Efficacy of Polyethylene Glycol Electrolyte Powder Combined with Linaclotide for Colon Cleansing in Patients with Chronic Constipation undergoing colonoscopy: a Multi-centre, single-blinded, Randomized-Controlled Trial.

BACKGROUND AND AIMS: Constipation is an independent risk factor for poor bowel preparation. This study aimed to evaluate the bowel-cleansing efficacy and safety of polyethylene glycol (PEG) combined with linaclotide (lin) for colonoscopy in patients with chronic constipation. METHODS: This single-blinded, randomized, controlled and multicenter study was conducted from July 2021 to December 2022 at seven hospitals. Patients with chronic constipation who underwent colonoscopies were enrolled and randomly assigned to 4 groups with split -PEG regimens: 4L-PEG group, 4L-PEG+1d-Lin group, 3L-PEG+1d-Lin group, and 3L-PEG+3d-Lin group. The primary outcome was rates of adequate bowel preparation, defined as a total BBPS score ≥6 and a score ≥2 for each segment. Secondary outcomes were adverse effects, sleep quality, willingness to repeat the colonoscopy, adenoma detection rate, and polyp detection rate. RESULTS: 502 patients were enrolled. The rates of adequate bowel preparation (80.0% vs. 60.3%, P<0.001; 84.4% vs. 60.3%, P<0.001) and the total BBPS scores (6.90±1.28 vs. 6.00±1.61, P<0.001; 7.03±1.24 vs. 6.00±1.61, P<0.01) in 4L-PEG+1d-Lin group and 3L-PEG+3d-Lin group were superior to that in 4L-PEG group. Compared with 4L-PEG group, 4L-PEG+1d-Lin group (66.7% vs. 81.7%, P=0.008) and 3L-PEG+3d-Lin group (75.0% vs. 81.7%, P=0.224) had a lower percentage of mild adverse events. No statistically significant difference in willingness to repeat the colonoscopy, sleep quality, polyp detection rate, or adenoma detection rate was observed among groups. CONCLUSIONS: PEG combined with linaclotide might be an effective method for bowel preparation before colonoscopy in patients with chronic constipation.

Type II diabetes mellitus increases the risk of inflammatory bowel disease in a prospective cohort study.

BACKGROUND: Inflammatory bowel disease is a common digestive disorder and diabetes can lead to intestinal dysfunction. Patients with inflammatory bowel disease in combination with diabetes present a higher rate of hospitalization and consumption of medical resources, yet the association between type 2 diabetes and Inflammatory bowel disease remains unknown. METHODS: We studied 313,008 participants from the UK Biobank, including 5891 patients with type 2 diabetes at baseline. Multivariate Cox proportional risk models were constructed to examine the risks associated with type 2 diabetes and inflammatory bowel disease and its subtypes (Crohn's disease, ulcerative colitis). Potential confounders including sociodemographic, lifestyle, physical body indicators, psychological state, hypertension, and thyroid-related disorders were adjusted. Propensity score matching was also performed to analyze their sensitivity. RESULTS: Of a total of 313,008 participants included in the study, 5891 (1.88 %) were diagnosed with type 2 diabetes mellitus at baseline and 1829 (0.58 %) of the entire cohort developed inflammatory bowel disease during follow-up, with a median follow-up time of 13.72 years. Patients with type 2 diabetes had a higher cumulative risk of inflammatory bowel disease compared to the non-type 2 diabetes population (inflammatory bowel disease: 1.24% vs. 0.57%, p < 0.001; Crohn's disease: 0.46% vs. 0.15%, p < 0.001; ulcerative colitis: 0.73% vs. 0.35%, p < 0.001). Multivariate Cox regression analysis showed that type 2 diabetes was independently associated with inflammatory bowel disease (Hazard Ratio: 1.61 [95% Confidence Interval: 1.26-2.06], p < 0.001), Crohn's disease (Hazard Ratio: 2.10 [95% Confidence Interval: 1.39-3.17], p < 0.001) and ulcerative colitis (Hazard Ratio: 1.58 [95% Confidence Interval: 1.15-2.18], p = 0.005). In a propensity-matched analysis, type 2 diabetes still showed its ability to predict the risk of inflammatory bowel disease (Hazard Ratio: 2.09 [95% Confidence Interval: 1.55-2.83], p < 0.001), Crohn's disease (Hazard Ratio: 3.49 [95% Confidence Interval: 2.00 to 6.09], p < 0.001), and ulcerative colitis (Hazard Ratio: 1.76 [95% Confidence Interval: 1.20 to 2.56], p = 0.003) of robustness. CONCLUSION: In patients with type 2 diabetes mellitus, the risk of inflammatory bowel disease is higher, and the presence of gastrointestinal symptoms in patients with type 2 diabetes requires vigilance for the possibility of inflammatory bowel disease in clinical practice.

Risk analysis of air pollutants and types of anemia: a UK Biobank prospective cohort study.

Previous studies have suggested that exposure to air pollutants may be associated with specific blood indicators or anemia in certain populations. However, there is insufficient epidemiological data and prospective evidence to evaluate the relationship between environmental air pollution and specific types of anemia. We conducted a large-scale prospective cohort study based on the UK Biobank. Annual average concentrations of NO2, PM2.5, PM2.5-10, and PM10 were obtained from the ESCAPE study using the Land Use Regression (LUR) model. The association between atmospheric pollutants and different types of anemia was investigated using the Cox proportional hazards model. Furthermore, restricted cubic splines were used to explore exposure-response relationships for positive associations, followed by stratification and effect modification analyses by gender and age. After adjusting for demographic characteristics, 3-4 of the four types of air pollution were significantly associated with an increased risk of iron deficiency, vitamin B12 deficiency and folate deficiency anemia, while there was no significant association with other defined types of anemia. After full adjustment, we estimated that the hazard ratios (HRs) of iron deficiency anemia associated with each 10 µg/m3 increase in NO2, PM2.5, and PM10 were 1.04 (95%CI: 1.02, 1.07), 2.00 (95%CI: 1.71, 2.33), and 1.10 (95%CI: 1.02, 1.20) respectively. The HRs of folate deficiency anemia with each 10 µg/m3 increase in NO2, PM2.5, PM2.5-10, and PM10 were 1.25 (95%CI: 1.12, 1.40), 4.61 (95%CI: 2.03, 10.47), 2.81 (95%CI: 1.11, 7.08), and 1.99 (95%CI: 1.25, 3.15) respectively. For vitamin B12 deficiency anemia, no significant association with atmospheric pollution was found. Additionally, we estimated almost linear exposure-response curves between air pollution and anemia, and interaction analyses suggested that gender and age did not modify the association between air pollution and anemia. Our research provided reliable evidence for the association between long-term exposure to PM10, PM2.5, PM2.5-10, NO2, and several types of anemia. NO2, PM2.5, and PM10 significantly increased the risk of iron deficiency anemia and folate deficiency anemia. Additionally, we found that the smaller the PM diameter, the higher the risk, and folate deficiency anemia was more susceptible to air pollution than iron deficiency anemia. No association was observed between the four types of air pollution and hemolytic anemia, aplastic anemia, and other types of anemia. Although the mechanisms are not well understood, we emphasize the need to limit the levels of PM and NO2 in the environment to reduce the potential impact of air pollution on folate and iron deficiency anemia.

Exploring the potential of MB2 MBene family as promising anodes for Li-ion batteries.

In recent years, finding high-performance energy storage materials has become a major challenge for Li-ion batteries. B-based two-dimensional materials have become the focus of attention because of their abundant reserves and non-toxic characteristics. A series of two-dimensional transition metal borides (MBenes) are reported and their electrochemical properties as anode materials for Li-ion batteries are investigated by density functional theory (DFT) calculations. The surface of MB2 possesses medium adsorption strength and diffusion energy barrier for Li atoms, which are conducive to the insertion and extraction of Li-ions during the charge/discharge process of Li-ion batteries. Herein, we explore the potential of MB2 (M = Sc, Y, Ti, Zr, Hf, V, Nb, Ta, Cr, Mo, W, Mn, Fe, Co, Ni, Cu and Zn) as the anode material for LIBs. Excitingly, the Li atom can be stably adsorbed on the surface of MB2 (M = Sc, Ti, V, Nb, Mo, W) monolayers, and the theoretical capacity of the MB2 monolayer is high (521.77-1610.20 mA h g-1). The average open circuit voltage range is within 0.10-1.00 V (vs. Li/Li+). The relationship between the p-band center of the B atom and the adsorption energy of Li on the surface of MB2 is also investigated. Furthermore, it is found that the charge transfer of Li atom and metallic center in the most stable position is strongly related to the corresponding value of diffusion energy barrier. These results confirm that MB2 monolayers are promising 2D anode materials for Li-ion batteries, demonstrating the application prospects of B-based 2D materials.

Association between pro-inflammatory diet and abdominal pain: Cross-sectional and case-control study from UK biobank and NHANES 2017-2020.

BACKGROUND: There is a close association between diet and abdominal pain, however, relationship between inflammatory diet and characteristics of abdominal pain has not been characterized yet. METHODS: This study analyzed baseline data from the UK Biobank, 3-item DHQ-Abdominal Pain Questionnaire (DHQ-3Q) which including abdominal pain in the past three months, severity of abdominal pain, and frequency of abdominal pain, and data from the National Health and Nutrition Examination Survey (NHANES) from 2017 to 2020. Energy-adjusted Dietary Inflammatory Index (E-DII), constructed based on 26 or 27 nutrients, was analyzed using continuous or categorical methods. Logistic regression and restricted cubic spline analyses examined the association between E-DII and abdominal pain. RESULTS: In UK Biobank, compared to participants in the lowest quintile of E-DII, the adjusted ORs for the highest quintile were 1.12 (95% CI 1.02-1.24; p = 0.022), 1.05 (95% CI 1.00-1.09; p = 0.030), 1.26 (95% CI 1.17-1.36; p < 0.001), and 1.10 (95% CI 1.00-1.20; p = 0.044) for chronic abdominal pain, abdominal pain in the past three months, severity of abdominal pain, and frequency of abdominal pain, respectively. In NHANES, compared to participants in the lowest quintile of E-DII, the adjusted ORs for the highest quintile were 1.46 (95% CI 1.20-1.77; p < 0.001), 1.75 (95% CI 1.20-2.60; p = 0.005), 1.45 (95% CI 1.14-1.87; p = 0.003), and 1.18 (95% CI 0.82-1.72; p = 0.380) for abdominal pain in the past year, upper left abdominal pain, upper middle abdominal pain, and upper right abdominal pain. Additionally, there was a nonlinear correlation between E-DII score and DHQ-3Q (p nonlinear <0.001). CONCLUSION: Following a pro-inflammatory diet is linked to a higher likelihood of experiencing abdominal pain, as well as increased severity and frequency of such pain. Therefore, further longitudinal studies are necessary to investigate this relationship.

Prediction of a planar BxP monolayer with inherent metallicity and its potential as an anode material for Na and K-ion batteries: a first-principles study.

Borophene, the lightest two-dimensional material, exhibits exceptional storage capacity as an anode material for sodium-ion batteries (NIBs) and potassium-ion batteries (PIBs). However, the pronounced surface activity gives rise to strong interfacial bonding between borophene and the metal substrate it grows on. Incorporation of heterogeneous atoms capable of forming strong bonds with boron to increase borophene stability while preserving its intrinsic metallic conductivity and high theoretical capacity remains a great challenge. In this study, a particle swarm optimization (PSO) method was employed to determine several new two-dimensional monolayer boron phosphides (BxP, x = 3-6) with rich boron components. The obtained BxP has great potential to be used as an anode material for sodium-ion batteries/potassium-ion batteries (SIBs/PIBs), according to DFT calculations. BxP demonstrates remarkable stability compared with borophene which ensures their feasibility of experimental synthesis. Moreover, B5P and B6P exhibit high electronic conductivity and ionic conductivity, with migration energy barriers of 0.20 and 0.21 eV for Na ions and 0.07 eV for K ions. Moreover, the average open circuit voltage falls within a favorable range of 0.25-0.73 V, which results in a high storage capacity of 1119-2103 mA h g-1 for SIBs and 631-839 mA h g-1 for PIBs. This study paves the way for exploring boron-rich 2D electrode materials for energy applications and provides valuable insights into the functionalization and stabilization of borophene.

CCL13 and human diseases.

CCL13/MCP-4 belongs to the CC chemokine family, which induces chemotaxis in many immune cells. Despite extensive research into its function in numerous disorders, a thorough analysis of CCL13 is not yet accessible. The role of CCL13 in human disorders and existing CCL13-focused therapies are outlined in this study. The function of CCL13 in rheumatic diseases, skin conditions, and cancer is comparatively well-established, and some studies also suggest that it may be involved in ocular disorders, orthopedic conditions, nasal polyps, and obesity. We also give an overview of research that found very little evidence of CCL13 in HIV, nephritis, and multiple sclerosis. Even though CCL13-mediated inflammation is frequently linked to disease pathogenesis, it's fascinating to note that in some conditions, like primary biliary cholangitis (PBC) and suicide, it might even act as a preventative measure.

Losartan attenuates acetic acid enema-induced visceral hypersensitivity by inhibiting the ACE1/Ang II/AT1 receptor axis in enteric glial cells.

Enteric glial cells (EGCs) play an important role in visceral hypersensitivity associated with irritable bowel syndrome (IBS). Losartan (Los) is known to reduce pain; however, its function in IBS is unclear. The present study aimed to investigate Los's therapeutic effect on visceral hypersensitivity in IBS rats. Thirty rats were randomly divided into control, acetic acid enema (AA), AA + Los low, medium and high dose groups in vivo. EGCs were treated with lipopolysaccharide (LPS) and Los in vitro. The molecular mechanisms were explored by assessing the expression of EGC activation markers, pain mediators, inflammatory factors and angiotensin-converting enzyme 1(ACE1)/angiotensin II (Ang II)/Ang II type 1 (AT1) receptor axis molecules in colon tissue and EGCs. The results showed that the rats in the AA group showed significantly higher visceral hypersensitivity than the control rats, which was alleviated by different doses of Los. The expression of GFAP, S100ß, substance P (SP), calcitonin gene-related peptide (CGRP), transient receptor potential vanilloid 1 (TRPV1), tumor necrosis factor (TNF), interleukin-1ß (IL-1ß) and interleukin-6 (IL-6) was considerably increased in colonic tissues of AA group rats and LPS-treated EGCs compared with control rats and EGCs, and reduced by Los. In addition, Los reversed ACE1/Ang II/AT1 receptor axis upregulation in AA colon tissues and LPS-treated EGCs. These results show that Los inhibits ACE1/Ang II/AT1 receptor axis upregulation by suppressing EGC activation, resulting in reduced expression of pain mediators and inflammatory factors, thereby alleviating visceral hypersensitivity.

First principles investigation on Na-ion storage in two-dimensional boron-rich B2N, B3N, and B5N.

Na-ion batteries (SIBs) are emerging as a promising alternative to Li-ion batteries for large-scale energy storage in light of abundant Na resources and their low cost. Development of appropriate electrode materials that can conquer some critical issues such as low theoretical storage capacity and sluggish redox kinetics resulting from the larger radius of Na is urgently needed for their practical applications. In this work, boron-rich 2D BxN (x = 2, 3, and 5) has been explored as promising anode materials for high-performance SIBs based on density functional theory calculations. BxN electrodes exhibit moderate affinity toward Na-ions with adsorption energies of -0.41 to -1.21 eV, which allows stable Na-ion intercalation without the formation of metal dendrites. Moreover, both B3N and B5N deliver low diffusion barriers (0.28 and 0.08 eV) for Na-ion migration, guaranteeing a high charging/discharging rate. More importantly, these BxN anodes exhibit not only a remarkably high theoretical capacity of 1129-1313 mA h g-1 but also a low open-circuit voltage (0.45-0.87 V), which is important to achieve high energy density. AIMD simulations have confirmed the excellent cyclability of BxN electrodes during reversible lithiation/delithiation. These results suggested that the BxN electrode could be used as a new lightweight SIB anode with high capacity, cyclability, and desired rate performance.

Conductive and Ultrastable Covalent Organic Framework/Carbon Hybrid as an Ideal Electrocatalytic Platform.

Developing covalent organic frameworks (COFs) with good electrical conductivity is essential to widen their range of practical applications. Thermal annealing is known to be a facile approach for enhancing conductivity. However, at higher temperatures, most COFs undergo amorphization and/or thermal degradation because of the lack of linker rigidity and physicochemical stability. Here, we report the synthesis of a conductive benzoxazole-linked COF/carbon hybrid material (BCOF-600C) by simple thermal annealing. The fused-aromatic benzoxazole and biphenyl building units endow the resulting COF with excellent physicochemical stability against high temperatures and strong acids/bases. This allows heat treatment to further enhance electrical conductivity with minimal structural alteration. The robust crystalline structure with periodically incorporated nitrogen atoms allowed platinum (Pt) atoms to be atomically integrated into the channel walls of BCOF-600C. The resulting electrocatalyst with well-defined active sites exhibited superior catalytic performance toward hydrogen evolution in acidic media.

Confined Water Vapor in ZIF-8 Nanopores.

Metal-organic frameworks (MOFs) possess an ordered and size-controllable porous structure, making them an interesting heterogeneous confining environment for water. Herein, molecular dynamics simulations are employed to investigate the structure of confined water vapor in zeolitic imidazolate framework-8 (ZIF-8) nanopores. Water dimers, which are rarely observed in liquid or water vapor, can form in ZIF-8 at room temperature. The six-ring-member gate is the main location of a water dimer in ZIF-8. The terminal methyl and CH groups of the imidazole linker interact with the water dimer by relatively weak hydrogen bonding. The above-presented findings provide a foundation for the elucidation of water confined in ZIF-8 and demonstrate the potential of obtaining low-order clusters of water by MOFs.

Coupling external and internal pressure for the structural transition of MIL-53(Cr).

Flexible metal-organic framework (MOF) materials have the ability to perform stimulated sudden volume contractions, and thus attract increasing attention for use in potential applications such as: actuators or sensors. Here, the structural transition of MIL-53(Cr) loaded with a high concentration of CH3OH (CH3OH) guest molecules, which cause internal pressure due to guest-guest interactions, was investigated. The pressure triggering the structural transition can be enhanced by high guest molecule loadings (1 CH3OH per unit cell (UC): 5 MPa, empty: 53 MPa, 7 CH3OH per UC: 90 MPa, and 8 CH3OH per UC: 280 MPa). The asymmetrical and small distortion of the organic-inorganic connections are the main microscopic characteristic of the structural transition of MIL-53(Cr) with a high CH3OH loading. The external pressure and the internal pressure, instead of the adsorption of the guest molecules, became dominant in the structural transition of MIL-53(Cr). Current studies showed that the high-pressure response of the flexible MOF structure may broaden the acceptable pressure range in future actuator or sensor applications.

MOF-Derived ZnS Nanodots/Ti3C2Tx MXene Hybrids Boosting Superior Lithium Storage Performance.

ZnS has great potentials as an anode for lithium storage because of its high theoretical capacity and resource abundance; however, the large volume expansion accompanied with structural collapse and low conductivity of ZnS cause severe capacity fading and inferior rate capability during lithium storage. Herein, 0D-2D ZnS nanodots/Ti3C2Tx MXene hybrids are prepared by anchoring ZnS nanodots on Ti3C2Tx MXene nanosheets through coordination modulation between MXene and MOF precursor (ZIF-8) followed with sulfidation. The MXene substrate coupled with the ZnS nanodots can synergistically accommodate volume variation of ZnS over charge-discharge to realize stable cyclability. As revealed by XPS characterizations and DFT calculations, the strong interfacial interaction between ZnS nanodots and MXene nanosheets can boost fast electron/lithium-ion transfer to achieve excellent electrochemical activity and kinetics for lithium storage. Thereby, the as-prepared ZnS nanodots/MXene hybrid exhibits a high capacity of 726.8 mAh g-1 at 30 mA g-1, superior cyclic stability (462.8 mAh g-1 after 1000 cycles at 0.5 A g-1), and excellent rate performance. The present results provide new insights into the understanding of the lithium storage mechanism of ZnS and the revealing of the effects of interfacial interaction on lithium storage performance enhancement.

Two-Dimensional Boron-Rich Monolayer BxN as High Capacity for Lithium-Ion Batteries: A First-Principles Study.

Owing to lightweight, abundant reserves, low cost, and nontoxicity, B-based two-dimensional (2D) materials, e.g., borophene, exhibit great potential as new anode materials with higher energy density for Li-ion batteries (LIBs). However, exfoliation of borophene from the Ag substrate remains the most daunting challenge due to their strong interfacial interactions, significantly restricting its practical applications. In this study, through first-principles swarm-intelligence structure calculations, we have found several Boron-rich boron nitride BxN materials (x = 2, 3, 4, and 5) with increased stability and weakened interactions with the Ag(111) substrate compared with δ6-borophene. A high cohesive energy and superior dynamical, thermodynamic, and mechanical stability provide strong feasibility for their experimental synthesis. The obtained BxN materials exhibit a high mechanical strength (94-226 N/m) and low interfacial bonding with the Ag substrate, from -0.043 to -0.054 eV Å-2, significantly smaller than that of δ6-borophene. Among them, B3N and B5N exhibit not only a remarkably high storage capacity of 1805-3153 mAh/g but also a low barrier energy and open-circuit voltage. Moreover, B2N showed a cross-sheet motion with a low barrier of 0.24 eV, which is unique compared with the in-plane diffusion in most other 2D electrode materials restricted by their quasi-flat geometry. BxN also exhibits excellent cyclability with improved metallic conductivity upon Li-ion intercalation, showing great potential in LIB applications. This study opens up a new avenue to explore B-rich 2D electrode materials in energy applications and provide instructive insights into borophene functionalization and exfoliation.

Residual Guest-Assisted MOF-5 Powder Densification.

Powder densification for specified shaped metal-organic frameworks (MOFs) is desirable for most applications. The obtainment of such properties is challenging, one of which is the rapid crystal-to-amorphous transition (framework collapse) of MOFs under pressure. Herein, we found that the residual guests of the MOF-5 synthesis process could form binding groups based on the hydrogen-bonding networks of water. The improved processability and ease of compression, which did not promote rapid structure collapse, can be achieved in the guest-loaded MOF-5. Correspondingly, enhanced volumetric specific surface area and methane uptake of MOF-5 were obtained. This work focuses on a commonly neglected but positive function of the residual guests in MOFs, besides supporting the framework. MOFs loaded with multiple types of guests show attractive mechanical properties via guest-guest and guest-host interactions for powder densification, highlighting their commercial applications.

Small intestinal bacterial overgrowth and orocecal transit time in patients of nonalcoholic fatty liver disease.

OBJECTIVE: The aim of the present study is to explore the frequency of small intestinal bacterial overgrowth (SIBO) and orocecal transit time (OCTT) in patients with nonalcoholic fatty liver disease (NAFLD). PATIENTS AND METHODS: 103 patients with NAFLD and 49 healthy controls were enrolled. Clinical indicators such as BMI, liver function, blood lipids, homeostasis model assessment-insulin resistance (HOMA-IR), serum endotoxin of NAFLD patients were collected and examined. FibroTouch was used to detect the controlled attenuation parameter (CAP) and liver stiffness measurement (LSM). SIBO and OCTT were measured by the lactulose hydrogen breath test. RESULTS: The incidence of SIBO in NAFLD patients (58.3%) was significantly higher than that in healthy controls (26.5%). The level of serum endotoxin in NAFLD patients was higher than that in healthy controls. The levels of CAP, LSM, serum endotoxin, alanine transaminase, asperate aminotransferase and HOMA-IR in SBIO-positive NAFLD patients were higher than those in SIBO-negative patients. There was no significant difference in glutamyl transpeptidase triglyceride, low density lipoprotein and BMI between the two groups. OCTT in NAFLD patients was longer than that in healthy controls. It was also observed that OCTT in SIBO-positive NAFLD patients was significantly delayed compared with SIBO-negative NAFLD patients. CONCLUSIONS: Patients with NAFLD exhibit the increased incidence rate of SIBO and prolonged OCTT; SIBO in NAFLD patients maybe a contributing factor to the elevated transaminase, hepatic steatosis, progression of liver fibrosis and prolonged OCTT.

Nerve growth factor and Tropomyosin receptor kinase A are increased in the gastric mucosa of patients with functional dyspepsia.

BACKGROUND: Nerve growth factor (NGF) and enteric glial cells (EGCs) are associated with visceral hypersensitivity and gastrointestinal motility disorder, which may represent the pathogenesis of functional dyspepsia (FD). This study aimed to investigate the expression of NGF, its high affinity receptor tropomyosin receptor kinase A (TrkA) and the EGC activation marker glial fibrillary acidic protein (GFAP) in the gastric mucosa of patients with FD and the association of these proteins with dyspeptic symptoms. METHODS: Gastric mucosal biopsies taken from 27 FD patients (9 epigastric pain syndrome (EPS) patients, 7 postprandial distress syndrome (PDS) patients and 11 EPS overlap PDS patients) and 26 control subjects were used for analysis. The expression of NGF, TrkA and GFAP was examined, and the association of these proteins with dyspeptic symptoms, including epigastric pain, postprandial fullness, early satiation and epigastric burning, was analysed. RESULTS: The expression levels of NGF, TrkA, and GFAP in the gastric mucosa were significantly higher in the EPS group, the PDS group, and the EPS overlap PDS group than in the healthy control group. There was no significant difference between the FD subgroups. TrkA colocalized with GFAP, which indicated that TrkA was localized to EGCs, and the expression of TrkA in EGCs was significantly higher in the FD group than in the control group. Changes in the expression of NGF, TrkA, and GFAP were positively correlated with epigastric pain, postprandial fullness and early satiation but had no significant relationship with epigastric burning. CONCLUSIONS: The increased expression of gastric NGF, TrkA and GFAP might be involved in FD pathophysiology and symptom perception.

An adolescent presenting with malignant fibrous histiocytoma of the testis: a case report.

INTRODUCTION: Malignant fibrous histiocytoma is a very common subtype of soft-tissue sarcoma in middle and late adulthood. However, malignant fibrous histiocytoma of the testis is very rare in adolescents. CASE PRESENTATION: We report here the case of a 14-year-old Han Chinese boy, who presented with left scrotal mass lasting for 20 days along with distending pain for 5 days. A physical examination revealed a chicken egg-sized, firm, well-defined mass and unclear epididymis. A B-scan ultrasonography of the left scrotum displayed a 9.0×5.2×4.5cm medium- or low-echoic lobulated mass, which suggested a left testicular neoplasm. A fine needle aspiration cytology examination revealed that the cells obtained from the patient's testicular neoplasm were composed of myxoid spindle, and ovoid cells with nuclear atypia and mitotic activity, and arranged in a whirlpool or storiform pattern. Under histological examination, the tumor cells were arranged in a storiform pattern, which displayed mucoid matrix degeneration, and grew invasively. Consequently, a histopathological diagnosis suggested myxofibrosarcoma (or myxoid malignant fibrous histiocytoma). CONCLUSIONS: An ultrasonic examination combined with fine needle aspiration cytology should be helpful for the initial differential diagnosis of testicular malignant fibrous histiocytoma. However, the final confirmation relies on histopathological examination. To the best of our knowledge, this is the first reported case of malignant fibrous histiocytoma of the testis in an adolescent.

[Effect of temperature, rainfall and soil properties on farmland soil nitrification].

Climate conditions, soil properties and management practices control soil nitrification process which affects nitrogen cycling and balance in agro-ecosystems. The interaction of temperature, rainfall, soil type and fertilization on the soil nitrification process was studied by a soil transplantation experiment installed in 3 experiment stations of Chinese Ecological Research Network, i.e., Hailun, Fenqiu and Yingtan Agroecological Experiment Station, which represents middle temperature, warm temperature and middle subtropical zone, respectively. Three types of cropland soils were selected, i.e., neutral black soil (Phaeozem), alkaline Chao soil (Cambisol) and acidic red soil (Acrisol). Then one-meter depth soil profiles for each soil were transplanted in 3 stations to build the field experiment. The two-year experimental results (2006-2007) showed soil nitrification intensity (SNI) changed with the temperature and rainfall during the maize tasseling stage. From Hailun to Yingtan, with an increase of monthly average temperature from 22.3 degrees C to 26.8 degrees C and the monthly rainfall from 100.8 mm to 199.6 mm, SNI decreased by 64.2%-67.2% for black soil, 52.1%-52.5% for Chao soil, and 41.7%-75.2% for red soil, respectively. There were significant negative correlations between SNI and temperature and rainfall, with a correlation coefficient of r = -0.354 (p < 0.01) and r = -0.290 (p < 0.01), respectively. The total number of soil nitrobacteria and the intensity of soil nitrification was affected by soil types, which increased in a sequence of Chao soil > black soil > red soil. Among soil properties, pH affected SNI significantly, with a correlation coefficient of r = 0.551 (p < 0.01). In generally, climate condition (temperature and rainfall), soil type and fertilization present an integrated impact on soil nitrification process, and there were significant interactions of climate x soil type, climate x fertilization, soil type x fertilization, and climate x soil type x fertilization.