Single-Port Laparoscopic Assisted Transcrotal Orchidopexy for Palpable Inguinal Canalicular Cryptorchidism Accompany With Indirect Inguinal Hernia

Purpose: To assess the outcomes of a novel laparoscopic assisted transcrotal orchidopexy (LATO) combined with percutaneous extraperitoneal closure (PEC) for palpable inguinal canalicular cryptorchidism accompany with indirect inguinal hernia, and evaluate its safety and efficiency.Materials and Methods: A retrospective cohort study for single-port LATO-PEC and traditional inguinal orchidopexy (TIO) was performed between 2011 and 2014. Totally 53 children with both palpable inguinal canalicular testes and indirect inguinal hernia were included. Median patient age was 15month (range, 6 months to 4 years). Of them, 35 patients underwent LATO-PEC procedure, utilizing an umbilical trocar for laparoscope, transcrotal dissection for orchidopexy, and an inner two-hooked cannula for ligation of the patent processus at the level of the internal ring. Three of them were bilateral, 12 on the left side and 20 on the right. Eighteen patients received TIO, seven of them on the left side and 11 on the right. Patient demographics, surgical technique, complications, and clinical outcomes were reviewed. Follow-up visits were performed to reassess position and size of the testes.Results: All 56 undescended testes were delivered into the scrotum successfully. In the LATO-PEC group, nine contralateral herniorrhaphy were accomplished simultaneously. Fifteen contralateral patent processus vaginalis (PPVs) in 32 unilateral undescended testis (UDT) were newly confirmed during the laparoscopy, while 6 of them received percutaneous extra-peritoneal herniorrhaphy for visible inguinal bubble in pneumoperitoneum condition. No additional port placement or conversion to open procedure was needed. Mean operative time for unilateral and bilateral LATO-PEC in this study was (37.81 ± 5.23) min and (53.33 ± 2.98) min, respectively. In TIO group, mean operative time was (41.11 ± 8.67) min. There was no statistical difference in operative time between the two approaches for unilateral UDTs (p = 0.098). Median follow-up interval was 24 months (range, 12–84 months). No operative complications were found in either group to date.Conclusions: Singe-port LATO-PEC is a safe, effective, and cosmetic choice for inguinal canalicular cryptorchidism accompany with indirect inguinal hernia, minimizing injuries to the vas deferens and testicular vessels. Laparoscopy can provide a diagnostic and therapeutic solution of contralateral PPV

Ancient introgression drives adaptation to cooler and drier mountain habitats in a cypress species complex

Funding: This work was supported by the National Natural Science Foundation of China (grant numbers 31590821, 31622015, 31370261), the National Basic Research Program of China (grant number 2014CB954100), Sichuan Provincial Department of Science and Technology (grant number 2015JQ0018) and Sichuan University (Fundamental Research Funds for the Central Universities, SCU2019D013, SCU 2018D006)Introgression may act as an important source of new genetic variation to facilitate the adaptation of organisms to new environments, yet how introgression might enable tree species to adapt to higher latitudes and elevations remains unclear. Applying whole-transcriptome sequencing and population genetic analyses, we present an example of ancient introgression from a cypress species (Cupressus gigantea) that occurs at higher latitude and elevation on the Qinghai-Tibet Plateau into a related species (C. duclouxiana), which has likely aided the latter species to extend its range by colonizing cooler and drier mountain habitats during postglacial periods. We show that 16 introgressed candidate adaptive loci could have played pivotal roles in response to diverse stresses experienced in a high-elevation environment. Our findings provide new insights into the evolutionary history of Qinghai-Tibet Plateau plants and the importance of introgression in the adaptation of species to climate change.Publisher PDFPeer reviewe

Pervasive hybridization during evolutionary radiation of Rhododendron subgenus Hymenanthes in mountains of southwest China

Radiations are especially important for generating species biodiversity in mountainous ecosystems. The contribution of hybridization to such radiations has rarely been examined. Here, we use extensive genomic data to test whether hybridization was involved in evolutionary radiation within Rhododendron subgenus Hymenanthes, whose members show strong geographic isolation in the mountains of southwest China. We sequenced genomes for 143 species of this subgenus and 93 species of four other subgenera, and found that Hymenanthes was monophyletic and radiated during the late Oligocene to middle Miocene. Widespread hybridization events were inferred within and between the identified clades and subclades. This suggests that hybridization occurred both early and late during diversification of subgenus Hymenanthes, although the extent to which hybridization, speciation through mixing-isolation-mixing or hybrid speciation, accelerated the diversification needs further exploration. Cycles of isolation and contact in such and other montane ecosystems may have together promoted species radiation through hybridization between diverging populations and species. Similar radiation processes may apply to other montane floras in this region and elsewhere

Saltwater intrusion into the Changjiang River : a model-guided mechanism study

Author Posting. © American Geophysical Union, 2009. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 114 (2009): C02006, doi:10.1029/2008JC004831.The Changjiang River (CR) is divided into a southern branch (SB) and a northern branche (NB) by Chongming Island as the river enters the East China Sea. Observations reveal that during the dry season the saltwater in the inner shelf of the East China Sea flows into the CR through the NB and forms an isolated mass of saltwater in the upstream area of the SB. The physical mechanism causing this saltwater intrusion has been studied using the high-resolution unstructured-grid Finite-Volume Coastal Ocean Model (FVCOM). The results suggest that the intrusion is caused by a complex nonlinear interaction process in relation to the freshwater flux upstream, tidal currents, mixing, wind, and the salt distribution in the inner shelf of the East China Sea. The tidal rectification, resulting from the interaction of the convergence or divergence of tidal momentum flux and bottom friction over abrupt topography, produces a net upstreamward volume flux from NB to SB. With river discharge the net water transport in the NB is driven through a momentum balance of surface elevation gradient forcing, horizontal advection, and vertical diffusion. In the dry season, reducing the surface elevation gradient forcing makes tidal rectification a key process favorable for the saltwater intrusion. A northerly wind tends to enhance the saltwater intrusion by reducing the seaward surface elevation gradient forcing rather than either the baroclinic pressure gradient forcing or the wind-driven Ekman transport. A convergence experiment suggests that high grid resolution (∼100 m or less) is required to correctly resolve the net water transport through the NB, particularly in the narrow channel on the northern coast of Chongming Island.The development of FVCOM is supported by the Massachusetts Fisheries Institute through NOAA grants DOC/ NOAA/NA04NMF4720332 and DOC/NOAA/NA05NMF4721131; NSF grants OCE-0234545, OCE-0227679, OCE-0606928, OCE-0712903, OCE-0732084, OCE-0726851, ARC0712903; ARC0732084, and ARC0804029; NOAA grant NA160P2323; and an ONR subcontract grant from the Woods Hole Oceanographic Institution. The development of the nested modeling approach is supported by MIT and URI Sea Grant projects NA060AR41700019 and R/P-061. C. Chen serves as Zi Jiang Scholar at the State Key Laboratory for Estuarine and Coastal Research, East China Normal University (ECNU), and is an adjunct professor at Shanghai Ocean University (SHOU). His contribution is also supported by both ECNU and SHOU. P. Ding is supported by the Chinese National Key Basic Research Project grant 2002CB412403

The complete chloroplast genome sequence of an Alpine flowering plant Kuepferia otophora (Gentianaceae)

The complete chloroplast genome sequence of Kuepferia otophora, a flowering plant occurring in Hengduan Mountains with high altitudes, is determined in this study. The plastome is 139,684 bp in length, with one large single-copy region of 76,787 bp, one small single-copy region of 16,635 bp, and two inverted repeat (IR) regions of 23,131 bp. It contains 128 genes, including 83 protein-coding, 8 ribosomal RNA, and 37 transfer RNA genes. Phylogenetic tree shows that this species is a sister to the clade of genus Gentiana. The first published plastome within Kuepferia provides significant insight for elucidating the phylogenetic relationship of taxa within tribe Gentianeae

Application of Graphene-Oxide-Modified Polyacrylate Polymer for Controlled-Release Coated Urea

Polyacrylate polymer (PA) was modified with graphene oxide (GO) and the obtained composites were applied as coatings for controlled-release coated urea (CRU). The physicochemical properties of the different PA/GO coatings were characterized in detail and the nitrogen-release characteristics of the obtained CRU samples were determined in water at 25 °C. The experimental results revealed that addition of GO to PA reduced the swelling degree from 83.01% to 46.35% and improved its mechanical properties (the Young’s modulus was improved from 31.52 to 34.97 MPa and the glass transition temperature was increased from 4.21 to 6.11 °C), thus dramatically slowing down the cumulative nutrient release from the CRU fertilizer from 87.25% to 59.71%. These results suggest that GO enhances the properties of PA for CRU applications, which shows that GO-modified PA is a good coating material

Characterization of the complete chloroplast genome of Swertia souliei (Gentianaceae)

The complete chloroplast genome sequence of Swertia souliei, an alpine annual herbaceous plant endemic to the Qinghai-Tibetan Plateau (QTP), is reported in this study. The plastome is 152,804 bp in length, with one large single-copy region of 83,195 bp, one small single-copy region of 18,096 bp, and two inverted repeat (IR) regions of 25,756 bp. It contains 130 genes, including 85 protein-coding, 8 ribosomal RNA, and 37 transfer RNA genes. Phylogenetic tree shows that this species is a sister to the clade containing S. leducii, S. verticillifolia, and S. mussotii. The complete chloroplast genome could provide significant insight for understanding the phylogenetic relationship of taxa within Gentianaceae

In Vitro and In Vivo Activities of Tilmicosin and Acetylisovaleryltylosin Tartrate against Toxoplasma gondii

Toxoplasma gondii is a widespread intracellular pathogen that infects humans and a variety of animals. The current therapeutic strategy for human toxoplasmosis is a combination of sulphadiazine and pyrimethamine. However, this combination still has a high failure rate and is ineffective against chronic infections. Therefore, it is important to discover a new anti-T. gondii drug that is safer and more effective in both humans and animals. In this study, we describe the anti-T. gondii activities of the 16-membered macrolide tilmicosin and acetylisovaleryltylosin tartrate (ATLL). Both tilmicosin and ATLL potently inhibited T. gondii with a half-maximal effective concentration (EC50) of 17.96 μM and 10.67 μM, respectively. Interestingly, tilmicosin and ATLL had different effects on the parasites. ATLL exhibited a potent inhibitory effect on intracellular parasite growth, while tilmicosin suppressed parasites extracellularly. By studying the lytic cycle of T. gondii after treatment, we found that ATLL potently inhibited the intracellular proliferation of tachyzoites, while tilmicosin affected the invasion of tachyzoites. Immunofluorescence analysis using ATLL-treated T. gondii showed morphologically abnormal parasites, which may be due to the inhibition of tachyzoite proliferation and division. In addition, tilmicosin and ATLL significantly delayed the death of mice caused by acute toxoplasmosis. Our results suggest that ATLL has potent anti-Toxoplasma activity both in vitro and in vivo and may be an alternative to toxoplasmosis in the future