Incidence and risk factors of postoperative delirium after pancreatic cancer surgery: a retrospective study.

PURPOSE: Postoperative delirium (POD) commonly occurs after major abdominal surgery and is associated with increased morbidity and mortality. There have been many studies on the relationship between POD and various surgeries, but research on POD after pancreatic cancer surgery is limited. The aim of this study was to identify the incidence and risk factors of POD after pancreatic cancer surgery. METHODS: The subjects of this retrospective analysis were 196 patients who were transferred for postoperative care after pancreatic cancer surgery, to a 12-bed critical care medicine ward at Shandong Provincial Hospital, affiliated with Shandong First Medical University, between January 2015 and December 2019. The patients were divided according to whether they suffered POD into a delirium group and a non-delirium group. Delirium was assessed using the Confusion Assessment Method for the Intensive Care Unit and two independent medical practitioners analyzed all the data. Univariate and multiple logistic regression analyses were performed. RESULTS: The overall delirium incidence was 20.41%, which increased to 29.03% for patients aged ≥ 70 years. POD was associated with age, smoking, the American Society of Anesthesiologists classification, the Acute Physiology and Chronic Health Evaluation II score, and the TNM stage of the cancer. The variables concerning sex, drinking, hypertension, a history of cerebral disease, surgery type, operation time, amount of bleeding, and the intraoperative use of dexmedetomidine did not differ significantly between the two groups. There was no significant difference in the length of ICU stay, with the exclusion of long-term stay for complications, between the groups, but POD tended to prolong the postoperative hospital stay and increase the risk of mortality. There was also a gradual decline in the incidence of POD between 2015 and 2019, especially from 2015 to 2018, after preventive measures were implemented. CONCLUSION: POD is related to many risk factors and worthy of attention. Appropriate management can reduce its incidence or at least shorten its duration.

[Determination of arsenic speciation in Scomberomorus niphonius by capillary electrophoresis-inductively coupled plasma mass spectrometry].

A method for the detection of arsenocholine (AsC), arsenobetaine (AsB), As(III), dimethylarsinic (DMA), monomethylarsonic (MMA) and As (V) by capillary electrophoresis-inductively coupled plasma mass spectrometry (CE-ICP-MS) was established. The results showed that the six species of arsenic were separated within 20 min under the optimized conditions. Good linearities of 6 arsenic species were observed in the range from 2 to 50 µg x L(-1) with the linear correlation greater than 0.996, the detection limits were 0.10-1.08 µg x L(-1) and the RSDs (n = 5) of the peak areas were smaller than 7%. The method was successfully adopted to the determination of the species in Scomberomorus niphonius. The recoveries were between 93% and 98%, and we found the arsenobetaine (AsB) was the main species in the sample. The method was suitable for the analysis of other biological samples with the advantages of good stability, less sample consumption, short analysis time and convenience.

[Evolution of Physical and Chemical Characteristics of Atmospheric Precipitation and Its Significant Impacts on the Environment in Beijing].

Atmospheric precipitation samples were collected in 2018, 2019, and 2021 in Beijing to study the concentrations and changes of the main metal elements and water-soluble ions； the wet deposition fluxes of heavy metals, water-soluble ions, dissolved inorganic nitrogen, and sulfur in the atmospheric precipitation and their impacts on the ecological environment； and the scavenging mechanisms of the typical precipitation to atmospheric pollutants during the study period. The results showed that the precipitation in Beijing during the study period was mostly neutral or alkaline, and the frequency of acid rain occurrence was very low, only accounting for 3.06%. The total concentrations of major metal elements in 2018, 2019, and 2021 were （4 787.46 ±4 704.31）, （7 663.07 ±8 395.05）, and （2 629.13 ±2 369.51） µg·L-1, respectively. The total equivalent concentrations of ions in 2018, 2019, and 2021 were （851.68 ±649.16）, （973.98 ±850.94）, and （644.31 ±531.16） µeq·L-1, respectively. The interannual changes in major metal elements and ions followed the order of 2019 > 2018 > 2021. The seasonal average total concentrations of major metal elements in spring, summer, autumn, and winter were （9 624.25 ±7 327.92）, （4 088.67 ±5 710.14）, （3 357.68 ±3 995.64）, and （6 203.19 ±3 857.43） µg·L-1, respectively, and the seasonal average total equivalent concentrations of ions in spring, summer, autumn, and winter were （1 014.71 ±512.21）, （729.83 ±589.90）, （724.35 ±681.40）, and （1 014.03 ±359.67） µeq·L-1, respectively, all presenting the order of spring > winter > summer > autumn. NO3- and SO42- were the main acid-causing ions in precipitation, whereas NH4+ and Ca2+ were the main acid-neutralizing ions. The wet deposition fluxes of the heavy metal Cd were very low [（0.05 ±0.01） mg·ï¼ˆm2·a）-1], only accounting for （0.13 ±0.04）% of the total wet deposition fluxes of main metal elements； however, its soil safety years were 291 years, significantly lower than those of other heavy metals, displaying that its ecological risk was relatively the highest. The total wet precipitation flux of water-soluble ions NH4+, Ca2+, NO3-, and SO42- accounted for （85.72 ±2.18）% of the wet precipitation flux of total ions, suggesting that their comprehensive impact on the ecological environment might have been higher. DIN wet deposition flux was mainly characterized by NH4+-N, which had a positive impact on the ecological environment in summer. SO42--S wet deposition flux was higher in summer, so its positive impact on the ecological environment was also greater. The scavenging effects of atmospheric precipitations to pollutants from the air were impacted by various factors, and the synergism effects of these factors could directly influence the scavenging mechanisms of precipitation to pollutants.

[Evolution Characteristics of PM2.5 and O3 and Their Synergistic Effects on Atmospheric Compound Pollution in Tangshan].

The concentrations of atmospheric pollutants PM2.5, O3, SO2, NO2, and CO together with the meteorological factors of temperature （T）, relative humidity （RH）, wind speed, and other relevant data in Tangshan from 2015 to 2021 were collected to study the variation characteristics of PM2.5 and O3 at different periods in Tangshan City in the past seven years and their influencing factors, to discuss the contributions of air mass transport to PM2.5 and O3 pollution, and to reveal the synergistic influence mechanism of PM2.5 and O3 on atmospheric compound pollution by using correlation analysis and backward trajectory cluster analysis techniques. The results showed that PM2.5 concentrations in Tangshan decreased year by year from 2015 to 2021, whereas O3 concentration showed a unimodal trend, with the peak appearing in 2017. Both PM2.5 and O3 concentrations showed obvious seasonal variation trends； PM2.5 was characterized by the highest concentration in winter and the lowest concentration in summer, whereas O3 was characterized by the highest concentration in summer and the lowest concentration in winter. In addition, the diurnal variation in PM2.5 showed a bimodal distribution, with the peak occurring during the morning and evening on weekdays, and O3 showed a unimodal distribution, with the peak value appearing during the period with strong ultraviolet radiation in the afternoon. PM2.5 had a significant positive correlation with SO2, NO2, and CO, whereas O3 had a significant positive correlation with radiation and temperature. Under the different pollution conditions, PM2.5 and O3 were affected by air mass transports from different directions. Being impacted by various factors, the synergistic effect of PM2.5 and O3 on atmospheric compound pollution showed an obvious negative effect in winter, whereas there was an obvious positive effect in spring, summer, and autumn. Under the backgrounds of different pollutions, when the concentration of PM2.5 exceeded 150 µg·m-3, the synergistic effect of PM2.5 and O3 showed an obvious negative effect.

E-cadherin promotes proliferation of human ovarian cancer cells in vitro via activating MEK/ERK pathway.

AIM: E-cadherin is unusually highly expressed in most ovarian cancers. This study was designed to investigate the roles of E-cadherin in the carcinogenesis and progression of ovarian cancers. METHODS: Human ovarian adenocarcinoma cell line SKOV-3 was examined. E-cadherin gene CDH1 in SKOV-3 cells was knocked down via RNA interference (RNAi), and the resultant variation of biological behavior was observed using CCK-8 and colony formation experiment. E-cadherin-mediated Ca(2+)-dependent cell-cell adhesion was used to study the mechanisms underlying the effects of E-cadherin on the proliferation and survival of SKOV-3 cells. The expression levels of E-cadherin, extracellular signal-related kinase (ERK), phosphorylated ERK (P-ERK) were measured using Western blot assays. RESULTS: Transfection with CDH1-siRNA for 24-96 h significantly suppressed the growth and proliferation of SKOV-3 cells. E-cadherin-mediated calcium-dependent cell-cell adhesion of SKOV-3 cells resulted in a rapid increase of P-ERK, but did not modify the expression of ERK protein. The phosphorylation of ERK in the cells was blocked by pretreatment with the MEK1 specific inhibitor PD98059 (50 µmol/L), but not by the PI3K inhibitor wortmannin (1 µmol/L) or PKA inhibitor H89 (10 µmol/L). CONCLUSION: E-cadherin may function as a tumor proliferation enhancer via activating the MEK/ERK pathway in development of ovarian epithelial cancers.

17 alpha-hydroxylase deficiency: A case report of young Chinese woman with a rare gene mutation.

We report a young adult woman with 17 alpha-hydroxylase deficiency (17α-OHD) in Shandong province of China. The patient carried compound heterozygous mutations in the CYP17A1 gene: c.985-987 delinsAA (p.Tyr329LysfsX90) and c.1486C > T (p.Arg496Cys). The patient's hypertension and hypokalemia were resolved after taking medications of glucocorticoid, aldactone, and calcium antagonists.

The influence of sedentary behaviour on mental health among children and adolescents: A systematic review and meta-analysis of longitudinal studies.

BACKGROUND: Systematic reviews that have examined associations between sedentary behaviour (SB) and mental health among children and adolescents are mainly based on cross-sectional investigations. There is a lack of evidence for a prospective relationship between SB and mental health in children and adolescents. This systematic review synthesized longitudinal studies that examined prospective associations between SB and mental health among children and adolescents. METHODS: We conducted computer searches for English language literature from electronic databases of PubMed, Embase, PsycInfo and Google scholar, and manually screened the references of existing relevant studies to select studies for the synthesis. We included observational longitudinal studies that assessed the association between SB and mental health among children and adolescents. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS: In total, 58 longitudinal studies met the inclusion criteria and were synthesized in the review. We found that higher SB among children and adolescents was associated with increased depression, anxiety and other mental health problems later in life. A dose-response association between SB and mental health was observed, suggesting that children and adolescents who spend more time on SB may have a higher risk of developing poorer mental health later. CONCLUSIONS: The findings in the present study suggest that intervention programs targeting reducing SB may benefit to the prevention of poor mental health among children and adolescents. Future intervention studies especially randomized controlled trials are needed to elucidate a causal relationship between SB and mental health among children and adolescents.

[Atmospheric Pollutant Emission Characteristics from the Cooking Process of Traditional Beijing Roast Duck].

As one of the characteristics of traditional food in Beijing, there is a significant difference between roast duck and other foods in the cooking process, in that fruit trees are used as fuel in the former. However, system research about the emission characteristics of this food source has not been done domestically. In order to grasp such food source emission characteristics and provide technical basis for pollution control, we selected the representative roast duck restaurant in Beijing and studied the emission characteristics of atmospheric pollutants in the cooking process of roast duck. The results showed that the emission concentrations of cooking fumes, particulate matter, volatile organic compounds (VOCs), and aldehyde and ketone compounds were (0.74±0.45), (15.32±7.93), (7.60±3.41), and (1.22±0.59) mg·m-3, respectively. The emission concentration of particulate matter was much higher than that of cooking fumes. The VOC component composition was very complex, containing alkanes, alkenes, aromatic hydrocarbons, and oxygen VOCs, such as aldehydes, ketones, alcohols, ester compounds, and halogenated hydrocarbons, with the highest concentrations of 3-methylfuran, ethanol, and methyl acetate. The main components of aldehyde and ketone compounds were acetaldehyde, formaldehyde, and acrolein, of which C1-C3 compounds were 72.27%.

[Characteristics of C2-C6 Hydrocarbons During the Winter Air Pollution Period in Beijing Urban Area].

A C2-C6 hydrocarbons monitoring campaign was carried out in the Beijing Southeastern Urban Area during December 2015. Twenty-five compounds excluding benzene were detected by an on-line VOCs analyzer; the sum of their concentrations is referred to as C2-C6 HCs in this study. During the monitoring period, C2-C6 HCs ranged from 12.4×10-9 to 297.5×10-9. The mean value of C2-C6 HCs reached 29.4×10-9, 63.2×10-9, 85.5×10-9, 94.9×10-9, and 131.8×10-9, respectively, in AQ Ⅰ (air quality) (hourly PM2.5<35 µg·m-3), AQ Ⅱ (hourly PM2.5:35-75 µg·m-3), AQ Ⅲ (hourly PM2.5:75-150 µg·m-3), AQ Ⅳ (hourly PM2.5:150-250 µg·m-3), and AQ Ⅴ (hourly PM2.5:>250 µg·m-3). Moreover, the mole percentage of alkanes, alkenes, and ethyne significantly varied, 47% vs. 59%, 45% vs. 30%, and 7% vs. 12% (AQ I vs. AQ V). The diurnal variation of C2-C6 HCs presented two peaks at 08:00-09:00 and 17:00-18:00 not only in clean days (when 24-h PM2.5<75 µg·m-3) but also in polluted days (when 24-h PM2.5>75 µg·m-3). This result is consistent with the normal traffic pattern and indicates the significant impact of vehicle emissions on atmospheric hydrocarbon concentrations. Furthermore, we calculated the HCs/CO (×10-9/×10-6) ratio to prevent the impact of meteorological diffusion on C2-C6 HCs and to trace the physical transport process and the chemical degradation process of hydrocarbons. The C2-C6 HCs/CO ratio and the individual hydrocarbon to CO ratio presented a notable decreasing trend with worsening air quality, 90.6 (AQ Ⅰ), 63.8 (AQ Ⅱ), 56.9 (AQ Ⅲ), 37.4 (AQ Ⅳ), and 36.4 (AQ Ⅴ). However, the rate of decrease in the ratio of individual hydrocarbons to CO in the polluted period (AQ Ⅲ-Ⅴ) relative to the clean period (AQ I-Ⅱ) was never effectively related to the kinetic parameters of the reactions with the OH radical. Therefore, the strong chemical degradation of C2-C6 hydrocarbons in the polluted air was denied as the main reason. The HYSPLIT trajectory model showed that the transported air mass from the north and northwest and from the south and southwest prevail in the clean period and in the polluted period, respectively. Compared to the northern region, there were more sources of fossil fuel combustion in the southern region, which led to a lower HCs/CO ratio for the air mass in the southern region. Therefore, the increase in C2-C6 hydrocarbons during the polluted period was not only caused by the accumulation of local emissions but also by the air mass transport from the south.

[Precipitation and Its Effects on Atmospheric Pollutants in a Representative Region of Beijing in Summer].

Atmospheric precipitation samples were collected in a representative region of Beijing in summer of 2015 to investigate the physical and chemical characteristics of atmospheric precipitation, the changes and causes of major chemical components in rainwater during the course of typical precipitation, and the impacts of typical precipitation processes on atmospheric pollutants. The volume-weighted mean pH value of rainwater in the representative region of Beijing in summer was 6.21 with the range of 5.15-7.34,and acid rain seldom occurred. The pollution elements Cd, Ca and Mn were moderately enriched, and Cu, Zn, Pb and S were seriously enriched in rainwater, of which Ca and S were main pollution elements, which accounted for 45.43% and 43.93% of the total pollution elements respectively, and Zn, Mn, Cu, Pb and Cd were main heavy metal pollution elements, which accounted for 1.32% of the total pollution elements. Different rates of precipitations could have different impacts on atmospheric pollutants. PM2.5 could be scavenged by raindrop, and SO2, NO2 and O3 could be scavenged greatly by raindrop during the precipitation episode at a relatively high rainfall rate, containing four significant stages, such as clear-out of atmospheric pollutants, accumulation, both accumulation and clear-out, and another clear-out of airborne pollutants. Atmospheric pollutants such as PM2.5, SO2, NO2 and O3 could mainly be scavenged by in-cloud scavenging processes during the precipitation episode at a relatively low rainfall rate, including four important stages, such as clear-out, both clear-out and accumulation, accumulation, and another clear-out of atmospheric pollutants. The effect of rainfall at a relatively high rate on atmospheric pollutants was bigger than that of rainfall at a relatively low rate.