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1.
Mol Genet Genomics ; 2020 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-32006176

RESUMO

Achaete-scute complex (ASC) genes play essential roles in regulating neurogenesis of metazoans. Various metazoan species have greatly different numbers of genes in ASCa, ASCb and ASCc families. To explore evolutionary mechanisms of metazoan ASC genes, Blast (basic local alignment search tool) searches and phylogenetic analyses were conducted to identify ASC genes in metazoan species and to infer phylogenetic relationship between various ASC genes. As a result, 2784 ASC genes were identified in 804 metazoan species. The phylogenetic tree constructed using 1237 unique bHLH motifs shows that metazoan ASCa, ASCb and ASCc families contain six (a1-a6), five (b1-b5) and three (c1-c3) bHLH genes, respectively. Further phylogenetic analyses suggest that ASC genes in metazoans are derived from a primitive c gene, those in insects are derived from c2 gene, and those in chordates are derived from a2 and a3 genes. Data of gene linkage demonstrate that insect a6 is derived from a4 but not from a5, and chordate a2 is ancestral to b5 only, whilst a3 is ancestral to both b3 and b5. It is concluded that current ASC gene families in metazoans were established through a series of sub- and/or neo-functionalization to duplicated ancestral ASC gene(s). These results provide good references for exploring evolutionary mechanisms of other bHLH genes in metazoans. Besides, gene subtyping is considered as an efficient method for evolutionary studies on closely related homologous genes.

2.
Artigo em Inglês | MEDLINE | ID: mdl-32011997

RESUMO

Bioelectromagnetism focuses on the study of electromagnetic fields in biological tissues from direct current (DC) to optical frequencies. It is challenging to develop an electromagnetics (EM) simulation method to cover this entire frequency band due to the electrically small/large scattering problem at extremely low/high frequencies. This paper focuses on the band from DC to microwave frequencies in bioelectromagnetism. Its main research objective is to develop a method that can overcome the low frequency breakdown problem at low frequencies (practically DC) and still stay stable at microwave frequencies. Based on the scattered field vector Helmholtz equation, the mixed finite element method (mixed FEM) is developed for the broadband electromagnetic field simulation in biological tissues. By imposing Gauss' law as the constraint condition, the mixed FEM overcomes the low frequency breakdown problem without resorting to the quasi-static approximation and remains effective and accurate at high frequencies. Extremely low frequency and high frequency numerical results are demonstrated to verify that the mixed FEM is a stable full-wave electromagnetic field simulation method for the full-bandwidth bioelectromagnetism.

3.
Chembiochem ; 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32012422

RESUMO

A self-sufficient cytochrome P450 monooxygenase from Deinococcus apachensis (P450DA) was identified and successfully overexpressed in Escherichia coli BL21(DE3). The P450DA would be a member of CYP102D subfamily and assigned as CYP102D2 according to phylogenetic tree and sequence alignment. Purification and characterization of the recombinant P450DA indicated both NADH and NADPH could be utilized by P450DA as a reducing cofactor. The recombinant E. coli (P450DA) strain was functionally active, showing excellent enantioselectivity for benzylic hydroxylation of methyl 2-phenylacetate. Further substrate scope studies revealed the P450DA was able to catalyze benzylic hydroxylation of a variety of compounds, affording the corresponding chiral benzylic alcohols in 86-99% ee and 130-1020 total turnover numbers.

4.
Adv Mater ; : e1907105, 2020 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-32020742

RESUMO

All-optical modulators are attracting significant attention due to their intrinsic perspective on high-speed, low-loss, and broadband performance, which are promising to replace their electrical counterparts for future information communication technology. However, high-power consumption and large footprint remain obstacles for the prevailing nonlinear optical methods due to the weak photon-photon interaction. Here, efficient all-optical mid-infrared plasmonic waveguide and free-space modulators in atomically thin graphene-MoS2 heterostructures based on the ultrafast and efficient doping of graphene with the photogenerated carrier in the monolayer MoS2 are reported. Plasmonic modulation of 44 cm-1 is demonstrated by an LED with light intensity down to 0.15 mW cm-2 , which is four orders of magnitude smaller than the prevailing graphene nonlinear all-optical modulators (≈103 mW cm-2 ). The ultrafast carrier transfer and recombination time of photogenerated carriers in the heterostructure may achieve ultrafast modulation of the graphene plasmon. The demonstration of the efficient all-optical mid-infrared plasmonic modulators, with chip-scale integrability and deep-sub wavelength light field confinement derived from the van der Waals heterostructures, may be an important step toward on-chip all-optical devices.

5.
World J Surg ; 2020 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-32052106

RESUMO

BACKGROUND: Management errors during pre-hospital care, triage process and resuscitation have been widely reported as the major source of preventable and potentially preventable deaths in multiple trauma patients. Common tools for defining whether it is a preventable, potentially preventable or non-preventable death include the Advanced Trauma Life Support (ATLS®) clinical guideline, the Injury Severity Score (ISS) and the Trauma and Injury Severity Score (TRISS). Therefore, these surrogated scores were utilized in reviewing the study's trauma services. METHODS: Trauma data were prospectively collected and retrospectively reviewed from January 1, 2018, to December 31, 2018. All cases of trauma death were discussed and audited by the Hospital Trauma Committee on a regular basis. Standardized form was used to document the patient's management flow and details in every case during the meeting, and the final verdict (whether death was preventable or not) was agreed and signed by every member of the team. The reasons for the death of the patients were further classified into severe injuries, inappropriate/delayed examination, inappropriate/delayed treatment, wrong decision, insufficient supervision/guidance or lack of appropriate guidance. RESULTS: A total of 1913 trauma patients were admitted during the study period, 82 of whom were identified as major trauma (either ISS > 15 or trauma team was activated). Among the 82 patients with major trauma, eight were trauma-related deaths, one of which was considered a preventable death and the other 7 were considered unpreventable. The decision from the hospital's performance improvement and patient safety program indicates that for every trauma patient, basic life support principles must be followed in the course of primary investigations for bedside trauma series X-ray (chest and pelvis) and FAST scan in the resuscitation room by a person who meets the criteria for trauma team activation recommended by ATLS®. CONCLUSION: Mechanisms to rectify errors in the management of multiple trauma patients are essential for improving the quality of trauma care. Regular auditing in the trauma service is one of the most important parts of performance improvement and patient safety program, and it should be well established by every major trauma center in Mainland China. It can enhance the trauma management processes, decision-making skills and practical skills, thereby continuously improving quality and reducing mortality of this group of patients.

6.
Adv Mater ; : e1907308, 2020 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-32027428

RESUMO

Artificially engineered metasurfaces provide extraordinary wave control at the subwavelength scale. However, metasurfaces proposed so far suffer due to limited bandwidths. In this paper, extremely thin metasurfaces made of single metallic layer is experimentally presented for ultra-wideband operation from 9.3 to 32.5 GHz (with a fractional band of 112%), working at both transmission and reflection modes simultaneously. The phase control is achieved by azimuthally rotating the scatterer based on Pancharatnam-Berry phase principle. Nearly uniform efficiency (≈25%), approaching the theoretical limit of the infinitely thin metasurface, is achieved throughout the operation band. Finally, the proposed design is implemented for applications, e.g., the generation of electromagnetic waves carrying orbital angular momentums as well as anomalous reflections and refractions. The metasurfaces are characterized numerically and experimentally and the results are in good agreements.

7.
Aging (Albany NY) ; 12(2): 1808-1827, 2020 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-32003757

RESUMO

Clear cell renal cell carcinoma (ccRCC) is one of the most common malignancies and lacks reliable biomarkers for diagnosis and prognosis, which results in high incidence and mortality rates of ccRCC. In this study, ISG20, HJURP, and FOXM1 were identified as hub genes via weighted gene co-expression network analysis (WGCNA) and Cox regression analysis. Samples validation showed that only ISG20 was up-regulated in ccRCC. Therefore, ISG20 was selected for further study. High ISG20 expression was associated with poor overall survival and disease-free survival. Furthermore, the expression of ISG20 could effectively differentiate ccRCC from normal tissues and was positively correlated to clinical stages. Functional experiments proved that knockdown of ISG20 expression could obviously inhibit cell growth, migration, and invasion in ccRCC cells. To find the potential mechanisms of ISG20, gene set enrichment analysis (GSEA) was performed and revealed that high expression of ISG20 was significantly involved in metastasis and cell cycle pathways. In addition, we found that ISG20 could regulate the expression of MMP9 and CCND1. In conclusion, these findings suggested that ISG20 promoted cell proliferation and metastasis via regulating MMP9/CCND1 expression and might serve as a potential biomarker and therapeutic target in ccRCC.

8.
Medicine (Baltimore) ; 99(5): e19002, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32000441

RESUMO

Laparoscopic gastrectomy (LG) using intracorporeal anastomosis has recently become more prevalent due to the advancements of laparoscopic surgical instruments. However, intracorporeally hand-sewn anastomosis (IHSA) is still uncommon because of technical difficulties. In this study, we evaluated various types of IHSA following LG with respect to the technical aspects and postoperative outcomes.Seventy-six patients who underwent LG using IHSA for treatment of gastric cancer between September 2014 and June 2018 were enrolled in this study. We described the details of IHSA in step-by-step manner, evaluated the clinicopathological data and surgical outcomes, and summarized the clinical experiences.Four types of IHSA have been described: one for total gastrectomy (Roux-en-Y) and 3 for distal gastrectomy (Roux-en-Y, Billroth I, and Billroth II). The mean operation time and anastomotic time was 288.7 minutes and 54.3 minutes, respectively. Postoperative complications were observed in 13 patients. All of the patients recovered well with conservative surgical management. There was no case of conversion to open surgery, anastomotic leakage, or mortality.LG using IHSA was safe and feasible and had several advantages compared to mechanical anastomosis. The technique lengthened operating time, but this could be mitigated by increased surgical training and experience.


Assuntos
Anastomose Cirúrgica/métodos , Gastrectomia/métodos , Derivação Gástrica/métodos , Laparoscopia/métodos , Neoplasias Gástricas/cirurgia , Feminino , Humanos , Excisão de Linfonodo , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Duração da Cirurgia , Complicações Pós-Operatórias , Neoplasias Gástricas/patologia
9.
J Cell Biochem ; 2020 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-32030809

RESUMO

The cardioprotection of remote ischemic preconditioning (RIPC) is abolished under propofol maintained anesthesia. Transient receptor potential vanilloid 1 (TRPV1) channel is present in the heart, and its activation could induce cardioprotection. Therefore, we tested whether the anesthetic propofol administration phase interfered with the RIPC-induced cardioprotection, and RIPC-induced cardioprotection via the cardiac TRPV1 channel. Male Sprague-Dawley rats were subjected to myocardial 30 minutes of ischemia followed by 2 hours of reperfusion. RIPC consisted of three cycles of 5-minute ischemia/reperfusion applied to a hindlimb. Propofol infusion at 12 mg/kg/h was commenced either at 10 minutes before the start of RIPC in the P-pre + RIPC group, or immediately after myocardial ischemia at the onset of reperfusion (P-post + RIPC) while performing RIPC. These two propofol infusion regimes were applied to another two grou bs without RIPC (P-pre and P-post groups). Infarct size (IS) was assessed by triphenyltetrazolium staining. Heart TRPV1 expression was detected by Western blot and immunofluorescence. RIPC significantly reduced myocardial IS compared with the control group (36.7 ± 3% versus 57.2 ± 4%; P < .01). When propofol was started before RIPC, the IS sparing effect of RIPC was completely abolished. However, propofol infusion starting immediately after myocardial ischemia did not affect RIPC-induced cardioprotection. TRPV1 expression significant increase after RIPC, then propofol inhibited the TRPV1 activation of RIPC if given before RIPC but not after. Our results suggest that the timing of propofol administration is critical to preserve the cardioprotection of RIPC. Propofol might cancel RIPC-induced cardioprotection via the cardiac TRPV1 receptor.

10.
Phys Chem Chem Phys ; 22(3): 981-984, 2020 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-31912822

RESUMO

Herein, we propose a new approach of molecule occupancy via a vapor treatment to facilitate the conversion of PbI2 to perovskite in sequential deposition. We have shown that the morphology of PbI2 and the subsequent crystallization of perovskite can be effectively tuned, thus leading to the elimination of residual PbI2 and promotion of perovskite growth.

11.
Clin Rheumatol ; 2020 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-31916111

RESUMO

OBJECTIVES: This study aimed to investigate the relationship of serum hemoglobin (HB) level with disease activity and structural damage in Chinese patients with rheumatoid arthritis (RA). METHODS: A total of 890 RA patients and 890 normal subjects were enrolled in the case-control study. A HB threshold of< 110 g/L (women) and < 120 g/L (men) was used to determine anemia. All the patients were divided into three groups: non-anemia group (HB ≥ 120 g/L (male) or 110 g/L (female)), mild anemia group ((90 g/L < HB < lower limit of normal), and medium to severe anemia group (HB ≤ 90 g/L). Serum HB level and anemia prevalence between RA patients and normal subjects were compared. Associations of HB level with disease activity, structural damage, and function of joint in different groups were also investigated. RESULTS: The average of HB level in RA was (109.08 ± 17.96)g/l, which was lower than that in controls (136.75 ± 14.57)g/l (P < 0.001). Anemia was observed in 47% of the RA patients, while prevalence of anemia in control group was only 4.4%. In RA group, percentages of non-anemia, mild anemia, and medium to severe anemia were 47%, 38%, and 15%. Compared with non-anemia RA patients, RA patients with anemia had higher disease activity, severer structural damage and worse function of joint (P < 0.001). With the increase of anemia, the disease activity, structural damage, and dysfunction of joints increased significantly (P < 0.05-0.001). Linear regression analysis showed that HB level was negatively correlated with disease activity parameters, degree of joint destruction, and function (P < 0.05-0.001). Logistic regression indicated that serum HB level was protective factors for disease activity and structural damage in RA (P < 0.001). CONCLUSION: HB level was significantly related to disease activity and structural damage in RA patients.Key Points• Inflammatory anemia was popular (about a half) in patients with RA.• HB level was related to disease activity and structural damage in RA patients.

12.
EBioMedicine ; 51: 102622, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31901870

RESUMO

BACKGROUND: Lipid accumulation has been highlighted in cancer development and progression, but the exact mechanism remains unclear in renal cell carcinoma (RCC). MicroRNAs (miRNAs) have been confirmed to participate in the pathological processes of cancers, including tumour occurrence and inhibition. However, the role and mechanism of miR-765 have not been elucidated in clear cell renal cell carcinoma (ccRCC). METHODS: Using The Cancer Genome Atlas (TCGA) database and qRT-PCR, we investigated differences in miR-765 and proteolipid protein 2 (PLP2) expression, as well as their clinical relevance. To investigate the function of miR-765 and PLP2 in ccRCC, we performed in vitro and in vivo experiments to explore their biological functions in ccRCC. FINDINGS: In this study, we showed that miR-765 was upregulated in the plasma of ccRCC patients after tumour resection. Consistently, ccRCC tissues had low expression of miR-765 when compared with corresponding non-cancerous tissues. Overexpression of miR-765 suppressed cell proliferation and metastasis in vitro and in vivo. Mechanistic studies demonstrated that PLP2 was a direct target gene of miR-765. PLP2 was highly expressed in ccRCC tissues, and high PLP2 levels were positively correlated with higher tumour stage and grade and poor prognosis. PLP2 expression was negatively correlated with the miR-765 level in patient samples. We further showed that PLP2 restrained the cell metastasis and proliferation induced by miR-765 and reduced the lipid-eliminating effects of miR-765 in renal cancer cells. INTERPRETATION: Our findings suggest that miR-765 may function as a tumour suppressor and eliminate lipids in clear cell renal cell carcinoma by targeting PLP2. FUNDING: This work was funded the grants from the National Natural Scientific Foundation of China (Grant No. 81672528, 81672524, 81602218, 31741032, 81902588).

13.
ACS Nano ; 14(1): 541-551, 2020 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-31917537

RESUMO

Nonbattery behavior related phase transition of electrodes is usually not favorable for any batteries because it results in performance degradation at all times. Here, we demonstrate a zinc hybrid-ion battery (ZHIB) with an unusual capacity enhancement even within 18 000 cycles by employing V2CTX MXene as the cathode, enormously differing from all reported counterparts with capacity degradation initiated within hundreds of cycles. The dominated mechanisms are determined to be MXene delamination and an unexpected phase transition during cycling. Both the original cathode and secondary derivative contribute to capacity simultaneously, resulting in the unusual capacity enhancement. Consequently, the specific capacity of 508 mAh g-1 (highest for all reported aqueous zinc-ion batteries) and high energy density of 386.2 Wh kg-1 are realized. Also, the quasi-solid-state batteries fabricated can output stably at -20 °C and in bending, twisting, stabbing, and cutting conditions. Our work brings an effective approach, that is, utilizing "unstable" electrode materials, which should usually be avoided, to achieve continuously enhanced performance of a battery. The idea to use both original and secondary materials for energy storage may be developed to be a general method to achieve extraordinary cycling stability of batteries.

14.
Nat Commun ; 11(1): 211, 2020 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-31924784

RESUMO

The repetitive size change of the electrode over cycles, termed as mechanical breathing, is a crucial issue limiting the quality and lifetime of organic electrochromic devices. The mechanical deformation originates from the electron transport and ion intercalation in the redox active material. The dynamics of the state of charge induces drastic changes of the microstructure and properties of the host, and ultimately leads to structural disintegration at the interfaces. We quantify the breathing strain and the evolution of the mechanical properties of poly(3,4-propylenedioxythiophene) thin films in-situ using customized environmental nanoindentation. Upon oxidation, the film expands nearly 30% in volume, and the elastic modulus and hardness decrease by a factor of two. We perform theoretical modeling to understand thin film delamination from an indium tin oxide (ITO) current collector under cyclic load. We show that toughening the interface with roughened or silica-nanoparticle coated ITO surface significantly improves the cyclic performance.

15.
Exp Physiol ; 2020 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-31912915

RESUMO

NEW FINDINGS: What is the central question of this study? The therapeutic effect of ivabradine on patients with chronic heart failure and chronic stable angina pectoris is mediated through a reduction in heart rate: what are the haemodynamic characteristics and the mechanism of the inotropic effect? What is the main finding and its importance? Ivabradine has a positive inotropic effect and lowers the heart rate both in vivo and in vitro. These effects are likely mediated by ivabradine's significant increase of the fast component rate constant mediated by sarcoplasmic/endoplasmic reticulum calcium ATPase 2a and decrease of the slow component rate constant that is mediated by the Na+ /Ca2+ exchanger and sarcolemmal Ca2+ -ATPase during the Ca2+ transient decay phase. ABSTRACT: Ivabradine's therapeutic effect is mediated by a reduction of the heart rate; however, its haemodynamic characteristics and the mechanism of its inotropic effect are poorly understood. We aimed to investigate the positive inotropic effect of ivabradine and its underlying mechanism. The results demonstrated that ivabradine increased the positive inotropy of the rat heart in vivo by increasing the stroke work, cardiac output, stroke volume, end-diastolic volume, end-systolic pressure, ejection fraction, ±dP/dtmax , left ventricular end-systolic elastance and systolic blood pressure without altering the diastolic blood pressure and arterial elastance. This inotropic effect was observed in both non-paced and paced rat isolated heart. Ivabradine increased the Ca2+ transient amplitude and the reuptake rates of sarcoplasmic/endoplasmic reticulum calcium ATPase 2a (SERCA2a), lowered the diastolic Ca2+ level and suppressed the combined extrusion rate of the Na+ /Ca2+ exchanger and the sarcolemmal Ca2+ -ATPase. In addition, ivabradine widened the action potential duration, hyperpolarized the resting membrane potential, increased sarcoplasmic reticulum Ca2+ content and reduced Ca2+ leak. Overall, ivabradine had a positive inotropic effect brought about by enhanced SERCA2a activity, which might be mediated by increased phospholamban phosphorylation. The positive inotropic effect along with the lowered heart rate underlies ivabradine's therapeutic effect in heart failure.

16.
Nucleic Acids Res ; 2020 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-31974574

RESUMO

Transcription factors (TFs) can bind DNA in a cooperative manner, enabling a mutual increase in occupancy. Through this type of interaction, alternative binding sites can be preferentially bound in different tissues to regulate tissue-specific expression programmes. Recently, deep learning models have become state-of-the-art in various pattern analysis tasks, including applications in the field of genomics. We therefore investigate the application of convolutional neural network (CNN) models to the discovery of sequence features determining cooperative and differential TF binding across tissues. We analyse ChIP-seq data from MEIS, TFs which are broadly expressed across mouse branchial arches, and HOXA2, which is expressed in the second and more posterior branchial arches. By developing models predictive of MEIS differential binding in all three tissues, we are able to accurately predict HOXA2 co-binding sites. We evaluate transfer-like and multitask approaches to regularizing the high-dimensional classification task with a larger regression dataset, allowing for the creation of deeper and more accurate models. We test the performance of perturbation and gradient-based attribution methods in identifying the HOXA2 sites from differential MEIS data. Our results show that deep regularized models significantly outperform shallow CNNs as well as k-mer methods in the discovery of tissue-specific sites bound in vivo.

17.
Science ; 367(6477): 555-559, 2020 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-31919128

RESUMO

Materials with high thermal conductivity (κ) are of technological importance and fundamental interest. We grew cubic boron nitride (cBN) crystals with controlled abundance of boron isotopes and measured κ greater than 1600 watts per meter-kelvin at room temperature in samples with enriched 10B or 11B. In comparison, we found that the isotope enhancement of κ is considerably lower for boron phosphide and boron arsenide as the identical isotopic mass disorder becomes increasingly invisible to phonons. The ultrahigh κ in conjunction with its wide bandgap (6.2 electron volts) makes cBN a promising material for microelectronics thermal management, high-power electronics, and optoelectronics applications.

18.
Environ Pollut ; 260: 113942, 2020 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-31995780

RESUMO

Natural organic matter (NOM) affects the environmental behaviors of AgNPs, which may change their phytotoxicity to plants. However, more evidence can be provided to illustrate how NOM influences AgNPs-induced phytotoxicity. In this study, using rice (Oryza sativa) as a model, the effects of NOM, Suwannee River humic acid (SRHA) and fulvic acid (FA), on the dissolution and phytotoxicity of AgNPs were investigated. Silver ions decreased in both AgNPs and AgNO3 solution in the presence of NOM, and the effect of SRHA was stronger than FA. Image-XRF (iXRF) results showed that Ag mainly remained in the root rather than the shoot of rice seedling exposed to AgNPs. NOM mitigated the negative effects of AgNPs and AgNO3 on rice with lower germination inhibition rate, less chlorophyll reduction, more relative biomass and less O2•- content. Moreover, NOM improved root cell viability according to FDA fluorescent dye as well as maintained the normal root morphology. Interestingly, the neutral sugars content from pectin, hemicellulose 1, hemicellulose 2 and cellulose of root cell wall in AgNPs and AgNO3 treatments differed from the control, while it was close to the regular content in AgNPs/AgNO3+SRHA/FA groups, which implied that NOM regulated the changes. Besides, SRHA led to less germination and less relative biomass than FA due to different chemical characters. Thus, NOM needs to be considered when studying the phytotoxicity of AgNPs.

19.
World J Urol ; 2020 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-31912223

RESUMO

PURPOSE: To evaluate predictive factors affecting the stone-free rates (SFR) and complications of minimally invasive percutaneous nephrolithotomy (MPCNL) under local infiltration anesthesia (LIA) METHODS: A retrospective analysis was conducted on 976 consecutive patients who underwent MPCNL under LIA from January 2015 to June 2018. Postoperative complications were classified according to modified Clavien classification system. Univariate and multivariate logistic regression analyses were used to determine factors affecting SFR and complications. RESULTS: The pain was acceptable with postoperative visual analog scale (VAS) scores being 3.58, 2.99, 2.25, and 2.07 after 0, 6, 24, and 48 h, respectively. The SFR after primary MPCNL reached 85.7%. Postoperative complications were recorded in 77 patients (7.9%). In the univariate logistic analysis, larger stone size, staghorn stone, and multiple calyxes were significantly associated with lower SFR. The higher American Society of Anesthesiologists (ASA) score, staghorn stone, positive urine culture, multiple tracts, and longer operation time were associated with occurrence of complications. However, hydronephrosis was associated with lower complication rate. Multivariate analysis indicated that larger stone size (P < 0.001) and staghorn stone (P < 0.001) were associated with lower SFR, while development of complications was independently influenced by higher ASA score (P = 0.002), multiple tract (P = 0.004), and staghorn stone (P = 0.028). CONCLUSIONS: MPCNL can be safely and effectively performed under LIA. Stone size and staghorn stone are factors associated with SFR while ASA score, multiple tracts, and staghorn stone are associated with the development of complications. For the first time, we developed a model to predict the SFR and complications in MPCNL under LIA.

20.
Artigo em Inglês | MEDLINE | ID: mdl-31912388

RESUMO

In recent years, climate change and carbon sinks have been widely studied by the academic community, and relevant research results have emerged in abundance. In this paper, a scientometric analysis of 747 academic works published between 1991 and 2018 related to climate change and carbon sinks is presented to characterize the intellectual landscape by identifying and revealing the basic characteristics, research power, intellectual base, research topic evolution, and research hotspots in this field. The results show that ① the number of publications in this field has increased rapidly and the field has become increasingly interdisciplinary; ② the most productive authors and institutions in this subject area are in the USA, China, Canada, Australia, and European countries, and the cooperation between these researchers is closer than other researchers in the field; ③ 11 of the 747 papers analyzed in this study have played a key role in the evolution of the field; and ④ in this paper, we divide research hotspots into three decade-long phases (1991-1999, 2000-2010, and 2011-present). Drought problems have attracted more and more attention from scholars. In the end, given the current trend of the studies, we conclude a list of research potentials of climate change and carbon sinks in the future. This paper presents an in-depth analysis of climate change and carbon sink research to better understand the global trends and directions that have emerged in this field over the past 28 years, which can also provide reference for future research in this field.

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