Comparing the distal pancreatectomy fistula risk score (D-FRS) and DISPAIR-FRS for predicting pancreatic fistula after distal pancreatectomy.

BACKGROUNDS: Distal pancreatectomy fistula risk score (D-FRS) and DISPAIR-FRS has not been widely validated for predicting postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP). METHODS: We retrospectively analysed 104 patients undergoing DP. The predictive value of the D-FRS and DISPAIR-FRS were compared. Risk factors associated with POPF were investigated by multivariate analysis. RESULTS: Of the 104 patients, 23 (22.1%) were categorized into the POPF group (all grade B). The areas under the ROC (AUCs) of the D-FRS (preoperative), D-FRS (intraoperative), and DISPAIR-FRS were 0.737, 0.809, and 0.688, respectively. Stratified by the D-FRS (preoperative), the POPF rates in low-risk, intermediate-risk, and high-risk groups were 5%, 22.6%, and 36.4%, respectively. By the D-FRS (intraoperative), the POPF rates in low-risk, intermediate-risk, and high-risk groups were 8.8%, 47.1%, and 47.4%, respectively. By the DISPAIR-FRS, the POPF rates in low-risk, intermediate-risk, and extreme-high-risk groups were 14.8%, 23.8% and 62.5%, respectively. Body mass index and main pancreatic duct diameter were independent risk factors of POPF both in preoperative (P = 0.014 and P = 0.033, respectively) and intraoperative (P = 0.015 and P = 0.039) multivariate analyses. CONCLUSION: Both the D-FRS (preoperative), D-FRS (intraoperative), and DISPAIR-FRS has good performance in POPF prediction after DP. The risk stratification was not satisfactory in current Asian cohort.

Pancreaticoduodenectomy performed for a patient with prepancreatic postduodenal portal vein: a case report and literature review.

Introduction: Prepancreatic postduodenal portal vein (PPPV) is a rare congenital variation, with only 17 cases reported in the literature and five of them undergoing pancreaticoduodenectomy (PD). Of these, four were L-shaped PPPV with a thin wall that was difficult to isolate, while only one normal-shaped PPPV was reported previously. For patients undergoing PD, recognizing this variation is important to prevent PPPV injury, which could lead to liver ischemia or intraoperative hemorrhage. We here present a case of normal-shaped PPPV who underwent PD. Case presentation: A 68-year-old woman underwent PD for bile duct carcinoma at our hospital. Preoperative enhanced CT revealed that the portal vein was located anterior to the pancreas and posterior to the duodenum, and the L-shaped splenic vein was longitudinally located posterior to the pancreatic neck. During surgery, there was a loose tissue area between the PPPV and the pancreatic head, and the PPPV could be isolated safely. The morphology of PPPV was similar to normal portal vein. Due to the presence of the PPPV, a superior mesenteric artery (SMA)-first approach from the anterior was at high risk of vascular injury, and the pancreatic neck could not be dissected at the dorsal face of PV. Therefore, the SMA was revealed by the classic right posterior approach after transection of the pancreatic neck on the dorsal surface of L-shaped spleen vein, and the specimen was successfully resected without significant intraoperative bleeding. The patient was discharged 18 days after surgery without complications. The final pathology was bile duct carcinoma with R0 resection. Conclusion: PPPV is a rare variant that can be diagnosed by preoperative imaging. In PD procedure, knowledge of PPPV helps in surgical decision-making, approach selection and avoid major bleeding due to PPPV injury. The origin of normal-shaped and L-shaped PPPV might be different. Normal-shaped PPPV can be safely isolated in this case.

Single-shot imaging with multiple frames through delaying optical images.

A single-shot imaging system with multiple frames has been developed, which can record sequential multiple frames by delaying multiple optical images with fiber bundles and then capturing the images with a single intensified camera. The observed optical object is imaged through four lenses onto the end faces of four sets of fiber bundles. These fiber bundles with different lengths can provide different delays for delivering optical images, which determine the inter-frame separation times. The optical images exported from the fiber bundles are captured with a single intensified CMOS camera simultaneously. This imaging system has been applied for investigating the dynamic x-ray spot of the rod-pinch diode via a combination of scintillators, which are used to convert x-ray images to optical images. Four sequential x-ray images in a single shot have been obtained, which show the dynamic development of the rod-pinch x-ray spot. The results experimentally reveal the dynamics of the electrons flow bombarding the rod, which roughly agrees with the theoretical modeling of the rod-pinch diode.

Low Maternal Dietary Intake of Choline Regulates Toll-Like Receptor 4 Expression Via Histone H3K27me3 in Fetal Mouse Neural Progenitor Cells.

SCOPE: Choline is an essential nutrient and a primary dietary source of methyl groups that are vital for brain development. Low choline (LC) in the maternal diet during pregnancy alters neurogenesis in the fetal brain and leads to low cognitive performance. However, the key signaling pathways that are sensitive to maternal choline supply during neural progenitor cell (NPC) development and the epigenetic mechanisms by which choline availability regulates gene expression are unclear. METHODS AND RESULTS: Timed-pregnant Nestin-CFPnuc transgenic mice are fed either a control diet or LC diet during E11-17. Gene expression changes in sorted E17 NPCs are identified by RNA sequencing. A maternal LC diet significantly increases Tlr4 transcription, causing premature neuronal differentiation and enhanced ethanol-induced NLRP3 inflammasome activation. No changes in DNA methylation at the Tlr4 gene promoter region are detected; however, a 70% decrease in H3K27me3 is observed in the LC-treated NPCs. Inhibition of EZH2 decreases H3K27me3 levels and increases Tlr4 expression. Conversely, the application of catalytically inactive Cas9 with EZH2 to increase H3K27me3 at the Tlr4 promoter causes reduced Tlr4 expression. CONCLUSION: These data reveal an epigenetic mechanism for the effect of maternal choline availability on brain development, suggesting a likely intervention for neurodevelopmental diseases.

Choline Supplementation Ameliorates Behavioral Deficits and Alzheimer's Disease-Like Pathology in Transgenic APP/PS1 Mice.

SCOPE: Alzheimer's disease (AD) is a detrimental neurodegenerative disease and has no known effective treatment. The essential nutrient choline potentially plays an important role in cognition. Perinatal choline supplementation (CS) is critical for memory performance. Findings have shown that postnatal choline-containing compounds enhance memory functions in populations with memory impairments. However, whether CS can be targeted to decelerate the progression of AD remains unknown. METHODS AND RESULTS: APP/PS1 mice and their wild-type littermates are fed either a control or CS diet from 2 to 11 months of age. As compared to WT mice, APP/PS1 mice on the control diet are characterized by the reduction in the number of cholinergic neurons in the basal forebrain, reduced cholinergic fiber staining intensity in the amygdala, and reduced hippocampal and cerebral cortical levels of choline and acetylcholine. CS partially prevents these changes and ameliorates cognitive deficits and anxiety. Furthermore, amyloid-ß deposition and microgliosis are decreased in the APP/PS1 mice fed a CS diet. These effects may have been due to inhibition of NLRP3 inflammasome activation and restoration of synapse membrane formation. CONCLUSION: These findings reveal a beneficial effect of CS on AD progression during adulthood and provide a likely therapeutic intervention for AD patients.

Development of an all-optical framing camera and its application on the Z-pinch.

An all-optical framing camera has been developed which measures the spatial profile of photons flux by utilizing a laser beam to probe the refractive index change in an indium phosphide semiconductor. This framing camera acquires two frames with the time resolution of about 1.5 ns and the inter frame separation time of about 13 ns by angularly multiplexing the probe beam on to the semiconductor. The spatial resolution of this camera has been estimated to be about 140 µm and the spectral response of this camera has also been theoretically investigated in 5 eV-100 KeV range. This camera has been applied in investigating the imploding dynamics of the molybdenum planar wire array Z-pinch on the 1-MA "QiangGuang-1" facility. This framing camera can provide an alternative scheme for high energy density physics experiments.

[Development of an algorithm for wrist oscillometric blood pressure-measurement using singular value decomposition].

In order to eliminate the intrinsic noise due to special structure of the wrist, a new curve fitting algorithm based on singular value decomposition (SVD) was developed to increase the measurement accuracy. This algorithm could be subdivided into SVD and curve fitting algorithm (SCFA). SVD was used to extract the dominant component of oscillation waves at wrist. Then oscillation amplitudes of dominant component and cuff pressure were used to determine arterial blood pressure (ABP) with curve fitting algorithm. To test the performance of SCFA, 45 subjects underwent the ABP measurement with different methods. The correlation coefficient between the pooled blood pressure measured by the auscultation and those by SCFA was 0.96. Comparison the results of SCFA with those of traditional curve fitting algorithm (TCFA), we found that the proposed SCFA could be used to reduce the partial intrinsic interference and efficiently improve the accuracy of the ABP at wrist.

Morphological and structural modulation of PbWO(4) crystals directed by dextrans.

A facile, dextran-directed solution route for the morphology- and structure-controlled synthesis of PbWO(4) crystals, such as monoclinic raspite PbWO(4) nanobelts and tetragonal stolzite PbWO(4) crystals with penniform and wheat-ear-like morphologies, has been demonstrated. Three differently charged dextrans were employed for the PbWO(4) crystallization and they turned out to be very effective in the morphological and structural modulation of PbWO(4) crystals, as evidenced by the scanning electron microscopy (SEM), transmission electron microscopy (TEM), x-ray diffraction (XRD) and Raman spectroscopy characterizations. In particular, novel monoclinic raspite PbWO(4) nanobelts were produced under the direction of anionic dextran with a suitable concentration, probably due to the specific interactions between SO(4)(2-) groups from anionic dextran molecules and Pb(2+) ions from PbWO(4) crystals. To the best of our knowledge, this is the first synthesis of monoclinic raspite PbWO(4) in the laboratory, which usually exists as a natural crystal. In addition, the photoluminescence properties of the obtained PbWO(4) crystals with different morphologies and crystal structures have been characterized and discussed, which provides useful information for the fundamental investigation and potential application of PbWO(4) crystals.

Hydrothermal growth of large-scale micropatterned arrays of ultralong ZnO nanowires and nanobelts on zinc substrate.

Large-scale, ultralong ZnO nanowire and nanobelt arrays with honeycomb-like micropatterns have been fabricated by hydrothermal oxidation of zinc foil in aqueous alkaline (NH4)2S2O8 solutions.

Growth mechanism of penniform BaWO4 nanostructures in catanionic reverse micelles involving polymers.

The formation of penniform BaWO4 nanostructures made of nanowires or nanobelts under the direction of a block copolymer in catanionic reverse micelles has been studied in detail. On the basis of the experimental results obtained from the BaWO4 crystallization in aqueous polymer solutions and careful transmission electron microscopy (TEM) observations of BaWO4 nanostructures formed in reverse micelles containing polymers, a detailed two-stage growth mechanism has been proposed for the formation of the penniform nanostructures in reverse micelles, which involves the polymer-controlled shaft formation (Stage 1) and the mixed surfactants-controlled barb growth (Stage 2). During Stage 1, poly(ethylene glycol)-block-poly(methacrylic acid) (PEG-b-PMAA) induced the formation of c-axis-oriented shuttle-like nanocrystals and the subsequent oriented attachment of these shuttle-like nanocrystals resulted in the formation of [100]-oriented shafts with many parallel [001]-oriented pricks. During Stage 2, [001]-oriented nanowires or nanobelts grew gradually from the pricks into barbs, leading to the formation of well-defined penniform BaWO4 nanostructures with the barb morphology essentially determined by the mixing ratio r of the anionic to cationic surfactants (i.e., nanowires were formed at r=1 while nanobelts were formed at r deviating from 1). The current understanding of the growth mechanism of penniform BaWO4 nanostructures in catanionic reverse micelles involving polymers may be potentially applied for designing a new synthesis system for the controlled synthesis of other hierarchical 1D nanostructures with desired architectures.

Selective synthesis of single-crystalline selenium nanobelts and nanowires in micellar solutions of nonionic surfactants.

Single-crystalline nanobelts and nanowires of trigonal selenium (t-Se) have been selectively synthesized in micellar solutions of nonionic surfactants. In particular, t-Se nanobelts about 30 nm in thickness were obtained in micellar solutions of poly(oxyethylene(20)) octadecyl ether (C18EO20), whereas t-Se nanowires were obtained in micellar solutions of poly(oxyethylene(10)) dodecyl ether (C12EO10). The obtained t-Se nanobelts exhibit a low-energy absorption peak that is considerably red shifted from that for t-Se nanowires, which has been presumably attributed to the lower degree of crystal perfection for the t-Se nanobelts with rectangular cross sections.

Controlled growth of micropatterned, oriented calcite films on a self-assembled multilayer film.

A micropatterned multilayer film, which was fabricated from layer-by-layer electrostatic self-assembly of nitrodiazoresin (NDR)/poly(acrylic acid) (PAA) followed by photolithography, was utilized as a structured template for the biomimetic mineralization of calcium carbonate. Micropatterned CaCO3 films consisting of regularly aligned calcite crystals oriented in the <104> direction were selectively deposited on the patterned NDR/PAA multilayer film.

Well-defined star-shaped calcite crystals formed in agarose gels.

Single crystals of calcite exhibiting a morphology of well-defined 8-armed stars, which evolved from original rhombohedral calcite crystals with their 8 points extending radially into eight arms, were produced by crystallization of CaCO3 in agarose gels.

Polymer-directed synthesis of penniform BaWO4 nanostructures in reverse micelles.

Novel penniform superstructures of BaWO4 nanowires have been successfully synthesized in catanionic reverse micelles by using a double-hydrophilic block copolymer as the directing agent. This synthetic method is very simple, mild, and controllable, and it provides a novel method for direct solution-growth of hierarchical nanostructures based on inorganic nanowires.

Synthesis of single crystal BaWO4 nanowires in catanionic reverse micelles.

High aspect-ratio, single crystal BaWO4 nanowires with diameters as small as 3.5 nm and lengths up to more than 50 microns were synthesized in catanionic reverse micelles formed by an equimolar mixture of two surfactants: undecylic acid and decylamine.

Preparation of ZnS nanorods by a liquid crystal template.

ZnS nanorods were synthesized in lamellar liquid crystals of C(12)E(4) by mixing zinc ions and thioacetamide (TAA) solution. The effects of the reactant concentration and the surfactant/water molar ratio in the liquid crystal system on the morphology and size of the ZnS particles were investigated. The prepared ZnS particles are regular nanorods having a width of about 60 nm and a length of about 80-380 nm, with a largest aspect ratio of about 6.3. A lamellar liquid crystal templating mechanism has been proposed to interpret the experimental results.