A systematic review and meta-analysis comparing suprapatellar versus infrapatellar approach intramedullary nailing for tibal shaft fractures.

BACKGROUND: The application of the suprapatellar (SP) approach has challenged the traditional infrapatellar (IP) approach in the surgery treatment of tibial shaft fractures, yet the advantages and disadvantages still remain controversial. We included more high-quality studies for this meta-analysis and systematic review to evaluate the clinical outcomes and prognosis of both approaches and thus to provide new ideas for surgeons. METHOD: We searched literatures from PubMed, Cochrane Library, Web of Science, and EMBASE databases from January 2000 to December 2022. We extracted general information including sample size, gender, proportion of open fracture, follow-up time, and outcome indicators including entrance accuracy, fluoroscopy time, operation time, intraoperative blood loss, Lysholm score, VAS pain score, range of motion (ROM) function score, reposition accuracy, and revision cases. Cochrane Collaboration's tool and the Newcastle-Ottawa Scale were used to evaluate literature qualities. Meta-analysis was performed using RevMan 5.4 software. RESULTS: A total of 23 studies were generated that qualified for inclusion, 17 of which were used for meta-analysis. This study found statistically significant differences in coronal plane entrance accuracy, fluoroscopy time, Lysholm score, and VAS pain score. CONCLUSION: The results of our meta-analysis showed that the SP approach was significantly better than the IP approach in angle and distance entrance accuracy of coronal plane, angle entrance accuracy of sagittal plane, fluoroscopy time, Lysholm score, and VAS pain score. There were no significant differences in sagittal angle accuracy, operative time, intraoperative blood loss, and ROM score.

Run-up speed and jumping ground reaction force of male elite gymnasts on vault in China.

Background: A high run-up speed and a big jumping ground reaction force are crucial to perform difficult movements and improving the quality of movement performance in the competition vault. However, the relationship between performance in the competition vault and run-up speeds, as well as jumping ground reaction force, still needs to be discovered in detail. Objective: We aimed to investigate the interrelations between different run-up speeds and jumping ground reaction force, and to explore the different requirements of performing different vault styles as well as difficult movements on run-up speed and jumping ground reaction force. Methods: The data, including vaulting run-up speed and jumping ground reaction force of 30 Chinese male elite gymnasts of performance testing, were analyzed. Descriptive statistics and Binary logistic regression analysis were used for statistical analysis. Results: There was no significant difference in the pedaling run-up speed between the Front handspring types and Cartwheel types (p > 0.05). The comparison between interval run-up speeds revealed that the last 5 m run-up speeds were faster during the 25 m run-up distance, and 30 m sprint speed was strongly associated with the 25 m vaulting run-up speed of Handspring and Cartwheel (r = 0.81, p < 0.01). There are significant differences in the jumping ground reaction force of different types and difficult movements (p < 0.01). When the D-score is greater than 4.6, the jumping ground reaction force will increase significantly. Jumping ground reaction force was strongly correlated with 25 m run-up speed (r = 0.715, p < 0.01), last 5 m run-up speed (r = 0.718, p < 0.01), and 30 m sprint speed (r = 0.704, p < 0.01) respectively, but not significantly associated with last 10-5 m run-up speed as well as before the last 10 m run-up speed (p > 0.05). Conclusions: The special requirement for run-up speed and jumping ground reaction force may vary as the difficult vault. Moreover, the optimization of interval run-up speeds and improvement of the 25 m run-up speed may contribute to the bigger jumping ground reaction force and increase the potential to perform more difficult Handspring/Cartwheel vaults. The topic may merit an interventional study to optimize run-up rhythm and improve lower limb strength for achieving higher run-up speeds and bigger jumping ground reaction force within the limited run-up distance to perform more difficult vaults for male elite gymnasts in China.

The abrogation of GRP78 sensitizes liver cancer cells to lysionotin by enhancing ER stress-mediated pro-apoptotic pathway.

Glucose-regulated protein 78 (GRP78) is frequently and highly expressed in various human malignancies and protects cancer cells against apoptosis induced by multifarious stresses, particularly endoplasmic reticulum stress (ER stress). The inhibition of GRP78 expression or activity could enhance apoptosis induced by anti-tumor drugs or compounds. Herein, we will evaluate the efficacy of lysionotin in the treatment of human liver cancer as well as the molecular mechanism. Moreover, we will examine whether inhibition of GRP78 enhanced the sensitivity of hepatocellular carcinoma cells to lysionotin. We found that lysionotin significantly suppressed proliferation and induced apoptosis of liver cancer cells. TEM showed that lysionotin-treated liver cancer cells showed an extensively distended and dilated endoplasmic reticulum lumen. Meanwhile, the levels of the ER stress hallmark GRP78 and UPR hallmarks (e.g., IRE1α and CHOP) were significantly increased in response to lysionotin treatment in liver cancer cells. Moreover, the reactive oxygen species (ROS) scavenger NAC and caspase-3 inhibitor Ac-DEVD-CHO visibly attenuated the induction of GRP78 and attenuated the decrease in cell viability induced by lysionotin. More importantly, the knockdown of GRP78 expression by siRNAs or treatment with EGCG, both induced remarkable increase in lysionotin-induced PARP and pro-caspase-3 cleavage and JNK phosphorylation. In addition, knockdown of GRP78 expression by siRNA or suppression GRP78 activity by EGCG both significantly improved the effectiveness of lysionotin. These data indicated that pro-survival GRP78 induction may contribute to lysionotin resistance. The combination of EGCG and lysionotin is suggested to represent a novel approach in cancer chemo-prevention and therapeutics.

Activating the Hippo pathway by nevadensin overcomes Yap-drived resistance to sorafenib in hepatocellular carcinoma.

BACKGROUND: Hepatocellular carcinoma (HCC) is a highly malignant type of tumor that is insensitive to cytotoxic chemotherapy and often develops drug resistance. Nevadensin, a bioflavonoid, exhibits anti-cancer properties in some cancers. However, the precise underlying mechanism of nevadensin against liver cancer are poorly understood. We aim to evaluate the efficacy as well as the molecular mechanism of nevadensin in the treatment of liver cancer. METHODS: Effects of nevadensin on HCC cell proliferation and apoptosis were detected using EdU labeling and flow cytometry assays. The molecular mechanism of nevadensin on HCC was determined using RNAseq. The effects of nevadensin on hippo-Yap signaling were verified using western blot and RT-PCR. RESULTS: In this study, we show that nevadensin significantly inhibits growth of HCC cells via inducing cell cycle arrest and apoptosis. RNAseq analysis showed that nevadensin regulates multiple functional signaling pathways associated with cancer including Hippo signaling. Western Blot analysis revealed that nevadensin notably induces activation of the MST1/2- LATS1/2 kinase in HCC cells, further resulting in the primary effector molecule YAP phosphorylation and subsequent degradation. These results indicated that nevadensin might exert its anti-HCC activity through the Hippo-ON mechanism. Moreover, nevadensin could increase the sensitivity of HCC cells to sorafenib by down-regulating YAP and its downstream targets. CONCLUSIONS: The present study indicates that nevadensin could be a potential effective approach to treating HCC, and overcoming sorafeni resistance via inducing activation of Hippo signaling.

Effects of physical activity on Chinese overseas students' mental health during the COVID-19: A multi-country cross-sectional analysis.

BACKGROUND: COVID-19 caused severe effects on the psychological well-being of Chinese students overseas (COS). Physical activity (PA) is critical to strengthen immunity, prevent infection, and reduce the psychological burden caused by COVID-19. However, there is a severe lack of effective PA intervention for mental health in most countries, and COS have limited access to mental healthcare during the pandemic. OBJECTIVE: We aim to examine the effects of PA on COS' mental health during the pandemic abroad and to better understand that certain types of PA might be associated with a greater reduction in psychological burdens during the pandemic. METHODS AND RESULTS: In a multi-country cross-sectional analysis, a questionnaire was distributed to COS living in 37 foreign countries via WeChat Subscription using a snowball sampling strategy. A total of 10,846 participants were included. Descriptive statistics and Binary logistic regression analysis were used for statistical analysis. We found that COS had negative psychology during the pandemic, especially with fear (2.90, 95% CI 2.88-2.92), anxiety (2.84, 95% CI 2.82-2.85), and stress (2.71, 95% CI 2.69-2.73). PA had meaningful effects on reducing COS self-reported mental health burdens (3.42, 95% CI 3.41-3.44) during the pandemic. The largest associations were seen for recreational and home-based PA (i.e., family games, home aerobic exercise), individual outdoor PA (i.e., walking or running, rope skipping), and PA with a duration of 30 to 70 min per session at frequencies of 4 to 6 times and a total of 150 to 330 min of moderate and vigorous intensity per week tends to be an optimal choice during social distancing times. CONCLUSIONS: COS had several poor mental health conditions during the pandemic. The improvement of PA on COS' psychology was positively effective during the pandemic. Specific types, intensities, durations, and frequencies of PA might have advantages over others for improving COS' mental health during periods of public health emergencies, and the topic may merit interventional study to reveal multiple factors causing COS' psychological burdens and enrich the PA forms for all COS' mental health improvement (i.e., infected, recovered, and asymptomatic COS).

GenomicKB: a knowledge graph for the human genome.

Genomic Knowledgebase (GenomicKB) is a graph database for researchers to explore and investigate human genome, epigenome, transcriptome, and 4D nucleome with simple and efficient queries. The database uses a knowledge graph to consolidate genomic datasets and annotations from over 30 consortia and portals, including 347 million genomic entities, 1.36 billion relations, and 3.9 billion entity and relation properties. GenomicKB is equipped with a web-based query system (https://gkb.dcmb.med.umich.edu/) which allows users to query the knowledge graph with customized graph patterns and specific constraints on entities and relations. Compared with traditional tabular-structured data stored in separate data portals, GenomicKB emphasizes the relations among genomic entities, intuitively connects isolated data matrices, and supports efficient queries for scientific discoveries. GenomicKB transforms complicated analysis among multiple genomic entities and relations into coding-free queries, and facilitates data-driven genomic discoveries in the future.

Synthesis and characterization of magnetic organic montmorillonite: efficient adsorption of hexavalent chromium.

This research compared two potential adsorbents for the efficient adsorption of toxic hexavalent chromium. The non-magnetic material STAC-Mt and the magnetic material FeSO4-STAC-Mt were synthesized by a simple impregnation method using montmorillonite (Mt), octadearyl dimethyl ammonium chloride (STAC) and ferrous sulfate as raw materials. The structural and morphological characteristics of both adsorbents were investigated by BET, XRD, FTIR, Zeta, VSM, TEM, SEM and XPS techniques. SEM and TEM results clearly revealed that FeSO4-STAC-Mt had a more loosely curled structure than STAC-Mt and the existence of well dispersed diamond-shaped magnetic particles. The saturation magnetization intensity of 17.949 emu/g obtained by VSM further confirmed the presence of magnetite particles in FeSO4-STAC-Mt. Due to the superparamagnetic properties of magnetite, the adsorption performance of FeSO4-STAC-Mt was better than STAC-Mt. FeSO4-STAC-Mt adsorbed up to 43.98 mg/g of Cr(VI), meanwhile it was easily separated from the reaction mixture by an external magnetic field. Intermittent adsorption studies at pH, adsorbent dosage and time revealed a rapid Cr(VI) adsorption process. In combination with response surface optimization analysis, a removal rate of 98.03% of Cr(VI) was obtained at pH 5-6. The adsorption process was properly described by the pseudo-second-order kinetic equation and the Langmuir equation, and the adsorption process was chemisorption and single molecular layer adsorption. In addition, the removal of Cr(VI) reached 72.68% after five cycles, demonstrating the good stability of the FeSO4-STAC-Mt.

Association between perfluoroalkyl substances concentration and bone mineral density in the US adolescents aged 12-19 years in NHANES 2005-2010.

Background: Reports on the association of perfluoroalkyl substances (PFASs) exposure with adolescent bone health are scarce, and studies have primarily targeted maternal serum. Objective: We evaluated the relationship between autologous serum perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS), perfluorohexane sulfonic acid (PFHxS) and perfluorononanoic acid (PFNA) levels and bone mineral density (BMD) in adolescents. Methods: We analyzed data from 1228 adolescents aged 12-19 years in the National Health and Nutrition Examination Survey (NHANES) 2005-2010 and used multiple regression analysis to identify the relationship between serum PFOA, PFOS, PFHxS, and PFNA concentrations and total femur, femoral neck, and lumbar spine BMD, in addition to multiple stratified subgroup analyses. Results: The mean age of participants was 15 years, males had higher serum PFAS concentrations than females. The results of multiple regression analysis showed that the natural log(ln)-transformed serum PFOA, PFOS, and PFNA concentrations were negatively correlated with total femur, femoral neck, and lumbar spine BMD (all p < 0.05), and ln-PFHxS was positively correlated with total femur and femoral neck BMD (all p< 0.05). In males, ln-PFOA was negatively associated with total femur and lumbar spine BMD (all p< 0.05), ln-PFOS was associated with the reduced total femur, femoral neck, and lumbar spine BMD (all p< 0.05), while ln-PFHxS and ln-PFNA were not observed to correlate with BMD at these three sites. In females, both ln-PFOA and ln-PFOS were negatively correlated with total femur and lumbar spine BMD (all p< 0.05), ln-PFHxS is associated with the increased total femur and femoral neck BMD (all p< 0.05), and ln-PFNA was negatively correlated with total femur and femoral neck BMD (all p< 0.05), most of the associations were confined to females. The associations of ln-PFOS with femoral neck BMD and ln-PFNA with total femur BMD were more significant in those who were overweight/obese and had anemia, respectively (all p for interaction < 0.05). Conclusions: In this representative sample of US adolescents aged 12-19 years, certain PFAS were associated with lower bone mineral density, and most of the associations were confined to females. The negative effect of PFAS on BMD is more pronounced in those who are overweight/obese and have anemia. However, further studies are needed to confirm this finding.