The comparation of effects and security of double-J stent retention and ureteroscopy lithotripsy in the treatment of symptomatic ureteral calculi during pregnancy.

OBJECTIVE: To describe the efficacy of double-J stent retention and ureteroscopy lithotripsy, we performed a study to evaluate the management of symptomatic ureteral calculi during pregnancy. MATERIALS AND METHODS: From January 2005 and June 2015, 53 pregnant women with symptomatic ureteral calculi were admitted and treated in our hospital. According to the treatment techniques, there were divided into two groups: double-J stent retention group (30 cases) and ureteroscopy lithotripsy group (23 cases). We collected the characteristics and treatment outcome of the patients. RESULTS: Double-J stent retention was performed on 30 patients. And the stents were successfully inserted in 25 patients (83.3%). 4 cases got complication in double-J group (16%). The mean operating time, medical cost and hospitalization time of double-J group were 20.6 min, 1632 yuan and 1.3 days. Ureteroscopy lithotripsy was performed on 23 patients. 20 patients were operated successfully (87.0%). 2 cases got complication in ureteroscopy group (10.0%). The mean operating time, medical cost and hospitalization time of ureteroscopy group were 41.5 min, 2792 yuan and 6.0 days. CONCLUSION: In summary, both double-J stent retention and ureteroscopy lithotripsy are effective and safe in the managation of ureteral calculi during pregnancy.

TRIM29 Overexpression Promotes Proliferation and Survival of Bladder Cancer Cells through NF-κB Signaling.

PURPOSE: TRIM29 overexpression has been reported in several human malignancies and showed correlation with cancer cell malignancy. The aim of the current study is to examine its clinical significance and biological roles in human bladder cancer tissues and cell lines. MATERIALS AND METHODS: A total of 102 cases of bladder cancer tissues were examined for TRIM29 expression by immunohistochemistry. siRNA and plasmid transfection were performed in 5637 and BIU-87 cell lines. Cell Counting Kit-8, flow cytometry, western blot, and real-time polymerase chain reaction were performed to examine its biological roles and mechanism in bladder cancer cells. RESULTS: We found that TRIM29 overexpression showed correlation with invading depth (p=0.0087). Knockdown of TRIM29 expression in bladder cancer cell line 5637 inhibited cell growth rate and cell cycle transition while its overexpression in BIU-87 cells accelerated cell proliferation and cell cycle progression. TRIM29 overexpression also inhibited cell apoptosis induced by cisplatin. In addition, we demonstrated that TRIM29 depletion decreased while its overexpression led to upregulated expression of cyclin D1, cyclin E, and Bcl-2. We also showed that TRIM29 knockdown inhibited protein kinase C (PKC) and nuclear factor κB (NF-κB) signaling while its overexpression stimulated the PKC and NF-κB pathways. BAY 11-7082 (NF-κB inhibitor) partly attenuated the effect of TRIM29 on expression of cyclin and Bcl-2. Treatment with PKC inhibitor staurosporine resulted in ameliorated TRIM29 induced activation of NF-κB. CONCLUSION: The current study demonstrated that TRIM29 upregulates cyclin and Bcl family proteins level to facilitate malignant cell growth and inhibit drug-induced apoptosis in bladder cancer, possibly through PKC-NF-κB signaling pathways.

High levels of positive end-expiratory pressure preserve diaphragmatic contractility during acute respiratory distress syndrome in rats.

NEW FINDINGS: What is the central question of this study? Higher levels of positive end-expiratory pressure (PEEP) have recently been used in patients with acute respiratory distress syndrome (ARDS). In normal physiological conditions, the ability of the diaphragm to generate pressure is reduced when the lung volume is elevated beyond its functional residual capacity. It is unknown whether higher levels of PEEP will have a negative impact on diaphragmatic contraction in the presence of the pathophysiology of ARDS. What is the main finding and its importance? Mechanical ventilation with higher levels of PEEP reduced lung injury, improved diaphragmatic contractility and increased the expression of both dihydropyridine receptor and ryanodine receptor in the diaphragms of rats with ARDS. Higher levels of positive end-expiratory pressure (PEEP) have recently been used in patients with acute respiratory distress syndrome (ARDS). In normal physiological conditions, the ability of the diaphragm to generate pressure is reduced when the lung volume is elevated beyond its functional residual capacity. Thus, it is critical to understand whether higher levels of PEEP will have a negative impact on diaphragmatic contraction in the presence of the pathophysiology of ARDS. This study was designed to determine whether higher levels of PEEP reduce diaphragmatic contractility in a rat model of ARDS generated using i.p. lipopolysaccharide. Forty rats were randomly assigned to the following five groups: a control group with no special treatment; an ARDS group with no mechanical ventilation; and three ARDS groups with mechanical ventilation with PEEP at 0, 5 or 10 cmH2 O, respectively. We found that mechanical ventilation with PEEP reduced lung injury, improved diaphragmatic contractility and increased the expression of both dihydropyridine receptor and ryanodine receptor in the diaphragms of rats with ARDS. These changes were most significant at a PEEP of 10 cmH2 O among all applied levels of PEEP. In conclusion, using a rat ARDS model, this study confirmed that diaphragmatic contractility was preserved by mechanical ventilation with high levels of PEEP.

Sclerotherapy for rare bleeding stomal varices after ileal conduit urinary diversion: an effective and noninvasive method.

INTRODUCTION: Bleeding stomal varices after ileal conduit urinary diversion are rare, but they can develop in patients with portal venous hypertension caused by cirrhosis. CASE PRESENTATION: We report the case of a 68-year-old man who developed stomal haemorrhage two months after radical cystectomy and ileal conduit urinary diversion to treat invasive bladder cancer. Alcoholic cirrhosis and portal venous hypertension were considered to be the causes of varices and bleeding. We chose to control the stomal varices using sclerotherapy. The stomal varices disappeared and no bleeding recurred during one year of follow up. CONCLUSION: We believe that sclerotherapy is a suitable treatment for bleeding stomal varices.

[The effect of endotoxins on the diaphragmatic contractile function and mitochondrial ultrastructure].

OBJECTIVE: To investigate the diaphragmatic contractile function and mitochondrial ultrastructure in rats with acute lung injury. METHODS: Twenty-eight Sprague-Dawley (SD) rats were allocated randomly into three groups: a control group (n = 10), a lipopolysaccharide (LPS, endotoxins) 4 h group (n =9) and aLPS 24 h group (n =9). Diaphragmatic samples were taken at 4 h and 24 h after 100 microg/kg LPS was instilled into the trachea of the rats. Normal saline (0.5 ml/kg) was instilled in the control group. Then the contractile function of the diaphragmatic samples, including the peak twitch tension, frequency depended force and fatigue index (FI), was tested in vitro. The diaphragmatic ultrastructure was also measured by electron microscopy. SPSS version 15.0 was used for statistical analysis. Data were presented as x +/- s, and means were compared with analysis of variance. RESULTS: The diaphragmatic force-generating capacity and peak twitch tension in LPS4 h group [(3.4 +/- 1.9); (0.9 +/- 0.4) N/cm2 ] decreased significantly compared to the control group [(6.7 +/- 4.3); (2.2 +/- 1.7) N/cm2, F = 3.59 and 3.78 respectively, P <0.05], but a marked recovery was observed in LPS 24 h group [(4.1 +/- 1.2) and (1.2 +/- 0.7) N/cm), P <0.05]. The FI was also reduced remarkably in LPS 4 h and LPS 24 h adL group (0.07 +/- 0.06; 0.12 +/- 0.07) compared to the control group (0.26 +/- 0.14, F = 9.27, P < 0.01. Ultrastructural examination showed mitochondria derangement at LPS 4 h and LPS 24 h groups, including swollen mitochondria with abnormal cristae, and disrupted external membrane of mitochondria. CONCLUSION: Diaphragmatic contractile force-generating capacity decreased remarkably in rats treated with 100 microg/kg LPS, and the diaphragm was susceptible to developing fatigue. These changes may result in respiratory failure.