Ligand Defect-Induced Active Sites in Ni-MOF-74 for Efficient Photocatalytic CO2 Reduction to CO.

The conversion of CO2 into valuable carbon-based products using clean and renewable solar energy has been a significant challenge in photocatalysis. It is of paramount importance to develop efficient photocatalysts for the catalytic conversion of CO2 using visible light. In this study, the Ni-MOF-74 material is successfully modified to achieve a highly porous structure (Ni-74-Am) through temperature and solvent modulation. Compared to the original Ni-MOF-74, Ni-74-Am contains more unsaturated Ni active sites resulting from defects, thereby enhancing the performance of CO2 photocatalytic conversion. Remarkably, Ni-74-Am exhibits outstanding photocatalytic performance, with a CO generation rate of 1380 µmol g-1 h-1 and 94% CO selectivity under visible light, significantly surpassing the majority of MOF-based photocatalysts reported to date. Furthermore, experimental characterizations reveal that Ni-74-Am has significantly higher efficiency of photogenerated electron-hole separation and faster carrier migration rate for photocatalytic CO2 reduction. This work enriches the design and application of defective MOFs and provides new insights into the design of MOF-based photocatalysts for renewable energy and environmental sustainability. The findings of this study hold significant promise for developing efficient photocatalysts for CO2 reduction under visible-light conditions.

Profibrotic role of transcription factor SP1 in cross-talk between fibroblasts and M2 macrophages.

Fibrosis disrupts tissue balance and links to severe illnesses, impairing organ function and, in some cases, even fatality. The interaction between M2 macrophages and fibroblasts is vital for tissue equilibrium. Transforming growth factor ß1 (TGF-ß1) released by M2 macrophages plays a central role in fibrosis, regulating fibroblast activity and extracellular matrix metabolism. Targeting TGF-ß1 is key to fibrosis treatment. In our study using three fibroblast cell lines, we reveal that the M2 macrophage transcription factor SP1 enhances binding to the TGF-ß1 promoter motif, promoting TGF-ß1 transcription and activating fibroblasts (This process does not involve changes in DNA methylation levels surrounding the motif sequence). The zinc fingers in SP1's DNA-binding domain 3 are crucial for this binding. In vivo, targeting SP1 in rat ligaments significantly reduces extracellular matrix accumulation. Our findings highlight SP1 as a promising target for regulating tissue extracellular matrix and combating fibrosis.

Clinical efficacy of cognitive behavioral therapy combined with pinaverium bromide tablets on irritable bowel syndrome.

Objective: To investigate the clinical efficacy of cognitive behavioral therapy combined with pinaverium bromide tablets in admitted patients with irritable bowel syndrome (IBS). Methods: This is a retrospective study. A total of 60 patients with IBS admitted to Beijing Hospital of Integrated Traditional Chinese and Western Medicine between June 2021 and June 2022 were selected and randomly divided into two groups. Patients in the control group were treated with pinaverium bromide tablets, and those in the observation group were treated with cognitive behavior therapy combined with pinaverium bromide tablets. The improvement of clinical symptoms and quality of life before and after treatment was compared for the two groups, IBS-SSS scale and IBS-QOL scale were used to compare the improvement of clinical symptoms and quality of life between the two groups of patients before and after treatment. SAS score and SDS score were used to evaluate the psychology of the two groups. Adverse reactions occurring during the treatment were recorded, such as nausea and vomiting, dizziness and headache, etc. Results: The efficacy of the observation group was higher than that of the control group and the difference was significant (P<0.05). After treatment, the IBS-SSS score in the observation group and the control group decreased and the IBS-QOL score increased. The SDS score and SAS score in the observation group were better than those in the control group (P< 0.05). After treatment, there was no significant difference in adverse reactions between the observation group and the control group (P > 0.05). Conclusion: Cognitive behavioral therapy combined with pinaverium bromide tablets is significantly effective in the treatment of patients with IBS, which can effectively relieve symptoms such as diarrhea and abdominal pain, and reduce irritable bowel reactions.

Protamine 1 as a secreted colorectal cancer-specific antigen facilitating G1/S phase transition under nutrient stress conditions.

PURPOSE: Cancer testis antigens (CTAs) are optimal tumor diagnostic markers and involved in carcinogenesis. However, colorectal cancer (CRC) related CTAs are less reported with impressive diagnostic capability or relevance with tumor metabolism rewiring. Herein, we demonstrated CRC-related CTA, Protamine 1 (PRM1), as a promising diagnostic marker and involved in regulation of cellular growth under nutrient deficiency. METHODS: Transcriptomics of five paired CRC tissues was used to screen CRC-related CTAs. Capability of PRM1 to distinguish CRC was studied by detection of clinical samples through enzyme linked immunosorbent assay (ELISA). Cellular functions were investigated in CRC cell lines through in vivo and in vitro assays. RESULTS: By RNA-seq and detection in 824 clinical samples from two centers, PRM1 expression were upregulated in CRC tissues and patients` serum. Serum PRM1 showed impressive accuracy to diagnose CRC from healthy controls and benign gastrointestinal disease patients, particularly more sensitive for early-staged CRC. Furthermore, we reported that when cells were cultured in serum-reduced medium, PRM1 secretion was upregulated, and secreted PRM1 promoted CRC growth in culture and in mice. Additionally, G1/S phase transition of CRC cells was facilitated by PRM1 protein supplementation and overexpression via activation of PI3K/AKT/mTOR pathway in serum deficient medium. CONCLUSIONS: In general, our research presented PRM1 as a specific CRC antigen and illustrated the importance of PRM1 in CRC metabolism rewiring. The new vulnerability of CRC cells was also provided with the potential to be targeted in future. Diagnostic value and grow factor-like biofunction of PRM1 A represents the secretion process of PRM1 regulated by nutrient deficiency. B represents activation of PI3K/AKT/mTOR pathway of secreted PRM1.

Establishment and Validation of a Predictive Nomogram for Hallux Valgus with Pain Under the Second Metatarsal.

Objective: To investigate the risk factors for hallux valgus complicated with pain under the second metatarsal and construct an effective model and method for predicting hallux valgus complicated with pain under the second metatarsal based on risk factors. Methods: A total of 545 patients with hallux valgus who were admitted to our hospital were divided randomly into a training set and a validation set. The demographic characteristics, imaging indices and gait test indices of the patients were collected. The risk factors were identified by univariate and multivariate logistic regression analyses. A risk prediction model for hallux valgus with pain under the second metatarsal was established, and the area under the curve (AUC) of the receiver operating characteristic and a decision curve analysis were used for verification and identification. The value of the model was tested in the verification group. Results: Second metatarsal length, second metatarsal peak pressure, hallux valgus angle (HVA), intermetatarsal angle 1-2 (IMA1-2) and weight were the risk factors for hallux valgus complicated with pain under the second metatarsal. Based on the weighting of these seven risk factors, a prediction model was established. The AUC of the prediction model was 0.84 (95% confidence interval [CI]: 0.802~0.898, P < 0.05), and the results of a Hosmer-Lemeshow test showed a good degree of calibration (χ 2 = 10.62, P > 0.05). The internal validation of the AUC was 0.83 (95% CI: 0.737-0.885, P < 0.05). The model had obvious net benefits when the threshold probability was 10%-70%. Conclusion: Second metatarsal length, second metatarsal peak pressure, HVA, IMA1-2 and weight were the risk factors for hallux valgus combined with second metatarsal pain. The risk prediction model for hallux valgus complicated with pain under the second metatarsal based on these seven variables was proven effective. Level of Evidence: Level III, retrospective comparative study.

Influence of Different Harvesting Stages and Cereals-Legume Mixture on Forage Biomass Yield, Nutritional Compositions, and Quality under Loess Plateau Region.

One of the main problems in the animal industries currently is the constant provision of forage in sufficient amounts with acceptable nutritional content for large and small ruminants, as livestock is a significant source of income for rural people in the Loess Plateau region. Cereals and legumes are essential forage crops because of their nutritional significance, particularly the protein concentration in legumes and the fiber content in cereals. Therefore, combining cereal and legume crops may be a practical solution to the problems of inadequate forage nutrition, an insufficient amount of forage, unsustainable agricultural methods, and declining soil fertility. The current study predicts that mixed cropping of cereals and legumes at the harvesting stage of the soft dough stage and maturity stage based on the cereal growth stage will have different effects on forage biomass output, forage quality index, and nutritional value of the forage. In this study, wheat (Triticum aestivum) and ryegrass (Lolium multiflorum) are used as cereal crops and pea (Pisum sativum), and alfalfa (Medicago sativa) are used as legume crops. Three sample replicates and a split-plot design with a randomized block design are used. The study is conducted in the 2020−2021 and 2021−2022 cropping seasons. The experimental results show that cereal−legume mixed cropping, particularly the cereal−alfalfa combination, has a positive impact on the biomass yield and nutritional composition of the forage. However, adding peas to cereal has a negative impact on biomass yield, nutritional composition, mineral composition, and forage quality index. Among the treatments, ryegrass−alfalfa mixed cropping was shown to have higher values of WSC%, CP%, EE%, CF%, and ash% in both growing seasons. The values are WSC (15.82%), CP (10.78%), EE (2.30%), CF (32.06%), and ash (10.68%) for the 2020−2021 cropping seasons and WSC (15.03%), CP (11.68%), EE (3.30%), CF (32.92%), and ash (11.07%) for the 2021−2022 cropping seasons, respectively. On the other hand, the current study finds that cereal−alfalfa mixed cropping had a detrimental impact on NDF and ADF concentrations. All nutritional indices, including CP, WSC, EE, CF, ash, NDF, and ADF, have favorable correlations with one another. Furthermore, in both growing seasons, RA, ryegrass−alfalfa mixed cropping, has higher mineral compositions and forage quality indicators. Furthermore, harvesting times have a significant impact on the fresh biomass yield, dry matter yield, nutritional compositions, mineral compositions, and forage quality parameters (p < 0.001), with the highest values being shown when harvesting at the soft dough stage. The current study concludes that, based on chemical composition and quality analysis, the soft dough stage is the greatest harvesting period, and that the cereal−alfalfa mixed cropping is the most preferable due to its maximized quality forage production and nutritional content in livestock feedstuff in the Loess Plateau region.

Optimization of Alfalfa-Based Mixed Cropping with Winter Wheat and Ryegrass in Terms of Forage Yield and Quality Traits.

Forage has a significant association with animal nutrition because it is an essential part of milk and meat production in the livestock industry. Thus, for the production of high-quality forage, cereal-legume mixed cropping is an efficient method for meat and milk production in the livestock sector. In a two-year experiment between 2020 and 2021, the forage yield, nutritional compositions, amino acid profile, and forage quality were evaluated in the mixed cropping of winter wheat and ryegrass with alfalfa. In this study, a split-plot design with a randomized block design was employed with three sampling replicates. Cultivars were harvested at three maturity stages, namely, flowering, milk, and soft dough, depending on the wheat growth stage. The experimental results show that wheat 2 (Baomai 9)-alfalfa and ryegrass-alfalfa mixed cropping produced higher fresh biomass output than mono-cropping of wheat and ryegrass harvested at the flowering stage. Furthermore, the dry matter (DM) percentage range increased from 20.18% to 36.39%. By contrast, crude protein, crude fiber, neutral detergent fiber, and acid detergent fiber were higher at the flowering stage than at other harvesting stages with DM values of 14.28%, 34.12%, 55.06%, and 32.55%, respectively. Ryegrass-alfalfa mixing yielded higher values of mineral compositions, and T5 (Baomai 9-alfalfa) generally achieved more extraordinary amino acid compositions. The results demonstrate that wheat and ryegrass with alfalfa mixed cropping, and harvesting at the flowering period produces high-quality forage. Additionally, mixed cropping with alfalfa remarkably affected forage quality parameters, while mixed cropping of wheat cultivar 2 (Baomai 9) and alfalfa obtained the highest dry matter intake, digestible dry matter, relative feed value, total digestible nutrient, relative forage quality, and quality index values of 2.56, 68.54, 136.49, 60.50, 127.41, and 1.69, respectively. Thus, the mixed-cropping of wheat and ryegrass with alfalfa forage is recommended for its maximized quality forage production and nutritional values in livestock feedstuff.

The function and mechanism of dopamine in the activation of CD4+ T cell.

CONTEXT: It has been demonstrated that dopamine (DA) plays an important role in numerous cellular processes of T cell. Accumulating evidence suggests that the outcomes of T cell treatment with DA is depended on DA concentrations, T cell subtypes and activation states. However, the detail mechanism of DA function on T cell activation or regulatory T cells is largely unclear. OBJECTIVE: This study aims to explore the mechanisms by which DA regulates the activation of CD4+ T cells and the function of Tregs. MATERIALS AND METHODS: T cell proliferation was detected using CCK-8, BrdU incorporation assay or eFluor 450 cell labeling assay, and Western blot were used to detect phosphorylation of p65 and Erk. Nuclear translocation of transcription factors including p65, FOXO1 and NFAT1 were observed under laser confocal microscopy. RESULTS: Our present study demonstrated that DA (17 µM) can directly promote CD4+ T cells activation through D2-like receptors by enhancing the phosphorylation of p65, also can impair regulatory CD4+ T cells (Tregs) stability and suppressive function through D1- and D2-like receptors by inhibiting the expression of FOXO1 and NFAT1, which are the transcriptional factors of FOXP3, and by suppressing the expression of IL-10 in Tregs. Injection of DA can inhibit tumor growth in vivo. CONCLUSIONS: These data indicate a critical role for DA in promotion of CD4+ T helper response, this may applicable in tumor treatment in the future.

Ablation of Cbl-b and c-Cbl in dendritic cells causes spontaneous liver cirrhosis via altering multiple properties of CD103+ cDC1s.

The Casitas B-lineage lymphoma (Cbl) family proteins are E3 ubiquitin ligases implicated in the regulation of various immune cells. However, their function in dendritic cells (DCs) remains unclear. To investigate the role of Cbl family members in DCs, we created dendritic cell double-deficient Casitas B lymphoma-b (Cbl-b) and Casitas B lineage lymphoma (c-Cbl) mice by crossing Cbl-b-/- mice with c-Cblflox/flox CD11c-Cre+ mice. We found that specific deletion of Cbl-b and c-Cbl in CD11c+ cells, predominantly in DCs, led to liver fibrosis, cirrhosis, and accumulation of systemic conventional Type I DCs (cDC1s) due to enhanced cell proliferation and decreased cell apoptosis. In addition to a change in DC number, double knockout (dKO) cDC1s exhibited a partially activated status as indicated by high basal expression levels of certain cytokines and possessed an enhanced capacity to prime T cells. After adoptive transfer, dKO cDC1s could drive liver fibrosis too. In further experiments, we demonstrated that Cbl-b and c-Cbl could target signal transducer and activator of transcription 5 (STAT5), a transcriptional repressor for the pro-apoptotic protein Bim, to promote ubiquitination-mediated degradation and cell apoptosis in cDC1s. Further extensive experiments revealed that Cbl-b mediated K27-linked ubiquitination of lysine 164 of STAT5a while c-Cbl induced K29-linked ubiquitination of lysine 696 of STAT5a and K27-linked ubiquitination of lysine 140 and 694 of STAT5b. Thus, our findings indicate a functional redundancy of Cbl-b and c-Cbl in cDC homeostasis and maturation.

LncTRPM2-AS inhibits TRIM21-mediated TRPM2 ubiquitination and prevents autophagy-induced apoptosis of macrophages in asthma.

Long non-coding RNAs (lncRNAs) play a crucial role in macrophage development but little is known about their role in asthma. Here, we investigated the role of lncRNA lncTRPM2-AS in asthma and found that lncTRPM2-AS participates in the promotion of macrophage inflammation. Downregulation of lncTRPM2-AS promoted apoptosis and inhibited proliferation and production of cytokines including IL-1ß, IL-4, IL-6, IL-10, TNF-α, and TGF-ß. RNA-immunoprecipitation and mass spectrometry indicated that the protein TRPM2 interacted with both lncTRPM2-AS and the E3 ubiquitin ligase TRIM21. LncTRPM2-AS silencing enhanced the interaction between TRIM21 and TRPM2, resulting in elevated levels of ubiquitin-related degradation of TRPM2. Mutation analysis indicated that TRPM2 K1218 is a key site for TRIM21-dependent ubiquitination. Downregulation of lncTRPM2-AS significantly decreased intracellular calcium levels by restraining TRPM2 protein expression, which in turn decreased ROS levels and increased autophagy to promote macrophage apoptosis and reduce cytokine production, together inhibiting macrophage inflammation. Taken together, our findings demonstrate that lncTRPM2-AS blocks the ubiquitination of TRPM2 via TRIM21 and inhibits autophagy-induced apoptosis which may contribute to macrophage inflammation in asthma.

[Influence of degenerative scoliosis on the treatment of lumbar spinal stenosis by MIS-TLIF].

OBJECTIVE: To evaluate the effect of degenerative scoliosis on the difficulty and efficacy of minimally invasive transforaminal lumbar interbody fusion(MIS-TLIF) in the treatment of lumbar spinal stenosis. METHODS: From September 2016 to September 2019, 52 patients with lumbar spinal stenosis treated by MIS-TLIF were retrospectively analyzed, including 16 males and 36 females, aged from 42 to 71(63.44±5.96) years old, the course of disease from 1.5 to 6.5 years, with an average of (3.69±1.10) years. All patients had lower extremity root pain or numbness, 41 patients had intermittent claudication. There were 31 cases of L4, 5 and 21 cases of L5S1. There were 18 cases in scoliosis group, lumbar spinal stenosis combined withdegenerative scoliosis, and 34 cases in stenosis group, lumbar spinal stenosis alone. The perioperative data and postoperative complications were recorded, the postoperative interbody fusion was evaluated by CT, and the clinical outcomes were evaluated by VAS score, Oswestry Disability Index (ODI). RESULTS: All patients were followed up for 12 to 36 months, with an average of (19.58±5.33) months. The operation time and intraoperative bleeding in stenosis group were better than those in scoliosis group (P<0.05). There were no significant differences in postoperative drainage volume, postoperative Hb, CRP, postoperative landing time, discharge time, VAS score at discharge and follow-up, ODI score at 3 months and follow up, postoperative complications and interbody fusion rate between two groups (P>0.05). CONCLUSION: For patients with lumbar spinal stenosis undergoing MIS-TLIF, degenerative scoliosis can lead to prolonged operation time and increased bleeding. However, it has no significant effect on therelief of postoperative symptoms, postoperative complications and the recovery of lumbar function.

SERINC2 increases the risk of bipolar disorder in the Chinese population.

BACKGROUND: Although common variants in a large collection of patients are associated with increased risk for bipolar disorder (BD), studies have only been able to predict 25%-45% of risks, suggesting that lots of variants that contribute to the risk for BD haven't been identified. Our study aims to identify novel BD risk genes. METHODS: We performed whole-exome sequencing of 27 individuals from 6 BD multi-affected Chinese families to identify candidate variants. Targeted sequencing of one of the novel risk genes, SERINC2, in additional sporadic 717 BD patients and 312 healthy controls (HC) validated the association. Magnetic resonance imaging (MRI) were performed to evaluate the effect of the variant to brain structures from 213 subjects (4 BD subjects from a multi-affected family, 130 sporadic BD subjects and 79 HC control). RESULTS: BD pedigrees had an increased burden of uncommon variants in extracellular matrix (ECM) and calcium ion binding. By large-scale sequencing we identified a novel recessive BD risk gene, SERINC2, which plays a role in synthesis of sphingolipid and phosphatidylserine (PS). MRI image results show the homozygous nonsense variant in SERINC2 affects the volume of white matter in cerebellum. CONCLUSIONS: Our study identified SERINC2 as a risk gene of BD in the Chinese population.

Cooperation between oncogenic Ras and wild-type p53 stimulates STAT non-cell autonomously to promote tumor radioresistance.

Oncogenic RAS mutations are associated with tumor resistance to radiation therapy. Cell-cell interactions in the tumor microenvironment (TME) profoundly influence therapy outcomes. However, the nature of these interactions and their role in Ras tumor radioresistance remain unclear. Here we use Drosophila oncogenic Ras tissues and human Ras cancer cell radiation models to address these questions. We discover that cellular response to genotoxic stress cooperates with oncogenic Ras to activate JAK/STAT non-cell autonomously in the TME. Specifically, p53 is heterogeneously activated in Ras tumor tissues in response to irradiation. This mosaicism allows high p53-expressing Ras clones to stimulate JAK/STAT cytokines, which activate JAK/STAT in the nearby low p53-expressing surviving Ras clones, leading to robust tumor re-establishment. Blocking any part of this cell-cell communication loop re-sensitizes Ras tumor cells to irradiation. These findings suggest that coupling STAT inhibitors to radiotherapy might improve clinical outcomes for Ras cancer patients.

Clinical effectiveness of arthroscopic vs open ankle arthrodesis for advanced ankle arthritis: A systematic review and meta-analysis.

BACKGROUND: Ankle fusion is the primary treatment for advanced ankle arthritis. With the advancement of arthroscopy technology, ankle arthroscopy fusion has shown many advantages over traditional surgery. However, there are few related studies globally, and evidence-based medicine is needed to verify the reliability and feasibility of ankle arthroscopy fusion. OBJECTIVE: To compare the clinical efficacy and safety of arthroscopic ankle arthrodesis and open ankle arthrodesis. METHODS: We searched the databases of PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure [CNKI], Wanfang Database, and VIP Database for published prospective or retrospective controlled studies of arthroscopic-assisted ankle fusion in the treatment of advanced ankle arthritis. The dates were limited from the construction of the library to June 30, 2019. Literature was included based on the principles and methods of evidence-based medicine. Literature retrieval, data extraction, and quality assessment were performed by 2 independent reviewers using the Cochrane 5.1 risk bias assessment tool. The methodological bias of the literature was evaluated, and a meta-analysis was using by RevMan 5.3 software. RESULTS: A total of 18 studies and 1102 patients were included in the study, including 551 in the arthroscopic surgery group and 551 in the open surgery group. Arthroscopy-assisted surgery for advanced ankle arthritis was more effective than open surgery in terms of fusion rate (odd ratio[OR] = 3.32, 95% confidence interval[CI]:2.16, 5.10), fusion time (mean difference[MD] = -2.31, 95% CI:-4.63, -2.21), intraoperative blood loss (MD = -43.37, 95%CI: -48.49, -38.25), hospital stay (MD = -1.80, 95%CI: -2.28, -1.33), and visual analog scale score (MD = -1.75, 95%CI: -2.04, -1.46). In addition, rate of complications (OR = 0.33, 95%CI: 0.21, 0.52) was superior to open ankle fusion (P < .00001). CONCLUSION: Arthroscopic ankle arthrodesis has more advantages than open ankle arthrodesis in improving the fusion rate and reducing complications, which is worthy of clinical application. PROSPERO REGISTRATION NUMBER: CRD42020195727.

The expression, function, and utilization of Protamine1: a literature review.

OBJECTIVE: Protamine 1 (PRM1) is specific in sperm and plays essential roles in fertilization, also a member of cancer testis antigen (CTA) family. This study aims to summarize the expression and function of PRM1 in spermatogenesis, and to broaden the current knowledge and inspire future development of PRM1-based therapeutic strategies in cancer treatment and nanomedicine. BACKGROUND: The protamine proteins, are characterized by an arginine-rich core and cysteine residues. Humans express two types of protamine: PRM1 and PRM2. The abnormal expression or proportion of PRM1 and PRM2 is known to be associated with subfertility and infertility, especially for PRM1 which is highly evolutionary conserved in mammalians and expressed in all vertebrates. Biological functions of PRM1 have been unveiled in diverse cellular processes, such as tumorigenesis, somatic cell nucleus transfer, and drug delivery systems. Moreover, PRM1 is identified as a CTA in chronic leukemia (CLL) and colorectal cancer (CRC). METHODS: Literature was obtained using PubMed and the keywords protamine 1, PRM1, or P1, from January 1, 1980, through July 20, 2021. We also collect the additional evidence through screening references of articles identified through the PubMed searches. CONCLUSIONS: PRM1 is well-studied in male infertility, and further researches and attempts to develop PRM1 as novel tumor marker, as well as drug delivery vector, will be of important clinical significance.

Patellar resurfacing versus patellar nonresurfacing in primary total knee arthroplasty: A protocol for systematic review and meta analysis.

BACKGROUND: Total knee arthroplasty (TKA) is one of the most common orthopedic procedures. However, the decision to resurface the patella during a primary TKA remains controversial. Therefore, a systematic review and meta-analysis were conducted to determine whether patellar resurfacing is needed in primary total knee arthroplasty. METHODS: A systematic literature research will be conducted in 7 databases including PubMed, Embase, Cochrane Library website, ClinicalTrials.gov databases, Chinese National Knowledge Infrastructure Database, Wanfang database, and VIP database for Chinese Technical Periodicals. The quality of studies will be assessed according to Cochrane risk of bias tool and Methodological index for non-randomized studies (MINORS) scale. The level of the evidence will be estimated by grading of recommendations assessment, development, and evaluation system. Data analysis and synthesis will be completed by the Review Manager 5.3. CONCLUSIONS: The conclusion of this study will provide clinicians performing TKA with a recommendation whether to conduct patellar resurfacing and further guide the clinical decision-making.PROSPERO registration number: CRD42019129711.

[Stiletto needle combined with massotherapy for pain in patients with knee osteoarthritis].

OBJECTIVE: To compare the clinical effect between Stiletto needle combined with massotherapy and articular injection of sodium hyaluronate for pain in patients with knee osteoarthritis (KOA). METHODS: A total of 156 patients with KOA were randomly divided into an observation group and a control group, 78 cases in each group. The patients in the observation group were treated with Stiletto needle (once a week) combined with massotherapy (twice a week); the patients in the control group were treated with articular injection of sodium hyaluronate (once a week). The treatment period were 5 weeks in total. The visual analogue scale (VAS) score, local tenderness value, knee joint activity and Lysholm knee joint score were recorded before treatment, 3 weeks and 5 weeks of treatment. RESULTS: Compared before treatment, the VAS score, local tenderness value, knee joint activity and Lysholm knee joint score in the two groups were improved 5 weeks of treatment (P<0.05). After 5 weeks of treatment, The local tenderness value and Lysholm knee joint score in the observation group were significantly improved compared with the control group (P<0.05), but the knee joint activity in the control group was superior to that in the observation group (P<0.05). CONCLUSION: The Stiletto needle combined with massotherapy are superior to articular injection of sodium hyaluronate in relieving pain and improving knee joint function in patients with early-to-moderate KOA, but its effect on joint activity is inferior to sodium hyaluronate.

Synthesis of sandwich-like graphene@mesoporous nitrogen-doped carbon nanosheets for application in high-performance supercapacitors.

Nanostructured mesoporous carbon materials have been an attractive material for electrochemical energy storage in the recent decades. However, the controllable synthesis of two-dimensional mesoporous carbon with tunable thickness and desired pore structure is highly challenging. Here, a series of graphene@mesoporous nitrogen-doped carbon (denoted as G@mesoNC) core-shell structured nanosheets with tunable thicknesses have been fabricated via a sample hydrothermal method by using cellulose as the green and cheap carbon precursor. The resultant G@mesoNC nanosheets exhibit a distinct sandwich-like structure with tunable thicknesses (from 10 to 30 nm), a large surface area (562 m2 g-1), a narrow pore size distribution (2.3 nm) and a high nitrogen content (7.95%). Significantly, when being used as the electrode for supercapaciors, the resultant G@mesoNC nanosheets showcase a high specific capacitance of 264 F g-1. Most importantly, there is no substantial capacitance decay after 2500 cycles, indicating the perfect cyclic stability of G@mesoNC nanosheets. Our method paves a new way for synthesizing carbon electrodes for energy storage.

Facile Synthesis of CoNi Bimetallic Nanoparticle Decorated Reduced Graphene Oxide as Efficient and Low-Cost Counter Electrode for Dye-Sensitized Solar Cells.

In this paper, CoNi bimetallic nanoparticle decorated reduced graphene oxide (CoNi-RGO) was synthesized by a facile hydrothermal method. When applied this CoNi-RGO into counter electrode for dye-sensitized solar cells (DSSCs), it shows smaller charge-transfer resistance and better electrocatalytic activity than that of pure reduced graphene oxide (RGO). At the optimized conditions, the energy conversion efficiency of DSSCs based on CoNi-RGO counter electrode was 3.79%, indicating a higher photovoltaic performance of DSSCs based on CoNi-RGO counter electrode than that of DSSCs based on RGO counter electrode (1.37%), and comparable to the value of DSSCs based on Pt counter electrode as a reference (4.95%). Additionally, the photovoltaic performance of DSSCs based on CoNi-RGO counter electrode strongly depends on its composition. The molar ratio of Co/Ni and the weight ratio of CoNi/GO that used to prepare CoNi-RGO counter electrode are key factors to affect the performance of their cell devices. When both the molar ratio of Co/Ni and the weight ratio of CoNi/GO are 1:1, the CoNi-RGO counter electrode shows the best performance, indicating the potential of such bimetallic nanoparticle decorated RGO as low-cost and efficient counter electrode to replace noble metal Pt counter electrode for the practical application of DSSCs devices.

Synthesis of an Efficient Counter Electrode Material for Dye-Sensitized Solar Cells by Pyrolysis of Melamine and Graphene Oxide.

An efficient counter electrode material for dye sensitized solar cells (DSSCs) was synthesized by pyrolysis of melamine and graphene oxide. The synthesized samples were characterized by X-ray diffraction, X-ray photoelectron spectroscopy, Raman spectroscopy and scanning electrode microscopy, which show that nitrogen doped reduced graphene oxide (NRGO) was obtained by this synthesis method. In the synthesized NRGO, graphitic structure was kept and the nitrogen was existence as pyrrolic, pyridinic, graphitic, and oxidized nitrogen species in the samples. After deposited as counter electrode films for DSSCs, it shows lower charge-transfer resistance at the electrode/electrolyte interface and higher electrocatalytic activity towards reduction of triiodide (I-3) than that of reduced graphene oxide (RGO) prepared also by this method without adding melamine. Consequently, the DSSCs based on NRGO counter electrodes achieve an energy conversion efficiency of 4.60%, which is higher than that of RGO counter electrode (2.35%). Although the photovoltaic performance of NRGO counter electrode was lower than that of Pt counter electrode (5.70%), it is still a promising counter electrode to replace noble metal Pt due to its low cost and simple synthesis process.