Acute small bowel obstruction: a rare initial presentation for the metastasis of the large-cell carcinoma of the lung

We present one case with symptom of paroxysmal abdominal pain for over 20 days. Abdominal computerized tomography (CT) scan revealed intestinal obstruction and a mass of 6.0 cm × 6.0 cm in size located at the left adrenal. Chest CT scan showed a lobulated mass of 2.7 cm × 2.7 cm in size at the upper left lung. Core needle biopsy of the lung mass confirmed the diagnosis of large cell carcinoma. The patient underwent an emergency abdominal laparotomy and received a chemotherapy regimen that consisted of pemetrexed and cisplatin postoperatively. In addition, we made a review of the literature of the occurrence, diagnosis and outcome of this manifestation

Inhibition effect of H2 on char gasification during chemical looping gasification of biomass

Chemical looping gasification (CLG) of biomass produces high contents of syngas, which would have inhibition effect on the gasification of its biomass char. Experiments using a rice husk char as fuel and a low-cost red mud as oxygen carrier for CLG investigation were performed, and effects of temperature, concentrations of steam and H2 on gasification rate were evaluated. Meanwhile, the mathematical models coupling with reaction and diffusion were established focusing on the H2 inhibition on syngas distributions inside and surrounding a single char particle. The results indicated that H2 in the reaction atmosphere has an inhibition effect on its char conversion, and at a high temperature the inhibition effect tends to be stronger. The shrinking core model (spherical symmetry) was found to be suitable to describe the char conversion under the present conditions with the reaction kinetic parameters of E = 128.8 kJ mol−1 and A = 451.2 s−1. In the internal diffusion of a single char particle, the concentrations of CO and H2 both decrease with the increase of dimensionless radius due to the consumption of carbon. In the external diffusion of the char particle, the concentrations of CO and H2 decrease with the increase of the dimensionless radius. The accumulation of H2 inside the char particle prevents CO production, thus inhibiting char gasification

Hepatic Zbtb18 (Zinc Finger and BTB Domain Containing 18) alleviates hepatic steatohepatitis via FXR (Farnesoid X Receptor)

Abstract A lasting imbalance between fatty acid synthesis and consumption leads to non-alcoholic fatty liver disease (NAFLD), coupled with hepatitis and insulin resistance. Yet the details of the underlying mechanisms are not fully understood. Here, we unraveled that the expression of the transcription factor Zbtb18 is markedly decreased in the livers of both patients and murine models of NAFLD. Hepatic Zbtb18 knockout promoted NAFLD features like impaired energy expenditure and fatty acid oxidation (FAO), and induced insulin resistance. Conversely, hepatic Zbtb18 overexpression alleviated hepato-steatosis, insulin resistance, and hyperglycemia in mice fed on a high-fat diet (HFD) or in diabetic mice. Notably, in vitro and in vivo mechanistic studies revealed that Zbtb18 transcriptional activation of Farnesoid X receptor (FXR) mediated FAO and Clathrin Heavy Chain (CLTC) protein hinders NLRP3 inflammasome activity. This key mechanism by which hepatocyte’s Zbtb18 expression alleviates NAFLD and consequent liver fibrosis was further verified by FXR’s deletion and forced expression in mice and cultured mouse primary hepatocytes (MPHs). Moreover, CLTC deletion significantly abrogated the hepatic Zbtb18 overexpression-driven inhibition of NLRP3 inflammasome activity in macrophages. Altogether, Zbtb18 transcriptionally activates the FXR-mediated FAO and CLTC expression, which inhibits NLRP3 inflammasome’s activity alleviating inflammatory stress and insulin resistance, representing an attractive remedy for hepatic steatosis and fibrosis