Adenomyosis is a common gynecological disease characterized by the invasion of endometrial glands and stroma into the myometrium of uterus,the pathological mechanism of which remains unclear yet.Disturbed lipid metabo...Adenomyosis is a common gynecological disease characterized by the invasion of endometrial glands and stroma into the myometrium of uterus,the pathological mechanism of which remains unclear yet.Disturbed lipid metabolism extensively affects abnormal cell proliferation and invasion in various diseases.However,the lipidome signature of human myometrium,which could be crucial in the development of adenomyosis,remains unknown.In this study,we generated the first lipidome profiling of human myometrium using a high-coverage and quantitative lipidomics approach based on ultraperformance liquid chromatography(UPLC)coupled with triple quadrupole(QqQ)-mass spectrometry(MS).A total of 317 lipid species were successfully quantified in the myometrial tissues from women with(n=38)or without(n=65)adenomyosis who underwent hysterectomy at Peking Union Medical College Hospital(Bejing,China).Up to 83 lipid species showed significant alternations in content between the two groups.These lipid aberrations involved multiple metabolic pathways,and emphasized inflammation,cell migration,and immune dysregulation upon adenomyosis.Moreover,receiver operating characteristic(ROC)curve analysis found that the combination of five lipid species could accurately distinguished the myometrial samples from women with and without adenomyosis with an area under the curve(AUC)of 0.906.Desorption electrospray ionization MS imaging(MSI)further underscored the heterogeneous distributions of these lipid markers in the adenomyosis lesion and adjacent myometrial tissue.Collectively,these results extremely improved our understanding on the molecular basis of adenomyosis,and could shed light on developing potential biomarkers and new therapeutic directions for adenomyosis.展开更多
为了研究激波与亚毫米液滴相互作用过程,基于现有的实验结果,利用Fluent平台,采用VOF (Volume of Fluid)多相流模型和k-ε湍流模型,通过二维数值模拟分析了不同韦伯数(We)对亚毫米液滴变形演化过程的影响规律,通过三维数值模拟揭示了亚...为了研究激波与亚毫米液滴相互作用过程,基于现有的实验结果,利用Fluent平台,采用VOF (Volume of Fluid)多相流模型和k-ε湍流模型,通过二维数值模拟分析了不同韦伯数(We)对亚毫米液滴变形演化过程的影响规律,通过三维数值模拟揭示了亚毫米液滴爆炸式破碎机理。结果表明,韦伯数对液滴变形有促进作用,韦伯数越大,液滴在压缩变形阶段所需要的时间越短;在气动力不变的条件下,相同液滴直径条件下,马赫数越大,液滴所受的气动力越大,液滴质心位移的无量纲加速度越大,低韦伯数下液滴的横向展开速率随韦伯数增大而减小,而高韦伯数下液滴的横向展开速率随韦伯数增大而增大。数值模拟结果与对比实验结果相近,有效阐明了韦伯数对亚毫米液滴变形的作用。展开更多
The present paper describes experimental investigation on the flow pattern and hydrodynamic effect of underwater gas jets from supersonic and sonic nozzles operated in correct- and imperfect expansion conditions. The ...The present paper describes experimental investigation on the flow pattern and hydrodynamic effect of underwater gas jets from supersonic and sonic nozzles operated in correct- and imperfect expansion conditions. The flow visualizations show that jetting is the flow regime for the submerged gas injection at a high speed in the parameter range under consideration. The obtained results indicate that high-speed gas jets in still water induce large pressure pulsations upstream of the nozzle exit and the presence of shock-cell structure in the over- and under-expanded jets leads to an increase in the intensity of the jet-induced hydrodynamic pressure.展开更多
We aimed to evaluate the long-term effectiveness and safety of Burch colposuspension(BC) for stress urinary incontinence(SUI). In this prospective cohort study, 84 patients with SUI undergoing BC were enrolled from Fe...We aimed to evaluate the long-term effectiveness and safety of Burch colposuspension(BC) for stress urinary incontinence(SUI). In this prospective cohort study, 84 patients with SUI undergoing BC were enrolled from February 2004 to January 2010.Data on long-term subjective success and postoperative complications were collected at clinic visits and by telephone follow-up.During a mean follow-up period of 14.2 years, 68%(57/84) patients completed the follow-up. A total of 68.4% of patients(39/57) reported absence of SUI symptoms, 73.6%(42/57) were subjectively satisfied according to the Patient Global Impression of Improvement, and 68.4%(39/57) reported subjective success regarding urinary symptoms via the Urinary Distress Inventory Short Form. However, 28.1%(16/57) suffered at least one long-term postoperative complication and incident. Specifically, 1 in25(4.0%) sexually active patients reported dyspareunia, 3 patients(5.3%) had de novo overactive bladder, and 6 patients(10.5%)reported voiding dysfunction. Four patients(7.0%) reported new onset prolapse symptoms, and 3 patients(5.3%) underwent secondary urinary incontinence surgery. Our study indicated that Burch colposuspension is an effective procedure for SUI, and the cure effect was largely maintained for the 14-year follow-up period, with relatively low complication rates. BC should be considered a surgical option for SUI.展开更多
Although transvaginal mesh(TVM)repair is no longer used in some countries,long-term outcomes after TVM surgery are of great importance globally.However,reports with follow-up>10 years are limited.Thus,this study ai...Although transvaginal mesh(TVM)repair is no longer used in some countries,long-term outcomes after TVM surgery are of great importance globally.However,reports with follow-up>10 years are limited.Thus,this study aimed to report outcomes in a prospective cohort with at least 10 years of follow-up.Women with stageⅢ–Ⅳsymptomatic prolapse were approached consecutively from 2008 to 2013 at one tertiary hospital.The main outcome measure was symptomatic failure.Secondary outcomes included anatomic failure,recurrence,patient satisfaction,complications,and reoperation.The Kaplan-Meier curve was used to estimate the cumulative failure rate.Of the 121 patients enrolled in the study,103(85.1%)completed a median follow-up of 11 years.The estimated probability rates of symptomatic and anatomic failure were 17.6%and 8.8%in 11 years,respectively.The estimated incidence of symptomatic failure increased by 8.2%between 5 and 11 years;however,the corresponding rate for anatomic failure was 3.7%.The most common complication was vaginal mesh exposure,and its estimated probability increased from 19.3%to 28.4%from 5 to 11 years,respectively.Office trimming resolved 80.0%of vaginal exposures.These patients did not report decreased overall satisfaction.Patients with vaginal mesh exposure requiring>3 office procedures or mesh removal in the operating room(5.8%by 11 years)had lower satisfaction rates(P<0.01)and were defined as having severe mesh exposure.The rates of postoperative pain,reoperation,and Patient Global Impression of Improvement≥2 were 2.5%,3.3%,and 94.2%,respectively.The results of this study implied that TVM treatment gradually increased the symptomatic failure rate but provided durable anatomical support of the vaginal wall.Vaginal mesh exposure was common in women who were largely not sexually active;however,80%of the cases could be managed in the outpatient clinic,which did not affect patient satisfaction.展开更多
基金supported by the National High Level Hospital Clinical Research Funding,China(Grant Nos.:2022-PUMCH-A-204 and 2022-PUMCH-C-031)the National Natural Science Foundation of China(Grant No.:82274336).
文摘Adenomyosis is a common gynecological disease characterized by the invasion of endometrial glands and stroma into the myometrium of uterus,the pathological mechanism of which remains unclear yet.Disturbed lipid metabolism extensively affects abnormal cell proliferation and invasion in various diseases.However,the lipidome signature of human myometrium,which could be crucial in the development of adenomyosis,remains unknown.In this study,we generated the first lipidome profiling of human myometrium using a high-coverage and quantitative lipidomics approach based on ultraperformance liquid chromatography(UPLC)coupled with triple quadrupole(QqQ)-mass spectrometry(MS).A total of 317 lipid species were successfully quantified in the myometrial tissues from women with(n=38)or without(n=65)adenomyosis who underwent hysterectomy at Peking Union Medical College Hospital(Bejing,China).Up to 83 lipid species showed significant alternations in content between the two groups.These lipid aberrations involved multiple metabolic pathways,and emphasized inflammation,cell migration,and immune dysregulation upon adenomyosis.Moreover,receiver operating characteristic(ROC)curve analysis found that the combination of five lipid species could accurately distinguished the myometrial samples from women with and without adenomyosis with an area under the curve(AUC)of 0.906.Desorption electrospray ionization MS imaging(MSI)further underscored the heterogeneous distributions of these lipid markers in the adenomyosis lesion and adjacent myometrial tissue.Collectively,these results extremely improved our understanding on the molecular basis of adenomyosis,and could shed light on developing potential biomarkers and new therapeutic directions for adenomyosis.
文摘为了研究激波与亚毫米液滴相互作用过程,基于现有的实验结果,利用Fluent平台,采用VOF (Volume of Fluid)多相流模型和k-ε湍流模型,通过二维数值模拟分析了不同韦伯数(We)对亚毫米液滴变形演化过程的影响规律,通过三维数值模拟揭示了亚毫米液滴爆炸式破碎机理。结果表明,韦伯数对液滴变形有促进作用,韦伯数越大,液滴在压缩变形阶段所需要的时间越短;在气动力不变的条件下,相同液滴直径条件下,马赫数越大,液滴所受的气动力越大,液滴质心位移的无量纲加速度越大,低韦伯数下液滴的横向展开速率随韦伯数增大而减小,而高韦伯数下液滴的横向展开速率随韦伯数增大而增大。数值模拟结果与对比实验结果相近,有效阐明了韦伯数对亚毫米液滴变形的作用。
文摘The present paper describes experimental investigation on the flow pattern and hydrodynamic effect of underwater gas jets from supersonic and sonic nozzles operated in correct- and imperfect expansion conditions. The flow visualizations show that jetting is the flow regime for the submerged gas injection at a high speed in the parameter range under consideration. The obtained results indicate that high-speed gas jets in still water induce large pressure pulsations upstream of the nozzle exit and the presence of shock-cell structure in the over- and under-expanded jets leads to an increase in the intensity of the jet-induced hydrodynamic pressure.
基金supported by the National Natural Science Foundation of China (81830043 and 81771561)the National Key Research and Development Program of China (2018YFC2002201)。
文摘We aimed to evaluate the long-term effectiveness and safety of Burch colposuspension(BC) for stress urinary incontinence(SUI). In this prospective cohort study, 84 patients with SUI undergoing BC were enrolled from February 2004 to January 2010.Data on long-term subjective success and postoperative complications were collected at clinic visits and by telephone follow-up.During a mean follow-up period of 14.2 years, 68%(57/84) patients completed the follow-up. A total of 68.4% of patients(39/57) reported absence of SUI symptoms, 73.6%(42/57) were subjectively satisfied according to the Patient Global Impression of Improvement, and 68.4%(39/57) reported subjective success regarding urinary symptoms via the Urinary Distress Inventory Short Form. However, 28.1%(16/57) suffered at least one long-term postoperative complication and incident. Specifically, 1 in25(4.0%) sexually active patients reported dyspareunia, 3 patients(5.3%) had de novo overactive bladder, and 6 patients(10.5%)reported voiding dysfunction. Four patients(7.0%) reported new onset prolapse symptoms, and 3 patients(5.3%) underwent secondary urinary incontinence surgery. Our study indicated that Burch colposuspension is an effective procedure for SUI, and the cure effect was largely maintained for the 14-year follow-up period, with relatively low complication rates. BC should be considered a surgical option for SUI.
基金supported by the National Natural Science Foundation of China(81830043,81771561)the National High Level Hospital Clinical Research Funding(2022-PUMCH-A-113,2022-PUMCH-C-031)+1 种基金the National Key Research and Development Program of China(2018YFC2002201)the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences(2020-PT320-003)。
文摘Although transvaginal mesh(TVM)repair is no longer used in some countries,long-term outcomes after TVM surgery are of great importance globally.However,reports with follow-up>10 years are limited.Thus,this study aimed to report outcomes in a prospective cohort with at least 10 years of follow-up.Women with stageⅢ–Ⅳsymptomatic prolapse were approached consecutively from 2008 to 2013 at one tertiary hospital.The main outcome measure was symptomatic failure.Secondary outcomes included anatomic failure,recurrence,patient satisfaction,complications,and reoperation.The Kaplan-Meier curve was used to estimate the cumulative failure rate.Of the 121 patients enrolled in the study,103(85.1%)completed a median follow-up of 11 years.The estimated probability rates of symptomatic and anatomic failure were 17.6%and 8.8%in 11 years,respectively.The estimated incidence of symptomatic failure increased by 8.2%between 5 and 11 years;however,the corresponding rate for anatomic failure was 3.7%.The most common complication was vaginal mesh exposure,and its estimated probability increased from 19.3%to 28.4%from 5 to 11 years,respectively.Office trimming resolved 80.0%of vaginal exposures.These patients did not report decreased overall satisfaction.Patients with vaginal mesh exposure requiring>3 office procedures or mesh removal in the operating room(5.8%by 11 years)had lower satisfaction rates(P<0.01)and were defined as having severe mesh exposure.The rates of postoperative pain,reoperation,and Patient Global Impression of Improvement≥2 were 2.5%,3.3%,and 94.2%,respectively.The results of this study implied that TVM treatment gradually increased the symptomatic failure rate but provided durable anatomical support of the vaginal wall.Vaginal mesh exposure was common in women who were largely not sexually active;however,80%of the cases could be managed in the outpatient clinic,which did not affect patient satisfaction.
