Venous thromboembolism after oral and maxillofacial oncologic surgery : report and analysis of 14 cases in Chinese population

Venous thromboembolism (VTE) including deep vein thrombosis (DVT) and pulmonary embolism (PE) is a leading cause of death in cancer patients. The aim of this study was to explore the potential risk factor of VTE in oral and maxillofacial oncological surgery. The data of patients who received operation in our institution were gathered in this retrospective study. A diagnosis of VTE was screened and confirmed by computer tomography angiography (CTA) of pulmonary artery or ultrasonography examination of lower extremity. Medical history and all perioperative details were analyzed. 14 patients were diagnosed as VTE, including 6 cases of PE, 7 cases of DVT, 1case of DVT and PE. The mean age of these patients was 62.07 years. Reconstruction was performed in 12 patients of these cases, most of which were diagnosed as malignance. Mean length of surgery was 8.74 hours, and lower extremity deep venous cannula (DVC) was performed in all these patients. We analyzed several characters of oral and maxillofacial surgery and suggested pay attention to lower extremity DVC which had a high correlation with DVT according to our data

Enhancement of anticancer efficacy using modified lipophilic nanoparticle drug encapsulation

Development of anticancer drugs is challenging. Indeed, much research effort has been spent in the development of new drugs to improve clinical outcomes with minimal toxicity. We have previously reported that a formulation of lipid gold porphyrin nanoparticles reduced systemic drug toxicity when compared with free gold porphyrin. In this study, we investigated the delivery and treatment efficiency of PEG surface-modified lipid nanoparticles as a carrier platform. We encapsulated antitumor drugs into PEG-modified lipid nanoparticles and these were characterized by size, zeta potential, and encapsulation efficiency. The delivery efficiency into tumor tissue was evaluated using a biodistribution study. To evaluate antitumor efficacy, gold porphyrin or camptothecin (a DNA topoisomerase I inhibitor) were encapsulated and compared using an in vivo neuroblastoma (N2A) model. We showed that drug encapsulation into PEG-modified lipid nanoparticles enhanced the preferential uptake in tumor tissue. Furthermore, higher tumor killing efficiency was observed in response to treatment with PEG-modified lipid nanoparticles encapsulating gold porphyrin or camptothecin when compared with free gold porphyrin or free camptothecin. The in vivo antitumor effect was further confirmed by study of tumor inhibition and positive apoptosis activity. Surface modification of lipophilic nanoparticles with PEG increased the efficiency of drug delivery into tumor tissue and subsequently more effective antitumor activity. This specific design of a chemotherapeutic agent using nanotechnology is important in the development of a safe and effective drug in cancer therapy.published_or_final_versio

Early post-operative interleukin-6 and tumor necrosis factor-α levels after single-port laparoscopic varicocelectomy in children

PURPOSE: Laparoendoscopic single-site surgery has recently been described in children and regarded as an improved technology leading to less pain and better cosmetic outcome. Compared to the traditional three-port method, it is not known if the single-port method is less invasive. The aim of this study was thus to investigate the post-operative acute inflammatory response in order to evaluate surgical stress in the two surgical approaches in children. METHODS: A prospective, single blinded, case-control study was carried out. Thirteen male patients who presented with unilateral varicocele were divided into two groups. Six children underwent single-port laparoscopic procedure, while the other seven children underwent three-port laparoscopic procedure. Pre-operative and post-operative blood samples were taken for the measurement of tumor necrosis factor-alpha (TNF-alpha) and interleukin 6 (IL-6) using ELISA. Demographics including the operation time, and complications were recorded. Data between the two groups were analyzed using unpaired t-test and a p value of <0.05 was taken as statistically significant. RESULTS: The mean age of patients was 14.5 years (range 12-19 years). There was no significant difference between the two groups in terms of operative time, nor there was any complication recorded. The change in serum TNF-alpha and IL-6 concentrations pre- and post-operatively between the single-port group and three-port group was not statistically significant. Overall, patients in the two groups showed excellent satisfaction in terms of post-operative cosmesis. CONCLUSION: Single-port laparoscopic varicocelectomy is safe, effective and produces excellent cosmesis with minimal surgical stress.published_or_final_versionSpringer Open Choice, 21 Feb 201

Replication of the Association of a MET Variant with Autism in a Chinese Han Population

Background: Autism is a common, severe and highly heritable neurodevelopmental disorder in children, affecting up to 100 children per 10,000. The MET gene has been regarded as a promising candidate gene for this disorder because it is located within a replicated linkage interval, is involved in pathways affecting the development of the cerebral cortex and cerebellum in ways relevant to autism patients, and has shown significant association signals in previous studies. Principal Findings: Here, we present new ASD patient and control samples from Heilongjiang, China and use them in a case-control and family-based replication study of two MET variants. One SNP, rs38845, was successfully replicated in a case-control association study, but failed to replicate in a family-based study, possibly due to small sample size. The other SNP, rs1858830, failed to replicate in both case-control and family-based studies. Conclusions: This is the first attempt to replicate associations in Chinese autism samples, and our result provides evidence that MET variants may be relevant to autism susceptibility in the Chinese Han population

Supercooling and cold energy storage characteristics of nano-media in ball-packed porous structures

The presented experiments aimed to study the supercooling and cold-energy storage characteristics of nanofluids and water-based nano-media in ball-packed porous structures (BPS). Titanium dioxide nanoparticles (TiO2 NPs) measuring 20nm and 80nm were used as additives and sodium dodecyl benzene sulphonate (SDBS) was used as anionic surfactant. The experiments used different concentrations of nanofluid, distilled with BPS of different spherical diameter and different concentrations of nano-media, and were conducted 20 times. Experimental results of supercooling were analysed by statistical methods. Results show that the average and peak supercooling degrees of nanofluids and nano-media in BPS are lower than those of distilled water. For the distilled water in BPS, the supercooling degree decreases on the whole with the decrease of the ball diameter. With the same spherical diameter (8mm) of BPS, the supercooling degree of TiO2 NPs measuring 20nm is lower than the supercooling degree of distilled water in BPS. Step-cooling experiments of different concentrations of nanofluids and nano-media in BPS were also conducted. Results showed that phase transition time is reduced because of the presence of TiO2 NPs. The BPS substrate and the NPs enhance the heat transfer. Distilled water with a porous solid base and nanoparticles means the amount of cold-energy storage increases and the supercooling degree and the total time are greatly reduced. The phase transition time of distilled water is about 3.5 times that of nano-media in BPS

Thermodynamic Analysis of Transcritical CO2 Ejector Expansion Refrigeration Cycle with Dedicated Mechanical Subcooling

The new configuration of a transcritical CO2 ejector expansion refrigeration cycle combined with a dedicated mechanical subcooling cycle (EMS) is proposed. Three mass ratios of R32/R1234ze(Z) (0.4/0.6, 0.6/0.4, and 0.8/0.2) were selected as the refrigerants of the mechanical subcooling cycle (MS) to further explore the possibility of improving the EMS cycle&rsquo;s performance. The thermodynamic performances of the new cycle were evaluated using energetic and exergetic methods and compared with those of the transcritical CO2 ejector expansion cycle integrated with a thermoelectric subcooling system (ETS). The results showed that the proposed cycle presents significant advantages over the ETS cycle in terms of the ejector performance and the system energetic and exergetic performances. Taking the EMS cycle using R32/R1234ze(Z) (0.6/0.4) as the MS refrigerant as an example, the improvements in the coefficient of performance and system exergy efficiency were able to reach up to 10.27% and 15.56%, respectively, at an environmental temperature of 35 &deg;C and evaporation temperature of &minus;5 &deg;C. Additionally, the advantages of the EMS cycle were more pronounced at higher environmental temperatures

Instability of nitrogen doped Sb2Te3 for phase change memory application

National Integrate Circuit Research Program of China [2009ZX02023-003]; National Basic Research Program of China [2007CB935400, 2010CB934300, 2011CB309602, 2011CB932800]; National Natural Science Foundation of China [60906004, 60906003, 61006087, 61076121By means of experimental methods and ab initio total energy calculations, we have studied the stability and properties of nitrogen doped Sb2Te3 (NST). The NST film displayed a higher crystallization temperature and sheet resistance than undoped Sb2Te3 (ST) film. Nevertheless, the sheet resistance of the crystalline NST film unexpectedly increased as the temperature increased when the temperature was above 260 degrees C. The X-ray photoelectron spectroscopy (XPS) showed that the nitrogen concentration and the Sb-N bonds were decreasing as the annealing temperature increased, and no nitrogen existed in the NST when annealed at 300 degrees C for 5 min. Our theoretical calculations showed that the incorporation of nitrogen into crystalline Sb2Te3 was not energetically favorable, and the nitrogen atoms preferred forming chemical bonds with Sb atoms to Te atoms. (C) 2011 American Institute of Physics. [doi:10.1063/1.3660705