Standard practice of presacral exposure during transvaginal natural orifice transluminal endoscopic surgery for sacrocolpopexy

We describe the standard practice of presacral exposure during transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for sacrocolpopexy in women with uterine prolapse. In this video, we demonstrate the key techniques: identifying the right hypogastric nerve (rHN) before opening the pelvic peritoneum; removing the fat and loose connective tissue along the rHN to expose the presacral fascia; incising the presacral fascia to reach the presacral space to expose the middle sacral vasculature and the anterior longitudinal ligament (ALL) of the first sacral vertebra (S1) below the promontory; attaching the mesh to the ALL to avoid vessel injury; and completing the peritonealisation.

3D nitrogen-doped graphene created by the secondary intercalation of ethanol with enhanced specific capacity

Here, we report an improved synthesis strategy for 3D nitrogen-doped graphene to increase the specific capacity of supercapacitors. Ethanol replaces the strong oxidant hydrogen peroxide in the improved Hummers method, and the loose porous structure is conducive to charge transfer. N-doped porous 3D graphene was synthesized from RGO-C prepared by ethanol secondary intercalation modification of functional groups. Ammonia was selected as the dopant; the microstructure and electrochemical performance of samples synthesized at different temperatures were examined. The results demonstrate that the 3D nitrogen-doped graphene (N-RGO-5) had a layered tuple shape with a sheet thickness of 0.612 nm.The specific surface area of the 3D N-RGO-5, which was prepared at 190°C, was 258.371 m²g^-1, which was higher than that (5.877 m²g^-1) of the original graphite. The 3D N-RGO-5 exhibited a specific capacitance of 236 F g^-1and an energy density of 32.78 Wh kg^-1at a current density of 1 A g^-1, which is 27% higher than the specific capacitance of RGO. The 3D N-RGO-5 demonstrated an excellent capacity retention rate of 93.6% after 5000 cycles at a current density of 1 A g^-1. This study demonstrates that the unique 3D structure and N-doping of N-RGO considerably improved the overall energy storage performance of graphene-based nanomaterials.

Clinical significance of PSMA, TERT and PDEF in malignant tumors of the prostate

The article "Clinical significance of PSMA, TERT and PDEF in malignant tumors of the prostate, by J. Situ, H. Zhang, L. Lu, K. Li, C. Hu, D.-J. Wang, published in Eur Rev Med Pharmacol Sci 2017; 21 (15): 3347-3352-PMID: 28829509" has been withdrawn from the authors due to inaccuracies in the research design. The Publisher apologizes for any inconvenience this may cause. https://www.europeanreview.org/article/13198.

Transformation from antiferromagnetic target skyrmion to antiferromagnetic skyrmion by unzipping process through a confined nanostructure

The manipulation of magnetic skyrmion has been attracting considerable attention for the fundamental physical perspective and promising applications in spintronics, ascribed to their nontrivial topology and emergent electrodynamics. However, there is a hindrance to the transmission of a skyrmion in the racetrack memory due to the skyrmion Hall effect (SHE). Antiferromagnetic (AFM) materials provide a possibility to overcome the SHE in high-velocity data writing. Herein, we systematically investigate the generation and motion of an AFM target skyrmion under the spin-polarized current. We found that the AFM target skyrmion can reach a velocity of 1088.4 m s^-1under the current density of 8 × 10¹² A m^-2, which is lower than 1269.8 m s^-1for the AFM skyrmion. This slowdown can be ascribed to the deformation of AFM target skyrmion in the process of motion on a nanotrack. In addition, we observed a transformation from AFM target skyrmion to AFM skyrmion by the unzipping process through a constricted nanostructure which is mediated by the formation of AFM domain wall. Two energy barriers need to be overcome in this dynamic process, i.e. 2.93 × 10⁴ eV from AFM target skyrmion to AFM domain wall, and 7.625 × 10³ eV from AFM domain wall to AFM skyrmion. Our results provide guidance for future target skyrmion-based devices.

Plasma miR-146a and miR-365 expression and inflammatory factors in patients with osteoarthritis

OBJECTIVE

To investigate the expression levels of micro-ribonucleic acid (miR)-146a and miR-365 in the plasma of osteoarthritis (OA) patients, to study their expression with the inflammatory factors and the severity of disease in patients and to analyse their diagnostic significance.

MATERIALS AND METHODS

A total of 42 OA patients diagnosed with OA and treated in our hospital from January 2017 to January 2018 were selected as the subjects, and 28 healthy people were enrolled as controls. The expressions of interleukin-1 beta (IL-1β) and IL-6 in the plasma of OA patients were detected via immunohistochemical staining. Moreover, the knee joint function of OA patients was evaluated by Lysholm score, Western Ontario and McMaster Universities (WOMAC) score and Visual Analogue Scale (VAS) score. The expression levels of plasma miR-146a and miR-365 in OA patients were measured through RT-PCR. Besides, the significance of the expression levels of miR-146a and miR-365 for the diagnosis of OA was analysed by ROC curves.

RESULTS

As compared with healthy people, OA patients had elevated expression levels of plasma IL-1β and IL-6, decreased Lysholm score, increased WOMAC and VAS scores as well as significantly up-regulated levels of plasma miR-146a and miR-365, which were of important significance for diagnosis.

CONCLUSION

The expression levels of plasma miR-146a, miR-365 and inflammatory factors are notably higher, the disease is more severe, and the function of knee joint movement is weaker in OA patients than those in healthy controls. It can be concluded that the levels of both miR-146a and miR-365 can serve as biomarkers of OA diagnosis.

Effect of Na2O and ZnO on the microstructure and properties of laser cladding derived CaO-SiO2 ceramic coatings on titanium alloys

To improve the bioactivity of titanium alloy (Ti-6Al-4V), CaO-SiO₂ coatings on titanium alloys were fabricated using laser cladding method. The effect of Na₂O and ZnO on the microstructure and properties of the prepared coatings was discussed. The microstructure of the CaO-SiO₂ coatings consists of cellular grains and cellular dendrites. The mutual diffusion of elements occurs between the coating and substrate. The base CaO-SiO₂ coating is composed of different phases including CaTiO₃, α-Ca₂(SiO₄), SiO₂, TiO₂ and CaO. The formation of CaTiO₃ in the ceramic layer was analyzed through thermodynamics. Na₂O has little influence on the microstructure, average hardness and wear resistance. When ZnO is added to the precursor, the microstructure turns to cell dendrite, and ZnO and Zn₂SiO₄ appear in the corresponding coating. The addition of ZnO reduces the average hardness and wear resistance of the ceramic layer. The in vitro soaking in SBF shows that the laser cladding coating has the ability to form an apatite layer.

Nutrient content and stoichiometry of pelagic Sargassum reflects increasing nitrogen availability in the Atlantic Basin

The pelagic brown macroalgae Sargassum spp. have grown for centuries in oligotrophic waters of the North Atlantic Ocean supported by natural nutrient sources, such as excretions from associated fishes and invertebrates, upwelling, and N2 fixation. Using a unique historical baseline, we show that since the 1980s the tissue %N of Sargassum spp. has increased by 35%, while %P has decreased by 44%, resulting in a 111% increase in the N:P ratio (13:1 to 28:1) and increased P limitation. The highest %N and δ15N values occurred in coastal waters influenced by N-rich terrestrial runoff, while lower C:N and C:P ratios occurred in winter and spring during peak river discharges. These findings suggest that increased N availability is supporting blooms of Sargassum and turning a critical nursery habitat into harmful algal blooms with catastrophic impacts on coastal ecosystems, economies, and human health.

MiR-219-5p inhibits prostate cancer cell growth and metastasis by targeting HMGA2

OBJECTIVE

To investigate the expression of micro ribonucleic acid (miR)-219-5p in prostate cancer (PCa), its influences on the biological functions of PCa, and its mechanism.

PATIENTS AND METHODS

The expression differences of miR-219-5p and high mobility group protein A2 (HMGA2) in 30 pairs of PCa tissues and para-carcinoma tissues were detected via quantitative Real Time-Polymerase Chain Reaction (qRT-PCR), and the difference in miR-219-5p expression in PCa cell lines and normal prostatic epithelial cells was also determined via qRT-PCR. The human PC-3 cells were divided into negative control group and miR-219-5p overexpression group. Methyl thiazolyl tetrazolium (MTT) and colony formation assays were adopted to detect the cell proliferative ability, and flow cytometry was applied to determine the cell apoptosis. The expression of apoptosis-related proteins was measured via Western blotting, and the invasive and migratory abilities of the cells were examined through wound-healing and transwell assays. Bioinformatics prediction software and luciferase reporter assay were employed to verify the targets that might be controlled by miR-219-5p. Rescue experiment was conducted to clarify whether the inhibitory effects of miR-219-5p on the growth and metastasis of PC-3 cells depend on the inhibition of HMGA2.

RESULTS

It was shown in qRT-PCR results that the expression level of miR-219-5p was downregulated remarkably in PCa tissues and cell lines, but overexpressed miR-219-5p could repress the proliferation and promote the apoptosis of PC-3 cells notably. The results of wound-healing and transwell assays indicated that overexpressed miR-219-5p was able to suppress the invasion and metastasis of PC-3 cells. According to Western blotting results, overexpressed miR-219-5p could up-regulate the expressions of pro-apoptotic proteins [Bax, cleaved-caspase-3 and cleaved-poly-ADP-ribose-polymerase (PARP)] and reverse the epithelial-mesenchymal transition (EMT) of PCa cells. It was predicted via the bioinformatics software that HMGA2 gene might be a target gene of miR-219-5p. The Dual-Luciferase reporter assay confirmed that there was a direct regulatory relationship between miR-219-5p and HMGA2. The rescue experiment manifested that overexpressed HMGA2 could reverse the inhibition of miR-219-5p on the growth and metastasis of PC-3 cells.

CONCLUSIONS

MiR-219-5p suppresses the growth and metastasis abilities of prostate cancer cells by directly repressing the expression of HMGA2.