Efficacy and safety of a NiTi CAR 27 compression ring for end-to-end anastomosis compared with conventional staplers: A real-world analysis in Chinese colorectal cancer patients

OBJECTIVES: This study aimed to evaluate the safety and efficacy of a new nickel-titanium shape memory alloy compression anastomosis ring, NiTi CAR 27, in constructing an anastomosis for colorectal cancer resection compared with conventional staples. METHODS: In total, 234 consecutive patients diagnosed with colorectal cancer receiving sigmoidectomy and anterior resection for end-to-end anastomosis from May 2010 to June 2012 were retrospectively analyzed. The postoperative clinical parameters, postoperative complications and 3-year overall survival in 77 patients using a NiTi CAR 27 compression ring (CAR group) and 157 patients with conventional circular staplers (STA group) were compared. RESULTS: There were no statistically significant differences between the patients in the two groups in terms of general demographics and tumor features. A clinically apparent anastomotic leak occurred in 2 patients (2.6%) in the CAR group and in 5 patients (3.2%) in the STA group (p=0.804). These eight patients received a temporary diverting ileostomy. One patient (1.3%) in the CAR group was diagnosed with anastomotic stricture through an electronic colonoscopy after 3 months postoperatively. The incidence of postoperative intestinal obstruction was comparable between the two groups (p=0.192). With a median follow-up duration of 39.6 months, the 3-year overall survival rate was 83.1% in the CAR group and 89.0% in the STA group (p=0.152). CONCLUSIONS: NiTi CAR 27 is safe and effective for colorectal end-to-end anastomosis. Its use is equivalent to that of the conventional circular staplers. This study suggests that NiTi CAR 27 may be a beneficial alternative in colorectal anastomosis in Chinese colorectal cancer patients

Clinical factors of post-chemoradiotherapy as valuable indicators for pathological complete response in locally advanced rectal cancer

OBJECTIVES: Pathological complete response has shown a better prognosis for patients with locally advanced rectal cancer after preoperative chemoradiotherapy. However, correlations between post-chemoradiotherapy clinical factors and pathologic complete response are not well confirmed. The aim of the current study was to identify post-chemoradiotherapy clinical factors that could serve as indicators of pathologic complete response in locally advanced rectal cancer. METHODS: This study retrospectively analyzed 544 consecutive patients with locally advanced rectal cancer treated at Sun Yat-sen University Cancer Center from December 2003 to June 2014. All patients received preoperative chemoradiotherapy followed by surgery. Univariate and multivariate regression analyses were performed to identify post-chemoradiotherapy clinical factors that are significant indicators of pathologic complete response. RESULTS: In this study, 126 of 544 patients (23.2%) achieved pathological complete response. In multivariate analyses, increased pathological complete response rate was significantly associated with the following factors: post-chemoradiotherapy clinical T stage 0-2 (odds ratio=2.098, 95% confidence interval=1.023-4.304, p=0.043), post-chemoradiotherapy clinical N stage 0 (odds ratio=2.011, 95% confidence interval=1.264-3.201, p=0.003), interval from completion of preoperative chemoradiotherapy to surgery of >;7 weeks (odds ratio=1.795, 95% confidence interval=1.151-2.801, p=0.010) and post-chemoradiotherapy carcinoembryonic antigen ≤2 ng/ml (odds ratio=1.579, 95% confidence interval=1.026-2.432, p=0.038). CONCLUSIONS: Post-chemoradiotherapy clinical T stage 0-2, post-chemoradiotherapy clinical N stage 0, interval from completion of chemoradiotherapy to surgery of >;7 weeks and post-chemoradiotherapy carcinoembryonic antigen ≤2 ng/ml were independent clinical indicators for pathological complete response. These findings demonstrate that post-chemoradiotherapy clinical factors could be valuable for post-operative assessment of pathological complete response

Relayed nuclear Overhauser enhancement sensitivity to membrane Cho phospholipids

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155956/1/mrm28258_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155956/2/mrm28258.pd

Regulation of High-Temperature Stress Response by Small RNAs

Temperature extremes constitute one of the most common environmental stresses that adversely affect the growth and development of plants. Transcriptional regulation of temperature stress responses, particularly involving protein-coding gene networks, has been intensively studied in recent years. High-throughput sequencing technologies enabled the detection of a great number of small RNAs that have been found to change during and following temperature stress. The precise molecular action of some of these has been elucidated in detail. In the present chapter, we summarize the current understanding of small RNA-mediated modulation of high- temperature stress-regulatory pathways including basal stress responses, acclimation, and thermo-memory. We gather evidence that suggests that small RNA network changes, involving multiple upregulated and downregulated small RNAs, balance the trade-off between growth/development and stress responses, in order to ensure successful adaptation. We highlight specific characteristics of small RNA-based tem- perature stress regulation in crop plants. Finally, we explore the perspectives of the use of small RNAs in breeding to improve stress tolerance, which may be relevant for agriculture in the near future

Synthesis, characterization and applications of hierarchical porous inorganic materials: a multi-dimensional approach

Zeolites are a type of microporous crystalline materials that have been widely used in industrial applications including separation, adsorption, and catalysis. However, great limitations on diffusion through these materials can arise due to the small pores present in mircoporous frameworks, and this can impact catalytic reactions in particular. The synthesis of hierarchical zeolites has solved the diffusion problem. In this thesis, various hierarchically porous materials have been synthesized and tested as catalysts. In the first part of this thesis, a titanium-containing hierarchically porous silicate material has been constructed from double-four-ring (D4R) units as building blocks. In the second part of this thesis, hierarchical MWW zeolites were synthesized by swelling and pillaring of a lamellar MWW zeolitic precursor (MCM-22) using D4R building units. The synthesis procedure has been carefully studied by various characterization methods, such as PXRD, TEM, N2 adsorption–desorption etc. In the last part of this thesis, MFI zeolites with controllable hierarchical pore systems have been prepared. Firstly, hierarchical ZSM-5 and TS-1 with open pores were generated using a temperature programmed dissolution–recrystallization post-synthesis treatment and tested as catalysts for benzyl alcohol self-etherification and cyclohexanone ammoximation. Secondly, single-crystalline hierarchical shell-like ZSM-5 has been synthesized via a dissolution–recrystallization post-treatment of mesoporous ZSM-5. The post-treatment increased the catalytic activity of the ZSM-5 zeolite for the aldol condensation of bulky substrates.At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 1: Manuscript. Paper 2: Manuscript. Paper 4. Accepted.</p

Performance Evaluation of SiC-Based Two-Level VSIs with Generalized Carrier-Based PWM Strategies in Motor Drive Applications

Currently, silicon carbide (SiC) MOSFETs are several times higher in cost than the equivalent silicon (Si)-IGBTs; however, the gains in power conversion efficiency, simplification of thermal management, and energy savings in general bring the advantages of lower total cost of ownership. The implementation of discontinuous PWM (DPWM) techniques for controlling the motor drive brings further reductions for the semiconductor switching losses; however, most existing techniques have limited performance on the optimized clamping region, particularly at a low power factor, which is a common operation condition for motor drives employing the widely used V/f control, particularly at partial- or low-load conditions. This paper evaluates the performance of a SiC-based two-level voltage-source inverter (2L-VSI) motor drive operated with generalized carrier-based PWM methods. Theoretical analysis and experimental measurements are conducted in a 2.2 kW heatsink-less 2L-VSI prototype and induction machine, which demonstrates that the minimum switching losses DPWM (MSL-DPWM) is the most favorable solution in practice in terms of the achievable power conversion efficiency and harmonic distortions and also produces the least common-mode current, which is critical in motor drives

Performance Evaluation of SiC-Based Two-Level VSIs with Generalized Carrier-Based PWM Strategies in Motor Drive Applications

Currently, silicon carbide (SiC) MOSFETs are several times higher in cost than the equivalent silicon (Si)-IGBTs; however, the gains in power conversion efficiency, simplification of thermal management, and energy savings in general bring the advantages of lower total cost of ownership. The implementation of discontinuous PWM (DPWM) techniques for controlling the motor drive brings further reductions for the semiconductor switching losses; however, most existing techniques have limited performance on the optimized clamping region, particularly at a low power factor, which is a common operation condition for motor drives employing the widely used V/f control, particularly at partial- or low-load conditions. This paper evaluates the performance of a SiC-based two-level voltage-source inverter (2L-VSI) motor drive operated with generalized carrier-based PWM methods. Theoretical analysis and experimental measurements are conducted in a 2.2 kW heatsink-less 2L-VSI prototype and induction machine, which demonstrates that the minimum switching losses DPWM (MSL-DPWM) is the most favorable solution in practice in terms of the achievable power conversion efficiency and harmonic distortions and also produces the least common-mode current, which is critical in motor drives

Identification and Molecular Characterization of Geranyl Diphosphate Synthase (GPPS) Genes in Wintersweet Flower

Geranyl diphosphate synthase (GPPS) is a plastid localized enzyme that catalyzes the biosynthesis of Geranyl diphosphate (GPP), which is a universal precursor of monoterpenes. Wintersweet (Chimonanthus praecox L.), a famous deciduous flowering shrub with a strong floral scent character, could have GPPS-like homologs that are involved in monoterpenes biosynthesis, but it remains unclear. In the present study, five full-length GPPS and geranylgeranyl diphosphate synthases (GGPPS) genes were identified in the wintersweet transcriptome database. The isolated cDNAs showed high protein sequence similarity with the other plants GPPS and GGPPS. The phylogenetic analysis further classified these cDNAs into four distinct clades, representing heterodimeric GPPS small subunits (SSU1 and SSU2), homodimeric GPPS, and GGPPS. Analysis of temporal expression revealed that all genes have the highest transcript level at the full-open flower stage. From tissue-specific expression analysis, CpGPPS.SSU1 and CpGGPPS1 were predominantly expressed in petal and flower, whereas CpGPPS.SSU2, GPPS, and GGPPS2 showed a constitutive expression. Additionally, the subcellular localization assay identified the chloroplast localization of SSUs and GGPPSs proteins, and the yeast two-hybrid assay showed that both CpGPPS.SSU1 and CpGPPS.SSU2 can interact with the GGPPS proteins. Taken together, these preliminary results suggest that the heterodimeric GPPS can regulate floral scent biosynthesis in wintersweet flower