Impact of intravitreal triamcinolone injection following epiretinal membrane peeling on ectopic inner foveal layer classification.

PURPOSE: This study aimed to evaluate the impact of intravitreal triamcinolone acetonide (TA) administration after peeling of idiopathic epiretinal membranes (iERM) on both anatomical and visual outcomes, utilizing the ectopic inner foveal layer (EIFL) staging scheme. METHODS: In this retrospective case-control study, we analyzed 43 eyes from 43 patients diagnosed with iERM between June 2019 and December 2021. All participants were categorized into the TA or control groups based on administering intravitreal TA injection following ERM peeling. We thoroughly reviewed the clinical data, including the preoperative and postoperative best-corrected visual acuity (BCVA), central foveal thickness (CFT), and macular cube volume (VOL), with ERM stages classified according to the EIFL staging scheme. RESULTS: The study enrolled 22 eyes in the TA and 21 in the control groups. Following a mean follow-up period of 11.07 ± 2.02 months, noteworthy improvements in EIFL stages were observed in both cohorts (p < 0.01), but without significant distinctions between groups. In the TA group, 63.64% of eyes demonstrated improvements in EIFL stages, while the control group exhibited 76.19% (p = 0.37). At the final visit, both groups experienced a noteworthy reduction in the postoperative CFT and VOL (p < 0.05), coupled with significant improvement in BCVA (p < 0.01). No substantial differences appeared between the two groups concerning BCVA, CFT, and VOL (all p > 0.05). CONCLUSIONS: Our study suggested that concurrent intravitreal TA injection following ERM removal did not provide additional benefits regarding anatomical and visual improvement in iERM cases classified as Stages 2 and 3.

A Novel High Entropy Hydroxide Electrode Material for Promoting Energy Density of Supercapacitors and Its Efficient Synthesis Strategy.

In this work, a novel high entropy hydroxide NiCoMoMnZn-layered double hydroxide(LDH) is synthesized as an electrode material for supercapacitors using a novel template re-etching method to promote the energy density. As a positive electrode material for supercapacitors, NiCoMoMnZn-LDH has the advantage of a uniform distribution of elements, high specific surface area, porous and stable structure. More importantly, the specific capacitance can reach 1810.2 F g-1 at the current density of 0.5 A g-1 , and the NiCoMoMnZn-LDH//AC HSC assembled from the material has an energy density of up to 62.1 Wh kg-1 at a power density of 475 W kg-1 . Moreover, the influence of different compositions on their morphological, structural, and electrochemical properties is investigated based on the characterization results. Then, the synergistic mechanism among the components of the high entropy NiCoMoMnZn-LDH is revealed in detail by DFT calculations. In addition, the synthesis strategy proposed in this work for high-entropy hydroxides exhibits universality. Experimental results show that the proposed strategy successfully avoids not only phase separation and element aggregation in the formation of high entropy materials, but also reduces structural distortion, which is beneficial for efficient and large-scale synthesis of high entropy hydroxides.

Therapeutic role of Wuda granule in gastrointestinal motility disorder through promoting gastrointestinal motility and decreasing inflammatory level.

Introduction: Previous studies indicated that Wuda Granule (WDG) has been applied in the treatment of gastrointestinal motility disorder (GMD), but the effect and underlying mechanisms is yet to be elucidated. This study aimed to explore the mechanism and pharmacological effect of WDG for GMD via network analysis, verification of animal experiments and clinical experiments. Methods: The chemical components of WDG were identified from the Traditional Chinese Medicine Systems Pharmacology Database (TCMSP, http://lsp.nwu.edu.cn/index.php), and the Encyclopedia of Traditional Chinese Medicine (ETCM, http://www.tcmip.cn/ETCM/index.php/Home/Index/) according to oral bioavailability (OB) ≥ 20% and drug-likeness (DL) ≥ 0.10. The targets of WDG compounds were retrieved from the Swiss Target Prediction database (http://www.swisstargetprediction.ch/) and targets related to GMD were retrieved from GeneCards database (https://www.genecards.org/). Network analysis were performed to screen the key active compounds of WDG and its hub targets. Then the pharmacological effect of WDG were verified via vivo experiments in rats and clinical experiments. Results: The results showed that 117 effective active compounds of WDG were screened and 494 targets of WDG compounds targeting GMD were selected. These targets were involved in the biological process of inflammatory regulation and the regulation of gastrointestinal motility. The mechanism was mainly involved in the regulation of PI3K-Akt signaling pathway and Rap1 signaling pathway. In addition, molecular docking analysis suggested that eight key active compounds of WDG may be mainly responsible for the effect of WDG on GMD by targeting HARS, AKT, and PIK3CA, respectively. Animal experiments and clinical trials both suggested that WDG could exert therapeutical effect on GMD via inhibiting inflammation and promoting gastrointestinal motility, it could also improve digestive function of patients with laparoscopic colorectal cancer after surgery. Conclusion: This study was the first to demonstrate that WDG improved GMD mainly via inhibiting inflammatory level and promoting gastrointestinal motility, providing new insights for the understanding of WDG for GMD, inspiration for future research and reference for clinical strategy in terms of the treatment of GMD.

Deep Learning Models for Stress Analysis in University Students: A Sudoku-Based Study.

Due to the phenomenon of "involution" in China, the current generation of college and university students are experiencing escalating levels of stress, both academically and within their families. Extensive research has shown a strong correlation between heightened stress levels and overall well-being decline. Therefore, monitoring students' stress levels is crucial for improving their well-being in educational institutions and at home. Previous studies have primarily focused on recognizing emotions and detecting stress using physiological signals like ECG and EEG. However, these studies often relied on video clips to induce various emotional states, which may not be suitable for university students who already face additional stress to excel academically. In this study, a series of experiments were conducted to evaluate students' stress levels by engaging them in playing Sudoku games under different distracting conditions. The collected physiological signals, including PPG, ECG, and EEG, were analyzed using enhanced models such as LRCN and self-supervised CNN to assess stress levels. The outcomes were compared with participants' self-reported stress levels after the experiments. The findings demonstrate that the enhanced models presented in this study exhibit a high level of proficiency in assessing stress levels. Notably, when subjects were presented with Sudoku-solving tasks accompanied by noisy or discordant audio, the models achieved an impressive accuracy rate of 95.13% and an F1-score of 93.72%. Additionally, when subjects engaged in Sudoku-solving activities with another individual monitoring the process, the models achieved a commendable accuracy rate of 97.76% and an F1-score of 96.67%. Finally, under comforting conditions, the models achieved an exceptional accuracy rate of 98.78% with an F1-score of 95.39%.

Dexmedetomidine decreases the 50% effective dose (ED50) of intravenous propofol required to prevent tracheal intubation response in Beagles.

OBJECTIVE: To determine the 50% effective dose (ED50) of intravenous propofol required for successfully preventing tracheal intubation response in Beagles co-induced with dexmedetomidine. ANIMALS: 36 adult male Beagles. PROCEDURES: The dogs were randomly assigned to either group D1, group D2, or group C (received 1 µg/kg, 2 µg/kg dexmedetomidine intravenously, or the same amount of normal saline as dexmedetomidine, 10 mL). The first dog in each group received 6 mg/kg of propofol for induction. The pump speed of propofol was 600 mL/h. The dosage varied with increments or decrements of 0.5 mg/kg based on the Dixon up-and-down method. The duration of eye-opening after propofol administration was recorded. Changes in heart rate (HR) and respiratory rate (RR) were recorded at 5 timepoints: after entering the operation room and prior to propofol administration (T1), 1 and 3 min after propofol administration (T2 and T3), 3 and 5 min after intubation (T4 and T5). RESULTS: The required ED50 of propofol that prevented tracheal intubation response in D1, D2, and C groups were 6.4 mg/kg (95% CI, 6.1 to 6.7 mg/kg), 5.8 mg/kg (95% CI, 5.67 to 6 mg/kg), and 8.3 mg/kg (95% CI, 8 to 8.5 mg/kg), respectively. The recovery time of group D2 was significantly longer than that of groups D1 and C (P < .05). The differences in HR among the 3 groups were significant from T2 up to T5 timepoint (P < .05). The differences in RR among the 3 groups were significant at T2 and T3 timepoints (P < .05). CLINICAL RELEVANCE: Dexmedetomidine pre-injection reduces the amount of propofol required for endotracheal intubation response in Beagles, thereby reducing the respiratory inhibition induced by propofol.

Physical Properties of Betaine-1,2-Propanediol-Based Deep Eutectic Solvents.

Due to their splendid advantages, deep eutectic solvents have attracted high attention and are considered as analogues of ionic liquids. Deep eutectic solvents (DESs) are homogeneous mixtures formed by two or three green and cheap components through hydrogen bond, which is divided into hydrogen bond acceptors (HBA) and hydrogen bond donors (HBD). Recently, Betaine has been widely used as a hydrogen bond acceptor. In this work, four DESs were synthesized by blending betaine as HBA and 1,2-propanediol as HBD in four molar ratios (1:3.5, 1:4, 1:5, 1:6). Then, the physical properties of these DESs were measured. The density values were measured within the temperature range (293.15 K to 363.15 K) at atmospheric pressure, whereas the surface tension and viscosity data were determined in four and seven temperatures between 293.15 K and 353.15 K. The relationship between the density and surface tension with temperature have been analyzed and have been fitted as a linear function. The commonly used Arrhenius model was used to describe the dependence between viscosity and temperature. The results of this study are important not only for the DESs' industrial applications but also for the research on their synthesis mechanism and microstructure.

Effect of Wuda granule on gastrointestinal function recovery after laparoscopic intestinal resection: a randomized-controlled trial.

BACKGROUND: Previous studies have suggested that the Wuda granule (WDG) could promote the recovery of gastrointestinal (GI) function after gynecologic abdominal surgery. This trial aimed to investigate the efficacy and safety of WDG in the rapid recovery of GI function in patients after laparoscopic intestinal resection in the setting of enhanced recovery after surgery (ERAS)-based perioperative care. METHODS: We performed a randomized, double-blind, placebo-controlled pilot trial. Thirty patients who met the inclusion criteria were randomly assigned to either the WDG group or the placebo group in a 1:1 ratio. The patients received WDG or placebo twice a day in addition to ERAS-based perioperative care, starting on post-operative Day 1 until Day 3. The primary outcomes were time to first bowel movement and time to first tolerance of solid food. The secondary outcomes were time to first flatus, length of hospital stay (LOS), and post-operative ileus-related morbidity. Adverse events were also recorded. RESULTS: There were no statistically significant differences in baseline characteristics between the two groups. The median time to first bowel movement was significantly decreased in the WDG group compared with the control group (27.6 vs 50.1 h; P < 0.001), but the median times to first flatus (22.9 vs 25.1 h; P > 0.05) and LOS (5.0 vs 5.0 days; P > 0.05) were not statistically different. The occurrence rates of post-operative nausea, vomiting, abdominal distension, and abdominal pain were similar in the two groups. No adverse events occurred in any patients. CONCLUSIONS: The addition of WDG to ERAS post-operative care after laparoscopic intestinal resection can safely promote the rapid recovery of GI function.

Influence of Vacancy Defects of the Calcium Oxide Surface on the Nonequilibrium Phase Transition of Alkali Metal Salts.

Molten alkali metal salt effectively promotes the performance of calcium looping (CaL). Deep insight into the nonequilibrium phase-transition characteristic of alkali metal salt is better for the control of the temperature in CaL, which not only ensures the complete melting of metal salt but also prevents the reaction from inhibiting caused by higher temperatures. In this work, therefore, the molecular dynamics simulation method is used to explore the nonequilibrium phase-transition characteristic of Na2SO4. The results show that the equilibrium melting temperature of nanosodium sulfate on the calcium oxide surface is 810 K, which is lower than the macroscopic melting temperature. Meanwhile, the high heating rates led to the atoms in Na2SO4 unable to break through the thermal stability limit, resulting in overheating of the crystal. Both the surface premelting and overheating melting temperature of the crystal are increased. When the heating rates are 0.25, 0.5, and 1.0 K/ps, the overheating melting temperatures are 845, 885, and 930 K, respectively. More than that, the surface defects enhance the interaction between CaO and Na2SO4 because of the surface being charged. The increases in the interaction not only effectively break the stability of the crystal lattice of Na2SO4 on the defective surfaces but also promote the energy transport inside Na2SO4. Therefore, as the defect concentration increases from 0 to 3% and 5%, the overheating melting temperature of Na2SO4 gradually decreases from 845 to 836 and 815 K.

Xiangbinfang granules enhance gastric antrum motility via intramuscular interstitial cells of Cajal in mice.

BACKGROUND: Interdigestive migrating motor complexes (MMC) produce periodic contractions in the gastrointestinal tract, but the exact mechanism of action still remains unclear. Intramuscular interstitial cells of Cajal (ICC-IM) participate in gastrointestinal hormone and neuromodulation, but the correlation between ICC-IM and MMC is also unclear. We found that xiangbinfang granules (XBF) mediated the phase III contraction of MMC. Here, the effects of XBF on gastric antrum motility in W/W v mice and the effects of ICC-IM on gastric antrum MMC are reported. AIM: To observe the effects of ICC-IM on gastric antrum motility and to establish the mechanism of XBF in promoting gastric antrum motility. METHODS: The density of c-kit-positive ICC myenteric plexus (ICC-MP) and ICC-IM in the antral muscularis of W/W v and wild-type (WT) mice was examined by confocal microscopy. The effects of XBF on gastric antrum slow waves in W/W v and WT mice were recorded by intracellular amplification recording. Micro-strain-gauge force transducers were implanted into the gastric antrum to monitor the MMC and the effect of XBF on gastric antrum motility in conscious W/W v and WT mice. RESULTS: In the gastric antrum of W/W v mice, c-kit immunoreactivity was significantly reduced, and no ICC-IM network was observed. Spontaneous rhythmic slow waves also appeared in the antrum of W/W v mice, but the amplitude of the antrum slow wave decreased significantly in W/W v mice (22.62 ± 2.23 mV vs 2.92 ± 0.52 mV, P < 0.0001). MMCs were found in 7 of the 8 WT mice but no complete MMC cycle was found in W/W v mice. The contractile frequency and amplitude index of the gastric antrum were significantly increased in conscious WT compared to W/W v mice (frequency, 3.53 ± 0.18 cpm vs 1.28 ± 0.12 cpm; amplitude index, 23014.26 ± 1798.65 mV·20 min vs 3782.16 ± 407.13 mV·20 min; P < 0.0001). XBF depolarized smooth muscle cells of the gastric antrum in WT and W/W v mice in a dose-dependent manner. Similarly, the gastric antrum motility in WT mice was significantly increased after treatment with XBF 5 mg (P < 0.05). Atropine (0.1 mg/kg) blocked the enhancement of XBF in WT and W/W v mice completely, while tetrodotoxin (0.05 mg/kg) partially inhibited the enhancement by XBF. CONCLUSION: ICC-IM participates in the regulation of gastric antrum MMC in mice. XBF induces MMC III-like contractions that enhance gastric antrum motility via ICC-IM in mice.

Influence of Vacancy Defect of Calcium Oxide Surface on the Wettability of Molten Alkali Metal Salt in Calcium Looping Process.

The influence of the vacancy defect of the CaO surface on the wettability of molten alkali metal salt was studied by molecular dynamics simulations. The results indicated that in the temperature range of 800-1100 K, the molten Na2SO4 on both VDcalcium and VDoxygen defect surfaces presented a poor wettability compared to that on the complete surface. Measurement of the density profile and the contact angle of the molten Na2SO4 showed that the higher the temperature and defect concentration, the worse the wettability. The micromechanism was revealed by calculating the polarization intensity that the vacancy defect surface led to the formation of the induced dipole moment in the molten Na2SO4. Induced polarization caused by defect surfaces reduces the wettability of Na2SO4. More importantly, as the temperature and defect concentration increase, various defect surfaces form loose and local weak liquidity structures. These structures are beneficial for the diffusion of carbon dioxide into the solid, but the reduction in the spreading area caused by poor wettability causes the efficiency of the CaL to decline. The vibration difference between Na2SO4 and CaO increases with the increased temperature and defect concentration. This means that the thermal energy transportability at the interface is suppressed by poor wettability.

The use of acupuncture for advanced cancer care: Protocol for a systematic review and meta-analysis.

AIM: To assess the up-to-date evidence of acupuncture for the management of cancer-related and cancer treatment-related outcomes among people with advanced cancer. DESIGN: Systematic review with meta-analyses involving multidimensional outcomes. METHODS: The protocol of this systematic review has been registered in PROSPERO with the registration number CRD42020212982. Six databases (including Pubmed, EMBASE, Cochrane Library, SinoMed, ClinicalTrials.gov and Chinese Clinical Trial Registry) will be searched from inception through November 2020 to identify relevant interventional trials examining acupuncture management on multidimensional outcomes in patients with advanced cancer. Main outcomes will include cancer and treatment-related symptoms, quality of life, sleep quality and adverse events. DerSimonian & Laird random-effects meta-analysis will be applied to calculate pooled relative risks for binary data and pooled weighted mean differences (WMDs) or standardized mean differences (SMDs) for continuous data. Trial quality ratings and risk of bias will be evaluated using the Cochrane Risk of Bias Tool and the Grading of Recommendations Assessment, Development and Evaluation approach. DISCUSSION: The efficacy of acupuncture on advanced cancer care and outcomes has not yet been determined. Palliative care for patients with advanced cancer may involve multiple challenges that include physical and mental health care. This systematic review will offer updated and comprehensive evidence of acupuncture on specific outcomes induced by advanced cancer and cancer-related treatment, which can give high level clinical recommendations to improve patient care and clinical outcomes.

Rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes postoperative gastrointestinal function recovery.

BACKGROUND: During the perioperative period, the characteristic therapy of traditional Chinese medicine is effective in improving postoperative rehabilitation. In large-scale hospitals practicing traditional Chinese medicine, there is accumulating experience related to the promotion of fast recovery in the perioperative period. AIM: To evaluate the efficacy and safety of Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique. METHODS: This prospective, multicenter, randomized, controlled study included two groups: Treatment group and control group. The patients in the treatment group and control group received Yikou-Sizi powder hot compress on Shenque acupuncture point combined with rapid rehabilitation technique and routine treatment, respectively. Clinical observation regarding postoperative recovery of gastrointestinal function was performed, including the times to first passage of flatus, first defecation, and first normal bowel sounds. The comparison between groups was conducted through descriptive analysis, χ 2, t, F, and rank-sum tests. RESULTS: There was a statistically significant difference in the time to postoperative first defecation between the treatment and control group (87.16 ± 32.09 vs 109.79 ± 40.25 h, respectively; P < 0.05). Similarly, the time to initial recovery of bowel sounds in the treatment group was significantly shorter than that in the control group (61.17 ± 26.75 vs 79.19 ± 33.35 h, respectively; P < 0.05). However, there was no statistically significant difference in the time to initial exhaust between the treatment and control groups (51.54 ± 23.66 vs 62.24 ± 25.95 h, respectively; P > 0.05). The hospitalization expenses for the two groups of patients were 62283.45 ± 12413.90 and 62059.42 ± 11350.51 yuan, respectively. Although the cost of hospitalization was decreased in the control group, the difference was not statistically significant (P > 0.05). This clinical trial was safe without reports of any adverse reaction or event. CONCLUSION: The rapid rehabilitation technique with integrated traditional Chinese and Western medicine promotes the recovery of postoperative gastrointestinal function and is significantly better than standard approach for patients after colorectal surgery.

Fabrication of abamectin-loaded mesoporous silica nanoparticles by emulsion-solvent evaporation to improve photolysis stability and extend insecticidal activity.

Mesoporous silica nanoparticles (MSNs) can be designed to effectively load, protect, and control the release of pesticides. In this study, emulsion-solvent evaporation was used to fabricate abamectin-loaded MSNs. Our method could deliver abamectin in the process of MSN self-assembly, resulting in simple operation, short preparation period, and outstanding drug carrying capacity. The characteristics of abamectin-loaded MSNs, including morphology, loading content, stability against photolysis, controlled release behavior, and toxicological effect, were systematically investigated. Abamectin-loaded MSNs were successfully produced, having spherical shape, rough surface, uniform particle sizes, typically hollow structure, high loading efficiency (44.8%), excellent photodegradation-reducing ability, and controlled-release properties. The biological activity survey for abamectin-loaded MSNs showed excellent toxicological properties against Plutella xylostella larvae, and maintained biological activity until the 15th day, with 70% mortality of the target insect. The results of this study are beneficial for the development of a delivery system for the rational and effective usage of pesticides.

Metabolomics Analysis of Laparoscopic Surgery Combined with Wuda Granule to Promote Rapid Recovery of Patients with Colorectal Cancer Using UPLC/Q-TOF-MS/MS.

Surgery is the primary curative treatment for patients with nonmetastasized colorectal cancer (CRC). Rate of complications, morbidity, mortality, and overall survival of patients with CRC are factors associated with speed of recovery following surgery. Wuda granule (WD) is a traditional Chinese medicine (TCM) prescription used to promote rapid recovery after surgery. However, the specific mechanism of action of WD has not been characterized. Our study included 60 patients with clear histopathological evidence of colon or rectal cancer who underwent CRC laparoscopic surgery and 30 healthy individuals. Serum biochemistry and clinical evaluation of gastrointestinal function showed that WD could improve the nutritional status and gastrointestinal function and reduce the level of inflammation of patients with CRC following laparoscopic surgery. In addition, we used UPLC/Q-TOF-MS/MS-based metabolomics analysis to determine the mechanism of WD-related rapid recovery following laparoscopic surgery in patients with CRC. Twenty metabolites associated with arachidonic acid, alanine, aspartate and glutamate, α-linolenic acid, pyruvate, histidine, and glycerophospholipids were identified. The results suggested that the therapeutic mechanism of laparoscopic surgery combined with WD may be related to regulation of nutritional status, inflammation, immune function, energy, and gastrointestinal function in patients with CRC. This study also highlighted the ability of TCM compounds to interact with multiple targets to induce synergistic effects. This study may result in further studies of WD as a therapeutic agent to promote recovery following surgical resection of CRC tumors.

Wuda granule, a traditional Chinese herbal medicine, ameliorates postoperative ileus by anti-inflammatory action.

BACKGROUND: Postoperative ileus (POI) is a temporary disturbance in gastrointestinal motility following surgery, and intestinal inflammatory response plays a critical role in the pathogenesis of POI. Wuda granule (WDG), a gastrointestinal prokinetic Chinese herbal medicine, is prescribed to promote recovery of gastrointestinal function after abdominal surgery. However, it has remained unclear whether WDG shows anti-inflammatory effects in POI. In the present study, we investigated the effects of WDG in a rat POI model and attempted to clarify the detailed mechanisms of action. METHOD: Experimental POI was induced in adult male SD rats by intestinal manipulation (IM). WDG were orally administered after surgery at the same points (6 h, 12 h, 18 h, 24 h). Histological changes of mesenterium, levels of cytokines, and CD68 and iNOS expression were determined in rats treated or not with WDG. We also investigated the transcriptome profile of rats treated with WDG in a POI model. RESULTS: Experimental POI in rats was characterized by a marked intestinal and systemic inflammatory response. WDG significantly inhibited the infiltration of neutrophils and macrophages, reduced the levels of IL-6, and CRP, and inhibited protein expressions of CD68 and iNOS in mesentery. Comparison analysis showed that there are 1432 differentially expressed genes (DEGs) between the POI and CON sample, whereas 331 DEGs between the WDG -treated sample and the POI group. And 16 DEGs were shared by the POI vs CON and WDG vs POI groups, among which 6 hub genes associated with immune system processes were identified and verified. CONCLUSIONS: WDG treatment ameliorates the impaired gastrointestinal motility in the rat model of POI through inhibiting the inflammatory response of mesentery.

Deformation hysteresis of a water nano-droplet in an electric field.

Electric field is an effective method to manipulate droplets in micro/nano-scale, and various physical phenomena have been found due to the interaction of electric field and fluid flow. In this study, we developed a molecular dynamic model to investigate the deforming behavior of a nano-droplet in a uniform electric field. The nano-droplet was initially confined between two plates and then wetted on the lower plate (i.e., substrate) until an equilibrium state, after that a uniform electric field in vertical direction was imposed to the system. Due to the electrical force, the droplet started to deform until achieving a new equilibrium state and the dynamic process is recorded. By comparing the equilibrium state under different electric field strength, we found a deformation hysteresis phenomenon, i.e., different deformations were obtained when increasing and decreasing the electric field. To be specific, a large electric field (E = 0.57 V ·nm^-1) is needed to stretch the nano-droplet to touch the upper plate, while a relatively lower field (E = 0.40 V ·nm^-1) is adequate to keep it contacting with the plate. Accompanied by the deformation hysteresis, a distribution hysteresis of the average dipole orientations of water molecules in the nano-droplet is also found. Such a hysteresis phenomenon is caused by the electrohydrodynamic interactions between droplet and plates, and the findings of this study could enhance our understanding of droplet deformation in an electric field.

Molecular Dynamics Simulation on the Electrowetting Behaviors of the Ionic Liquid [BMIM][BF4] on a Solid Substrate.

Compared with traditional aqueous solutions, ionic liquids have important application prospects in the field of wetting and electrowetting due to the advantages of high electric conductivity, long liquid range, and low volatility. In this paper, molecular dynamics method was employed to investigate the wetting and electrowetting behaviors of the nanodroplet of ionic liquid on a solid substrate, as well as the distribution of ionic groups. The ionic liquid is 1-butyl-3-methyl tetra-fluoroborate and coarse grained to simplify the molecular simulation model. The results show that the anion and cation groups are distributed in layers above the wall, and the peaks are different corresponding to different ionic groups. Due to the attraction of the solid substrate and the electrostatic force between anions and cations, the contact angle tends to increase slightly with the increase of ionic liquid pairs. To investigate the electrowetting behaviors of ionic liquid droplet, several electric fields of different strengths and directions have been applied to the system, respectively. The results show that the static contact angles decrease obviously with the increase of electric field, and the ionic liquid droplet wets the solid surface asymmetrically under electric fields in positive and negative directions due to different diffusion abilities of cationic and anionic coarse particles. However, for a hydrophilic surface (ε = 2.0 kcal/mol), the ionic liquid droplet wets symmetrically under the electric field E = ±0.18 V/Å because of the strong interaction from the solid surface. Thus, the wetting and electrowetting behaviors are determined by the combine effect of electric field, interaction among cationic/anionic coarse particles, and solid substrates.

Effects of Temperature and Ionic Concentration on Nanodroplet Electrocoalescence.

Droplet electrocoalescence is of interest for various applications such as petroleum dehydration, electrospray ionization, and surface self-cleaning. Here, the effects of temperature and ionic concentration on nanodroplet electrocoalescence are investigated by molecular dynamics simulation. The results show that low ionic concentration rapidly drives ions towards water clusters and leads to dipole polarization of droplets. With an increase of ionic concentration, the particle-particle interaction is enhanced, but the mobility of free water molecules and salt ions is curbed by hydration and ion pairs, which then slows the electrocoalescence. Low temperature accelerates the rotation of water molecules but does not enhance the mobility of ions. Alternatively, high temperature not only breaks the self-assembly of water molecules along the electric field direction but also helps ions to overcome the electrostatic barrier between particles. The latter effect promotes dipole polarization to compensate for the shortcoming of less orientation polarization. The combined effects of ion concentration and temperature are investigated and unified by droplet conductivity from the microscopic point of view. The conductivity increases with the increase in temperatures and ionic concentrations. We confirm that the accurate control of droplet electrocoalescence can be achieved by a suitable combination of temperature and ionic concentration.

Effect of Yikou-Sizi powder hot compress on gastrointestinal functional recovery in patients after abdominal surgery: Study protocol for a randomized controlled trial.

BACKGROUND: Postoperative gastrointestinal dysfunction (PGD) is a common complication of patients who have undergone surgery. The clinical manifestations cause great discomfort to postoperative patients and can severely affect postoperative recovery. However, although various pharmacologic agents have been explored for several years, success has been limited. Because some commonly used drugs have caused adverse reactions and because abdominal surgery patients generally cannot consume food or medication during the perioperative period, we were prompted to try an external Chinese medicine treatment method. Yikou-Sizi powder hot compress is an efficient therapy in our hospital, but there is a lack of rigorous studies to certify the safety and effectiveness of its external use to improve gastrointestinal motility. This study aimed to introduce the clinical trial design and test the ability of Yikou-Sizi powder hot compress treatment to accelerate gastrointestinal functional recovery after abdominal surgery. METHODS: This study is a randomized controlled clinical trial. The participants will undergo laparoscopic colorectal cancer surgery and laparoscopic total hysterectomy. The primary outcome measure will be the gastrointestinal functional evaluation index, including the time to first passage of flatus, first defecation, first normal bowel sounds, and first consumption of liquid/semigeneral diet foods. According to good clinical practice (GCP), we will evaluate the clinical efficacy and safety of Yikou-Sizi powder hot compress and objectively study the acting mechanism of ghrelin. This pilot trial will be a standard, scientific, and clinical study designed to evaluate the effect of Yikou-Sizi powder hot compress for the recovery of gastrointestinal function after surgery and determine its overall safety. DISCUSSION: This is the first study to describe the use of Yikou-Sizi powder hot compress to accelerate the recovery of gastrointestinal function after abdominal surgery. The study is designed as a randomized, controlled, clinical, large sample size and pilot trial. Evaluation will consist of combining the primary outcome measures with secondary outcome measures to ensure the objectivity and scientific validity of the study. Due to the observational design and the limited follow-up period, it is not possible to evaluate to what extent the connection between the observed improvement and the interventions represents a causal relationship. Efficient comparison between groups will be analyzed by chi-square test.

Activating Autophagy Enhanced the Antitumor Effect of Antibody Drug Conjugates Rituximab-Monomethyl Auristatin E.

Background: Antibody drug conjugate (ADC) showed potent therapeutic efficacy in several types of cancers. The role of autophagy in antitumor effects of ADC remains unclear. Methods: In this study, the ADC, Rituximab-monomethyl auristatin E (MMAE) with a Valine-Citrulline cleavable linker, was designed to investigate its therapeutic efficacy against non-Hodgkin lymphoma (NHL) as well as the underlying mechanisms. Methylthiazolyldiphenyl-tetrazolium bromide (MTT) was used to detect growth inhibition in B-cell lymphoma cell lines, Ramos and Daudi cells, which were treated by Rituximab-MMAE alone or combined with autophagy conditioner. Apoptosis was detected by flow cytometry and immunohistochemistry, and apoptosis inhibitor was employed to discover the relationship between autophagy and apoptosis during the Rituximab-MMAE treatment. Autophagy was determined by three standard techniques which included confocal microscope, transmission electron microscope, and western blots. Ramos xenograft tumors in BALB/c nude mice were established to investigate the antitumor effect of combination use of Rituximab-MMAE and autophagy conditioner in B-NHL therapy. Results: Our results showed that Rituximab-MMAE elicited caspase-3-dependent apoptosis in NHL cells and exhibited potent therapeutic efficacy in vivo. Autophagy, which was characterized by upregulated light chain 3-II expression, and accumulation of autophagosomes, was triggered during the Rituximab-MMAE treatment. Meanwhile, inactivation of Akt/mTOR pathway was shown to be involved in the autophagy triggered by Rituximab-MMAE, indicating a probable mechanism of the ADC-initiated autophagy. Importantly, inhibition of autophagy by chloroquine suppressed the Rituximab-MMAE-induced apoptosis, while activating autophagy by rapamycin significantly enhanced the therapeutic effect of Rituximab-MMAE both in vitro and in vivo. Conclusion: Our data elucidated the critical relationship between autophagy and apoptosis in Rituximab-MMAE-based therapy and highlighted the potential approach for NHL therapy by combined administration of the ADC and autophagy activator.