Genistein prevents the production of hypospadias induced by Di-(2-ethylhexyl) phthalate through androgen signaling and antioxidant response in rats.

Environmental estrogen exposure has increased dramatically over the past 50 years. In particular, prenatal exposure to estrogen causes many congenital diseases, among which reproductive system development disorders are extremely serious. In this study, the molecular mechanism of hypospadias and the therapeutic effect of genistein (GEN) were investigated through in vivo models prepared by Di-(2-ethylhexyl) phthalate (DEHP) exposure between 12 and 19 days of gestation. With increased DEHP concentrations, the incidence of hypospadias increased gradually. DEHP inhibited the key enzymes involved in steroid synthesis, resulting in decreasing testosterone synthesis. At the same time, DEHP increased reactive oxygen species (ROS) and produced inflammatory factors via NADPH oxidase-1 (NOX1) and NADPH oxidase-4 (NOX4) pathways. It also inhibited Steroid 5 α Reductase 2 (Srd5α2) and decreased dihydrotestosterone (DHT) synthesis. Additionally, DEHP inhibited the androgen receptor (AR), resulting in reduced DHT binding to the AR that ultimately retarded the development of the external reproductive system. GEN, a phytoestrogen, competes with DEHP for binding to estrogen receptor ß (ERß). This competition, along with GEN's antiestrogen and antioxidant properties, could potentially reverse impairments. The findings of this study provide valuable insights into the role of phytoestrogens in alleviating environmental estrogen-induced congenital diseases.

Intrinsically Stretchable, Self-Healing, and Large-Scale Epidermal Bioelectrode Arrays for Electrophysiology and Gesture Recognition.

Electrophysiological (EP) signals, referred to as low-level biopotentials driven by active or passive human movements, are of great importance for kinesiology, rehabilitation, and human-machine interaction. To capture high-fidelity EP signals, bioelectrodes should possess high conductivity, high stretchability, and high conformability to skin. While traditional metal bioelectrodes are endowed with stretchability via complex structural designs, they are vulnerable to external or internal inference due to their low fracture strain and large modulus. Here, we report a self-healing elastic composite of silver nanowire (AgNW), graphite nanosheet, and styrene-block-poly(ethylene-ran-butylene)-block-polystyrene, which exhibits high stretchability of ε = 500%, high conductivity of σ = ∼1923 S·cm-1, and low resistance change (ΔR/R0) of 0.14 at ε = 40% while its resistance increases ∼0.8% after a 24 h stretching operation at ε = 50%. We employed the elastic composites for accurate and stable monitoring of electrocardiograph and surface electromyography (sEMG) signals. Further, we demonstrate an all-solution and printable process to obtain a large-scale sEMG bioelectrode array, enabling highly conformal adhesion on skin and high-fidelity gesture recognition.

Construction of ACNF/Polypyrrole/MIL-100-Fe composites with exceptional removal performance for ceftriaxone and indomethacin inspired by "Ecological Infiltration System".

Developing advanced adsorbents for removing the alarming level of pharmaceuticals active compounds (PhACs) pollution is an urgent task for environmental treatment. Herein, a novel acid-treated carbon nanofiber/polypyrrole/MIL-100-Fe (ACNF/PPy/MIL-100-Fe) with stable 3D-supporting skeleton and hierarchical porous structure had been fabricated to erasure ceftriaxone (CEF) and indomethacin (IDM) from aqueous solution. ACNF as scaffold achieved the highly uniform growth of MIL-100-Fe and PPy. Viewing the large BET surface area (SBET, 999.7 m2/g), highly exposed accessible active sites and copious functional groups, ACNF/PPy/MIL-100-Fe separately showed an excellent adsorption capacity for CEF (294.7 mg/g) and IDM (751.8 mg/g), outstripping the most previously reported adsorbents. Moreover, ACNF/PPy/MIL-100-Fe reached rapid adsorption kinetics and standout reusability property. Further, the redesigned easy-to-recyclable ACF/PPy/MIL-100-Fe inspired by the electrode formation craft achieved prominent adsorption capacity and good reusability property. The adsorption mechanism was evaluated via Fourier transformed infrared spectroscopy (FT-IR) and X-ray photoelectron spectroscopy (XPS). The outcomes revealed that the splendid adsorption capability mainly depended on the electrostatic interactions, hydrogen bonding and π-π interactions. This work sheds light on one facile practical strategy to exploit advanced materials in water environmental remediation.

Predictors of vessel quantitative flow ratio loss in patients with severely calcified lesions after rotational atherectomy.

BACKGROUND: Previous studies have established that moderately to severely calcified lesions (MSCL) are associated with high rates of major adverse cardiovascular events, even when drug-eluting stents are implanted after rotational atherectomy (RA). Yet, the changes in coronary function indexes during follow-ups have never been investigated. The quantitative flow ratio (QFR), a novel coronary function index, has been increasingly adopted in daily practice in recent years. METHODS: A total of 111 MSCL patients were retrospectively enrolled in this study. The vessel QFR (QFRv) loss was defined as post-percutaneous coronary intervention QFRv minus follow-up QFRv. The study subjects were divided into high QFRv loss (n = 51) and low QFRv loss (n = 60) groups according to the binary method. The obtained predictors of QFRv loss were then analyzed. RESULTS: The results showed that the final burr-to-vessel ratio (B to V ratio) in the high QFRv loss group decreased significantly compared to the low QFRv loss group (p < 0.01). The univariate and multivariate regression analyses indicated that the final B to V ratio was an excellent predictor of QFRv loss. The cut-off value of the final B to V ratio for QFRv loss prediction was 0.50 (sensitivity: 50.98%, specificity: 68.33%, and area under the curve: 0.627 [95% confidence interval: 0.530-0.717], p < 0.05). Additionally, the target vessel failure incidence in the high QFRv loss group was higher than in the low QFRv loss group (p < 0.01). CONCLUSIONS: An increased burr-to-vessel ratio can prevent QFRv loss in patients with MSCLs after RA, an effect that might be closely associated with a low target vessel failure incidence.

Ectopic pregnancy in China during 2011-2020: a single-centre retrospective study of 9499 cases.

BACKGROUND: Previous studies have shown that the incidence of ectopic pregnancy (EP) is increasing in China. It is unclear, however, whether the incidence of EP has changed after the implementation of the universal two-child policy in the context of China's aging population and declining fertility rate. METHODS: Data concerning EP from January 2011 to December 2020 were collected from the hospital's electronic medical records, which included the annual number of delivery, caesarean section rate, ectopic pregnancies, treatment of tubal pregnancy, and average costs and length of hospitalization. Trends of the EP incidence were analysed and annual percentage change (APC) was calculated using connected point regression analyses. RESULTS: A total of 9499 cases of EP were collected, among which caesarean scar pregnancy (CSP) accounts for the second highest (6.73%). The EP per 100 deliveries revealed a downward trend, from 7.60% in 2011 to 4.28% in 2020 with an APC of -1.87 (P < 0.05). The maternal age was increased, especially after the implementation of the universal two-child policy. The constituent ratio for the advanced maternal age (≥ 35) and the caesarean section rate, but not the CSP, were also increased. Laparoscopic salpingectomy was the main surgical method, whereas the adoption of laparotomy and laparoscopic salpingostomy was decreasing year by year. CONCLUSIONS: Although no obvious effect of the two-child policy on EP has been observed under the conditions of this study, the change in EP especially in advanced-age women after the policy implementation needs further evaluation. A decreased caesarean section rate, in primipara is beneficial to reducing the CSP.

Machine learning-based classification of circadian rhythm characteristics for mild cognitive impairment in the elderly.

Introduction: Using wrist-wearable sensors to ecological transient assessment may provide a more valid assessment of physical activity, sedentary time, sleep and circadian rhythm than self-reported questionnaires, but has not been used widely to study the association with mild cognitive impairment and their characteristics. Methods: 31 normal cognitive ability participants and 68 MCI participants were monitored with tri-axial accelerometer and nocturnal photo volumetric pulse wave signals for 14 days. Two machine learning algorithms: gradient boosting decision tree and eXtreme gradient boosting were constructed using data on daytime physical activity, sedentary time and nighttime physiological functions, including heart rate, heart rate variability, respiratory rate and oxygen saturation, combined with subjective scale features. The accuracy, precision, recall, F1 value, and AUC of the different models are compared, and the training and model effectiveness are validated by the subject-based leave-one-out method. Results: The low physical activity state was higher in the MCI group than in the cognitively normal group between 8:00 and 11:00 (P < 0.05), the daily rhythm trend of the high physical activity state was generally lower in the MCI group than in the cognitively normal group (P < 0.05). The peak rhythms in the sedentary state appeared at 12:00-15:00 and 20:00. The peak rhythms of rMSSD, HRV high frequency output power, and HRV low frequency output power in the 6h HRV parameters at night in the MCI group disappeared at 3:00 a.m., and the amplitude of fluctuations decreased; the amplitude of fluctuations of LHratio nocturnal rhythm increased and the phase was disturbed; the oxygen saturation was between 90 and 95% and less than 90% were increased in all time periods (P < 0.05). The F1 value of the two machine learning algorithms for MCI classification of multi-feature data combined with subjective scales were XGBoost (78.02) and GBDT (84.04). Conclusion: By collecting PSQI Scale data combined with circadian rhythm characteristics monitored by wrist-wearable sensors, we are able to construct XGBoost and GBDT machine learning models with good discrimination, thus providing an early warning solution for identifying family and community members with high risk of MCI.

Efficient removal of heavy metal ions by diethylenetriaminepenta (methylene phosphonic) acid-doped hydroxyapatite.

Diethylenetriaminepenta (methylene phosphonic) acid (DTPMP) was first used as a dopant to modify hydroxyapatite and applied to remove Pb2+. The adsorption capacity of modified hydroxyapatite for Pb2+ can reach 2185.92 mg/g, which was 10.4 times that of commercial nanohydroxyapatite. The characterizations after adsorption of Pb2+ indicated the existence of chelation and the formation of the low bioavailability Pb10(PO4)6(OH)2. Moreover, the interaction of different components containing DTPMP, HAP, and pollutant Pb2+ was investigated by molecular dynamics (MD) simulation, which indicated that the organic-phosphonic group of DTPMP (PO3H-) had a stronger complex effect with calcium ions or lead ions than that of the inorganic-phosphate group of HAP (PO43-) with the two metal ions, which affected the crystallinity of HAP, and greatly improved the removal effect of DTPMP doped HAP composites for Pb2+ contaminants, the existence of amino groups can further enhance the affinity between DTPMP and HAP or lead ions. The chelation mechanism of DTPMP and Pb2+ was probed in depth by combining basin analysis, topology analysis of atoms in molecules (AIM), electron localization function (ELF) analysis, bond order density (BOD) & natural adaptive orbital (NAdO)analysis and orbital component analysis.

In-Depth Study of Heavy Metal Removal by an Etidronic Acid-Functionalized Layered Double Hydroxide.

Sorption methodologies play a pivotal role in heavy metal removal to meet the global requirements for uninterrupted access to drinkable water. Standard sorption technologies lack efficiency due to weak adsorbent-metal interaction. To this end, a layered cationic framework material loaded with phosphonate was first fabricated by a facile intercalation method to capture hazardous metals from an aqueous solution. To inquire the removal mechanisms, batch experiments, detection technologies, and simulation calculations were employed to study the interactions at the interface of clay/water. Specifically, the functionalized layered double hydroxide possessed excellent chelation adsorption properties with Zn2+ (281.36 mg/g) and Fe3+ (206.03 mg/g), in which model fitting results revealed that the adsorption process was chemisorption and monolayer interaction. Further, the interfacial interaction between the phosphonate and clay surface was evaluated by molecular dynamics simulation, and a new concept named the interaction region indicator was used to characterize weak interaction and coordinate bonds. The deep insight into the chelation mechanism was visually presented via the orbital interaction diagram. In addition, the regeneration of the spent adsorbent, adsorption column test, and acute toxicity analysis demonstrated that the synthesized material has immense potential in terms of practical usage for the treatment of toxic pollutants. These results provide a novel path for researchers to properly understand the adsorption behavior.

Three-dimension hierarchical composite via in-situ growth of Zn/Al layered double hydroxide plates onto polyaniline-wrapped carbon sphere for efficient naproxen removal.

In this work, a novel adsorbent, 3D hierarchical CS@PANI@ZnAl-LDH composite, has been successfully fabricated through the hydrothermal synthesis of the carbon sphere, oxidative polymerization of polyaniline, and in-site growth of ZnAl-layered double hydroxides, simultaneously applied for the naproxen removal from aqueous solutions. The dynamics and isotherms fit better with the pseudo-second-order and Langmuir model, demonstrating the chemisorption, monolayer, and endothermic process. In addition, the high uptake capacities of CS@PANI@ZnAl-LDH for naproxen was 545.5 mg/g at 298 K when the pH was 5.0, outperforming most previously reported materials. Moreover, after five adsorption-desorption cycles, the spent CS@PANI@ZnAl-LDH maintains high removal efficiency and structural composition, revealing excellent recyclability and stability. Furthermore, Fourier transformed infrared spectroscopy (FT-IR), and X-ray photoelectron spectroscopy (XPS) analyses indicate electrostatic interactions, π-π interactions, and hydrogen bonding between CS@APNI@ZnAl-LDH and naproxen. Quantitative analyses, Localized orbit locator (LOL)-π isosurface, and Independent Gradient Model further verify the adsorption mechanisms mentioned above, indicating the synergistic effects between PANI and ZnAl-LDH improve the elimination ability for naproxen. Significantly, Hirshfeld surface analyses reveal that naproxen behaves as the H-bond acceptor, and the ZnAl-LDH acts as the H-bond donor. This work provided a feasible way to design purification materials for wastewater treatment.

New insights into the capture performance and mechanism of hazardous metals Cr3+ and Cd2+ onto an effective layered double hydroxide based material.

The phosphonate functionalized layered double hydroxide constructed through intercalation reaction, and efficiently applied to capture toxicant metal ions. The characterization results indicated that the functionalized composite with many functional groups has adsorption potential to heavy metals. The strong chelation of the phosphonate groups with heavy metal ions proved it an excellent adsorbent leading to a maximum adsorption capacity of 156.95 mg/g (Cr3+) and 198.34 mg/g (Cd2+) separately. The data of kinetics and isotherm revealed that the chelating adsorption was dominated by chemisorption and monolayer interaction. Notably, the spent adsorbent presented satisfactory reusability after six cycles. Furthermore, the Forcite simulation with the CLAYFF-CVFF force field implied that the critical mechanism for modifiers and the surface sites of the interlayer is electrostatic interaction. Our in-depth exploration in terms of the weak interactions not only demonstrated the strength and nature but also provided a novel way to intuitively capture the type of interactions that occurred around interesting regions. In the end, we made detailed investigations on the chelation mechanism, and the covalent nature played a leading role in the binding interaction. This work provides a valuable strategy for researchers to design novel materials in practice.

Rapid and efficient removal of diclofenac sodium from aqueous solution via ternary core-shell CS@PANI@LDH composite: Experimental and adsorption mechanism study.

The efficient removal of Diclofenac sodium (DCF), a nonsteroidal anti-inflammatory drug, has attracted more and more attention. In this work, ternary core-shell CS@PANI@LDH composite was synthesized via the in-situ growth of Mg/Al layered double hydroxide plates onto polyaniline-wrapped carbon sphere and applied for DCF removal. Various influence factors like concentration, pH, time, temperature, and background electrolytes were systematically investigated. The maximum adsorption capacity was 618.16 mg/g. Besides, after 5 regeneration cycles, CS@PANI@LDH still retained high adsorption capacity. The adsorption mechanism was investigated by Fourier transformed infrared spectroscopy (FT-IR) and X-ray photoelectron spectroscopy (XPS) characterization analyses. Simultaneously, the Multiwfn program combined the Chimera program was applied to calculate and visualize the localized orbit locator (LOL) of π electrons in DCF- molecule, which explored the π electronic structure and conjugation characteristics of DCF- molecule. Moreover, the Independent Gradient Model (IGM) analysis based on pro-molecular density revealed the interaction sites and interaction strength between DCF and LDH. The adsorption mechanism could be explained through electrostatic interaction and hydrogen bonding between LDH and DCF, π-π interaction between DCF and PANI. It was the synergistic effects of different interactions that improved the adsorption of DCF by CS@PANI@LDH composite.

Aggressive angiomyxoma in pregnancy: a case report and literature review.

Aggressive angiomyxoma is an interstitial tumour that is often misdiagnosed and is likely to recur. There have been few reported cases of angiomyxoma in pregnant women. We report a case of a woman who was previously diagnosed with a tumour in her vulva that increased in size during both of her pregnancies and spontaneously decreased postpartum. Local excision was performed and a gonadotropin-releasing hormone agonist was administered. According to a literature review, aggressive angiomyxoma is associated with good maternal and child outcomes. Caesarean section is not the delivery method of choice, but it is indicated if the tumour is preventing vaginal birth. Treatment for angiomyxoma is mainly postpartum local resection supplemented by hormone therapy. This tumour frequently recurs and patients should undergo long-term follow-up.

The facile synthesis of zoledronate functionalized hydroxyapatite amorphous hybrid nanobiomaterial and its excellent removal performance on Pb2+ and Cu2.

In this paper, a simple chemical precipitation method was proposed to obtain zoledronate functionalized hydroxyapatite (zole-HAP) hybrid nano- biomaterials (zole-HAP-HNBM) which were firstly applied to adsorption. The characterizations of materials verified that the addition of zoledronate declined the crystallinity and transformed the morphology of HAP from short rod shape to microsphere, changed micro structure of the hybrid nanobiomaterial. Adsorption experiments carried out under different conditions showed that adsorption capacity of the nanobiomaterial, enhanced by the addition of zoledronate in preparation, which is equal to 1460.14 mg/g on Pb2+ and 226.33 mg/g on Cu2+ in optimum qualifications, was elevated more than the reported values in many literatures. At last, the sorption mechanisms of HAP and zole-HAP for Pb2+and Cu2+ were probed by experiments and Multifwn program calculation in details. It suggested that the dominant sorption mechanisms of HAP for Pb2+ were ion exchange and dissolution-precipitation rather than surface complexation, while besides the dissolution-precipitation mechanism, surface complexation may contribute more in the adsorption process of 10zole-HAP for Pb2+. Once considering HAP and 10zole-HAP, removal mechanisms of Cu2+ could involve surface complexation and ion exchange.

Stretchable MoS2 Electromechanical Sensors with Ultrahigh Sensitivity and Large Detection Range for Skin-on Monitoring.

Although two-dimensional (2D) layered molybdenum disulfide (MoS2) has widespread electrical applications in catalysis, energy storage, display, and photodetection, very few reports are available to achieve MoS2 for electromechanical sensing. Here, we report a novel solution-processed MoS2 strain sensor by constructing nanojunctions between layered MoS2 nanosheets and high-conductivity silver nanofibers (AgNFs) inside an elastic film. Benefiting from the outstanding lubrication property of layered MoS2 nanosheets, these nanojunctions can be easily separated by strains, giving rise to excellent electromechanical response. The resulting MoS2 strain sensor for the first time exhibits ultrahigh sensitivity with a gauge factor of 3,300 in a large detection range over 10%. The pronounced strain-sensing ability, combined with fast response speed and good operational stability, enables the MoS2 sensor for real-time and skin-on monitorings of various physiological signals such as finger movements, pulse, and breath. Our results may pave the way to extend 2D materials in novel applications such as soft robotics and human-machine interfaces.

An ultra-stretchable, highly sensitive and biocompatible capacitive strain sensor from an ionic nanocomposite for on-skin monitoring.

Flexible strain sensors that can be comfortably attached onto the skin for real-time and accurate detection of physiological signals are particularly important for the realization of healthcare, soft robotics and human-machine interfacing. It is still challenging to develop strain sensors that satisfy both high stretchability and high sensitivity. Here, we demonstrate an ultra-stretchable, highly sensitive and biocompatible capacitive-type strain sensor based on a nanocomposite containing ionic hydrogels and silver nanofibers (AgNFs). The sensor exhibits an ultra-high stretchability of 1000% and high sensitivity with a maximum gauge factor (GF) of up to 165. We find that the incorporation of AgNFs greatly increases the electrical-double layer (EDL) area at the hydrogel/metal interface and hence enhances by 3 orders of magnitude the strain sensitivity. With a short response time and good operation stability, the sensor and its matrix were successfully applied to monitor various physiological signals such as arm and finger motions, pulse, electrocardiographs (ECG), breath, speaking and emotion changes.

Flexible and Broad-Spectral Hybrid Optical Modulation Transistor Based on a Polymer-Silver Nanoparticle Blend.

The light-matter interplay on a soft substrate is critically important for novel optoelectronic applications such as soft robotics, human-machine interfaces, and wearable devices. Here, we for the first time report a flexible and efficiency-enhanced hybrid optical modulation transistor (h-OMT) in the ultraviolet-infrared spectral range by blending a polymer with silver nanoparticles (AgNPs). The h-OMT device exhibits a unipolar transport and an ultrahigh on-off ratio of ∼4.8 × 106 in a small voltage range of ∼2 V. Using charge modulation reflection spectroscopy, we demonstrate that the h-OMT device shows a broad-spectral response from 400 to 2000 nm and maximum optical modulation of ∼15% at λ = 785 nm, 6-fold higher magnitude than that of the device without AgNPs. Furthermore, the incorporation of AgNPs enhances the extinction ratio by 4-fold magnitude without any complex geometry designs. We find that the performance improvement relies on the AgNP-induced electron trap states and electrochemical dopings in the polymer. Importantly, the device exhibits pronounced mechanical flexibility, and the optical modulation is kept down to a bending radius of 0.5 mm. Our data provide the possibility of organic materials for constructing novel optoelectronic systems in the future.

In situ probing electronic dynamics at organic bulk heterojunction/aqueous electrolyte interfaces by charge modulation spectroscopy.

Interfacing an organic bulk heterojunction (OBHJ) with an aqueous electrolyte (aqE) solution has the potential for applications in biological sensing and neuronal stimulus, by taking advantage of the benefits of the high excitation efficiency and biocompatibility of the OBHJ. At the OBHJ/aqE interface, local charge transfer and transport processes, which are influenced by the polymer/fullerene interface and ion migration, are critically important for device performance but poorly understood. Here, we have introduced charge modulation spectroscopy (CMS) in aqE-gated heterojunction transistors to in situ investigate electronic dynamics at the OBHJ/aqE interface. By correlating impedance spectroscopy measurements and the gating-voltage dependence of the mobility, we show that the existence of local disordered structures, caused by an intermixed fullerene phase, can induce electrochemical doping effects with ion injections. These ions will be trapped in fullerene domains, thus limiting carrier transports via strong carrier-ion interactions with ion-induced trapping. However, carrier-ion interactions have little influence over the charge transfer process due to the existing large energy-offset between the polymer and the fullerene. Furthermore, time-resolved CMS responses reveal that carrier-ion interactions can induce obvious perturbations in polaron relaxations. Our findings provide possibilities for the design and manipulation of novel and low-cost sensing systems for future bio-recognition devices.

A transfer learning approach to goodness of pronunciation based automatic mispronunciation detection.

Goodness of pronunciation (GOP) is the most widely used method for automatic mispronunciation detection. In this paper, a transfer learning approach to GOP based mispronunciation detection when applying maximum F1-score criterion (MFC) training to deep neural network (DNN)-hidden Markov model based acoustic models is proposed. Rather than train the whole network using MFC, a DNN is used, whose hidden layers are borrowed from native speech recognition with only the softmax layer trained according to the MFC objective function. As a result, significant mispronunciation detection improvement is obtained. In light of this, the two-stage transfer learning based GOP is investigated in depth. The first stage exploits the hidden layer(s) to extract phonetic-discriminating features. The second stage uses a trainable softmax layer to learn the human standard for judgment. The validation is carried out by experimenting with different mispronunciation detection architectures using acoustic models trained by different criteria. It is found that it is preferable to use frame-level cross-entropy to train the hidden layer parameters. Classifier based mispronunciation detection is further experimented with using features computed by transfer learning based GOP and it is shown that it also helps to achieve better results.

Nonsteroidal anti-inflammatory drugs for postoperative pain control after lumbar spine surgery: A meta-analysis of randomized controlled trials.

STUDY OBJECTIVE: Nonsteroidal anti-inflammatory drugs (NSAIDs) play a role in pain relief, especially in postoperative pain caused by inflammation. They have demonstrated significant opioid dose-sparing effects, which help in reducing postoperative effects and opioid side effects. The objective of this meta-analysis was to explore the role of NSAIDs in reducing postoperative pain at different time intervals and provide reference for medication after lumbar spine surgery by a meta-analysis of randomized controlled trials (RCT). DESIGN: A meta-analysis study of randomized controlled trials. SETTING: Postoperative recovery area. PATIENTS: Adult patients who have undergone lumbar spine surgery. INTERVENTION: Patients received NSAIDs for pain control after lumbar spine surgery. MEASUREMENTS: Standardized mean difference (SMD) and 95%CI were used to evaluate the visual analog scale of postoperative pain. MAIN RESULTS: Four hundred and eight participants from eight studies were included in this study. The difference between the NSAIDs group and placebo is significant in 0-6, 12, and 24h groups (overall: SMD=-0.72, 95%CI -0.98 to -0.45; 0-6h: SMD=0.50, 95%CI -0.81 to -0.19; 12h: SMD=-1.07, 95%CI -1.45 to -0.70; 24h: SMD=-1.16, 95%CI -1.87 to -0.45). Heterogeneity and publication bias were observed in the 0-6 and 24h groups. CONCLUSION: NSAIDs are effective in postoperative analgesia after lumbar spine surgery. The study type, NSAID dose, different surgery types, and analgesic type might influence the efficacy of NSAIDs.

Mir-21 Promotes Cardiac Fibrosis After Myocardial Infarction Via Targeting Smad7.

BACKGROUND/AIMS: Cardiac fibrosis after myocardial infarction (MI) has been identified as an important factor in the deterioration of heart function. Previous studies have demonstrated that miR-21 plays an important role in various pathophysiological processes in the heart. However, the role of miR-21 in fibrosis regulation after MI remains unclear. METHODS: To induce cardiac infarction, the left anterior descending coronary artery was permanently ligated of mice. First, we explored the expression of miR-21 in the infarcted zone in mice model of MI via RT-qPCR. Next, we examined the effects of TGF-ß1 on miR-21 expression in cardiac fibroblasts (CFs). Then, CFs were infected with miR-21 mimics or miR-21 inhibitors to investigate the effects of miR-21 on the process of CFs activation in vitro. Further, bioinformatics analysis and luciferase reporter assay were performed to identify and validate the target gene of miR-21. At last, in-vivo study was done to confirm MiR-21 regulated myocardial fibrosis after MI in mice. RESULTS: MiR-21 was up-regulated in the infarcted zone after MI in vivo. TGF-ß1 treatment increased miR-21 expression in CFs. Overexpression of miR-21 promoted the effects of TGF-ß1-induced activation of CFs, evidenced by increased expression of Col-1, α-SMA and F-actin, whereas inhibition of miR-21 attenuated the process of fibrosis. Bioinformatics, Western blot analysis and luciferase reporter assay demonstrated that Smad7 is a direct target of miR-21. In addition, in-vivo study revealed that MiR-21 regulated myocardial fibrosis after MI in mice. CONCLUSION: These findings suggested that miR-21 has a critical role in CF activation and cardiac fibrosis after MI through via TGF-ß/Smad7 signaling pathway. Thus, miR-21 promises to be a potential therapy in treatment of cardiac fibrosis after MI.