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Objective. To explore the predictive value of ABC bleeding score and SAMe-TT2R2 score on the risk of bleeding in patients with nonvalvular atrial fibrillation (NVAF) complicated with coronary heart disease (CHD) after anticoagulation. Methods. 149 patients with NVAF complicated with CHD were followed up in our hospital for one year. The bleeding events during the follow-up period were observed, the ABC bleeding score and SAMe-TT2R2 score were calculated, the predictive value of the two scoring methods for the main bleeding risk was analyzed by the ROC curve, and the AUC area under the ROC curve of the two scoring methods was compared by the Delong test. Results. There were 32 bleeding events during the follow-up period. The AUC of ABC bleeding score and SAMe-TT2R2 score were 0.775 ( P < 0.01 ) and 0.624 ( P < 0.05 ), respectively. The Delong test showed that the AUC of ABC bleeding score was significantly higher than that of SAMe-TT2R2 score (d = 2.177, P < 0.05 ). Conclusion. Both the ABC bleeding score and SAMe-TT2R2 score can predict the risk of bleeding after anticoagulation in patients with NVAF and CHD. The critical value of the SAMe-TT2R2 score for predicting bleeding events in patients with NVAF and CHD may need to be increased to 4 or 5, and the prediction ability of ABC bleeding score is significantly better than that of the SAMe-TT2R2 score.

Open innovation (OI) has great significance in innovation management. OI builds a bridge between firms and other organizations, which can help firms to quickly integrate into value chain innovation and discover the value stored in external resources, and thus can improve the performance of firms. The Chinese economy is accelerating its high-quality development. In this process, the importance of social capital is emphasized. However, less evidence is provided to discuss whether and how social capital from the resource perspective affects OI and firm performance. Therefore, we constructed a moderating model to deeply examine the mechanisms of the two models of the effects of inbound OI and outbound OI on firm performance and the impact of multidimensional social capital within it from the resource perspective. Our sample comprises 6899 observations of 1850 A-share listed manufacturing firms in China from 2016 to 2020. Considering the lag of resources into firm profitability, we decided to lag the firm performance by one year behind other indicators, so the sample data cover the period of 2016–2021. Then, we used Excel 2019 to complete the calculations of indicators and used multiple regression analysis of STATA17 to test the hypotheses. It is found that inbound and outbound OI have an inverted U-shaped relationship with firm performance. Institutional and technological social capital positively moderates the relationship between inbound and outbound OI and firm performance. Compared with the other two types of social capital, market social capital is the most widely owned among the sample firms, but its moderating effect is insignificant. The findings enrich and expand theoretical research on OI and firm performance and guide firms to implement OI, promoting their sustainable development.

This study explores whether the differences in cognitive performance among individuals with permanent atrial fibrillation (AF) are attributable to the duration of AF and anticoagulant therapy and explores the possible inflammatory mechanism of cognitive dysfunction related to AF.A total of 260 patients aged 50-75 years without previous cerebrovascular events were enrolled in this study. These 260 patients had been divided into the AF group (140 patients) and sinus rhythm group (120 patients). In the AF group, we divided participants into cognitive impairment (CI) group (90 patients) and cognitive normal (CN) group (50 patients). In the sinus rhythm group, we also divided participants into CI group (61 patients) and CN group (59 patients). The Mini-Mental State Examination (MMSE) was used to assess the cognitive function of all participants. Neuronal-derived exosomes were enriched in peripheral blood by immunoprecipitation and were confirmed by a transmission electron microscope, nanoparticle tracking analysis, and western blot. Alzheimer's disease-pathogenic exosomal proteins and inflammatory cytokines were quantified. The association between AF and cognitive function was estimated by logistic regression analysis. ANOVA or Welch's t-test compared the difference in protein concentrations between groups.Non-anticoagulant therapy in patients with AF was significantly associated with CI (OR = 13.99, 95% CI: 2.67-73.36, p .01). The incidence of dementia in patients with AF 3 years was significantly higher than in patients with AF ≤ 3 years, but there was no significant difference in total cognitive dysfunction (mild cognitive impairment [MCI] + dementia) (p = .126). The adjusted exosome concentrations of T-tau and amyloid-β protein 42 (Aβ42) in the CI group were significantly higher than in the CN group (p .001). The serum concentrations of IL-6 and matrix metalloproteinase-9 (MMP-9) in patients with AF were higher than those in patients with sinus rhythm (p .001).Aβ42 and T-tau in peripheral blood neuronal-derived exosomes maybe be associated with the early diagnosis of CI in patients with permanent AF. However, the value of Aβ42 and T-tau for CI in patients with permanent AF still needs to be confirmed in future randomized control trials.

GNAO1, the alpha O1 subunit of G protein, was reported to be significantly downregulated in hepatocellular carcinoma (HCC), as well as being implicated in a variety of intracellular biological events; findings suggest that it may act as a tumor suppressor. Our goal was to further explore the expression of GNAO1 in HCC patients and its potential clinical significance. Oncomine and Kaplan–Meier plotter databases were used to assess the mRNA expression of GNAO1 in HCC tissues and patient survival time. Subsequently, immunohistochemistry (IHC) was used to measure GNAO1 protein level in tissue from 79 cases of HCC and paired adjacent tissues. The Kaplan–Meier survival analysis, Cox regression model, and prognostic nomogram were used to evaluate the prognostic role of GNAO1 in HCC. Results demonstrated that mRNA and protein expressions of GNAO1 were both lower in HCC tissues than in adjacent tissues (all p < 0.01 ). HCC patients with high expression of GNAO1 had better relapse-free survival (RFS) than those with low GNAO1 expression (all p < 0.05 ). A high expression of GNAO1, meanwhile, functioned as a good predictor of late relapse for HCC ( p < 0.05 ). The nomogram consisting of GNAO1 expression and the tumor-node-metastasis (TNM) model presented good ability in predicting the 3-year relapse for HCC (C-index = 0.614). In conclusion, GNAO1 was a reliable biomarker of relapse prediction for HCC.

The aim was to analyze the infection, influencing factors, and clinical manifestations of

This study was aimed to explore the value of the twin neural network model in the classification and recognition of cardiac ultrasound images of patients with atrial fibrillation. 80 patients with cardiac atrial fibrillation were selected and randomly divided into experimental group (40 cases) and control group (40 cases). The twin neural network (TNN) model was combined with traditional ultrasound, Doppler spectrum, tissue velocity, and strain imaging technology to obtain the patient’s cardiac structure parameters and analyze and compare related indicators. The results showed that the total atrial emptying fraction (TA-EF value) of the experimental group was 53.08%, which was significantly lower than that of the control group ( P < 0.05 ). There were no significant differences in left atrial diameter (LAD), left ventricular end-diastolic diameter (LVEDD), left atrial maximum volume (LAVmax), and left ventricular ejection fraction (LVEF) between the two groups. In the experimental group, the average peak velocity of mitral valve annulus (Em) was 8.49 cm/s, the peak velocity of lateral wall systole (Vs) was 6.82 cm/s, and the propagation velocity of left ventricular blood flow (Vp) was 51.2 cm/s, which were significantly reduced ( P < 0.05 ). The average values of peak strains in the middle and upper left atrium of the experimental group were significantly lower than those of the control group ( P < 0.05 ). It can be concluded that the combined use of the TNN model can more accurately and quickly classify and recognize ultrasound images.

The aim was to analyze the infection, influencing factors, and clinical manifestations of Helicobacter pylori infection, coronary heart disease, and cytotoxin-associated protein A infection, so as to provide reference for the improvement of clinical diagnosis and treatment level of in-depth treatment. This paper presents a clinical observation method based on Helicobacter pylori infection, risk factors, and cytotoxin-associated protein A in patients with coronary heart disease. Methods. 237 patients with CHD diagnosed and tested by 14C breath test were selected from inpatients of cardiovascular diseases in a hospital for retrospective analysis. The clinical data, serum deepening indicators, Hcy, and other factors were analyzed through general condition investigation, previous history investigation, and physical examination. The patients were observed by the SPSS22.0 statistical data processing method. The results showed that among the respondents, 175 cases were HP-positive, the infection rate was 73.8%, 77 patients with stable angina pectoris were 64.9%, and 160 patients with acute coronary heart disease were 78.1%. The difference between the groups was statistically significant P < 0.05 . Conclusion. Helicobacter pylori cytotoxic-associated protein A can increase the risk of gastric cancer, and Helicobacter pylori eradication treatment is more conducive to reduce the incidence of gastric cancer and ensure the safety of patients.

The “counter-trend” of oasification in China’s arid and semi-arid regions has attracted widespread attention against the backdrop of the rising global desertification risk, which endangers ecological safety and food security. This paper selects the pertinent literature from the CNKI and the WoS core collection databases and then uses bibliometric methods to comb the current status, key contents, and cutting-edge trends of oasification research. The following conclusions are drawn: (1) Compared to desertification research, research on oasification has not been sufficient and the understanding of oasification has not been raised to the same level of importance as desertification; (2) From the perspective of the literature, the oasification research hotspots have gone through four stages: “spatial and temporal evolution, ecological effects, driving mechanisms and sustainable development paths”; (3) Current research on oasification is mainly focused on the evolution of landscape dynamics, sustainable development, and ecological conservation. Research outlooks are as follows: (1) From the perspective of system theory, we construct a theoretical framework of “man and nature” harmonious community, and systematically study the alternating evolution process of “desert–oasis” in arid and semi-arid regions, and its effects; (2) The synergistic factors, development mechanism and preferred path of oasification sustainable development should be some of the key contents of future research; (3) Oasification management in arid and semi-arid regions is not the opposite of desertification management, and research on the oasification governance system, governance content and governance mechanism is necessary.

It is a challenging problem that develops a low-cost, efficient and sustainable technology in order to remove heavy metals and organic contaminants in the practical wastewater. Herein, a novel recyclable Fe3O4/BiVO4/CuS (FBCu) heterojunction photocatalyst was facilely fabricated by a method, coating CuS nanoparticles on the surface of Fe3O4 and BiVO4 simultaneously. FBCu composite not only has the ability to degrade Cr(VI) or methylene blue (MB) alone under visible light irradiation, but also exhibits higher photocatalytic ability in simultaneously removing Cr(VI) and MB mixed pollutants. The superior photocatalytic performance of FBCu is related to the formation of p-n heterojunction, which extends the spectral response and facilitates the efficiency of charge carriers separation and utilization. Moreover, FBCu exhibits satisfactory properties of reusability and stability after five cycling experiments in the Cr(VI)-MB coexistence system. Furthermore, the detailed mechanism for simultaneous removal of mixed pollutants was proposed and verified by DRS results, photoelectrochemical analysis, scavenger experiments and electron spin resonance determination. This work provides a recyclable photocatalyst with eco-friendliness and multifunctional applications in water pollution.

Nowadays, designing photocatalysts with high activity and recyclability for the degradation of pollutants is still a challenging problem. In this paper, a novel Fe3O4/BiVO4/CdS (FBC) heterojunction photocatalyst was firstly fabricated by simultaneously decorating CdS on the surface of pristine Fe3O4 and BiVO4 in a low-temperature water bath system. The FBC photocatalyst can enhance the absorption range of visible light and facilitate the separation and transfer of charges. Simultaneously, it can also provide large specific surface area and excellent magnetic response. FBC-3 displayed the highest degradation rate of tetracycline (87.37%) under visible light irradiation. Moreover, the important parameters affecting the photocatalytic activity were investigated to simulate the degradation of TC in real aqueous system. More importantly, the synthesized magnetic photocatalyst exhibited good universal applicability, stability and reusability. The Z-scheme transfer pathway for improving photocatalytic performance was also proposed based on the results of radical trapping experiments, electron spin resonance (ESR) measurement, optical and photoelectrochemical analysis.

The objective of this study is to investigate the encapsulation of 20(R)-ginsenoside Rg3 (20(R)-Rg3) using polylactic-co-glycolic acid (PLGA) and promotion for its antitumor activity.Preparation and evaluation of the antitumor efficacy of 20(R)-Rg3-loaded PLGA nanoparticles were the first reported. The data will be helpful to apply 20(R)-Rg3 efficiently and broadly in new drug form development and clinical cancer treatment.The nanoparticles were prepared using emulsion and solvent evaporation methods. The uniform particle size and good dispersion were further confirmed by scanning electron microscopy. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay was applied to detect cell proliferation after 20(R)-Rg3-loaded PLGA nanoparticles treatment. Western blotting and immunofluorescent staining were used for observation of key proteins related with proliferation and apoptosis. Cell cycle and apoptosis were analyzed by flow cytometer technology.The results showed that the size of 20(R)-Rg3-loaded PLGA was 97.5 nm in diameter, and zeta potential was -28 mV detected by Malvern particle size analyzer. The encapsulation efficiency was 97.5%, and drug loading was 70.2% measured by high-performance liquid chromatography. The in vitro study showed that the encapsulated 20(R)-Rg3 was consecutively released and the release ratio reached to the highest value (19.36%) at the time point of 96 h. The encapsulated 20(R)-Rg3 significantly inhibited the proliferation and induced apoptosis in A431 cancer cells compared with the unencapsulated 20(R)-Rg3, control and PLGA alone.20(R)-Rg3-loaded PLGA nanoparticles was well prepared and characterized. The antitumor activity was increased after PLGA encapsulation. The data will be beneficial to the development of new dosage forms of 20(R)-Rg3 and extensive application.

The purpose of this study was to optimize the total anthocyanin content (TAC), total phenolic content (TPC), and antioxidant activity of acidified water extract from blue honeysuckle berries by response surface methodology (RSM). The optimized conditions were HCl concentration of 0.35%, liquid–solid ratio of 49.42 ml/g, and extraction temperature of 41.56°C for total anthocyanin content (24.01 ± 0.37 mg/g), total phenolic content (207.03 ± 3.31 mg/g), DPPH radical scavenging activity (68.24 ± 1.13%), and ABTS radical scavenging activity (70.05 ± 0.84%). The experimental results are consistent with the predicted values. The results showed that acidified water extraction was an effective, simple, and green technique for the extraction of total anthocyanins, total phenol, and antioxidant activity from blue honeysuckle berries.

An innovative magnetic separator was designed to capture chromium ions in tanning wastewater through magnetic nanoparticles. The effect of Fe3O4 magnetic particle concentrations, magnetic bar spacing and liquid flow velocities on the capture efficiency of the magnetic separator on magnetic nanoparticles in a simulated system was investigated. When the concentration of the magnetic particles is less than 400mg/L, the flow velocity is lower than 18L/hr, and the spacing of the magnetic bar is less than 30mm, the capture efficiency of Fe3O4 magnetic nanoparticles could keep more than 99.4 % within 3h. The magnetic separator was applied to treat chromium-containing tanning wastewater. The initial chromium concentration of the wastewater is 127mg/L. The capture efficiency could keep 99.7 % during 5 h, the wastewater treatment capacity is 18 L/hr and the outlet Cr

In this study, a sea urchin-like Fe3O4/ZnO/ZnSe hierarchical heterostructured photocatalyst was successfully prepared via a convenient synthetic strategy and combined with a newly designed photocatalytic magnetically fixed bed reactor (PMFBR) to continuously photodegrade pollutants under simulated solar light irradiation. In the experiment, ZnO nanorods were first grafted onto the surfaces of hollow Fe3O4 nanoparticles, and then ZnSe nanoparticles were uniformly distributed on the ZnO nanorods, the obtained Fe3O4/ZnO/ZnSe composite exhibited three-dimensional structure and excellent magnetic response. Through citing PMFBR, a stable and homogeneously distributed heterogeneous catalyst, efficient light distribution, and good mass transfer of reactants were achieved. As a result, the Fe3O4/ZnO/ZnSe composite in the PMFBR showed excellent photocatalytic capacity with a continuous process. The combination of the magnetic photocatalyst and PMFBR transformed the reaction mode from cumbersome intermittent operation to a simple continuous-flow photocatalytic style. It is hoped that this continuous photocatalytic system could provide a new idea for large-scale wastewater treatment.

A novel magnetic polystyrene (PS) trioctylamine (TOA) microsphere (Fe3O4/PS/TOA) adsorbent was synthesized by permeation and swelling on porous polystyrene microsphere matrix with a crosslinking degree of 0.5% and applied for removal of simulated radioactive element Ce3+. The morphology, composition and magnetic properties were characterized by SEM, FTIR, TG and VSM. The saturation magnetization of the microspheres enhanced significantly with the increase of the times of penetration-deposition, reached to saturation point of 21.72 emu/g. In addition, the adsorption kinetics showed that the adsorption capacity was 39.7 mg/g, isothermal studies indicated that the equilibrium isotherm was more suitable for the Langmuir model.

Liver fibrosis is a wound-healing response represented by excessive extracellular matrix deposition. Activation of hepatic stellate cell (HSC) is the critical cellular basis for hepatic fibrogenesis, whereas hepatocyte undergoes epithelial-mesenchymal transition (EMT) which is also involved in chronic liver injury. Long noncoding RNA H19 has been found to be associated with cholestatic liver fibrosis lately. However, the role of H19 in liver fibrosis remains largely to be elucidated. In this study, we found that the expression of H19 was significantly upregulated in the liver tissue of CCl4 -induced mice, a toxicant-induced liver fibrogenesis model. Overexpression of H19 significantly aggravated activation of HSC and EMT of hepatocyte both by stimulating transforming growth factor-β (TGF-β) pathway. In terms of mechanism, H19 functioned as a competing endogenous RNA to sponge miR-148a and subsequently sustained the level of ubiquitin-specific protease 4 (USP4), which was an identified target of miR-148a and was able to stabilize TGF-β receptor I. In conclusion, our findings revealed a novel H19/miR-148a/USP4 axis which promoted liver fibrosis via TGF-β pathway in both HSC and hepatocyte, indicating that H19 could become a promising target for the treatment of liver fibrosis.

Halogen bonding interactions in the formation of liquid crystalline phases have been recognised in recent years. Here, we report a novel series of iodine-bonded liquid crystals using 1,2-diiodotetrafluorobenzene (1,2-DITFB) and azopyridine derivatives (AnAzPy), showing a smectic A phase and concurrent photoresponsive behaviour. These were characterised by using a polarising optical microscope, differential scanning calorimetry and UV-vis absorption spectroscopy. The formation of iodine bonding in the complexes was confirmed by X-ray photoelectron spectroscopy and Raman spectroscopy. Importantly, these iodine-bonded complexes demonstrated a low liquid crystal temperature range (30–50°C) among those reported for photoresponsive halogen-bonded liquid crystals. The molar ratio of the iodine-bonded donor and acceptor was 1:1 upon the self-assembly of the supramolecular complex molecule, as indicated by 1D-WAXD experiments of mixed samples of 1,2-DITFB and AnAzPy with different molar ratios. This study offers a new family of photoresponsive halogen-bonded liquid crystals and broadens the potential applications in their associated systems.

Hepatocellular carcinoma (HCC) is one of the most lethal and prevalent cancers worldwide and has recently become the second most common cause of cancer-related deaths in men of developing countries. Guanine nucleotide-binding protein (G protein) has been reported to be associated with the early process of HCC. In our previous study, GNAO1, one of members of G protein, was found to be down-regulated in HCC. Thus, the present study aimed to throw light upon the mechanism of the abnormal expression of GNAO1 in HCC. First, qPCR results from two HCC cell lines (SMMC-7721 and QGY-7703) confirmed the down-expression of GNAO1, followed by the validation of the methylation status of the promoter region by bisulfite sequence PCR (BSP). Moreover, 5-Aza-2′-deoxycytidine (DAC) with Trichostatin A (TSA) treatment made it much clear that GNAO1 transcription was inhibited by promoter hypermethylation, contributing to its low expression. It was further revealed that the silencing effect was regulated by methyltransferase 1 (DNMT1), and was further enhanced by transforming growth factor β (TGF-β). In addition, the up-regulation of GNAO1 with the help of recombinant plasmid was also found to accelerate cell apoptosis, confirmed by flow cytometry and western blotting analysis. All these results above indicated that the promoter hypermethylation of GNAO1 might play an important role in HCC, suggesting that it might be used as a promising biomarker for HCC diagnosis and targeted therapy.

Accumulating evidence indicated that oxymatrine (OMT), an alkaloid compound from the Chinese medicinal herb Sophora flavescens, exhibits activity against hepatic fibrosis. The present study attempted to explore the underlying mechanisms of OMT‑mediated inhibition of collagen production. For this, the LX‑2 human hepatic stellate cell line was treated with OMT (240, 480 or 960 mg/l) for 3‑5 days. The endogenic expression of pro‑collagen I was decreased by OMT in a dose‑ and time‑dependent manner, accompanied with the downregulation of Y‑box binding protein 1 (YB‑1), a vital transcription factor, particularly on the fourth day of incubation with a high concentration of OMT. To further explore the intracellular changes in YB‑1 levels, nuclear/cytoplasmic proteins were extracted separately, and subsequent western blot analysis revealed a significant upregulation of YB‑1 in the nucleus in parallel with its downregulation in the cytoplasm, indicating the nuclear translocation of YB‑1 induced by OMT treatment. In another experiment, knockdown of YB‑1 using small interfering RNA led to elevated mRNA levels of collagen I, thereby reversing the effects of OMT treatment. In conclusion, these present study suggested that the attenuation of pro‑collagen I expression caused by OMT was, to a certain extent, mediated via nuclear translocation of YB‑1.