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Introduction: The aim of the study was to report our initial experience of robot-assisted kidney transplantation (RAKT) with a modified hypothermia technique., Methods: Between March 2018 and May 2020, 12 patients with end-stage renal disease underwent RAKT at the Chinese PLA General Hospital, and a modified regional hypothermia was implemented by wrapping the kidney in a sealed plastic jacket filled with ice slush. Baseline, surgical, and functional outcomes were analyzed., Results: All surgeries were successfully performed. The mean operative time was 180.5 min, with a mean console time of 133.3 min. Mean warm ischemia, cold ischemia, and rewarming times were 1.5, 135.1, and 48.4 min, respectively. The median blood loss was 50 mL, and the median hospital stay was 9.5 days. No complications were observed. The mean serum creatinine levels were 119.4, 100.5, 108, and 108.5 μmol/L 7 days, 1 month, 6 months, and 1 year postoperatively, respectively. All patients and grafts survived at a median follow-up of 32.2 months., Conclusion: RAKT is a safe and feasible procedure for surgical teams with expertise in open kidney transplantation and robotic surgery. Our modification of the hypothermia technique can maintain the kidney at a constant low temperature without repeatedly adding ice and prevent the complication of paralytic ileus., (© 2022 S. Karger AG, Basel.)

We investigate the electromagnetically induced transparency (EIT) and Autler Townes (AT) splitting spectrum with a four-level Rydberg atom by pole analysis of the probe coherence. A pair of poles corresponding to the two peaks of the spectral splitting is observed. The spectral split or the pole positions are affected by the microwave intensity (MW) and the detuning between the probe and the coupling laser. In the absence of any detuning, the two poles coincide and separate again on the imaginary axis of the complex detuning plane at weak MW field. The two poles do not coincide when the probe (coupling) laser is detuned for scanning the coupling (probe) laser frequency. However, under finite detuning, the two poles approach the nearest distance in the absence of any splitting and are separated again in the direction parallel to the imaginary axis. The spectral analysis of the poles provides an alternate way to establish the relationship between the splitting and the intensity of MW, which may play a role in the application of atomic-based MW measurements.

The feasibility and accuracy of four-mirror-based monocular stereo vision (FMSV) are related to the system layout and calibration accuracy, respectively. In this study, a spatial light path analysis method and a calibration method are proposed for an FMSV system. As two-dimensional light path analysis cannot fully characterize the imaging parameters, a spatial light path model is proposed, which allows refinement of the system design. Then, considering the relationship between the lens distortion and the imaging depth of field (DoF), a DoF-distortion equal-partition-based model is established. In the traditional calibration method, the optical axis must be perpendicular to the chessboard. Here, an accurate and practical FMSV calibration method without this constraint is proposed based on the above model. Using the proposed spatial light path analysis technique, a high-accuracy, high-portability FMSV system is constructed and calibrated, for which the average error of the vision-reconstructed distance is 0.0298 mm. In addition, robot path accuracy is evaluated by the system and compared to laser-tracker measurement results. Hence, high accuracy of 0.031 mm is determined for the proposed vision system.

The potential therapeutic effect of nitric oxide (NO) for cancers has received considerable attention as a "killer" that causes damage to mitochondria and DNA by oxidation or nitrosation. However, the fabrication of an intelligent and controllable NO release system has remained elusive in the desired location to realize selective cancer therapy. Herein, an intelligent endogenous esterase-triggered nitric oxide (NO) generator for synergetic cancer therapy is fabricated by integrating NO prodrug and doxorubicin (DOX) into a single glutathione (GSH)-responsive mesoporous silica nanoparticle (MPND). When the MPND is internalized into the cancer cell, the rupture of -S-S- bridges and the degradation of MPND occur in the tumor microenvironment with a high level of GSH, inducing the on-demand release of DOX. Importantly, the high endogenic esterase concentration can activate the prodrug to generate abundant NO, which further enhances the release performance of DOX. In vitro results verify that the release profiles of NO and DOX show the stimuli-responsive dependence of endogenic esterase and GSH, respectively, demonstrating the potential for on-demand release in the cancer cells. Consequently, MPND shows a high antitumor efficiency in MCF-7 cancer cells. Furthermore, using multicellular tumor spheroids to mimic in vivo experiment, MPND can enhance the tumor penetration and therapeutic effect for killing the deep tumor tissue at the central location. Therefore, the endogenous esterase-triggered NO nanogenerators may provide a potential alternative strategy to develop NO-relevant platforms for synergistic cancer therapy.

Electromagnetically induced transparency (EIT) and Autler-Townes splitting (ATS) are two similar quantum coherent phenomena but have different mechanisms and applications. Akaike information criteria (AIC), an objective method to discriminate EIT and ATS from an experimental viewpoint, has been employed in a variety of systems. Here we use AIC method to quantitively discriminate a series of spectra of cold atoms in a Rydberg-involved upper-driving ladder-type. The derived weights of EIT and ATS reflect that our spectra change from EIT-ATS intermediate region to ATS-dominated region along Rabi frequency of coupling field increases. We find that there are two factors affecting EIT-ATS weights in a Rydberg-involved three-level system: dephasing rate, induced by the interactions among Rydberg atoms, makes the EIT-ATS crossover move to the direction of low Rabi frequency of coupling field and the experimental noise makes the difference between EIT and ATS weights reduce at elsewhere. Our investigation could provide a meaningful reference for the observations and applications of Rydberg-involved quantum coherent spectroscopy.

Purpose: Continuous positive airway pressure (CPAP) is an effective treatment for obstructive sleep apnea (OSA). However, studies provide conflicting results on the effects of CPAP on subcutaneous adipose tissue (SAT) in patients with OSA. We therefore performed a meta-analysis to evaluate whether or not CPAP has an effect on SAT in patients with OSA., Methods: Studies were retrieved by searching the Cochrane Library, Web of Science, Embase, and Pubmed. Information on study and patient characteristics, study design, and SAT pre- and post-CPAP treatment was extracted for analysis. Different methods for measurement of SAT were also notated. Standardized mean difference (SMD) and 95% confidence interval (CI) were measured to estimate the change in SAT before and after CPAP treatment. Meta-analysis was performed using the RevMan v.5.3 and Stata 14.0., Results: A total of 10 studies met inclusion criteria encompassing 309 patients in the final analysis. The pooled estimate showed that CPAP treatment resulted in no significant change in SAT (SMD = - 0.014, 95% CI = - 0.161 to 0.133, p = 0.896). Meta-regression analyses revealed no predictor, including methods of measuring SAT, that influenced the CPAP effect on SAT., Conclusion: Our meta-analysis demonstrated that after CPAP therapy, there was no significant change in SAT in patients with OSA.

Nyssa yunnanensis is a deciduous tree species in the family Nyssaceae within the order Cornales. As only eight individual trees and two populations have been recorded in China's Yunnan province, this species has been listed among China's national Class I protection species since 1999 and also among 120 PSESP (Plant Species with Extremely Small Populations) in the Implementation Plan of Rescuing and Conserving China's Plant Species with Extremely Small Populations (PSESP) (2011-2-15). Here, we present the draft genome assembly of N. yunnanensis . Using 10X Genomics linked-reads sequencing data, we carried out the de novo assembly and annotation analysis. The N. yunnanensis genome assembly is 1475 Mb in length, containing 288,519 scaffolds with a scaffold N50 length of 985.59 kb. Within the assembled genome, 799.51 Mb was identified as repetitive elements, accounting for 54.24% of the sequenced genome, and a total of 39,803 protein-coding genes were predicted. With the genomic characteristics of N. yunnanensis available, our study might facilitate future conservation biology studies to help protect this extremely threatened tree species., Competing Interests: The authors W.M., J.W., T.Y., Y.F., L.C., J.Y., X.X., X.L., R.D. and H.L. are BGI-Shenzhen employees., (© The Author(s) 2020.)

Background & Aims: Coronavirus disease 2019 (COVID-19) has raised world concern for global epidemic since December, 2019. Limited data are available for liver function in COVID-19 patients. We aimed to investigate the risk factors related to liver injury in the COVID-19 patients., Methods: A retrospective study was performed in non-ICU Ward at Jinyintan Hospital from February 2, 2020 to February 23, 2020. Consecutively confirmed COVID-19 discharged cases were enrolled. The clinical characteristics of patients with liver injury and without liver injury were compared., Results: A total of 79 COVID-19 patients were included. 31.6%, 35.4% and 5.1% COVID-19 patients had elevated levels of alanine transaminase (ALT), aspartate aminotransferase (AST) and bilirubin respectively. Median value of ALT, AST and bilirubin for entire cohort was 36.5 (17.5 ~ 71.5) U/L, 34.5 (25.3 ~ 55.3) U/L and 12.7 (8.1 ~ 15.4) mmol/L respectively. There were no significant differences in age, previous medical history and symptoms between the two groups. Males were more likely to have liver injury when infected with COVID-19 (P < .05); compared with patients without liver injury, patients with liver injury had increased levels of white blood cell counts, neutrophils, CRP and CT score (P < .05) and had a longer length of stay (P < .05). Logistic regression analyses suggested that the extent of pulmonary lesions on CT was a predictor of liver function damage (P < .05)., Conclusions: Liver injury is common in non-ICU hospitalized COVID-19 patients. It may be related to systemic inflammation. Intense monitoring and evaluation of liver function in patients with severe pulmonary imaging lesions should be considered., (© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)

Averrhoa carambola is commonly known as star fruit because of its peculiar shape, and its fruit is a rich source of minerals and vitamins. It is also used in traditional medicines in countries such as India, China, the Philippines, and Brazil for treating various ailments, including fever, diarrhea, vomiting, and skin disease. Here, we present the first draft genome of the Oxalidaceae family, with an assembled genome size of 470.51 Mb. In total, 24,726 protein-coding genes were identified, and 16,490 genes were annotated using various well-known databases. The phylogenomic analysis confirmed the evolutionary position of the Oxalidaceae family. Based on the gene functional annotations, we also identified enzymes that may be involved in important nutritional pathways in the star fruit genome. Overall, the data from this first sequenced genome in the Oxalidaceae family provide an essential resource for nutritional, medicinal, and cultivational studies of the economically important star-fruit plant., Competing Interests: Conflict of interestThe authors declare that they have no conflicts of interest., (© The Author(s) 2020.)

Background: Chronic intermittent hypoxia (CIH) involves substantial cortico-hippocampal injury, causing impairments of neurocognitive, respiratory, and cardiovascular functions. Long non-coding RNAs (lncRNAs) participate in CIH functions and development. Therefore, we explored the mechanisms involving lncRNA maternally expressed gene 3 (MEG3) regulating the aortic endothelial function of CIH mice via regulation of microRNA-135a (miR-135a) and the hypoxia-inducible factor (HIF)-1α., Methods: Expression of MEG3, miR-135a, and HIF-1α in CIH mice and CIH-treated cells was detected. Then, the apoptosis and proliferation of the aortic endothelial cells were examined to verify whether miR-135a and HIF-1α participated in CIH. Next, the interactions between MEG3, miR-135a, and HIF-1α were explored. Later, the effects of MEG3/miR-135a/HIF-1α on the expression of proliferation- and apoptosis-related factors and aortic injury were investigated via gain- and loss-of function studies both in vivo and in vitro ., Results: MEG3 and HIF-1α were highly expressed while miR-135a was poorly expressed in CIH mice and CIH-modeled cells. Moreover, miR-135a targeted HIF-1α to promote cell proliferation and inhibit apoptosis. MEG3 regulated HIF-1α expression by competitively binding to miR-135a. More importantly, we found that the silencing of MEG3/HIF-1α and the overexpression of miR-135a inhibited the apoptosis and injury of aortic endothelial cells while promoting cell proliferation in CIH mice., Conclusions: Altogether, silencing of MEG3 suppressed the aortic endothelial injury and cell apoptosis in CIH mice by downregulating HIF-1α through sponging miR-135a, providing evidence of a potential therapeutic target for CIH., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/jtd-19-2472). The authors have no conflicts of interest to declare., (2020 Journal of Thoracic Disease. All rights reserved.)

Background: Chronic thromboembolic pulmonary hypertension (CTEPH) is a life-threatening condition arising from the thrombus and obstructive remodeling of the pulmonary arteries, which causes a significant morbidity and mortality. Although the modern treatment in CTEPH has been significant advanced both in surgical and medical treatment, none can claim to cure the disease, largely because of our limited understanding of the underlying pathogenesis of the disease and lack of a reliable CTEPH animal model to study for. Recently, inflammation has been accepted as a common pathway through which various risk factors trigger venous thrombo-embolism (VTE) formation, we describe a novel mouse model of CTEPH which reproduces a frequent trigger and resembles the time course, histological features, and clinical presentation of CTEPH in humans, to open a new horizons of inflammation in CTEPH., Methods: By administering a pulmonary embolism (PE) protocol (comprising 3 sequential left jugular vein injections of autologous blood clots) to 8-week-old male Sprague Dawley (SD) rats using tranexamic acid (200 mg/kg . d) to inhibit fibrinolysis and injecting additional carrageenan (20 mg/kg, once a week) to create perivascular inflammation, we successfully generated a CTEPH animal model. By monitoring the mean pulmonary artery pressure (mPAP) and the histopathological change to evaluate the CTEPH model. By detecting the RT-PCR, western blot, TUNEL, and immunohistochemistry in the sub-groups to find the potential mechanism of inflammation may work in the pulmonary vascular remolding., Results: In this study, rats with CTEPH exhibited pronounced pulmonary vascular remolding with higher vessel wall area/total area (WA/TA) ratio in comparison to the control rats (85.41%±7.37% vs. 76.41%±5.97%, P<0.05), the mPAP (25.51±1.13 vs. 15.92±1.13 mmHg, P<0.05). Significant differences in mean pulmonary artery pressure (mPAP) values were observed between rats injected solely with clots and those injected with both clots and carrageenan (25.51±1.13 vs. 29.82±1.26 mmHg, P<0.05, respectively). Furthermore, following the third embolization, thrombi and intimal hyperplasia occurred in the pulmonary artery. In addition, repeated embolization elevated mRNA and protein levels of tumor necrosis factor-α (TNF-α), NF-κB/p65, and B-cell lymphoma-2 (BCL-2), but decreased BAX expression in a time-dependent manner., Conclusions: Take advantage of the inflammation to trigger VTE formation, we successfully generated a CTEPH animal model. Inflammation may play a crucial role in the pathogenesis and progression of CTEPH by inhibiting endothelial cell apoptosis. Understanding the role of inflammation in CTEPH may not only help to determine the optimal treatment options but also may aid in the development of future preventative strategies, since current anticoagulation treatment regimens are not designed to inhibit inflammation., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm.2020.02.86). The authors have no conflicts of interest to declare., (2020 Annals of Translational Medicine. All rights reserved.)

It is still a big challenge to identify tiny surface cracks in a rugged weld due to the lift-off variations using the nondestructive testing (NDT) method. In this paper, the signal gradient algorithm is presented to identify the tiny surface crack in the rugged weld using the alternating current field measurement (ACFM) technique. The ACFM simulation model and testing system was set up to obtain the insensitive signal to the lift-off variations. The signal gradient algorithm was presented to process the insensitive signal for the identification of the tiny surface crack in the rugged weld. The results show that the Bz signal is the insensitive signal to lift-off variations caused by the rugged weld. The signal to noise ratio (SNR) of the crack identification signal was greatly improved by the signal gradient algorithm, and a tiny surface crack can be identified effectively in the weld and the heat affected zone (HAZ)., Competing Interests: The authors declare no conflict of interest

An efficient protocol to synthesize 3-alkylated quinoxalin-2(1H)-ones through photocatalytic decarboxylation coupling reactions of quinoxalin-2(1H)-ones with N-hydroxyphthalimide ester was developed. The control experiment showed that a radical was involved in this transformation. This approach provides an alternative way to obtain various valuable corresponding products in moderate-to-good yields.

Objective: The aim of this study was to assess the association of single nucleotide polymorphisms (SNPs) in protein C (PROC) and protein S (PROS1) genes with deep venous thrombosis (DVT) in a thrombophilia family., Methods: DNA were extracted from blood of participants. Five PROC SNPs and 11 PROS1 SNPs were selected from the Hapmap and 1000 Genomes databases. The minor allele frequencies (MAFs) of SNPs in the thrombophilia family (Group I) and healthy controls (Group II) were detected. SNPs were analysed by Chi-square, logistic regression and linkage disequilibrium patterns., Results: MAFs for all 16 SNPs were greater than 0.05. Chi-square analysis showed significant differences between Group I and Group II in the frequency of mutant alleles of rs1799808, rs5936, rs6123, rs12634349, rs6441600 and rs13062355 SNPs (P < .05). Logistic regression analysis found that mutant alleles of rs1799808, rs6441600 and rs13062355 SNPs may contribute to DVT in this family (OR > 1, L95 > 1). Linkage disequilibrium was found among 15 of the PROC and PROS SNPs., Conclusions: Single nucleotide polymorphisms (SNPs) of PROC and PROS1 may be closely associated with DVT in this thrombophilia family. Mutant alleles of rs1799808, rs6441600 and rs13062355 SNPs may contribute to DVT, whereas mutant alleles of rs1799810, rs6123 and rs12634349 may protect individuals from DVT. With the exception of rs9681204, there was linkage disequilibrium between PROC and PROS1 SNPs. We found that 12 haplotypes were in linkage disequilibrium, but linkage disequilibrium was strong in only eight of these (frequency >5%)., (© 2019 John Wiley & Sons Ltd.)

Background: Genome sequencing has been widely used in plant research to construct reference genomes and provide evolutionary insights. However, few plant species have had their whole genome sequenced, thus restraining the utility of these data. We collected 1,093 samples of vascular plant species growing in the Ruili Botanical Garden, located in southwest China. Of these, we sequenced 761 samples and collected voucher specimens stored in the Herbarium of China National GeneBank., Results: The 761 sequenced samples represented 689 vascular plant species from 137 families belonging to 49 orders. Of these, 257 samples were identified to the species level and 504 to the family level, using specimen and chloroplast sequences. In total, we generated 54 Tb of sequencing data, with an average sequencing depth of 60X per species, as estimated from genome sizes. A reference phylogeny was reconstructed with 78 chloroplast genes for molecular identification and other possible applications., Conclusions: The large dataset of vascular plant genomes generated in this study, which includes both high-depth whole-genome sequencing data and associated voucher specimens, is valuable for plant genome research and other applications. This project also provides insight into the feasibility and technical requirements for "planetary-scale" projects such as the 10,000 Plant Genomes Project and the Earth BioGenome Project., (© The Author(s) 2019. Published by Oxford University Press.)

The mechanism of the DABCO-catalyzed vinylogous Henry reaction of isatin with 3,5-dimethyl-4-nitroisoxazole and solvent effects on it have been investigated using density functional theory (DFT) methods and QM/MM Monte Carlo (MC) simulation under "on-water" conditions as well as in methanol and THF solutions. The DFT calculations concluded that Path A, in which DABCO directly catalyzes the reaction of isatin 1a with 3,5-dimethyl-4-nitroisoxazole 2 in water, is the most favorable and the first step, the proton transfer process, is the rate-determining step for the reaction. For the roles of solvents in the reaction, QM/MM MC simulations using free energy perturbation theory and PDDG/PM3 as the QM method have been utilized to predict the free energy profiles. The results indicated that the QM/MM method reproduced well the large rate increases on-water. Solute-solvent energy pair distribution and radial distribution functions were also analyzed and illustrated that hydrogen bonding plays a significant role in stabilizing the transition structures. This work reveals the feasible reaction mechanisms and provides new insight into solvent effects for the DACBO-catalyzed vinylogous Henry reaction., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

We perform Zeeman spectroscopy on a Rydberg electromagnetically induced transparency (EIT) system in a room-temperature Cs vapor cell, in magnetic fields up to 50 Gauss. The magnetic interactions of the |6S1/2 Fg = 4> ground, |6P3/2 Fe = 5> intermediate, and |33S1/2> Rydberg states that form the ladder-type EIT system are in the linear Zeeman, quadratic Zeeman, and the Paschen-Back regimes, respectively. We explain the dependence of Rydberg EIT spectra on the magnetic field and polarization. The asymmetry of the EIT spectra, which is caused by the quadratic Zeeman effect of the intermediate state, becomes paramount in magnetic fields ≥40 Gauss. We investigate the interplay between Rydberg EIT, which reduces photon scattering, and optical pumping, which relies on photon scattering. We employ a quantum Monte Carlo wave-function approach to quantitatively model the spectra and their asymmetry behavior. Simulated spectra are in good agreement with the experimental data.

Amphiphilic block copolymer templating strategies are extensively used for syntheses of mesoporous materials. However, monodisperse tubular nanostructures are limited. Here, a general method is developed to synthesize monodisperse nanotubes with narrow diameter distribution induced by self-assembly of block copolymer. 3-Aminophenol (AP) and formaldehyde (F) polymerize and self-assemble with cylindrical PS-b-PEO micelles into worm-like PS-b-PEO@APF composites with uniform diameter (49 ± 3 nm). After template extraction, worm-like APF polymer nanotubes are formed. The structure and morphology of the polymer nanotubes can be tuned by regulating the synthesis conditions. Furthermore, PS-b-PEO@APF composites are uniformly converted to isomorphic carbon nanotubes with large surface area of 662 m 2 g -1 , abundant hierarchical porous frameworks and nitrogen doping. The synthesis can be extended to silica nanotubes. These findings open an avenue to the design of porous materials with controlled structural framework, composition, and properties for a wide range of applications., (© 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Introduction: Snoring has been associated with a number of abnormal conditions, but little work has been done on its association with components of metabolic syndrome based on the epidemiology in Chinese adults., Objective: This study aimed to investigate the association between snoring and components of metabolic syndrome in southeastern Chinese adults., Methods: A two-stage, cross-sectional community-based study was performed in Fuzhou, Southeast China, from 2005 to 2009. Stage 1: 5500 subjects were administered a questionnaire. Data on self-reported snoring status, daytime somnolence, demographic data, disease histories, and potential confounders were collected and anthropometric measurements were performed. Stage 2: 1000 subjects who were already investigated underwent a blood test and measurement of blood pressure., Results: Data from 4286 subjects were available; 606 subjects were habitual snorers. The prevalence of overweight or obesity, hyperglycemia, hypertension, and dyslipidemia in occasional and habitual snorers was higher than that in the study population (16.66%, 7.89%, 10.52%, and 5.81%, respectively). A significantly increasing trend based on snoring frequency existed in the prevalence of metabolic disorders. The prevalence of components of metabolic syndrome continued to be significantly associated with snoring frequency after controlling confounding factors. Odds ratios of suffering from the aforementioned conditions for occasional and habitual snorers were 1.5-2.5 (P < 0.05) and 2.4-4.8 (P < 0.001) times higher, respectively, compared with nonsnorers., Conclusions: The prevalence of snoring and components of metabolic syndrome is high in southeastern Chinese adults. Both habitual and occasional snoring are closely associated with metabolic disorders independent of confounding factors., (© 2017 John Wiley & Sons Ltd.)

The role of water in the uncatalyzed aldol reaction of N-methyl-2,4-thiazolidinedione with N-methylisatin is investigated through Monte Carlo statistical mechanics simulations that utilize free energy perturbation theory and the mixed quantum mechanics and molecular mechanics (QM/MM) model with PDDG/PM3 for the QM method in "on-water" and DMSO environments. There are several conceivable orientations between thiazolidinedione and isatin in the process of C-C bond formation. However, the formation of the C-C bond takes place between the re face of isatin and the si face of (E)-enol of the thiazolidinedione to form the preferred anti-type product, which results from enhanced hydrogen-bonding interactions between water molecules and the oxygen atoms undergoing bond breakage and bond formation during the reaction. Novel insights into the effect of water on the aldol reaction are presented herein., (© 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.)

This paper describes a 13.56-MHz wireless power recovery system with bidirectional data link for high-compliance-voltage neural/muscle stimulator. The power recovery circuit includes a 2-stage rectifier, 2 LDOs and a high voltage charge pump to provide 3 DC outputs: 1.8 V, 3.3 V and 20 V for the stimulator. A 2-stage time division based rectifier is proposed to provide 3 DC outputs simultaneously. It improves the power efficiency without introducing any impact on the forward data recovery. The 20 V output is generated by a modified low ripple charge pump that reduces the ripple voltage by 40%. The power management system shows 49% peak power efficiency. The data link includes a clock and data recovery (CDR) circuit and a load shift keying (LSK) modulator for bidirectional data telemetry. The forward and backward data rates of the data telemetry are 61.5 kbps and 33.3 kbps, respectively. In addition, a power monitor circuit for closed-loop power control is implemented. The whole system has been fabricated in a 24 V HV LDMOS option 1.8 μ m CMOS process, occupying a core area of around 3.5 mm (2).

The overexpression of ATP-binding cassette (ABC) transporters is closely associated with the development of multidrug resistance (MDR) in certain types of cancer, which represents a formidable obstacle to the successful cancer chemotherapy. Here, we investigated that cetuximab, an EGFR monoclonal antibody, reversed the chemoresistance mediated by ABCB1, ABCG2 or ABCC1. Our results showed that cetuximab significantly enhanced the cytotoxicity of ABCB1 substrate agent in ABCB1-overexpressing MDR cells but had no effect in their parental drug sensitive cells and ABCC1, ABCG2 overexpressing cells. Furthermore, cetuximab markedly increased intracellular accumulation of doxorubicin (DOX) and rhodamine 123 (Rho 123) in ABCB1-overexpressing MDR cancer cells in a concentration-dependent manner. Cetuximab stimulated the ATPase activity but did not alter the expression level of ABCB1 or block phosphorylation of AKT and ERK. Interestingly, cetuximab decreased the cell membrane fluidity which was known to decrease the function of ABCB1. Our findings advocate further clinical investigation of combination chemotherapy of cetuximab and conventional chemotherapeutic drugs in ABCB1 overexpressing cancer patients.

Objective: To observe the effects of chronic intermittent hypoxia (CIH) on myocardial cell apoptosis and explore the mechanism of microRNA-214 (miRNA-214) expression for myocardial cell apoptosis and cardiac dysfunction., Methods: A total of 20 adult male Sprague-Dawley rats were randomized into two groups (n = 10 each): for CIH group, the rats were raised in a CIH chamber 8 h daily for 6 weeks; for normal control (NC) group, the animal were exposed to normoxic air 7 h daily for 6 weeks. Hemodynamic values and myocardial function were measured via a cannula inserted into right common carotid artery. Myocardial cell apoptosis was determined by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) method. The expressions of miRNA-214 and hypoxia-inducible factor-1α (HIF-1α) mRNA were observed by real-time polymerase chain reaction (PCR). The expressions of such apoptosis-related proteins as fatty acid synthase (Fas), caspase 3, caspase 8, B-cell lymphoma-2 (Bcl-2) and Bcl-2-Associated X Protein (Bax) were detected by Western blot., Results: Compared with NC group, left ventricle end diastolic pressure (LVEDP) ((4.1 ± 0.5) vs (2.7 ± 0.4) mmHg, 1 mmHg = 0.133 kPa) increased, maximal rate of pressure decline (-dp/dtmax) ((3 005 ± 86) vs (5 918 ± 112) mmHg/s), maximal rate of pressure development (+dp/dtmax) ((4 118 ± 76) vs (7 547 ± 271) mmHg/s) and left ventricular systolic pressure (LVSP) ((90.7 ± 2.5) vs (132.7 ± 5.5) mmHg] decreased in CIH group (all P < 0.001). There were significantly more TUNEL positive cells in CIH group versus NC group (P < 0.001). The expression of miRNA-214 was significantly lower in CIH group than that in NC group (P < 0.001). In addition, HIF-1α mRNA level was significantly higher in CIH group than that in NC group (P < 0.001). The expressions of caspase 3, caspase 8, Fas and Bax increased significantly in CIH group versus NC group (all P < 0.001), suggesting increased apoptosis of myocardial cells in CIH group. Compared with NC group, the expression of Bcl-2 decreased significantly in CIH group (P < 0.001)., Conclusions: CIH may decrease the hemodynamic values and myocardial function in rats. The expression of miRNA-214 in CIH group is significantly depressed through accelerated apoptosis of myocardial cells.

Alkanethiols generally form self-assembled monolayers on gold electrodes and the electrochemical reduction of aromatic diazonium salts is a popular method for the covalent modification of carbon. Based on the reaction of alkanethiol with aldehyde groups covalently bound on carbon surface by the electrochemical reduction of aromatic diazonium salts, a new strategy for the modification of carbon electrodes with alkanethiols has been developed. The modification of carbon surface with aldehyde groups is achieved by the electrochemical reduction of aromatic diazonium salts in situ electrogenerated from a nitro precursor, p-nitrophenylaldehyde, in the presence of nitrous acid. By this way, in situ electrogenerated p-aminophenyl aldehyde from p-nitrophenylaldehyde immediately reacts with nitrous acid, effectively minimizing the side reaction of amine groups and aldehyde groups. The as-prepared alkanethiol-modified glassy carbon electrode was further used to make biomembrane-like films by casting didodecyldimethylammonium bromide on its surface. The biomembrane-like films enable the direct electrochemistry of immobilized myoglobin for the detection of hydrogen peroxide. The response is linear over the range of 1-600μM with a detection limit of 0.3μM., (Copyright © 2014 Elsevier B.V. All rights reserved.)

An efficient method to study highly excited states at the ab initio level has been introduced and applied to ultralong Rydberg CsNe molecules. Vibrational properties of Rydberg CsNe molecules are investigated on corresponding potential energy curves obtained by perturbation theory. The Rydberg CsNe molecules are associated with a Rydberg Cs(ns∕np) atom (n = 20-60) and a ground state Ne((1)S0) atom. The starting point for the perturbation treatment of corresponding Rydberg molecular potential energy curves is to generate accurate atomic Rydberg states from realistic ab initio effective core potential. According to the authors' knowledge this is a good reference for ultralong range molecules (order of 1000 Bohr radii) to be studied at the ab initio level.

Objective: To evaluate the short-term efficacy of osteoarticular allografts in the limb salvage of the proximal tibia., Methods: From 1998 to 2003, 15 patients (7 males, 8 females; aged 14-56 yr. average 33) with bone tumor of the proximal tibia underwent osteoarticular allografts. among whom 7 had progressive giant cell tumor without any previous chemotherapy; 8 had malignant tumor with previous chemotherapy, including 6 patients with osteosarcoma, 1 with spindle cell sarcoma, and 1 with malignant fibrous histiocytoma. According to the Enneking system, the patients were classified into I B (7 patients), II A (2 patients), and II B (6 patients). All the patients underwent the marginal resection with an allograft (average length 12 cm, range 6-16 cm) implanted., Results: The follow-up for an average of 21 months (range, 3-58 months) revealed that among the 8 patients with malignant tumor of the proximal tibia undergoing chemotherapy, 5 had union of the bone, 3 had no union of the bone; among the 3 patients, 2 had a complication of infection and 1 had a local recurrence. All the 3 patients underwent amputation at the lower part of the femur. According to the Mankin score, 2 patients had a perfect result, 2 good, 1 fair, and 3 poor, with a 50% effectiveness rate. Among the 7 patients with progressive giant cell tumor at the upper part of the tibia, none had infection or local recurrence, but 2 had nonunion of the bone and 2 had joint instability, aided by the knee-aiding system. According to the Mankin score, 3 patients had a perfect result, 2 good, and 2 fair, with a 71% effectiveness rate., Conclusion: The osteoarticular allograft of the proximal tibia has many advantages in spite of a relatively high rate of complications, and it is the limb salvage of choice for the progressive benign or malignant bone tumors of the proximal tibia.

Background: Atypical fibroxanthoma (AFX) and undifferentiated high grade pleomorphic sarcoma (UpS) are histologically very similar, if not identical. However, they differ significantly in clinical outcome., Materials and Methods: We used comparative genomic hybridization (CGH) to screen 24 AFX and 12 UpS for genomic alterations., Results: DNA copy number changes were observed in 20/24 AFX and in all UpS. The most frequent alterations occurring with comparable frequency in both tumors were deletions on chromosomes 9p and 13q. We also detected statistically significant differences of genetic alterations between the two tumors concerning deletions on 1q, 3p, 5q, 11p, 11q, gains on 7q, 12q and high level gains on 5p and 11q., Conclusion: Despite their very similar histology, AFX and UpS show clear differences in their genetic alterations. This might contribute to the different biological behavior of the two tumors. On the other hand the similarities in genetic alterations on chromosomes 9p and 13q might suggest a common pathogenetic pathway.