The aldosterone index could be used to diagnose the dominant gland in primary aldosteronism — a retrospective study

Introduction: Failed cannulation in the right adrenal vein, which makes the sampling results in the contralateral vein and inferior vena cava (IVC) nonsense, is the main obstacle of using adrenal vein sampling (AVS) in the lateralisation diagnosis in primary aldosteronism (PA). We performed a retrospective study to evaluate the specificity and sensitivity of using the aldosterone index (AI) in PA lateralisation diagnosis. Material and methods: We enrolled 116 patients who were diagnosed with PA and then underwent AVS in the West China Hospital of Sichuan University from April 2015 to April 2017. The AI, calculated by dividing the aldosterone concentration of the failed side by the aldosterone concentration of IVC, was used for lateralisation diagnosis if the cannulation was judged to be failed by traditional method. Patients with dominant adrenal gland based on successful AVS were included in subgroup 2 (n = 75), while the patients diagnosed with a dominant gland using AI method were enrolled in subgroup 1 (n = 41). Results: No significant difference of clinical and biochemical findings between the two groups was detected (p value after operation > 0.05). ROC analysis was performed to test the specificity and sensitivity based on the AI in subgroup 2. The AUC for dominant gland detection was 0.76, which resulted in 91.3% sensitivity and 67.53% specificity. The positive and negative likelihood ratios were 2.81. Conclusions: Our data suggested that the modified strategy using AI to diagnose the dominant gland in PA is an efficient method when cannulation has failed in the right side

Strange stars with different quark mass scalings

We investigate the stability of strange quark matter and the properties of the corresponding strange stars, within a wide range of quark mass scaling. The calculation shows that the resulting maximum mass always lies between 1.5 solor mass and 1.8 solor mass for all the scalings chosen here. Strange star sequences with a linear scaling would support less gravitational mass, and a change (increase or decrease) of the scaling around the linear scaling would lead to a larger maximum mass. Radii invariably decrease with the mass scaling. Then the larger the scaling, the faster the star might spin. In addition, the variation of the scaling would cause an order of magnitude change of the strong electric field on quark surface, which is essential to support possible crusts of strange stars against gravity and may then have some astrophysical implications.Comment: 5 pages, 6 figures, 1 table. accepted by M

A review of fly ash-based paste filling deamination methods

On the basis of discussing the status of fly ash-based paste filling technology, this paper further discusses the deterioration of downhole air environment caused by ammonia release in fly ash-based paste filling. By analyzing the mechanism of ammonia generation, it was found that NH4 HSO4 and (NH4)2SO4 adsorbed in fly ash are soluble in water and generate NH4+, which will be converted to NH3 and released under alkaline environment. It is studied that the existing methods for removing ammonia adsorbed in fly ash solids, such as alkali addition, oxidation and heating methods, can remove ammonia to an appropriate range and meet the normal use of fly ash. However, since the alkali addition method and the oxidation method need to add chemicals and the fly ash after deamination treatment needs to be heated and dried, the heating method has higher requirements on the heat source, and the high cost makes these methods can not be widely used in the deamination treatment of fly ash-based paste filling. The fly ash is made into slurry, and the basic theory of physical and chemical deamination in sewage is used for reference, and the technical measures to remove ammonia in slurry by stripping method, break-point chlorination method and magnesium ammonium phosphate method are proposed. Among them, the stripping method is stable and does not require additional chemicals, while the break-point chlorination method and magnesium ammonium phosphate method can theoretically remove ammonia from slurry completely, but the required dosage is large, and it is difficult to control the dosage, which affects the ammonia removal effect and the performance of fly ash. Through a comprehensive comparison of the technical characteristics of the above deamination methods, combined with the economic evaluation that the stripping method for treating fly ash slurry has good prospects for engineering applications. Subsequent studies can optimize the operating conditions for the removal of ammonia from fly ash slurry by the stripping method through experiments or simulations, with a view to obtaining better deamination results. In addition, the performance of the filled paste formulated from the deaminated fly ash slurry needs to be paid continuous attention

Effects of 24-week treatment with acarbose on glucagon-like peptide 1 in newly diagnosed type 2 diabetic patients: a preliminary report

BACKGROUND: Treatment with the alpha-glucosidase inhibitor (AGI) acarbose is associated with a significant reduction the risk of cardiovascular events. However, the underlying mechanisms of this effect are unclear. AGIs were recently suggested to participate in stimulating glucagon-like peptide 1 (GLP-1) secretion. We therefore examined the effects of a 24-week treatment of acarbose on endogenous GLP-1, nitric oxide (NO) levels, nitric oxide synthase (NOS) activity, and carotid intima-media thickness (CIMT) in newly diagnosed patients with type 2 diabetes (T2D). METHODS: Blood was drawn from 24 subjects (14 male, 10 female, age: 50.7 ± 7.36 years, BMI: 26.64 ± 3.38 kg/m(2), GHbA1c: 7.00 ± 0.74%) with drug-naïve T2D at 0 and 120 min following a standard mixed meal for the measurements of active GLP-1, NO and NOS. The CIMT was measured prior to and following 24 weeks of acarbose monotherapy (mean dose: 268 mg daily). RESULTS: Following 24 weeks of acarbose treatment, both fasting and postprandial plasma GLP-1 levels were increased. In patients with increased postprandial GLP-1 levels, serum NO levels and NOS activities were also significantly increased and were positively related to GLP-1 levels. Although the CIMT was not significantly altered following treatment with acarbose, a decreased CIMT was negatively correlated with increased GLP-1 levels. CONCLUSIONS: Twenty-four weeks of acarbose monotherapy in newly diagnosed patients with T2D is associated with significantly increased levels of both fasting and postprandial GLP-1 as well as significantly increased NO levels and NOS activity for those patients in whom postprandial GLP-1 levels were increased. Therefore, the benefits of acarbose on cardiovascular risk may be related to its stimulation of GLP-1 secretion

Endurance exercise accelerates myocardial tissue oxygenation recovery and reduces ischemia reperfusion injury in mice

Exercise training offers cardioprotection against ischemia and reperfusion (I/R) injury. However, few essential signals have been identified to underscore the protection from injury. In the present study, we hypothesized that exercise-induced acceleration of myocardial tissue oxygenation recovery contributes to this protection. C57BL/6 mice (4 weeks old) were trained on treadmills for 45 min/day at a treading rate of 15 m/min for 8 weeks. At the end of 8-week exercise training, mice underwent 30-min left anterior descending coronary artery occlusion followed by 60-min or 24-h reperfusion. Electron paramagnetic resonance oximetry was performed to measure myocardial tissue oxygenation. Western immunoblotting analyses, gene transfection, and myography were examined. The oximetry study demonstrated that exercise markedly shortened myocardial tissue oxygenation recovery time following reperfusion. Exercise training up-regulated Kir6.1 protein expression (a subunit of ATP-sensitive K(+)channel on vascular smooth muscle cells, VSMC sarc-K(ATP)) and protected the heart from I/R injury. In vivo gene transfer of dominant negative Kir6.1AAA prolonged the recovery time and enlarged infarct size. In addition, transfection of Kir6.1AAA increased the stiffness and reduced the relaxation capacity in the vasculature. Together, our study demonstrated that exercise training up-regulated Kir6.1, improved tissue oxygenation recovery, and protected the heart against I/R injury. This exercise-induced cardioprotective mechanism may provide a potential therapeutic intervention targeting VSMC sarc-K(ATP) channels and reperfusion recovery

Fundamental optical processes in armchair carbon nanotubes

Single-wall carbon nanotubes provide ideal model one-dimensional (1-D) condensed matter systems in which to address fundamental questions in many-body physics, while, at the same time, they are leading candidates for building blocks in nanoscale optoelectronic circuits. Much attention has been recently paid to their optical properties, arising from 1-D excitons and phonons, which have been revealed via photoluminescence, Raman scattering, and ultrafast optical spectroscopy of semiconducting carbon nanotubes. On the other hand, dynamical properties of metallic nanotubes have been poorly explored, although they are expected to provide a novel setting for the study of electronﾖhole pairs in the presence of degenerate 1-D electrons. In particular, (n,n)-chirality, or armchair, metallic nanotubes are truly gapless with massless carriers, ideally suited for dynamical studies of TomonagaﾖLuttinger liquids. Unfortunately, progress towards such studies has been slowed by the inherent problem of nanotube synthesis whereby both semiconducting and metallic nanotubes are produced. Here, we use post-synthesis separation methods based on density gradient ultracentrifugation and DNA-based ion-exchange chromatography to produce aqueous suspensions strongly enriched in armchair nanotubes. Through resonant Raman spectroscopy of the radial breathing mode phonons, we provide macroscopic and unambiguous evidence that density gradient ultracentrifugation can enrich ensemble samples in armchair nanotubes. Furthermore, using conventional, optical absorption spectroscopy in the nearinfrared and visible range, we show that interband absorption in armchair nanotubes is strongly excitonic. Lastly, by examining the G-band mode in Raman spectra, we determine that observation of the broad, lower frequency (G!) feature is a result of resonance with non-armchair “metallic” nanotubes. These !ndings regarding the fundamental optical absorption and scattering processes in metallic carbon nanotubes lay the foundation for further spectroscopic studies to probe many-body physical phenomena in one dimension