Objectives: To summarize the characteristics and research progress of influenza-associated brain complications in children and provide references for early diagnosis and brain protection treatment. Methods: Studied pu...Objectives: To summarize the characteristics and research progress of influenza-associated brain complications in children and provide references for early diagnosis and brain protection treatment. Methods: Studied published articles of influenza-associated neurocomplications in children from PubMed and summarizes them from epidemiology, clinical manifestations, diagnosis and treatment, and basic research progress. Results: Common brain complications in flu-children include febrile seizures, influenza-associated encephalopathy (IAE), acute or post-influenza encephalitis, and the most severe condition is acute necrotizing encephalopathy (ANE). However, the mechanism and relevant factors of influenza-associated brain damage have not been elucidated. Conclusion: Influenza could be accompanied by various brain lesion complications in dif ferent stages of the disease, some of which are life-threatening or leave severe neurological sequelae, such as ANE. Due to different brain injury mechanisms, specific early diagnosis and brain protection treatment for different complications are unclear or unanimous. Therefore, further classification and basic research are needed.展开更多
Objective:To evaluate the clinical efficacy of the preoperative digita1 design combined with three dimensional(3D)printing models to assist percutaneous kyphoplasty(PKP)treatment for thoracolumbar compression frac tur...Objective:To evaluate the clinical efficacy of the preoperative digita1 design combined with three dimensional(3D)printing models to assist percutaneous kyphoplasty(PKP)treatment for thoracolumbar compression frac tures.Methods:From January 2018 to August 2020,we obtained data of 99 patients diagnosed thoracolumbar compression fractures.These patients were divided into control group(n=50)underwent traditional PKP surgery,and observation group(n=49)underwent preoperative digital design combined with 3D printing model assisted PKP treatment.The clinical efficacy was evaluated with five parameters,including operation time,number of intraoperative radiographs,visual analogue scale(VAS)score,Cobb Angle change,and high compression rate of injured vertebrae.Results:There were statistically significant differences of operation time and number of intraoperative radio graphs between the two groups(P<0.05).For VAS score,Cobb Angle change and vertebral height compression rate,all of these three parameters were significantly improved when the patients accepted surgery teatment in two groups(P<0.05).However,there were no significant differences between control group and observation group for these three parameters either before or after surgery(P>0.05).Conclusions:Through the design of preoperative surgical guide plate and the application of 3D printing model to guide the operation,the precise design of preoperative surgical puncture site and puncture Angle of the injured vertebra was realized,the number of intraoperative radiographs was reduced,the operation time was shortened and the operation efficiency was improved.展开更多
BACKGROUND Functional epiphora is a clinical condition which is not due to an anatomic defect.Most studies agree that it involves the action of the orbicularis oculi muscle,particularly its deeper segment(Horner’s mu...BACKGROUND Functional epiphora is a clinical condition which is not due to an anatomic defect.Most studies agree that it involves the action of the orbicularis oculi muscle,particularly its deeper segment(Horner’s muscle),but the exact mechanism is not clear.AIM To evaluate the orbicularis oculi muscle in functional epiphora patients using electromyography(EMG).METHODS A total of 8 Chinese patients(16 eyes)with functional epiphora were enrolled in this study,and ten volunteers(10 eyes)were included as normal controls.Five epiphora patients(five eyes)with facial palsy served as positive controls.Quantitative EMG was performed in the deeper segment of orbicularis oculi muscle.The average duration of each EMG waveform was measured.RESULTS The average duration of EMG waveforms in the normal control group,the functional epiphora group,and the facial palsy group were 6.39±0.73 ms,9.39±1.32 ms and 11.2±1.42 ms,respectively.The duration of EMG waveforms was significantly longer in the functional epiphora group than in the normal control group(P<0.05),and shorter than that in the facial palsy group(P<0.05).CONCLUSION These data indicate the presence of neurogenic orbicularis oculi muscle damage in epiphora patients,which may be the cause of functional epiphora.The etiology of neurogenic damage in the orbicularis oculi muscle requires further investigation.展开更多
Objective To determine the correlation between semen parameters, sperm DNA damage, progressive motility （PR）, morphology and intrauterine insemination （IUI）/ intracyto- plasmic sperm injection （ICSI） outcomes. M...Objective To determine the correlation between semen parameters, sperm DNA damage, progressive motility （PR）, morphology and intrauterine insemination （IUI）/ intracyto- plasmic sperm injection （ICSI） outcomes. Methods All the donors providing the samples in this study were recruited by Shang- hai Human Sperm Bank. For IUI, 122 donors were divided into group A （n=60） and group B （n=62）. Group A had a higher pregnancy rate while group B had a lower pregnancy rate （3.86 ± 1.50% vs 0.18 ± 0.52%）. For ICSI, 45 donors were divided into group C with a higher pregnancy rate （77. 78 ± 17.21%, n=23）, group D with a lower pregnancy rate （40. 73 ± 19.19%, n=22） and group E with an average preg- nancy rate in the sperm bank （48.96 ± 12.08%, n=23）. Semen analysis, morphology and DNA damage were assessed on samples retained in the sperm bank. Fresh semen samples were also collected and corresponding semen analyses data was included along with the pregnancy rates. Results No significant difference was found in the population characteristics between groups A and B, while there was a significant difference in sperm DNA fragmetation index （DFI） and morphology between the two groups （P〈0.05）, but not in other semen parameters （P〉0.05）. There was no significant difference in population characteristics between groups C, D and E while the DFI of group D was significant higher than groups C and E （P〈0.01）, but there was no significant difference in other semen parameters （P〉0.05）.Conclusion DFI might be a good predictor for IUI outcomes. Infertile couples with a high DFI should choose ICSI treatment instead of IUI. DFI should be a routine screening marker used to screen for sperm donors.展开更多
To the Editor: Neurofibromatosis type 1(NF-1), or Von Recklinghausen disease, is a genetic disorder inherited in an autosomal dominant pattern. It is caused by a mutation in the neurofibromin gene located on chromosom...To the Editor: Neurofibromatosis type 1(NF-1), or Von Recklinghausen disease, is a genetic disorder inherited in an autosomal dominant pattern. It is caused by a mutation in the neurofibromin gene located on chromosome 17, accounting for 96% of all neurofibromatosis cases. This condition can affect multiple systems and often leads to the formation of tumors along the nervous system [1]. Patients with NF-1 may exhibit various symptoms, including Lisch nodules, neurofibromas, scoliosis, café au lait spots, learning disabilities, vision disorders, and epilepsy.展开更多
Background: To explore the early clinical features and laboratory findings of influenza-associated acute necrotizing encephalopathy (IANE). Methods: The demographics data, clinical manifestations, and laboratory indic...Background: To explore the early clinical features and laboratory findings of influenza-associated acute necrotizing encephalopathy (IANE). Methods: The demographics data, clinical manifestations, and laboratory indicators of cases diagnosed with IANE and influenza with febrile convulsions (FS), respectively, admitted to Guangzhou Women and Children’s Medical Center from January 2016 to January 2020 were retrospectively analyzed. Results: Among the 25 cases of IANE, there were 9 males and 16 females, aged 3 to 6 years. The mortality rate was 40.00% (10/25). Influenza virus type A in 9 cases (36.00%) and influenza virus type B in 10 cases (40.00%). The main clinical manifestations of children with IANE were acute disorders of consciousness (64.00%, 16/25) and convulsions (72.00%, 18/25), which were statistically significant when compared with the FS group (P < 0.05). Typical changes on cranial MRI of IANE were cerebral edema, typically with symmetric necrosis of the thalamus and other brain structures. Significant differences (P < 0.05) existed between the IANE and FS groups in laboratory indicators for ALT, AST, CK-MB, LDH, cerebrospinal fluid (CSF) microprotein, CSF LDH, which were above the normal reference range. In addition, logistic regression analysis showed that LDH ≥ 348.5 U/L predicted a significantly higher risk of IANE. Conclusions: Children with influenza present early with acute impairment of consciousness or convulsive seizures, or with elevated AST, ALT, CK-MB, LDH, and CSF protein and CSF LDH, especially if blood LDH is ≥348.5 U/L, should be closely evaluated and alerted to the possibility of IANE.展开更多
In worldwide,the use of chemical pesticides to protect wood has been greatly restricted.In recent years,a large number of researchers devoted to the search for natural,safe and non-polluting bioactive chemical compoun...In worldwide,the use of chemical pesticides to protect wood has been greatly restricted.In recent years,a large number of researchers devoted to the search for natural,safe and non-polluting bioactive chemical compounds from plants as an alternative to synthetic organic chemical preservative.In Chinese folk,tung oil can be used as paint for wooden furniture to protect them from pests.This study aimed to evaluate the chemical compositions of raw and heated tung oil and their activity against termite.In choice bioassays,weight loss of wood treated with 5%raw or heated tung oil after 4 weeks was significantly less than that of the control group.In no-choice bioassays,there was a significant difference in termite survival and wood weight loss on raw and heated tung oil-treated wood.When tung oil-treatment concentrations increased to 5%,wood weight loss was less than 10%.There was no significant difference in termite survival and wood weight loss between raw and heated tung oil-treated wood.Survival of termites in both tung oil wood treatments was significantly lower than that in the starvation control after 4 weeks.Raw and heated tung oil significantly improved the resistance of pine wood to termites,and have the potential for the development of natural wood preservatives.展开更多
This study investigates the mechanical response of an underground cavern subjected to cyclic high gas pressure,aiming to establish a theoretical foundation for the design of lined rock caverns(LRCs)for energy storage ...This study investigates the mechanical response of an underground cavern subjected to cyclic high gas pressure,aiming to establish a theoretical foundation for the design of lined rock caverns(LRCs)for energy storage with high internal pressure,e.g.compressed air energy storage(CAES)underground caverns or hydrogen storage caverns.Initially,the stress paths of the surrounding rock during the excavation,pressurization,and depressurization processes are delineated.Analytical expressions for the stress and deformation of the surrounding rock are derived based on the MohreCoulomb criterion.These expressions are then employed to evaluate the displacement of cavern walls under varying qualities of surrounding rock,the contact pressure between the steel lining and the surrounding rock subject to different gas storage pressures,the load-bearing ratio of the surrounding rock,and the impact of lining thickness on the critical gas pressure.Furthermore,the deformation paths of the surrounding rock are evaluated,along with the effects of tunnel depth and diameter on residual deformation of the surrounding rock,and the critical minimum gas pressure at which the surrounding rock and the lining do not detach.The results indicate that residual deformation of the surrounding rock occurs after depressurization under higher internal pressure for higher-quality rock masses,leading to detachment between the surrounding rock and the steel lining.The findings indicate that thicker linings correspond to higher critical minimum gas pressures.However,for lower-quality surrounding rock,thicker linings correspond to lower critical minimum gas pressures.These findings will provide invaluable insights for the design of LRCs for underground energy storage caverns.展开更多
Existing single-pixel imaging(SPI)and sensing techniques suffer from poor reconstruction quality and heavy computation cost,limiting their widespread application.To tackle these challenges,we propose a large-scale sin...Existing single-pixel imaging(SPI)and sensing techniques suffer from poor reconstruction quality and heavy computation cost,limiting their widespread application.To tackle these challenges,we propose a large-scale single-pixel imaging and sensing(SPIS)technique that enables high-quality megapixel SPI and highly efficient image-free sensing with a low sampling rate.Specifically,we first scan and sample the entire scene using small-size optimized patterns to obtain information-coupled measurements.Compared with the conventional full-sized patterns,small-sized optimized patterns achieve higher imaging fidelity and sensing accuracy with 1 order of magnitude fewer pattern parameters.Next,the coupled measurements are processed through a transformer-based encoder to extract high-dimensional features,followed by a task-specific plugand-play decoder for imaging or image-free sensing.Considering that the regions with rich textures and edges are more difficult to reconstruct,we use an uncertainty-driven self-adaptive loss function to reinforce the network’s attention to these regions,thereby improving the imaging and sensing performance.Extensive experiments demonstrate that the reported technique achieves 24.13 dB megapixel SPI at a sampling rate of 3%within 1 s.In terms of sensing,it outperforms existing methods by 12%on image-free segmentation accuracy and achieves state-of-the-art image-free object detection accuracy with an order of magnitude less data bandwidth.展开更多
Coronavirus disease 2019(COVID-19)is a multi-system disease that can lead to various severe complications.Acute limb ischemia(ALI)has been increasingly recognized as a COVID-19-associated complication that often predi...Coronavirus disease 2019(COVID-19)is a multi-system disease that can lead to various severe complications.Acute limb ischemia(ALI)has been increasingly recognized as a COVID-19-associated complication that often predicts a poor prognosis.However,the pathophysiology and molecular mechanisms underlying COVID-19-associated ALI remain poorly understood.Hypercoagulability and thrombosis are considered important mechanisms,but we also emphasize the roles of vasospasm,hypoxia,and acidosis in the pathogenesis of the disease.The angiotensin-converting enzyme 2(ACE2)pathway,inflammation,and platelet activation may be important molecular mechanisms underlying these pathological changes induced by COVID-19.Furthermore,we discuss the hypotheses of risk factors for COVID-19-associated ALI from genetic,age,and gender perspectives based on our analysis of molecular mechanisms.Additionally,we summarize therapeutic approaches such as use of the interleukin-6(IL-6)blocker tocilizumab,calcium channel blockers,and angiotensin-converting enzyme inhibitors,providing insights for the future treatment of coronavirus-associated limb ischemic diseases.展开更多
Human activities are closely related to geological environments or those influenced by geological factors,which can significantly impact human health.Previous studies have predominantly focused on isolated spheres or ...Human activities are closely related to geological environments or those influenced by geological factors,which can significantly impact human health.Previous studies have predominantly focused on isolated spheres or single environmental indicators,lacking research on the multifactorial influences affecting the overall geographic environment.From the“One Health”perspective,this paper synthesizes natural environmental factors across the lithosphere,hydrosphere,atmosphere,and pedosphere,encompassing the sources,forms,concentrations,and bioavailability of chemical elements,as well as pollutants and their associations with human health.Comprehensive natural environmental factors,based on GeoHealth,are intimately connected to human health.Under the pressures of future population growth and rapid industrial development,the relationship between the global geological environment and human health will become increasingly prominent.Therefore,it is crucial to pay close attention to health-based thresholds and promptly implement pollution prevention and control measures.展开更多
By comparing price plans offered by several retail energy firms,end users with smart meters and controllers may optimize their energy use cost portfolios,due to the growth of deregulated retail power markets.To help s...By comparing price plans offered by several retail energy firms,end users with smart meters and controllers may optimize their energy use cost portfolios,due to the growth of deregulated retail power markets.To help smart grid end-users decrease power payment and usage unhappiness,this article suggests a decision system based on reinforcement learning to aid with electricity price plan selection.An enhanced state-based Markov decision process(MDP)without transition probabilities simulates the decision issue.A Kernel approximate-integrated batch Q-learning approach is used to tackle the given issue.Several adjustments to the sampling and data representation are made to increase the computational and prediction performance.Using a continuous high-dimensional state space,the suggested approach can uncover the underlying characteristics of time-varying pricing schemes.Without knowing anything regarding the market environment in advance,the best decision-making policy may be learned via case studies that use data from actual historical price plans.Experiments show that the suggested decision approach may reduce cost and energy usage dissatisfaction by using user data to build an accurate prediction strategy.In this research,we look at how smart city energy planners rely on precise load forecasts.It presents a hybrid method that extracts associated characteristics to improve accuracy in residential power consumption forecasts using machine learning(ML).It is possible to measure the precision of forecasts with the use of loss functions with the RMSE.This research presents a methodology for estimating smart home energy usage in response to the growing interest in explainable artificial intelligence(XAI).Using Shapley Additive explanations(SHAP)approaches,this strategy makes it easy for consumers to comprehend their energy use trends.To predict future energy use,the study employs gradient boosting in conjunction with long short-term memory neural networks.展开更多
BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucia...BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucianism and other traditional cultures,people generally adhere to the belief of“reincarnation to avoid death”,focusing more on themes of life,such as eugenics and longevity,and paying less attention to matters related to death,including death education and grief counseling.Currently,grief counseling in China is still in an exploratory stage,and there is relatively little research on the psychological status of family members of patients with terminal tumors.AIM To investigate the psychological effects of grief counseling on family members of terminal cancer patients.METHODS This study was designed as a randomized controlled trial that utilized convenience sampling to select family members of terminal tumor patients who were admitted to the hospice ward of the Affiliated Hospital of Jiangnan University from January to June 2025 as research subjects.All participants received conventional symptomatic supportive treatment and palliative care.Additionally,the intervention group benefited from extra grief counseling.RESULTS The Distress Thermometer(DT)score of the control group slightly decreased compared to before the intervention,but the difference was not statistically significant(P>0.05).In contrast,the DT score of the intervention group decreased significantly compared to before the intervention,with a statistically significant difference(P<0.05).After the intervention,the DT score of the intervention group was lower than that of the control group,and the difference was also statistically significant(P<0.05).After the intervention,the intervention group performed better DT level than the control group,with a statistically significant difference(P<0.05),the intervention group outperformed the control group in terms of depression and anxiety,and the difference was statistically significant(P<0.05).CONCLUSION Grief counseling can help alleviate the psychological pain and negative emotions experienced by family members of patients with terminal malignant tumors.展开更多
BACKGROUND Studies have shown that locomotive syndrome(LS)is significantly correlated with adverse outcomes,such as decreased self-care abilities,fractures,and increased mortality.Subthreshold depression(StD)is consid...BACKGROUND Studies have shown that locomotive syndrome(LS)is significantly correlated with adverse outcomes,such as decreased self-care abilities,fractures,and increased mortality.Subthreshold depression(StD)is considered an independent predictor of clinical depression,regarded as its prodromal stage,and even linked to increased mortality risk.Limited research has addressed the prevalence and relationship between LS and StD in elderly cancer patients.Understanding the prevalence of LS and StD among elderly cancer patients and elucidating their relationship will provide evidence to support the development of targeted interventions,thereby improving health outcomes in this population.AIM To investigate the relationship between musculoskeletal system function and predepressive states in elderly cancer patients.METHODS A convenience sampling method was employed to recruit 500 elderly cancer patients undergoing follow-up visits at the Department of Oncology,Affiliated Hospital of Jiangnan University,from April 2024 to December 2024.Participants completed the general information questionnaire, the 25-question Geriatric Locomotive Function Scale, and theGeriatric Depression Scale-Short Form-15. Influencing factors were analyzed, and correlation analyses wereperformed.RESULTSA total of 483 elderly cancer patients successfully completed the study. The prevalence of LS and StD amongparticipants was 56.5% and 38.7%, respectively. Logistic regression analysis identified age, tumor metastasis,exercise habits, and the presence of StD as significant risk factors for LS in elderly cancer patients. Additionally,having three or more chronic diseases and LS were significant predictors for developing StD. Spearman’s correlationanalysis revealed a significant positive correlation between LS and StD (r = 0.424, P < 0.001).CONCLUSIONElderly cancer patients exhibit a high prevalence of LS and StD, conditions which are positively correlated andmutually influential. Thus, it is critical to monitor and address pre-depressive states while evaluating and managingmotor function in this population.展开更多
Tunnel surrounding rock(TSR)deformation exhibits time-and space-dependent behavior,making it challenging for a single prediction model to capture these characteristics over extended periods.Utilizing 8 years of TSR de...Tunnel surrounding rock(TSR)deformation exhibits time-and space-dependent behavior,making it challenging for a single prediction model to capture these characteristics over extended periods.Utilizing 8 years of TSR deformation data from the Beishan exploration tunnel(BET)test platform,the metaheuristic algorithm crested porcupine optimizer(CPO)was applied for the first time to optimize the time series of TSR deformation,and an integrated model incorporating convolutional neural network(CNN),long short-term memory network(LSTM),and attention mechanism(ATT)was proposed.This model integrates the strong feature extraction capabilities of CNN,the superior sequence prediction performance of LSTM,and the effective attention mechanism of ATT.The results show that during blasting excavation,the internal displacement of TSR exhibits a stepwise change pattern.After excavation,the internal displacement enters a phase of gradual increase,ultimately reaching a stable convergence stage.The CPO-CNN-LSTM-ATT(CPO-CLA)integrated model demonstrated excellent predictive accuracy and stability across various evaluation metrics,achieving a determination coefficient(R2)of 0.985.Compared to the CNN-LSTM-ATT(CLA)model,the CPO-CLA model showed a 14.1%increase in R2,a 61.5%decrease in root mean square error(RMSE),and a 72.9%decrease in mean absolute error(MAE).In comparison with current mainstream metaheuristic integrated models,the CPO-CLA model is better suited for predicting long-term TSR deformation.It offers high computational efficiency,accurate predictions,and expertise in optimizing large datasets.展开更多
Prostate cancer is the second most common cancer in men,accounting for 14.1%of new cancer cases in 2020.The aggressiveness of prostate cancer is highly variable,depending on its grade and stage at the time of diagnosi...Prostate cancer is the second most common cancer in men,accounting for 14.1%of new cancer cases in 2020.The aggressiveness of prostate cancer is highly variable,depending on its grade and stage at the time of diagnosis.Despite recent advances in prostate cancer treatment,some patients still experience recurrence or even progression after undergoing radical treatment.Accurate initial staging and monitoring for recurrence determine patient management,which in turn affect patient prognosis and survival.Classical imaging has limitations in the diagnosis and treatment of prostate cancer,but the use of novel molecular probes has improved the detection rate,specificity,and accuracy of prostate cancer detection.Molecular probe-based imaging modalities allow the visualization and quantitative measurement of biological processes at the molecular and cellular levels in living systems.An increased understanding of tumor biology of prostate cancer and the discovery of new tumor biomarkers have allowed the exploration of additional molecular probe targets.The development of novel ligands and advances in nano-based delivery technologies have accelerated the research and development of molecular probes.Here,we summarize the use of molecular probes in positron emission tomography(PET),single-photon emission computed tomography(SPECT),magnetic resonance imaging(MRI),optical imaging,and ultrasound imaging,and provide a brief overview of important target molecules in prostate cancer.展开更多
Although manganese-based oxide is regarded as a promising cathode material for zincion hybrid supercapacitors(ZHSCs),its practical application is hindered by slow zinc ion diffusion and the instability of MnO_(2).To o...Although manganese-based oxide is regarded as a promising cathode material for zincion hybrid supercapacitors(ZHSCs),its practical application is hindered by slow zinc ion diffusion and the instability of MnO_(2).To overcome this obstacle,a δ-MnO_(2)/MXene heterostructure was created using a simple one-step process under gentle condition.The ZHSC was assembled using this heterostructure as the cathode,activated carbon(AC)as the anode and 2 mol·L−1 ZnSO_(4) as the electrolyte.The resultingδ-MnO_(2)/MXene//ZnSO4//AC ZHSC shows a maximum specific capacitance of 97.4 F·g^(−1) and an energy density of 32.27 Wh·kg^(−1) at the best cathode-to-anode mass ratio.Ex situ characterizations reveal the reversible energy storage mechanism combing Zn^(2+)insertion/extraction in the cathode,ion adsorption and desorption on the anode surface,and partial reversible formation and dissolution of Zn_(4)SO_(4)(OH)_(6)·5H_(2)O(ZHS)components on both electrodes.Adding of Mn^(2+)to the electrolyte reduced Mn dissolution,improving the ZHSC’s specific capacitance and energy density to 140.4 F·g^(−1) and 49.36 Wh·kg^(−1),respectively,while also enhancing its rate performance and cyclability.The improved electrochemical reaction kinetics was verified through various tests.The results suggest that the δ-MnO_(2)/MXene heterostructure has great potential as a high-performance cathode material for ZHSCs.展开更多
The wrist joint is a highly mobile functional joint.Wrist conditions including traumatic and degenerative arthritis,rheumatoid arthritis,and giant cell tumors of the distal radius,cause significant pain and mobility i...The wrist joint is a highly mobile functional joint.Wrist conditions including traumatic and degenerative arthritis,rheumatoid arthritis,and giant cell tumors of the distal radius,cause significant pain and mobility impairment.In joint surgery,the decision to use joint prostheses to reconstruct joint function is greatly in-fluenced by the characteristics of the prosthesis(Mok et al.,2016).However,traditional implants have limi-tations such as shape mismatch,inadequate implant-bone interface strength which causes loosening,and poor bone ingrowth(Zhang et al.,2014)展开更多
文摘Objectives: To summarize the characteristics and research progress of influenza-associated brain complications in children and provide references for early diagnosis and brain protection treatment. Methods: Studied published articles of influenza-associated neurocomplications in children from PubMed and summarizes them from epidemiology, clinical manifestations, diagnosis and treatment, and basic research progress. Results: Common brain complications in flu-children include febrile seizures, influenza-associated encephalopathy (IAE), acute or post-influenza encephalitis, and the most severe condition is acute necrotizing encephalopathy (ANE). However, the mechanism and relevant factors of influenza-associated brain damage have not been elucidated. Conclusion: Influenza could be accompanied by various brain lesion complications in dif ferent stages of the disease, some of which are life-threatening or leave severe neurological sequelae, such as ANE. Due to different brain injury mechanisms, specific early diagnosis and brain protection treatment for different complications are unclear or unanimous. Therefore, further classification and basic research are needed.
基金supported in part by the General Program of Natural Science Foundation of Hubei Province,China(Grant No.2020CFB548)a Project in 2021 of Science and Technology Support Plan of Guizhou Province,China(Grant No.202158413293820389).
文摘Objective:To evaluate the clinical efficacy of the preoperative digita1 design combined with three dimensional(3D)printing models to assist percutaneous kyphoplasty(PKP)treatment for thoracolumbar compression frac tures.Methods:From January 2018 to August 2020,we obtained data of 99 patients diagnosed thoracolumbar compression fractures.These patients were divided into control group(n=50)underwent traditional PKP surgery,and observation group(n=49)underwent preoperative digital design combined with 3D printing model assisted PKP treatment.The clinical efficacy was evaluated with five parameters,including operation time,number of intraoperative radiographs,visual analogue scale(VAS)score,Cobb Angle change,and high compression rate of injured vertebrae.Results:There were statistically significant differences of operation time and number of intraoperative radio graphs between the two groups(P<0.05).For VAS score,Cobb Angle change and vertebral height compression rate,all of these three parameters were significantly improved when the patients accepted surgery teatment in two groups(P<0.05).However,there were no significant differences between control group and observation group for these three parameters either before or after surgery(P>0.05).Conclusions:Through the design of preoperative surgical guide plate and the application of 3D printing model to guide the operation,the precise design of preoperative surgical puncture site and puncture Angle of the injured vertebra was realized,the number of intraoperative radiographs was reduced,the operation time was shortened and the operation efficiency was improved.
文摘BACKGROUND Functional epiphora is a clinical condition which is not due to an anatomic defect.Most studies agree that it involves the action of the orbicularis oculi muscle,particularly its deeper segment(Horner’s muscle),but the exact mechanism is not clear.AIM To evaluate the orbicularis oculi muscle in functional epiphora patients using electromyography(EMG).METHODS A total of 8 Chinese patients(16 eyes)with functional epiphora were enrolled in this study,and ten volunteers(10 eyes)were included as normal controls.Five epiphora patients(five eyes)with facial palsy served as positive controls.Quantitative EMG was performed in the deeper segment of orbicularis oculi muscle.The average duration of each EMG waveform was measured.RESULTS The average duration of EMG waveforms in the normal control group,the functional epiphora group,and the facial palsy group were 6.39±0.73 ms,9.39±1.32 ms and 11.2±1.42 ms,respectively.The duration of EMG waveforms was significantly longer in the functional epiphora group than in the normal control group(P<0.05),and shorter than that in the facial palsy group(P<0.05).CONCLUSION These data indicate the presence of neurogenic orbicularis oculi muscle damage in epiphora patients,which may be the cause of functional epiphora.The etiology of neurogenic damage in the orbicularis oculi muscle requires further investigation.
基金supported by a grant from the Science and Technology Commission of Shanghai Municipality(No.10JC1409900)National Basic Research Program of China(No.2011CB944504)the Key Project of the National Natural Science Foundation of China(No.31230048/C120101)
文摘Objective To determine the correlation between semen parameters, sperm DNA damage, progressive motility （PR）, morphology and intrauterine insemination （IUI）/ intracyto- plasmic sperm injection （ICSI） outcomes. Methods All the donors providing the samples in this study were recruited by Shang- hai Human Sperm Bank. For IUI, 122 donors were divided into group A （n=60） and group B （n=62）. Group A had a higher pregnancy rate while group B had a lower pregnancy rate （3.86 ± 1.50% vs 0.18 ± 0.52%）. For ICSI, 45 donors were divided into group C with a higher pregnancy rate （77. 78 ± 17.21%, n=23）, group D with a lower pregnancy rate （40. 73 ± 19.19%, n=22） and group E with an average preg- nancy rate in the sperm bank （48.96 ± 12.08%, n=23）. Semen analysis, morphology and DNA damage were assessed on samples retained in the sperm bank. Fresh semen samples were also collected and corresponding semen analyses data was included along with the pregnancy rates. Results No significant difference was found in the population characteristics between groups A and B, while there was a significant difference in sperm DNA fragmetation index （DFI） and morphology between the two groups （P〈0.05）, but not in other semen parameters （P〉0.05）. There was no significant difference in population characteristics between groups C, D and E while the DFI of group D was significant higher than groups C and E （P〈0.01）, but there was no significant difference in other semen parameters （P〉0.05）.Conclusion DFI might be a good predictor for IUI outcomes. Infertile couples with a high DFI should choose ICSI treatment instead of IUI. DFI should be a routine screening marker used to screen for sperm donors.
基金supported by a grant from Zhejiang Provincial Natural Science Foundation (LS21H060001)。
文摘To the Editor: Neurofibromatosis type 1(NF-1), or Von Recklinghausen disease, is a genetic disorder inherited in an autosomal dominant pattern. It is caused by a mutation in the neurofibromin gene located on chromosome 17, accounting for 96% of all neurofibromatosis cases. This condition can affect multiple systems and often leads to the formation of tumors along the nervous system [1]. Patients with NF-1 may exhibit various symptoms, including Lisch nodules, neurofibromas, scoliosis, café au lait spots, learning disabilities, vision disorders, and epilepsy.
文摘Background: To explore the early clinical features and laboratory findings of influenza-associated acute necrotizing encephalopathy (IANE). Methods: The demographics data, clinical manifestations, and laboratory indicators of cases diagnosed with IANE and influenza with febrile convulsions (FS), respectively, admitted to Guangzhou Women and Children’s Medical Center from January 2016 to January 2020 were retrospectively analyzed. Results: Among the 25 cases of IANE, there were 9 males and 16 females, aged 3 to 6 years. The mortality rate was 40.00% (10/25). Influenza virus type A in 9 cases (36.00%) and influenza virus type B in 10 cases (40.00%). The main clinical manifestations of children with IANE were acute disorders of consciousness (64.00%, 16/25) and convulsions (72.00%, 18/25), which were statistically significant when compared with the FS group (P < 0.05). Typical changes on cranial MRI of IANE were cerebral edema, typically with symmetric necrosis of the thalamus and other brain structures. Significant differences (P < 0.05) existed between the IANE and FS groups in laboratory indicators for ALT, AST, CK-MB, LDH, cerebrospinal fluid (CSF) microprotein, CSF LDH, which were above the normal reference range. In addition, logistic regression analysis showed that LDH ≥ 348.5 U/L predicted a significantly higher risk of IANE. Conclusions: Children with influenza present early with acute impairment of consciousness or convulsive seizures, or with elevated AST, ALT, CK-MB, LDH, and CSF protein and CSF LDH, especially if blood LDH is ≥348.5 U/L, should be closely evaluated and alerted to the possibility of IANE.
基金This study was funded by College Students’Scientific Research Training Program of Zhejiang A&F University(No.113-2013200148)ZAFU-Institute of Termite Control of Yuhang cooperative project(2045200485,2045200529).
文摘In worldwide,the use of chemical pesticides to protect wood has been greatly restricted.In recent years,a large number of researchers devoted to the search for natural,safe and non-polluting bioactive chemical compounds from plants as an alternative to synthetic organic chemical preservative.In Chinese folk,tung oil can be used as paint for wooden furniture to protect them from pests.This study aimed to evaluate the chemical compositions of raw and heated tung oil and their activity against termite.In choice bioassays,weight loss of wood treated with 5%raw or heated tung oil after 4 weeks was significantly less than that of the control group.In no-choice bioassays,there was a significant difference in termite survival and wood weight loss on raw and heated tung oil-treated wood.When tung oil-treatment concentrations increased to 5%,wood weight loss was less than 10%.There was no significant difference in termite survival and wood weight loss between raw and heated tung oil-treated wood.Survival of termites in both tung oil wood treatments was significantly lower than that in the starvation control after 4 weeks.Raw and heated tung oil significantly improved the resistance of pine wood to termites,and have the potential for the development of natural wood preservatives.
基金supported by the State Key Laboratory of Disaster Reduction in Civil Engineering(Grant No.SLDRCE23-02)Ningbo PublicWelfare Fund Project(Grant No.2023S100)the National Key Research and Development Program of China(Grant No.2024YFE0105800).
文摘This study investigates the mechanical response of an underground cavern subjected to cyclic high gas pressure,aiming to establish a theoretical foundation for the design of lined rock caverns(LRCs)for energy storage with high internal pressure,e.g.compressed air energy storage(CAES)underground caverns or hydrogen storage caverns.Initially,the stress paths of the surrounding rock during the excavation,pressurization,and depressurization processes are delineated.Analytical expressions for the stress and deformation of the surrounding rock are derived based on the MohreCoulomb criterion.These expressions are then employed to evaluate the displacement of cavern walls under varying qualities of surrounding rock,the contact pressure between the steel lining and the surrounding rock subject to different gas storage pressures,the load-bearing ratio of the surrounding rock,and the impact of lining thickness on the critical gas pressure.Furthermore,the deformation paths of the surrounding rock are evaluated,along with the effects of tunnel depth and diameter on residual deformation of the surrounding rock,and the critical minimum gas pressure at which the surrounding rock and the lining do not detach.The results indicate that residual deformation of the surrounding rock occurs after depressurization under higher internal pressure for higher-quality rock masses,leading to detachment between the surrounding rock and the steel lining.The findings indicate that thicker linings correspond to higher critical minimum gas pressures.However,for lower-quality surrounding rock,thicker linings correspond to lower critical minimum gas pressures.These findings will provide invaluable insights for the design of LRCs for underground energy storage caverns.
基金supported by the National Natural Science Foundation of China(Grant Nos.62322502,62131003,and 62088101)the Guangdong Province Key Laboratory of Intelligent Detection in Complex Environment of Aerospace,Land and Sea(Grant No.2022KSYS016).
文摘Existing single-pixel imaging(SPI)and sensing techniques suffer from poor reconstruction quality and heavy computation cost,limiting their widespread application.To tackle these challenges,we propose a large-scale single-pixel imaging and sensing(SPIS)technique that enables high-quality megapixel SPI and highly efficient image-free sensing with a low sampling rate.Specifically,we first scan and sample the entire scene using small-size optimized patterns to obtain information-coupled measurements.Compared with the conventional full-sized patterns,small-sized optimized patterns achieve higher imaging fidelity and sensing accuracy with 1 order of magnitude fewer pattern parameters.Next,the coupled measurements are processed through a transformer-based encoder to extract high-dimensional features,followed by a task-specific plugand-play decoder for imaging or image-free sensing.Considering that the regions with rich textures and edges are more difficult to reconstruct,we use an uncertainty-driven self-adaptive loss function to reinforce the network’s attention to these regions,thereby improving the imaging and sensing performance.Extensive experiments demonstrate that the reported technique achieves 24.13 dB megapixel SPI at a sampling rate of 3%within 1 s.In terms of sensing,it outperforms existing methods by 12%on image-free segmentation accuracy and achieves state-of-the-art image-free object detection accuracy with an order of magnitude less data bandwidth.
基金supported by the Zhejiang Provincial Medical Scientific Research Program(No.2022RC136),China.
文摘Coronavirus disease 2019(COVID-19)is a multi-system disease that can lead to various severe complications.Acute limb ischemia(ALI)has been increasingly recognized as a COVID-19-associated complication that often predicts a poor prognosis.However,the pathophysiology and molecular mechanisms underlying COVID-19-associated ALI remain poorly understood.Hypercoagulability and thrombosis are considered important mechanisms,but we also emphasize the roles of vasospasm,hypoxia,and acidosis in the pathogenesis of the disease.The angiotensin-converting enzyme 2(ACE2)pathway,inflammation,and platelet activation may be important molecular mechanisms underlying these pathological changes induced by COVID-19.Furthermore,we discuss the hypotheses of risk factors for COVID-19-associated ALI from genetic,age,and gender perspectives based on our analysis of molecular mechanisms.Additionally,we summarize therapeutic approaches such as use of the interleukin-6(IL-6)blocker tocilizumab,calcium channel blockers,and angiotensin-converting enzyme inhibitors,providing insights for the future treatment of coronavirus-associated limb ischemic diseases.
基金supported by the project of China Geological Survey(DD20243344,DD20230700702)Science and Technology Program of Chengde City(202304B047)National Research and Development Project(2022YFC3702301).
文摘Human activities are closely related to geological environments or those influenced by geological factors,which can significantly impact human health.Previous studies have predominantly focused on isolated spheres or single environmental indicators,lacking research on the multifactorial influences affecting the overall geographic environment.From the“One Health”perspective,this paper synthesizes natural environmental factors across the lithosphere,hydrosphere,atmosphere,and pedosphere,encompassing the sources,forms,concentrations,and bioavailability of chemical elements,as well as pollutants and their associations with human health.Comprehensive natural environmental factors,based on GeoHealth,are intimately connected to human health.Under the pressures of future population growth and rapid industrial development,the relationship between the global geological environment and human health will become increasingly prominent.Therefore,it is crucial to pay close attention to health-based thresholds and promptly implement pollution prevention and control measures.
文摘By comparing price plans offered by several retail energy firms,end users with smart meters and controllers may optimize their energy use cost portfolios,due to the growth of deregulated retail power markets.To help smart grid end-users decrease power payment and usage unhappiness,this article suggests a decision system based on reinforcement learning to aid with electricity price plan selection.An enhanced state-based Markov decision process(MDP)without transition probabilities simulates the decision issue.A Kernel approximate-integrated batch Q-learning approach is used to tackle the given issue.Several adjustments to the sampling and data representation are made to increase the computational and prediction performance.Using a continuous high-dimensional state space,the suggested approach can uncover the underlying characteristics of time-varying pricing schemes.Without knowing anything regarding the market environment in advance,the best decision-making policy may be learned via case studies that use data from actual historical price plans.Experiments show that the suggested decision approach may reduce cost and energy usage dissatisfaction by using user data to build an accurate prediction strategy.In this research,we look at how smart city energy planners rely on precise load forecasts.It presents a hybrid method that extracts associated characteristics to improve accuracy in residential power consumption forecasts using machine learning(ML).It is possible to measure the precision of forecasts with the use of loss functions with the RMSE.This research presents a methodology for estimating smart home energy usage in response to the growing interest in explainable artificial intelligence(XAI).Using Shapley Additive explanations(SHAP)approaches,this strategy makes it easy for consumers to comprehend their energy use trends.To predict future energy use,the study employs gradient boosting in conjunction with long short-term memory neural networks.
基金Supported by Wuxi Institute of Translational Medicine Project Program,No.LCYJ202336the Scientific and Technological Achievements Promotion Project of Wuxi Municipal Health Commission Project Program,No.T202336+1 种基金Hospital Management Innovation Research Project of Jiangsu Hospital Association,No.JSYGY-3-2024-601Jiangsu Provincial Traditional Chinese Medicine Science and Technology Development Plan Project,No.MS2024063。
文摘BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucianism and other traditional cultures,people generally adhere to the belief of“reincarnation to avoid death”,focusing more on themes of life,such as eugenics and longevity,and paying less attention to matters related to death,including death education and grief counseling.Currently,grief counseling in China is still in an exploratory stage,and there is relatively little research on the psychological status of family members of patients with terminal tumors.AIM To investigate the psychological effects of grief counseling on family members of terminal cancer patients.METHODS This study was designed as a randomized controlled trial that utilized convenience sampling to select family members of terminal tumor patients who were admitted to the hospice ward of the Affiliated Hospital of Jiangnan University from January to June 2025 as research subjects.All participants received conventional symptomatic supportive treatment and palliative care.Additionally,the intervention group benefited from extra grief counseling.RESULTS The Distress Thermometer(DT)score of the control group slightly decreased compared to before the intervention,but the difference was not statistically significant(P>0.05).In contrast,the DT score of the intervention group decreased significantly compared to before the intervention,with a statistically significant difference(P<0.05).After the intervention,the DT score of the intervention group was lower than that of the control group,and the difference was also statistically significant(P<0.05).After the intervention,the intervention group performed better DT level than the control group,with a statistically significant difference(P<0.05),the intervention group outperformed the control group in terms of depression and anxiety,and the difference was statistically significant(P<0.05).CONCLUSION Grief counseling can help alleviate the psychological pain and negative emotions experienced by family members of patients with terminal malignant tumors.
基金Supported by Wuxi Institute of Translational Medicine Project Program,No.LCYJ202336the Scientific and Technological Achievements Promotion Project of Wuxi Municipal Health Commission Project Program,No.T202336+1 种基金the Hospital Management Innovation Research Project of Jiangsu Hospital Association,No.JSYGY-3-2024-601Jiangsu Provincial Traditional Chinese Medicine Science and Technology Development Plan Project,No.MS2024063.
文摘BACKGROUND Studies have shown that locomotive syndrome(LS)is significantly correlated with adverse outcomes,such as decreased self-care abilities,fractures,and increased mortality.Subthreshold depression(StD)is considered an independent predictor of clinical depression,regarded as its prodromal stage,and even linked to increased mortality risk.Limited research has addressed the prevalence and relationship between LS and StD in elderly cancer patients.Understanding the prevalence of LS and StD among elderly cancer patients and elucidating their relationship will provide evidence to support the development of targeted interventions,thereby improving health outcomes in this population.AIM To investigate the relationship between musculoskeletal system function and predepressive states in elderly cancer patients.METHODS A convenience sampling method was employed to recruit 500 elderly cancer patients undergoing follow-up visits at the Department of Oncology,Affiliated Hospital of Jiangnan University,from April 2024 to December 2024.Participants completed the general information questionnaire, the 25-question Geriatric Locomotive Function Scale, and theGeriatric Depression Scale-Short Form-15. Influencing factors were analyzed, and correlation analyses wereperformed.RESULTSA total of 483 elderly cancer patients successfully completed the study. The prevalence of LS and StD amongparticipants was 56.5% and 38.7%, respectively. Logistic regression analysis identified age, tumor metastasis,exercise habits, and the presence of StD as significant risk factors for LS in elderly cancer patients. Additionally,having three or more chronic diseases and LS were significant predictors for developing StD. Spearman’s correlationanalysis revealed a significant positive correlation between LS and StD (r = 0.424, P < 0.001).CONCLUSIONElderly cancer patients exhibit a high prevalence of LS and StD, conditions which are positively correlated andmutually influential. Thus, it is critical to monitor and address pre-depressive states while evaluating and managingmotor function in this population.
基金supported by the China Atomic Energy Authority(CAEA)for China’s URL Development Program and the Geological Disposal Program(Grant No.FZ2105)the National Natural Science Foundation of China(Grant No.52278420).
文摘Tunnel surrounding rock(TSR)deformation exhibits time-and space-dependent behavior,making it challenging for a single prediction model to capture these characteristics over extended periods.Utilizing 8 years of TSR deformation data from the Beishan exploration tunnel(BET)test platform,the metaheuristic algorithm crested porcupine optimizer(CPO)was applied for the first time to optimize the time series of TSR deformation,and an integrated model incorporating convolutional neural network(CNN),long short-term memory network(LSTM),and attention mechanism(ATT)was proposed.This model integrates the strong feature extraction capabilities of CNN,the superior sequence prediction performance of LSTM,and the effective attention mechanism of ATT.The results show that during blasting excavation,the internal displacement of TSR exhibits a stepwise change pattern.After excavation,the internal displacement enters a phase of gradual increase,ultimately reaching a stable convergence stage.The CPO-CNN-LSTM-ATT(CPO-CLA)integrated model demonstrated excellent predictive accuracy and stability across various evaluation metrics,achieving a determination coefficient(R2)of 0.985.Compared to the CNN-LSTM-ATT(CLA)model,the CPO-CLA model showed a 14.1%increase in R2,a 61.5%decrease in root mean square error(RMSE),and a 72.9%decrease in mean absolute error(MAE).In comparison with current mainstream metaheuristic integrated models,the CPO-CLA model is better suited for predicting long-term TSR deformation.It offers high computational efficiency,accurate predictions,and expertise in optimizing large datasets.
基金supported by the Medical Health Science and Technology Project of Zhejiang Provincial Health Com-mission(No.2022RC146)the Zhejiang Provincial Natural Science Foundation of China(No.LQ22H050003).
文摘Prostate cancer is the second most common cancer in men,accounting for 14.1%of new cancer cases in 2020.The aggressiveness of prostate cancer is highly variable,depending on its grade and stage at the time of diagnosis.Despite recent advances in prostate cancer treatment,some patients still experience recurrence or even progression after undergoing radical treatment.Accurate initial staging and monitoring for recurrence determine patient management,which in turn affect patient prognosis and survival.Classical imaging has limitations in the diagnosis and treatment of prostate cancer,but the use of novel molecular probes has improved the detection rate,specificity,and accuracy of prostate cancer detection.Molecular probe-based imaging modalities allow the visualization and quantitative measurement of biological processes at the molecular and cellular levels in living systems.An increased understanding of tumor biology of prostate cancer and the discovery of new tumor biomarkers have allowed the exploration of additional molecular probe targets.The development of novel ligands and advances in nano-based delivery technologies have accelerated the research and development of molecular probes.Here,we summarize the use of molecular probes in positron emission tomography(PET),single-photon emission computed tomography(SPECT),magnetic resonance imaging(MRI),optical imaging,and ultrasound imaging,and provide a brief overview of important target molecules in prostate cancer.
基金supported by Natural Science Foundation of Ningxia Province,China(No.2023AAC05047)Special Project for the Central-Guided Local Science and Technology Development(No.2024FRD05062)+1 种基金Graduate Student Innovation Project of North Minzu University(No.YCX24102)Ningxia Science and Technology Innovation Team for Key Materials and Devices in High-Performance Secondary Batteries(No.2024CXTD003).
文摘Although manganese-based oxide is regarded as a promising cathode material for zincion hybrid supercapacitors(ZHSCs),its practical application is hindered by slow zinc ion diffusion and the instability of MnO_(2).To overcome this obstacle,a δ-MnO_(2)/MXene heterostructure was created using a simple one-step process under gentle condition.The ZHSC was assembled using this heterostructure as the cathode,activated carbon(AC)as the anode and 2 mol·L−1 ZnSO_(4) as the electrolyte.The resultingδ-MnO_(2)/MXene//ZnSO4//AC ZHSC shows a maximum specific capacitance of 97.4 F·g^(−1) and an energy density of 32.27 Wh·kg^(−1) at the best cathode-to-anode mass ratio.Ex situ characterizations reveal the reversible energy storage mechanism combing Zn^(2+)insertion/extraction in the cathode,ion adsorption and desorption on the anode surface,and partial reversible formation and dissolution of Zn_(4)SO_(4)(OH)_(6)·5H_(2)O(ZHS)components on both electrodes.Adding of Mn^(2+)to the electrolyte reduced Mn dissolution,improving the ZHSC’s specific capacitance and energy density to 140.4 F·g^(−1) and 49.36 Wh·kg^(−1),respectively,while also enhancing its rate performance and cyclability.The improved electrochemical reaction kinetics was verified through various tests.The results suggest that the δ-MnO_(2)/MXene heterostructure has great potential as a high-performance cathode material for ZHSCs.
基金supported by the Zhejiang Provincial Natural Science Foundation Academic Exchange Program(No.LS21H0600010),China.
文摘The wrist joint is a highly mobile functional joint.Wrist conditions including traumatic and degenerative arthritis,rheumatoid arthritis,and giant cell tumors of the distal radius,cause significant pain and mobility impairment.In joint surgery,the decision to use joint prostheses to reconstruct joint function is greatly in-fluenced by the characteristics of the prosthesis(Mok et al.,2016).However,traditional implants have limi-tations such as shape mismatch,inadequate implant-bone interface strength which causes loosening,and poor bone ingrowth(Zhang et al.,2014)
