Drug-eluting bead transarterial chemoembolization could improve the hepatic hemodynamics of patients with unresectable hepatocellular carcinoma: a retrospective cohort study.

Background: Transarterial chemoembolization (TACE) is widely used for patients with unresectable hepatocellular carcinoma (HCC); however, previous studies have demonstrated that conventional TACE (cTACE) might affect hepatic hemodynamics, which both associate with liver cirrhosis and survival. Drug-eluting bead TACE (DEB-TACE) improves treatment efficacy and safety, but its effects on the hepatic hemodynamics of HCC patients with cirrhosis remain unknown. Methods: This retrospective cohort study included unresectable HCC patients treated with DEB-TACE from April 2018 to September 2020, who had limited tumor burden and liver function. The hepatic hemodynamics was measured by hepatic venous pressure gradient (HVPG) using occlusion balloon catheter before and after treatment. Baseline characteristics of demography, laboratory (tumoral and liver-function) and hepatic hemodynamics were compared between patients with and without clinically significant portal hypertension (CSPH). Laboratory examination and imaging assessments were performed 4-6 weeks; overall survival (OS) was defined as the time from DEB-TACE initiation until death or last follow-up. Results: Twenty-four eligible consecutive HCC patients were included, with a median age of 58.0 years and 54.2% in Child-Pugh A class. During a median follow-up of 9.8 months, median OS for the whole cohort of patients reached 10.0 months. Kaplan-Meier survival curves and Cox regression analyses demonstrated that age >60 years, ascites, Eastern Cooperative Oncology Group (ECOG) score of 1, Child-Pugh B class, Model for End-Stage Liver Disease (MELD) score >10, and albumin (ALB) <35 g/L were prognostic factors for decreased OS (P<0.05). Importantly, hepatic hemodynamics were significantly improved in patients after treatment with DEB-TACE (7.5 vs. 5.3 mmHg of HVPG, P<0.001), especially for those with CSPH (13.6 vs. 10.2 mmHg of HVPG, P=0.014). Conclusions: DEB-TACE can improve hepatic hemodynamics in HCC patients, especially those with CSPH. Combing these findings with its effects on tumor, DEB-TACE might be more suitable for HCC patients with cirrhosis.

A novel educational tool helps teach intestinal absorption in physiology.

A novel educational tool helps teach intestinal absorption in physiology-We have designed an interesting educational tool to help sophomores learn intestinal absorption in physiology course. In the study group (2019), 51 sophomores from biomedical engineering were encouraged to learn the intestinal absorption knowledge through reading materials and group discussion. Then, using the form of flipped class, they stepped on the podium and simulated and explained the absorption processes with designed paper props as educational tool. In contrast, the control group (2018), 52 sophomores from the same specialty had taken the same professional courses before. The result of theoretical test showed the average score in the study group was higher than that in the control group. The questionnaire analysis showed the positive role of the education tool in their learning efficacy. To sum up, using our tool has achieved better teaching effects than the traditional lecture.

Tailoring the Vertical Morphology of Organic Films for Efficient Planar-Si/Organic Hybrid Solar Cells by Facile Nonpolar Solvent Treatment.

The optical and electrical properties of the blending organic film poly(3,4-ethylenedioxy-thiophene):poly(styrenesulfonate) (PEDOT:PSS) are strongly affected by its morphology, resulting in the performance variation in Si/organic hybrid solar cells. Here, a facile postsolvent treatment is used to tailor the vertical morphology of PEDOT:PSS by introducing a nonpolar solvent. X-ray photoelectron spectroscopy depth-profiling measurements show that the distribution of PEDOT and PSS on the surface of n-type Si can be changed by nonpolar solvent n-hexane (NHX) treatment, where more PSS aggregate at the bottom of the blend film and more PEDOT float up to the top, as compared with the reference sample. As a result, after NHX treatment, the average lifetime of the Si/organic films is increased from 152 µs for untreated samples to 248 µs for NHX-treated ones because of the better passivation effect of PSS on Si. Moreover, the transmission line model measurements indicate that the contact resistance (RC) of PEDOT:PSS film and the Ag electrode is decreased for better charge collection after NHX treatment. Eventually, the best power conversion efficiency (PCE) of 13.78% for NHX-treated planar solar cells is obtained, much higher than the PCE (with best of 12.78%) of reference devices without nonpolar solvent treatment. Our results provide a facile method to tailor the vertical morphology of the PEDOT:PSS in Si/organic hybrid solar cells.

Typical indoor concentrations and mass flow of cyclic volatile methylsiloxanes (cVMSs) in Dalian, China.

Cyclic volatile methylsiloxaes (cVMSs), namely hexamethylcyclotrisiloxane (D3), octamethylcyclotetrasiloxane (D4), decamethylcyclopentasiloxane (D5) and dodecamethylcyclohexasiloxane (D6), were studied for a typical indoor environment of male and female dormitories in the campus of Dalian Maritime University (DMU) in China. An empty, frit-fitted SPE cartridge was placed on top of an Isolute ENV + cartridge, sampling cVMSs in particulate and gas phases, respectively. The highest concentration of D3, D4, D5, and D6 was 190, 460, 37,000, and 670 ng m-3, respectively. All cVMSs, especially D5, were higher in female dormitories than that in male dormitories. Emission rate from different sources of cVMSs in dormitories was calculated from a survey of the use of personal care products (PCPs) by students living in the dormitory during the sampling period. The mean emission rate (ER, mg·d-1) of D4 and D5 in male dormitories was 0.12 ± 0.01 and 0.49 ± 0.03 mg d-1, respectively, and that in female dormitories was 0.21 ± 0.05 and 46 ± 17 mg d-1, respectively. Then, we modified an existing mass balance model to predict the indoor air levels of D4 and D5 in both male and female dormitories based on the usage of PCPs. There was a good agreement for D4 and D5 concentrations in female dormitories between modeled and measured concentrations with the ratio of predicted to measured values to be 1.5 and 1.2, respectively, which indicated that use of PCPs was the main source of cVMSs in university dormitories.

EEG functional network properties related to visually induced unrecognized spatial disorientation.

Unrecognized spatial disorientation (SD) which is intimately linked with brain cognitive function is always a fatal issue for the safety of pilots. To explore its effects on human brain cognitive functions, electroencephalography (EEG) functional network analysis methods were adopted to examine topological changes in the connection of cognitive regions when experiencing unrecognized SD. Twelve male pilots participated in the study. They were subjected to a SD scene, namely visual rotation, which evoked unrecognized SD. For the main EEG frequency intervals, the phase lag index (PLI) and normalized mutual information (NMI) were calculated to quantify the EEG data. Then weighted connectivity networks were constructed and their properties were characterized in terms of an average clustering coefficient and global efficiency. A T-test was performed to compare PLI, NMI and network measures under unrecognized SD and non-SD conditions. It indicated a weak functional connectivity level in the theta band under unrecognized SD based on the significant decrease of mean values of PLI and NMI (p<0.05). Meanwhile, both the average clustering coefficient and global efficiency in the theta band reduced under the unrecognized SD condition. The decrease of the average clustering coefficient and global efficiency demonstrates a lack of small-world characteristics and a decline in processing efficiency of brain cognitive regions. All the experimental results show that unrecognized SD may have a negative effect on brain functional networks in the theta band.

Comparison of postural responses to galvanic vestibular stimulation between pilots and the general populace.

Galvanic vestibular stimulation (GVS) can be used to study the body's response to vestibular stimuli. This study aimed to investigate whether postural responses to GVS were different between pilots and the general populace. Bilateral bipolar GVS was applied with a constant-current profile to 12 pilots and 12 control subjects via two electrodes placed over the mastoid processes. Both GVS threshold and the center of pressure's trajectory (COP's trajectory) were measured. Position variability of COP during spontaneous body sway and peak displacement of COP during GVS-induced body sway were calculated in the medial-lateral direction. Spontaneous body sway was slight for all subjects, and there was no significant difference in the value of COP position variability between the pilots and controls. Both the GVS threshold and magnitude of GVS-induced body deviation were similar for different GVS polarities. GVS thresholds were similar between the two groups, but the magnitude of GVS-induced body deviation in the controls was significantly larger than that in the pilots. The pilots showed less GVS-induced body deviation, meaning that pilots may have a stronger ability to suppress vestibular illusions.

Overexpression of brachyury contributes to tumor metastasis by inducing epithelial-mesenchymal transition in hepatocellular carcinoma.

AIMS: Brachyury overexpression has been reported in various human malignant neoplasms, but its expression and function in hepatocellular carcinoma progression and metastasis remains unknown. The present study aimed to evaluate the critical role of Brachyury in HCC metastasis. METHODS: The expression of Brachyury in human HCC (SMMC7721, HepG2, FHCC98, and Hep3B) and control cell lines was analyzed using quantitative reverse-transcriptase polymerase chain reaction and immunoflourence methods. Cancerous tissues collected from patients with HCC (n = 112) were analyzed using immunohistochemical method; a microarray analysis of HCC tissues was performed to explore the clinicopathological variables of HCC. The migratory and invasive capacities of Brachyury-SMMC7721 and Brachyury-HepG2 transfected cells were evaluated using in vitro scratch wound healing and Matrigel invasion assays, respectively. Further, six-week-old male BALB/c nude mice (n = 10) model was used in vivo assay. RESULTS: Elevated expression of Brachyury was detected in HCCs (62.5%) compared with that in adjacent nontumorous tissues. Clinicopathological analysis revealed a close correlation of Brachyury expression with distant metastasis and poor prognosis of HCC. Overexpression of Brachyury promoted epithelial-mesenchymal transition (EMT) and metastasis of HCC cells in vitro and in vivo. Brachyury overexpression enhanced Akt activation by inhibiting phosphatase and tensin homolog (PTEN), which led to subsequent stabilization of Snail, a critical EMT mediator. CONCLUSION: The study findings suggest that elevated Brachyury facilitates HCC metastasis by promoting EMT via PTEN/Akt/Snail-dependent pathway. Brachyury plays a pivotal role in HCC metastasis and may serve as a novel prognostic biomarker and therapeutic target.

[Analysis of specialized management and common use of emergency equipment in hospital].

To improve the usage rate and quality of emergency equipment in the hospital, the emergency equipment management was studied. The specialized management and common use of emergency equipment in a hospital was analysed with statistical methods. The usage rate, economic effectiveness and management quality of the equipment were evaluated. Based on the practical experience, the superiorities of the specialized management and common use of emergency equipment in hospitals were summarized, and the inferior positions and their improvement approaches were proposed. As a result, the hospital resource allocation was optimized and the equipment management level was improved by using the specialized management and common use of emergency equipment in the hospital.

[Comparison of three dynamic algorithms of electrical impedance tomography based on simulation study].

Three algorithms of electrical impedance tomography (EIT) are studied in this paper. The image resolution, anti-noise property and computation rapidity of the reconstruction algorithms are compared. As a result, it shows that back-projection algorithm has good anti-noise property, that NOSER algorithm generates images with good resolution, and that sensitivity matrix algorithm has moderate property.