No Weight Catch-Up Growth of SGA Infants Is Associated with Impaired Insulin Sensitivity during the Early Postnatal Period

Objective. To investigate the relationship between weight catch-up growth and insulin sensitivity in small for gestational age (SGA) infants. Methods. Forty-four singleton SGA subjects met the inclusion criteria and finished-3-month followup. Body weight, length, fasting glucose, and fasting insulin (FI) levels were measured at 3 days and 3 months. Insulin sensitivity was evaluated by FI and homeostasis model assessment (HOMA). Results. According to the change of weight Z-score, forty-four subjects were divided into two groups: noncatch-up growth (NCUG) and catch-up growth (CUG). By 3 months of age, the body weight, body length and BMI of NCUG group were significantly lower than those of CUG group. The FI and HOMA were significantly higher in NCUG group. The change of weight Z-score during 3 months was inversely related to the HOMA at 3 months. Conclusion. Our data exemplified that no weight catch-up growth during the first 3 months was associated with impaired insulin sensitivity in SGA infants

Global transcription profiling reveals differential responses to chronic nitrogen stress and putative nitrogen regulatory components in Arabidopsis

<p>Abstract</p> <p>Background</p> <p>A large quantity of nitrogen (N) fertilizer is used for crop production to achieve high yields at a significant economic and environmental cost. Efforts have been directed to understanding the molecular basis of plant responses to N and identifying N-responsive genes in order to manipulate their expression, thus enabling plants to use N more efficiently. No studies have yet delineated these responses at the transcriptional level when plants are grown under chronic N stress and the understanding of regulatory elements involved in N response is very limited.</p> <p>Results</p> <p>To further our understanding of the response of plants to varying N levels, a growth system was developed where N was the growth-limiting factor. An Arabidopsis whole genome microarray was used to evaluate global gene expression under different N conditions. Differentially expressed genes under mild or severe chronic N stress were identified. Mild N stress triggered only a small set of genes significantly different at the transcriptional level, which are largely involved in various stress responses. Plant responses were much more pronounced under severe N stress, involving a large number of genes in many different biological processes. Differentially expressed genes were also identified in response to short- and long-term N availability increases. Putative N regulatory elements were determined along with several previously known motifs involved in the responses to N and carbon availability as well as plant stress.</p> <p>Conclusion</p> <p>Differentially expressed genes identified provide additional insights into the coordination of the complex N responses of plants and the components of the N response mechanism. Putative N regulatory elements were identified to reveal possible new components of the regulatory network for plant N responses. A better understanding of the complex regulatory network for plant N responses will help lead to strategies to improve N use efficiency.</p

Effectiveness and safety of transcatheter aortic valve replacement in elderly people with severe aortic stenosis with different types of heart failure.

Impaired left ventricular function is an independent predictor of adverse clinical outcomes in patients with aortic stenosis. The aim of this study is to evaluate the short-term changes of echocardiographic parameters, New York Heart Association (NYHA) class and B-type natriuretic peptide (BNP) level and adverse events amongst patients with heart failure (HF) after transcatheter aortic valve replacement (TAVR) procedure. This was a retrospective cohort study conducted at affiliated Yantai Yuhuangding Hospital of Qingdao University between September 2017 and September 2022. TAVR cases were stratified into three groups [heart failure with reduced ejection fraction (HFrEF), heart failure with mildly reduced ejection fraction (HFmrEF), heart failure with preserved ejection fraction (HFpEF)] by left ventricular ejection fraction (LVEF). Baseline characteristics, changes in echocardiographic parameters (1 week and 1 month), BNP (1 month), and NYHA class (6 months) post-TAVR were compared across the three groups. Meanwhile, we observed the adverse events of the patients after TAVR. A total of 96 patients were included, of whom 15 (15.6%) had HFrEF, 15 (15.6%) had HFmrEF, and 66 (68.8%) had HFpEF. Compared to the HFpEF subgroup, patients in the HFrEF subgroup were younger (p < 0.05), and with a higher BNP (p < 0.05). The left ventricular end-diastolic dimension (LVEDD) in HFrEF group decreased significantly after TAVR. HFmrEF and HFrEF patients showed significant improvements in LVEF after TAVR. The pulmonary artery systolic pressure (PASP), aortic valve peak gradient (AVPG) and aortic valve peak gradient (V ) decreased significantly 1 month after TAVR in all three groups compared to the baseline (all p < 0.05). BNP significantly reduced in HFrEF group compared to HFpEF patients after TAVR (p < 0.05). The majority of patients experienced an improvement at least one NYHA class in all three groups 6 months post-TAVR. There is no significant increase in the risk of adverse events in the HFrEF group. Patients who underwent TAVR achieved significant improvements in BNP, NYHA class, LVEDD, LVEF, and PASP across the three HF classes, with a more rapid and pronounced improvement in the HFrEF and HFmrEF groups. Complication rates were low in the different HF groups. There is no significant increase in the risk of periprocedural complications in the HFrEF and HFmrEF groups. [Abstract copyright: © 2023. The Author(s).

Ammonia and Greenhouse Gas Emissions from Biogas Digester Effluent Stored at Different Depths

Carbonaceous and nitrogenous gases are produced during storage of livestock manure, with the magnitude of production being affected by the chemical properties of the manure and the physical conditions of storage. This lab-scale study quantifies the emission rates of ammonia (NH3), nitric oxide (NO), and greenhouse gases (GHG), i.e., methane (CH4), carbon dioxide (CO2), nitrous oxide (N2O), from biogas digester effluent (BDE) stored at different depths of 1.0, 1.5, and 2.0 m in dynamic emission vessels (DEVs). The selected storage depths were reflective of the typical depth range of on-farm BDE storage in China. The static storage was held at a relatively constant media temperature of 15°C and an air exchange rate of 11.5 air changes per hour (ACH) for 78 days. Each depth regimen was replicated four times using four DEVs (12 DEVs total). The results showed that the mean (±SE) daily gaseous emission rates per volume of BDE stored at 1.0, 1.5, and 2.0 m depths, in g gas m-3 d-1, were, respectively, 9.1 (±0.7), 10.1 (±0.6), and 10.1 (±0.4) for CH4 (p = 0.39); 38.0 (±2.2), 34.5 (±1.3), and 30.7 (±0.6) for CO2 (p \u3c 0.05); 1.9 (±0.11), 1.3 (±0.08), and 0.9 (±0.03) for NH3 (p \u3c 0.05); and 6.7 (±0.5) × 10-3, 5.0 (±0.8) × 10-3, and 3.4 (±0.2) × 10-3 for N2O (p \u3c 0.05). Nitric oxide (NO) emissions were negligible. The overall GHG (CH4 + N2O + CO2) emissions were dominated by CH4, which accounted for more than 85% of the CO2-equivalent emissions for all three storage depths. The CH4 emissions peaked during the early storage period, with the first 20-day cumulative emissions accounting for 56% to 58% of the total 78-day storage emissions. The results reveal that storage of BDE at 2.0 m depth yielded lower CO2, NH3, and N2O emission rates but similar CH4 emission rates compared to the 1.0 and 1.5 m depths

Content analysis of systematic reviews on the effectiveness of Traditional Chinese Medicine

AbstractObjectiveTo evaluate evidence for the efficacy of Traditional Chinese Medicine (TCM) in systematic reviews.MethodsChinese (TCMPeriodical Literature Database, Chinese Biological Medicine database, Chinese Medical Current Contents, China Hospital Knowledge Database journal fulltext database, Virtual Machining and Inspection System, and Wanfang) and English (Cochrane Database of Systematic Reviews, PubMed and Embase) databases were searched.ResultsThree thousand, nine hundred and fifty-five articles were initially identified, 606 of which met the inclusion criteria, including 251 in English (83 from the Cochrane Database) and 355 in Chinese. The number of articles published each year increased between 1989 and 2009. Cardiocerebrovascular disease was the most studied target disease. Intervention measures includedTCM preparations (177 articles), acupuncture (133 articles) and combinations of TCM and western medicine (38 articles). Control measures included positive medical (177 articles), basic treatment (100 articles), placebo (219 articles), and blank and mutual (107 articles). All articles included at least one reference; the greatest number was 268. Six of 10 articles with high quality references demonstrated curative effectsagainst target diseasesincludingupper respiratory tract infection, dementia and depression. Interventions that were not recommendedwere tripterygium for rheumatoid arthritis andTCM syndrome differentiation for pediatric nocturia. In 10.4% of the studies, the authors concluded that the intervention had a curative effect. The assessors agreed with the authors' conclusions in 88.32% of cases, but rejected 8.94% (54 articles).Conclusion1) Training in systematic review methods, including topic selection, study design, methods and technology, should be improved. 2) Upper respiratory tract infection, dementia and depression may become the predominant diseases treatedby TCM, and the corresponding interventions could be developed into practical applications. 3) Use of non-recommended interventions should be controlled, and there should be more research on side effects

Connection Node Design and Performance Optimization of Girder Truss

Girder truss is a kind of high-performance truss, which is combined with some single trusses by connectors. It is the common structural form of the key-bearing node in the modern wood structure floor and roof structure system. With the development of the sponge city and green building in China, girder truss is widely used in wood structure buildings and re-roofing project for its lightweight, high strength, good seismic performance, simple construction, design flexibility, and other excellent characteristics. Since the stress environment of girder truss is more complicated than single wood truss, the wood girder truss needs higher bearing capacity. This chapter emphatically provides a theoretical basis for practical engineering and mainly introduces a new type of girder truss connected with different diameters of wood dowels. The deformation of each node in the static loading process is measured in situ and continuously by using the self-designed loading device and the advanced measuring system. Research contents include the increasing effect of girder truss than single truss and influence of different connection modes on the mechanical properties of girder trusses. We can restore the mechanical properties and failure mechanism from the two aspects of phenomena and mechanism by comparing the test results