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Abstract Background To the best of our knowledge, no previous studies have explored the relationship between visceral obesity and malnutrition. Therefore, this study has aimed to investigate the association between them in patients with rectal cancer. Methods Patients with rectal cancer who underwent proctectomy were included. Malnutrition was defined according to the Global Leadership Initiative on Malnutrition (GLIM). Visceral obesity was measured using computed tomography (CT). The patients were classified into four groups according to the presence of malnutrition or visceral obesity. Univariate and multivariate logistic regression analyses were performed to evaluate risk factors for postoperative complications. Univariate and multivariate cox regression analyses were performed to evaluate the risk factors for overall survival (OS) and cancer-specific survival (CSS). Kaplan-Meier survival curves and log-rank tests were performed for the four groups. Results This study enrolled 624 patients. 204 (32.7%) patients were included in the well-nourished non-visceral obesity (WN) group, 264 (42.3%) patients were included in the well-nourished visceral obesity (WO) group, 114 (18.3%) patients were included in the malnourished non-visceral obesity (MN) group, and 42 (6.7%) patients were included in the malnourished visceral obesity (MO) group. In the multivariate logistic regression analysis, the Charlson comorbidity index (CCI), MN, and MO were associated with postoperative complications. In the multivariate cox regression analysis, age, American Society of Anesthesiologists (ASA) score, tumor differentiation, tumor node metastasis (TNM), and MO were associated with worsened OS and CSS. Conclusions This study demonstrated that the combination of visceral obesity and malnutrition resulted in higher postoperative complication and mortality rates and was a good indicator of poor prognosis in patients with rectal cancer.

Plant photosynthesis assimilates CO2 from the atmosphere, and CO2 diffusion efficiency is mainly constrained by stomatal and mesophyll resistance. The stomatal and mesophyll conductance of plants are sensitive to abiotic stress factors, which affect the CO2 concentrations at carboxylation sites to control photosynthetic rates. Early studies conducted relevant reviews on the responses of stomatal conductance to the environment and the limitations of mesophyll conductance by internal structure and biochemical factors. However, reviews on the abiotic stress factors that systematically regulate plant CO2 diffusion are rare. Therefore, in this review, the rapid and long-term responses of stomatal and mesophyll conductance to abiotic stress factors (such as light intensity, drought, CO2 concentration and temperature) and their physiological mechanisms are summarized. Finally, future research trends are also investigated.

Self‐powered untethered robots that can meander unrestrictedly, squeeze into small spaces, and operate in diverse harsh environments have received immense attention in recent years. As there is not a universal solution that can be applied to power robots with diverse forms, service functions, and a broad size range from nanometers to meters, the design, fabrication, and implementation of power systems with a suitable weight, desired power and operation duration, and adaptiveness to confined spaces and operation conditions represent one of the greatest challenges in robotic research. Herein, an overview of recent progress and challenges in developing the next‐generation energy harvesting and storage technologies is provided, including direct energy harvesting, energy storage and conversion, and wireless energy transmission for robots across all scales.

Capacitive mixing is a promising blue energy technology due to its membrane-free electricity generation and long electrode life cycle. However, because of limited performance, existing systems do not lend themselves to practical implementation. Although it is a crucial factor directly influencing electrode behavior, surface chemistry has largely been overlooked in capacitive mixing. Here, we show that manipulating surface functionalization alone can tune the responses of electrodes to produce a high voltage rise without altering the pore structure of the electrodes. Our findings reveal that the spontaneous electrode potential of a surface-modified carbon electrode shifts negatively proportional to the surface charge due to the surface groups, which explains why and how manipulating the surface chemistry can improve the power generation capacity. Using electrodes fabricated with identical activated carbon material but with different surface treatments, we have achieved a remarkably high power density of 166 mW/m2 delivered to an electrical load under a 0.6 M to 0.01 M salinity gradient, with the total power generated of 225 mW/m2. The corresponding volumetric power densities were 0.88 kW/m3 net and 1.17 kW/m3 total. The volumetric power density of our prototype is comparable to or better than those of prevailing membrane technologies, such as pressure retarded osmosis and reverse electrolysis, whose volumetric power density values are 1.1 kW/m3 and 0.16 kW/m3, respectively. In the seawater stage, the net power density reached 432 mW/m2 or 2.3 kW/m3. Such performance far exceeds existing membrane-free systems, with the highest reported power density of 65 mW/m2 under a 0.5 M to 0.02 M salinity gradient (121 mW/m2 in this work). The device demonstrated unparalleled durability, maintaining 90% of the maximum energy capacity after 54,000 charge–discharge cycles.

Abstract Background Neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) has high prevalence in East Asia, and has been reported in other parts of the world. NICCD is also the most common form of genetic cholestasis among East Asians. There has been reports of mortalities or liver transplants associated with NICCD, but risk factors associated with poor outcome were unknown. Our objective is to report NICCD mortalities in a tertiary pediatric hepatology center, and to explore associated risk factors along with implications to clinical practice. Method This is a retrospective analysis of NICCD cases collected from June 2003 until January 2017 in the Children’s Hospital of Fudan University. Clinical, biochemical, and genetic data were compared between deceased cases and survivors without liver transplant. Results Sixty-one confirmed NICCD cases, including 52 cases in the survival group, and 9 cases in the mortality group, were included in the analysis. Mean age at referral in the mortality group was significantly higher when compared to the survival group (9.58 ± 5.03 VS 3.96 ± 3.13 months, p

This study aimed to investigate the effects of anti-tumor necrosis factor (TNF)-α antibody (Ab) on alteration of penile structure in the hyperprolactinemia (hyperPRL) rat model. HyperPRL was induced in 8-week-old male Sprague-Dawley rats by allografting anterior pituitary (AP) glands under the renal capsule (+AP rats). Rats implanted with cerebral cortex (CX) were used as sham control (+CX rats). At 6 weeks post implantation, rats received either a single intra-testicular dose of TNF-α Ab (12.5 μg/kg) or testosterone replacement (2 doses of testosterone enanthate [TE], 3 mg/kg), and they were sacrificed 1 week later. Blood and penile tissue was collected for analysis. Compared to +CX rats, the +AP group had lower serum testosterone concentration and neuronal nitric oxide synthase (nNOS) expression, but exhibited a higher ratio of collagen III/I in the corpus cavernosum. Smooth muscle content exhibited no significant changes. At 1 week post TNF-α Ab injection, the collagen III/I ratio in the +AP group was decreased, and the smooth muscle content and nNOS expression increased significantly. These findings were comparable to those observed in +AP rats receiving TE. Testicular TNF-α suppresses testosterone release, which in turn results in the erectile dysfunction (ED) seen in hyperPRL. Intra-testicular TNF-α Ab treatment is as effective as testosterone supplementation on penile structure normalization in the hyperPRL model.