Risk Factors and Post-Resection Independent Predictive Score for the Recurrence of Hepatitis B-Related Hepatocellular Carcinoma

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A review of the phytochemistry and pharmacological activities of Raphani Semen

Author name used in this publication: Daniel Kam-Wah Mok2012-2013 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Use of liver stiffness measurement for liver resection surgery: correlation with indocyanine green clearance testing and post-operative outcome

Background:Liver stiffness measurement (LSM) using transient elastography has recently become available for the assessment of liver fibrosis. Whether LSM can predict the functional liver reserve in patients undergoing liver resection is not certain.Aim:To correlate liver stiffness measurement (LSM) with indocyanine green (ICG) clearance test and liver biochemistry, and to determine its usefulness in predicting postoperative outcomes in patients undergoing liver resection.Patients and Methods:Transient elastography and ICG clearance test were performed pre-operatively in 44 patients with hepatocellular carcinoma. The LSM and ICG retention rate at 15 minutes (R15) were correlated with pre-operative factors and post-operative outcomes.Results:There was significant correlation between ICG R15 and LSM. In patients with LSM ≥11 kPa vs <11 kPa, there was significantly higher ICG R15 (17.1% vs 10.0% respectively, p = 0.025). For patients with ICG R15≥10% compared to those <10%, there was significantly higher LSM (12.0 vs 7.6 kPa respectively, p = 0.015). Twenty-eight patients proceeded to resection. There was a significant correlation between LSM and the peak INR after liver resection (r = 0.426, p = 0.024). There was a significant correlation between ICG R15 and the post-operative peak AST level (r = -0.414, p = 0.029) and peak ALT level (r = -0.568, p = 0.002). The operative time was a significant independent factor associated with post-operative complications and peak INR.Conclusion:LSM correlated well with ICG R15 in patients undergoing liver resection, and predicted early post-operative complications. Addition of LSM to ICG R15 testing may provide better prognostic information for patients undergoing resection. © 2013 Fung et al.published_or_final_versio

Thermal Propagation Modelling of Abnormal Heat Generation in Various Battery Cell Locations

With the increasing demand for energy capacity and power density in battery systems, the thermal safety of lithium-ion batteries has become a major challenge for the upcoming decade. The heat transfer during the battery thermal runaway provides insight into thermal propagation. A better understanding of the heat exchange process improves a safer design and enhances battery thermal management performance. This work proposes a three-dimensional thermal model for the battery pack simulation by applying an in-house model to study the internal battery thermal propagation effect under the computational fluid dynamics (CFD) simulation framework. The simulation results were validated with the experimental data. The detailed temperature distribution and heat transfer behaviour were simulated and analyzed. The thermal behaviour and cooling performance were compared by changing the abnormal heat generation locations inside the battery pack. The results indicated that various abnormal heat locations disperse heat to the surrounding coolant and other cells. According to the current battery pack setups, the maximum temperature of Row 2 cases can be increased by 2.93%, and the temperature difference was also increased. Overall, a new analytical approach has been demonstrated to investigate several stipulating battery thermal propagation scenarios for enhancing battery thermal performances.Australian Research Council (ARC Industrial Transformation Training Centre IC170100032) and the Australian Government Research Training Program Scholarship

Avian Influenza A H7N9 Virus Induces Severe Pneumonia in Mice without Prior Adaptation and Responds to a Combination of Zanamivir and COX-2 Inhibitor

Background Human infection caused by the avian influenza A H7N9 virus has a case-fatality rate of over 30%. Systematic study of the pathogenesis of avian H7N9 isolate and effective therapeutic strategies are needed. Methods BALB/c mice were inoculated intranasally with an H7N9 virus isolated from a chicken in a wet market epidemiologically linked to a fatal human case, (A/chicken/Zhejiang/DTID-ZJU01/2013 [CK1]), and with an H7N9 virus isolated from a human (A/Anhui/01/2013 [AH1]). The pulmonary viral loads, cytokine/chemokine profiles and histopathological changes of the infected mice were compared. The therapeutic efficacy of a non-steroidal anti-inflammatory drug (NSAID), celecoxib, was assessed. Results Without prior adaptation, intranasal inoculation of 106 plaque forming units (PFUs) of CK1 caused a mortality rate of 82% (14/17) in mice. Viral nucleoprotein and RNA expression were limited to the respiratory system and no viral RNA could be detected from brain, liver and kidney tissues. CK1 caused heavy alveolar inflammatory exudation and pulmonary hemorrhage, associated with high pulmonary levels of proinflammatory cytokines. In the mouse lung cell line LA-4, CK1 also induced high levels of interleukin-6 (IL-6) and cyclooxygenase-2 (COX-2) mRNA. Administration of the antiviral zanamivir did not significantly improve survival in mice infected with CK1, but co-administration of the non-steroidal anti-inflammatory drug (NSAID) celecoxib in combination with zanamivir improved survival and lung pathology. Conclusions Our findings suggested that H7N9 viruses isolated from chicken without preceding trans-species adaptation can cause lethal mammalian pulmonary infection. The severe proinflammatory responses might be a factor contributing to the mortality. Treatment with combination of antiviral and NSAID could ameliorate pulmonary inflammation and may improve survival.published_or_final_versio

Risk factors and post-resection independent predictive score for the recurrence of hepatitis B-related hepatocellular carcinoma

BACKGROUND: Independent risk factors associated with hepatitis B virus (HBV)–related hepatocellular carcinoma (HCC) after resection remains unknown. An accurate risk score for HCC recurrence is lacking ...postprin

Mitochondrial Uncoupling Protein-2 (UCP2) Mediates Leptin Protection Against MPP+ Toxicity in Neuronal Cells

Mitochondrial dysfunction is involved in the pathogenesis of neurodegenerative diseases, including Parkinson’s disease (PD). Uncoupling proteins (UCPs) delink ATP production from biofuel oxidation in mitochondria to reduce oxidative stress. UCP2 is expressed in brain, and has neuroprotective effects under various toxic insults. We observed induction of UCP2 expression by leptin in neuronal cultures, and hypothesize that leptin may preserve neuronal survival via UCP2. We showed that leptin preserved cell survival in neuronal SH-SY5Y cells against MPP+ toxicity (widely used in experimental Parkinsonian models) by maintaining ATP levels and mitochondrial membrane potential (MMP); these effects were accompanied by increased UCP2 expression. Leptin had no effect in modulating reactive oxygen species levels. Stable knockdown of UCP2 expression reduced ATP levels, and abolished leptin protection against MPP+-induced mitochondrial depolarization, ATP deficiency, and cell death, indicating that UCP2 is critical in mediating these neuroprotective effects of leptin against MPP+ toxicity. Interestingly, UCP2 knockdown increased UCP4 expression, but not of UCP5. Our findings show that leptin preserves cell survival by maintaining MMP and ATP levels mediated through UCP2 in MPP+-induced toxicity

International Symposium on Advances in Computational Heat Transfer

A fully-coupled Large Eddy Simulation (LES) model which incorporates all essential subgrid-scale (SGS) turbulence, combustion and radiation has been developed to simulate the temporal and fluid dynamical effects of the burning of methanol in a square pan with a heat release rate of 0.9 MW in a large test hall. A scalar dissipation conditioned SGS combustion model is introduced to account for the non-equilibrium combustion caused by microscopic mixing processes. Numerical results are obtained through the two-step predictor and corrector explicit marching scheme. Predicted transient temperatures are compared against experimental measured data at different spatial locations. Reasonable agreement has been achieved. Effects of different turbulent Prandtl numbers (and Schmidt numbers which they are interrelated) on the transient temperature development are assessed

Quantitative electrophoretic study of the modification of sperm plasma membrane by the ampullary gland in the golden hamster

Plasma membrane proteins were extracted either from epididymal sperm after incubation with ampullary gland secretion or from uterine sperm derived from surgically treated males belonging to the following groups: TX, excision of all accessory sex glands (ASG); AGX, bilateral excision of ampullary glands; AG, excision of all ASG except ampullary glands; and SH, sham-operated. Total membrane protein, glycoprotein, and SDS-PAGE of individual polypeptide subunits were quantified. After incubation with ampullary gland secretion, both protein and glycoprotein concentrations of epididymal sperm membrane were increased. The protein profile was also significantly altered, with the removal of the 43- and 71-kD subunits and the addition of the 36- and 50-kD subunits. The in vitro results confirmed this proteolytic effect of ampullary gland and other ASG on the 43- and 71-kD subunits, despite a reduction in membrane protein concentration. Modification of the 17-, 20-, 25-, 28-, 56-, and 66-kD proteins were also observed. This report is the first demonstration that the ampullary gland is capable of modifying proteins on the sperm surface.link_to_subscribed_fulltex

Electrophoretic modification of sperm plasma membrane by ventral prostate secretion in golden hamsters

Plasma membrane proteins were extracted either from epididymal spermatozoa after incubation with ventral prostrate gland secretion or from spermatozoa recovered from uteri of females mated with surgically treated males belonging to the following groups: TX (excision of all accessory sex glands, ASG), VPX (bilateral excision of ventral prostate), VP (bilateral excision of all ASG except the ventral prostate), and SH (sham-operated). Incubation of spermatozoa with ventral prostatic secretion resulted in an 11-fold increase in glycoprotein content of the plasma membrane, but total protein concentration remained unchanged. The in vivo study indicated that interactions of ASG secretions and spermatozoa were complicated by the presence of uterine secretions. Glycoprotein content was reduced in the presence of ventral prostatic secretions. SDS-PAGE profiles showed that both uterine and ASG secretions could modify proteins on the sperm surface. Enrichment of a 25-kD subunit was apparently effected by uterine secretions and further promoted by combined secretions of the ampullary gland, coagulating gland, dorsolateral prostate, and seminal vesicle, but was reduced by the ventral prostate. A number of other protein subunits appeared to be specifically modified by the ventral prostate, while other ASG secretions were also shown to alter the effects of the ventral prostate on the sperm surface.link_to_subscribed_fulltex