[Research advances on the application of free flaps in repairing diabetic foot ulcers].

Free flaps have been successfully used in the repair of diabetic foot ulcers (DFUs), which can reduce amputation rate, maintain normal gait of patients, and improve life quality of patients. However, there are still many challenges in the repair of DFUs with free flaps, and many problems need to be solved. This paper summarizes the selection of patients, preoperative cautions, types of flaps, methods of vascular anastomosis, clinical effects, and existing problems in using free skin flaps for repairing DFUs.

[Comparison of short-term clinical outcome between laparoscopic distal pancreatectomy and open distal pancreatectomy].

Objective: To compare the short-term clinical effect between laparoscopic distal pancreatectomy (LDP) and open distal pancreatectomy (ODP). Methods: We performed a retrospective study on 161 patients who underwent pancreatectomy between September 2017 to December 2018 in the Department of Pancreatic and Gastric Surgery, Cancer Hospital of Chinese Academy of Medical Sciences. According to the mode of operation, the patients were divided into the LDP group (n=43) and the ODP group (n=118). To compare the short-term clinical effect and safety between the LDP group and the ODP group, the preoperative clinical data, intraoperative related index, postoperative complication, postoperative recovery index, preoperative and postoperative inflammatory index were analyzed. Results: The preoperative clinical characteristics between the LDP group and the ODP group were not statistically different (P>0.05). The intraoperative blood loss in LDP group was (194.19±241.83) ml, significantly less than (315.17±295.94) ml in ODP group (P<0.05), and the postoperative exhaust time in LDP group was (3.00±0.72) days, significantly shorter than (4.05±0.97) days in OPD group (P<0.001). The time to get out of bed in LDP group was (3.14±1.01) days, significantly shorter than (3.55±1.05) days in OPD group (P<0.05). The postoperative eating time in LDP group was (3.88±1.61) days, significantly shorter than (5.11±1.56) days in ODP group (P<0.001). The time of the drainage tube removal in LDP group was (8.44±1.93) days, significantly shorter than (9.82±3.70) days in ODP group (P<0.05). The postoperative hospital stay in LDP group was (9.65±3.57) days, significantly shorter than (11.99±6.57) days in ODP group (P<0.05). The mean operation time in LDP group was (168.65±55.45) min, shorter than (171.23±65.61) min in ODP group, but without significant difference (P>0.05). The incidences of non-pancreatic fistula-related complications in LDP group and ODP group were 16.3% and 11.0%, respectively, without statistical significance (P>0.05). The incidences of pancreatic fistula in LDP group and ODP group were 16.3% and 19.5%, respectively, without statistical significance (P>0.05). The total incidences of complications in LDP group and ODP group were 32.6% and 30.5%, respectively, without statistical significance (P>0.05). The preoperative and postoperative inflammatory indexes between these two groups were not statistically different (P>0.05). Conclusions: Compared with ODP, LDP has the advantages of less intraoperative blood loss, faster postoperative recovery, shorter postoperative hospital stays, without increased postoperative complications and prolonged operation time. LDP is a safe and feasible operation method, and its short-term clinical effect is better than that of ODP.

[Feasibility and efficacy of indocyanine green used in laparoscopic gastrectomy for advanced gastric cancer patients].

Objective: To identify the feasibility and efficacy of indocyanine green (ICG) used in laparoscopic gastrectomy for advanced gastric cancer patients. Methods: From December 2018 to August 2019, the clinical data of 82 patients preoperatively diagnosed as advanced gastric cancer undergoing laparoscopic radical gastrectomy were retrospectively analyzed. These patients were divided into ICG group(n=38) and a historical control group (non-ICG group, n=44). The number of retrieved lymph nodes, operation time, blood loss, hospital stay, fever time, evacuation time and complications were compared between these two groups. Results: The operation time [(172.8±45.8) min vs (162.6±45.7) min], blood loss [(80.1±91.9) ml vs (78.6±89.8) ml], hospital stay [(7.0±2.0) d vs (7.5±2.4) d], fever time [(2.3±1.2) d vs (2.9±1.9) d], evacuation time [(3.4±0.8) d vs (3.4±1.1) d] and incidence of complications (5.3% vs 9.1%) were not significantly different between the ICG and historical control groups (P>0.05). The number of retrieved lymph nodes in ICG group was significantly increased compared with that of the historical control group (46.5 vs 33.0, P=0.005). Conclusions: The ICG method applied in lymph node dissection of laparoscopic radical gastrectomy is safe. Moreover, ICG might elevate the efficiency of regional lymph node dissection.

LncRNA CCAT1 promotes cell proliferation and differentiation via negative modulation of miRNA-218 in human DPSCs.

OBJECTIVE: To investigate the expression of Long non-coding RNA (LncRNA) CCAT1 and potential functions in promoting cell proliferation and differentiation, via miRNA-218 in human adult Dental Pulp Stem Cells (DPSCs). PATIENTS AND METHODS: CCAT1 expressions in Periodontal Ligament Cells (PDLCs), DPSCs, differentiated main population (MP) cells and stem-cell-enriched Side Population (SP) cells in DPSCs were detected by qRT-PCR. MTT assay and ELISA assay were performed to evaluate the DPSCs cell proliferation and differentiation. The correlation between miR-218 and CCAT1 was detected by statistical analysis. The bioinformatics and luciferase assay were performed to explore the interaction and binding site of CCAT1 and miR-218. RESULTS: Results showed the CCAT1 expression was up-regulated in DPSCs cells. And the expression level in MP cell was higher than SP cell. MTT assay and showed overexpression CCAT1 significantly increased cell proliferation of DPSCs. ELISA assay showed the expressions of collagen I, Osteopontin (OPN) and Osteocalcin (OCN) were significantly increased in DPSCs compared with control (p<0.05). The bioinformatics and luciferase assay showed that the CCAT1 directly interacted with miR-218. In addition, miR-218 expression was negatively correlated with CCAT1 expression in DPSCs CONCLUSIONS: For the first time, we found that lncRNA-CCAT1 was upregulated in DPSCs, which could promote cell proliferation and differentiation by repressing the expression of miR-218.

Fabrication and microwave absorption properties of carbon-coated cementite nanocapsules.

By utilizing a simple and low-cost arc-discharge method in either liquid nitrogen or ethanol at ambient temperature and pressure, carbon-coated cementite (Fe3C) nanocapsules, with size ranges of 10­60 nm and 10­20 nm, respectively, have been synthesized on a large scale. The Fe3C/C nanocapsules synthesized in different media possess similar permeability but different permittivity, which results from the different defect amounts within the carbon shell. It has been found that the as-prepared products exhibit different electromagnetic wave absorption abilities: for the ones prepared in liquid nitrogen, the optimal reflection loss is above -10 dB in the range of 1-18 GHz with the thickness ranging from 1 to 10 mm; meanwhile, for those fabricated in ethanol, the reflection loss could be below -20 dB within the thickness range of 1.5-2.4 mm in the frequency range of 10-15 GHz, and reach -38 dB at a thickness of 1.9 mm with a matching frequency of 12.9 GHz. This indicates that the nanocapsules prepared in ethanol exhibit good electromagnetic wave absorption properties. These results provide a new way to fabricate carbon-coated Fe3C nanocapsules with the ability of electromagnetic wave absorption.

Incidence of presumed cytomegalovirus retinitis in HIV-infected pediatric patients.

INTRODUCTION: Large population studies of adult patients suggest an incidence of cytomegalovirus (CMV) retinitis as high as 19% to 20% as a late complication of adult HIV infection. We conducted this prospective study of a large cohort of HIV-infected children to determine the incidence of CMV retinitis in HIV-infected children. METHODS: From January 1984 to August 1997, 173 HIV-infected children were followed up for an average of 55.3 months (13-164 months). The patients were seen in the Department of Pediatrics at least once every 6 months. Ophthalmologic examinations were initiated when a patient's CD4 count dropped below 50 or sooner if required for ophthalmologic or other indications. Ophthalmologic examination was then repeated every 6 months. RESULTS: A total of 116 (67%) of 173 patients underwent ophthalmologic examination. Four (3.4%) of 116 patients had CMV retinitis at a mean time of 17.3 months (8-38 months) after their CD4 counts dropped below 20. None of the 4 patients with CMV retinitis had subjective visual complaints despite advanced retinitis. Three patients had bilateral and 1 patient had unilateral CMV retinitis. CONCLUSIONS: CMV retinitis occurred infrequently in HIV-infected pediatric patients and was diagnosed only in patients with a CD4 count below 20. Routine ophthalmologic screening examinations may not be necessary in pediatric patients until the CD4 count is below 20. Because children may not complain of decreased vision, at-risk children should undergo frequent ophthalmologic examination.