Efficacy and safety of tibial nerve stimulation using a wearable device for overactive bladder.

OBJECTIVE: To evaluate the efficacy and safety of a wearable, smartphone-controlled, rechargeable transcutaneous tibial nerve stimulation (TTNS) device in patients with overactive bladder (OAB). PATIENTS AND METHODS: This multicentre, prospective, single-blind, randomised clinical trial included eligible patients with OAB symptoms who were randomly assigned to the stimulation group or sham group. The primary efficacy outcome was change from baseline in voiding frequency/24 h after 4 weeks of treatment. The secondary efficacy outcomes included changes in bladder diary outcomes (urgency score/void, nocturia episodes/day, micturition volume/void, and incontinence episodes/day), questionnaires on Overactive Bladder Symptom Score (OABSS), Patient Perception of Bladder Condition (PPBC), and American Urological Association Symptom Index Quality of Life Score (AUA-SI-QoL) at baseline and after 4 weeks of treatment. Device-related adverse events (AEs) were also evaluated. RESULTS: In the full analysis set (FAS), the mean (sd) change of voiding frequency/24 h in the stimulation group and sham group at 4 weeks were -3.5 (2.9) and -0.6 (2.4), respectively (P < 0.01). Similar results were obtained in the per-protocol set (PPS): -3.5 (2.9) vs -0.4 (2.3) (P < 0.01). In the FAS and PPS, micturition volume/void significantly improved at 4 weeks (P = 0.01 and P = 0.02). PPBC improvement almost reached significance in the FAS (P = 0.05), while it was significant in the PPS (P = 0.02). In the FAS and PPS, AUA-SI-QoL significantly improved at 4 weeks in the two groups (P < 0.01 and P < 0.01), whereas there were no significant differences in urgency score/void, nocturia episodes/day or OABSS between the groups. Also, no device-related serious AEs were reported. CONCLUSIONS: The non-invasive neuromodulation technique using the novel ambulatory TTNS device is effective and safe for treating OAB. Its convenience and easy maintenance make it a new potential home-based treatment modality. Future studies are warranted to confirm its longer-term efficacy.

A retrospective study of variations in the kinds of diseases discharged from the Department of Infectious Diseases of a large general hospital in Central China during 2013-2019.

Objective: To analyze the changing trend of the absolute number and constituent ratio of various in-patient diseases in the Department of Infectious Diseases of a large general hospital in Central China during 2013-2019. Methods: A retrospective study was conducted to analyze the diagnostic data of discharged patients for seven consecutive years, from 2013 to 2019. The first discharge diagnosis is used as the basis for the disease classification. The absolute number, constituent ratio, and changing trend of major diseases in hepatobiliary diseases and infectious diseases were analyzed. Results: The changing trend of the diseases during 2013-2019 showed that the absolute number of cases of hepatobiliary disease did not change significantly (p = 0.615), while the constituent ratio decreased significantly, from 68.01% in 2013 to 55.29% in 2019 (p<0.001). The absolute number (constituent ratio) of cases of infectious diseases increased significantly from 585 (21.91%) in 2013 to 1,244 (36.86%) in 2019 (p = 0.015, p<0.001). The major part of the increase was non-communicable infectious diseases (NCIDs). Conclusion: During 2013-2019, the proportion of cases of hepatobiliary disease gradually decreased. The absolute number and proportion of cases of infectious diseases, especially NCIDs, have increased rapidly.

Dexamethasone Induced Osteocyte Apoptosis in Steroid-Induced Femoral Head Osteonecrosis through ROS-Mediated Oxidative Stress.

OBJECTIVE: Glucocorticoid (GC) overuse is strongly associated with steroid-induced osteonecrosis of the femoral head (SINFH). However, the underlying mechanism of SINFH remains unclear. This study aims to investigate the effect of dexamethasone (Dex)-induced oxidative stress on osteocyte apoptosis and the underlying mechanisms. METHODS: Ten patients with SINFH and 10 patients with developmental dysplasia of the hips (DDH) were enrolled in our study. Sixty rats were randomly assigned to the Control, Dex, Dex + N-Acetyl-L-cysteine (NAC), Dex + Dibenziodolium chloride (DPI), NAC, and DPI groups. Magnetic resonance imaging (MRI) was used to examine edema in the femoral head of rats. Histopathological staining was performed to assess osteonecrosis. Immunofluorescence staining with TUNEL and 8-OHdG was conducted to evaluate osteocyte apoptosis and oxidative damage. Immunohistochemical staining was carried out to detect the expression of NOX1, NOX2, and NOX4. Viability and apoptosis of MLO-Y4 cells were measured using the CCK-8 assay and TUNEL staining. 8-OHdG staining was conducted to detect oxidative stress. 2',7'-Dichlorodihydrofluorescein diacetate (DCFH-DA) staining was performed to measure reactive oxygen species (ROS). The expression of NOX1, NOX2, and NOX4 in MLO-Y4 cells was analyzed by Western blotting. Multiple comparisons were performed using one-way analysis of variance (ANOVA). RESULTS: In patients and the rat model, hematoxylin-eosin (HE) staining revealed a significantly higher rate of empty lacunae in the SINFH group than in the DDH group. Immunofluorescence staining indicated a significant increase in TUNEL-positive cells and 8-OHdG-positive cells in the SINFH group compared to the DDH group. Immunohistochemical staining demonstrated a significant increase in the expression of NOX1, NOX2, and NOX4 proteins in SINFH patients compared to DDH patients. Moreover, immunohistochemical staining showed a significant increase in the proportion of NOX2-positive cells compared to the Control group in the femoral head of rats. In vitro, Dex significantly inhibited the viability of osteocyte cells and induced apoptosis. After Dex treatment, the intracellular ROS level increased. However, Dex treatment did not alter the expression of NOX proteins in vitro. Additionally, NAC and DPI inhibited the generation of intracellular ROS and partially alleviated osteocyte apoptosis in vivo and in vitro. CONCLUSION: This study demonstrates that GC promotes apoptosis of osteocyte cells through ROS-induced oxidative stress. Furthermore, we found that the increased expression of NOXs induced by GC serves as an important source of ROS generation.

Responsibility of education in improving medical college students' ability to prevent and respond to public health emergencies in China - A systematic review.

Background: The outbreak of coronavirus disease 2019 (COVID-19) has highlighted the critical importance of sufficient preparedness for public health emergencies. This places higher requirements on the ability of medical staff to deal with such emergencies. Nonetheless, education courses on public health emergencies in China are usually aimed at public health students, and not at all medical college students. Importantly, these medical students will become medical workers who are generally the first-contact personnel and play an irreplaceable role in responding to most public health emergencies. Therefore, it is urgent to strengthen educational courses to enable these students to adequately prevent and respond to public health emergencies. Objectives: The purpose of this systematic review was to reveal the current unsatisfactory status of Chinese medical college students' knowledge and skills in dealing with public health emergencies and their training needs. Methods: We searched EMBASE, PubMed, Google Scholar, Web of Science, CNKI, Wan Fang, and VIP Information Network for all associated original studies written in English and Chinese from the inception of these databases until March 12, 2022. Results: This systematic review screened out 15 eligible studies that met the inclusion criteria. These studies demonstrated that Chinese medical college students generally have a low ability to deal with public health emergencies. Most students believe it is essential to master coping with public health emergencies and desire to acquire this knowledge. But the participation rate is low, and only a few students actively seek relevant knowledge. Conclusion: The findings of this review illustrate the importance of improving medical college students' education to prevent and deal with public health emergencies. It is necessary to improve medical college students' education in responding to public health emergencies.Systematic Review Registration: PROSPERO, Identifier [CRD42023467374].

Research on the Mechanical Model and Hysteresis Performance of a New Mild Steel-Rotational Friction Hybrid Self-Centering Damper.

A mild steel-friction self-centering damper with a hybrid energy-dissipation mechanism (MS-SCFD) was proposed, which consisted of a mild steel, frictional, dual-energy-dissipation system and a disc spring resetting system. The structure and principle of the MS-SCFD were explained in detail while the restoring force model was established. The hysteretic behavior of the MS-SCFD under low-cycle reciprocating loading was modeled. Then, the influence of parameters such as the disc spring preload, the friction coefficient, and the soft-steel thickness on the mechanical properties of the MS-SCFD was investigated. The results indicate that the simulation results are basically consistent with the theoretical prediction results, with a maximum error of only 9.46% for the key points of bearing capacity. Since the MS-SCFD is provided with a hysteretic curve in the typical flag type, it will obtain the capacity of excellent self-centering performance. It can effectively enhance the stiffness, bearing capacity, and self-centering capability of the damper after the pre-pressure of the disc spring is increased. The energy-dissipation capacity of the MS-SCFD increases with the increase in the friction coefficient. However, it also increases the residual deformation of the MS-SCFD. The energy dissipation of the MS-SCFD is particularly sensitive to the thickness of mild steel. After being loaded, all components of the MS-SCFD are not damaged except for the plastic deformation caused by the yielding of the mild steel. The normal function of the MS-SCFD can be restored simply by replacing the mild steel plates after the earthquake. Therefore, it can significantly enhance the economy and applicability of the damper.

Causal association of epigenetic aging and osteoporosis: a bidirectional Mendelian randomization study.

BACKGROUND: The relationship between aging and osteoporosis is well established. However, the relationship between the body's physiological age, i.e. epigenetic age, and osteoporosis is not known. Our goal is to analyze the bidirectional causal relationship between epigenetic clocks and osteoporosis using a bidirectional Mendelian randomization study. METHODS: We used SNPs closely associated with GrimAge, Hannum, PhenoAge, and HorvathAge in epigenetic age and SNPs closely associated with femoral neck bone mineral density, lumbar spine bone mineral density, and forearm bone mineral density as instrumental variables, respectively, using the inverse variance weighting method and several other MR methods to assess the bidirectional causal relationship between epigenetic age and osteoporosis. RESULT: There was no evidence of a clear causal relationship of epigenetic age (GrimAge, Hannum, PhenoAge, and HorvathAge) on femoral neck bone mineral density, lumbar spine bone mineral density, and forearm bone mineral density. In reverse Mendelian randomization analysis showed a significant causal effect of lumbar spine bone mineral density on GrimAge: odds ratio (OR) = 0.692, 95% confidence interval (CI) = (0.538-0.890), p = 0.004. The results suggest that a decrease in lumbar spine bone mineral density promotes an acceleration of GrimAge. CONCLUSION: There was no significant bidirectional causal relationship between epigenetic age and osteoporosis A decrease in lumbar spine bone density may lead to an acceleration of the epigenetic clock "GrimAge". Our study provides partial evidence for a bidirectional causal effect between epigenetic age and Osteoporosis.

Acupuncture versus sham acupuncture and usual care for Antiandrogen-Induced hot fLashes in prostate cancer (AVAIL): study protocol for a randomized clinical trial.

BACKGROUND: Hot flashes are the common and debilitating symptom among prostate cancer (PCa) patients undergoing androgen deprivation therapy (ADT). Strong evidence from multiple rigorously designed studies indicated that pharmacological option such as venlafaxine provides partial relief, but the tolerability is poor when dose is not tapered. Hence, alternative therapy is needed. Previous studies reported that acupuncture may be helpful in the management of hot flashes. However, the insufficient randomized controlled trial limited the quality of evidence. METHODS: Five hospitals will recruit 120 acupuncture naïve patients with moderate-to-severe hot flashes after prostate cancer received ADT in China from February 2023 to December 2024. Participants will be randomly 2:1:1 allocated to the 18 sessions of verum acupuncture at true acupuncture points plus usual care, 18 sessions of non-penetrating sham acupuncture at non-acupuncture points plus usual care, or usual care alone over 6 weeks. The primary outcome measure is the change of mean weekly hot flashes symptom severity score (HFSSS) at the end of treatment compared with baseline. EXPECTED RESULTS AND CONCLUSION: We will be able to measure the effectiveness of acupuncture for patients with PCa suffering from ADT-induced hot flashes and whether acupuncture is superior to sham acupuncture and usual care. The proposed acupuncture treatment might provide an alternative option for those patients. TRIAL REGISTRATION: Clinicaltrials.gov (NCT05069467).

A novel broadband Ba3Ca4(BO3)3(SiO4)Cl:Mn4+ near-infrared phosphor with a special pseudo-octahedral Mn4+ coordination structure.

A pseudo-octahedral coordination structure of Mn4+ has been innovatively designed, which has realized the maximum red shift and the widest full width at half-maximum (FWHM) of Mn4+ emission so far, not only extending the emission wavelength of Mn4+ to the near-infrared (NIR) region, but also effectively broadening its bandwidth. In the Ba3Ca4(BO3)3(SiO4)Cl:Mn4+ (BCBSC:Mn4+) phosphor, the [Mn/Ca1O9] polyhedron contains one [Mn/Ca1O6] octahedron, which constitutes the pseudo-octahedral coordination structure of Mn4+. The BCBSC:Mn4+ phosphor can be excited at 362 nm and 470 nm and exhibits a broadband NIR emission centered at ∼756 nm with a super-wide range from 650 nm to 1100 nm. The FWHM can reach ∼90 nm. In addition, the internal quantum efficiency (IQE) of the BCBSC:0.01Mn4+ phosphor is 69.7%. The unique luminescence characteristics of BCBSC:Mn4+ phosphors are explored using experimental data and first principles calculation. The significant redshift, the abnormal broadband emission, and the high luminous efficiency are closely related to the special highly distorted [Mn/Ca1O6] pseudo-octahedral coordination environment. The results contribute to comprehending the mechanism of the broadband NIR emission of Mn4+ activated phosphors and broaden the research ideas of developing high-performance Mn4+ doped phosphors for NIR phosphor-converted light-emission diode applications.

Apocynin exerts cytoprotective effects on dexamethasone-induced osteoblasts by inhibiting oxidative stress through the Nrf2 signalling pathway.

Steroid-induced femoral head necrosis (SIFHN) is a serious clinical complication that is caused by prolonged or excessive use of glucocorticoids (GCs). Osteoblast apoptosis and osteogenic differentiation dysfunction caused by GC-induced oxidative stress and mitochondrial impairment are strongly implicated in SIFHN. Apocynin (APO) is a kind of acetophenone extracted from an herb. In recent years, APO has received much attention for its antiapoptotic and antioxidant properties. This study aimed to investigate whether APO could protect against SIFHN and explore the mechanism. In our study, low-dose APO had no toxic effects on osteoblasts and restored dexamethasone (Dex)-treated osteoblasts by improving survival, inhibiting OS and restoring mitochondrial dysfunction. Mechanistically, APO alleviated Dex-induced osteoblast injury by activating the Nrf2 pathway, and the use of ML385 to block Nrf2 significantly eliminated the protective effect of APO. In addition, APO could reduce the formation of empty lacunae, restore bone mass and promote the expression of Nrf2 in SIFHN rats. In conclusion, APO protects osteoblasts from Dex-induced oxidative stress and mitochondrial dysfunction through activation of the Nrf2 pathway and may be a beneficial drug for the treatment of SIFHN.

Developing Thermally Stable Defect-Assisted Phosphors of BaSc2Ge3O10:Bi3+ for Pc-UV-LEDs Applications.

Current ultraviolet (UV) light sources are dominated by blacklights that contain mercury vapor. Improper disposal or accidental breakage of these lamps can lead to serious pollution. Phosphor-converted light-emitting diodes (pc-UV-LEDs) have the potential to replace these mercury-containing lamps, making them more environmentally friendly. To improve the adjustability of the UV emission and reduce production cost, a series of UV-emitting phosphors were developed by introducing Bi3+ in BaSc2Ge3O10 (BSGO) which has a broad bandgap of 5.88 eV. The phosphor exhibits a negative thermal quenching effect that results from thermally activated defects. Despite this, the emission intensity of the phosphor sustains up to 107% at 353 K and 93% at 473 K compared to the intensity at 298 K. The internal quantum efficiency and the external quantum efficiency reach 81.0 and 49.32%, respectively, under 305 nm excitation. A pc-UV-LEDs were fabricated by combining the phosphor with a chip. The resulting device emits a broad band ranging from 295 nm to 450 nm, covering part of the UVB (280 nm ∼ 315 nm) and UVA (315-400 nm) regions. Our work has the potential to promote the replacement of current blacklights, including high-pressure mercury lamps and fluorescent low-pressure mercury lamps, by pc-UV-LEDs in applications such as bug zappers and tanning beds. Moreover, the phosphor exhibits desirable long persistent luminescence, which extends its prospect of applications.

A broadband near-infrared Cr3+-doped phosphor applied to near-infrared light-emitting diodes: enhanced luminescence and thermal stability by annealing.

Cr3+-activated phosphors with high quantum efficiency show excellent promise in the field of near-infrared (NIR) phosphor converted light-emitting diodes (pc-LEDs). Here, we design an annealing program for Cr3+-doped phosphors containing variable valence elements that cannot be prepared in a reducing atmosphere to enhance their luminescence efficiency and thermal stability. A novel phosphor, Li2Mg3SnO6:Cr3+, developed by this annealing design, containing variable valence element Sn, exhibits higher quantum efficiency and better thermal stability than the one prepared by the conventional solid-state reaction. The Li2Mg3SnO6:0.03Cr3+ sample exhibits broadband NIR emission with a full width at half-maximum (FWHM) of 201 nm. After annealing, the internal quantum efficiency (IQE) and external quantum efficiency (EQE) of the Li2Mg3SnO6:0.03Cr3+ sample are enhanced from 48.5% to 84.7% and from 22.7% to 32.6%, respectively, and the thermal quenching temperature at which the luminescence intensity of the phosphor reduces to half of its initial value is promoted from ∼400 K to ∼425 K. The luminescence intensity of the optimized Li2Mg3SnO6:0.03Cr3+ sample at 425 K (∼152 °C) remains 49.2% of its initial intensity at 300 K. A NIR pc-LED is fabricated by combining the optimized Li2Mg3SnO6:0.03Cr3+ sample with a blue LED (455 nm blue chip), and the NIR radiant fluxes of 3.676 mW (at 10 mA) and 29.21 mW (at 100 mA), as well as a maximum NIR photoelectric efficiency of 14.2%, are obtained. The results show that this novel phosphor has great application potential in NIR pc-LEDs, and the annealing design exhibits huge potential for improving the optical properties of Cr3+-activated phosphors.

Efficient and zero thermal quenching Sm3+-activated Li2LaTiTaO7 phosphor for white LEDs.

In this work, we prepared a new orange-red phosphor Li2La1-xTiTaO7:xSm3+ (abbreviated as LLTT:Sm3+) for white light-emitting diodes (w-LEDs). Its crystal structure, microstructure, photoluminescence characteristics, luminescence lifetime and thermal quenching properties were studied in depth. The LLTT:Sm3+ phosphor shows four intense emission peaks at 563, 597, 643, and 706 nm when excited at 407 nm. Thermal quenching is caused by the dipole-quadrupole (d-q) interaction of Sm3+ ions, and the optimum doping concentration of Sm3+ is x = 0.05. Meanwhile, the LLTT:0.05Sm3+ phosphor has a high overall quantum yield (QY = 59.65%) and almost no thermal quenching. The emission intensity at 423 K is 101.5% of the initial value at 298 K, while the CIE chromaticity coordinates barely change as the temperature rises. The fabricated white LED device exhibits excellent CRI and CCT values of 90.4 and 5043 K, respectively. These findings demonstrate that the LLTT:Sm3+ phosphor has promise in w-LED applications.

Causal relationships between COVID-19 and osteoporosis: a two-sample Mendelian randomization study in European population.

Introduction: The causal relationship between Coronavirus disease 2019 (COVID-19) and osteoporosis (OP) remains uncertain. We aimed to assess the effect of COVID-19 severity (severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, COVID-19 hospitalization, and severe COVID-19) on OP by a two-sample Mendelian randomization (MR) study. Methods: We conducted a two-sample MR analysis using publicly available genome-wide association study (GWAS) data. Inverse variance weighting (IVW) was used as the main analysis method. Four complementary methods were used for our MR analysis, which included the MR-Egger regression method, the weighted median method, the simple mode method, and the weighted mode method. We utilized the MR-Egger intercept test and MR pleiotropy residual sum and outlier (MR-PRESSO) global test to identify the presence of horizontal pleiotropy. Cochran's Q statistics were employed to assess the existence of instrument heterogeneity. We conducted a sensitivity analysis using the leave-one-out method. Results: The primary results of IVW showed that COVID-19 severity was not statistically related to OP (SARS-CoV-2 infection: OR (95% CI) = 0.998 (0.995 ~ 1.001), p = 0.201403; COVID-19 hospitalization: OR (95% CI) =1.001 (0.999 ~ 1.003), p = 0.504735; severe COVID-19: OR (95% CI) = 1.000 (0.998 ~ 1.001), p = 0.965383). In addition, the MR-Egger regression, weighted median, simple mode and weighted mode methods showed consistent results. The results were robust under all sensitivity analyses. Conclusion: The results of the MR analysis provide preliminary evidence that a genetic causal link between the severity of COVID-19 and OP may be absent.

Global Research Trends on Periprosthetic Fractures After Artificial Joint Replacement Between 2000 and 2021: A Bibliometric Analysis and Visualized Study.

Background: Periprosthetic fractures after prosthetic joint replacement have received increasing attention over the past decades. The purpose of this study was to estimate the trends and state of research in periprosthetic fractures. Methods: Articles on periprosthetic fractures were retrieved from the Web of Science database. Information about each article, including country/region, author, institution, issue, journal, and keywords, was recorded for bibliometric analysis. The analysis included only English-language articles from 2000 to 2021, from 58 countries and regions. Results: A total of 1668 original articles meeting the research requirements were obtained. The number of manuscripts on periprosthetic fractures has experienced rapid growth, especially since 2009. Productivity was dominated by the USA, followed by the UK and Germany. The most prolific institution was Mayo Clinic. The most cited article was published by Sharkey, P.F. in 2002. The five most frequent keywords were "periprosthetic fractures", "total hip arthroplasty", " revision", "arthroplasty", "total knee arthroplasty". Conclusions: Based on the current trends of globalization, there is a rising trend in publications on periprosthetic fractures, with the largest annual contributions made by the United States. The most influential contributors are researchers from the United States and England. In addition, Journal of Arthroplasty is the journal with the most research in this field. Geriatric trauma and dual mobility are the new hot topics in this field. Together these studies have played a key role in periprosthetic fractures decision-making and management.

Plasmon-Mediated Photoelectrochemical Hot-Hole Oxidation Coupling Reactions of Adenine on Nanostructured Silver Electrodes.

Surface-enhanced Raman spectroscopy (SERS) has been widely applied in the identification and characterization of DNA structures with high efficiency. Especially, the SERS signals of the adenine group have exhibited high detection sensitivity in several biomolecular systems. However, there is still no unanimous conclusion regarding the interpretation of some special kinds of SERS signals of adenine and its derivatives on silver colloids and electrodes. This Letter presents a new photochemical azo coupling reaction for adenyl residues, in which the adenine is selectively oxidized to (E)-1,2-di(7H-purin-6-yl) diazene (azopurine) in the presence of silver ions, silver colloids, and electrodes of nanostructures under visible light irradiation. The product, azopurine, is first found to be responsible for the SERS signals. This photoelectrochemical oxidative coupling reaction of adenine and its derivatives is promoted by plasmon-mediated hot holes and is regulated by positive potentials and pH of solutions, which opens up new avenues for studying azo coupling in the photoelectrochemistry of adenine-containing biomolecules on electrode surfaces of plasmonic metal nanostructures.

Global trends in research of achilles tendon injury/rupture: A bibliometric analysis, 2000-2021.

Background: The Achilles tendon is the strongest and most susceptible tendon in humans. Achilles tendon injuries and ruptures have gradually attracted research attention. However, a bibliometric analysis of global research in this field is lacking. This study involved a bibliometric analysis of the developmental trends and research hotspots in Achilles tendon injuries/ruptures from 2000 to 2021. Methods: Articles published between 2001 and 2021 were retrieved from an extended database of the Science Citation Index using Web of Science. VOSviewer and CiteSpace were used to analyze the relationships between publications, countries, institutions, journals, authors, references, and keywords. Results: This study included 3,505 studies of 73 countries, 3,274 institutions, and 12,298 authors and explored the cooperation between them and the relationships between citations. Over the past 22 years, the number of publications has significantly increased. Foot Ankle International has published the most papers on Achilles tendon injuries/ruptures, and British Journal of Sports Medicine is the most famous journal. Re-rupture, exosomes, acute Achilles tendon rupture, and tendon adhesions gradually become the research focus over the past few years. Conclusion: Achilles tendon injury and rupture are important research topics. A vast number of newly published papers on this topic have demonstrated that clinicians and researchers are interested in their study. Over time, these recent studies will be widely cited; therefore, this bibliometric analysis should be constantly updated.

The study on role of endothelial cell autophagy in rats with sepsis-induced acute kidney injury.

Sepsis often causes acute kidney injury (AKI). Autophagy of renal tubular epithelial cells is considered a cytoprotective mechanism in septic AKI; however, the role of autophagy of renal endothelial cells is uninvestigated. The current study examined whether autophagy was induced by sepsis in renal endothelial cells and whether induction of autophagy in these cells attenuated the degree of AKI. Cecal ligation and puncture (CLP) was used as a model of sepsis in rats. Four experimental groups included: sham, CLP alone, CLP + rapamycin (RAPA), and CLP + dimethyl sulfoxide (DMSO), where RAPA was used as an activator of autophagy. CLP increased renal LC3-II protein levels with an additional transient increase by RAPA at 18 h. In addition, CLP induced autophagosome formation in renal endothelial cells had an additional increase induced by RAPA. Interestingly, the levels of bone morphogenetic protein and activin membrane-bound inhibitor (BAMBI), an endothelial cell-specific protein in the kidney, were also increased by CLP, albeit it was transiently downregulated by RAPA at 18 h. Serum thrombomodulin increased and renal vascular endothelial (VE)-cadherin decreased following CLP, and these changes were attenuated by RAPA. The renal cortex exhibited and inflammatory tissue damage after CLP, and RAPA alleviated these histopathological injuries. The current findings indicate that autophagy was induced by sepsis in renal endothelial cells, and upregulation of autophagy in these cells alleviated endothelial injury and AKI. In addition, BAMBI was induced by sepsis in the kidney, which may play a role in regulating endothelial stability in septic AKI.

Achieving High Quantum Efficiency Broadband NIR Mg4 Ta2 O9 :Cr3+ Phosphor Through Lithium-Ion Compensation.

Ultra-efficient broadband near-infrared (NIR) phosphor-converted light-emitting diodes (pc-LEDs) are urgently needed to improve the detection sensitivity and spatial resolution of current smart NIR spectroscopy-based techniques. Nonetheless, the performance of NIR pc-LED has severely limited owing to the external quantum efficiency (EQE) bottleneck of NIR light-emitting materials. Herein, a blue LED excitable Cr3+ -doped tetramagnesium ditantalate (Mg4 Ta2 O9 , MT) phosphor is advantageously modified through lithium ion as a key efficient broadband NIR emitter to achieve high optical output power of the NIR light source. The emission spectrum encompasses the 700-1300 nm electromagnetic spectrum of first biological window (λmax  = 842 nm) with a full-width at half-maximum (FWHM) of ≈2280 cm-1 (≈167 nm), and achieves a record EQE of 61.25% detected at 450 nm excitation through Li-ion compensation. A prototype NIR pc-LED is fabricated with MT:Cr3+ , Li+ to evaluate its potential practical application, which reveals an NIR output power of 53.22 mW at a driving current of 100 mA, and a photoelectric conversion efficiency of 25.09% at 10 mA. This work provides an ultra-efficient broadband NIR luminescent material, which shows great promise in practical applications and presents a novel option for the next-generation high-power compact NIR light sources.

Is Patient-Specific Instrumentation Accurate and Necessary for Open-Wedge High Tibial Osteotomy? A Meta-Analysis.

The purpose of this meta-analysis was to identify if patient-specific instrumentation (PSI) could increase the accuracy of the correction in high tibial osteotomy (HTO) and to explore the assessment indices and the necessity of using a PSI in HTO. A systematic search was carried out using online databases. A total of 466 patients were included in 11 papers that matched the inclusion criteria. To evaluate the accuracy of PSI-assisted HTO, the weight bearing line ratio (WBL%), hip-knee-ankle angle (HKA), mechanical medial proximal tibial angle (mMPTA), and posterior tibial slope angle (PTSA) were measured preoperatively and postoperatively and compared to the designed target values. Statistical analysis was performed after strict data extraction with Review Manager (version 5.4). Significant differences were detected in WBL% (MD = -36.41; 95% CI: -42.30 to -30.53; p < 0.00001), HKA (MD = -9.95; 95% CI: -11.65 to -8.25; p < 0.00001), and mMPTA (MD = -8.40; 95% CI:-10.27 to -6.53; p < 0.00001) but not in PTSA (MD = 0.34; 95% CI: -0.59 to 1.27; p = 0.47) between preoperative and postoperative measurements. There was no significant difference between the designed target values and the postoperative correction values of HKA (MD = 0.14; 95% CI: -0.19 to 0.47; p = 0.41) or mMPTA (MD = 0.11; 95% CI -0.34 to 0.55; p = 0.64). The data show that 3D-based planning of PSI for HTO is both accurate and safe. WBL%, HKA, and mMPTA were the optimal evaluation indicators of coronal plane correction. Sagittal correction is best evaluated by the PTSA. The present study reports that PSI is accurate but not necessary in typical HTO.

Efficacy and Safety of Botulinum Toxin Type A in the Treatment of Benign Parotid Hypertrophy: A Prospective Study.

BACKGROUND: Benign parotid hypertrophy makes the earlobe area appear swollen and weakens the lateral facial contour and aesthetics. Efficacious treatment for benign parotid hypertrophy is not available. The authors evaluated the efficacy and safety of botulinum toxin type A for benign parotid hypertrophy treatment. METHODS: Thirty-six participants with benign parotid hypertrophy were enrolled and treated with botulinum toxin type A injection. After 6 months of follow-up, changes in the thickness and length of the superficial lobe of the parotid gland were assessed. Analyses of patient subgroups and image analyses were also undertaken to assess improvement. RESULTS: Thirty-three participants completed this study. Superficial lobe of the parotid gland thickness was reduced significantly after botulinum toxin type A injection, but the longitudinal diameter of the parotid gland was not changed significantly ( p < 0.001 and p = 0.146, respectively). Subgroup analyses showed that the degree of parotid gland hypertrophy affected treatment efficacy and degree of improvement, but age and sex did not ( p < 0.001, p = 0.137, and p = 0.138, respectively). Image analyses showed improvement in the facial contour ( p < 0.05). Serious adverse reactions or complications were not observed. CONCLUSION: Botulinum toxin type A can be used to treat benign parotid hypertrophy, reduce parotid gland volume, and improve the facial contour. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.