Pringle manoeuvre versus selective hepatic vascular exclusion in partial hepatectomy for tumours adjacent to the hepatocaval junction: A randomized comparative study

AbstractObjectiveTo compare the efficacy of selective hepatic vascular exclusion versus Pringle manoeuvre in partial hepatectomy for tumours adjacent to the hepatocaval junction.MethodsA randomized comparative trial was carried out. The primary endpoint was intraoperative blood loss. The secondary endpoints were operation time, blood transfusion, postoperative liver function recovery, procedure-related morbidity and in-hospital mortality.Results160 patients were randomized into 2 groups: the Pringle manoeuvre group (n = 80) and the selective hepatic vascular exclusion (SHVE) group (n = 80). Intraoperative blood loss and transfusion requirements were significantly less in the SHVE group. In the SHVE group, laceration of hepatic veins happened in 18 patients. Profuse intraoperative blood loss of over 2 L happened in 2 patients but no patient suffered from air embolism because the hepatic veins were controlled. In the Pringle group, the hepatic veins were lacerated in 20 patients, with profuse blood loss of over 2 L in 7 patients and air embolism in 3 patients. The rates of postoperative bleeding, reoperation, liver failure and mortality were significantly higher and the ICU stay and hospital stay were significantly longer in the Pringle group.ConclusionsSHVE was more efficacious than Pringle manoeuvre for partial hepatectomy in patients with tumours adjacent to the hepatocaval junction

New Perspectives on Chinese Herbal Medicine (Zhong-Yao) Research and Development

Synthetic chemical drugs, while being efficacious in the clinical management of many diseases, are often associated with undesirable side effects in patients. It is now clear that the need of therapeutic intervention in many clinical conditions cannot be satisfactorily met by synthetic chemical drugs. Since the research and development of new chemical drugs remain time-consuming, capital-intensive and risky, much effort has been put in the search for alternative routes for drug discovery in China. This narrative review illustrates various approaches to the research and drug discovery in Chinese herbal medicine. Although this article focuses on Chinese traditional drugs, it is also conducive to the development of other traditional remedies and innovative drug discovery

Effect of dispersion on indistinguishability between single-photon wave-packets

With propagating through a dispersive medium, the temporal-spectral profile of laser pulses should be inevitably modified. Although such dispersion effect has been well studied in classical optics, its effect on a single-photon wave-packet, i.e., the matter wave of a single-photon, has not yet been entirely revealed. In this paper, we investigate the effect of dispersion on indistinguishability of single-photon wave-packets through the Hong-Ou-Mandel (HOM) interference. By dispersively manipulating two indistinguishable single-photon wave-packets before interfering with each other, we observe that the difference of the second-order dispersion between two optical paths of the HOM interferometer can be mapped to the interference curve, indicating that (1) with the same amount of dispersion effect in both paths, the HOM interference curve must be only determined by the intrinsic indistinguishability between the wave-packets, i.e., dispersion cancellation due to the indistinguishability between Feynman paths; (2) unbalanced dispersion effect in two paths cannot be cancelled and will broaden the interference curve thus providing a way to measure the second-order dispersion coefficient. Our results suggest a more comprehensive understanding of the single-photon wave-packet and pave ways to explore further applications of the HOM interference

Seroprevalence of Toxoplasma gondii infection in pet dogs in Lanzhou, Northwest China

<p>Abstract</p> <p>Background</p> <p>In recent years, surveys of <it>Toxoplasma gondii </it>infection in dogs have been reported worldwide, including China. However, little is known about the prevalence of <it>T. gondii </it>in pet dogs in Northwest China. In the present study, the prevalence of <it>T. gondii </it>in pet dogs in Lanzhou, China was investigated using the modified agglutination test (MAT).</p> <p>Results</p> <p>In this survey, antibodies to <it>T. gondii </it>were found in 28 of 259 (10.81%) pet dogs, with MAT titers of 1:20 in 14 dogs, 1:40 in nine, 1:80 in four, and 1:160 or higher in one dog. The prevalence ranged from 6.67% to 16.67% among dogs of different ages, with low rates in young pet dogs, and high rates in older pet dogs. The seroprevalence in dogs >3 years old was higher than that in dogs ≤1 years old, but the difference was not statistically significant (<it>P ></it>0.05). The seroprevalence in male dogs was 12.50% (17 of 136), and in female dogs it was 8.94% (11 of 123), but the difference was not statistically significant (<it>P ></it>0.05).</p> <p>Conclusions</p> <p>A high prevalence of <it>T. gondii </it>infection was found in pet dogs in Lanzhou, Northwest China, which has implications for public health in this region. In order to reduce the risk of exposure to <it>T. gondii</it>, further measures and essential control strategies should be carried out rationally in this region.</p

Insights into the release of triclosan from microplastics in aquatic environment assessed with diffusive gradient in thin-films

Organic chemicals associated with microplastics (MPs) can be released and thus pose potential risks during weathering processes. However, the thermodynamics and kinetics of their release processes still need to be better understood. Herein, the adsorption and desorption kinetics of triclosan on polystyrene (PS) and polyvinyl chloride (PVC) were investigated by using both batch experiments and diffusive gradients in thin-films (DGT) technique. The pseudo-second-order model fitted the data best, implying that both intraparticle diffusion and external liquid film diffusion influence the adsorption and desorption processes. DGT continuously accumulated triclosan from MP suspensions but slower than theoretical values, indicating some restrictions to desorption. The DGT-induced fluxes in Soils/Sediment (DIFS) model, employed to interpret DGT data, gave distribution coefficients for labile species (K ) of 5000 mL g (PS) and 1000 mL g (PVC) and the corresponding response times (T ) were 10 s and 1000 s, respectively. Higher K but smaller T for PS than PVC showed that more triclosan adsorbed on PS could be rapidly released, while there were some kinetic limitations for triclosan on PVC. A novel finding was that pH and ionic strength individually and interactively affected the supply of triclosan to DGT. This is the first study to quantify interactions of organics with MPs by using DGT, aiding our understanding of MPs' adsorption/desorption behavior in the aquatic environment

Adjustment of Prescription by ORAC assay to Enhance the Effect of Medicinal Liqueur

Objective: The ingredient herbs of JING liqueur were studied, and prescription was adjusted by&nbsp;oxygen radical absorbance capacity (ORAC) assay to enhance the effect of this medicinal liqueur. Method: Values of very herb's ORAC were measured, the proportions of high ORAC value herbs were increased, while&nbsp;the proportions of low ORAC value herbs were decreased. Adjusted JING liqueur was compared with primary&nbsp;product by the test of anti-fatigue and enhance immunity experiment. Result: Compared with primary product,&nbsp;the anti-fatigue effect of adjusted JING liqueur was significantly increased, and the enhance immunity effect of&nbsp;adjusted JING liqueur was obviously improved. Conclusion: The effect of JING liqueur could enhanced by&nbsp;adjust proportions of every ingredients across their ORAC, increased the proportions of high ORAC value herb&nbsp;could obviously improved the anti-fatigue and enhance immunity efficacy