Development and preliminary validation of a questionnaire on the care needs of family carers of older individuals with disabilities in China: a mixed methods study.

BACKGROUND: Ensuring the wellness of older individuals with disabilities requires prioritising the care needs of their carers. However, current practice lacks validated tools to measure the needs of carers in home environments. Thus, this study aimed to create and test a questionnaire on the care needs of family carers of older people with disabilities in China. METHODS: We used a standard development process to generate the questionnaire. The pilot testing included cognitive interviews to ensure interpretation as intended. Furthermore, we used a cross-sectional study method to conveniently select 640 Chinese family carers of older people with disabilities from August 1, 2022, to June 11, 2023, for face-to-face investigation. Exploratory factor analysis (EFA) aided in project reduction and factor estimation, with 30 participants undergoing retest evaluations every two weeks. Confirmatory factor analysis (CFA) assessed the model's structural validity, while internal consistency and retest reliability validated its accuracy. RESULTS: These tests established the model: content validity, item analysis and EFA. Six factors extracted from the initial analysis explained 62.891% of the observation variance. CFA showed good model fit, and the questionnaire had good reliability and validity. The final questionnaire included 21 items focusing on six dimensions: care assistance (three items), care environment (three items), care information (three items), formal support (four items), care ability (six items) and self-development (two items). CONCLUSION: The care needs questionnaire effectively evaluates the needs of family carers in their caring activities.

Color Night Light Remote Sensing Images Generation Using Dual-Transformation.

Traditional night light images are black and white with a low resolution, which has largely limited their applications in areas such as high-accuracy urban electricity consumption estimation. For this reason, this study proposes a fusion algorithm based on a dual-transformation (wavelet transform and IHS (Intensity Hue Saturation) color space transform), is proposed to generate color night light remote sensing images (color-NLRSIs). In the dual-transformation, the red and green bands of Landsat multi-spectral images and "NPP-VIIRS-like" night light remote sensing images are merged. The three bands of the multi-band image are converted into independent components by the IHS modulated wavelet transformed algorithm, which represents the main effective information of the original image. With the color space transformation of the original image to the IHS color space, the components I, H, and S of Landsat multi-spectral images are obtained, and the histogram is optimally matched, and then it is combined with a two-dimensional discrete wavelet transform. Finally, it is inverted into RGB (red, green, and blue) color images. The experimental results demonstrate the following: (1) Compared with the traditional single-fusion algorithm, the dual-transformation has the best comprehensive performance effect on the spatial resolution, detail contrast, and color information before and after fusion, so the fusion image quality is the best; (2) The fused color-NLRSIs can visualize the information of the features covered by lights at night, and the resolution of the image has been improved from 500 m to 40 m, which can more accurately analyze the light of small-scale area and the ground features covered; (3) The fused color-NLRSIs are improved in terms of their MEAN (mean value), STD (standard deviation), EN (entropy), and AG (average gradient) so that the images have better advantages in terms of detail texture, spectral characteristics, and clarity of the images. In summary, the dual-transformation algorithm has the best overall performance and the highest quality of fused color-NLRSIs.

Correlation change analysis and NDVI prediction in the Yellow River Basin of China using complex networks and GRNN-PSRLSTM.

The Normalized Difference Vegetation Index (NDVI) is affected by various environmental factors, and its relationship with these factors is complex. In order to explore the complex relationship between NDVI and environmental factors, this paper adopts the complex network method to construct a correlation fluctuation network and analyze the interaction between them. It is found that temperature, precipitation, soil moisture, sunshine duration, and PM2.5 are all correlated with NDVI to varying degrees, and their combined correlation with NDVI varies over time. The correlation typically takes 3 to 6 months to change, and it tends to persist to some extent. Moreover, we fuse a generalized regression neural network (GRNN) with a long-short-term memory (LSTM) network combining phase space reconstruction (PSR) to propose a GRNN-PSRLSTM prediction model. The model achieves the prediction of monthly NDVI using the five environmental factors of the fluctuation network. The results indicate that the averages of root mean squared error (RMSE) and mean absolute percentage error (MAPE) predicted by the GRNN-PSRLSTM model in the nine provinces are 0.0232 and 0.0564 respectively. This model performs better in the assessment metrics for monthly NDVI forecasts. These findings are significant for evaluating vegetation changes and have some theoretical value for the ecological protection of the Yellow River Basin.

Stretchable Sponge-Based Electrochemical Biosensor for Real-Time Sensing of Cells in Three-Dimensional Culture.

For the study of cell biology, real-time information on cell physiological processes will be more accurate and closer to the in vivo condition in a three-dimensional (3D) culture system. Although most reported 3D cell culture scaffolds can better mimic the in vivo dynamic microenvironment, the real-time analysis technique is deficient or lacking. Herein, a stretchable and conductive 3D scaffold is developed to construct an electrochemical biosensor for real-time monitoring of cell release in 3D culture under stimulation of drug stimulant and mechanical force. In our design, the polyurethane sponge (PU) dipped with conductive carbon ink (CC/PU) was used as a conductive scaffold, and gold nanoparticles (nano-Au) were electrodeposited on the CC/PU (nano-Au CC/PU) to improve the electrochemical sensing performance. The prepared nano-Au CC/PU scaffold exhibits a good electrocatalytic ability to H2O2 with a linear range from 20 nM to 43 µM. Due to the great biocompatibility, HeLa cells can be cultured directly on the nano-Au CC/PU and the in situ and real-time tracking of H2O2 secretion from cells was achieved. The results demonstrate that both the drug stimulant and mechanical force can rapidly activate the release of reactive oxygen species. This study indicates that the stretchable 3D sensing scaffold has good potential for cell biology research in an in vivo-like microenvironment and can be extensively used in the fields of tissue engineering, drug screening, and pathological research.

Pharmacokinetics and Biodistribution of 89Zr-Miltuximab and Its Antibody Fragments as Glypican-1 Targeting Immuno-PET Agents in Glioblastoma.

Glioblastoma (GBM) is the most aggressive form of primary brain cancer, accounting for about 85% of all primary central nervous system (CNS) tumors. With standard treatment strategies like surgery, radiation, and chemotherapy, the median survival time of patients with GBM is only 12-15 months from diagnosis. The poor prognosis of GBM is due to a very high tumor recurrence rate following initial treatment, indicating a dire need for improved diagnostic and therapeutic alternatives for this disease. Antibody-based immunotheranostics holds great promise in treating GBM, combining the theranostic applications of radioisotopes and target-specificity of antibodies. In this study, we developed and validated antibody-based positron emission tomography (PET) tracers targeting the heparan sulfate proteoglycan, glypican-1 (GPC-1), for noninvasive detection of disease using diagnostic molecular imaging. GPC-1 is overexpressed in multiple solid tumor types, including GBM, and is a promising biomarker for novel immunotheranostics. Here, we investigate zirconium-89 (89Zr)-conjugated Miltuximab (a clinical stage anti-GPC-1 monoclonal antibody developed by GlyTherix, Ltd.) and engineered fragments for their potential as immuno-PET tracers to detect GPC-1positive GBM tumors in preclinical models. We explore the effects of molecular size, avidity, and Fc-domain on the pharmacokinetics and biodistribution in vivo, by comparing in parallel the full-length antibody (Miltuximab), Fab'2, Fab, and single-chain variable fragment (scFv) formats. High radiolabeling efficiency (>95%) was demonstrated by all the formats and the stability post-radiolabeling was higher for larger constructs of Miltuximab and the Fab. Receptor-mediated internalization of all 89Zr-labeled formats was observed in a human GBM cell line in vitro, while full-length Miltuximab demonstrated the highest tumor retention (5.7 ± 0.94% ID/g, day-9 postinjection (p.i.)) and overall better tumor-to-background ratios than the smaller Fc-less formats. Results from in vivo PET image quantification and ex vivo scintillation counting were highly correlated. Altogether, 89Zr-DFO-Miltuximab appears to be an effective immuno-PET imaging agent for detecting GPC-1positive tumors such as GBM and the current results support utility of the Fc containing whole mAb format over smaller antibody fragments for this target.

Semantic Retrieval of Remote Sensing Images Based on the Bag-of-Words Association Mapping Method.

With the increasing demand for remote sensing image applications, extracting the required images from a huge set of remote sensing images has become a hot topic. The previous retrieval methods cannot guarantee the efficiency, accuracy, and interpretability in the retrieval process. Therefore, we propose a bag-of-words association mapping method that can explain the semantic derivation process of remote sensing images. The method constructs associations between low-level features and high-level semantics through visual feature word packets. An improved FP-Growth method is proposed to achieve the construction of strong association rules to semantics. A feedback mechanism is established to improve the accuracy of subsequent retrievals by reducing the semantic probability of incorrect retrieval results. The public datasets AID and NWPU-RESISC45 were used to validate these experiments. The experimental results show that the average accuracies of the two datasets reach 87.5% and 90.8%, which are 22.5% and 20.3% higher than VGG16, and 17.6% and 15.6% higher than ResNet18, respectively. The experimental results were able to validate the effectiveness of our proposed method.

Upconversion nanoparticle-assisted single-molecule assay for detecting circulating antigens of aggressive prostate cancer.

Sensitive and quantitative detection of molecular biomarkers is crucial for the early diagnosis of diseases like metabolic syndrome and cancer. Here we present a single-molecule sandwich immunoassay by imaging the number of single nanoparticles to diagnose aggressive prostate cancer. Our assay employed the photo-stable upconversion nanoparticles (UCNPs) as labels to detect the four types of circulating antigens in blood circulation, including glypican-1 (GPC-1), leptin, osteopontin (OPN), and vascular endothelial growth factor (VEGF), as their serum concentrations indicate aggressive prostate cancer. Under a wide-field microscope, a single UCNP doped with thousands of lanthanide ions can emit sufficiently bright anti-Stokes' luminescence to become quantitatively detectable. By counting every single streptavidin-functionalized UCNP which specifically labeled on each sandwich immune complex across multiple fields of views, we achieved the Limit of Detection (LOD) of 0.0123 ng/ml, 0.2711 ng/ml, 0.1238 ng/ml, and 0.0158 ng/ml for GPC-1, leptin, OPN and VEGF, respectively. The serum circulating level of GPC-1, leptin, OPN, and VEGF in a mixture of 10 healthy normal human serum was 25.17 ng/ml, 18.04 ng/ml, 11.34 ng/ml, and 1.55 ng/ml, which was within the assay dynamic detection range for each analyte. Moreover, a 20% increase of GPC-1 and OPN was observed by spiking the normal human serum with recombinant antigens to confirm the accuracy of the assay. We observed no cross-reactivity among the four biomarker analytes, which eliminates the false positives and enhances the detection accuracy. The developed single upconversion nanoparticle-assisted single-molecule assay suggests its potential in clinical usage for prostate cancer detection by monitoring tiny concentration differences in a panel of serum biomarkers.

Accurate ab initio based global adiabatic potential energy surfaces for the 13A'', 13A' and 21A' states of SiH2.

Three accurate global adiabatic potential energy surfaces for the 13A'', 13A' and 21A' states of SiH2 are constructed by fitting numerous ab initio energies calculated at the aug-cc-pV(Q+d)Z and aug-cc-pV(5+d)Z basis sets based on the multi-reference configuration interaction level with Davidson correction. It is worth noting that the potential energy surface of the 13A'' state is established for the first time. The topographic features of these novel potential energy surfaces are investigated in detail and are very consistent with those obtained in the available literature. Moreover, the integral cross-sections of the corresponding reaction are calculated for the first time using a quasi-classical trajectory method and time-dependent wave packet method, indicating that the 13A'' state makes a major contribution to the reaction of Si(3P) + H2(X1Σ+g) (v = 0, j = 0) → H(2S) + SiH(X2Π) at high collision energies. These new potential energy surfaces provide a reliable foundation for investigation of the dynamics and a component for constructing larger silicon-/hydrogen-containing systems.

An accurate many-body expansion potential energy surface for AlH2 (22A') and quantum dynamics in Al(3P) + H2 (v0 = 0-3, j0 = 0, 2, 4, 6) collisions.

An accurate potential energy surface is constructed for the excited state of AlH2 by fitting extensive ab initio points calculated at the multi-reference configuration interaction level based on aug-cc-pV(Q+d)Z and aug-cc-pV(5+d)Z basis sets. All the calculated energies are corrected via the many-body expansion method and extrapolated to the complete basis set limit. The various topographic features of the new potential energy surface are investigated to demonstrate the correct behavior of Al(3P) + H2(X1Σg+) and AlH(a3Π) + H(2S) dissociation limits. By employing the time-dependent wave packet approach, the integral scattering cross-sections obtained from the Coriolis coupling calculation and the centrifugal sudden approximation, respectively, are compared in detail and show that the former has a higher effect on the reaction. Moreover, the thermal rate constants for Al(3P) + H2 (v0 = 0-3, j0 = 0, 2, 4, 6) in the temperature range of 0-5000 K are calculated, thereby providing insights into the influence of ro-vibrational quantum numbers on the thermal rate constants.

An accurate many-body expansion potential energy surface for SiH2 (11 A') using a switching function formalism.

An accurate many-body expansion potential energy surface for the ground state of SiH2 is reported. To warrant the correct behavior at the Si (1D) + H2 (X1Σ+g) dissociation channels involving silicon in the first excited Si (1D) and ground Si (3P) states, a switching function formalism has been utilized. A great deal of ab initio points based on aug-cc-pV(Q+d)Z and aug-cc-pV(5+d)Z basis sets are utilized at the multi-reference configuration interaction level using the full-valence-complete-active-space wave function as the reference. Subsequently the calculated energies are corrected via a many-body expansion method to extrapolate to the complete basis set limit. The topographic features of the novel many-body expansion global potential energy surface are studied in detail, showing a good agreement with the theoretical and experimental results in the literature. Moreover, the integral cross-section of the Si (1D) + H2 (X1Σ+g) → H (2S) + SiH (X2Π) reaction has been calculated using the time-dependent wave packet method, which provides support for the reliability of the title potential energy surface. This work can serve as the foundation for the study of Si (1D) + H2 (X1Σ+g) reaction kinetics, and for the construction of the larger multibody expansion potential energy surface of silicon/hydrogen containing systems.

Globally Accurate Potential Energy Surface for BH2+2(13A') Using the Switching Function Formalism.

A great number of ab initio energy points are calculated using the aug-cc-pV(Q,5)Z basis sets at the multireference configuration interaction level and extrapolated to the complete basis set limit. An exact three-dimensional potential energy surface of the ground-state BH2+ is obtained. A switching function is developed to model the transition of B+(3P) to B+(1S) to guarantee the reliable behavior at B+(3P) + H2(X1∑g+) and BH+(X2∑+) + H(2S) dissociation limits. The various topographic features of the new global potential energy surface are discussed in detail, showing a good agreement with the previous results from the theory. The quasi-classical trajectory method is utilized to calculate the integral cross sections of the B+(3P) + H2(X1∑g+) (v = 0, j = 0) → BH+(X2∑+) + H(2S) reaction, which can provide another support for reliability of the title potential energy surface.

Glypican-1 as a target for fluorescence molecular imaging of bladder cancer.

OBJECTIVES: To investigate whether anti-glypican-1 antibody Miltuximab conjugated with near-infrared dye IRDye800CW can be used for in vivo fluorescence imaging of urothelial carcinoma. METHODS: The conjugate, Miltuximab-IRDye800CW, was produced and characterized by size exclusion chromatography and flow cytometry with glypican-1-expressing cells. Balb/c nude mice bearing subcutaneous urothelial carcinoma xenografts were intravenously injected with Miltuximab-IRDye800CW or control IgG-IRDye800CW and imaged daily by fluorescence imaging. After 10 days, tumors and major organs were collected for ex vivo study of the conjugate biodistribution, including its accumulation in the tumor. RESULTS: The intravenous injection of Miltuximab-IRDye800CW to tumor-bearing mice showed its specific accumulation in the tumors with the tumor-to-background ratio of 12.7 ± 2.4, which was significantly higher than that in the control group (4.6 ± 0.9, P < 0.005). The ex vivo imaging was consistent with the in vivo findings, with tumors from the mice injected with Miltuximab-IRDye800CW being significantly brighter than the organs or the control tumors. CONCLUSIONS: The highly specific accumulation and retention of Miltuximab-IRDye800CW in glypican-1-expressing tumors in vivo shows its high potential for fluorescence imaging of urothelial carcinoma and warrants its further investigation toward clinical translation.

(-)-4-O-(4-O-ß-D-glucopyranosylcaffeoyl) quinic acid enhanced the efficacy of anti-PD-L1 against esophageal carcinoma through inhibiting PI3K pathway.

PURPOSE: Using antibodies to block the programmed cell death 1 (PD-1)/programmed cell death-ligand 1 (PD-L1) pathway as an immunotherapy has achieved great success in the clinical treatment of various types of carcinoma. However, the efficacy is limited because of tumor-mediated immune immunosuppression and evasion. This study demonstrated that inhibiting the PI3K pathway with (-)-4-O-(4-O-ß-D-glucopyranosylcaffeoyl) quinic acid (QA), a new compound from endophytic fungus Penicillium citrinum of Avicennia marina, enhanced the therapeutic efficacy of anti-PD-L1 antibody against esophageal tumors. MATERIALS AND METHODS: mEC25 cells were injected into C57BL/6 mice to establish a syngeneic esophageal tumor model. Tumor infiltration lymphocytes (TILs) were analyzed by flow cytometry. Gene and protein expression was detected by qPCR and western blot, respectively. Moreover, the therapeutic effects of QA combining with anti-PD-L1 antibody were evaluated in the tumor model. RESULTS: These data demonstrated that inhibition of PI3K with QA could overcome immunosuppression and promote the response of T-lymphocytes, resulting in the restoration of cytotoxic T cell-mediated tumor control. QA and anti-PD-L1 combination therapy significantly delayed tumor growth. CONCLUSIONS: Our results provide a scientific basis to develop combination therapies involving anti-PD-L1 and PI3K inhibitors to improve responses in patients with esophageal cancer.

Consensus of large-scale group decision making in social network: the minimum cost model based on robust optimization.

Recently, large-scale group decision making (LSGDM) in social network comes into being. In the practical consensus of LSGDM, the unit adjustment cost of experts is difficult to obtain and may be uncertain. Therefore, the purpose of this paper is to propose a consensus model based on robust optimization. This paper focuses on LSGDM, considering the social relationship between experts. In the presented model, an expert clustering method, combining trust degree and relationship strength, is used to classify experts with similar opinions into subgroups. A consensus index, reflecting the harmony degree between experts, is devised to measure the consensus level among experts. Then, a minimum cost model based on robust optimization is proposed to solve the robust optimization consensus problem. Subsequently, a detailed consensus feedback adjustment is presented. Finally, a case study and comparative analysis are provided to verify the validity and advantage of the proposed method.

Accurate global adiabatic potential energy surfaces for three low-lying electronic states of AlH2 free radicals.

In order to obtain the all-round molecular properties of the AlH2 system and the corresponding dynamical characteristics of the Al + H2 (v = 0, j = 0) → H + AlH reaction, three significant global adiabatic potential energy surfaces of AlH2 (X2A1, 2B1, and 2B2) free radicals were constructed for the first time. Ab initio energies were calculated under the multi-reference configuration interaction method and the aug-cc-pV(T,Q)Z basis sets; then the ab initio energies were extrapolated to the complete basis sets limit. The three adiabatic potential energy surfaces were constructed by the many-body expansion theory. The maximum root-mean square error was just 50 cm-1, which was small enough to ensure that the potential energy surfaces were accurate. The concerned T-type insertion topographical features, dissociation schemes, C2v geometry reaction mechanisms, and minimum energy curve paths were investigated and are discussed in detail. Several differences from previous studies are also pointed out. Eventually, the integral cross-sections of Al + H2 (v = 0, j = 0) → H + AlH reaction as calculated by quasi-classical trajectory method were employed to predict the dynamical properties of AlH2, providing the most reliable theoretical reference of the dynamical characteristics known thus far for such a reaction. These new potential energy surfaces can be treated as a reliable basis for investigation of the dynamics and as a component for constructing larger aluminum-/hydrogen-containing systems.

Critical appraisal of international guidelines for the prevention and treatment of pregnancy-associated venous thromboembolism: a systematic review.

BACKGROUND: Pregnancy-associated Venous thromboembolism (VTE) is one of the most common causes of maternal morbidity and mortality in developed countries. In this study, we aimed to systematically review and critical appraisal of guidelines to compare the recommendations in pregnancy-associated VTE. METHODS: Guidelines in English between January 1, 2009 and November 31, 2018 were searched using Medline via PubMed, as well as the guidelines' website. The guidelines containing the recommendations on pregnancy-associated VTE were included. Through the Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument, three reviewers appraised the quality of the included guidelines. The recommendations were also summarized and compared to analyze the consistency. RESULTS: Fifteen guidelines from 13 organizations were included. Ten guidelines from nine organizations, namely, ACCP, ANZJOG, ASH, Australia, ESC, Korea, RCOG, SASTH, SOCC, were regarded as "strongly recommended for use in practice". Most of the included guidelines scored low in lower scores in domain 3 (Rigor of development) and domain 6 (Editorial independence). Recommendations on prevention are contained in ten guidelines while treatment are included in seven. The main conflicting recommendations were mainly at the anticoagulant choice for prevention on pregnant women and prevention after cesarean section. The duration of VTE treatment in pregnant women was also controversial. CONCLUSIONS: In summary, the quality of pregnancy-associated VTE guidelines varied widely, especially in Rigor of development and Editorial independence. Recommendations were inconsistent both in prevention and treatment across guidelines. Increased efforts are required to provide high-quality evidence specific to the pregnancy population. Guideline developers should also pay more attention to methodological quality.

Dexmedetomidine versus sufentanil with high- or low-concentration ropivacaine for labor epidural analgesia: A randomized trial.

AIM: To study analgesic effects of dexmedetomidine or sufentanil, both combined with ropivacaine, in epidural analgesia during labor. METHODS: We recruited 160 primigravidae with full-term pregnancy who received epidural anesthesia during labor and randomized them into four groups to receive epidural administration of ropivacaine combined with sufentanil (RS1 and RS2 groups) or with dexmedetomidine (RD1 and RD2 groups). Systolic blood pressure, diastolic blood pressure and heart rate before anesthesia (T1 ), 15 min after anesthesia induction (T2 ), on delivery (T3 ) and 2 h postpartum (T4 ), together with visual analogue scale scores, Bromage scores, Ramsay scores, adverse reactions during analgesia and urinary retention at 6 and 24 h postpartum were recorded; the pH, PCO2 and PO2 of umbilical cord arterial blood and Apgar scores at 1, 5 and 10 min after childbirth were assessed. RESULTS: RS1 group had significantly lower systolic blood pressure, diastolic blood pressure and heart rate than RD1 group at T2 and T3 (all P < 0.05), but not at T1. At T2 and T3 , the other three groups were lower than RS2 group in visual analogue scale and Ramsay scores (all P < 0.05). After childbirth, RD2 group had significantly higher PO2 result than other three groups (P < 0.05). At 6 h postpartum, RD2 group had significantly fewer cases of urinary retention than RD1 and RS1 groups (both P < 0.05). CONCLUSION: A relatively low concentration of ropivacaine, combined with dexmedetomidine, is better in analgesia during labor.

The structure of human SFPQ reveals a coiled-coil mediated polymer essential for functional aggregation in gene regulation.

SFPQ, (a.k.a. PSF), is a human tumor suppressor protein that regulates many important functions in the cell nucleus including coordination of long non-coding RNA molecules into nuclear bodies. Here we describe the first crystal structures of Splicing Factor Proline and Glutamine Rich (SFPQ), revealing structural similarity to the related PSPC1/NONO heterodimer and a strikingly extended structure (over 265 Å long) formed by an unusual anti-parallel coiled-coil that results in an infinite linear polymer of SFPQ dimers within the crystals. Small-angle X-ray scattering and transmission electron microscopy experiments show that polymerization is reversible in solution and can be templated by DNA. We demonstrate that the ability to polymerize is essential for the cellular functions of SFPQ: disruptive mutation of the coiled-coil interaction motif results in SFPQ mislocalization, reduced formation of nuclear bodies, abrogated molecular interactions and deficient transcriptional regulation. The coiled-coil interaction motif thus provides a molecular explanation for the functional aggregation of SFPQ that directs its role in regulating many aspects of cellular nucleic acid metabolism.

MicroRNA-144 mediates metabolic shift in ovarian cancer cells by directly targeting Glut1.

Warburg effect is characterized by an increased utilization of glucose via glycolysis in cancer cells, even when enough oxygen is present to properly respire. Recent studies demonstrate that deregulation of microRNAs contributes to the Warburg effect. In the present study, we show that miR-144 is downregulated while glucose transporter 1 (Glut1) is upregulated in ovarian cancers. In vitro studies further showed that miR-144 inhibits Glut1 expression through targeting its 3'-untranslated region. As a result, cells overexpressing miR-144 exhibited a metabolic shift, including enhanced glucose uptake and lactate production. The altered glucose metabolism induced by miR-144 also leads to a rapid growth of ovarian cancer cells. Taken together, our results indicate that miR-144 may serve as a molecular switch to regulate glycolysis in ovarian cancer by targeting the expression of Glut1.

Successful Laparoscopic Management of Type I Cesarean Scar Pregnancy A Case Series.

OBJECTIVE: To explore the efficacy of laparoscopic surgery without auxiliary treatment for type II cesarean scar pregnancy (CSP-II). STUDY DESIGN: This was a case series of 7 patients with CSP-II who underwent laparoscopic surgery without auxiliary treatment between April 2014 and April 2015. All cases were diagnosed by ultrasound, confirmed by laparoscopy, and managed by laparoscopic resection of scar and gestational tissue and wound repair. RESULTS: All 7 patients had successful surgeries without complication. Uterine scar and gestational tissues were resected, while also preserving the uterus. The operation time was 70.1 ± 16.3 min and blood loss was 65.7 ± 32.1 mL. Serum ß-hCG levels 24 hours after surgery declined by 84.8 ± 9.4%. Serum ß-hCG levels went back to <5 IU/L in all 7 patients by 14.4 ± 4.3 days after surgery. The time interval between surgery and first menstruation was 35.3 ± 4.5 days. CONCLUSION: These results suggest the possibility that skilled surgeons could use laparoscopy without auxiliary pretreatment to remove gestational tissues and uterine scar defect and to repair the wound in patients with CSP-II.