Surgicel™ application in intracranial hemorrhage surgery contributed to giant-cell granuloma in a patient with hypertension: case report and review of the literature

Abstract Background Surgicel™ is an oxidized cellulose preparation that is widely applied in neurosurgery due to its hemostatic effect and good tissue compatibility. Tumor-like lesions induced by Surgicel® application in cerebral surgery have been rarely reported, especially for intracranial hemorrhage debridement surgery in patients with hypertension. Case presentation This case report describes a rare case in which Surgicel™ application led to a foreign body reaction, contributing to the development of an intracranial giant-cell granuloma. A 49-year-old female hypertensive patient was diagnosed with intracranial hemorrhage. She was treated with debridement surgery that employed Surgicel™ application. Although a satisfactory hemostatic effect was achieved, the patient was diagnosed with epilepsy 6 months later. Subsequent magnetic resonance imaging revealed an intracranial space-occupying lesion. After undergoing en bloc resection of the lesion, the patient was diagnosed with a Surgicel™-related intracranial giant-cell granuloma by histopathology. Conclusions Application of Surgicel™ during intracranial hemorrhage debridement surgery may be associated with a risk of granuloma development due to formation of a tumor-like space-occupying lesion in the surgery bed. Even a low risk of tumor development implies a need for caution when applying Surgicel™, especially when solely used to achieve a hemostatic effect. </jats:sec

Characterization of the response of IHEP-IME LGAD with shallow carbon to Gamma Irradiation

Low Gain Avalanche Detectors (LGAD), as part of High-Granularity Timing Detector (HGTD), is crucial to reducing pileup in the upgrading to HL-LHC. Many studies have been done on the bulk damages of the LGAD. However, there's no study about the surface radiation hardness of the LGAD sensors with carbon implanted. The IHEP-IME LGAD version 3 with the shallow carbon and different interpad separations were irradiated up to 2 MGy by gamma irradiation. The performance of the IHEP-IME LGAD version 3 before and after irradiation had been tested, such as the leakage current, break-down voltage, capacitance, V$_{gl}$, and inter-pad resistance. The results showed that apart from minor fluctuations in some samples, no significant changes concerning inter-pad separation were observed before and after irradiation. Leakage current and break-down voltage increase after irradiation, which is considered due to surface passivation; the overall inter-pad resistance are larger than $10^9\ \Omega$before and after irradiation; capacitance is found to be less than 4.5 pF with a slight drop in V$_{gl}$ after irradiation. All parameters meet the requirements of HGTD, and the results indicated that IHEP-IME LGAD v3 has excellent anti-irradiation performance

Leakage current simulations of Low Gain Avalanche Diode with improved Radiation Damage Modeling

We report precise TCAD simulations of IHEP-IME-v1 Low Gain Avalanche Diode (LGAD) calibrated by secondary ion mass spectroscopy (SIMS). Our setup allows us to evaluate the leakage current, capacitance, and breakdown voltage of LGAD, which agree with measurements' results before irradiation. And we propose an improved LGAD Radiation Damage Model (LRDM) which combines local acceptor removal with global deep energy levels. The LRDM is applied to the IHEP-IME-v1 LGAD and able to predict the leakage current well at -30 $^{\circ}$C after an irradiation fluence of $\Phi_{eq}=2.5 \times 10^{15} ~n_{eq}/cm^{2}$. The charge collection efficiency (CCE) is under development

Grip Strength and the Risk of Cognitive Decline and Dementia: A Systematic Review and Meta-Analysis of Longitudinal Cohort Studies

Purpose: Loss of grip strength and cognitive impairment are prevalent in the elderly, and they may share the pathogenesis in common. Several original studies have investigated the association between them, but the results remained controversial. In this systematic review and meta-analysis, we aimed to quantitatively determine the relationship between baseline grip strength and the risk of cognitive impairment and provide evidence for clinical work.Methods: We performed a systematic review using PubMed, EMBASE, Cochrane, and Web of Science up to March 23, 2020, and focused on the association between baseline grip strength and onset of cognitive impairment. Next, we conducted a meta-analysis using a hazard ratio (HR) and 95% confidence interval (CI) as effect measures. Heterogeneity between the studies was examined using I2 and p-value. Sensitivity analyses and subgroup analyses were also performed, and publication bias was assessed by Begg's and Egger's tests.Results: Fifteen studies were included in this systematic review. After sensitivity analyses, poorer grip strength was associated with more risk of cognitive decline and dementia (HR = 1.99, 95%CI: 1.71–2.32; HR = 1.54, 95%CI: 1.32–1.79, respectively). Furthermore, subgroup analysis indicated that people with poorer strength had more risk of Alzheimer's disease (AD) and non-AD dementia (HR = 1.41, 95%CI: 1.09–1.81; HR = 1.45, 95%CI: 1.10–1.91, respectively).Conclusions: Lower grip strength is associated with more risk of onset of cognitive decline and dementia despite of subtype of dementia. We should be alert for the individuals with poor grip strength and identify cognitive dysfunction early.</jats:p

The Alterations in and the Role of the Th17/Treg Balance in Metabolic Diseases

Chronic inflammation plays an important role in the development of metabolic diseases. These include obesity, type 2 diabetes mellitus, and metabolic dysfunction-associated fatty liver disease. The proinflammatory environment maintained by the innate immunity, including macrophages and related cytokines, can be influenced by adaptive immunity. The function of T helper 17 (Th17) and regulatory T (Treg) cells in this process has attracted attention. The Th17/Treg balance is regulated by inflammatory cytokines and various metabolic factors, including those associated with cellular energy metabolism. The possible underlying mechanisms include metabolism-related signaling pathways and epigenetic regulation. Several studies conducted on human and animal models have shown marked differences in and the important roles of Th17/Treg in chronic inflammation associated with obesity and metabolic diseases. Moreover, Th17/Treg seems to be a bridge linking the gut microbiota to host metabolic disorders. In this review, we have provided an overview of the alterations in and the functions of the Th17/Treg balance in metabolic diseases and its role in regulating immune response-related glucose and lipid metabolism.</jats:p

糖代谢异常患者饮酒与全因死亡率、新发卒中以及冠心病的关系——来自REACTION研究10年随访的发现

Abstract Background Type 2 diabetes mellitus (T2DM) and diabetic complications threaten human health seriously. Healthy lifestyles can lower the risk of cardiovascular disease (CVD) and long‐term complications. However, the relationship between alcohol consumption and CVD mortality is still controversial, and there is a lack of evidence from large‐scale longitudinal studies in the Chinese population. Based on the REACTION study (Risk Evaluation of Cancers in Chinese Diabetic Individuals: A Longitudinal Study), this paper explores the association between alcohol consumption and all‐cause mortality, stroke, and coronary heart disease (CHD) in patients with abnormal glucose metabolism during a 10‐year follow‐up period to provide evidence for lifestyle counselling for these patients. Methods First, baseline data were collected from the REACTION study cohort in Changchun, Jilin Province, China, in 2011–2012. A questionnaire survey was performed among patients with abnormal glucose metabolism aged over 40 years. The frequency of their alcohol intake, the type of alcohol, and the amount of alcohol consumed daily were surveyed. Physical and biochemical examinations were also performed. Then, through the Primary Public Health Service System of Jilin Province, we collected outcomes during the 10‐year follow‐up up to October 1, 2021, including all‐cause mortality, stroke, and CHD. Next, we conducted logistic regression to analyze the relationship between baseline alcohol consumption and 10‐year outcomes, and risk ratio (RR) and 95% CI were calculated by adjusting for different clinical indicators. A p value < 0.05 was considered statistically significant. Results A total of 4855 patients with T2DM and prediabetes (35.2% men and 64.8% women) were included in the baseline analysis. Outcomes of 3521 patients during the 10‐year follow‐up were obtained, including 227 deaths, 296 new‐onset strokes and 445 new‐onset CHD. Occasional drinking (less than once a week) was associated with a reduced 10‐year all‐cause mortality, with an RR of 0.511 (95% CI [0.266, 0.982]) after adjustment for age, gender, medical history, and lifestyles and an RR of 0.50 (95% CI [0.252, 0.993]) in a fully adjusted model including additional biochemical indicators. In addition, heavy alcohol consumption (≥30 g/day for men and ≥15 g/day for women) was significantly associated with an increased incidence of stroke, with an RR of 2.503 (95% CI [1.138, 5.506]) after the adjustment for age, gender, medical history, lifestyles, and biochemical indicators. No significant association was found between alcohol consumption and new‐onset CHD. Conclusions For patients with abnormal glucose metabolism, occasional drinking (less than once a week) reduces the risk of all‐cause mortality, while heavy alcohol consumption (≥30 g/day for men and ≥15 g/day for women) significantly increases the risk of new‐onset stroke. They should avoid heavy alcohol intake, but light alcohol consumption or occasional drinking is acceptable. Additionally, it is crucial to control blood glucose and blood pressure and keep performing physical activities

Optimization of Laser Cladding Parameters for High-Entropy Alloy-Reinforced 316L Stainless-Steel via Grey Relational Analysis

Laser cladding technology serves as a pivotal technique in industrial production, especially in the realms of additive manufacturing, surface enhancement, coating preparation, and the repair of part surfaces. This study investigates the influence of metal powder composition and processing parameters on laser cladding coatings utilizing the Taguchi orthogonal experimental design method. To optimize the laser cladding parameters, multi-response grey relational analysis (GRA) was employed, aiming to improve both the microhardness and the overall quality of the coatings. The optimal parameter combinations identified through GRA were subsequently validated through experimental tests. The results reveal that the microhardness and quality of the coatings are substantially influenced by several critical factors, including the powder feed rate, laser power, high-entropy alloy (HEA) addition rate, scanning speed, and substrate tilt angle. Specifically, the powder feed rate exerts the most significant effect on the microhardness, dilution rate, and average contact angle. In contrast, laser power primarily impacts the mean contact angle difference. The HEA addition rate notably affects the mean contact angle difference, while the scanning speed affects the microhardness and the substrate tilt angle influences the average contact angle. The results of the validation experiment showed a deviation of only 0.95% from the predicted values, underscoring the efficacy of the grey relational analysis (GRA) in optimizing the laser cladding process parameters. The methodology presented in this paper can be applied to determine the ideal processing parameters for multi-response laser cladding processes, encompassing applications such as surface peening and surface repair