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To summarize the experience of identifying and caring for a stroke patient with ruptured internal iliac artery branch bleeding. The experience was summarized in 3 aspects, including how to recognize the presence of active bleeding in the patient, confirmation of the diagnosis and treatment of the bleeding point, prevention of postoperative complications, and rehabilitation care. After aggressive treatment and care, the patient was discharged after 30 days of hospitalization and improved. [ABSTRACT FROM AUTHOR]

Sirtuins (SIRT) exhibit deacetylation or ADP-ribosyltransferase activity and regulate a wide range of cellular processes in the nucleus, mitochondria, and cytoplasm. The role of the only sirtuin that resides in the cytoplasm, SIRT2, in the development of ischemic injury and cardiac hypertrophy is not known. In this paper, we show that the hearts of mice with deletion of Sirt2 (Sirt2-/-) display improved cardiac function after ischemia-reperfusion (I/R) and pressure overload (PO), suggesting that SIRT2 exerts maladaptive effects in the heart in response to stress. Similar results were obtained in mice with cardiomyocyte-specific Sirt2 deletion. Mechanistic studies suggest that SIRT2 modulates cellular levels and activity of nuclear factor (erythroid-derived 2)-like 2 (NRF2), which results in reduced expression of antioxidant proteins. Deletion of Nrf2 in the hearts of Sirt2-/- mice reversed protection after PO. Finally, treatment of mouse hearts with a specific SIRT2 inhibitor reduced cardiac size and attenuates cardiac hypertrophy in response to PO. These data indicate that SIRT2 has detrimental effects in the heart and plays a role in cardiac response to injury and the progression of cardiac hypertrophy, which makes this protein a unique member of the SIRT family. Additionally, our studies provide a novel approach for treatment of cardiac hypertrophy and injury by targeting SIRT2 pharmacologically, providing a novel avenue for the treatment of these disorders. [ABSTRACT FROM AUTHOR]

Reasonable formation pressure maintenance level is significant to high-efficient development of oilfields. In order to study the effects of overlying strata pressure on permeability, oil-water phase permeability curve, and oil displacement efficiency, a physical simulation experiment is designed. Based on the experimental results and the oil-water phase flow theory, the production equation and the mathematical model of oil displacement efficiency considering stress sensitivity are established. And the productivity changes with pressure drop under different permeability are plotted. Then, the permeability coefficients calculated by quantitative characterization of stress sensitivity under different formation pressures are introduced into the numerical simulation model to quantitatively determine the reasonable formation pressure maintenance level of different reservoir properties. Experimental and theoretical studies show that the permeability decreases continuously with the increase in effective overlying strata pressure. In a low permeability reservoir, the more permeability decrease is caused by the increase in effective overlying strata pressure. When reservoir pressure is restored by water injection, the permeability loss is irreversible. With the increase in effective overlying strata pressure, the producer productivity decreases obviously, and the effective seepage capacity and oil displacement efficiency decrease. For reservoirs with permeability below 100 mD and high stress sensitivity, high formation pressure level should be maintained. For reservoirs with permeability of more than 300 mD, lower formation pressure is acceptable in the initial stage. The results are consistent with the actual production characteristics, which effectively guide the establishing of reasonable oilfield development strategy. It has important guiding significance to the oilfield development plans and development of the middle-deep oilfields. [ABSTRACT FROM AUTHOR]

The article focuses on a study from the Jirentaigoukou site in Xinjiang, China, which shows that systematic exploitation of coal for fuel occurred around 3600 B.P., extending the understanding of energy history by approximately a millennium. It highlights the complex relationship between social demand and environmental concerns during the early stages of energy transition.

In this paper, we apply standard zooarchaeological methods and novel osteological approaches to analyse faunal remains from five Middle– Late Holocene sites in the southern Tibetan Plateau (STP). Framed by direct radiocarbon dates on taxonomically classified bioarchaeological remains and compared with published palaeoclimate data, our findings revealed a three-stage process of agro-pastoral development in the STP ca. 5.5 to 1.0 ka. In the first phase, habitation was restricted to the lower southeastern part of the plateau and human subsistence essentially based on foraging and low-level pig–millet farming. With the onset of colder and drier climatic conditions ca. 3.8 ka, the study area witnessed a growing human presence at higher elevations in its central and western parts, together with a shift towards bovid husbandry and barley cultivation, that is, agricultural practices that originated in west Asia; these were likely introduced to the STP following the eastern margin of the TP and/or arrived by sub-Himalayan transfer. Climate and ecological degradation might have contributed to the decline of local game in favour of cold-and-dry-tolerant pastoral livestock and crops. Our work shows that Middle–Late Holocene climate change, ecological change, human subsistence shifts, and prehistoric cultural transmissions are intimately connected. [ABSTRACT FROM AUTHOR]

Gastric cancer (GC) is associated with high morbidity and mortality rates. Thus, early diagnosis is important to improve disease prognosis. Endoscopic assessment represents the most reliable imaging method for GC diagnosis; however, it is semi-invasive and costly and heavily depends on the skills of the endoscopist, which limit its clinical applicability. Therefore, the search for new sensitive biomarkers for the early detection of GC using noninvasive sampling collection methods has attracted much attention among scientists. Urine is considered an ideal biofluid, as it is readily accessible, less complex, and relatively stable than plasma and serum. Over the years, substantial progress has been made in screening for potential urinary biomarkers for GC. This review explores the possible applications and limitations of urinary biomarkers in GC detection and diagnosis. [ABSTRACT FROM AUTHOR]

Background and Objectives: NutritionDay is a yearly global point-prevalence study of malnutrition or nutritional risk in hospitals. We aimed to provide a comprehensive nutritional survey of hospitalized patients and analyze the risk factors of malnutrition and prolonged hospitalization in Chinese inpatients. Methods and Study Design: The international daylong cross-sectional survey was performed on November 07th, 2019. Ten hospitals were invited to participate in this NutritionDay survey. Nutritional risk was identified by nutritional risk screening 2002, and malnutrition was identified by the ESPEN criteria. We measured the incidence of malnutrition and nutritional risk. And we analysed risk factors for malnutrition and length of stay in Chinese hospitalized patients. Results: 875 hospitalized patients from 6 departments were included in the analysis. The malnutrition rate was 11.6% and the incidence of nutritional risk was 17.8%. It was analyzed that tumor load, end-stage disease, motility, self-rated health, types of oral medicine, and food intake during the past week were independent risk factors for malnutrition or nutritional risk. 56.2% (118/210) of patients at nutritional risk or malnutrition received extra nutritional support, whereas 22.5% (88/391) well-nourished patients did. Moreover, nutrition status, ever stayed in ICU and self-rated health were associated with prolonged length of stay. Conclusions: In a word, the prevalence of malnutrition or nutritional risk was about 29.4%. Patients with malnutrition or nutritional risk had a higher transfer rate, lower rehabilitation rate and longer hospital stays. The attention to malnutrition patients needs to be further strengthened. [ABSTRACT FROM AUTHOR]