Idiopathic mesenteric phlebosclerosis occurring in a patient with liver cirrhosis: A case report.

BACKGROUND: Idiopathic mesenteric phlebosclerosis (IMP) is a rare gastrointestinal disease with unclear etiology and pathogenesis. IMP occurring in a patient with liver cirrhosis is more scarcely reported than independent IMP. In this study, we reported a case of IMP occurring in a patient with liver cirrhosis, so as to provide a reference for understanding liver cirrhosis with IMP. METHOD: A 63-year-old man with liver cirrhosis was admitted in the hospital's department of infectious disease because of fatigue and constipation for 1 month. The patient had an irregular medical history of antivirus drug and Chinese herbal medicine intake because of the hepatitis B virus infection. No other abnormalities were found in the functions of the liver, coagulation, renal, or complete blood count. Fecal occult blood tests were all positive in 5 detections. Contrast-enhanced computed tomography revealed liver cirrhosis and showed thickening of the wall of the right hemicolon and multiple calcifications of the mesenteric veins. Mesenteric vein computed tomography venography displayed diffuse colon mural thickening of the right colon and tortuous linear calcification line in the right colic veins. Colonoscopy revealed a purple-blue, swollen, rough, and vanished vascular texture mucosa. He was finically diagnosed as liver cirrhosis with IMP by a series of examinations during hospitalization. RESULTS: His symptoms of fatigue and constipation subsided after conservative treatment and withdraw from Chinese herbal medicine. The patient experienced no obvious discomfort during the follow-up period. CONCLUSION: A comprehensive medical diagnosis is necessary for the discovery of IMP, especially IMP with liver cirrhosis. Liver cirrhosis maybe play a key role in the development of IMP. The regulatory mechanism of liver cirrhosis contributing to IMP needs to be further studied based on more clinical cases.

Characteristics and health risk assessment of heavy metal pollution in atmospheric particulate matter in different regions of the Yellow River Delta in China.

To understand the characteristics, temporal and spatial variation, and health risks of atmospheric heavy metal pollution in different areas of the YRD (Yellow River Delta), atmospheric particles samples were collected in the YRD in China during 2016-2017. A total of 10 monitoring points were chosen in different areas (industrial parks, main urban areas, and rural areas) in the YRD, heavy metals were monitored using atomic fluorescence spectrometry and graphite furnace atomic absorption spectrometry. The results showed that TSP (total suspended particulate), PM10 (particulate matter with an aerodynamic diameter less than 10 µm), and PM2.5 (particulate matter with an aerodynamic diameter less than 2.5 µm) contents were higher in the Kenli EDZ (economic development zone) and Kenli urban areas than those in other points. The concentration range of heavy metals in atmospheric samples at 10 points was different, with a difference of five orders of magnitude, of which the content of copper (Cu) was the highest, with the highest concentration of 4.375 µg/m3, and the content of particulate mercury (Hg) was the lowest, with the minimum concentration of 0.00001 µg/m3. Among the nine heavy metals, the contents of cadmium (Cd), lead (Pb), and Hg were higher in winter than in summer, and chromium (Cr), nickel (Ni), Cu, and manganese (Mn) were higher in summer than in winter. In addition to Hg, the contents of the other eight heavy metals in particulate matter showed a trend that urban areas and EDZs had higher concentrations than cities and towns and nature reserves, which can be attributed to industrial activities and coal-fired fuel emissions. Health risk assessment was carried out for adults and children, respectively, and the results showed that carcinogens have no obvious carcinogenic risk, but As and Cr have major potential carcinogenic risk. Among the noncarcinogenic substances, Mn has the greatest noncarcinogenic risk, and urban areas and economic development zones have the greatest risk. This study investigated the characteristics and health risk assessment of atmospheric heavy metal pollution in different areas in the YRD to supplement the research contents of atmospheric particulate heavy metals in the YRD in domestics and overseas. It is also critical to study the pollution and migration of heavy metals in China.

A Sequential Therapeutic Hydrogel With Injectability and Antibacterial Activity for Deep Burn Wounds' Cleaning and Healing.

As a severe clinical challenge, escharotomy and infection are always the core concerns of deep burn injuries. However, a usual dressing without multifunctionality leads to intractable treatment on deep burn wounds. Herein, we fabricated a sequential therapeutic hydrogel to solve this problem. Cross-linked by modified polyvinyl alcohol (PVA-SH/ε-PL) and benzaldehyde-terminated F127 triblock copolymers (PF127-CHO), the hydrogel demonstrated excellent mechanical properties, injectability, tissue adhesiveness, antibacterial activity, biocompatibility, and satisfactory wound cleaning through both in vitro and in vivo assays. Additionally, based on the conception of "sequential therapy," we proposed for the first time to load bromelain and EGF into the same hydrogel in stages for wound cleaning and healing. This work provides a strategy to fabricate a promising wound dressing for the treatment of deep burn wounds with injectability and improved patients' compliance as it simplified the process of treatment due to its "three in one" characteristic (antibacterial activity, wound cleaning, and healing effects); therefore, it has great potential in wound dressing development and clinical application.

Dispositional Mindfulness Predicts Enhanced Smoking Cessation and Smoking Lapse Recovery.

BACKGROUND: Although mindfulness has been hypothesized to promote health behaviors, no research has examined how dispositional mindfulness might influence the process of smoking cessation. PURPOSE: The current study investigated dispositional mindfulness, smoking abstinence, and recovery from a lapse among African American smokers. METHODS: Participants were 399 African Americans seeking smoking cessation treatment (treatments did not include any components related to mindfulness). Dispositional mindfulness and other psychosocial measures were obtained pre-quit; smoking abstinence was assessed 3, 31 days, and 26 weeks post-quit. RESULTS: Individuals higher in dispositional mindfulness were more likely to quit smoking both initially and over time. Moreover, among individuals who had lapsed at day 3, those higher in mindfulness were more likely to recover abstinence by the later time points. The mindfulness-early abstinence association was mediated by lower negative affect, lower expectancies to regulate affect via smoking, and higher perceived social support. CONCLUSIONS: Results suggest that mindfulness might enhance smoking cessation among African American smokers by operating on mechanisms posited by prominent models of addiction.