Association Between Body Mass Index (BMI) and Brachial-Ankle Pulse Wave Velocity (baPWV) in Males with Hypertension: A Community-Based Cross-Section Study in North China.

BACKGROUND The aim of this study was to investigate the association between body mass index (BMI) and brachial-ankle pulse wave velocity (baPWV) in hypertensive males. MATERIAL AND METHODS Altogether, 14 866 male hypertensive participants were included in the analysis. Participants were divided into 3 groups: low BMI group (BMI <24 kg/m²), moderate BMI group (24 kg/m² ≤BMI <28 kg/m²), and high BMI group (BMI ≥28 kg/m²). According to baPWV values, arteriosclerosis (AS) was set as 3 degrees: mild AS (baPWV ≥1400 cm/s), moderate AS (baPWV ≥1700 cm/s) and severe AS (baPWV ≥2000 cm/s). Multivariate logistic regression analysis was used to explore the effect of different BMI groups on different degrees of AS. The multivariate linear regression analysis was used to explore the relationship between BMI and baPWV. RESULTS Among low BMI, moderate BMI, and high BMI groups, the average baPWV values were 1824±401 cm/s, 1758±363 cm/s, and 1686±341 cm/s, respectively. Prevalence in the mild, moderate and high BMI groups were 91.0%, 87.8%, 81.5%, respectively for mild AS; 55.3%, 48.8%, and 40.0% respectively for moderate AS; and 25.9%, 20.2%, and 14.9% respectively for severe AS. Compared to the low BMI group, multivariate logistic regression analysis showed that odds ratio (OR) and 95% confidence intervals (95%CI) in the moderate BMI group and the high BMI were 0.71 (95%Cl, 0.62-0.80), 0.43 (95%Cl, 0.38-0.50) for mild AS; and similar trends were shown for moderate AS and severe AS. Based on age-stratification, a negative relationship remained for 35-55 years old participants for different degrees of AS among the moderate BMI group and the high BMI group. A negative relationship was detected between BMI and baPWV in total and different age-stages. CONCLUSIONS Among male hypertension participants in this study, there was a negative relationship between BMI and baPWV. High BMI was found to be a protective factor for AS especially in the age range of 35-55 years.

Ascorbate promotes the cellular accumulation of doxorubicin and reverses the multidrug resistance in breast cancer cells by inducing ROS-dependent ATP depletion.

Chemotherapy is the most effective strategy for the treatment of metastatic breast cancer. However, P-glycoprotein (P-gp)-mediated multidrug resistance severely limits the efficacy of chemotherapy and is a major cause of the failure during chemotherapeutic treatment. In this study, we investigated the anticancer effects of combining chemotherapeutic drugs with ascorbate (AA) in human breast cancer cells. We found that combined administration of AA can improve the sensitivity of both MCF-7 and doxorubicin (Dox)-resistant MCF-7/Adr cells to Dox in vitro and in vivo by a reactive oxygen species (ROS)-dependent mechanism. Further studies proved that AA can promote the accumulation of Dox in MCF-7/Adr cells when combined with doxorubicin. AA had no effect on the expression of P-gp at the mRNA and protein levels, but could decrease its activity as demonstrated by an obvious inhibition of efflux of P-gp substrate Rh 123. AA reduced ATP levels in both MCF-7 and MCF-7/Adr cells, and pretreating AA-stimulating cells with catalase completely rescued ATP levels. With ATP reduction, we observed an increased cellular calcium and the appearance of vacuoles and micropores on the cell surface, indicating the increased cell membrane permeability in AA-treated MCF-7/Adr cells. The above results suggest that AA could promote the cellular accumulation of doxorubicin by inducing ROS-dependent ATP depletion. Clinically, a combination of AA with doxorubicin would be a novel strategy for reversal of the multidrug resistance in human breast cancer cells during chemotherapy.

Modifications in morphology resulting from nanoimprinting bulk heterojunction blends for light trapping organic solar cell designs.

Nanoimprinting the photoactive layer of bulk heterojunction (BHJ) organic solar cells is a promising technique for enhancing device performance via improved light absorption. Here, we demonstrate that imprinting poly(3-hexylthiophene) (P3HT) and fullerene BHJ blends leads to adverse morphological changes within the photoactive nanopattern which have been previously overlooked. In particular, nanoimprinting induces a factor of 2 difference in polymer:fullerene composition between the nanopattern posts and interconnecting flash layer that inadvertently moves the composition outside the range for optimal performance. This occurs because of the strong tendency of regioregular P3HT to crystallize since imprinting blends based on amorphous regiorandom P3HT have uniform nanopattern composition. Based on these results, we outline promising design strategies, such as nanoimprinting amorphous polymers, to serve as guidelines for fabricating high-performance nanopatterned BHJ solar cells capable of maximized light absorption.

Role of thin n-type metal-oxide interlayers in inverted organic solar cells.

We have investigated the photovoltaic properties of inverted solar cells comprising a bulk heterojunction film of poly(3-hexylthiophene) and phenyl-C(61)-butyric acid methyl ester, sandwiched between an indium-tin-oxide/Al-doped zinc oxide (ZnO-Al) front, and tungsten oxide/aluminum back electrodes. The inverted solar cells convert photons to electrons at an external quantum efficiency (EQE) exceeding 70%. This is a 10-15% increase over EQEs of conventional solar cells. The increase in EQE is not fully explained by the difference in the optical transparency of electrodes, interference effects due to an optical spacer effect of the metal-oxide electrode buffer layers, or variation in charge generation profile. We propose that a large additional splitting of excited states at the ZnO-Al/polymer interface leads to the considerably large photocurrent yield in inverted cells. Our finding provides new insights into the benefits of n-type metal-oxide interlayers in bulk heterojunction solar cells, namely the splitting of excited states and conduction of free electrons simultaneously.

Effectiveness of loaded sit-to-stand resistance exercise for children with mild spastic diplegia: a randomized clinical trial.

OBJECTIVE: To investigate effectiveness of a functional strengthening program, the loaded sit-to-stand (STS) resistance exercise, for children with cerebral palsy (CP). DESIGN: A single-blind, randomized block design. SETTING: STS exercises were carried out at the children's homes. PARTICIPANTS: Twenty children (12 boys, 8 girls; age range, 5-12y) with spastic diplegia CP and classified by the Gross Motor Function Classification System as level I or II were stratified by their severity and age and randomly allocated into either the experimental or control group. INTERVENTION: Both groups received their regular physical therapy. The experimental group underwent loaded STS exercise 3 times a week for 6 weeks. MAIN OUTCOME MEASURES: Goal dimension scores of the Gross Motor Function Measure (GMFM), gait speed, 1 repetition maximum (1-RM) of the loaded STS, isometric strength of knee extensor, and Physiological Cost Index (PCI). The outcome measures were conducted at the beginning and end of the 6-week study. RESULTS: After loaded STS exercise, the experimental group showed statistically significant differences in GMFM goal dimension scores, 1-RM STS, and PCI from the control group. The changes in gait speed and isometric strength of the knee extensor did not differ significantly between the 2 groups. CONCLUSIONS: After the loaded STS exercise, children with mild spastic diplegia improved their basic motor abilities, functional muscle strength, and walking efficiency.