Nomogram for Predicting the Risk of Complications after Endoscopic Foreign Body Removal from the Adult Upper Gastrointestinal Tract.

BACKGROUND: Ingested foreign bodies may become impacted in the upper gastrointestinal tract, requiring endoscopic removal. AIMS: To establish and validate a nomogram to determine the risk of complications following endoscopic foreign body removal. METHODS: We retrospectively analyzed the data of 1510 adult patients who underwent endoscopic removal of ingested foreign bodies between January 2019 and December 2022. All participants were randomly allocated in a 7:3 ratio to the training (n = 1057) and validation (n = 453) cohorts. A nomogram for the development of major complications associated with endoscopic foreign body removal was established based on risk factors identified by logistic regression analysis. RESULTS: Four independent risk factors for the development of major complications were identified by multivariate regression analysis: older age, impaction time > 24 h, type of foreign body (animal bones and jujube pits), and number of pressure points exerted on the digestive tract wall (one and ≥ two). The nomogram constructed using these factors showed favorable discriminatory values, with an area under the curve of 0.76 (95% confidence interval, 0.73-0.78) in the training cohort and 0.74 (95% confidence interval, 0.72-0.76) in the validation cohort. CONCLUSIONS: Older patients who ingested bones or jujube pits with more pressure points exerted on the digestive tract wall more than 24 h earlier should be considered most at risk of major complications after endoscopic removal of foreign bodies. The nomogram established in this study can be conveniently used to assess patients and develop treatment plans for the management of foreign body ingestion.

Dynamic network biomarker analysis discovers IbNAC083 in the initiation and regulation of sweet potato root tuberization.

The initiation and development of storage roots (SRs) are intricately regulated by a transcriptional regulatory network. One key challenge is to accurately pinpoint the tipping point during the transition from pre-swelling to SRs and to identify the core regulators governing such a critical transition. To solve this problem, we performed a dynamic network biomarker (DNB) analysis of transcriptomic dynamics during root development in Ipomoea batatas (sweet potato). First, our analysis identified stage-specific expression patterns for a significant proportion (>9%) of the sweet potato genes and unraveled the chronology of events that happen at the early and later stages of root development. Then, the results showed that different root developmental stages can be depicted by co-expressed modules of sweet potato genes. Moreover, we identified the key components and transcriptional regulatory network that determine root development. Furthermore, through DNB analysis an early stage, with a root diameter of 3.5 mm, was identified as the critical period of SR swelling initiation, which is consistent with morphological and metabolic changes. In particular, we identified a NAM/ATAF/CUC (NAC) domain transcription factor, IbNAC083, as a core regulator of this initiation in the DNB-associated network. Further analyses and experiments showed that IbNAC083, along with its associated differentially expressed genes, induced dysfunction of metabolism processes, including the biosynthesis of lignin, flavonol and starch, thus leading to the transition to swelling roots.

Superhydrophobic and Self-Healing Mg-Al Layered Double Hydroxide/Silane Composite Coatings on the Mg Alloy Surface with a Long-Term Anti-corrosion Lifetime.

Both a superhydrophobic structure and layered double hydroxide (LDH) coating were effective to improve the corrosion resistance of alloys. In this study, a superhydrophobic composite coating based on LDHs was constructed on Mg alloy by laser treatment, in situ growth of Mg-Al LDHs, and modification with octadecyl-trimethoxy-silane (OTS). The so-obtained composite coating was coded as L-LDHs-OTS, where L stands for laser treatment. Results showed that the L-LDHs-OTS composite coating presented the best anti-corrosion performance and the corrosion current density was reduced by about 5 orders of magnitude compared with that of the Mg alloy substrate. The excellent corrosion resistance was related to the superhydrophobicity of the composite coating, the compactness and ion-exchange capacity of the LDH layer, and the dense Si-O-Si network within the OTS layer. Moreover, the L-LDHs-OTS composite coating was still effective after 20 days of immersion tests, showing good long-term corrosion resistance due to the existence of hydrophobicity of the composite coating and the self-healing ability of LDHs.