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Evidence for neoadjuvant chemotherapy combined with targeted therapy for locally advanced esophageal squamous cancer (ESCC) is inadequate. We conducted a single-arm phase II trial to evaluate the efficacy and safety of apatinib combined with taxol and cisplatin (ATP) for locally advanced ESCC. All patients were cT3-4aN0-3 M0 (IIIb-IVa) stage, which were confirmed by histopathology. Apatinib was taken orally (425 mg/d) for two cycles, followed by one cycle of rest. Taxol was administered at 135 mg/m2 intravenously on day 1, and cisplatin was administered at 20 mg/m2 intravenously on day 1 to day 3. Radical ESCC resection was performed 4 weeks after ATP. The primary endpoint was pathological response rate (pCR). Secondary endpoints were pathologic response rate (MPR), disease-free survival (DFS), overall survival (OS), R0 resection rate, and safety profile. This trial was registered. We evaluated 41 patients for screening from Oct 2018 to July 2020, of whom 39 were enrolled in the study, with a median age of 65 years (range 49-75 years), and 29 (74.4%) were male. Among the 39 patients, 1 was considered unresectable by the multidisciplinary team due to tumor progression, and 38 patients underwent surgery eventually. The median follow-up was 22 months (range 5-29 months), and the follow-up rate was 100%. The 1-year and 2-year OS was 95% and 95%, and the 1-year and 2-year DFS was 85% and 82%, respectively. Thirty-eight (97.3%) successfully underwent R0 resection. Of the 38 evaluable patients, 9 (23.6%) were pCR, and 15 (39.5%) were MPR. The most common ATP-related AEs were nausea (76.9%), leucopenia (53.8%), neutropenia (51.2%) and vomit (51.2%), anemia (41.0%), and hypertension (25.6%). The most frequent grade 3-4 events included leucopenia (15.3%), neutropenia (15.3%), nausea (12.8%), vomit (12.8%), and hypertension (10.2%). No treatment-related death occurred. Neoadjuvant apatinib combined with taxol and cisplatin for locally advanced ESCC showed favorable activity and manageable safety.

BACKGROUND: The efficacy of endoscopic resection in patients with rectal neuroendocrine tumors (NETs) which are less than 20 mm in diameter remains unclear. This study aimed to investigate the efficacy and outcomes of different types of endoscopic resection in patients with NETs. METHODS: We performed a retrospective analysis and follow-up on 98 patients who underwent endoscopic resection for rectal NETs between August 2010 and October 2019 at Guangdong Provincial People’s Hospital, China. The lesions were preoperatively classified according to their endoscopic morphology and measured by endoscopic ultrasound. Patients were divided into modified endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) groups depending on the endoscopic treatment they received. The en bloc resection rate, histopathological complete resection rate, and the complication rate of the 2 groups were evaluated after the operation. The risk factors for incomplete resection were also analyzed. RESULTS: The average diameter of the 98 NETs was 6.29±2.90 mm (range, 2–15 mm). The en bloc resection rate of the modified EMR and ESD treatment groups was 97.2% (35/36) and 100% (62/62), respectively. The histopathological complete resection rate was 86.1% (31/36) and 87.1% (54/62), respectively. No tumor recurrence or tumor-related death occurred. There were no statistically significant differences in the rate of histopathological complete resection, perforation, or delayed hemorrhage between the 2 groups (P>0.05). Multivariate analysis demonstrated that the depth of tumor invasion (P=0.007) and tumor diameter (P

BACKGROUND Knee osteoarthritis (KOA) causes joint pain and dysfunction that severely affects the patient's ability to walk. Arthroscopy combined with intraarticular injection of sodium hyaluronate can slow the development of knee osteoarthritis, but there is a lack of rigorous evidence-based medicine evaluation, and it has not been recognized by some scholars at home and abroad. This paper analyzed the clinical efficacy of arthroscopy combined with intraarticular injection of sodium hyaluronate in slowing knee osteoarthritis based on Lysholm score. METHODS Randomized control trials of arthroscopy combined with intra-articular injection of sodium hyaluronate in the treatment of KOA on Chinese and English databases were retrieved using the following search terms: "knee osteoarthritis", "arthroscopic debridement of the joint", "articular cavity", and "sodium hyaluronate". The quality of the literature was evaluated using the Rev Man 5.3 software. RESULTS Twelve literatures were included in the meta-analysis. Regarding Newcastle-Ottawa Scale (NOS) score, of the 12 literatures, 7 literatures (58.33%) scored 6-9 points, 3 literatures (25%) scored 3-5 points, and 2 literatures (16.67%) scored 0-2 points. With a random effects model used for analysis, the Lysholm score after 1 month of combined treatment was significantly higher than that before treatment [mean difference (MD) =30.65, 95% confidence interval (CI): 19.44, 41.86, P

The growth cone guides the axon or dendrite of striatal GABAergic projection neurons that protrude into the midbrain and cortex and form complex neuronal circuits and synaptic networks in a developing brain, aberrant projections and synaptic connections in the striatum related to multiple brain disorders. Previously, we showed that ketamine, an anesthetic, reduced dendritic growth, dendritic branches, and spine density in human striatal GABAergic neurons. However, whether ketamine affects the growth cone, the synaptic connection of growing striatal GABAergic neurons has not been tested. Using human GABAergic projection neurons derived from human inducible pluripotent stem cells (hiPSCs) and embryonic stem cells (ES) in vitro, we tested ketamine effects on the growth cones and synapses in developing GABAergic neurons by assessing the morphometry and the glycogen synthase kinase-3 (GSK-3) and histone deacetylase 6 (HDAC6) pathway. Ketamine exposure impairs growth cone formation, synaptogenesis, dendritic development, and maturation via ketamine-mediated activation of GSK-3 pathways and inhibiting HDAC6, an essential stabilizing protein for dendritic morphogenesis and synapse maturation. Our findings identified a novel ketamine neurotoxic pathway that depends on GSK-3β and HDAC6 signaling, suggesting that microtubule acetylation is a potential target for reducing ketamine’s toxic effect on GABAergic projection neuronal development.

Ketamine is widely used in infants and children for anesthesia; both anesthetic and sub-anesthetic doses of ketamine have been reported to preferentially inhibit the GABAergic neurons. Medium spiny neurons (MSNs), the GABAergic projection neurons in the striatum, are vulnerable to anesthetic exposure in the newborn brain. Growth of dendrites requires a deacetylase to remove acetyl from tubulin in the growth cone to destabilize the tubulin. Histone deacetylase 6 (HDAC6) affects microtubule dynamics, which are involved in neurite elongation. In this study we used a human induced pluripotent stem cells (iPSCs)-derived striatal GABA neuron system to investigate the effects of ketamine on HDAC6 and the morphological development of MSNs. We showed that exposure to ketamine (1–500 μM) decreased dendritic growth, dendrite branches, and dendritic spine density in MSNs in a time- and concentration-dependent manner. We revealed that ketamine treatment concentration-dependently inhibited the expression of HDAC6 or aberrantly translocated HDAC6 into the nucleus. Ketamine inhibition on HDAC6 resulted in α-tubulin hyperacetylation, consequently increasing the stability of microtubules and delaying the dendritic growth of MSNs. Finally, we showed that the effects of a single-dose exposure on MSNs were reversible and lasted for at least 10 days. This study reveals a novel role of HDAC6 as a regulator for ketamine-induced deficits in the morphological development of MSNs and provides an innovative method for prevention and treatment with respect to ketamine clinical applications.

To reveal the mechanism of impact load on coal micropores and improve the extraction efficiency of high-rank coal gas, a separate Hopkinson pressure bar (SHPB) impact test system was used to simula...

This study reveals interfering Notch signaling pathway of anterior cingulate cortex in early phase prevents neuropathic pain progress by inhibiting the potentiation of synaptic transmission., Plastic changes in the anterior cingulate cortex (ACC) are critical in pain hypersensitivity caused by peripheral nerves injury. The Notch signaling pathway has been shown to regulate synaptic differentiation and transmission. Therefore, this study was to investigate the function of the Notch signaling pathway in the ACC during nociceptive transmission induced by neuropathic pain. We adopted Western blotting, N-[N-(3,5-difluorophenacetyl)-l-alanyl]-S-phenylglycine t-butyl ester (DAPT) microinjections, RNA interference targeting Notch1, Hairy and enhancer of split (Hes) 1 or Hes5, electrophysiological recordings, and behavioral tests to verify the link between Notch signaling in ACC and neuropathic pain with adult male Sprague-Dawley rats. Levels of the Notch intracellular domain were increased in ACC on day 7 after chronic constriction injury surgery or spared nerve injury. Meanwhile, the mRNA level of the downstream effector of Notch signaling Hes1 was increased, whereas the level of Hes5 mRNA did not change. Microinjection of DAPT, a γ-secretase (a key enzyme involved in Notch pathway) inhibitor, into ACC significantly reversed neuropathic pain behaviors. Intra-ACC injection of short hairpin RNA-Notch reduced Notch intracellular domain expression and decreased the potentiation of synaptic transmission in the ACC. Moreover, pain perceptions were also alleviated in rats subjected to chronic constriction injury or spared nerve injury. This process was mainly mediated by the downstream effector Hes1, but not Hes5. Based on these results, the activation of the Notch/Hes1 signaling pathway in the ACC participates in the development of neuropathic pain, indicating that the Notch pathway may be a new therapeutic target for treating chronic pain.

5G intelligent sensor network technology realizes the perception, processing, and transmission of information. It forms the three pillars of information technology together with computer technology and communication technology and is an important part of the Internet of Things technology. The 5G smart sensor network is a wireless communication module added to the sensor nodes, and a wireless communication network is formed by a large number of stationary or movable sensor nodes in the form of self-organization and multihop transmission. This paper proposes a keypoint feature extraction method based on deep learning, which can extract keypoint local features for matching. This method uses the convolutional network structure, which is pretrained based on the Siamese network structure and then adjusted to the ternary network structure to continue training to improve the accuracy. This paper proposes a high-art visual communication image classification based on multifeature extraction and classification decision fusion. In the data preprocessing stage, the correlation alignment algorithm is performed on the datasets of different domains (source domain and target domain) to reduce the difference in spatial distribution, and then, a multifeature extractor is designed to extract artistic visual communication images and spatial information. In the process, the multitask learning method is introduced to jointly train the networks of multiple data sets to reduce the degree of overfitting of the model, solve the problem of insufficient labeled samples in the target domain data set, and affect the classification accuracy of high-art visual communication images. Finally, the classification results are obtained through the fusion of voting decisions. The experimental results show that the advantage of this framework is that it utilizes the artistic visual communication image and spatial structure information from the source and target scenes, which can significantly reduce the dependence on the number of labeled samples in the target domain and improve the classification performance. In this paper, a dual-channel deep residual convolutional neural network is designed. The multiple convolution layers of the residual module in the network use hard parameters to share, so that the deep feature representation on the joint spatial spectrum dimension can be automatically extracted. The features extracted by the network are transferred to maximize the auxiliary role of the labeled samples in the source domain and avoid the negative transfer problem caused by the forced transfer between irrelevant samples.

Percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are common vertebral augmentation (VA) procedures for the treatment of osteoporotic vertebral compression fractures (OVCF), each with their own advantages and disadvantages. In recent years, the development of new implant-assisted technologies has provided a breakthrough in VA. This study systematically evaluated and meta-analyzed the reports on new implant-assisted VA techniques in recent years, so as to provide evidence for clinical diagnosis and treatment.The PubMed, Embase, Ovid, and SpringerLink databases were searched for randomized controlled studies on VA in the treatment of OVCF. In this study, patients in the experimental group were treated with PVP using the new implant-assisted VA technique, while patients in the control group were treated with PKP. Bias assessment was conducted using the tool integrated with the Revman 5.4 software, and meta-analysis was carried out to compare the mid-term postoperative pain relief, functional status, quality of life, and cement extravasation between the two groups (each presented with a forest plot).Eight articles were finally included in the selection, involving a total of 1,027 patients. PVP surgery using the new implant-assisted VA technique was superior to PKP surgery in relieving postoperative pain [mean difference (MD) =-3.77, 95% CI: -5.63, -1.92, P0.0001] and improving the postoperative Oswestry Disability Index (ODI) score (MD =-1.59, 95% CI: -3.01, -0.16, P=0.03). However, it was not significantly different from PKP surgery in improving postoperative quality of life (MD =-0.27, 95% CI: -3.55, 3.01, P=0.87), and the cement extravasation rate was significantly lower than that of PKP surgery [odd ratio (OR) =0.38, 95% CI: 0.19, 0.74, P=0.004].The new implant-assisted VA technique can significantly relieve pain, reduce clinical symptoms, improve postoperative quality of life, and significantly reduce the problem of cement extravasation. However, this new technology is still evolving, and more high-quality randomized controlled studies on this topic are needed to provide stronger evidence.

Accurate estimation of carbon dioxide adsorption capacity in coal seam is very important for planning the carbon dioxide storage efforts of carbon capture and storage technology; however, an appropriate model is needed to convert the measured adsorption quantity to absolute adsorption quantity. In this work, carbon dioxide adsorption behavior is demonstrated and accurately predicted under a wide range of temperature and pressure using the dual-site Langmuir model. This model sufficiently explains the laboratory measurements of carbon dioxide adsorption equilibrium data across critical points in coal. The results show that the isotherms crossover beyond the Gibbs excess maximum and higher temperatures now result in higher excess uptake at equivalent pressures. Adsorbed phase volume and gas phase density of carbon dioxide change with equilibrium temperature and pressure, and the contribution of the volume–density term for the absolute adsorption gradually becomes less pronounced as the temperature increases. If only the excess adsorption quantity is taken, the result is a very large underestimation of the contribution of adsorbed carbon dioxide to the total content. As the coal seam depth increases, the contribution rates of actual adsorbed carbon dioxide quantity to total carbon dioxide storage quantity gradually decrease; however, the contribution rates of free carbon dioxide phase content gradually increase. The method used herein, with limited formulas and fast computing solutions, provides accurate estimations of the true carbon dioxide storage, which will lay the foundation for the research and development of carbon capture and storage technology.

Coal seam degasification by in‐seam drilling borehole is one of the popular techniques for coal mine methane (CMM) control. How to address the conflict between borehole numbers and drainage durations always arouses researchers’ interests. Furthermore, since coal has anisotropy structures, how the anisotropy feature of coal associated with bedding and cleat structure affects the influence radius of the drainage borehole has rarely been considered. In order to address the above‐mentioned issues, this work not only conducted underground in‐situ measurement of the borehole influence radius within 200 days in an anisotropy coal seam at Jiulishan coal mine in China, but also modeled the influence radius evolvement around borehole in an anisotropy coal seam using finite‐element based COMSOL package. The underground in‐situ measurement revealed an anisotropy feature of borehole influence radius associated with coal bedding and cleat structures. The influence radius of borehole parallel to the bedding plane in butt cleat direction is much larger than that perpendicular to the bedding plane. Ten permeability measurements of coal show that the permeability of coal parallel to the bedding plane in butt cleat direction is higher than that perpendicular to the bedding plane. Simulation results of the gas transport model in coal are consistent with underground in‐situ measurement in determining the influence radius of drainage borehole in the anisotropy coal seam. Based on modeling results, the ellipse influence area of borehole in an anisotropy coal seam is proposed, and the relationship between the influence radius of borehole and drainage time is obtained. On the basis of these findings, the proper in‐seam borehole arrangements for a specific mining panel at different drainage durations are determined. The finding of this work will be fundamental for addressing the conflict between minimizing the cost of borehole arrangement and increasing coal mining productions by adjusting CMM drainage durations.

After the COVID-19 pandemic and the spectrum of new climate change disruptions in the supply chain, a holistic approach towards sustainable transportation is needed. Sustainable transportation could benefit sustainable development from different angles; reduced traffic deaths, increased share of renewable energy, higher quality of transport-related infrastructure, increased satisfaction with public transportation, increased responsible consumption and production, and reduced fossil fuel consumption. This study is an attempt to show whereon the scholars were focused previously and where the focus needs to be more on. This study has reviewed 358 case studies and categorized them into twenty groups based on the transportation mode and eleven groups based on the authors’ primary areas of concern. Keyword analysis followed by topics modeling showed three non-overlapping trends in the cohort. The results, with a corroboratory investigation on the benefits of the United States’ infrastructure bill, were discussed in four categories: in-vehicle improvements, built-environment elements, human factors, and planning and regulations.

Aim The effects of sevoflurane on microglia/macrophages, promoting or suppressing their activation, remains controversy. We aimed to determine whether sevoflurane preconditioning can protect brain via changing microglia/macrophage dynamics and phagocytosis profile after ischemia. Methods The impact of sevoflurane preconditioning was evaluated on microglia/macrophage migration, phagocytosis and proliferation altogether from day 1 to day 7 after transient middle cerebral arterial occlusion (tMCAO) in rats. Results Sevoflurane preconditioning was identified to accelerate microglia/macrophage migrating to and invasion in the ischemic core from day 1 to day 5 after damage. Significant accumulation of amoeboid and phagocytic microglia/macrophages was observed in sevoflurane group from day 3 to day 5 after ischemia injury. In addition, sevoflurane pretreatment also promoted the proliferation of microglia/macrophage (Iba1+ /Ki67+ ) dramatically in ischemic core on day 3 postinsult. Conclusions Our current study has identified the impact of sevoflurane preconditioning on microglia/macrophage dynamics, including its migration, phagocytosis, and proliferation at early stage after brain ischemia and reperfusion. Sevoflurane might enhance microglia/macrophage activation and promote brain repair. These results could help to approach more relevant microglia/macrophage cell-based strategy for human stroke therapy.

This article aims to analyze the reasons for the Jackson’s bank war over the Second Bank of United States. It shows us a new perspective on the reason, which focuses on the different growth backgrounds of Jackson and Biddle. The President Jackson vetoed the bill for the postponement of the Second Bank of United States. And the different personality of Jackson and the Biddle, the president of the Second Bank of United States are important reasons for that. What’s more, the collapse of the Second Bank of United States prevented the financial power from being too concentrated, which did harm to the state power. The Jackson’s victory establishes the fundamental of Federal Reserve system, and gives the wall street spaces to flourish.

The middle cerebral artery occlusion (MCAO) model in rodents has been widely used as model for studying brain ischemic stroke. TTC (2,3,5-triphenyltetrazolium chloride) staining in fresh tissues is used to evaluate the size of the infarct in MCAO model, and TTC-stained brain tissues are considered to be possible to bring a damage to the anatomical structure of neuronal cells and unsuitable for immunofluorescence analyses of cytology, and discarded after evaluation of infarct volume. Another group of models with in vivo fixation was required to the pathological or histological analyses of the infarct brains, which lead to double the numbers of animals in researches. However, some evidences indicate that if we properly optimized staining protocol, TTC-stained brain tissues might be suitable for cytological analyses. In this work, we have optimized the immunofluorescent staining methods of TTC-stained brain slices, and found that TTC-stained brain tissues are suitable for quantitative and qualitative analyses of microglia, astrocytes and neuroblasts, the morphology of theses cell were nearly identical to the in-vivo fixed models. Our optimized-protocol provide two advantages over traditional methods one of them is providing the precise the infarct region, which reduces the differences within groups, the other one is decreasing the total number of animals in research dramatically.

// Li Li 1, * , Hexige Saiyin 2, * , Jingmo Xie 3 , Lixiang Ma 3 , Lei Xue 4 , Wei Wang 4 , Weimin Liang 1 , Qiong Yu 1 1 Department of Anesthesiology, Huashan Hospital, Fudan University, Shanghai, 200040, China 2 State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai, 200433, China 3 Department of Anatomy, Histology & Embryology, Shanghai Medical College, Fudan University, Shanghai, 200032, China 4 Department of Physiology and Biophysics, School of Life Sciences, Fudan University, Shanghai, 200433, China * These authors have contributed equally to this work Correspondence to: Qiong Yu, email: huashanyuqiong@sina.com Weimin Liang, email: chiefliang@sina.com Keywords: ischemia and reperfusion, microglia, neurogenesis, sevoflurane preconditioning, stem cells Received: October 24, 2016 Accepted: January 10, 2017 Published: February 14, 2017 ABSTRACT Brain ischemia causes irreversible damage to functional neurons in cases of infarct. Promoting endogenous neurogenesis to replace necrotic neurons is a promising therapeutic strategy for ischemia patients. The neuroprotective role of sevoflurane preconditioning implies that it might also enhance endogenous neurogenesis and functional restoration in the infarct region. By using a transient middle cerebral artery occlusion (tMCAO) model, we discovered that endogenous neurogenesis was enhanced by sevoflurane preconditioning. This enhancement process is characterized by the promotion of neuroblast proliferation within the subventricular zone (SVZ), migration and differentiation into neurons, and the presence of astrocytes and oligodendrocytes at the site of infarct. The newborn neurons in the sevoflurane preconditioning group showed miniature excitatory postsynaptic currents (mEPSCs), increased synaptophysin and PSD95 staining density, indicating normal neuronal function. Furthermore, long-term behavioral improvement was observed in the sevoflurane preconditioning group consistent with endogenous neurogenesis. Further histological analyses showed that sevoflurane preconditioning accelerated microglial activation, including migration, phagocytosis and secretion of brain-derived neurotrophic factor (BDNF). Intraperitoneal injection of minocycline, a microglial inhibitor, suppressed microglial activation and reversed neurogenesis. Our data showed that sevoflurane preconditioning promoted microglial activities, created a favorable microenvironment for endogenous neurogenesis and accelerated functional reconstruction in the infarct region.

Compared with the idealized isotropic coal seam, the effectively cracking distances of deep-hole pre-splitting blasting in different directions have significant difference in the structural anisotropy of coal seam. In this paper, based on the test results of coal mechanical parameters in different coring directions, the blasting crack distances in these coring directions of coal seam are theoretically calculated and analyzed, and then a new method of blasthole layout in coal seam is designed and the blasting crack effect is investigated according to the test data of gas drainage. The research results show that both compressive strength and tensile strength of the direction of perpendicular to bedding are larger than that in other directions, especially parallel to bedding. The blasting crack distances of calculation results are in great agreement with that of underground in-situ measurement, so the blasting crack zone caused by the differences of mechanical properties in different directions can be approximately treated as an ellipse. Comparing the conventional method of blasthole layout, the blasting crack effect with new method has greatly enhanced the methane concentration and gas drainage quantity. Pure methane quantities with the new method and conventional method are about 2.8 times and 1.67 times as large as that before blasting, and pure methane quantity with the new method is about 1.46 times that with the conventional method. Therefore, considering the anisotropic characteristics of coal seams, the reasonable blasthole layout plays an important role for enhancing gas drainage in low permeability and outburst working face.

Two aspects of the low frequency fluctuations of spontaneous brain activity have been proposed which reflect the complex and dynamic features of resting-state activity, namely temporal variability and signal synchronization. The relationship between them, especially its role in consciousness, nevertheless remains unclear. Our study examined the temporal variability and signal synchronization of spontaneous brain activity, as well as their relationship during loss of consciousness. We applied an intra-subject design of resting-state functional magnetic resonance imaging (rs-fMRI) in two conditions: during wakefulness, and under anesthesia with clinical unconsciousness. In addition, an independent group of patients with disorders of consciousness (DOC) was included in order to test the reliability of our findings. We observed a global reduction in the temporal variability, local and distant brain signal synchronization for subjects during anesthesia. Importantly, we found a link between temporal variability and both local and distant signal synchronizations during wakefulness: the higher the degree of temporal variability, the higher its intra-regional homogeneity and inter-regional functional connectivity. In contrast, this link was broken down under anesthesia, implying a decoupling between temporal variability and signal synchronization; this decoupling was reproduced in patients with DOC. Our results suggest that there exist some as yet unclear physiological mechanisms of consciousness which "couple" the two mathematically independent measures, temporal variability and signal synchronization of spontaneous brain activity. Our findings not only extend our current knowledge of the neural correlates of anesthetic-induced unconsciousness, but have implications for both computational neural modeling and clinical practice, such as in the diagnosis of loss of consciousness in patients with DOC.

Experimental research on flame spread over discrete extruded polystyrene (XPS) with different fuel coverage rates are conducted in this paper. Flame spread characteristics are measured and discussed. The influence mechanism of the spacing are revealed. A flame vortex is found in the spacing. The change of flame height above the first spacing is divided into three stages. There exists a significantly positive correlation between average flame height and fuel coverage. Flame spread over discrete XPS are not continuous and the discontinuous phenomenon is more significant for lower fuel coverage rate. The average flame spread rate increases with the rising of the fuel coverage rate. The length of the melting zone is positively correlated with the fuel coverage. Compared with the second spacing, it takes more time for the high-temperature zone spreading across the first spacing. The heat flux above the second spacing is the largest while that above the first spacing is the smallest. With the increasing of the fuel coverage, the heat flux transferred to XPS end first rises, then drops, and increase lastly. Keywords: Discrete fuel, Upward flame spread, Extruded polystyrene, Fuel coverage, Temperature distribution, Heat transfer

Recent studies at the cellular and regional levels have pointed out the multifaceted importance of neural synchronization and temporal variance of neural activity. For example, neural synchronization and temporal variance has been shown by us to be altered in patients in the vegetative state (VS). This finding nonetheless leaves open the question of whether these abnormalities are specific to VS or rather more generally related to the absence of consciousness. The aim of our study was to investigate the changes of inter- and intra-regional neural synchronization and temporal variance of resting state activity in anesthetic-induced unconsciousness state. Applying an intra-subject design, we compared resting state activity in functional magnetic resonance imaging (fMRI) between awake versus anesthetized states in the same subjects. Replicating previous studies, we observed reduced functional connectivity within the default mode network (DMN) and thalamocortical network in the anesthetized state. Importantly, intra-regional synchronization as measured by regional homogeneity (ReHo) and temporal variance as measured by standard deviation (SD) of the BOLD signal were significantly reduced in especially the cortical midline regions, while increased in the lateral cortical areas in the anesthetized state. We further found significant frequency-dependent effects of SD in the thalamus, which showed abnormally high SD in Slow-5 (0.01-0.027 Hz) in the anesthetized state. Our results show for the first time of altered temporal variance of resting state activity in anesthesia. Combined with our findings in the vegetative state, these findings suggest a close relationship between temporal variance, neural synchronization and consciousness.

Astrocytes, the major component of blood-brain barriers, have presented paradoxical profiles after cerebral ischemia and reperfusion in vivo and in vitro. Our previous study showed that sevoflurane preconditioning improved the integrity of blood-brain barriers after ischemia and reperfusion injury in rats. This led us to investigate the effects of sevoflurane preconditioning on the astrocytic dynamics in ischemia and reperfusion rats, in order to explore astrocytic cell-based mechanisms of sevoflurane preconditioning. In the present study, 2,3,5-triphenyltetrazolium chloride staining and Garcia behavioral scores were utilized to evaluate cerebral infarction and neurological outcome from day 1 to day 3 after transient middle cerebral artery occlusion surgery. Using immunofluorescent staining, we found that sevoflurane preconditioning substantially promoted the astrocytic activation and migration from the penumbra to the infarct with microglial activation from day 3 after middle cerebral artery occlusion. The formation of astrocytic scaffolds facilitated neuroblasts migrating from the subventricular zone to the lesion sites on day 14 after injury. Neural networks increased in the infarct of sevoflurane preconditioned rats, consistent with decreased infarct volume and improved neurological scores after ischemia and reperfusion injury. These findings demonstrate that sevoflurane preconditioning confers neuroprotection, not only by accelerating astrocytic spatial and temporal dynamics, but also providing astrocytic scaffolds for neuroblasts migration to ischemic regions, which facilitates neural reconstruction after brain ischemia.

OBJECTIVES Recent evidence suggests that functional deficiency in regulatory T cells (Tregs), an innate immuno-modulator, exacerbates brain damage after cerebral ischemia. We therefore evaluated the effect of Treg transfer in rodent models of ischemic stroke and further investigated the mechanism underlying Treg-afforded neuroprotection.

Introduction: Severe sepsis involves a complex response including the activation of lots of cells, inflammatory mediators, and the hemostatic system. Central to this process is an alteration of endothelial cell function. Therefore, we investigated whether an endothelial bioreactor (EBR) would provide a new therapeutic approach to this clinical disorder. Methods: EBR was constructed using a cartridge which contained with nonwoven polytetrafluoroethylene seeded with porcine iliac artery endothelial cell (PIEC). Pigs were intravenously administered with 0.25 mg/kg lipopolysaccharide and immediately placed in an extracorporeal circuit with EBR or sham controls. Results: Compared with the sham group, EBR therapy resulted in significantly higher mean arterial blood pressure and significantly lower plasma von Willebrand factor, endothelin-1 and scores of lung injury. These alterations were associated with a significant survival advantage in the EBR group. Conclusions: Timely intervention with EC therapy in a tissue-engineered bioreactor may improve cardiovascular performance and alter the natural history of endotoxemia sepsis.

Experimental studies demonstrate that inhaled anesthetics can cause neurodegeneration and neurobehavioral dysfunctions. Evidence suggests changes in cerebral metabolism following inhaled anesthetics treatment can perturb cerebral homeostasis, which may be associated with their induced neurotoxicity. Seven-day-old rat pups were divided into two groups: control group (Group C) and sevoflurane group (Group S, 3 % sevoflurane exposure for 6 h). Gas chromatography-mass spectrometry (GC-MS) was used for analyzed differential metabolites of cerebral cortex in both groups, Also western blot, flow cytometry, enzymatic methods and electron microscopy were performed in various biochemical and anatomical assays. Sevoflurane exposure significantly elevated caspase-3 activation and ROS levels, decreased mitochondrial cardiolipin contents, and changed cellular ultrastructure in the cerebral cortex. Correspondingly, these results corroborated the GC-MS findings which showed altered metabolic pathways of glucose, amino acids, and lipids, as well as intracellular antioxidants and osmolyte systems in neonatal brain following prolonged exposure to high sevoflurane concentration. Our data indicate that sevoflurane anesthesia causes significant oxidative stress, neuroapoptosis, and cellular ultrastructure damage which is associated with altered brain metabotype in the neonatal rat. Our study also confirmed that GC-MS is a strategic and complementary platform for the metabolomic characterization of sevoflurane-induced neurotoxicity in the developing brain.