Clinical characteristics and outcomes of Stanford type B aortic intramural hematoma: A single centre experience

ObjectiveTo compare the clinical characteristics of Stanford type B aortic intramural hematoma (IMH) and Stanford type B aortic dissection (AD), and to identify the differences between thoracic endovascular aortic repair (TEVAR) and medical management (MM) in the Stanford type B IMH patients.MethodsA retrospective observational study was conducted in patients treated between January 2015 and December 2016. The clinical characteristics and CT images of patients with type B IMH and type B AD were compared, and the clinical characteristics and CT images of patients in the type B IMH group who were treated with TEVAR and MM were compared.ResultsA total of 176 patients were included in this study, including 62 patients of type B IMH and 114 patients of type B AD. Five patients died in the IMH group and three in the AD group. The proximal hematoma or entry tear in both groups was mainly located in the descending aorta, and the proportion of the iliac artery involved in the AD group was significantly higher than that in the IMH group (31.6% vs. 8.1% P < 0.05). There were 50 MM patients and 12 TEVAR patients in the IMH group. No death occurred in the TEVAR group, while five patients in the MM group died. Seven patients in the MM group had disease progression vs. 12 in the TEVAR group (P < 0.05). The patients in the TEVAR group had more intima lesions than those in the MM group (83.3% vs. 30.0%, P < 0.05). TEVAR group involved more iliac artery hematoma than MM group (33.3% vs. 2.0%, P < 0.05). The maximum thickness of hematoma in TEVAR group was 14.9 ± 3.4 mm, which was significantly larger than that of MM group (10.2 ± 2.8 mm) (P < 0.05).ConclusionIn the diagnosis of IMH, patients' symptoms and high-risk signs of CTA should be paid attention to. TEVAR therapy should be actively considered on the basis of effective medical management when there are intima lesions (ULP/PAU), increased aortic diameter and hematoma thickness, extensive hematoma involvement, and pleural effusion

Astragaloside IV improves slow transit constipation by regulating gut microbiota and enterochromaffin cells

Purpose: Slow transit constipation (STC) is a common gastrointestinal disorder characterized by altered gut microbiota and reduced number of enterochromaffin cells (ECs). Astragaloside IV (AS-IV), a low drug permeability saponin, has showed beneficial effects on patients with STC. However, the specific mechanism by which AS-IV regulates STC remains unclear. In this study, we aimed to investigate the effect of AS-IV on STC and its associated mechanisms involving gut microbiota.Methods: The effect of AS-IV on STC was evaluated on STC mice induced with loperamide. We measured defecation frequency, intestinal mobility, ECs loss, and colonic lesions in STC mice treated with AS-IV. We also analyzed the changes in gut microbiota and metabolites after AS-IV treatment. Moreover, we investigated the relationship between specific gut microbes and altered fecal metabolites, such as 3-bromotyrosine (3-BrY). We also conducted in vitro experiments to investigate the effect of 3-BrY on caspase-dependent apoptosis of ECs and the activation of the p38 MAPK and ERK signaling pathways induced by loperamide.Results: AS-IV treatment promoted defecation, improved intestinal mobility, suppressed ECs loss, and alleviated colonic lesions in STC mice. AS-IV treatment also affected gut microbiota and metabolites, with a significant correlation between specific gut microbes and altered fecal metabolites such as 3-BrY. Furthermore, 3-BrY may potentially reduce caspase-dependent apoptosis of ECs and protect cell survival by inhibiting the activation of the p38 MAPK and ERK signaling pathways induced by loperamide.Conclusion: Our findings suggest that changes in gut microbiota and ECs mediated the therapeutic effect of STC by AS-IV. These results provide a basis for the use of AS-IV as a prebiotic agent for treating STC. The specific mechanism by which AS-IV regulates gut microbiota and ECs warrants further investigation

Single-cell RNA sequencing reveals cellular dynamics and therapeutic effects of astragaloside IV in slow transit constipation

The cellular characteristics of intestinal cells involved in the therapeutic effects of astragaloside IV (AS-IV) for treating slow transit constipation (STC) remain unclear. This study aimed to determine the dynamics of colon tissue cells in the STC model and investigate the effects of AS-IV treatment by single-cell RNA sequencing (scRNA-seq). STC mouse models were developed using loperamide, with subsequent treatment using AS-IV. Colon tissues and feces were collected for scRNA-seq and targeted short-chain fatty acid quantification. We integrated scRNA-seq data with network pharmacology to analyze the effect of AS-IV on constipation. AS-IV showed improvement in defecation for STC mice induced by loperamide. Notably, in STC mice, epithelial cells, T cells, B cells, and fibroblasts demonstrated alterations in cell proportions and aberrant functions, which AS-IV partially rectified. AS-IV has the potential to modulate the metabolic pathway of epithelial cells through its interaction with peroxisome proliferator-activated receptor gamma (PPARγ). AS-IV reinstated fecal butyrate levels and improved energy metabolism in epithelial cells. The proportion of naïve CD4+T cells is elevated in STC, and the differentiation of these cells into regulatory T cells (Treg) is regulated by B cells and fibroblasts through the interaction of ligand-receptor pairs. AS-IV treatment can partially alleviate this trend. The status of fibroblasts in STC undergoes alterations, and the FB_C4_Adamdec1 subset, associated with angiogenesis and the Wingless-related integration (Wnt) pathway, emerges. Our comprehensive analysis identifies perturbations of epithelial cells and tissue microenvironment cells in STC and elucidates mechanisms underlying the therapeutic efficacy of AS-IV

Durability and Sustainability of Cement and Concrete Composites

Durability and sustainability are important objectives within the development of cement and concrete composites [...

Critical Leaf Water Content for Maize Photosynthesis under Drought Stress and Its Response to Rewatering

Crop photosynthesis is closely related to leaf water content (LWC), and clarifying the LWC conditions at critical points in crop photosynthesis has great theoretical and practical value for accurately monitoring drought and providing early drought warnings. This experiment was conducted to study the response of LWC to drought and rewatering and to determine the LWC at which maize photosynthesis reaches a maximum and minimum and thus changes from a state of stomatal limitation (SL) to non-stomatal limitation (NSL). The effects of rehydration were different after different levels of drought stress intensity at different growth stages, and the maize LWC recovered after rewatering following different drought stresses at the jointing stage; however, the maize LWC recovered more slowly after rewatering following 43 days and 36 days of drought stress at the tasselling and silking stages, respectively. The LWC when maize photosynthesis changed from SL to NSL was 75.4% ± 0.38%, implying that the maize became rehydrated under physiologically impaired conditions. The LWCs at which the maize Vcmax25 reached maximum values and zero differed between the drought and rewatering periods. After exposure to drought stress, the maize exhibited enhanced drought stress tolerance, an obviously reduced suitable water range, and significantly weakened photosynthetic capacity. These results provide profound insight into the turning points in maize photosynthesis and their responses to drought and rewatering. They may also help to improve crop water management, which will be useful in coping with the increased frequency of drought and extreme weather events expected under global climate change

Influences of Ultrafine Slag Slurry Prepared by Wet Ball Milling on the Properties of Concrete

The application of ultrafine ground-granulated blast-furnace slag (GGBFS) in concrete becomes widely used for high performance and environmental sustainability. The form of ultrafine slag (UFS) used in concrete is powder for convenience of transport and store. Drying-grinding-drying processes are needed before the application for wet emission. This paper aims at exploring the performances of concrete blended with GGBFS in form of slurry. The ultrafine slag slurry (UFSS) was obtained by the process of grinding the original slag in a wet ball mill, which was mixed in concrete directly. The durations of grinding were 20 min, 40 min, and 60 min which were used to replace Portland cement with different percentages, namely, 20, 35, and 50, and were designed to compare cement with original slag concrete. The workability was investigated in terms of fluidity. Microstructure and pore structure were evaluated by X-ray diffraction (XRD), scanning electron microscopy (SEM), and mercury intrusion porosimetry (MIP). The fluidity of concrete mixed with UFSS is deteriorated slightly. The microstructure and early strength were obviously improved with the grind duration extended

Dynamic Characteristics of Canopy and Vegetation Water Content during an Entire Maize Growing Season in Relation to Spectral-Based Indices

A variety of spectral vegetation indices (SVIs) have been constructed to monitor crop water stress. However, their abilities to reflect dynamic canopy water content (CWC) and vegetation water content (VWC) during the growing season have not been concurrently examined, and the underlying mechanisms remain unclear, especially in relation to soil drying. In this study, a field experiment was conducted and designed with various irrigation regimes applied during two consecutive growing seasons of maize. The results showed that CWC, VWC, and the SVIs exhibited obvious trends of first increasing and then decreasing within a growing season. In addition, VWC was allometrically related to CWC across the two growing seasons. A linear relationship between the five SVIs and CWC occurred within a certain CWC range (0.01–0.41 kg m−2), while the relationship between these SVIs and VWC was nonlinear. Furthermore, the five SVIs indicated critical values for VWC, and these values were 1.12 and 1.15 kg m−2 for the water index (WI) and normalized difference water index (NDWI), respectively; however, the normalized difference infrared index (NDII), normalized difference vegetation index (NDVI), and optimal soil-adjusted vegetation index (OSAVI) had the same critical value of 0.55 kg m−2. Therefore, in comparison to the NDII, NDVI, and OSAVI, the WI and NDWI better reflected the crop water content based on their sensitives to CWC and VWC. Moreover, CWC was the most important direct biotic driver of the dynamics of SVIs, while leaf area index (LAI) was the most important indirect biotic driver. VWC was a critical indirect regulator of WI, NDWI, NDII, and OSAVI dynamics, whereas vegetation dry mass (VDM) was the critical indirect regulator of NDVI dynamics. These findings may provide additional information for estimating agricultural drought and insights on the impact mechanism of soil water deficits on SVIs

Preparation of waste glass powder by different grinding methods and its utilization in cement-based materials

Waste glass, as a hard-to-grind material, was often grinded into powder by ball-mill in order to be used as a supplementary cementitious material in concrete. In this study, three different glass powders (GP) referred to as GPd, GPw and GPe were fabricated by different methods (i.e. dry condition, water condition and ethyl alcohol condition), and the effect of GP on the properties of cement-based materials was sys-tematically evaluated. The results showed that the milling efficiency of GP was significantly affected by grinding condition. Ultrafine GP can be obtained as additional water or ethyl alcohol was added during the grinding process. GP showed low pozzolanic reactivity in the early age, even when the particle size was decreased to about 300 nm. GPd with large particle size and non-absorbent feature could increase effective water-to-cement ratio and thus improved the workability and early strength of specimens con-taining GPd, while the later strength was lower than that of reference ones due to low pozzolanic reac-tivity of GPd. In contrast, specimens containing GPw and GPe exhibited higher early mechanical strength than reference specimen due to the filling and acceleration effects of GP. An encouraging result indicated that GPe presented high pozzolanic reactivity at 28 d, which was seldom reported in the literature.Web of Science338art. no. 10369

Application Status and Evaluation of Aquatic Plants in Wuhan Landscape Waters

The purpose of this study is to explore the landscape quality of aquatic plants in the landscape water in Wuhan, reveal the rules of its construction, and provide some basis for landscape design and evaluation of aquatic plants. Based on the six representative parks in Wuhan, 9 quantitative and qualitative indexes were selected, and the evaluation model was constructed by using the analytic hierarchy process(AHP). The results showed that a total of 36 species of aquatic plants were found, mainly emergent plants. The five research objects are in grade Ⅰ and Ⅱ, and only the aquatic plants in Shahu Park are at the level of level Ⅲ, which indicates that the quality of aquatic plants in the main landscape water of Wuhan is at an excellent level. The evaluation model can objectively be used in the Wuhan landscape water body . Based on the evaluation results, 3 excellent aquatic plant plots are recommended

Utilization of ultra-fine copper slag to prepare eco-friendly ultrahigh performance concrete by replacing silica fume

The present study aims to determine the feasibility of using ultra-fine copper slag (WCS) to prepare eco-friendly ultrahigh performance concrete (UHPC) by replacing silica fume (SF). The variation of hydration progress, mechanical property and microstructure development of UHPC as function of WCS was evaluated. Experimental results indicated that WCS could be prepared and the fayalite could be decomposed by using wet-grinding method. The UHPC pastes behaved like Herschel-Bulkley (H-B) fluids and the shear-thickening behavior was more pronounced as the increase of WCS dosage, implying that WCS has negative impact on workability of UHPC to some extent. WCS had no negative impact on the hydration of UHPC pastes at the early stage and exhibited good pozzolanic activity at the later stage, so as to generate more hydration products to refine the pore structure, thus making UHPC with WCS to obtain better mechanical strength than that without WCS. Replacing SF in UHPC by WCS has significant economic benefits, while the negative impact on CO2 emissions can be negligible.Web of Science406art. no. 13347