Single port-assisted diverting ileostomy formation for anastomotic leakage after low anterior resection.

Stoma formation for fecal diversion is a common procedure in patients with various complicated conditions after colorectal surgery, such as anastomotic leakage. The single-incision laparoscopic approach for stoma creation offers several advantages, including a reduction in surgical wounds and related complications as well as optimal visualization of the surgical field. This video demonstrates a single-port-assisted diverting ileostomy in a 61-year-old man with anastomotic leakage following low anterior resection for advanced rectal cancer.

Protective functions of liver X receptor α on calcified aortic valve: involvement of regulating endoplasmic reticulum-mediated osteogenic differentiation.

Aims: Effective therapeutic drugs for calcific aortic valve disease (CAVD) are lacking, although its incidence has been increasing over the past decade, and is predicted to continue rising in the future. This study aimed to explore the role and potential mechanisms of liver X receptor α (LXRα) in CAVD, which offers a promising approach for treating CAVD.

Methods And Results: Osteogenic stimulation was performed following which a substantial downregulation of LXRα was observed in human calcific aortic valves and in valvular interstitial cells.

The regulatory role of ACP5 in the diesel exhaust particle-induced AHR inflammatory signaling pathway in a human bronchial epithelial cell line.

Exposure to diesel exhaust particles (DEPs), which are major constituents of urban air pollution, is associated with adverse health outcomes. Previous studies have shown that DEPs enhance the expression of pro-inflammatory cytokines and immune responses. However, few studies have focused on genomic variants that regulate DEP-induced signaling.

Persistent Beta-Blocker Therapy Reduces Long-Term Mortality in Patients With Acute Ischemic Stroke With Elevated Heart Rates.

Background: Elevated heart rate in patients with acute ischemic stroke is associated with increased risk of mortality. Beta-blocker therapy is well known to reduce heart rate.

Methods And Results: This study was a post hoc analysis of patients with acute ischemic stroke with maximum heart rates ≥100 bpm.

Mechanisms of Enhanced Thermal Durability in Porosity-Controlled Multilayer Thermal Barrier Coatings.

This study investigates the enhancement of thermal durability in multilayer yttria-stabilized zirconia (YSZ) thermal barrier coatings (TBC) with porosity-controlled structures. Conventional single-layer YSZ and multilayer TBCs with dense and porous layers were fabricated by air plasma spraying and the TBC specimens were subjected to furnace cyclic testing. The single-layer TBC suffered from catastrophic delamination under cyclic thermal loading, driven by the mismatch in thermal expansion, while the multilayer TBCs exhibited a significant increase in thermal durability, by up to 50%.