Nutrient allocation patterns of Picea crassifolia on the eastern margin of the Qinghai-Tibet Plateau.

It can provide a basis for decision making for the conservation and sustainable use of forest ecosystems in mountains to understand the stoichiometric properties and nutrient allocation strategies of major tree species. However, the plant nutrient allocation strategies under different environmental gradients in forest systems of arid and semi-arid mountains are not fully understand. Therefore, three typical regions in the Qilian Mountains on the eastern edge of the Qinghai-Tibet Plateau were selected based on precipitation and temperature gradients, and the stoichiometric characteristics and nutrient allocation strategies of Qinghai spruce (Picea crassifolia) of the dominant tree species under different environmental gradients were investigated. The results showed that (1) the stoichiometric characteristics of plant tissues were different in the three regions. (2) The importance of each tissue in the plant nutrient allocation varied in different regions, showing that the plant roots are more important in the warm-wet region, while the plant leaves, branches and trunks are more important in the transition and hot-dry regions. (3) The influencing factors affecting plant nutrient allocation strategies were inconsistent across regions, which showed that plant nutrient allocation strategies in the warm-wet and transition region were mainly influenced by soil factors, while they were more influenced by climatic factors in the hot-dry region. The patterns of plant nutrient allocation strategies and drivers under different environmental gradients could help us better understand the ecological adaptation mechanism and physiological adjustment mechanism of forest ecosystem in mountains.

Pollution and source-specific risk analysis of potentially toxic metals in urban soils of an oasis-tourist city in northwest China.

Source-specific risk apportionment for soil potentially toxic metals (PTMs) is of great significance for contamination prevention and risk management in urban environments. Eighty-five urban soil samples were obtained from an oasis-tourist city, China and examined for eight PTMs (As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn). The pollution levels, sources, and ecological risk of soil PTMs were quantified, and their source-specific ecological and human health effects were also estimated using the multi-proxy approaches. The results demonstrated that accumulation of Cd, Hg, Pb, Cr, Cu, and Zn in soils was observed compared to their background levels, and the soils experienced varying degrees of PTMs pollution, especially at sites with high-intensity anthropogenic activities. Natural sources, atmospheric deposition, industrial sources, vehicular emissions, and comprehensive inputs were the principal sources, with contributions of 29.28%, 25.86%, 20.13%, 16.50%, and 8.23%, respectively. The integrated ecological risks of PTMs in soils were moderate at most sites, with atmospheric deposition being the dominant contributor to ecological risks. Children exhibited pronounced non-cancer risks, but adults had no notable non-cancer risks. Moreover, there were potential carcinogenic risks for both children and adults within the study region. Non-cancer and carcinogenic risks were more significant for children than adults, and traffic emissions were the primary contributor to non-cancer risks (adults: 20.53%, children: 20.49%) and carcinogenic risks (adults: 22.95%, children: 22.08%). The industrial and traffic activities were considered as priority control sources for soil pollution control and risk management, with Hg, Cd, Zn, and Pb corresponding to the priority elements. This study highlights the source-specific ecological and human health effects of PTMs pollution in urban soils, thereby providing valuable information for targeted pollution control and priority source management.

Spatial characteristics of nutrient allocation for Picea crassifolia in soil and plants on the eastern margin of the Qinghai-Tibet Plateau.

BACKGROUND: Understanding the stoichiometric characteristics and nutrient allocation strategies of dominant tree species in montane forest systems can provide a basis for decision-making in relation to montane system management. Therefore, according to precipitation and temperature gradients, we selected three typical areas in the Qilian Mountains on the eastern margin of the Qinghai-Tibet Plateau to analyse the spatial relations of plant-soil stoichiometric characteristics and nutrient allocation strategies of plant tissues for Qinghai spruce (Picea crassifolia) along different environmental gradients. RESULTS: 1) The plant and soil stoichiometric characteristics had similar spatial patterns. The C content of plants and soils tended to decrease with increasing latitude, and the N and P contents and the N:P ratio tended to increase with increasing latitude. 2) The stoichiometric characteristics of the plant tissues also interacted with each other and showed synergistic trade-offs. Nutrient allocation in the eastern section of the Qilian Mountains was similar to that in the western section, while more N and P in the plant stems were allocated to maintain plant growth in the relatively arid western Sect. 3) The nutrient allocation strategies in the plant tissues were mainly regulated by soil and climate. CONCLUSIONS: Information on plant-soil stoichiometric characteristics along different gradients can help us better understand the nutrient patterns and dynamics of forest ecosystems under arid and semiarid conditions at a wide geographic scale from the perspective of plant nutrient partitioning.

Supramolecular Dimer as High-Performance pH Probe: Study on the Fluorescence Properties of Halogenated Ligands in Rigid Schiff Base Complex.

The development of high-performance fluorescence probes has been an active area of research. In the present work, two new pH sensors Zn-3,5-Cl-saldmpn and Zn-3,5-Br-saldmpn based on a halogenated Schiff ligand (3,5-Cl-saldmpn = N, N'-(3,3'-dipropyhnethylamine) bis (3,5-chlorosalicylidene)) with linearity and a high signal-to-noise ratio were developed. Analyses revealed an exponential intensification in their fluorescence emission and a discernible chromatic shift upon pH increase from 5.0 to 7.0. The sensors could retain over 95% of their initial signal amplitude after 20 operational cycles, demonstrating excellent stability and reversibility. To elucidate their unique fluorescence response, a non-halogenated analog was introduced for comparison. The structural and optical characterization suggested that the introduction of halogen atoms can create additional interaction pathways between adjacent molecules and enhance the strength of the interaction, which not only improves the signal-to-noise ratio but also forms a long-range interaction process in the formation of the aggregation state, thus enhancing the response range. Meanwhile, the above proposed mechanism was also verified by theoretical calculations.

Contamination, ecological-health risks, and sources of potentially toxic elements in road-dust sediments and soils of the largest urban riverfront scenic park in China.

Identifying the contamination and sources of potentially toxic elements (PTEs) in road-dust sediment (RDS) and the surrounding greenspace soil of urban environments and understanding their ecological-health risks are important for pollution management and public health. The contamination characteristics, ecological and probabilistic health risks, and source apportionment of eight PTEs (Cd, Pb, Cr, Cu, Ni, As, Zn, and Hg) in the Yellow River Custom Tourist Line of Lanzhou, which is the largest open urban riverfront scenic park in China, were investigated. The results showed that all the RDS PTE mean concentrations exceeded their soil background values, whereas for the surrounding greenspace soils, the concentrations of the PTEs, except for Cr and Ni, were also higher than their local background levels. Moreover, the RDS-soil system was mainly contaminated by Cd, Zn, Pb, Cu, and Hg to varying degrees, and the integrated ecological risks of PTEs in the RDS and soil were high and considerable at most sites, respectively. The probabilistic health risk assessment results demonstrated that the non-carcinogenic hazard risk for humans was negligible, but the total carcinogenic risks should be considered. Source apportionment using a positive matrix factorization model combined with multivariate statistical analyses revealed that Cr, Ni, and As in the RDS-soil system were from natural and industrial sources, Cd, Pb, Zn, Cu came from vehicle emissions and pesticide and fertilizer applications, and Hg was from natural and industrial sources and utilization of pesticides with fertilizers. This work provides scientific evidence for urban planning and human health protection in urban environments.

Changes of serum miR-221 and miR-145 levels with papillary thyroid carcinoma and their relationship with invasive activity.

This study aimed to investigate the expression of miR-221 and miR-145 in papillary thyroid carcinoma, and the effect of miR-221 and miR-145 on the invasion ability of thyroid cancer cells and its mechanism. For this purpose, 120 patients with thyroid nodules were divided into the observation group (PTC) of 43 cases and the control group (benign nodules) of 42 cases according to postoperative pathological diagnosis. Total RNA was extracted from serum samples of all patients, and the expression levels of miRNA-145 and miR-221 were detected by fluorescence quantitative PCR. The expression of two kinds of miRNAs in the groups was compared, and their correlation was analyzed. The results showed that the expression of miRNA-145 in thyroid cancer tissues was lower than that in paired adjacent normal tissues (P < 0.001). The expression of miRNA-221 in thyroid cancer tissues was higher than that in paired adjacent normal tissues (P < 0.001). The proliferation and migration ability of miRNA-145 cells were significantly decreased (P < 0.01). The expression of miRNA-221 was up-regulated, and the proliferation and migration ability of cells was significantly enhanced (P < 0.05). High expression of miRNA-145 can inhibit cell proliferation and migration and promote apoptosis, while high expression of miRNA-221 will promote cell proliferation and migration and enhance the invasion ability of cancer cells. In general, the expression of miRNA-22l in serum of PTC patients is significantly up-regulated, while the expression level of miR-145 is down-regulated, which can be used as effective indicators to judge the biological activity of the tumor, and the combined detection of the two can significantly enhance the diagnostic value of PTC. Upregulation of miR-145 inhibits PTC cell proliferation; arrests cell cycle and promotes apoptosis miR-145 may play an important role as a tumor suppressor gene.

Drought timing and severity affect radial growth of Picea crassifolia at different elevations in the western Qilian Mountains.

In the context of continued global climate change, the intensity and frequency of droughts have increased to varying degrees in many places. Due to the complexity of drought events, the mechanisms by which trees respond to drought are not well understood. In this study, we analyzed the growth trends of Qinghai spruce (Picea crassifolia) at different elevations in the western part of Qilian Mountains and the dynamic response to climate change. We also compared the differences in radial growth of trees at different elevations in response to drought events in the growing and non-growing seasons based on resistance (Rt), recovery (Rc), and resilience (Rs). The results showed that (1) trees at all three elevations were limited by drought stress and the lower the elevation the more sensitive the trees were to drought. (2) The response of middle- and low-elevation trees to the standardized precipitation evaporation index in June of that year was stable. (3) Growing season drought limits radial growth of trees more than non-growing season drought, and Rt is smaller and Rc is larger at low elevations. With increasing drought severity, trees at all three elevations exhibited a trend of decreasing Rt and Rs and increasing Rc. (4) There were significant differences in the growth trends of trees at the three elevations. Therefore, we should continuously pay attention to the dynamics of the forest ecosystem in the western part of Qilian Mountains and take improved measures to cope with the adverse effects of drought on Qinghai spruce.

LINC01783 accelerated tongue squamous cell carcinoma progression via inhibiting miR-199b-5p.

Growing studies illustrated that lncRNAs exert critical roles in development and occurrence of tumours including TSCC. In this research, we indicated that LINC01783 was up-regulated in TSCC cells (SCC1, Cal27, UM1 and SCC4) when compared to NHOK cell. RT-qPCR analysis indicated that LINC01783 was overexpressed in 22 TSCC cases (73.3%, 22/30) compared with no-tumour specimens. LINC01783 level was up-regulated in TSCC specimens when compared to no-tumour specimens. Ectopic expression of LINC01783 promoted TSCC cell cycle and growth and EMT progression in both TSCC cell SCC1 and Cal27. Overexpression of LINC01783 sponged miR-199b-5p in TSCC cell and elevated expression of LINC01783 inhibited miR-199b-5p expression. Moreover, we illustrated that miR-199b-5p was down-regulated in TSCC cells and specimen and LINC01783 level was up-regulated in TSCC specimens when compared to no-tumour specimens. Elevated expression of LINC01783 promoted TSCC cell growth, cycle and EMT progression by sponging miR-199b-5p. These data suggested that LINC01783 functioned as one oncogene and might be one treatment target for TSCC.

Comparison of the responses of radial growth to climate change for two dominant coniferous tree species in the eastern Qilian Mountains, northwestern China.

The temperature in northwestern China has increased significantly since the 1990s. However, the responses of mountainous forests to warming have not been extensively examined. We collected tree rings of two dominant coniferous species of Qinghai spruce (Picea crassifolia) and Chinese pine (Pinus tabulaeformis) in the eastern part of the Qilian Mountains, and analyzed the differences in the response dynamic of the radial growth of two species to climate change. The results showed that (1) the annual radial growth of Qinghai spruce was mainly restricted by the minimum temperature in July and October, and the growth of Chinese pine was mainly restricted by the mean temperature in September of the previous year, January, and July and the maximum temperature in March, May, and July. In particular, Qinghai spruce increased its sensitivity to total precipitation in the growing seasons in March, May, and July after the temperature abruptly increased. (2) In comparison to Qinghai spruce, Chinese pine showed a consistent response to the main climatic factors and was more severely affected by drought stress. Qinghai spruce had divergent responses to mean temperatures in March and May and minimum temperatures in April and June. (3) The growth of Qinghai spruce increased with a significant fluctuation at the end of the twentieth century, while the growth of Chinese pine first showed an increase and then a significant decreasing trend. At present, the increase in temperature has adversely affected the growth of Chinese pine in the eastern Qilian Mountains and promoted the growth of Qinghai spruce. However, a continuous temperature increase could negatively affect the growth of Qinghai spruce because of the increasing probability of drought stress. Therefore, we should pay more attention to the growth dynamics of Qinghai spruce, especially with the different water supply and demand, and to the effects of drought on Chinese pine in forest ecosystems in arid and semiarid areas.

Clinical value of serum squamous cell carcinoma antigen levels in predicting chemosensitivity, lymph node metastasis, and prognosis in patients with cervical squamous cell carcinoma.

BACKGROUND: Our aim was to investigate the value of serum squamous cell carcinoma (SCC) antigen levels in predicting chemosensitivity, lymph node metastasis, as well as prognosis in patients with cervical squamous cell carcinoma who received neoadjuvant chemotherapy (NACT). METHODS: This retrospective study enrolled 103 patients with cervical squamous cell carcinoma and then compared the SCC antigen levels between patients who underwent NACT followed by radical surgery (NACT group) and those who underwent radical surgery alone (conventional group), and a correlation analysis between SCC antigen levels and chemosensitivity, lymph node metastasis, or survival time was conducted. RESULTS: The SCC antigen levels changed after NACT and were associated with chemosensitivity. Moreover, the optimal cut-off value of the percentage decrease in SCC antigen level after the first chemotherapy (FSCC (%)) was 42.0%, which could be used for assessment of chemosensitivity. The rate of positive lymph nodes in patients with pretreatment SCC antigen levels ≥3.9 ng/mL was significantly decreased after NACT. The overall survival (OS) of NACT group was significantly longer than that of conventional group when the pretreatment SCC antigen levels were ≥ 4.55 ng/mL. The OS and progression-free survival rates of patients with SCC antigen levels < 2.7 ng/mL were longer than those ≥2.7 ng/mL after the first chemotherapy. CONCLUSIONS: The 42.0% of FSCC (%) after NACT is a reliable indicator of chemosensitivity. Pretreatment and posttreatment SCC antigen levels can be used in evaluating the lymph node metastases and prognosis of patients with cervical squamous cell carcinoma.

Extreme climate historical variation based on tree-ring width record in the Tianshan Mountains of northwestern China.

The increasing frequency and intensity of extreme climate events have caused serious impacts on the service functions of terrestrial ecosystems and the production and life of human society in recent years. The warm nights (TN90p) variable of the 26 extreme climate indicators was the main factor controlling the tree radial growth of Schrenk spruce (Picea schrenkiana) in the Tianshan Mountains region based on the responses of tree-ring width in the 5 sample sites. Therefore, TN90p in the growth season from May to September (TN90p5-9) during 1735-2016 was reconstructed on the basis of the time stability of the growth-climate relationships. The interpretation rate of variance of the reconstructed equation was 45.4% (R2adj = 44.4%, F = 45.7). The reconstruction showed four relatively high TN90p5-9 historic intervals (1747-1798, 1856-1872, 1906-1951, and 2002-2016) and four low intervals (1735-1747, 1798-1856, 1872-1900, and 1951-2002). The occurrence frequency of extreme high values was higher than that of extreme low values during the reconstruction period of 1735-2016. The extreme values of reconstruction were consistent with historical droughts and large-scale volcanic eruptions, indicating that the reconstruction series had high accuracy. Multi-window spectral periodic analysis and spatial correlation analysis revealed that TN90p5-9 variation in the study area was affected by large-scale sea-air stress factors. In particular, the TN90p5-9 obtained by using R/S analysis (rescaled range analysis) will continue to show an upward trend in the relative period of time in the future. This trend will lead to a further decrease in the radial growth of trees and even trigger forest death events.

Effects of prebiotic galacto-oligosaccharide on postoperative cognitive dysfunction and neuroinflammation through targeting of the gut-brain axis.

BACKGROUND: Surgery-induced neuroinflammation plays an important role in postoperative cognitive dysfunction (POCD). Gut microbiota is a key regulator of neurological inflammation. Nurturing with prebiotics is an effective microbiota manipulation that can regulate host immunity and cognition. The aim of the present study was to test whether administration of the prebiotic Bimuno® (galactooligosaccharide (B-GOS) mixture) could ameliorate POCD and attenuate surgery-induced neuroinflammation through the microbiota-brain-axis. METHODS: Adult rats undergoing abdominal surgery under isoflurane anesthesia were fed with water or prebiotic B-GOS supplementation (15 g/L) for 3 weeks. Novel objective recognition task was employed for testing cognitive changes on postoperative day three. Expression of microglial marker Iba-1 in the hippocampus was assessed by immunohistochemical staining. Expression levels of phenotypic gene markers of activated microglia (M1: iNOS, CD68, CD32; M2: Ym1, CD206, and SOCS3) in hippocampus were determined by quantitative polymerase chain reaction (qPCR). Inflammatory cytokines in the hippocampus were assessed using enzyme-linked immunosorbent assay (ELISA). Feces were collected for microbial community analysis. RESULTS: Rats exhibited an impairment in novel objective recognition 3 days after surgery compared with control rats (P < .01). In the hippocampus, expressions of Iba-1 and M1 markers of surgical rats were significantly upregulated. Similarly, expressions of SOCS3 and CD206 in the hippocampus were upregulated. Additionally, increasing levels of IL-6 and IL-4 were evident in the hippocampus. Administration of B-GOS significantly alleviated cognitive decline induced by surgery (P < .01). B-GOS-fed rats showed a significantly downregulated activation of microglia and expressions of M1-related genes and SOCS3 and IL-6. While there was no significant difference in expressions of CD206 and Ym1 and IL-4 between the surgical and B-GOS groups. Analysis of gut microbiome found that administration of B-GOS induced a significant change beta diversity of the gut microbiome and proliferation of Bifidobacterium and other potentially anti-inflammatory microbes. CONCLUSIONS: Administration of B-GOS has a beneficial effect on regulating neuroinflammatory and cognitive impairment in a rat model of abdominal surgery and was associated with the manipulation of gut microbiota.

[Effects of dezocine on postoperative sore throat after maxillofacial procedures: a comparison with flurbiprofen axetil].

OBJECTIVE: To compare the effects between dezocine and flurbiprofen axetil on postoperative sore throat (POST) after maxillofacial procedures. METHODS: In the study, 90 adult patients with maxillofacial diseases were divided randomly into control group (group C), flurbiprofen group (group F) and dezocine group (group D). Physiological saline, flurbiprofen axetil (1 mg/kg) and dezocine (0.1 mg/kg) were administered intravenously for each group 30 minutes before the end of the operation. We recorded visual analogue scale (VAS) and Bruggrmann comfort scale (BCS) at the time points of 0.5 h, 1 h, 2 h, and 6 h after extubation. RESULTS: The incidence of POST in group D decreased significantly (P < 0.05). There was no difference between the incidences of groups F and C. The VAS of group F was lower than that of group C (P < 0.01) just at the time points of 0.5 h and 1 h after extubation, from then on, there was no difference between the 2 groups. The VAS of group D was lower than that of group F, and the BCS was higher than that of group F significantly. CONCLUSION: Dezocine has notable analgesia effect for postoperative sore throat, so it is a better choice to carry out postoperative analgesia after maxillofacial procedures.

Conservation of aged paper using reduced cellulose nanofibrils/aminopropyltriethoxysilane modified CaCO3 particles coating.

Deacidification and strengthening play pivotal roles in the enduring conservation of aged paper. In this study, we innovatively propose the use of reduced cellulose nanofibrils (rCNFs) and aminopropyltriethoxysilane modified CaCO3 (APTES-CaCO3) for preserving aged paper. The sodium borohydride-mediated reduction of cellulose nanofibrils diminished the carboxylate content and O/C mass ratio in rCNFs, which in turn amplified the swelling of rCNFs and their crosslinking potential with paper fibers. By introducing amino groups to the CaCO3 surface, the dispersion property of APTES-CaCO3 in organic solvent was enhanced, as well as the deacidification ability and the retention on the paper. The distinct structures and attributes of rCNFs and APTES-CaCO3 were characterized by various techniques. Following the conservation application to aged paper using this system, a desired internal pH value of 8.31 and an alkaline reserve of 0.8056 mol/kg were achieved, alongside a 33.6 % elevation in the tensile index. The aging resistance of the treated paper was evaluated by dry heat and hygrothermal aging tests. The findings revealed that the treatment bestowed the treated paper with outstanding anti-aging properties, notably in terms of internal pH, alkaline reserve and mechanical robustness. Additionally, the paper's brightness was amplified, while its color alteration remained negligible.

Wet events increase tree growth recovery after different drought intensities.

Understanding the dynamics of tree recovery after drought is critical for predicting the state of tree growth in the context of future climate change. While there has been a great deal of researches showing that drought events can cause numerous significant negative effects on tree growth, the positive effects of post-drought wetting events on tree growth remain unclear. Therefore, we analyzed the effect of wet and dry events on the radial growth of trees in Central Asia using data on the width of tree rings. The results showed that 1) Drought is the main limiting factor for radial growth of trees in Central Asia, and that as the intensity and sensitivity of drought increases, tree resistance decreases and recovery rises, and more frequent droughts reduce tree resistance. 2) Tree radial growth varied significantly with wet and dry conditions, with wet events before and after drought events significantly enhancing tree radial growth. 3) When drought is followed by a wetting event, the relationship between tree resistance and recovery is closer to the "line of full resilience", with a significant increase in recovery, and compensatory growth is more likely to occur. Thus, wetting events have a significant positive effect on tree radial growth and are a key factor in rapid tree growth recovery after drought.

[Characteristics and Identification Priority Source of Heavy Metals Pollution in Farmland Soils in the Yellow River Basin].

Assessments of the soil environmental quality of farmland and pollution source apportionment are the foundation for ensuring national food security and agricultural sustainable development, as well as an important prerequisite for the pursuit to keep our lands clean. This study evaluated the characteristics of heavy metal pollution in farmland soils in the Yellow River Basin from 2000 to 2023, based on the data of heavy metal contents including As, Cd, Cr, Cu, Hg, Ni, Pb, and Zn, using the geo-accumulation index method. Source apportionment was conducted by employing a positive matrix factorization (PMF) model. The probabilistic health risks were evaluated by coupling Monte Carlo simulation with a human health risk assessment model, and priority pollution sources and elements were identified. The results showed that:① the average content of all heavy metals in farmland soils within the study area was lower than the screening values specified in the soil environment quality risk control standard for soil contamination of agriculture land (GB 15618-2018) (pH>7.5). However, the contents of Cd, As, and Zn in the samples exceeded their screening values, with percentages of 21.69%, 5.56%, and 1.23%, respectively, with Cd having the highest rate of exceedance. ② Hg and Cd were moderately polluted, Cu and Pb were slightly polluted, and the other elements were not polluted. ③ The main sources of heavy metals in farmland soil were traffic-industrial sources, natural-agricultural sources, industrial-natural sources, and agricultural-industrial sources, with contribution rates of 37.04%, 26.69%, 21.72%, and 14.55%, respectively. ④ Heavy metals in farmland soil posed carcinogenic health risks to adults and children but did not have non-carcinogenic risks; As and Cd were priority control elements for human health risks, and industrial-natural sources and agricultural-industrial sources were priority control sources in the study area.

Current Global Research Trends of Tethered Cord Syndrome Surgery: A Scientometric and Visual Analysis.

BACKGROUND: Since tethered cord syndrome (TCS) may lead to neurologic and motor dysfunction, surgeries often are applied to relieve the symptoms. The aim of the research was to explore the current global research trends of TCS surgery. METHODS: In this article, articles on TCS surgery in the Web of Science Core Collection from 1980 to 2023 were searched. Research trends, countries, institutions, journals, authors, highly cited articles, and key words were analyzed using bibliometric methods. The literature co-citation network was mapped using VOSviewer, and research hotspots and trends were analyzed using CiteSpace. RESULTS: A total of 432 publications were included. The number of publications and related research interest in the field of TCS surgery has increased globally year by year. The United States is the largest contributor (154 publications). The journal Childs Nervous System has the greatest number of publications (48 publications) and the most frequently cited journal is Neurosurgery (973 citations). In network visualization, the institution with the greatest contribution is University of California System (16 publications). Lee JY and Wang KC are the authors with the greatest number of publications (8 publications), and the most frequently cited author is Klekamp J (268 citations). Neurogenic bladder and spina bifida may be the next hot spot in this field. CONCLUSIONS: This study will help researchers to identify the mainstream research directions and the latest hotspots in the field of TCS surgery and provide a reference for further research.

Cyclic synthesis of lignin anthraquinone electrolytes for aqueous redox flow batteries.

Lignin, which is rich in phenolic hydroxyl/methoxy groups as redox active groups, is a potential electrolyte material for aqueous redox flow batteries (ARFBs). This work demonstrated to the synthesis of lignin-derived electrolytes via cyclization with 1,4-dihydroxyanthraquinone (1,4-DHAQ), in the absence of hazardous or noble metal catalysts in mild conditions (0 °C, 1 atm). The structure of lignin anthraquinone derivatives (LAQDs) cyclized in basis alkaline solution was experimentally determined. An exhaustive comparative study was conducted with respect to the electrochemical properties, charging-discharging tests and cycling performances. The initially volumetric capacitance, the capacity retention rate and coulombic efficiency of two LAQDs were determined to be 148.0 mAh.L-1, 89.3 % and 99.0 % for coniferaldehyde-anthraquinone derivative [LAQD(G)], and 132.1 mAh.L-1, 81.2 % and 99.0 % for sinusaldehyde-anthraquinone derivative [LAQD(S)], respectively. The theoretical value calculated by DFT is consistent with the actual value. Such LAQDs can be used as organic electrolyte materials, which can overcome poor chemical stability of anthraquinone, while improving the electrochemical activity of lignin-based electrolyte materials. This technology provides a pathway to prepare organic electrolyte for the development of environment friendly and better energy storage performance electrolytes for ARFBs.

Efficacy of ultrasound guided superior laryngeal nerve block on sedation for delayed extubation in maxillofacial surgery with free flap reconstruction.

OBJECTIVE: Superior laryngeal nerve block (SLNB) is a regional anesthesia technique for addressing airway response. However, SLNB on the efficacy of sedation in patients with delayed extubation is unknown, particularly for maxillofacial surgery (MS). The aim of the study was to assess whether ultrasound guided (UG) SLNB reduces the incidence of moderate to severe cough for delayed extubation in MS with free flap reconstruction. METHODS: 60 patients were randomly assigned to the GEA group (control group) and the SLNB group (UG-SLNB postoperatively, study group). During the initial two postoperative hours, the incidence of moderate and severe cough, agitation, and the number of patients requiring rescue propofol and flurbiprofen were recorded. Additionally, the time spent under the target level of sedation, postoperative hemodynamics, and the total does of propofol during the postoperative 24 h were recorded. RESULTS: The data showed the SLNB group had a significantly lower incidence of moderate to severe cough and agitation (p < 0.05), and a longer sedation time (p < 0.05). The number of patients required rescue propofol and flurbiprofen, as well as the hemodynamic changes, were significantly different between the two groups (p < 0.05). CONCLUSION: The use of UG-SLNB is associated with reduced incidence of postoperative cough. Moreover, SLNB can enhance the efficacy of postoperative sedation with need of fewer agents postoperatively. CLINICAL TRIAL REGISTRATION: ChiCTR2000039982.

Dekyphosis operation combined with limited osteotomy to treat the symptomatic adult tethered cord syndrome with complicated malformations: A case report.

RATIONALE: Tethered cord syndrome (TCS) represents a spectrum of neurological symptoms that are caused by constant or intermittent axial traction of the terminal cone of the spinal cord due to abnormal positioning. It is uncommon for abnormal structures of TCS to be accompanied by split cord malformation, thoracic spinal stenosis, and other spinal cord diseases. PATIENT CONCERNS: A 45-year-old male patient visited our hospital due to severe lower back pain, extensive left lower limb muscle weakness, and intermittent claudication. DIAGNOSES: TCS combined with stenosis of the thoracic canal, split cord malformation, and kyphosis deformity. INTERVENTIONS: The patient underwent Dekyphosis operation combined with limited osteotomy symptoms. OUTCOMES: The patient felt the right lower limb improved after surgery. At 4-month follow-up, a radiological examination showed adequate decompression of the spinal cord and a good internal fixation position. Overall, the patient's clinical symptoms significantly improved. CONCLUSION: This is a rare case of TCS combined with thoracic disc herniation and bony mediastinum. A more conservative invasive surgical approach was elected and markedly improved the patient's symptoms. Additional clinical cases are needed to confirm the stability and feasibility of this surgical approach.