The Janus Structure of Graphene Oxide and Its Large-Size Conductive Film Strip Pattern.

In this paper, the oxidation-exfoliation process of graphite is studied experimentally by the mixed-solvent method, the oxidation-exfoliation process of graphite is simulated theoretically, and it is found that Graphene Oxide (GO) is a Janus structure with inconsistent oxidation on both surfaces; hydrophilic on one side and hydrophobic on the other side. This layer structure and layer spacing are due to the inconsistent oxidation on both sides which changes with the polarity of different solvent mixtures. We used a two-phase system of benzyl alcohol and water, as well as controlling the polarity of the surface of the substrate, to achieve (using a mixed solution of GO which has a selectivity more inclined to the oil phase when the aqueous phase is present) the preparation of reduced graphene oxide patterns. We also used a complex solution of hydrogen iodide and a sodium-iodide complex solution for secondary reduction to enhance its conductivity to 8653 S/m.

A multi-center study to predict the risk of intraoperative hypothermia in gynecological surgery patients using preoperative variables.

OBJECTIVES: Hypothermia is highly common in patients undergoing gynecological surgeries under general anesthesia, so the length of hospitalization and even the risk of mortality are substantially increased. Our aim was to develop a simple and practical model to preoperatively identify gynecological surgery patients at risk of intraoperative hypothermia. METHODS: In this retrospective study, we collected data from 802 patients who underwent gynecological surgery at three medical centers from June 2022 to August 2023. We further allocated the patients to a training group, an internal validation group, or an external validation group. The preliminary predictive factors for intraoperative hypothermia in gynecological patients were determined using the least absolute shrinkage and selection operator (LASSO) method. The final predictive factors were subsequently identified through multivariate logistic regression analysis, and a nomogram for predicting the occurrence of hypothermia was established. RESULTS: A total of 802 patients were included, with 314 patients in the training cohort (mean age 48.5 ± 12.6 years), 130 patients in the internal validation cohort (mean age 49.9 ± 12.5 years), and 358 patients in the external validation cohort (mean age 47.6 ± 14.0 years). LASSO regression and multivariate logistic regression analyses indicated that body mass index, minimally invasive surgery, baseline heart rate, baseline body temperature, history of previous surgery, and aspartate aminotransferase level were associated with intraoperative hypothermia in gynecological surgery patients. This nomogram was constructed based on these six variables, with a C-index of 0.712 for the training cohort. CONCLUSIONS: We established a practical predictive model that can be used to preoperatively predict the occurrence of hypothermia in gynecological surgery patients. CLINICAL TRIAL REGISTRATION: chictr.org.cn, identifier ChiCTR2300071859.

Clinical use of tigecycline may contribute to the widespread dissemination of carbapenem-resistant hypervirulent Klebsiella pneumoniae strains.

The emergence of carbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-hvKP) poses grave threats to human health. These strains increased dramatically in clinical settings in China in the past few years but not in other parts of the world. Four isogenic K. pneumoniae strains, including classical K. pneumoniae, carbapenem-resistant K. pneumoniae (CRKP), hypervirulent K. pneumoniae (hvKP) and CR-hvKP, were created and subjected to phenotypic characterization, competition assays, mouse sepsis model and rat colonization tests to investigate the mechanisms underlying the widespread nature of CR-hvKP in China. Acquisition of virulence plasmid led to reduced fitness and abolishment of colonization in the gastrointestinal tract, which may explain why hvKP is not clinically prevalent after its emergence for a long time. However, tigecycline treatment facilitated the colonization of hvKP and CR-hvKP and reduced the population of Lactobacillus spp. in animal gut microbiome. Feeding with Lactobacillus spp. could significantly reduce the colonization of hvKP and CR-hvKP in the animal gastrointestinal tract. Our data implied that the clinical use of tigecycline to treat carbapenem-resistant K. pneumoniae infections facilitated the high spread of CR-hvKP in clinical settings in China and demonstrated that Lactobacillus spp. was a potential candidate for anticolonization strategy against CR-hvKP.

Amiloride alleviates morphine tolerance by suppressing ASIC3-dependent neuroinflammation in the spinal cord.

BACKGROUND: The use of morphine in clinical medicine is severely constrained by tolerance. Therefore, it is essential to examine pharmacological therapies that suppress the development of morphine tolerance. Amiloride suppressed the expression of inflammatory cytokines by inhibiting microglial activation. Microglia play a crucial role in the establishment of morphine tolerance. Thus, we anticipated that amiloride might suppress the development of morphine tolerance. During this investigation, we assessed the impact of amiloride on mouse morphine tolerance. METHODS: Mice received morphine (10 mg/kg, s.c.) twice daily with intrathecally injected amiloride (0.3 µg/5 µl, 1 µg/5 µl, and 3 µg/5 µl) for nine continuous days. To assess morphine tolerance, mice underwent the tail-flick and hot plate tests. BV-2 cells were used to investigate the mechanism of amiloride. By using Western blotting, real-time PCR, and immunofluorescence labeling methods, the levels of acid-sensing ion channels (ASICs), nuclear factor kappa B (NF-kB) p65, p38 mitogen-activated protein kinase (MAPK) proteins, and neuroinflammation-related cytokines were determined. RESULTS: The levels of ASIC3 in the spinal cord were considerably increased after long-term morphine administration. Amiloride was found to delay the development of tolerance to chronic morphine assessed via tail-flick and hot plate tests. Amiloride reduced microglial activation and downregulated the cytokines IL-1ß and TNF-a by inhibiting ASIC3 in response to morphine. Furthermore, amiloride reduced p38 MAPK phosphorylation and inhibited NF-κB expression. CONCLUSIONS: Amiloride effectively reduces chronic morphine tolerance by suppressing microglial activation caused by morphine by inhibiting ASIC3.

The prevalence of HPV among 164,137 women in China exhibited some unique epidemiological characteristics.

OBJECTIVE: The persistence of HPV infection is a significant etiological factor in the development of cervical cancer. The present study investigated the prevalence and genotype distribution of human papillomavirus (HPV) in a cohort of 164,137 unvaccinated women from Wenzhou, aiming to provide guidance for clinics in the cervical cancer screening and HPV vaccination strategies. METHODS: The present retrospective study included a total of 164,137 women, comprising 118,484 outpatients and 45,653 healthy female subjects recruited from 2015 to 2020. Cervical exfoliated cells were collected from these participants for subsequent DNA extraction. The extracted DNA samples were underwent analysis using a fluorescence in situ hybridization method, encompassing the detection of 27 HPV genotypes. RESULTS: The overall prevalence of HPV was 17.35%; this corresponded to a prevalence of 19.10% in the outpatient group and 12.82% in the healthy female group. Among the outpatient group, the five most prevalent HPV genotypes were identified as HPV 52, 58, 16, 53, and 61. In the healthy female group, the five most common HPV genotypes were found to be HPV 52, 53, 58, 61, and 81. Additionally, it was estimated that the highest rate of HPV infection occurred among individuals aged between 10 and 19 years old (44.65%) and those aged between 60 and 69 years old (27.35%). CONCLUSIONS: The prevalence of HPV in this region is substantial; therefore, it is imperative to implement scientifically sound and rational clinical interventions such as vaccination. Routine cervical screening should be performed to prevent the development of cervical intraepithelial neoplasia resulting from persistent infection with high-risk HPV, particularly in women with gynecological diseases and those over 60 years old.

Recent Advances for Electrode Modifications in Flow Batteries: Properties, Mechanisms, and Outlooks.

Flow batteries (FBs) have been demonstrated in several large-scale energy storage projects, and are considered to be the preferred technique for large-scale long-term energy storage in terms of their high safety, environmental friendliness, and long life, including all-vanadium flow batteries (VFBs) and Fe-Cr flow batteries (ICFBs). As the electrochemical reaction site, the electrode parameters, such as the specific surface area, active site, and so on, have a significant impact on the flow battery performance and reliability. Extensive research has been carried out on electrode modification to improve the current density and energy efficiency of the FBs. In this review, the reaction mechanisms of VFBs and ICFBs are discussed in detail firstly, and then the electrodes modification methods are overviewed and summarized from four aspects: self-modification, carbon-based electrocatalysts, metal-based electrocatalysts and composite electrocatalysts. Finally, the recent catalytic mechanism, in situ characterization technology, and future research directions are presented.

Interactive Allocation of Water Pollutant Initial Emission Rights in a Basin under Total Amount Control: A Leader-Follower Hierarchical Decision Model.

The initial emission rights allocation is the key measure to achieve the goal of total amount control and deepen the emission trading system. Although many studies have focused on the modeling of initial emission rights allocation, such as using game theory and multi-objective optimization methods, few studies have observed the hierarchical relationship of mutual interference and restriction between watershed management agency and local governments in each subarea during allocation. This relationship directly affects the rationality of the results of regional emission rights allocation. In this study, a leader-follower hierarchical decision model (LFHDM) for allocating initial emission rights in a basin is developed. Based on the bilevel programming approach, the model simulates the interactive decision-making process between the watershed management agency of the upper-level model (LFHDM-U) and the local government of the lower-level model (LFHDM-L) in the allocation under total amount control. A case study of China's Yellow River Basin is conducted to demonstrate the feasibility and practicality of the model. Findings reveal that, compared with the single-level model, the developed LFHDM has higher satisfaction with the allocation scheme. Under different scenarios, the overall satisfaction of the configuration schemes of COD and NH3-N in each province and autonomous region remains above 0.9. In addition, the allocation volumes of COD and NH3-N in each province of the Yellow River Basin in planning year increase with the enhancement of allowable assimilative capacity of water bodies, but the interval gap of satisfaction with allocation schemes gradually narrows. It shows that when the allowable assimilation capacity of a water body is low, the decision-making of the allocation scheme needs to be more cautious. Moreover, for the Yellow River Basin, apart from Qinghai and Sichuan, the task of reducing water pollutants in other provinces in the next few years is very arduous. The average reduction of total COD and NH3-N in the basin is about 48% and 46%, respectively.

Invisible Effect of Virtual Water Transfer on Water Quantity Conflict in Transboundary Rivers-Taking Ili River as a Case.

Water stress in countries within a drainage basin exacerbates the water quantity conflict in transboundary rivers. However, few studies considered the invisible effect of virtual water transfer on water quantity conflict by intensifying water stress. Therefore, this study, with Ili River as the case, collects data on Virtual Water Trade (VWT) from 1990 to 2015, uses water stress index (WSI) to assess water stress values under two scenarios (with or without virtual water transfer), and takes Grey Verhulst Model to predict two scenarios water stress values respectively. Next, based on the Levenberg-Marquardt (LM) Algorithm, this study compares the water quantity conflict intensity of the two scenarios, and further explores the invisible effect of virtual water transfer on the conflicts among transboundary rivers. Results show: (1) During the study period (1990-2015), water stress in China and Kazakhstan along the banks of Ili River increased in general. (2) China was basically a net exporter of virtual water during 1990-1995, and Kazakhstan became a net exporter after 1995. (3) During 2020-2025, water conflict value of Ili River without virtual water transfer is 0.458, while the value rises to 0.622 with virtual water transfer, indicating that virtual water transfer between China and Kazakhstan has an invisible enhancement on the water quantity conflict of Ili River. (4) The intensified water quantity conflict is mainly caused by the more and more serious water stress in Kazakhstan. On such basis, it is more urgent for Kazakhstan to restructure its economy and trade.

Design of Flexible Film-Forming Polydopamine/Polypyrrole/Nanodiamond Hierarchical Structure for Broadband Microwave Absorption.

Microwave-absorbing materials are widely used in numerous fields, including the military, daily protection, etc. Currently, in addition to being lightweight and highly efficient, good film-forming processing characteristics and environmental stability are also required for the practical application of microwave-absorbing materials, which, in general, are difficult to make compatible. In this paper, a mulberry-like PDA/PPy/ND hierarchical structure was prepared by in situ polymerization. The hierarchical structure showed remarkably enhanced microwave absorption, as well as better flexible film-forming characteristics, thanks to the multiple roles PDA played in the system. The optimal RL peak for PDA/PPy/ND could reach -43.6 dB at 7.58 GHz, which is mainly attributed to the multiple dielectric loss paths and significantly improved impedance-matching characteristics. Furthermore, given the H-bond crosslink, the introduction of PDA also promoted the film formation and dispersion of PDA/PPy/ND in the PVA matrix, forming a water-resistant and flexible film. This work provides a referencing path for the design and practical applications of lightweight microwave-absorbing materials.

Systematic review and meta-analysis of the prognostic value of Narcotrend monitoring of different depths of anesthesia and different Bispectral Index (BIS) values for cognitive dysfunction after tumor surgery in elderly patients.

Background: To study the effect of Narcotrend monitoring on the incidence of early postoperative cognitive dysfunction (POCD) under different Bispectral Index (BIS) conditions and the effect of different depths of anesthesia on the incidence of POCD. Methods: We performed a literature search of the PubMed, Embase, OVID (database system made by Ovid Technologies, USA), Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), VIP Chinese Sci-tech Journals Database, Wanfang Data, etc. from the date of establishment of the database until December 31, 2020. Results: In the end, eighty articles were included, with a total of 714 patients. The meta-analysis results showed that four articles (255 patients) compared the state of deep anesthesia (BIS 30-40) with conventional anesthesia (BIS 40-60 earlier) after POCD. Also, the incidence of POCD on the first day after deep anesthesia [Narcotrend stage (NTS): negative correlation is currently the most appropriate egg description; Nd can subdivide the original electroencephalogram (EEG) into six stages 15 levels (Nd Sg, NTS), or A (state of wakefulness), state B0-B2 (sedated state), state C0-C2 (light anesthetic state), state D0-D2 (general anesthesia), state E0-E2 (deep anesthesia state), and state F0-F2 (burst suppression state)] was significantly lower than that of conventional anesthesia (NTS D0-D1) [odds ratio (OR) =0.21, 95% confidence interval (CI): 0.13-0.35, P<0.00001]. Moreover, the incidence of POCD in deep anesthesia (NTS E1) at 7 days after surgery was significantly lower than that of conventional anesthesia (NTS D0) (OR =0.45, 95% CI: 0.23-0.91, P=0.03), while the incidence of POCD 7 days after NTS D2 in conventional anesthesia was significantly lower than that of NTS D0 (OR =0.42, 95% CI: 0.24-0.71, P=0.001). Discussions: POCDs are thought to be the result of a combination of physical defects and precipitating factors in patients with their own physical impairments, and despite potential adverse effects, there is currently no consensus on the incidence of POCDs in patients with tumor, current risk factors, causes, and prevention strategies. Moreover, the level of evidence is low, and the deviation between different studies cannot be ruled out.

Two naturally occurring mutations of human GPR103 define distinct G protein selection bias.

The neuropeptide 26RFa plays important roles in the regulation of many physiological functions. 26RFa has been recognized as an endogenous ligand for receptor GPR103. In the present study, we demonstrate that GPR103 dually couples to Gαq and Gαi/o proteins. However, two naturally occurring missense mutations were identified from a young male patient. In the first, Y68H, induction of Ca2+ mobilization was noted without detection of ERK1/2 activation. In the second, R371W, the potential to activate ERK1/2 signaling was retained but with failure to evoke Ca2+ mobilization. Further analysis provides evidence that Gαq, L-type Ca2+ channel and PKCßI and ßII are involved in the Y68H-mediated signaling pathway, whereas Gαi/o, Gßγ, and PKCζ are implicated in the R371W-induced signaling. Our results demonstrate that two point mutations, Y68H and R371W, affect the equilibrium between the different receptor conformations, leading to alteration of G protein-coupling preferences. Importantly, these findings provide a foundation for future elucidation of GPCR-mediated biased signaling and the physiological implications of their bias.

Ecological Compensation Standard of Trans-Boundary River Basin Based on Ecological Spillover Value: A Case Study for the Lancang-Mekong River Basin.

Ecological compensation is an effective means to solve the conflict of interests among trans-boundary river basin countries. How to determine the ecological compensation standard is the core of ecological compensation. On the basis of the emergy synthesis method, we developed an emergy-water resources ecological footprint model for trans-boundary river basin countries. Based on the calculation of ecosystem service value and consumption ecological value of trans-boundary river basin countries, the ecological spillover value of each basin country is obtained. From the perspective of supply and consumption, the ecological compensation standard in basin countries is determined by judging the supply and consumption status of ecological services and combining with the willingness to pay for ecological compensation. Taking the Lancang-Mekong River Basin as an example, the results show that (1) the ecosystem service value of the Lancang-Mekong River Basin countries from high to low is Laos, Cambodia, Thailand, China, Vietnam, and Myanmar; (2) in terms of ecosystem service value consumption, the order from high to low is Thailand, Cambodia, Vietnam, China, Laos, and Myanmar; and (3) Thailand and Vietnam, located in the lower reaches of the basin, belong to the consumers of ecological services, and based on the actual willingness to pay, they need to pay $46.913 billion and $1.699 billion, respectively.

Analysis of Tradable Water Volumes of Industry in Water-Rich Areas of China: A Case Study of Changsha City.

Tradable water volumes is one of the basic elements of water-rights trading. In China, water-rights transactions mostly occur in water-deficient areas. However, the water-rich areas are also facing serious water-shortage problems. It is necessary to stimulate the water-rights trading power in abundant water areas to improve water-resource predicament. This paper studied the concept and calculation method of tradable water volumes of industry. First, based on the property rights theory, we analyzed the concept of tradable water volumes, and put forward the preliminary determination of water-rights trading subjects. Then, we defined the tradable water volumes of industry as the difference between the initial water-rights allocation and the water demand of industry. We used the proportion method to calculate the initial water-rights allocation of industry under different runoff frequencies, and grey model (1,1) to predict the water demand of industry. Finally, we applied the calculation method to Changsha city which is in a water-rich area of China. The calculation results contribute to water-resource management in Changsha city. This paper will provide a theoretical basis for researching the tradable water volumes, and promote the development of water-rights trading in China's water-rich areas.

Fair and Reasonable Allocation of Trans-Boundary Water Resources Based on an Asymmetric Nash Negotiation Model from the Satisfaction Perspective: A Case Study for the Lancang-Mekong River Bain.

The issue of trans-boundary water conflict has become an important factor affecting the relations between basin countries. The key to solve the current conflict problem is to realize the fair and reasonable allocation of trans-boundary water resources. Based on the satisfaction perspective, we developed an asymmetric Nash negotiation model to obtain an optimal and feasible allocation scheme for the trans-boundary water resources. Firstly, based on the two international water laws, we analyzed the influencing factors including water demand differences, resource endowment differences, and water efficiency differences, and by combing with the flexible weight constraint, we built the fair and reasonable allocation pattern for trans-boundary water resources. Secondly, under the constraint of the allocation pattern, we determined the ideal negotiation scheme of each basin country by considering their selection preference. Thirdly, we built a satisfaction degree function and established an asymmetric Nash negotiation model. This is used to build a fair negotiation mechanism among basin countries, and the allocation scheme after negotiation is regarded as the optimal allocation scheme. Lastly, we took the Lancang-Mekong river basin as an example. For this example, the results indicate the following: (1) after considering multiple factors comprehensively, China and Thailand obtained a higher proportion of trans-boundary water resource quota under different preference scenarios, while Myanmar obtained a lower proportion of trans-boundary water resource quota; (2) taking each basin country as the negotiation agent, the optimal allocation scheme with the introduction of fair negotiation mechanism has a higher degree of satisfaction, with an average of over 87.19%, which is more stable and easy to be accepted by all basin countries; (3) from the perspective of the change rate and the average satisfaction of the basin countries, the optimal allocation scheme under the resource endowment preference scenario obtained the highest satisfaction among basin countries. This study aims to improve the practicability and acceptability of trans-boundary water resources allocation, thus providing technical support for reducing trans-boundary water resources conflicts.

Carbonized polyaniline bridging nanodiamond-graphene hybrids for enhanced microwave absorptions with ultrathin thickness.

For conventional design of the electromagnetic absorption materials, introduction of magnetic materials into dielectric materials has been found to achieve better impedance matching, but lead to increase in weight and decrease in chemical stability, therefore limiting their practical applications. In this work, metal-free electromagnetic coupling was achieved by the design of nitrogen-doped nanodiamond/graphene hybrids. Polyaniline is used to self-assembled bridge the nanodiamond and graphene, and the carbonization is carried out for construction and regulation of the C•••N polarization and nitrogen doping. The carbonized hybrid exhibits remarkably enhanced broadband electromagnetic absorption with the optimal reflection loss value around -47.7 dB at 13.8 GHz with an ultrathin thickness of 1.8 mm. The enhancement in electromagnetic absorption is confirmed to result from nitrogen doped ND induced magnetic dissipation and the C•••N multi-polarization modes, as well as the multiple interfacial structures. This work opens a new route realizing lightweight electromagnetic absorption through constructing nitrogen doped carbon nanomaterial.

Sevoflurane induces apoptosis of isolated placental trophoblast cells and stimulates expressions of TNF-α and IL-6.

Studies have shown that narcotic drugs may affect the function of placental trophoblast cells. The aim of this study was to investigate the effect of sevoflurane on apoptosis and proinflammatory cytokines in isolated placental trophoblast cells. The primary placental trophoblast cells were obtained from a total of 20 parturients, which were randomly divided into 4 groups and treated with 3% sevoflurane for 0 minutes (S0), 15 minutes (S15), 30 minutes (S30) and 60 minutes (S60). The expressions of CK7 and vimentin were detected by immunofluorescence. The apoptosis of trophoblast cells was tested by TUNEL assay. The concentrations and protein expressions of TNF-α and IL-6 were determined by ELISA and Western-blot. The apoptosis number and apoptosis rate of placental trophoblast cells in S60 and S30 groups were higher than that in S15 and S0 groups (P<0.05). The concentrations of TNF-α and IL-6 in cell culture medium of S60 and S30 groups were elevated as compared to S15 and S0 groups (P<0.05). Compared with S15 and S0 groups, the protein expressions of TNF-α and IL-6 in placental trophoblast cells of S60 and S30 groups also showed an significant increase (P<0.05). Moreover, the expressions of TNF-α and IL-6 were positively correlated with the apoptosis of cytotrophoblast cells. Using for a long time of sevoflurane induces the apoptosis of placental trophoblast cells and increases the expressions of pro-inflammatory factors, suggesting that the duration of sevoflurane anesthesia should be controlled within 15 minutes.

[Efficacy of Ropivacaine injection at acupoints for labor analgesia and its effect on breastfeeding and serum prolactin].

OBJECTIVE: To investigate the efficacy of acupoint injection of Ropivacaine for labor analgesia and its effect on breastfeeding and prolactin secretion. METHODS: A total of 80 primipara who asked to receive labor analgesia were randomized into epidural analgesia group (n＝35) and acupoint injection group (n＝36), and other 36 primipara who refused to receive labor analgesia were subjected to the control group. The labor analgesia began to be performed when the puerpera's uterine orifice opened about ≥3 cm (the first stage of labor), including puerpera controlled epidural analgesia (PCEA, Sufentainil ＋ 0.1% Ropivacaine hydrochloride, 5 µg/mL at L3-L4 interspace, till the birth of fetus) or acupoint injection of Ropivacaine (0.2%, 1 mL/acupoint) at bilateral Hegu (LI4) and Sanyinjiao (SP6). The delivery situations such as the duration of labor, and number of cases who used oxytocin, obstetric-forceps-aided delivery, cesarean delivery were recorded. The serum prolactin concentration was assayed by using ELISA. The visual analogue scale (VAS) scores at the time points of T0 (about 3 cm widening of the orifice of uterus and before performing analgesia), T1 (30 min after labor analgesia), T2(about 10 cm widening of the orifice of uterus) and T3(coming out of fetal head). The duration of labor, ratio of use of oxytocin, onset time of breastfeeding, and times of breastfeeding within 24 postpartum hours were recorded accordingly. RESULTS: The VAS scores at time-points of T1, T2 and T3 were significantly lower in both epidural analgesia and acupoint injection groups in comparison with their own T0 and the control group (P<0.05), and were also considerably higher in the acupoint injection group than in the epidural analgesia group (P<0.05). The duration of the 2nd stage of labor (from complete opening of the uterus orifice to complete birth of the fetus) was significantly longer, (P<0.05) and the number of oxytocin-using puerpera was obviously bigger in the epidural analgesia group than in the control group (P<0.05). After partum, the 1st breastfeeding time was obviously earlier and the frequency of breastfeeding notably increased in both epidural analgesia and acupoint injection groups than in the control group (P<0.05), the serum prolactin content was remarkably higher in the acupoint injection group than in the epidural analgesia group (P<0.05). No significant differences were found between the acupoint injection and the control groups in the duration of the 1st and 2nd stages of labor, and in the numbers of oxytocin-using puerpera, obstetric forceps-aided birth and cesarean delivery (P>0.05), and between the epidural analgesia group and control group in the serum prolactin levels (P>0.05)．. CONCLUSION: Injection of Ropivacaine at LI4 and SP6 is effective for labor analgesia and raising prolactin level, and favorable to breastfeeding in the early postpartum period.

Anatomy of the Cun Position at Wrist and Its Application in Pulse Diagnosis.

Information on anatomy of the Cun position at wrist is lacking; whether the blood vessel taking pulse in Cun is the radial artery or the superficial palmar branch is also clinically controversial. The objective was to investigate the boundaries and contents, and the vascular distribution and their pulse points in Cun. Thirty-two upper extremities of 16 human cadavers were investigated for dissection and observation. The boundaries, contents, and blood vessel distribution in Cun were observed; the location of pulse points in Cun was identified; the length of the superficial palmar branch in wrist pulse (L1), the pulp width of the index finger (L2), and the angle between the radial artery and the superficial palmar branch were measured. The results showed that the Cun was located in the region formed by the bulge of the prominent bone proximal to the palm, the radial flexor tendon, the tubercle of scaphoid, and the abductor longus muscle tendon. In this area, the radial artery could be pulsed part in the medial side of the abductor longus muscle tendon, while the superficial palmar branch lied near the surface and was easy to pulse in the lateral side of the radial flexor tendon and the medial side of the tubercle of scaphoid. The ratio of L1 to L2 was 1.2±0.8, and the angle was 23.3±9.9°. The results suggested that it could not be generalized that the blood vessel taking pulse in Cun was the radial artery or the superficial palmar branch; it might depend on the vascular distribution in Cun, the region of finger positioning, and the patient's pulse condition.

Peptide P7 inhibits the bFGF-stimulated proliferation and invasion of SKOV3 cells.

Peptide P7 specifically binds with basic fibroblast growth factor (bFGF) to inhibit the proliferation and invasion of numerous types of cancer cell. However, this effect has remained to be demonstrated in ovarian cancer-derived cell lines. In the present study, the protein P7 was used treat bFGF-stimulated SKOV3 epithelial ovarian cancer cells to explore the therapeutic potential of P7. An MTT and a scratch wound assay were used to respectively evaluate the proliferation and migration of bFGF-stimulated SKOV3 cells treated with P7. Reverse transcription-quantitative polymerase chain reaction analysis was used to detect the gene expression of urokinase-type plasminogen activator (uPA), as well as matrix metallopeptidase (MMP)-2 and -9, which have a role in cell migration/invasion. The morphology and proliferation of SKOV3 cells were not significantly affected by different concentrations of P7. However, P7 had an obvious inhibitory effect on the proliferation and migration of bFGF-stimulated SKOV3 cells. Treatment with P7 significantly lowered the gene expression of uPA, MMP-2 and MMP-9 compared with that in the control group. In conclusion, the present results suggested that P7, which, at least in part, acts through inhibition of bFGF, may have a potential therapeutic application in epithelial ovarian cancer.

Correction to: Genome-Wide Array Analysis Reveals Novel Genomic Regions and Candidate Gene for Intellectual Disability.

An Online First version of this article was made available online.