Percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder

OBJECTIVE: Ventricular septal defects resulting from post-traumatic cardiac injury are very rare. Percutaneous closure has emerged as a method for treating this disorder. We wish to report our experience in three patients who underwent percutaneous closure of a post-traumatic ventricular septal defect with a patent ductus arteriosus occluder. METHODS: We treated three patients with post-traumatic ventricular septal defects caused by stab wounds with knives. After the heart wound was repaired, patient examinations revealed ventricular septal defects with pulmonary/systemic flow ratios (Qp/Qs) of over 1.7. The post-traumatic ventricular septal defects were closed percutaneously with a patent ductus arteriosus occluder (Lifetech Scientific (Shenzhen) Co., LTD, Guangdong, China) utilizing standard techniques. RESULTS: Post-operative transthoracic echocardiography revealed no residual left-to-right shunt and indicated normal ventricular function. In addition, 320-slice computerized tomography showed that the occluder was well placed and exhibited normal morphology. CONCLUSION: Our experiences indicate that closure of a post-traumatic ventricular septal defect using a patent ductus arteriosus occluder is feasible, safe, and effective

Poly(ionic liquid)s-based nanocomposite polyelectrolytes with tunable ionic conductivity prepared via SI-ATRP

National Natural Science Foundation of China [21276213]; National Ministry of Science and Technology of China [2012CB21500402]; State-Key Laboratory of Chemical Engineering of Tsinghua University [SKL-ChE-13A05]; Research Fund KU LeuvenIn this study, a novel kind of organic inorganic core shell SiO2-poly(p-vinylbenzyl) trimethylammonium tetrafluoroborate (SiO2-P[VBTMA][BF4]) nanoparticle was well designed and successfully synthesized via surface-initiated atom transfer radical polymerization (SI-ATRP). Fourier transform infrared spectroscopy (FT-IR), H-1 nuclear magnetic resonance (H-1 NMR), X-ray photoelectron spectroscopy (XPS), dynamic light scattering (DLS) and scanning electron microscopy (SEM) were used to confirm the formation of the core shell nanoparticles and the surface modification. In order to overcome the challenge of the characterization of the number average molecular weight of poly(ionic liquid)s, "sacrificial initiator' method was used here employing a trimethylsilyl (TMS)-labeled initiator as the NMR marker for integration. In addition, good thermal stability of the new hybrid polyelectrolyte was proved by thermogravimetric analysis. The electrochemical impedance measurements revealed that the room temperature conductivity reached 10(-4) S cm(-1), which is much higher than that of the pure poly(ionic liquid)s and varies with the amount of the grafted polymer and the test temperature. The X-ray diffraction (XRD) tests further investigated the crystal structure of the nanocomposite and pure P[VBTMA][BF4]. The temperature dependence of ionic conductivity conforms to Arrhenius behavior for both of the nanocomposites and the pure polymer. The results indicated that the SI-ATRP approach provided a simple and versatile route to tune the ionic conductivity of the hybrid nanoparticles by changing the chain length of the grafted polymer, which can be potentially used in a variety of electrochemical devices

Exploring the causal factor effects of hypothyroidism on ischemic stroke: a two-sample Mendelian randomization study

BackgroundObservational studies have suggested a possible association between hypothyroidism and increased risk of ischemic stroke. However, a causal relationship remains unclear.MethodsData on single nucleotide polymorphisms (SNPs) associated with hypothyroidism and ischemic stroke were sourced from the FinnGens database and the UK Biobank of European descent. Both databases underwent separate two-sample Mendelian randomization (MR) analyses. A subsequent meta-analysis of MR results using a random-effects model was conducted to determine the causal relationship between hypothyroidism and ischemic stroke.ResultsAll five analyses indicated a positive causal relationship between hypothyroidism and ischemic stroke. MR analysis of the association between hypothyroidism and ischemic stroke yielded a result of the inverse variance weighted (IVW) method at 4.7411 (1.3598–16.5308), p = 0.0146. The analysis of ischemic stroke (without excluding controls) yielded a result of the IVW method of 4.5713 (1.3570–15.3986), p = 0.0142. MR analysis with cerebral infarction yielded a result of the IVW method at 1.0110 (1.0006–1.0215), p = 0.0373. The MR analysis with cerebrovascular disease sequelae yielded an IVW method result of 2.4556 (1.0291–5.8595), p = 0.0429. Analysis for the sequelae of cerebrovascular disease (without excluding controls) yielded an IVW method result of 2.4217 (1.0217–5.7402), p = 0.0446. No evidence of heterogeneity or horizontal pleiotropy was found. The meta-analysis of the five MR results was 2.24 (1.18–4.26), p = 0.025.ConclusionOur two-sample Mendelian randomization study suggested a causal relationship between hypothyroidism and ischemic stroke, indicating that hypothyroidism could be a risk factor for ischemic stroke. However, further studies are required to elucidate the underlying biological mechanisms

Rapid Syphilis Testing Uptake for Female Sex Workers at Sex Venues in Southern China: Implications for Expanding Syphilis Screening

: Accessibility of syphilis testing services is critical in syphilis control programs for female sex workers (FSWs), but few FSWs attend public STI clinics or other testing sites. Introduction of free rapid syphilis testing (RST) into outreach programs for FSWs will help improve test uptake. : Commercial sex venues were identified in two cities in South China. In cooperation with health advocacy organizations, health outreach teams from local public health or medical facilities approached all types of sex venues in study areas to offer free RST. Acceptability and uptake of RST among FSWs were evaluated. : A total of 2812 FSWs were offered RST and 2670 (95.0%) accepted syphilis testing. 182 (6.8%) FSWs had a positive RST result among whom 136 (74.7%) were willing to attend an STD clinic for confirmatory testing and treatment. More than half (89, 66.4%) of those with syphilis were not willing to notify their sex partners. Multivariate logistic analysis showed that syphilis test uptake was associated with residing in Jiangmen (AOR, 1.78; 95% CI, 1.15-2.77), older age (AOR, 2.11, 95% CI, 1.17-3.79 for age of 31 years or above), and not working at a service venue (AOR, 1.60; 95% CI, 1.10-2.34). : RST at sex venues is well accepted by FSWs when it is integrated into ongoing outreach services. Such programs provide excellent opportunities for expanding syphilis screening efforts among specific subgroups of FSW who are difficult to reach through clinic-based programs.<br/

Effects of Bacillus halophilus on growth, intestinal flora and metabolism of Larimichthys crocea

The incorporation of probiotics into the diet of large yellow croaker has been demonstrated by several studies to confer partial disease resistance. Bacillus halophilic isolated from the intestinal flora was used to study its effects on performance growth indicators, intestinal tissue structure, intestinal flora and the metabolism of Larimichthys crocea. A total of 180 fishes with an initial body weight of (164.00 ± 54.00) g were fed diets with three different concentrations of Bacillus halophilic: 0 cfu/mL (FC0, control group), 108 cfu/mL (FC8, treatment group), and 1012 cfu/mL (FC12, treatment group). The results showed that there were no significant differences in specific growth rate among all groups (P > 0.05). Compared to the FC0 group, the final body weight and Weight gain rate were significantly higher in FC8 and FC12 groups (P  0.05). At the level of intestinal structure, there were no significant differences in villus height, crypt depth and goblet cell number between control group and treatment groups (P > 0.05). At the phylum level, Firmicutes was the dominant phylum, and the genus level, Lactobacillus and Bacteroides were the dominant bacteria in FC8 and FC12. A total of 1070 metabolites were identified, among which lipid metabolites accounted for 46.7%. Metabolites were involved in six main ways, mainly related to the metabolism of amino acids and lipids. The correlation analysis between microbes and metabolites showed that the intestinal flora of Larimichthys crocea could promote the synthesis of metabolites, among which Bacteroides and Megamonas could promote the synthesis of beneficial metabolites such as amino acids and vitamins. Through this study, we found that Bacillus halophilic can significantly improve growth, the antioxidant immunity ability and promote the expression of growth related metabolites, with the FC12 group being the better successful

Morphological character of cervical spine for anterior transpedicular screw fixation

Background: Anterior cervical interbody grafts/cages combined with a plate were frequently used in multilevel discectomies/corpectomies. In order to avoid additional posterior stabilization in patients who undergo anterior reconstructive surgery, an anterior cervical transpedicular screw fixation, which offers higher stability is desirable. We investigated in this study the anatomical (morphologic) characters for cervical anterior transpedicular screw fixation. Materials and Methods: Left pedicle parameters were measured on computed tomography (CT) images based on 36 cervical spine CT scans from healthy subjects. The parameters included outer pedicle width (Distance from lateral to medial pedicle surface in the coronal plane), outer pedicle height (OPH) (Distance from upper to lower pedicle surface in the sagittal plane), maximal pedicle axis length (MPAL), distance transverse insertion point (DIP), distance of the insertion point to the upper end plate (DIUP), pedicle sagittal transverse angle (PSTA) and pedicle transverse angle (PTA) at C3 to C7. Results: The values of outer pedicle width and MPAL in males were larger than in females from C3 to C7. The OPH in males was larger than in females at C3 to C6, but there was no difference at C7. The DIP and PTA were significantly greater in males than in females at C3, but there was no difference in the angle at C4-7. The PSTA was not statistically different between genders at C3, 4, 7, but this value in males was larger than females at C5, 6. The DIUP was significantly greater in males at C3, 4, 6, 7 but was non significant at C5. Conclusions: The placement of cervical anterior transpedicular screws should be individualized for each patient and based on a detailed preoperative planning

Biomass burning contributions to urban PM2.5 along the coastal lines of southeastern China

Levoglucosan (LG), water soluble organic carbon (WSOC) and potassium (K+), and the light absorption at 365 nm (Abs365) of the extracted WSOC are measured in PM2.5 samples collected from November 2011 to July 2013 at four coastal urban sites in southeast China (Fuzhou, Putian, Quanzhou and Xiamen). These species are markers of biomass burning and used to determine the contributions of biomass burning to the PM2.5 burden in these locations. LG and WSOC concentrations exhibited a clear seasonal pattern, with a large enhancement in winter and spring and a minimum in summer, and annual means across all sites of 59.2±46.8 ng m−3 and 2.69±1.21 µg C m−3, respectively. The distinctive seasonal patterns of LG and WSOC are more explained by the East Asian monsoon than the upwind varying emission sources according to the HYSPLIT backward trajectories and MODIS fire spots. Observations produced significant correlation (at the p<0.01 level) between LG and non-sea salt K+ (nss-K+) at each site, but the correlations exhibited no clear seasonal trend. The LG/nss-K+ ratios ranged from 0.03±0.01 to 0.24±0.13 which lay within the limits for the crop residues and/or grass combustion smoke. Stronger correlations were found between WSOC or Abs365 and sulphate than between WSOC and LG. This observation is consistent with the fact that biomass burning is a less important contributor to WSOC and/or brown carbon than is secondary organic aerosol formation and oxidation. The average relative contributions of biomass burning to OC and WSOC in PM2.5 were 8.3 and 15.2 %, respectively, estimated by the measured LG to OC and WSOC (LG/OC and LG/WSOC) ratios in comparison to literature-derived LG/OC and LG/WSOC values for biomass burning smoke. Using the reported conversion factor of LG to PM2.5 for crop straw burning smoke, the LG-estimated PM2.5 contributions from biomass burning exhibited minimum values in summer and higher values in winter and spring. Positive Matrix Factorisation was used to analyse PM2.5 sources, and seven major source factors including biomass burning emissions were resolved. The biomass burning sources contributed 3.75–8.08 % to PM2.5 mass as an annual average while exhibiting a seasonal variability similar to and higher than those of LG-estimated contributions. These results demonstrate that the contribution from biomass burning smoke to PM2.5 – while small – is non-negligible, especially in the winter and spring sampling periods, that is, northeastern monsoon season

Serum/Plasma MicroRNAs as Biomarkers for HBV-Related Hepatocellular Carcinoma in China

MicroRNAs (miRNAs) are a group of small RNAs with a fundamental role in the regulation of gene expression. These RNAs have been shown to participate in various cellular and physiological processes, including cellular development, apoptosis, proliferation, and differentiation. Aberrant expression of several miRNAs was found to be involved in a large variety of neoplasms, including hepatocellular carcinoma (HCC). Previous studies have shown the existence of a large amount of stable miRNAs in human serum/plasma, which laid the foundation for studying the role of serum/plasma miRNAs in the diagnosis and prognosis of HCC. Here, we review the recent progress in research on serum miRNAs as biomarkers for HCC in Chinese patients

Remote preconditioning, perconditioning, and postconditioning: a comparative study of their cardio-protective properties in rat models

OBJECTIVE: Ischemia reperfusion injury is partly responsible for the high mortality associated with induced myocardial injury and the reduction in the full benefit of myocardial reperfusion. Remote ischemic preconditioning, perconditioning, and postconditioning have all been shown to be cardioprotective. However, it is still unknown which one is the most beneficial. To examine this issue, we used adult male Wistar rat ischemia reperfusion models to compare the cardioprotective effect of these three approaches applied on double-sided hind limbs. METHODS: The rats were randomly distributed to the following five groups: sham, ischemia reperfusion, remote preconditioning, remote perconditioning, and remote post-conditioning. The ischemia/reperfusion model was established by sternotomy followed by a 30-min ligation of the left coronary artery and a subsequent 3-h reperfusion. Remote conditioning was induced with three 5-min ischemia/5-min reperfusion cycles of the double-sided hind limbs using a tourniquet. RESULTS: A lower early reperfusion arrhythmia score (1.50 + 0.97) was found in the rats treated with remote perconditioning compared to those in the ischemia reperfusion group (2.33 + 0.71). Meanwhile, reduced infarct size was also observed (15.27 + 5.19% in remote perconditioning, 14.53 + 3.45% in remote preconditioning, and 19.84+5.85% in remote post-conditioning vs. 34.47 + 7.13% in ischemia reperfusion, p<0.05), as well as higher expression levels of the apoptosis-relevant protein Bcl-2/Bax following global (ischemia/reperfusion) injury in in vivo rat heart models (1.255 + 0.053 in remote perconditioning, 1.463 + 0.290 in remote preconditioning, and 1.461 +0.541 in remote post-conditioning vs. 1.003 + 0.159 in ischemia reperfusion, p<0.05). CONCLUSION: Three remote conditioning strategies implemented with episodes of double-sided hind limb ischemia/reperfusion have similar therapeutic potential for cardiac ischemia/reperfusion injury, and remote perconditioning has a greater ability to prevent reperfusion arrhythmia