Probiotics Reduce Postoperative Infections in Patients Undergoing Colorectal Surgery: A Systematic Review and Meta-Analysis.

Background. We performed this meta-analysis to investigate the efficacy of probiotics on prevention of infection-related complications following colorectal resection. Method. PubMed, EMBASE, Cochrane Library, and the Web of Science were searched up to January 2016. According to the results, only randomized controlled trials that compared the efficacy of probiotics on patients with colorectal resection were included for meta-analysis. Results. Nine studies including a total of 1146 patients met the criteria (556 received multistrain probiotic bacteria, 590 with non-multistrain probiotic bacteria). The combination of multistrain probiotics was beneficial in the reduction of total infections (OR = 0.30, 95%CI: 0.15-0.61, p = 0.0009), including surgical site infections (SSI) (OR = 0.48, 95%CI: 0.25-0.89, p = 0.02) and nonsurgical site infections (NSSI) (OR = 0.36, 95%CI: 0.23-0.56, p < 0.00001). However, there was no significant reduction in total infections (OR = 0.74, 95%CI: 0.50-1.09, p = 0.13) or SSI (OR = 0.77, 95%CI: 0.52-1.12, p = 0.17) with the application of non-multistrains of probiotics. Conclusion. Combinations of multistrain probiotic bacteria showed promise in preventing the incidence of infections following colorectal surgery. However, the efficacy of one or two strains of probiotics remains undetermined.

Longer rewarming time in finger cooling test in association with HbA1c level in diabetics.

OBJECTIVE: To assess if rewarming time in finger cooling test (FCT) as an indicator of microvascular dysfunction is abnormal in patients with type 2 diabetes mellitus (T2DM). METHODS: Forty-three T2DM patients and 48 healthy controls with similarly distributed baseline demographic, clinical and laboratory parameters were subjected to FCT involving 60-second index finger immersion into water at 4°C. Finger temperature was measured before FCT (baseline-T), immediately after cooling stimulus (T0), and at one-minute intervals until baseline-T recovery. Temperature decline amplitude was calculated as the difference between T0 and baseline-T, and rewarming time as time elapsed from T0 to baseline-T recovery. RESULTS: T2DM patients compared with healthy controls had statistically similar baseline-T, significantly larger temperature decline amplitude, significantly lower T0, and significantly longer rewarming time. In T2DM patients, rewarming time positively correlated with T2DM duration (r=0.513, p<0.001) and glycated hemoglobin (HbA1c) level (r=0.446, p=0.003), which also were its independent predictors in multivariate regression analysis. CONCLUSIONS: Patients with T2DM display abnormal FCT results suggestive of microvascular dysfunction, with T2DM duration and HbA1c level independently predicting rewarming time.

Cascading walks model for human mobility patterns.

BACKGROUND: Uncovering the mechanism behind the scaling laws and series of anomalies in human trajectories is of fundamental significance in understanding many spatio-temporal phenomena. Recently, several models, e.g. the explorations-returns model (Song et al., 2010) and the radiation model for intercity travels (Simini et al., 2012), have been proposed to study the origin of these anomalies and the prediction of human movements. However, an agent-based model that could reproduce most of empirical observations without priori is still lacking. METHODOLOGY/PRINCIPAL FINDINGS: In this paper, considering the empirical findings on the correlations of move-lengths and staying time in human trips, we propose a simple model which is mainly based on the cascading processes to capture the human mobility patterns. In this model, each long-range movement activates series of shorter movements that are organized by the law of localized explorations and preferential returns in prescribed region. CONCLUSIONS/SIGNIFICANCE: Based on the numerical simulations and analytical studies, we show more than five statistical characters that are well consistent with the empirical observations, including several types of scaling anomalies and the ultraslow diffusion properties, implying the cascading processes associated with the localized exploration and preferential returns are indeed a key in the understanding of human mobility activities. Moreover, the model shows both of the diverse individual mobility and aggregated scaling displacements, bridging the micro and macro patterns in human mobility. In summary, our model successfully explains most of empirical findings and provides deeper understandings on the emergence of human mobility patterns.

Correlations and scaling laws in human mobility.

BACKGROUND: In recent years, several path-breaking findings on human mobility patterns point out a novel issue which is of important theoretical significance and great application prospects. The empirical analysis of the data which can reflect the real-world human mobility provides the basic cognition and verification of the theoretical models and predictive results on human mobility. One of the most noticeable findings in previous studies on human mobility is the wide-spread scaling anomalies, e.g. the power-law-like displacement distributions. Understanding the origin of these scaling anomalies is of central importance to this issue and therefore is the focus of our discussion. METHODOLOGY/PRINCIPAL FINDINGS: In this paper, we empirically analyze the real-world human movements which are based on GPS records, and observe rich scaling properties in the temporal-spatial patterns as well as an abnormal transition in the speed-displacement patterns together with an evidence to the real-world traffic jams. In addition, we notice that the displacements at the population level show a significant positive correlation, indicating a cascading-like nature in human movements. Furthermore, our analysis at the individual level finds that the displacement distributions of users with stronger correlations usually are closer to the power law, suggesting a correlation between the positive correlation of the displacement series and the form of an individual's displacement distribution. CONCLUSIONS/SIGNIFICANCE: These empirical findings make connections between the two basic properties of human mobility, the scaling anomalies on displacement distributions and the positive correlations on displacement series, implying the cascading-like dynamics which is exhibited by the positive correlations would cause the emergence of scaling properties on human mobility patterns. Our findings would inspire further researches on mechanisms and predictions of human mobility.

Secolignans with antiangiogenic activities from Peperomia dindygulensis.

Two new secolignans, peperomins G and H (1 and 2, resp.), were isolated from the whole plant of Peperomia dindygulensis, together with five known secolignans, peperomin A (3), peperomin E (4), peperomin B (5), 2,3-trans-2-methyl-3-{(3-hydroxy-4,5-dimethoxyphenyl)[5-methoxy-3,4-(methylenedioxy)phenyl]methyl}butyrolactone (6), 2,3-cis-2-(hydroxymethyl)-3-{bis[5-methoxy-3,4-(methylenedioxy)phenyl]methyl}butyrolactone (7). Their structures and configurations were elucidated by spectroscopic methods including 2D-NMR techniques. Antiangiogenic effects of all compounds were evaluated using human umbilical vein endothelial cells (HUVEC) proliferation and tube-formation tests, with compounds 4 and 5 being active in the bioassay. Compounds 4 and 5 induced obvious cell toxicity to HUVEC with IC(50) values of 1.64±0.19 and 8.44±0.4 µM, respectively. Compounds 4 and 5 also exhibited significant HUVEC tube formation-inhibiting activity with IC(50) values of 3.13±0.09 and 6.24±0.12 µM, respectively.

[Effects of polymer aluminum hydrolysis on phosphorus distribution in coagulation].

Coagulation treatment was conducted by using coagulants of different basicity (ratio of OH(-)/Al); contents,distributions and algal availability of phosphorus in water were studied before and after coagulation. Results show that: phosphorus removals and its distribution in water were markedly different according to the coagulant with different basicity used; Al(a) plays an important role in the coagulation experiment for P removal. The lower the coagulant basicity was, the higher phosphorus removal was achieved; and PACl0 showed the best performance. Dissolved and particulate phosphorus reduced gradually with the increase of the coagulant (PACl0). They were entirely turned into deposit phosphorus when the coagulant dosage was above 10 mg x L(-1). The demand of coagulant for turbidity control was proved to be unequal to that for phosphorus removal. The coagulant dosages of about 3-5 mg x L(-1) achieved the best turbidity removal in the experiment; while much higher dosage was needed to get desired phosphorus removal. The amount of AAP (algal available phosphorus) in the sediments changed according to coagulant (PAC10) dosages. AAP increased with the increase of coagulant dosage when the dosage was less than 5 mg x L(-1), then it decreased with further addition of coagulant above 5 mg x L(-1). It was proved that release of phosphorus in sediments would be controlled effectively by addition of coagulant overdosed compared to the need for turbidity removal, which is important to long-term control of phosphorus. It was indicated that the dosage of coagulant used for phosphorus removal can not use the sole criterion for turbidity removal; the need for total phosphorus removal, sediment release of available phosphorus (such as AAP) and other phosphorus control requirements should be considered; and a larger dosage would be needed.