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Prediabetes in children and adolescents:A ticking bomb!

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World Journal of Clinical Pediatrics 2024年第2期13卷 11-15页

作者： Anju Gupta Nitin Choudhary Nishkarsh Gupta department of anesthesiology Pain Medicine and Critical CareAll India Institute of Medical ScienceNew Delhi 110076India department of Onco-anesthesiology and Palliative Medicine All India Institute of Medical ScienceNew Delhi 110029India

Prediabetes in children and adolescents is on the rise which has drawn significant attention over the past *** is an early warning sign of the underlying pathophysiological changes which in due course of time might compound into type II diabetes *** incidence of prediabetes in adolescents ranges from 4%-23%which is alarmingly high and requires active intervention from the *** have discussed early identification of high-risk patients,prompt screening and active intervention to manage this growing problem.

关键词： Prediabetes Children Adolescents Glucose metabolism Complications

Heterochronous multiple primary prostate cancer and lymphoma:A case report

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World Journal of Clinical Cases 2024年第7期12卷 1333-1338页

作者： Jin-Long Liang Yu-Qing Bu Li-Li Peng Hong-Zhen Zhang department of Oncology Hebei General HospitalShijiazhuang 050051Hebei ProvinceChina

BACKGROUND Multiple primary malignant tumors(MPMTs)are rare type of cancer,especially when solid tumors are the first and lymphoma is the second primary *** report a patient with heterochronous MPMTs consisting of prostate cancer and rectal diffuse large B-cell lymphoma(DLBCL).CASE SUMMARY We report a 77-year-old male patient diagnosed with prostate cancer who was treated with radiation therapy and one year of endocrine therapy with bicalutamide(50 mg per day)and an extended-release implant of goserelin(1/28 d).Seven years later,rectal DLBCL with lung metastases was *** Although rare,the possibility of prostate cancer combined with a double primary cancer of DLBCL can provide a deeper understanding.

关键词： Multiple primary malignant tumors Radiation therapy Diffuse large B-cell lymphoma Prostate cancer Non-Hodgkin lymphoma Case report

3D laparoscopy and fluorescence imaging can improve surgical precision for hepatectomy

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Hepatobiliary Surgery and Nutrition 2024年第3期13卷 544-547页

作者： Joshua Sheng Hao Lim Vishal G.Shelat department of general Surgery Tan Tock Seng HospitalSingaporeSingapore

Laparoscopic hepatectomy for the treatment of hepatocellular carcinoma(HCC)has been shown to have superior short-term and comparable long-term outcomes compared with open hepatectomy in experienced centres(1).Short-term advantages include small incisions,reduced post-operative pain,faster recovery,reduced blood loss and lower risk of complications(2).However,the loss of tactile sensation makes it challenging to accurately locate lesions and define tumour margins.

关键词： 3D laparoscopy hepatocellular carcinoma(HCC) indocyanine green dye(ICG dye) liver resection

Feasibility and safety of minimally invasive multivisceral resection for T4b rectal cancer:A 9-year review

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World Journal of Gastrointestinal Surgery 2024年第3期16卷 777-789页

作者： Kai Siang Chan Biquan Liu Ming Ngan Aloysius Tan Kwang Yeong How Kar Yong Wong department of general Surgery Tan Tock Seng HospitalSingapore 308433Singapore

BACKGROUND Colorectal cancer is the third most common cancer and the second highest cause of cancer-related mortality *** 5%-10%of patients are diagnosed with locally advanced rectal cancer(LARC)on *** LARC invading into other structures(i.e.T4b),multivisceral resection(MVR)and/or pelvic ex-enteration(PE)remains the only potential curative surgical *** and/or PE is a major and complex surgery with high post-operative *** invasive surgery(MIS)has been shown to improve short-term post-operative outcomes in other gastrointestinal malignancies,but there is little evi-dence on its use in MVR,especially so for robotic *** is a single-center retrospective cohort study from 1st January 2015 to 31st March *** criteria were patients diagnosed with cT4b rectal cancer and underwent MVR,or stage 4 disease with resectable systemic ***-tients who underwent curative MVR for locally recurrent rectal cancer,or me-tachronous rectal cancer were also *** criteria were patients with systemic metastases with non-resectable *** patients planned for elective surgery were enrolled into the standard enhanced recovery after surgery pathway with standard peri-operative management for colorectal *** sur-gery was defined based on technical difficulty of surgery(*** PE,bladder-sparing prostatectomy,pelvic lymph node dissection or need for flap creation).Our primary outcomes were the margin status,and complication ***-gorical values were described as percentages and analysed by the chi-square *** variables were expressed as median(range)and analysed by Mann-Whitney U *** overall survival(OS)and recurrence-free survival(RFS)were analysed using Kaplan-Meier estimates with life table ***-rank test was performed to determine statistical significance between cumulative *** significance was defined as P<*** estimates with li

关键词： Laparoscopy Minimally invasive surgical procedures Multivisceral resection Pelvic Exenteration Rectal neoplasms Robotic surgical procedures

Hepatic recompensation according to the Baveno VII criteria via a transjugular intrahepatic portosystemic shunt: Is this true?

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World Journal of Gastrointestinal Surgery 2024年第8期16卷 2742-2744页

作者： Jin-Shan Zhang department of general Surgery Capital Institute of PediatricsBeijing 100020China

Hepatic recompensation is firstly described in the Baveno VII criteria,which requires the fulfillment of strict ***,a primary cause of cirrhosis must be addressed,suppressed,or ***,complications of liver cirrhosis,inclu-ding ascites,encephalopathy,and variceal hemorrhage,must disappear without any ***,liver function indicators must be ***,without addressing/suppressing/curing cirrhosis and improvement in liver syn-thetic function,complications,including ascites and variceal hemorrhage can be improved by a transjugular intrahepatic portosystemic shunt(TIPS),which is not evidence of hepatic ***,on the basis of the definition of hepatic recompensation,TIPS does not achieve hepatic recompensation.

关键词： Hepatic recompensation Transjugular intrahepatic portosystemic shunt Liver function Cirrhosis

Facet-dependent CuO/{010}BiVO_(4)S-scheme photocatalyst enhanced peroxymonosulfate activation for efficient norfloxacin removal

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Journal of Materials Science & Technology 2024年第7期174卷 30-43页

作者： Tongyu Han Haifeng Shi Yigang Chen School of Science Jiangnan UniversityWuxi 214122China department of general Surgery Jiangnan University Medical CenterWuxi 214002China

Rapid recombination of charge carriers and sluggish Cu^(2+)/Cu^(+)conversion rate in Cu-based photocatalysts hinder the improvement of the peroxymonosulfate(PMS)activation ***,a novel S-scheme system was successfully built through hydrothermal and in-situ calcination methods to activate PMS for norfloxacin(NOR)degradation,which combined CuO with BiVO_(4)(BVO)containing surface *** UV-vis spectra manifested that BVO displayed excellent visible light absorption performance after compounding with CuO,and the light absorption threshold of CuO/BVO was about 600 *** to the existence of surface heterojunction in BVO,the photoinduced electrons,and holes would trans-fer to{010}and{110}facets,*** construction of S-scheme heterojunction further facilitated the accumulation of electrons on CuO,thus realizing the spatial separation of charge *** addi-tion,the electrons gathered on the CuO expedited the Cu^(2+)/Cu^(+)cycle,thereby improving the activation efficiency of *** this basis,the NOR removal capacity of 5CuO/BVO composites was obviously en-hanced,which was 3.65 and 2.45 times that of CuO and ***,the influence of ambient pH and PMS dosage on the photocatalytic performance of CuO/BVO was *** the analysis of NOR degradation pathways and degradation products,it was found that the toxicity threat of NOR to the environment was reduced during the degradation *** to the XPS results,forming the S-scheme heterojunction accelerated the Cu^(2+)/Cu^(+)redox cycle during the PMS activating ***,photoluminescence(PL)and time-resolved photoluminescence(TRPL)analysis demonstrated that the CuO/BVO composites exhibited eminent ability for charge *** possible mechanism of charge transfer was assumed by exploring reactive species and the energy band structure of *** sum up,this research provides a new perspective on boosting PMS activation to purify antibiotics

关键词： Norfloxacin degradation Peroxymonosulfate S-scheme heterojunction Surface heterojunction Charge separation

Advancements in breath-based diagnostics for pancreatic cancer:Current insights and future perspectives

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World Journal of Gastrointestinal Oncology 2024年第6期16卷 2300-2303页

作者： Mesut Tez Eda Sahingoz Huseyin Fahri Martli department of Surgery University of Health SciencesAnkara City HospitalAnkara 06800Türkiye department of general Surgery Saglik Bilimleri UniversityAnkara 06100Turkiye department of general Surgery Ankara City HospitalAnkara 06100Türkiye

Recent decades have seen a concerning surge in carcinogenic diseases,with cancer cases and deaths on the rise *** diagnostic methods are often invasive and time-consuming,highlighting the need for fast,accurate,and painless ***-invasive exhaled breath analysis emerges as a promising solution,with over 200 volatile organic compounds(VOCs)detected in exhaled air,showing potential as biomarkers for various diseases,including *** the lack of standardized methodologies,advancements in analytical instruments have expanded detection capabilities,reaching 3500 *** have identified specific VOC patterns associated with different cancers,offering hope for non-invasive *** such as gas chromatography-mass spectrometry and electronic noses show promise in distinguishing between healthy individuals and cancer ***,further research and standardization are needed to realize the full clinical potential of breath-based diagnostics,particularly in the early detection of challenging cancers like pancreatic cancer.

关键词： Pancreas Volatile organic compounds Diagnosis Cancer Breath

3'-Deoxyadenosin alleviates methamphetamine-induced aberrant synaptic plasticity and seeking behavior by inhibiting the NLRP3 inflammasome

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Neural Regeneration Research 2024年第10期19卷 2270-2280页

作者： Yize Qi Yao Zhou Jiyang Li Fangyuan Zhu Gengni Guo Can Wang Man Yu Yijie Wang Tengfei Ma Shanwu Feng Li Zhou Institute for Stem Cell and Neural Regeneration and Key Laboratory of Cardiovascular&Cerebrovascular Medicine School of PharmacyNanjing Medical UniversityNanjingJiangsu ProvinceChina department of anesthesiology The Second People’s Hospital of LianyungangLianyungangJiangsu ProvinceChina department of anesthesiology Women’s Hospital of Nanjing Medical UniversityNanjing Maternity and Child Health Care HospitalNanjingJiangsu ProvinceChina

Methamphetamine addiction is a brain disorder characterized by persistent drug-seeking behavior, which has been linked with aberrant synaptic plasticity. An increasing body of evidence suggests that aberrant synaptic plasticity is associated with the activation of the NOD-like receptor family pyrin domain containing-3(NLRP3) inflammasome. 3′-Deoxyadenosin, an active component of the Chinese fungus Cordyceps militaris, has strong anti-inflammatory effects. However, whether 3′-deoxyadenosin attenuates methamphetamine-induced aberrant synaptic plasticity via an NLRP3-mediated inflammatory mechanism remains unclear. We first observed that 3′-deoxyadenosin attenuated conditioned place preference scores in methamphetamine-treated mice and decreased the expression of c-fos in hippocampal neurons. Furthermore, we found that 3′-deoxyadenosin reduced the aberrant potentiation of glutamatergic transmission and restored the methamphetamine-induced impairment of synaptic plasticity. We also found that 3′-deoxyadenosin decreased the expression of NLRP3 and neuronal injury. Importantly, a direct NLRP3 deficiency reduced methamphetamine-induced seeking behavior, attenuated the impaired synaptic plasticity, and prevented neuronal damage. Finally, NLRP3 activation reversed the effect of 3′-deoxyadenosin on behavior and synaptic plasticity, suggesting that the anti-neuroinflammatory mechanism of 3′-deoxyadenosin on aberrant synaptic plasticity reduces methamphetamine-induced seeking behavior. Taken together, 3′-deoxyadenosin alleviates methamphetamine-induced aberrant synaptic plasticity and seeking behavior by inhibiting the NLRP3 inflammasome.

关键词： 3′-deoxyadenosin hippocampus long-term potentiation methamphetamine NOD-like receptor family pyrin domain containing-3(NLRP3)inflammasome synaptic plasticity

Growth hormone improves insulin resistance in visceral adipose tissue after duodenal-jejunal bypass by regulating adiponectin secretion

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World Journal of Diabetes 2024年第6期15卷 1340-1352页

作者： Zi-Tian Liu Guang-Wei Yang Xiang Zhao Shuo-Hui Dong Yang Jiao Zheng Ge Ao Yu Xi-Qiang Zhang Xin-Zhen Xu Zhi-Qiang Cheng Xiang Zhang Ke-Xin Wang department of general Surgery Qilu Hospital of Shandong UniversityJinan 250012Shandong ProvinceChina department of general Surgery Shandong University of Qilu Hospital(Qingdao)Qingdao 266000Shandong ProvinceChina

BACKGROUND The mechanism of improvement of type 2 diabetes after duodenal-jejunal bypass(DJB)surgery is not *** To study the morphological and functional changes in adipose tissue after DJB and explore the potential mechanisms contributing to postoperative insulin sensitivity improvement of adipose tissue in a diabetic male rat *** DJB and sham surgery was performed in a-high-fat-diet/streptozotocin-induced diabetic rat *** adipose tissue was weighed and observed under *** inguinal fat to represent subcutaneous adipose tissue(SAT)and mesangial fat to represent visceral adipose ***-sequencing was utilized to evaluate gene expression alterations *** hematoxylin and eosin staining,reverse transcription-quantitative polymerase chain reaction,western blot,and enzyme-linked immunosorbent assay were used to study the *** resistance was evaluated by *** After DJB,whole body blood glucose metabolism and insulin sensitivity in adipose tissue *** cell volume in both visceral adipose tissue(VAT)and SAT *** to SAT,VAT showed more significantly functional alterations after DJB and KEGG analysis indicated growth hormone(GH)pathway and downstream adiponectin secretion were involved in metabolic *** circulating GH and adiponectin levels and GH receptor and adiponectin levels in VAT *** experiment showed that GH stimulated adiponectin secretion and improve insulin *** GH improves insulin resistance in VAT in male diabetic rats after receiving DJB,possibly by increasing adiponectin secretion.

关键词： Growth hormone Insulin resistance Bariatric surgery Adipose tissue Adiponectin