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Abstract This study aimed to confirm the hypothesis that continuous ACB (CACB) combined with a popliteal plexus block (PPB) can improve posterior knee pain, reduce nalbuphine consumption, and shorten the length of hospital stay. Patients who underwent TKA were allocated to the CACB + sham block (SHAM) or CACB + PPB groups. The primary outcome was the maximum pain score originating from the posterior knee within 4 h after TKA. Secondary outcomes included the maximum pain score originating from the posterior and anterior knees within 72 h after TKA, range of motion on postoperative day (POD) 1–3, postoperative nalbuphine consumption within 72 h of surgery, length of hospital stay, and complications. The maximum pain score of the posterior knee was lower in the CACB + PPB group than in the CACB + SHAM group within 0–12 h after surgery. Nalbuphine consumption within 24 h after surgery was lower in the CACB + PPB group than in the CACB + SHAM group. The range of motion was better in the CACB + PPB group than in the CACB + SHAM group on POD1 and 2. The length of hospital stay was shorter in the CACB + PPB group than in the CACB + SHAM group. The incidence of clinical significant nausea and vomiting was lower in the CACB + PPB group than in the CACB + SHAM group. This study found that PPB combined with CACB could relieve pain in the posterior knee within at least 12 h after TKA, reduce nalbuphine consumption within 24 h after TKA, improve the range of motion on POD1 and 2, and shorten the length of hospital stay for patients who underwent TKA.

The prevailing view emphasizes the up-regulation of positive emotions, as they are essential for individuals to expand flexibility of thought, maintain healthy mental state, and nurture harmonious interpersonal relationships. However, an increasing number of studies have found that excessive positive emotions can be maladaptive, both clinically and non-clinically, especially when the intensity and duration do not match the context and personal expectations. Traditional Chinese medicine advocates the appropriate expression of positive emotions, and it has introduced the emotion regulation strategy of sadness-counteracts-joy (SCJ) to down-regulate excessive positive emotions. The present study examined the efficacy of distraction, reappraisal, and sadness-counteracts-joy (SCJ) in the down-regulation of high-intensity positive emotions. Twenty-one participants (18-30 years old) were sampled, self-reported data were collected, and late positive potentials (LPP) in the regulation task were analyzed. The results showed that (1) the three strategies were effective in the self-reported rating, and the participants perceived SCJ and distraction as more effective than reappraisal; (2) the three strategies all reduced the self-reported positive emotion valence and arousal, but SCJ led to negative valence deflection; (3) both distraction and reappraisal significantly reduced the LPP amplitudes during the early LPP window, and the attenuation of reappraisal lasted for almost the whole implementation; and (4) the LPP for SCJ was consistently the same as that for the free view and did not differ significantly throughout the whole-time window. These results provide preliminary neurophysiological evidence for SCJ and suggest that SCJ is a strategy that differs from distraction and reappraisal., Author(s): Shao-zhen Feng [sup.1] , Chang Liu [sup.1] , Jun-yi Hao [sup.1] , Rong Shi [sup.1] [sup.2] , Ming-ming Zhang [sup.1] , Mai-er-yan Chen [sup.1] , Jing Luo [sup.3] Author [...]

Abstract The heavy fermion physics is dictated by subtle competing exchange interactions, posing a challenge to their understanding. One-dimensional (1D) Kondo lattice model has attracted special attention in theory, because of its exact solvability and expected unusual quantum criticality. However, such experimental material systems are extremely rare. Here, we demonstrate the realization of quasi-1D Kondo lattice behavior in a monolayer van der Waals crystal NbSe2, that is driven into a stripe phase via Se-deficient line defects. Spectroscopic imaging scanning tunneling microscopy measurements and first-principles calculations indicate that the stripe-phase NbSe2 undergoes a novel charge-density wave transition, creating a matrix of local magnetic moments. The Kondo lattice behavior is manifested as a Fano resonance at the Fermi energy that prevails the entire film with a high Kondo temperature. Importantly, coherent Kondo screening occurs only in the direction of the stripes. Upon approaching defects, the Fano resonance exhibits prominent spatial 1D oscillations along the stripe direction, reminiscent of Kondo holes in a quasi-1D Kondo lattice. Our findings provide a platform for exploring anisotropic Kondo lattice behavior in the monolayer limit.

Abstract Background Kirsten rat sarcoma (KRAS) and mutant KRASG12D have been implicated in human cancers, but it remains unclear whether their activation requires ubiquitination. This study aimed to investigate whether and how F-box and leucine-rich repeat 6 (FBXL6) regulates KRAS and KRASG12D activity in hepatocellular carcinoma (HCC). Methods We constructed transgenic mouse strains LC (LSL-Fbxl6 KI/+ ;Alb-Cre, n = 13), KC (LSL-Kras G12D/+ ;Alb-Cre, n = 10) and KLC (LSL-Kras G12D/+ ;LSL-Fbxl6 KI/+ ;Alb-Cre, n = 12) mice, and then monitored HCC for 320 d. Multiomics approaches and pharmacological inhibitors were used to determine oncogenic signaling in the context of elevated FBXL6 and KRAS activation. Co‑immunoprecipitation (Co-IP), Western blotting, ubiquitination assay and RAS activity detection assay were employed to investigate the underlying molecular mechanism by which FBXL6 activates KRAS. The pathological relevance of the FBXL6/KRAS/extracellular signal-regulated kinase (ERK)/mammalian target of rapamycin (mTOR)/proteins of relevant evolutionary and lymphoid interest domain 2 (PRELID2) axis was evaluated in 129 paired samples from HCC patients. Results FBXL6 is highly expressed in HCC as well as other human cancers (P