Safety and Efficacy of Direct Oral Anticoagulants in Stroke Prevention in Patients With Atrial Fibrillation Complicated With Anemia and/or Thrombocytopenia: A Retrospective Cohort Study

BACKGROUND: There are limited data about the clinical benefits and harm of direct oral anticoagulants (DOACs) in stroke prevention in patients with atrial fibrillation (AF) complicated with anemia or thrombocytopenia. METHODS: This is a multi-center retrospective cohort study involving 5469 AF patients from 15 hospitals in China. Patients were divided into three groups according to hemoglobin and platelet levels: Group 1 (hemoglobin male ≥ 130 g/L; female ≥ 120 g/L and platelet ≥ 100 × 10 RESULTS: Higher hemoglobin levels were associated with a reduced risk of total bleeding and major bleeding, while platelet counts were not associated with any event. Compared with Group 1, Group 2 had a higher risk of major bleeding (aOR 1.70, 95%CI 1.12-2.57, P = 0.012), and the composite endpoint of major bleeding and thrombosis (aOR 1.70, 95%CI 1.19-2.44, P = 0.004). Compared with Group 1, Group 3 had a higher total bleeding risk (aOR 2.15, 95%CI 1.14-4.05, P = 0.018). Compared with dabigatran, rivaroxaban was associated with higher composite risk in Group 1 (aOR 2.91, 95% CI 1.66-5.16, P \u3c 0.001) and Group 2 (aOR 3.05, 95%CI 1.46-6.39, P = 0.003), but there was no significant difference in Group 3 (aOR 1.78, 95%CI 0.23-13.54, P = 0.577). CONCLUSIONS: Higher hemoglobin levels are associated with a reduced risk of total bleeding and major bleeding in patients with AF. Dabigatran was associated with better clinical outcomes than rivaroxaban in patients with anemia or thrombocytopenia but not in those with anemia and thrombocytopenia

Discovery of Diverse Rodent and Bat Pestiviruses With Distinct Genomic and Phylogenetic Characteristics in Several Chinese Provinces

Bats and rodents are widely distributed worldwide and can be native or intermediate reservoirs of many important zoonotic viruses. Pestiviruses are a group of virus species of the genus Pestivirus under the family Flaviviridae that can infect a wide variety of artiodactylous hosts, including swine and ruminants. Two classic types of pestiviruses, bovine viral diarrhea virus and classical swine fever virus, are important causative agents of mild-to-severe disease in bovine and swine hosts, respectively, and cause tremendous economic losses in these industries. Recent reports revealed that bats and rodents could also act as natural hosts of pestiviruses and an atypical porcine pestivirus, which cause disease in piglets, showed a close genetic relationship with a specific bat pestivirus, RaPestV-1. This study aimed to describe the detection and characterization of novel pestiviruses from bats and rodents in different locations by analyzing the available bat and rodent virome data from throughout China. Two bat pestivirus species and four rodent pestivirus species that are distinct from other known viruses were identified and sequenced. These viruses were identified from two bat species and four rodent species in different Chinese provinces. There were two distinct lineages present in these viruses, that differ from artiodactylous pestivirus. These findings expand our understanding of the genetic diversity of pestiviruses in bats and rodents and suggest the presence of a diverse set of pestiviruses in non-artiodactylous hosts. This study may provide new insight for the prevention of future viral disease outbreaks originating from bats and rodents

雷公藤红素通过靶向核受体Nur77促进损伤线粒体自噬而抑制炎症反应

文章简介线粒体在细胞死亡、自噬、免疫和炎症中起着不可或缺的作用。前期研究发现,孤儿核受体Nur77通过靶向线粒体诱导细胞凋亡。本文报道了Nur77作为具有抗炎作用的雷公藤红素的直接靶点,介导雷公藤红素通过自噬清除损伤线粒体,抑制炎症反应而达到治疗炎症疾病包括肥胖症的功能。研究人员发现,雷公藤红素的结合

Advances in the effect of NC1 domain of type Ⅳ collagen on spermatogenesis and blood-testis barrier

In mammalian testis, the blood-testis barrier (BTB), located near the basement membrane of seminiferous epithelium, is essential for spermatogenesis. BTB is formed by the joining of adjacent Sertoli cells and divides the seminiferous epithelium into basal compartment near the basement membrane and apical compartment near the lumen of spermatogenic tubules. The barrier provides an immune defense mechanism for spermatogenesis. Type Ⅳ collagen is an important component of basement membrane. In rodent testis, type Ⅳ collagen is mainly composed of three α3 chains in a triple helix structure. The C-terminal noncollagenous domain (NC1 domain) of type Ⅳ collagen α3 chain of rat testis can be hydrolyzed into a 28 ku protein fragment called NC1 domain. NC1 domain as a basement membrane peptide is involved in spermatogenesis and sustains BTB function. This article reviews recent research results in order to identify the role of type Ⅳ collagen NC1 domain in testis and underlying mechanisms, mainly focuses on spermatogenesis and BTB

Coronavirus-like Core–Shell-Structured Co@C for Hydrogen Evolution via Hydrolysis of Sodium Borohydride

Constructing a reliable and robust cobalt-based catalyst for hydrogen evolution via hydrolysis of sodium borohydride is appealing but challenging due to the deactivation caused by the metal leaching and re-oxidization of metallic cobalt. A unique core–shell-structured coronavirus-like Co@C microsphere was prepared via pyrolysis of Co-MOF. This special Co@C had a microporous carbon coating to retain the reduced state of cobalt and resist the metal leaching. Furthermore, several nano-bumps grown discretely on the surface afforded enriched active centers. Applied in the pyrolysis of NaBH4, the Co@C-650, carbonized at 650 °C, exhibited the best activity and reliable recyclability. This comparable performance is ascribed to the increased metallic active sites and robust stability

Environmentally Sustainable Raised Access Flooring Product Development

Raised access floors are nowadays widely used in buildings. A novel raised access flooring product is developed by this research, with a set of sustainable features, including less environmental impact and high strength. Its floor panels are made of polyurethane (PU) reinforced with glass fibre, which is light-weight and fire-resistant, replacing the traditional floor panel materials, and the panels are supported by simplified steel stringers to reinforce the strength of the flooring product. Instead of the conventional sandwich design consisting of a core material encapsulated by outer layers, the new floor panel design adopts the reinforced PU as its sole material, which not only simplifies the structure but also reduces floor weight and costs. The sustainable advantage is further approved by the environmental life cycle assessments of the new raised flooring product in comparison to traditional ones made of cement and woodchips, with results showing that the new floor product’s total environmental impact is 52% less than cement floor and 47% less than woodchip board floor. Further, the finite element analysis (FEA) was carried out, and the experimental test was conducted to verify the FEA results, indicating that the new product’s strength is higher than the requirements of the raised access flooring product standards. There is no raised access flooring product made of PU reinforced with glass fibre available in the market, and, hence, the new product developed by this research is a novel contribution