Analysis of Risk Factors for Intraoperative Bleeding in the Surgical Treatment of Cesarean Scar Pregnancy and Development of Predictive Models.

Objective: The objective of this study was to investigate the risk factors associated with cesarean scar pregnancy (CSP) and to develop a model for predicting intraoperative bleeding risk. Methods: We retrospectively analyzed the clinical data of 208 patients with CSP who were admitted to the People's Hospital of Leshan between January 2018 and December 2022. Based on whether intraoperative bleeding was ≥ 200 mL, we categorized them into two groups for comparative analysis: the excessive bleeding group (n = 27) and the control group (n = 181). Identifying relevant factors, we constructed a prediction model and created a nomogram. Results: We observed that there were significant differences between the two groups in several parameters. These included the time of menstrual cessation (P = 0.002), maximum diameter of the gestational sac (P < 0.001), thickness of the myometrium at the uterine scar (P = 0.001), pre-treatment blood HCG levels (P = 0.016), and the grade of blood flow signals (P < 0.001). We consolidated the above data and constructed a clinical prediction model. The model exhibited favorable results in terms of predictive efficacy, discriminative ability (C-index = 0.894, specificity = 0.834, sensitivity = 0.852), calibration precision (mean absolute error = 0.018), and clinical decision-making utility, indicating its effectiveness. Conclusion: The clinical prediction model related to the risk of hemorrhage that we developed in this experiment can assist in the development of appropriate interventions and effectively improve patient prognosis.

[Effects of Equal Amounts Silicon Fertilizer Application on Soil Bioavailability of Cadmium and Cadmium Uptake by Rice].

Cadmium (Cd) contamination of paddy fields is a global concern, as it can cause the accumulation of Cd in food. To explore the effects of equal application of silicon fertilizers on the bioavailability of cadmium and soil Cd uptake at different growth stages of rice, a field experiment was conducted with five silicon fertilizers under the same silicon dose (225 kg·hm-2). The results revealed that the Cd contents in roots, stems, and leaves increased with the extension of the rice growth stage. The application of silicon fertilizers reduced the Cd contents in roots, stems, and leaves in brown rice by 14.9%, 28.2%, and 12.2%, respectively. Compared with that in the control, the Cd content of brown rice in the SiCaMgFe and SiW treatments was decreased by 21.1% (P<0.05) and 21.2% (P<0.05), respectively. Similarly, Cd content in iron plaque (DCB-Cd) increased with the extension of the rice growth period, which accounted for 15.8%-42.8% of the total Cd content in roots, and the DCB-Cd content was different in each stage of rice. The content of exchangeable Cd (Exc-Cd) in soil at the mature stage of rice decreased by 36.4%, and the other fractions increased by 12.5%-48.2%. The results showed significant negative correlations between the Cd contents and Si in roots, DCB-Cd and soil available Cd and available Si, Exc-Cd and Car-Cd, and soil available Cd and pH value. Cd content in roots was positively correlated with DCB-Cd. With the equal dose of silicon fertilizer, the treatments of SiCaMgFe and SiW could effectively reduce the Cd content in rice. The application of silicon fertilizer promoted the transfer of Exc-Cd to Carb-Cd by increasing the soil pH value and the soil available Si content, meanwhile reducing the soil available Cd, Exc-Cd contents, the adsorption of Cd by the iron film on the root surface, and the adsorption capacity of iron plaque and root, thereby reducing the absorption of Cd by rice.

[Effects of Different Rotation Patterns of Oil-Rice on Methane and Nitrous Oxide Emissions in Rice Fields].

A field experiment was carried out to investigate the effects of different rice-rape rotation systems on methane and nitrous oxide emissions, which were measured using the static chamber/gas chromatography method, prediction of their global warming potentials (GWP), and greenhouse gas intensity (GHGI) in paddy fields. The results showed that the average cumulative emissions of CH4from a double cropping paddy field, single season rice field (including middle or late), rape field, and leisure land were 135.25, 55.64, 5.05, and 1.89 kg ·hm-2, respectively. The CH4 emission during the rice season accounted for 91.8%-98.5% of the annual CH4 emission in different rotation years, and the contents of dissolved organic carbon in paddy soil exhibited a significantly positive correlation with CH4 emission. The CH4 emission in conventional late rice paddy was 18.7% higher than that of hybrid late rice paddy (P<0.05). The average cumulative emissions of N2O from double cropping paddy field, single season rice field (including middle or late), rape field, and leisure land were 0.94, 0.64, 1.38, and 0.24 kg ·hm-2, respectively. Out of the total annual N2O emission, 57.2% to 70.2% was from the rape field; 17.8% and 30.6% was due to the winter fallow treatments with previous crop type of double corpping rice and single season rice, respectively. There was no significant difference in N2O emission between hybrid rice and conventional rice paddy fields. The GWP of double cropping rice-winter fallow and double cropping rice-rape was higher than that of rice-rape and rice-winter fallow, and the GWP of CH4 in rice season accounted for 71.2% to 90.9% of the annual GWP of rotation. The highest treatment of GHGI was rice-rice-rape, and the treatment of rice-oil and rice-winter slack was lower. According to the comprehensive environmental and economic benefits, the late hybrid rice-rape patterns should be selected to reduce greenhouse gases in multiple cropping rice fields of South China.

UPF1 Participates in the Progression of Endometrial Cancer by Inhibiting the Expression of lncRNA PVT1.

BACKGROUND: Endometrial carcinoma (EC) is the primary cause of death associated with cancer globally. Thus, the possible molecular mechanism of EC needs further exploration. Up-frameshift protein 1 (UPF1) is an ATPase depending on RNA/DNA and RNA helicase depending on ATP. Long noncoding RNA (lncRNA) plasmacytoma variant translocation 1 (PVT1) was dysregulated in diverse diseases. METHODS: qRT-PCR and Western blot were applied to detect UPF1 and PVT1 in EC. CCK-8, colony formation, and Transwell assays were used to test the effects of UPF1/PVT1 on cell proliferation and migration. Cells were cultured with actinomycin D to observe mRNA stability, and RNA immunoprecipitation assay was applied to verified the relationship between UPF1 and PVT1. Glucose consumption and lactate generation were measured when cells were transfected with siRNA. RESULTS: Results demonstrated that the expression of UPF1 exhibited a remarkable decrement in EC tissues relative to that in non-tumor tissues. Subsequent functional experiments suggested that UPF1 decrement stimulated EC cells to grow and migrate. Moreover, UPF1 was discovered to be linked to PVT1 and had an inverse correlation with PVT1. Besides, PVT1 expression affected EC growth and migration, and PVT1 decrement alleviated the influence of UPF1 decrement on EC growth and migration and strengthened glycolysis in EC. CONCLUSION: In this study, we found that UPF1 was down-regulated in EC tissues, and UPF1 might exert its role by regulating the expression of PVT1.

Response of photosynthetic nitrogen use efficiency in Betula utilis to altitudinal variation along Balang Mountain, Sichuan, China.

To better understand the response and adaptation of plants to altitudinal changes, four sites at the altitude of 2200 m, 2500 m, 3100 m and 3400 m on Balang Mountain were selected to test and calculate the eco-physiological parameters in leaves of Betula utilis, including photosynthetic nitrogen use efficiency (PNUE), CO2 diffusion conductance (stomatal conductance gs and mesophyll conductance gm) and nitrogen allocation in each component (fractions of leaf nitrogen allocated to Rubisco PR, to bioenergetics PB, to light-harvesting components PL, and to cell wall PCW). Their changes with altitudinal variations and the relationships between leaf PNUE and the other parameters were analyzed. The results showed that PNUE, PR, and PB of the leaves were relatively higher at 2500 m and 3100 m. With the increases of altitude, gs and gm increased and PL decreased. The correlations between PR, PB and PNUE were significant, indicating that PR and PB were the main factors driving the changes in leaf PNUE in response to altitudinal variations. Besides, the fraction of leaf nitrogen allocated to photosynthetic apparatus (PP) was relatively higher at 2500 m and 3100 m. With increasing altitude, PCW decreased and the fraction of leaf nitrogen allocated to the other components (Pother) increased, which suggested that B. utilis leaves tended to allocate more nitrogen to the other components instead of the photosynthetic apparatus and cell wall with the increasing altitude to well adapt environmental changes.

Anticancer Effects of Sinocrassulosides VI/VII from Silene viscidula on HeLa Cells.

Natural products are becoming increasingly important in chemoprevention and for cancer therapy. Silene viscidula (S. viscidula), a traditional Chinese herb, has long been used as an anti-inflammatory and neuroleptic agent. However, the anticancer activity of S. viscidula has remained unclear. In this study, 16 compounds were extracted from S. viscidula. Among those compounds, sinocrassulosides VI/VII, an inseparable isomer mixture, possess the strongest inhibitory activity on HeLa cells with the IC50 value of 2.37 µM. Mechanism studies found that sinocrassulosides VI/VII downregulated the expression of cyclin D1 and decreased retinoblastoma (Rb) phosphorylation, which arrested HeLa cells in the G1 phase. Also, sinocrassulosides VI/VII could induce senescence via the upregulation of p16 and a significant increase of ß-galactosidase (ß-gal) staining. Our results suggest that sinocrassulosides VI/VII may be a new therapeutic potential agent for cervical cancer. In addition, we explored the structure-activity relationships of three groups of the configurational isomer with similar chemical structure from S. viscidula. We first demonstrated that the length of the ester chains linked to the carboxyl group of the glucuronic acid residue could affect the potent cytotoxicity. This finding will open new avenues for developing effective anticancer compounds by modifying the components derived from plants in nature.

[Effect of different organic fertilizers on bioavailability of soil Cd and Zn].

The active effect of soil Cd and Zn and their interaction was studied in typical paddy field in south China by monitoring the contents of Cd and Zn in soil and rice in rice fields applied with pig manure, chicken manure or rice straw for 4 years continuously. The results showed that applying pig manure, chicken manure or rice straw had no significant impact on the soil total Cd content, soil available Cd content and soil Cd activity, but tended to increase the soil total Cd content and increased the soil total Zn content, soil available Zn content and Zn activity significantly. Applications of pig manure, chicken manure and rice straw all reduced the Cd content of brown rice, in order of pig manure > chicken manure > rice straw. The Cd contents of brown rice, stem and leaf in the treatment applied with pig manure were lower than in the control by 37.5%, 44.0% and 36.4%, respectively; the Cd contents of brown rice, stem and leaf in the treatment applied with chicken manure were lower than in the control by 22.5%, 33.8%, and 22.7%, respectively; the Cd content of brown rice in the treatment applied with rice straw was lower than in the control by 7.5% but its contents in stem and leaf increased by 8.2% and 22.7% , respectively. The reduction in the brown rice Cd content was mainly due to the reduction of Cd enrichment from soil to brown rice after application of pig or chicken manure, but mainly due to the reduction of Cd transportation from stem to brown rice after straw application. Applications of pig manure, chicken manure and rice straw increased Zn contents in rice stem by 53.4%, 53.4% and 13.9%, respectively, but all had no significant effect on brown rice and leaf' s Zn contents. Zn and Cd had the significant antagonistic effects in the soil and rice stem. The increase of Zn content in soil and rice stem inhibited the adsorption and accumulation of Cd in the brown rice, stem and leaf significantly, and with the increase of the proportion of Zn/Cd, the competitive absorption between Cd and Zn by rice was the main control factor affecting the Cd absorption by rice than their competitive adsorption by soil.

Anti-epileptic effect of Ganoderma lucidum polysaccharides by inhibition of intracellular calcium accumulation and stimulation of expression of CaMKII α in epileptic hippocampal neurons.

PURPOSE: To investigate the mechanism of the anti-epileptic effect of Ganoderma lucidum polysaccharides (GLP), the changes of intracellular calcium and CaMK II α expression in a model of epileptic neurons were investigated. METHOD: Primary hippocampal neurons were divided into: 1) Control group, neurons were cultured with Neurobasal medium, for 3 hours; 2) Model group I: neurons were incubated with Mg(2+) free medium for 3 hours; 3) Model group II: neurons were incubated with Mg(2+) free medium for 3 hours then cultured with the normal medium for a further 3 hours; 4) GLP group I: neurons were incubated with Mg(2+) free medium containing GLP (0.375 mg/ml) for 3 hours; 5) GLP group II: neurons were incubated with Mg(2+) free medium for 3 hours then cultured with a normal culture medium containing GLP for a further 3 hours. The CaMK II α protein expression was assessed by Western-blot. Ca(2+) turnover in neurons was assessed using Fluo-3/AM which was added into the replacement medium and Ca(2+) turnover was observed under a laser scanning confocal microscope. RESULTS: The CaMK II α expression in the model groups was less than in the control groups, however, in the GLP groups, it was higher than that observed in the model group. Ca(2+) fluorescence intensity in GLP group I was significantly lower than that in model group I after 30 seconds, while in GLP group II, it was reduced significantly compared to model group II after 5 minutes. CONCLUSION: GLP may inhibit calcium overload and promote CaMK II α expression to protect epileptic neurons.

Intervention effects of ganoderma lucidum spores on epileptiform discharge hippocampal neurons and expression of neurotrophin-4 and N-cadherin.

Epilepsy can cause cerebral transient dysfunctions. Ganoderma lucidum spores (GLS), a traditional Chinese medicinal herb, has shown some antiepileptic effects in our previous studies. This was the first study of the effects of GLS on cultured primary hippocampal neurons, treated with Mg(2+) free medium. This in vitro model of epileptiform discharge hippocampal neurons allowed us to investigate the anti-epileptic effects and mechanism of GLS activity. Primary hippocampal neurons from <1 day old rats were cultured and their morphologies observed under fluorescence microscope. Neurons were confirmed by immunofluorescent staining of neuron specific enolase (NSE). Sterile method for GLS generation was investigated and serial dilutions of GLS were used to test the maximum non-toxic concentration of GLS on hippocampal neurons. The optimized concentration of GLS of 0.122 mg/ml was identified and used for subsequent analysis. Using the in vitro model, hippocampal neurons were divided into 4 groups for subsequent treatment i) control, ii) model (incubated with Mg(2+) free medium for 3 hours), iii) GLS group I (incubated with Mg(2+) free medium containing GLS for 3 hours and replaced with normal medium and incubated for 6 hours) and iv) GLS group II (neurons incubated with Mg(2+) free medium for 3 hours then replaced with a normal medium containing GLS for 6 hours). Neurotrophin-4 and N-Cadherin protein expression were detected using Western blot. The results showed that the number of normal hippocampal neurons increased and the morphologies of hippocampal neurons were well preserved after GLS treatment. Furthermore, the expression of neurotrophin-4 was significantly increased while the expression of N-Cadherin was decreased in the GLS treated group compared with the model group. This data indicates that GLS may protect hippocampal neurons by promoting neurotrophin-4 expression and inhibiting N-Cadherin expression.

[Effects of phosphorous fertilizers on phytoavailability of cadmium in its contaminated soil and related mechanisms].

To explore an effective measure to ensure the safety of rice quality in cadmium (Cd)-contaminated farmland, a pot culture experiment was conducted to study the effects of of low Cd content (Cd < 0.2 mg x kg(-1)) phosphorous fertilizers with an application rate of 0.10 or 0.20 g P2O5 x kg(-1) on the phytoavailability of Cd in its contaminated p add y soil, with the related mechanisms discussed. Compared with no phosphorous fertilization, applying 0.10 P2O5 x kg(-1) of calcium magnesium phosphate (CMP) and monopotassium phosphate (MKP) increased soil pH and decreased soil available Cd content significantly, and CMP and calcium superphosphate (CSP) decreased the Cd accumulation in rice significantly. When the application rate was up to 0.20 g P2O5 x kg(-1), calcium hydrogen phosphate (CHP) increased the soil pH and decreased the soil available Cd content significantly, and CMP, MKP, and CHP decreased the DTPA-extractable soil Cd content by 11.8%, 9.8%, and 11.8%, and the NH4 OAc-extractable soil Cd content by 9.5%, 7.1%, and 7.1%, respectively. All test phosphorous fertilizers could significantly decrease the stem and leaf Cd contents, with a decrement of 24.9%-50.8%, and except CHP, the others could significantly decrease the Cd content of brown rice. With the application CMP and CSP, the Cd content of brown rice was close to the National Hygienic Standard for Grains (GB 2715-2005). Among the test phosphorous fertilizers, those can increase soil pH (CMP, MKP, and CHP) could significantly decrease the availability of soil Cd significantly, and those containing calcium (CMP and CSP) were more effective in decreasing the Cd accumulation in rice. The efficiency of the phosphorous fertilizers was mainly determined by their chemical properties. Alkaline calcium-containing phosphorous fertilizers were more effective in decreasing the Cd absorption and accumulation in rice plant in Cd-contaminated farmland.

[Effects and mechanism of alkaline wastes application and zinc fertilizer addition on Cd bioavailability in contaminated soil].

The effects of paper mill sludge, red mud and zinc fertilizer addition on remediation of acid cadmium contaminated paddy soil were studied in a pot experiment, and their beneficial effects were verified in a field experiment, by using lime as comparison. The pot experiment results showed that a single application (2 g x kg(-1)) of lime, paper mill sludge or red mud increased soil pH significantly. Compared with no applying alkaline substances, the soil exchangeable Ca content was increased by 33.1%-76.0% at 7 days after applying alkaline substances and 31.0%-78.3% at 30 days after rice transplanting, respectively. The soil available Cd content was significantly decreased by 38.4%-45.0% at 7 days after the three alkaline substances applications, and was decreased by 37.4%-52.9% and 33.2%-38.7% at 30 days and 60 days after rice transplanting, respectively. The Cd content in rice root and brown rice was decreased by 24.0%-48.5% and 26.3%-44.7%, respectively. With equal applications of lime, paper mill sludge and red mud, the effects on increase of soil pH and decrease in Cd accumulation by rice was lime > red mud > paper mill sludge. Compared with a single application (2 g x kg(-1)) of paper mill sludge or red mud, Cd accumulation decreased significantly following the application of zinc fertilizer (0.2 g x kg(-1)) field experimental results were similar to the pot experiment that Cd accumulation apparently declined in the first and second crops (late rice and autumn rape) following the application of paper mill sludge, red mud and addition of zinc fertilizer. The Cd content in brown rice and rape seeds was decreased by 27.1-65.1% and 16.4%-41.6%, respectively, compared with no alkaline substances application. The Cd content in brown rice reached the National Hygienic Standard for Grains (GB 2715-2005). Therefore, combined application of paper mill sludge or red mud with zinc fertilizer was a feasible method to remediate acid cadmium contaminated paddy soil. Rice quality was guaranteed by determination of rational amount of alkaline wastes and a proportion of zinc fertilizer which was in accord with soil Cd contamination level and chemical properties, etc.

[Carbon sequestration effects of rice straw return in double season paddy field in Southern China].

In a long-term site-specific experiment with rice straw return (RSR) and in a short-term experiment with different RSR modes, this paper studied the effects of RSR on the soil organic carbon (SOC) sequestration, methane emission, and net carbon sink in a double season paddy field. RSR increased the SOC content, and the annual increasing rate of soil carbon sink in plow layer (0-15 cm) under long-term RSR was 0.07 t C x hm(-2) x a(-1). With the increasing amount of RSR, the apparent SOC transformation rate decreased. RSR promoted the methane emission from the paddy field significantly, and the methane emission flux in treatment RSR plus NPK during early- and late rice growth seasons increased by 75.0% and 251.5% (P < 0.01), respectively, compared with that in treatment NPK. The methane emission increased with the increasing amount of RSR. Under the similar tillage mode and rice yield, the rice straw returned had the similar apparent methane transformation rate. Considering the soil carbon sequestration and the net carbon sink after methane emission in the paddy field comprehensively, treatment RSR plus NPK had significant negative effect on the carbon sink which was basically approached to the bio-fixation of carbon by rice and increased by 158.3%, as compared with treatment NPK. Among different RSR modes, rice straw mulching plus no tillage decreased soil methane emission significantly, with the net carbon sink decreased by 50.9% as compared with the treatment high stubble plus tillage, and benefited the high and stable yielding of rice.