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Cisplatin resistance is a major obstacle in the treatment of non-small cell lung cancer (NSCLC). p32 and OPA1 are the key regulators of mitochondrial morphology and function. This study aims to investigate the role of the p32/OPA1 axis in cisplatin resistance in NSCLC and its underlying mechanism. The levels of p32 protein and mitochondrial fusion protein OPA1 are higher in cisplatin-resistant A549/DDP cells than in cisplatin-sensitive A549 cells, which facilitates mitochondrial fusion in A549/DDP cells. In addition, the expression of p32 and OPA1 protein is also upregulated in A549 cells during the development of cisplatin resistance. Moreover, p32 knockdown effectively downregulates the expression of OPA1, stimulates mitochondrial fission, decreases ATP generation and sensitizes A549/DDP cells to cisplatin-induced apoptosis. Furthermore, metformin significantly downregulates the expressions of p32 and OPA1 and induces mitochondrial fission and a decrease in ATP level in A549/DDP cells. The co-administration of metformin and cisplatin shows a significantly greater decrease in A549/DDP cell viability than cisplatin treatment alone. Moreover, D-erythro-Sphingosine, a potent p32 kinase activator, counteracts the metformin-induced downregulation of OPA1 and mitochondrial fission in A549/DDP cells. Taken together, these findings indicate that p32/OPA1 axis-mediated mitochondrial dynamics contributes to the acquired cisplatin resistance in NSCLC and that metformin resensitizes NSCLC to cisplatin, suggesting that targeting p32 and mitochondrial dynamics is an effective strategy for the prevention of cisplatin resistance.

In order to optimize the parameters of the powder metallurgy process of (NixSi+C)/Cu composite materials，orthogonal tests were designed to study the effects of mixing method，sintering temperature and sintering time on the microstructure and mechanical properties of(NixSi+C)/Cu composite materials.Results showed that a low mixing energy would lead to an uneven dispersion of SiC particles，and SiC particles that didn’t take part in the reaction would remain at the boundary of the powders in the composite prepared；a high mixing energy would lead to serious deformation of the powders and increase the diffusion ability of the elements in the sintering process，making the mixture of Ni3Si and C at the boundary of the powder in the composite prepared after the reaction show a complete network structure.The increase of sintering temperature and sintering time would result in an increase of the amount of Ni3Si precipitated at the boundary of powders in the composite and an increase of the density of the composite.In addition，the conductivity and hardness showed an increasing trend.The parameter combination of the metallurgical preparation process of (NixSi+C)/Cu composite materials that could obtain the best conductivity and hardness was as follows:a vibration mixing，a pellet ratio of 1 ∶5，a sintering temperature of 950 ℃and a sintering time of 120 min.Under these conditions，the density，conductivity and Vickers hardness of the samples were verified，and the verification results were all higher than those of the samples in the orthogonal tests，which would provide an important theoretical and practical reference for the subsequent preparation of(NixSi+C)/Cu composite materials with excellent properties.

Self-healing coatings mainly include externally assisted self-healing coatings based on the addition of repair agent and intrinsic selfhealing coatings based on reversible bond crosslinking polymers.The intrinsic self-healing coatings have attracted extensive attention due to their multiple repairable properties.In this paper，the self-healing technology based on crosslinking polymers containing reversible covalent bonds such as reversible imine bond，reversible disulfide bond，reversible Diels-Alder reaction and reversible urea bond，as well as the selfhealing mechanism，performance characteristics and difficulties of supramolecular crosslinked polymers based on reversible non-covalent bonds such as hydrogen bond，metal-ligand coordination bond and π - π stacking were discussed in detail.Besides，the application of self-healing technology based on reversible crosslinking polymers in coatings was also discussed.

BACKGROUND: Patients who have been treated with mechanical ventilation for more than 72 hours are susceptible to symptoms such as hypoxia and respiratory muscle fatigue after weaning, which may result in weaning difficulty and delay, as well as an increased incidence of negative emotions such as anxiety and depression. Correct pulmonary rehabilitation exercise technique and timing can improve the weaning success rate, reduce the disability rate, and reduce the incidence of pulmonary infection, as well as reduce medical expenses. OBJECTIVE: This article provides a review of pulmonary rehabilitation interventions for mechanically ventilated patients, searching relevant literature through databases such as CNKI and PubMed, aiming to provide guidance for the successful weaning of mechanically ventilated patients. METHODS: We selected articles related to pulmonary rehabilitation interventions for mechanically ventilated patients from CNKI (China National Knowledge Infrastructure) and PubMed over the years. RESULTS: This article provides a comprehensive review of the research on lung rehabilitation for patients who are mechanically ventilated during the weaning process in an effort to serve as a guide for a successful transition from mechanical ventilation. CONCLUSION: Early pulmonary rehabilitation training can effectively increase the pulmonary function level and ventilation function of patients and reduce the duration of mechanical ventilation and hospitalization, and is an effective, safe, and feasible treatment method. [ABSTRACT FROM AUTHOR]

Objective To evaluate the impact of DRG medical insurance payment reform on the quality development of a tertiary comprehensive hospital in Guangxi. Methods This study selected data on all inpatient settlement cases in the hospital from 2020 to 2021, and calculated the DRG grouping of all cases according to the national CHS-DRG version 1.0 grouping plan. The interruption time series analysis method was further used to analyze the level and trend changes of indicators after the DRG policy reform in hospitals in December 2020.These indicators included total weight, case group index, cost consumption index, time consumption index, average length of stay, average hospitalization cost per visit, etc. They were used to evaluate the hospital' s medical service capacity, medical service efficiency, and medical safety, in order to understand the quality of the hospital. Results A total of 72 089 cases were included in this study. Indicators such as cost consumption index (β = -0.242, P = 0.001), time consumption index (β = -0.119, P = 0.002), average length of stay (β = -1.543, P = 0.011), proportion of high incidence cases (β = -0.028, P = 0.026), and average cost of hospitalization (β = -3 669.366, P = 0.026) showed an immediate decrease during the implementation of DRG policy. Conclusion After implementing the DRG policy reform, the hospital has significantly improved the efficiency of medical services, but still faces the challenge of adjusting structure and increasing quality. [ABSTRACT FROM AUTHOR]

Protein coronas are present extensively at the bio‐nano interface due to the natural adsorption of proteins onto nanomaterials in biological fluids. Aside from the robust property of nanoparticles, the dynamics of the protein corona shell largely define their chemical identity by altering interface properties. However, the soft coronas are normally complex and rapidly changing. To real‐time monitor the entire formation, we report here a self‐regulated electrochemiluminescence (ECL) microscopy based on the interaction of the Ru(bpy)33+ with the nanoparticle surface. Thus, the heterogeneity of the protein corona is in situ observed in single nanoparticle "cores" before and after loading drugs in nanomedicine carriers. The label‐free, optical stable and dynamic ECL microscopy minimize misinterpretations caused by the variation of nanoparticle size and polydispersity. Accordingly, the synergetic actions of proteins and nanoparticles properties are uncovered by chemically engineered protein corona. After comparing the protein corona formation kinetics in different complex systems and different nanomedicine carriers, the universality and accuracy of this technique were well demonstrated via the protein corona formation kinetics curves regulated by competitive adsorption of Ru(bpy)33+ and multiple proteins on surface of various carriers. The work is of great significance for studying bio‐nano interface in drug delivery and targeted cancer treatment. [ABSTRACT FROM AUTHOR]

CO2 electrochemical conversion on copper electrocatalysts demonstrates selectivity and activity towards multicarbon compounds such as ethylene. However, the complex product distribution, as well as the wasted carbon and electrons in non-target products such as HCOOH, CO, and H2, can significantly increase the energy input and separation costs. As a result, we designed an electro-bio tandem reactor using copper electrocatalysts and microorganisms to transform CO2 into specific multicarbon compounds in both the gas and liquid phases. The unavoidable reducing products from electrocatalysis, including HCOOH in the liquid phase, and CO and H2 in the gas phase, can be consumed and recycled as electron donors or better carbon feedstocks for selective acetate synthesis in Moorella thermoacetica via the Wood–Ljungdahl pathway. In neutral electrolytes, the faradaic selectivity of acetate in liquid products is the highest (79.6%) for Cu-based CO2 electroreduction, and the electron conversion rate to ethylene and acetate is the highest for microbial electrosynthesis (8113.8 mmol h−1 m−2), demonstrating a green design for CO2 upcycling targeting multicarbon products via the parallel integration of electrocatalysis and fermentation. [ABSTRACT FROM AUTHOR]

Commiphora gileadensis (C. gileadensis) has been identified and linked with various health benefits and pharmaceutical potential for its phytochemical activities and chemical constituents. This study aimed to evaluate ultrasonic‐assisted extraction (USE) technique for total phenols content from C. gileadensis leaf compared to the hydrodistillation extraction (HDE). Our results showed that the USE operating conditions were identified as: MeOH·H2O solvent‐to‐fresh sample ratio of 80:20 (v/v); ultrasonic power/frequency at 150 W/20 kHz; and a temperature of 40 ± 1°C; subjected to acoustic waves intermittently for a calculated time (5 min) during the total programmed time of 12 min. The USE exhibited (118.71 ± 0.009 mg GAE/g DM) more amounts of all phenols than HDE (101.47 ± 0.005 mg GAE/g DM), and antioxidant (77.78 ± 0.73%, 75.27 ± 0.59% scavenging inhibition of DPPH), respectively. Anti‐aging and Cytotoxicity activities were investigated. The results of biological evaluations showed that the crude extracts of C. gileadensis significantly extended the replicative lifespan of K6001 yeast. In addition, in vitro cytotoxicity against the HepG2 cell line showed significant anticancer activity, and approximately 100 μg/mL is required to decrease viability compared with that of the control. This study is proven for a larger scale to extract and isolate compounds of C. gileadensis for potential utilization in the pharmaceutical industry. In conclusion, advanced methods afford an extract with high activity in the biological properties of the extract. [ABSTRACT FROM AUTHOR]

The Liangkeshu iron deposit in Xinjiang is located in the Kelang basin at the southern margin of Altay. The iron deposit occurs in pegmatite dikes at the contact zone of monzonitic granite and schist of the Middle-Upper Devonian Aletai Formation. Fluid inclusions in quartz from the ore body, which are mainly liquid inclusions were studied by micro temperature measurement and are described in this paper. The results indicate that the homogenization temperatures of the fluid inclusions varied from 156℃ to 367℃, mostly distributed from 210℃ to 250℃. The salinity (NaCleq) of fluids ranged from 0.18% to 18.72% and the densities ranged from 0.80 g/cm3 to 0.95 g/cm3. Ore fluids in the Liangkeshu iron deposit were characterized by medium temperature, low salinity and low density, and belonged to the H2O-NaCl system. δDSMOW values of quartz were from -110‰ to -76‰, δ18OSMOW values changed from 5.3‰ to 7.9‰ and δ18OH2O values varied from 1.03‰ to 1.07‰, implying that the ore-forming fluid was magmatic water mixed with meteoric water. Fe mineralization in the Liangkeshu deposit occurred in the Middle Devonian period (about 377 Ma), and is closely related to the monzonitic granite. The decrease of temperature and pressure, the fluids mixing and water-rock reaction played important roles in ore-forming processes of the Fe ore bodies.

Aim: The primary objective of this study was to assess the patient safety culture in a general hospital in Shanghai, China, through a modified Manchester Patient Safety Framework (MaPSaF). Design: This study has a qualitative interview design. Data were collected through group interviews and analyses performed through content analysis. Methods: The MaPSaF was translated into Chinese and used to assess the patient safety culture in a large general hospital in Shanghai, China. Group interviews using the MaPSaF were conducted with 15 nurses in the obstetric ward. Participants rated their safety practice individually on each of the nine MaPSaF safety culture dimensions. The dimensions and scores were then collectively discussed and a practice‐wide consensus score for each dimension was agreed. Discussions were recorded, transcribed and analysed to assess patient safety in the obstetric ward. Results: It took about 2 hr to complete the discussion focusing on patients' safety employing the MaPSaF. Most participants recognized the process as acceptable and useful. The MaPSaF directed team discussion about patient safety issues and facilitated communication, prompting some practice changes. All participants responded positively to the discussion and perceived MaPSaF as a good safety culture assessment tool, with clear, comprehensive and understandable entries. The process demonstrated that the department of obstetrics in the hospital already had a positive patient safety culture, but certain areas were highlighted as still needing improvement. Based on participants' positive experience and perception of the MaPSaF, it can be concluded that there is potential benefit in its adaptation and use in obstetrics wards of Chinese hospitals. The MaPSaF has the potential to strengthen existing safety cultures and improve general safety through collaborative measures. [ABSTRACT FROM AUTHOR]