Current landscape of exosomal non-coding RNAs in prostate cancer: Modulators and biomarkers.

Prostate cancer (PCa) has the highest frequency of diagnosis among solid tumors and ranks second as the primary cause of cancer-related deaths. Non-coding RNAs (ncRNAs), such as microRNAs, long non-coding RNAs and circular RNAs, frequently exhibit dysregulation and substantially impact the biological behavior of PCa. Compared with circulating ncRNAs, ncRNAs loaded into exosomes are more stable because of protection by the lipid bilayer. Furthermore, exosomal ncRNAs facilitate the intercellular transfer of molecules and information. Increasing evidence suggests that exosomal ncRNAs hold promising potential in the progression, diagnosis and prognosis of PCa. This review aims to discuss the functions of exosomal ncRNAs in PCa, evaluate their possible applications as clinical biomarkers and therapeutic targets, and provide a comprehensive overview of the ncRNAs regulatory network in PCa. We also identified ncRNAs that can be utilized as biomarkers for diagnosis, staging, grading and prognosis assessment in PCa. This review offers researchers a fresh perspective on the functions of exosomal ncRNAs in PCa and provides additional options for its diagnosis, progression monitoring, and prognostic prediction.

Dumbbell Dual-Hairpin Triggered DNA Nanonet Assembly for Cascade-Amplified Sensing of Exosomal MicroRNA.

Exosomal microRNAs (miRNAs) are valuable biomarkers closely associated with cancer progression. Therefore, sensitive and specific exosomal miRNA biosensing has been employed for cancer diagnosis, prognosis, and prediction. In this study, a miRNA-based DNA nanonet assembly strategy is proposed, enabling the biosensing of exosomal miRNAs through dumbbell dual-hairpin under isothermal enzyme-free conditions. This strategy dexterously designs a specific dumbbell dual-hairpin that can selectively recognize exosomal miRNA, inducing conformational changes to cascade-generated X-shaped DNA structures, facilitating the extension of the X-shaped DNA in three-dimensional space, ultimately forming a DNA nanonet assembly. On the basis of the target miRNA, our design enriches the fluorescence signal through the cascade assembly of DNA nanonet and realizes the secondary signal amplification. Using exosomal miR-141 as the target, the resultant fluorescence sensing demonstrates an impressive detection limit of 57.6 pM and could identify miRNA sequences with single-base variants with high specificity. Through the analysis of plasma and urine samples, this method effectively distinguishes between benign prostatic hyperplasia, prostate cancer, and metastatic prostate cancer. Serving as a novel noninvasive and accurate screening and diagnostic tool for prostate cancer, this dumbbell dual-hairpin triggered DNA nanonet assembly strategy is promising for clinical applications.

A multi-center study to predict the risk of intraoperative hypothermia in gynecological surgery patients using preoperative variables.

OBJECTIVES: Hypothermia is highly common in patients undergoing gynecological surgeries under general anesthesia, so the length of hospitalization and even the risk of mortality are substantially increased. Our aim was to develop a simple and practical model to preoperatively identify gynecological surgery patients at risk of intraoperative hypothermia. METHODS: In this retrospective study, we collected data from 802 patients who underwent gynecological surgery at three medical centers from June 2022 to August 2023. We further allocated the patients to a training group, an internal validation group, or an external validation group. The preliminary predictive factors for intraoperative hypothermia in gynecological patients were determined using the least absolute shrinkage and selection operator (LASSO) method. The final predictive factors were subsequently identified through multivariate logistic regression analysis, and a nomogram for predicting the occurrence of hypothermia was established. RESULTS: A total of 802 patients were included, with 314 patients in the training cohort (mean age 48.5 ± 12.6 years), 130 patients in the internal validation cohort (mean age 49.9 ± 12.5 years), and 358 patients in the external validation cohort (mean age 47.6 ± 14.0 years). LASSO regression and multivariate logistic regression analyses indicated that body mass index, minimally invasive surgery, baseline heart rate, baseline body temperature, history of previous surgery, and aspartate aminotransferase level were associated with intraoperative hypothermia in gynecological surgery patients. This nomogram was constructed based on these six variables, with a C-index of 0.712 for the training cohort. CONCLUSIONS: We established a practical predictive model that can be used to preoperatively predict the occurrence of hypothermia in gynecological surgery patients. CLINICAL TRIAL REGISTRATION: chictr.org.cn, identifier ChiCTR2300071859.

Preparation and Characterization of Carrageenase Immobilized onto Polyethyleneimine-Modified Pomelo Peel.

In this study, carrageenase immobilization was evaluated with a concise and efficient strategy. Pomelo peel cellulose (PPC) modified by polyethyleneimine (PEI) using the physical absorption method was used as a carrier to immobilize carrageenase and achieved repeated batch catalysis. In addition, various immobilization and reaction parameters were scrutinized to enhance the immobilization efficiency. Under the optimized conditions, the enzyme activity recovery rate was more than 50% and 4.1 times higher than immobilization with non-modified pomelo peels. The optimum temperature and pH of carrageenase after immobilization by PEI-modified pomelo peel, at 60°C and 7.5 respectively, were in line with the free enzyme. The temperature resistance was reduced, inconsistent with free enzyme, and pH resistance was increased. A significant loss of activity (46.8%) was observed after reusing it thrice under optimal reaction conditions. In terms of stability, the immobilized enzyme conserved 76.0% of the initial enzyme activity after 98 days of storage. Furthermore, a modest decrease in the kinetic constant (Km) value was observed, indicating the improved substrate affinity of the immobilized enzyme. Therefore, modified pomelo peel is a verified and promising enzyme immobilization system for the synthesis of inorganic solvents.

A new assessment framework to forecast land use and carbon storage under different SSP-RCP scenarios in China.

The vision of achieving "carbon neutrality" has created new requirements for the projection of land use and land cover (LULC), as well as the carbon storage (CS) of terrestrial ecosystem. Global-scale LULC scenario assessments with coarser resolution introduces uncertainties to national and regional-scale studies, which in turn has a negative impact on CS analysis based on land use perspective. Therefore, we proposed a new framework for scenario-based assessment that integrates the global-scale Land Use Harmonization (LUH2) dataset, Patch-generating Land Use Simulation (PLUS) model, and Integrated Valuation of Ecosystem Services and Trade-offs (InVEST) model, which we called LUH2-PLUS-InVEST (LPI) model. Our aim is to investigate the potential impacts of the combinations of Shared Socioeconomic Pathways (SSPs) and Representative Concentration Pathways (RCPs) on China's future LULC and CS. By calibrating the demands, we generated structural predictions that were consistent with the actual land use. Furthermore, we explored the spatial heterogeneity of potential land use changes using 500 m × 500 m downscale simulations. Additionally, we developed a quantitative evaluation of CS from a spatiotemporal perspective and made recommendations on potential ecological threats. Our findings indicate that the basic characteristics of LULC and CS are determined by the natural context and that the prospects of land use distribution and carbon sequestration capacity are influenced by global emission pressure, regional competition, and China's unique development pattern. The results demonstrate that the LUH2-PLUS-INVEST model can provide an effective method for modeling the feedbacks of LULC and CS to the climate-society system.

Severe noncardiogenic pulmonary edema after cardiopulmonary bypass: Case report.

Lung injury is a common complication after cardiopulmonary bypass (CPB). However, cases of noncardiogenic pulmonary edema in which the patient ultimately requires extracorporeal membrane oxygenation (ECMO) support are uncommon. A 54-year-old man was admitted to the hospital with shortness of breath after activity and paroxysmal dyspnoea at night for 3 months. Infective endocarditis and acute heart failure were diagnosed. The patient underwent emergency surgery including aortic valve replacement, mitral valve replacement, tricuspid valve repair, and ventricular septal defect correction. It's noteworthy that the patient experienced significant pulmonary edema during the surgery and within 8 hours postoperatively, with over 3000 mL of yellow-clear fluid aspirated from the trachea and bronchi. The patient eventually recovered through ECMO V-V mode treatment. Inflammatory markers were markedly elevated during the perioperative period, and blood smear revealed Gram-positive bacterial infection. Blood NGS testing detected Streptococcus pneumoniae infection. Despite various factors contributing to the patient's pulmonary edema, it is hypothesized that the edema is related to uncontrolled inflammatory response and cytokine storm. Therefore, when significant pulmonary edema occurs during surgery, swift and decisive actions are necessary to avoid missing the optimal rescue window. If required, the use of ECMO is an effective final treatment option.

Intraoperative accidental hypothermia as a probable cause of malignant ventricular arrhythmias in an elderly patient undergoing transurethral resection of prostate: A case report.

Background: Intraoperative hypothermia is a common but severe condition that is defined as a core body temperature below 36 °C. Accidental hypothermia can produce coagulopathy, immunosuppression and peripheral hypoperfusion that can ultimately lead to life-threatening ventricular arrhythmias and vital organ injury, and it is significantly associated with perioperative complications and mortality. Case description: We report the case of an 82-year-old man who presented with persistent ventricular tachycardia intraoperatively due to accidental hypothermia. The patient was diagnosed with benign prostatic hypertrophy and scheduled for transurethral resection of the prostate. Laboratory tests showed moderate anemia, and echocardiography indicated mild tricuspid and mitral regurgitation. The patient received general anesthesia with endotracheal intubation. Four hours after the start of surgery, the patient developed sudden ventricular tachycardia with severe hypotension. Arterial blood gas sampling indicated that there was no disturbance of electrolytes, acid-base balance or excessive bleeding. The rectal temperature was measured immediately, and the core temperature was 32 °C. The patient received antiarrhythmic therapy and rewarming measures. No additional ventricular arrhythmias appeared after the core temperature rose to 35 °C and the blood pressure returned to normal. The patient was transferred to the intensive care unit after surgery for further observation and was moved to the general ward the next day. He was discharged 4 days later without significant organ damage. Conclusions: Intraoperative hypothermia may increase ventricular arrhythmia risk, especially in elderly patients. Surgeons and anesthesiologists should pay more attention to preventing and reversing accidental hypothermia, necessitating aggressive efforts to maintain normothermia during surgery.

Nontraditional Deterministic Remote State Preparation Using a Non-Maximally Entangled Channel without Additional Quantum Resources.

In this paper, we have reinvestigated probabilistic quantum communication protocols and developed a nontraditional remote state preparation protocol that allows for deterministically transferring information encoded in quantum states using a non-maximally entangled channel. With an auxiliary particle and a simple measurement method, the success probability of preparing a d-dimensional quantum state is increased to 1 without spending additional quantum resources in advance to improve quantum channels, such as entanglement purification. Furthermore, we have designed a feasible experimental scheme to demonstrate the deterministic paradigm of transporting a polarization-encoded photon from one location to another using a generalized entangled state. This approach provides a practical method to address decoherence and environmental noises in actual quantum communication.

Design and optimization of complex mechanism flip shaping subsystem based on genetic algorithm and rigid-flexible coupled dynamic model.

In this paper, the cam connecting rod system of the high-speed group vertical machine flipping shaping mechanism is the research object. In order to solve the key problem that the flipping shaping mechanism cannot accurately complete the action when the vibration of the mechanism is large. In this paper, the finite element method is used to construct the dynamic model of the connecting rod subsystem of the flipped shaping mechanism. And The dynamic model of cam roller subsystem is established by centralized parameter method. Based on the MATLAB Genetic Algorithm toolbox and using Newmark's method, the dynamic equations of the flipped plastic mechanism system are solved. The optimal parameters of the connecting rod of the mechanism, the cam profile curve and the swing power and swing torque of the mechanism at different speeds are analyzed. The results show that the speed and convex contour line are important factors affecting the performance of the mechanism. And the pendulum force (swing torque) is the main cause of the vibration of the mechanism on the frame. Therefore, the mechanism pendulum dynamic and the swing moment are selected as the objective functions of the optimization model. By selecting the node parameters of the sixth order spline motion law and the cross-section parameters of the connecting rod as the design variables. The cam linkage system is optimally designed to obtain the optimal value. Finally, the optimal design of the flipped shaping mechanism was analyzed and compared with the original mechanism.

Research on the Mechanism of Multi-Domain Coupling Centrifugal Electrostatic Blowing Flying Deposition.

The centrifugal electrostatic blowing process proposed in this paper solves the difficult continuous and stable deposition problem in the traditional centrifugal electrostatic spinning process. By establishing a flight deposition model of the centrifugal electrostatic spraying process, CFD is used to simulate and analyze the electrohydrodynamic effect of centrifugal jets, and the driving mechanism is explored. Subsequently, MATLAB is used to obtain the optimal solution conditions, and finally, the establishment of a two-dimensional flight trajectory model is completed and experimentally verified. In addition, the deposition model of the jet is established to clarify the flight trajectory under the multi-field coupling, the stable draft area of the jet is found according to this, and the optimal drafting station is clarified. This research provides new ideas and references for the exploration of the deposition mechanism of the centrifugal electrostatic blowing and electrostatic spinning process.

Effect of Polishing on Lead and Cadmium Bioavailability in Rice and Its Health Implications.

Rice polishing is an important approach to reducing the concentrations of heavy metals in rice, but knowledge of its effect on the Pb and Cd bioavailability in produced rice and the related health risk remains limited. In this study, the effects of rice polishing on the bioaccessibility (BAC) and bioavailability (RBA) of Pb and Cd in rice are assessed using an in vitro method and an in vivo mouse bioassay. The Pb removal rate in brown rice (40%), lightly processed brown rice (62%), germinated rice (74%), and polished rice (79%) gradually enhanced with an increase in the polishing degree, while Cd was difficult to remove by polishing. The Pb and Cd BAC in germinated rice was the highest, while that in brown rice was the lowest. The polished rice Pb and Cd RBA in the liver and kidneys were significantly higher than those in the brown rice group. The Pb RBA in the livers and kidneys in the polished rice group was 26.6% ± 1.68% and 65.3% ± 0.83%, respectively, which was 1.6- and 2.6-times higher than that in the brown rice group, respectively. The Cd RBA values in both the livers and kidneys of the polished rice group were 1.3-times higher than those in the brown rice group. Although polishing reduced the total Pb in the polished rice, it was not enough to offset the increase in bioavailability, and its consumption risk was not weakened. This study highlighted the value of the oral-bioavailability-corrected health risk assessment for assessing the influence of rice polishing on Pb and Cd exposure via rice consumption.

Using a combination of nighttime light and MODIS data to estimate spatiotemporal patterns of CO2 emissions at multiple scales.

Accurate mapping spatiotemporal patterns of CO2 emissions and understanding its driving factors are very important, it is useful for the scientific and rational formulation of carbon emission reduction policies. Nevertheless, due to data availability issues, most studies have been limited to the global and national scales, and the models used were relatively simple. In this paper, we used the 500 m Visible Infrared Imaging Radiometer Suite Day/Night Band (VIIRS-DNB) data and the 250 m Moderate Resolution Imaging Spectroradiometer normalized difference vegetation index (MODIS NDVI) and proposed an improved CO2 emissions index (ICEI) to calculate CO2 emissions. Compared with the total nighttime light (NTL), the average regression coefficient (R2) can be improve from 0.73 to 0.78. We also used the coefficient of variation, spatial autocorrelation, and geographically weighted regression models to analyze the temporal and spatial variation mode of CO2 emissions, as well as the associated correlation and heterogeneity, at three different administrative unit scales during 2012-2019. Our experimental results demonstrate that: (1) the improved index (ICEI) is better than the traditional variable (NTL) in estimating CO2 emissions; (2) the highest CO2 emissions are primarily gathered in the developed coastal areas in eastern China; and (3) at the provincial level, the added value of the secondary industry is the most significant factor, whereas the added value of the tertiary industry is negatively correlated with CO2 emissions.

Long-Life Lithium-Metal All-Solid-State Batteries and Stable Li Plating Enabled by In Situ Formation of Li3 PS4 in the SEI Layer.

An ultrastable and kinetically favorable interface is constructed between sulfide-poly(ethylene oxide) (PEO) composite solid electrolytes (CSEs) and lithium metal, via in situ formation of a solid electrolyte interphase (SEI) layer containing Li3 PS4 . A specially designed sulfide, lithium polysulfidophosphate (LPS), can distribute uniformly in the PEO matrix via a simple stirring process because of its complete solubility in acetonitrile solvent, which is advantageous for creating a homogeneous SEI layer. The CSE/Li interface with high Li+ transportation capability is stabilized quickly through in situ formation of a Li3 PS4 /Li2 S/LiF layer via the reaction between LPS and lithium metal to inhibit lithium dendrite growth. A Li/Li symmetric cell with the LPS-integrated CSE exhibits constant and small CSE/Li resistance of 10 Ω cm2  during cycling, delivering stable cycling for 3475 h at a current density of 0.2 mA cm-2  and a high critical current density of 0.9 mA cm-2  at 60 °C. Impressive electrochemical performance is also demonstrated for LiFePO4 /CSE/Li all-solid-state batteries with capacity of 127.6 mAh g-1  after 1000 cycles at 1 C.

Nitrogen and phosphorus addition exerted different influences on litter and soil carbon release in a tropical forest.

Terrestrial soils release large amount of carbon dioxide (CO2) each year, which are mainly derived from litter and soil carbon (C) decomposition. Nutrient availability, especially nitrogen (N) and phosphorus (P), plays an important role in both litter and soil C decomposition. Therefore, understanding the underlying mechanism is crucial for mitigating CO2 emission and climate changes. Here, we assessed patterns of litter and soil C decomposition after 11 yrs. in-situ N and P addition in a tropical forest where corn leaves or corn roots were added as litter C. The total CO2 efflux was quantified and partitioned using 13C isotope signatures to determine the sources (litter or soil C) every three months. In addition, Changes in C-degrading enzyme activities: ß-1,4-glucosidase (BG), phenol oxidase (PHO) and peroxidase (PER), and microbial biomarkers were assessed to interpret the underlying mechanism. Total C-release was enhanced up to17% by the long-term N addition but inhibited up to 15% by P addition. Precisely, N addition only accelerated the litter decomposition and increased about 42% and 6% of the litter C release at 0-5 cm and 5-10 cm soil depths, respectively; while P addition only impeded the soil C decomposition and decreased about 9% and 11% of the soil C release at 0-5 cm and 5-10 cm, respectively. The enhanced C release under N addition might be attributed to the enhanced microbial biomass, the ratio of fungi to bacteria and C-degrading enzyme activities. However, P addition resulted in the reverse result in microbial properties and C-degrading enzyme activities, associated with a decreased C release. Our study suggests that the long-term N and P addition selectively affected the litter and soil C decomposition because of their different physiochemical properties and this tendency might be more pronounced in tropical forests exposed to increasing atmospheric N deposition in the future. The study indicates that the different patterns of litter and soil C decomposition under climate change should be taken account in the future C management strategies.

Delayed wet season increases soil net N mineralization in a seasonally dry tropical forest.

Seasonal precipitation regime plays a vital role in regulating nutrient dynamics in seasonally dry tropical forests. Present evidence suggests that not only wet season precipitation is increasing in the tropics of South China, but also that the wet season is occurring later. However, it is unclear how nutrient dynamics will respond to the projected precipitation regime changes. We assessed the impacts of altered seasonal precipitation on soil net N mineralization in a secondary tropical forest. Since 2013, by reducing throughfall and/or irrigating experimental plots, we delayed the wet season by two months from April-September to June-November (DW treatment) or increased annual precipitation by 25% in July and August (WW treatment). We measured soil net N mineralization rates and assessed soil microbial communities in January, April, August and November in 2015 and 2017. We found that a wetter wet season did not significantly affect soil microbes or net N mineralization rates, even in the mid-wet season (August) when soil water content in the WW treatment increased significantly. By contrast, a delayed wet season enhanced soil microbial biomass and altered microbial community structure, resulting in a two-fold increase in net N mineralization rates relative to controls in the early dry season (November). Structural equation modeling showed that the changes in net N mineralization during the early dry season were associated with altered soil microbial communities, dissolved organic N, and litterfall, which were all affected by enhanced soil water content. Our findings suggest that a delayed wet season could have a greater impact on N dynamics than increased precipitation during the wet season. Changes in the seasonal timing of rainfall might therefore influence the functioning of seasonally dry tropical forests.

IRF2 contributes to myocardial infarction via regulation of GSDMD induced pyroptosis.

Interferon regulatory factor (IRF) 2 is a transcription factor belonging to the IRF family, which is essential for gasdermin D (GSDMD)­induced pyroptosis. Decreasing myocardial cell pyroptosis confers protection against heart damage and cardiac dysfunction caused by myocardial infarction (MI). The aim of the present study was to investigate the involvement of IRF2 in MI and the underlying mechanism of IRF2 in pyroptosis. To mimic MI, ligation of the left anterior descending coronary artery was performed to establish an in vivo mouse model and rat cardiomyocytes H9c2 cells were cultured under hypoxic conditions to establish an in vitro model. Transthoracic echocardiography was used to assess cardiac function. Hematoxylin and eosin staining was used to observe histopathological changes in the myocardial tissue. Immunohistochemistry and western blotting were performed to detect IRF2 expression levels. TUNEL staining and flow cytometry were used to detect apoptosis in myocardial tissue and cells. Chromatin immunoprecipitation and dual luciferase reporter assay were used to verify the effect of IRF2 on GSDMD transcription. IRF2 was upregulated in MI mice. MI induced pyroptosis, as evidenced by increased GSDMD, N­terminal GSDMD (GSDMD­N), and cleaved (c­) caspase­1 levels. MI increased IL­1ß and IL­18 levels. These alterations were alleviated by IRF2 silencing. Furthermore, in hypoxia­treated H9c2 cells, IRF2 silencing significantly decreased the elevated levels of IL­1ß and IL­18 and pyroptosis­associated proteins, including GSDMD, GSDMD­N and c­caspase1. Moreover, in hypoxia­treated H9c2 cells, IRF2 directly bound to the GSDMD promoter to drive GSDMD transcription and promote pyroptosis and IRF2 expression may be regulated via the hypoxia inducible factor 1 signaling pathway. In conclusion, the present results demonstrated that IRF2 is a key regulator of MI by mediating pyroptosis, which triggers GSDMD activation.

The cadmium decontamination and disposal of the harvested cadmium accumulator Amaranthus hypochondriacus L.

The heavy metal accumulated biomass after phytoremediation needs to be decontaminated before disposal. Liquid extraction is commonly used to remove and recycle toxic heavy metals from contaminated biomass. In this study, we examined the cadmium (Cd) removal efficiency using different chemical reagents (hydrochloric acid, nitric acid, sulfuric acid, and ethylenediaminetetraacetic acid disodium) of the post-harvest Amaranthus hypochondriacus L. biomass. The purifications for the extracted liquids and ecological risk assessments for the extracted residues were also investigated. We have found that 77.8% of Cd in stems and 62.1% of Cd in leaves were removed by 0.25 M HCl after 24 h. In addition, K2CO3, KOH, and 4 Å molecular sieve could remove ≥89.0% of Cd in the extracted liquids. Finally, after we returned the extracted residues to the earthworm-incubated soil, the extracted biomass negatively affected the growth (weight loss ≥ 11.0%) and survival (mortality ≥ 33.3%) of Eisenia fetida. It should be noted that earthworms decreased soil available Cd concentrations from 0.14-0.05 mg kg-1 to 0.11-0.04 mg kg-1 and offset the negative effects of the Cd-contaminated biomass on soil microbes. Overall, given the cost of reagents, the Cd removal efficiency, and the ecological risks of the extracted biomass, using 0.25 M HCl for liquid extraction and K2CO3 for purification should be recommended. This work highlights the potential of liquid extraction for immediately and directly removing the Cd from fresh contaminated accumulator biomass and the resource cycling potential of the extracted liquids and biomass after purification.

Comparison of tracheal intubation between sitting position and standing position in COVID-19 patients: A manikin study.

ABSTRACT: It is recommended to use visual laryngoscope for tracheal intubation in a Corona Virus Disease 2019 patient to keep the operator farther from the patient. How the position of the operator affects the distance in this setting is not ascertained. This manikin study compares the distances between the operator and the model and the intubation conditions when the operator is in sitting position and standing position, respectively.Thirty one anesthesiologists with minimum 3-years' work experiences participated in the study. The participant's posture was photographed when he performed tracheal intubation using UE visual laryngoscope in standing and sitting position, respectively. The shortest distance between the model's upper central incisor and operator's face screen (UF), the horizontal distance between the model's upper central incisor and the operator's face screen, the angle between the UF line and the vertical line of the model's upper central incisor were measured. The success rate of intubation, the duration of intubation procedure, the first-attempt success rate, the Cormack-Lehane grade, and operator comfort score were also recorded.When the operator performed the procedure in sitting position, the horizontal distance between the model's upper central incisor and the operator's face screen distance was significantly longer (9.5 [0.0-17.2] vs 24.3 [10.3-33.0], P ≤ .001) and the angle between the UF line and the vertical line of the model's upper central incisor angle was significantly larger (45.2 [16.3-75.5] vs 17.7 [0.0-38.9], P ≤ .001). There was no significant difference in UF distance when the operator changed the position. Cormack-Lehane grade was significantly improved when it was assessed using visual laryngoscope. Cormack-Lehane grade was not significantly different when the operator assessed it in sitting and standing position, respectively. No significant differences were found in the success rate, duration for intubation, first-attempt success rate, and operator comfort score.The operator is kept farther from the patient when he performs intubation procedure in sitting position. Meanwhile, it does not make the procedure more difficult or uncomfortable for the operator, though all the participants prefer to standing position.

DL-3-n-butylphthalide protects H9c2 cardiomyoblasts from ischemia/reperfusion injury by regulating HSP70 expression via PI3K/AKT pathway activation.

DL-3-n-butylphthalide (NBP) is commonly used to treat ischemic strokes due to its antioxidative and anti-inflammatory effects. The present study aimed to examine the protective effects of NBP on myocardial ischemia-reperfusion injury (MIRI) by establishing a MIRI model in H9c2 cells. Cell viability assay using Cell Counting Kit-8, lactate dehydrogenase (LDH) cytotoxicity and lipid peroxidation malondialdehyde (MDA) content were assessed to detect cell activity, degree of cell injury and oxidative stress reaction. Reverse transcription-quantitative PCR was used to quantify the expression of inflammatory factors in H9c2 cells. Western blotting and immunofluorescence staining were used to detect the protein expression of PI3K/AKT and heat shock protein 70 (HSP70). The present results indicated that NBP significantly increased cell viability during ischemia-reperfusion. Moreover, NBP inhibited the release of LDH and the production of MDA. NBP treatment also significantly decreased the expression of inflammatory factors at the mRNA level. Additionally, NBP activated the PI3K/AKT pathway and upregulated the expression of HSP70 compared with cells in the MIRI model. LY294002, a PI3K inhibitor, reversed the protective effects of NBP and suppressed the expression of HSP70. The present study demonstrated that NBP protected H9c2 cells from MIRI by regulating HSP70 expression via PI3K/AKT pathway activation.

Long-term fertilization modifies the mineralization of soil organic matter in response to added substrate.

The turnover of SOC in soils is strongly influenced by the availability of substrate and nutrients, especially nitrogen (N) and phosphorus (P). Here, we assessed how long-term fertilization modified SOM mineralization in response to added substrate in a tropical forest. We carried out a 90-day incubation study in which we added two structurally similar compounds which differed in microbial metabolic availability: corn cellulose or corn starch to soils collected from a long-term (11 years) factorial N and P fertilization experiment site in a tropical forest in south China. We measured total soil mineralization rate (CO2 efflux) to characterize SOM mineralization and using 13C isotope signatures to determine the source of the CO2 (original soil C or added substrate) and assessed changes in extracellular enzyme activities: acid phosphomonoesterase (AP), ß-1,4-glucosidase (BG), ß-1,4- N-acetaminophen glucosidase (NAG), phenol oxidase (PHO) and peroxidase (PER), and microbial biomarkers to determine whether nutrient stoichiometry and decomposer communities explain differences in SOM mineralization rates. Total C mineralization increased substantially with substrate addition, particularly cellulose (5.38, 7.13, 5.58 and 5.37 times for N, P, NP fertilization and CK, respectively) compared to no substrate addition, and original soil C mineralization was further enhanced in long-term N (3.40% and 5.18% for cellulose and starch addition, respectively) or NP (35.11% for cellulose addition) fertilized soils compared to control treatment. Enzyme activities were stimulated by the addition of both substrates but suppressed by P-fertilization. Addition of both substrates increased microbial investment in P-acquisition, but only starch addition promoted C investment in N-acquisition. Finally, fungal abundance increased with substrate addition to a greater extent than bacterial abundance, particularly in cellulose-amended soils, and the effect was amplified by long-term fertilization. Our findings indicate that SOM mineralization might be enhanced in N and P enrichment ecosystems, since the litter input can liberate microbes from C limitation and stimulate SOM mineralization if N and P are sufficient. Our study further demonstrates that structurally similar substrates can have distinct effects on SOM mineralization and the extent of SOM mineralization is strongly dependent on elemental stoichiometry, as well as the resource requirements of microbial decomposers.