuanxiong and methyclothiazide (internal standard) have been established. The validated method was successfully applied to a comparative pharmacokinetics study. After calculated by the DAS 2.1.1 software, the pharmacokinetics parameters of senkyunolide I showed a significant difference between the CN and CO groups, the AUC0−t, and Cmax of CO group increased by 5.45, 4.02 folds, respectively. There was a significant difference between the WCO and WCN groups, the Tmax of WCO group prolonged 67%; compared to the CN group, the AUC0−t, and Cmax of WCN group raised 4.84, 3.49 folds, respectively; the Tmax and Cmax between the CO and WCO groups also showed a significant difference. The drug warfarin significantly affected the senkyunolide I disposition, which partly due to its enterohepatic circulation process in rat plasma after oral administration of Chuanxiong. The present study highlights an urgent evidence for drug-herb interactions

The anaphase promoting complex impacts repair choice by protecting ubiquitin signalling at DNA damage sites

Double-strand breaks (DSBs) are repaired through two major pathways, homology-directed recombination (HDR) and non-homologous end joining (NHEJ). While HDR can only occur in S/G2, NHEJ can happen in all cell cycle phases (except mitosis). How then is the repair choice made in S/G2 cells? Here we provide evidence demonstrating that APCCdh1 plays a critical role in choosing the repair pathways in S/G2 cells. Our results suggest that the default for all DSBs is to recruit 53BP1 and RIF1. BRCA1 is blocked from being recruited to broken ends because its recruitment signal, K63-linked poly-ubiquitin chains on histones, is actively destroyed by the deubiquitinating enzyme USP1. We show that the removal of USP1 depends on APCCdh1 and requires Chk1 activation known to be catalysed by ssDNA-RPA-ATR signalling at the ends designated for HDR, linking the status of end processing to RIF1 or BRCA1 recruitment.We thank S.-Y. Lin (MD Anderson Cancer Center) for cell lines; J. Rosen (Baylor College of Medicine) for reagents; H. Masai (Tokyo Metropolitan Institute of Medical Science) for U2OS-Fucci cell line; D. Durocher (University of Toronto) for HeLa-Fucci cell line; E. Citterio (Netherlands Cancer Institute) for GFP-USP3 construct; M.S.Y. Huen (The University of Hong Kong) for RNF168 antibody. This work was performed with facilities and instruments in the Imaging Core of National Center for Protein Science (Beijing), the Cytometry and Cell Sorting Core at Baylor College of Medicine with funding from the NIH (P30 AI036211, P30 CA125123 and S10 RR024574), the Integrated Microscopy Core at Baylor College of Medicine with funding from the NIH (HD007495, DK56338 and CA125123), and the John S. Dunn Gulf Coast Consortium for Chemical Genomics. We also thank other members of the Zhang lab for helpful discussion and support. This work was supported in part by an international collaboration grant (# 2013DFB30210) and a 973 Project grant (# 2013CB910300) from Chinese Minister of Science and Technology, in part by a Chinese National Natural Science Foundation grant (# 81171920), in part by a grant from The Committee of Science and Technology of Beijing Municipality, China (# Z141100000214015), and in part by NIH grants CA116097 and CA122623 to P.Z. J.J. is supported by grants from National Institutes of Health (R01GM102529) and the Welch Foundation (AU-1711). S.H. is supported by grants (# 81272488 and 81472795) from Chinese National Natural Science Foundation. Y.Z. is supported by grants from the National Natural Scientific Foundation of China (No. 81430055), Programs for Changjiang Scholars and Innovative Research Team in University (No. IRT_15R13).S

Study on the construction deformation of a slotted shield in loess tunnels with different buried depths and large sections

Since there is no precedent for the use of slotted shield tunneling in the large section of high-speed railways in China, the relevant technological accumulation and systematic research achievements are few. Therefore, this paper provides theoretical support for loess tunnel construction decision-making through the study of slotted shields and is expected to promote the mechanization and even intelligent construction of a high-speed iron-loess tunnel. Taking the Luochuan tunnel of the Xiyan high-speed railway as the engineering background, this paper uses the numerical simulation software packages of ANSYS and FLAC3D to study the tunnel deformation (surface settlement, vault settlement, tunnel bottom uplift, and horizontal convergence) caused by the slotted shield construction in three different buried depths of 30, 40, and 50 m surrounding rock. The deformation law and mechanical characteristics of a cutter shield construction of large cross-section loess tunnels under the influence of different buried depths are put forward. Results showed that 1) the mutual interference between the working procedures can be significantly reduced by inserting the cutting tool into the soil instead of the advanced tubule before excavation; 2) the settlement in the upper part of the longitudinal axis of the tunnel is the largest; the greater the depth of the tunnel is, the smaller the surface settlement is; and 3) the horizontal deformation of the arch waist and foot of the tunnel under different buried depths is symmetrically distributed into the tunnel during the whole process of slotted shield tunneling

Transcriptional Repression of CYP3A4 by Increased miR-200a-3p and miR-150-5p Promotes Steatosis in vitro

Hepatic cytochrome P450 enzyme activities correlate with non-alcoholic fatty liver disease (NAFLD) and hepatic steatosis. The decreased activity of CYP3A4, an important drug-metabolizing enzyme, is associated with the progression of NAFLD. CYP3A4 is predicted as a target gene of miR-200a-3p and miR-150-5p by MicroInspector and TargetScan algorithms analyses. Here, we found decreased CYP3A4 and increased miR-200a-3p and miR-150-5p in LO2 cells with free fatty acid (FFA)-induced steatosis. Dual-luciferase assay confirmed that both miR-200a-3p and miR-150-5p targeted the 3′-untranslated region (3′-UTR) of CYP3A4 and that such interaction was abolished by miRNA binding site mutations in 3′-UTR of CYP3A4. Using miR-200a-3p and miR-150-5p mimics and inhibitors, we further confirmed that endogenous CYP3A4 was regulated posttranscriptionally by miR-200a-3p or miR-150-5p. Moreover, miR-200a-3p and miR-150-5p inhibitors attenuated FFA-induced steatosis in LO2 cells, and such effect was dependent on CYP3Y4 expression. These results suggest that miR-200a-3p and miR-150-5p, through directly targeting 3′-UTR of CYP3A4, contribute to the development of FFA-induced steatosis

Study on Lubrication Characteristics of Metal Liquid Film Based on Electromagnetic-Elastic Mechanics-Hydrodynamics Multiphysics Coupling Model

In an electromagnetic rail launcher, a metal liquid film is created at the armature/rail (A/R) contact interface. It has a significant impact on electromagnetic launch performance. In this paper, an electromagnetic-elastic mechanics-hydrodynamics multi physics coupling model is established in consideration of the metal liquid film’s own acceleration, magnetic pressure and dynamic changes in film thickness. Based on this model, the lubricating characteristics of magnetic pressure and fluid pressure distribution, film thickness distribution and velocity distribution of the metal liquid film were studied. When the velocity of the metal liquid film is very fast, and the magnetic pressure is reduced, it may fail to maintain stability and rupture, which may be an important reason for the transition. Finally, this paper analyzes the lubrication effect of the metal liquid film, and points out that when we want strictly to control the muzzle velocity, the lubrication effect of the metal liquid film must be considered

Address Matching Based On Hierarchical Information

There is evidence that address matching plays a crucial role in many areas such as express delivery, online shopping and so on. Address has a hierarchical structure, in contrast to unstructured texts, which can contribute valuable information for address matching. Based on this idea, this paper proposes a novel method to leverage the hierarchical information in deep learning method that not only improves the ability of existing methods to handle irregular address, but also can pay closer attention to the special part of address. Experimental findings demonstrate that the proposed method improves the current approach by 3.2% points

A Magnetic Levitation System for Range/Sensitivity-Tunable Measurement of Density

Magnetic levitation (MagLev) is a promising density-based analytical technique with numerous applications. Several MagLev structures with different levels of sensitivity and range have been studied. However, these MagLev structures can seldom satisfy the different performance requirements simultaneously, such as high sensitivity, wide measurement range, and easy operation, which have prevented them from being widely used. In this work, a tunable MagLev system was developed. It is confirmed by numerical simulation and experiments that this system possesses a high resolution down to 10−7 g/cm3 or even higher compared to the existing systems. Meanwhile, the resolution and range of this tunable system can be adjusted to meet different requirements of measurement. More importantly, this system can be operated simply and conveniently. This bundle of characteristics demonstrates that the novel tunable MagLev system could be handily applied in various density-based analyses on demand, which would greatly expand the ability of MagLev technology

Corrosion Behavior of J55 and N80 Carbon Steels in Simulated Formation Water under Different CO2 Partial Pressures

The purpose of this paper is to reveal the corrosion behavior of J55 and N80 carbon steels in formation water under oil wells at different partial pressures, explore the formation process of corrosion product films under supercritical CO2 conditions, and analyze the reasons why the microstructure of carbon steel affects the corrosion behavior. The results show that the corrosion rate gradually increases with the increase in CO2 partial pressure. When the pressure exceeds 10 MPa, the corrosion rate of J55 increases slightly, and that of N80 decreases slightly. Under different partial pressures, the surface composition of the corrosion product film of J55 steel is FeCO3, and that of N80 steel is FeCO3 with a small amount of Fe3C. The analysis shows that the corrosion product films of two kinds of carbon steels can be divided into three layers under the condition of supercritical CO2. There are holes in the middle layer, which are formed first, and then the inner layer and the outer layer are formed at the same time. It is believed that the difference in the morphology and distribution of Fe3C is the reason why the corrosion rate of J55 steel is lower than that of N80 steel. Fe3C in J55 steel is lamellar, which can anchor FeCO3, promote the formation of corrosion product films, and improve the compactness of corrosion product films. However, the Fe3C in N80 is granular and dispersed in the ferrite matrix, which makes it easy to fall off the surface, form pits, and destroy the integrity of the corrosion product film