The effects of laparoscopic and laparotomy extensive hysterectomy on the safety of ureterovaginal fistula infection in patients with cervical cancer.

This study aimed to investigate the effect of laparoscopic and laparotomy extensive hysterectomy on the safety of ureterovaginal fistula infection in patients with cervical cancer. For this purpose, a total of 90 patients with early cervical cancer admitted to Affiliated Huaian No.1 People's Hospital of Nanjing Medical University from February 2021 to May 2022 were randomly divided into laparoscopy group and laparotomy group, with 45 cases in each group. The laparoscopy group was treated with laparoscopic extensive hysterectomy, while the laparotomy group was treated with laparotomy extensive hysterectomy. The KPS score, adverse reactions, as well as serum creatinine and urea nitrogen were compared between the two groups. Results showed that after surgery, the KPS score in both groups was higher than before treatment, and the KPS score in laparoscopy group was higher than that in laparotomy group, the difference was statistically significant (P<0.05). After operation, the incidence of adverse reactions in laparotomy group was higher than that in the laparoscopy group, the difference was statistically significant (P<0.05). Moreover, after operation, the levels of creatinine and urea nitrogen in laparoscopy group were significantly lower than those in laparotomy group, the differences were statistically significant (P<0.05). In conclusion, both laparoscopic and laparotomy extensive hysterectomy may lead to ureterovaginal fistula infection in patients with cervical cancer. However, compared with laparotomy extensive hysterectomy, laparoscopic extensive hysterectomy had higher safety and significantly improved the quality of life of patients, which was worthy of popularization and application in clinical practice.

Identification and validation of M2 macrophage-related genes in endometriosis.

Aims: M2 macrophage is believed to play an important role in the development of endometriosis. This study aimed to identify several key genes related to the M2 macrophage in endometriosis. Method: Differential expressed genes between endometriosis and non-endometriosis were identified based on three microarray datasets from the Gene Expression Omnibus database. Gene modules significantly associated with M2 macrophage were identified from the weighted gene co-expression network analysis. Furthermore, by intersecting the differential expressed genes and M2 macrophage-associated module genes, M2 macrophage-related genes in endometriosis were identified. Functional analyses of the Gene Ontology and Kyoto Encyclopedia of Genes and Genomes for these genes were then performed. Following, the least absolute shrinkage and selection operator, random forest, and receiver operating characteristic curves were further conducted to identify the key M2 macrophage-related genes in endometriosis. Finally, the expressions of key genes in endometriosis, as well as their correlations with M2 macrophages were verified in an independent validation cohort. Results: Totally, 185 M2 macrophage-related genes were identified, and they were mainly enriched in functions associated with the cell cycle, oocyte maturation, and immune response. Following machine learning algorithms, eight key genes were selected in the endometriosis: PGR, OLFM4, PIP5K1B, CCNA1, BRIP1, CADM1, PRAME, and GCNT1. The eight key genes were confirmed to be negative with M2 macrophage infiltration levels. Furthermore, the expression levels of these genes were significantly lower in the middle secretory stage while relevantly higher in the proliferative stage. The validation analysis also showed similar outcomes with the above results. Conclusion: Eight M2 macrophage-related genes were identified as potential biomarkers of endometriosis, providing novel understanding of immune cells in the endometriosis.

The information variables for controlling manual transfer of liquid-filled containers.

It is a familiar but challenging task to manually transfer a liquid-filled container without spilling. The action requires stringent control because the dynamics of interacting with the non-rigid aqueous content is complex. In this work, we sought to discover what properties of a liquid-filled container were predictive of transfer without spilling performance. Two candidate variables were tested (Experiment 1): The distance between liquid surface and the container's rim (h) and the container's diameter (d). Participants attempted to transfer 15 containers (3 ds and 5 hs), one at a time and as fast as possible, without spilling. Kinematic analyses showed that the movement's peak velocity and the first peak acceleration were affected by h; the movement time and the frequency of acceleration change were affected by h and d in a hierarchical manner, where transfer without spilling was first affected by h and for full containers, the thick ones were moved more slowly and went through more acceleration change; for not so full containers, the container's diameter did not have any effect. Next, each of the 15 containers was compared with the other 14, and participants judged from a pair of displayed containers which one was more likely to be moved fast without spilling (Experiment 2). Perceived affordance was affected by h and d but not by whether containers were placed upright or tilted. In general, thinner and less full containers were judged as easier to be moved fast without spilling.

Meta-analysis of the efficacy of laparoscopic uterosacral ligament suspension in patients with pelvic organ prolapse.

OBJECTIVE: This study aimed to evaluate the efficacy of laparoscopic uterosacral ligament suspension (LUSLS) for pelvic organ prolapse (POP) using a meta-analysis method. METHODS: All articles about LUSLS published in English from Jan. 2010 to Jan. 2020 were retrieved using a computer from search engines, including PubMed, EMbase, Cochrane Library, CNKI, Wanfang, VIP, and Chinese Medical Journals. Meta-analysis was performed by two evaluators using RevMan 5.3 software according to the inclusion criteria. RESULTS: A total of five studies were finally included, with 361 LUSLS cases and 361 control cases. LUSLS group showed a shorter operation duration (SMD-1.96; 95% CI = -3.90- -0.03; P = 0.05), more POP-quantification system (Q) (I) (SMD1.64; 95% CI = 1.05-2.56; P = 0.03), than the control group, with significant differences. There was no difference in the complication incidence, hospital stay, POP-Q>=II between the 2 groups (P > 0.05). CONCLUSION: LUSLS was a safe and effective treatment for POP. Patients had higher postoperative satisfaction, shorter operation duration and satisfactory outcome. More high-quality randomized controlled trials are required in the future to make the results of the meta-analysis more accurate.

Endometriosis decreases female sexual function and increases pain severity: a meta-analysis.

PURPOSE: This study aimed to explore the effects of endometriosis on female sexual function. METHODS: PubMed, Embase, and Web of Science databases were searched to analyze the Female Sexual Function Index (FSFI) or visual analog scale (VAS) scores between women with and without endometriosis. Data from publications were generated, and the sexual function of women with and without endometriosis was systematically evaluated. RESULTS: A total of six publications were included in the study. The FSFI total score and its six domains were significantly lower in women with endometriosis: FSFI total score (P < 0.001), desire (P = 0.045), arousal (P = 0.039), pain domains (P < 0.001), lubrication (P < 0.001), orgasm (P = 0.001), and satisfaction (P < 0.001). Women with endometriosis exhibited more severity in terms of VAS scores for dyspareunia (P = 0.008) and chronic pelvic pain (P < 0.001); however, no significant severity for dysmenorrhea was observed (P = 0.118). Subgroup analysis showed that the region was not a source of heterogeneity. Publication bias was not noted in all included studies, and most results of the sensitivity analysis for the included indexes were stable, which implied that our results were relatively reliable. CONCLUSION: The present meta-analysis provided evidence that endometriosis decreased female sexual function and increased the pain severity of dyspareunia and chronic pelvic pain.

Murine fertility and spermatogenesis are independent of the testis-specific Spdye4a gene.

BACKGROUND: While many testis-enriched genes have been identified as important regulators of the spermatogenic process, the specific roles played by several of these genes and their functional importance has yet to be fully clarified. METHODS: We employed a CRISPR/Cas9 approach to introduce a 5 bp in-frame deletion within the Spdye4a gene (Exon 2) of C57BL/6 mice (Spdye4a-/-). Fertility and sperm counts were evaluated. Testes tissues and cell suspensions were analyzed via histological and immunofluorescence staining. mRNA and protein levels of candidate genes were assessed through qPCR and Western blotting. In vitro fertilization was used to assess the ability of sperm cells to bind to egg cells. RESULTS: Spdye4a-/- mice did not exhibit any reduction in fertility, and exhibited comparable sperm counts, morphology and motility to those of wildtype littermates. Functionally, Spdye4a-/- sperm exhibited normal sperm-egg binding activity in vitro. Furthermore, the testes of Spdye4a-/- mice exhibited a full range of germ cells from spermatogonia to mature spermatozoa. No differences in the progression of meiotic prophase I were observed when comparing Spdye4a-/- and wildtype mice, indicating that the loss of Spdye4a had no adverse effect on spermatogenesis. DISCUSSION: Spdye4a is dispensable in the context of mice fertility and spermatogenesis. This study will prevent other laboratories from expending repeated efforts to generate similar knockout mice.

Study of nuclear modification factors of deuteron and anti-deuteron in Pb-Pb collisions at [Formula: see text].

The nuclear modification factors ([Formula: see text]) of d and [Formula: see text] have been studied using the parton and hadron cascade model plus the dynamically constrained phase space coalescence model in peripheral (40-60%) and central (0-5%) Pb-Pb collisions at [Formula: see text] with [Formula: see text]. It is found that the [Formula: see text] of [Formula: see text] is similar to that of hadrons ([Formula: see text]) and the [Formula: see text] of antiparticles is the same as that of particles. The suppression effect of d is more significant than that of baryons and mesons in the high-[Formula: see text] region. The suppression of [Formula: see text] at high-[Formula: see text] strongly depends on event centrality and mass of the particles, i.e., the central collision is more suppressed than the peripheral collision. Besides, the yield ratios and double ratios for different particle species, and the coalescence parameter [Formula: see text] for ([Formula: see text]) in pp and Pb-Pb collisions are discussed, respectively. It is observed that the yield ratios and double ratios of d to p and p to [Formula: see text] are similar to those of their anti-particles in three different collision systems, suggesting that the suppressions of matter ([Formula: see text]) and the corresponding antimatter ([Formula: see text]) are around the same level.

Information for perceiving blurry events: Optic flow and color are additive.

Information used in visual event perception includes both static image structure projected from opaque object surfaces and dynamic optic flow generated by motion. Events presented in static blurry grayscale displays have been shown to be recognized only when and after presented with optic flow. In this study, we investigate the effects of optic flow and color on identifying blurry events by studying the identification accuracy and eye-movement patterns. Three types of color displays were tested: grayscale, original colors, or rearranged colors (where the RGB values of the original colors were adjusted). In each color condition, participants identified 12 blurry events in five experimental phases. In the first two phases, static blurry images were presented alone or sequentially with a motion mask between consecutive frames, and identification was poor. In Phase 3, where optic flow was added, identification was comparably good. In Phases 4 and 5, motion was removed, but identification remained good. Thus, optic flow improved event identification during and after its presentation. Color also improved performance, where participants were consistently better at identifying color displays than grayscale or rearranged color displays. Importantly, the effects of optic flow and color were additive. Finally, in both motion and postmotion phases, a significant portion of eye fixations fell in strong optic flow areas, suggesting that participants continued to look where flow was available even after it stopped. We infer that optic flow specified depth structure in the blurry image structure and yielded an improvement in identification from static blurry images.

MiR-200a-3p promoted the malignant behaviors of ovarian cancer cells through regulating PCDH9.

BACKGROUND: Increasing evidence has revealed that the aberrant expression of microRNAs (miRNAs) plays vital roles in the development and progression of ovarian cancer. MiR-200a-3p was found to act as an oncogene in a variety of cancers, however, the expression and function of miR-200a-3p in ovarian cancer has not been characterized. MATERIALS AND METHODS: The expression of miR-200a-3p in ovarian cancer tissues and cell lines was detected by the RT-qPCR. The influence of miR-200a-3p on the growth of ovarian cancer cells was determined with the Cell Counting Kit-8 assay, colony formation and cell invasion assay. The binding of miR-200a-3p with the 3'-untranslated region (UTR) of PDCH9 was detected by luciferase reporter assay. The expression of PCDH9 was investigated by RT-qPCR and Western blot analysis. RESULTS: miR-200a-3p was up-regulated in ovarian cancer tissues and cell lines. Highly expressed miR-200a-3p was significantly associated with the tumor size, tumor metastasis and TNM stage. Overexpression of miR-200a-3p markedly promoted the proliferation, colony formation and invasion of ovarian cancer cells. Functional study uncovered that miR-200a-3p bound the 3'-untranslated region (UTR) of PCDH9 and decreased the expression of PCDH9 in ovarian cancer cells. The expression of miR-200a-3p in ovarian cancer tissues was significantly negatively correlated with that of PCDH9. Restored PCDH9 inhibited the promoting effect of miR-200a-3p on the proliferation of ovarian cancer cells. CONCLUSION: Our results suggested the potential oncogenic function of miR-200a-3p via modulating PCDH9 in ovarian cancer.

Relationship between expression of COX-2, TNF-α, IL-6 and autoimmune-type recurrent miscarriage.

OBJECTIVE: To investigate the roles of COX-2, TNF-α, IL-6 in the pathogenesis of autoimmune-type recurrent spontaneous abortion (RSA). METHODS: RT-PCR was used to detect the mRNA of COX-2, TNF-α, IL-6 in the trophoblast cells of murine RSA and normal pregnant models. The COX-2, TNF-α, IL-6 protein expressions were determined by using immunohistochemisry staining method. The COX-2, TNF-α, IL-6 protein expressions were determined by ELISA. RESULTS: The embryo loss rates in experiment group was significantly higher than that in normal pregnancy control group, the expression of COX-2, TNF-α, IL-6 in the trophoblast cells of murine RSA and normal pregnant models. The expression of COX-2 in autoimmune-type recurrent spontaneous abortion was significantly lesser than in normal pregnant models. The expression of TNF-α, IL-6 in autoimmune-type recurrent spontaneous abortion was significantly higher than in normal pregnant models. There was a positively correlation between TNF-α and IL-6. There was no relationship between COX-2, TNF-α and IL-6. CONCLUSIONS: The abnormal expression of COX-2, TNF-α and IL-6 may result in RSA.