BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)is an effective intervention for managing complications of portal hypertension,particularly acute variceal bleeding(AVB).While effective in reducing portal...BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)is an effective intervention for managing complications of portal hypertension,particularly acute variceal bleeding(AVB).While effective in reducing portal pressure and preventing rebleeding,TIPS is associated with a considerable risk of overt hepatic encephalopathy(OHE),a complication that significantly elevates mortality rates.AIM To develop a machine learning(ML)model to predict OHE occurrence post-TIPS in patients with AVB using a 5-year dataset.METHODS This retrospective single-center study included 218 patients with AVB who underwent TIPS.The dataset was divided into training(70%)and testing(30%)sets.Critical features were identified using embedded methods and recursive feature elimination.Three ML algorithms-random forest,extreme gradient boosting,and logistic regression-were validated via 10-fold cross-validation.SHapley Additive exPlanations analysis was employed to interpret the model’s predictions.Survival analysis was conducted using Kaplan-Meier curves and stepwise Cox regression analysis to compare overall survival(OS)between patients with and without OHE.RESULTS The median OS of the study cohort was 47.83±22.95 months.Among the models evaluated,logistic regression demonstrated the highest performance with an area under the curve(AUC)of 0.825.Key predictors identified were Child-Pugh score,age,and portal vein thrombosis.Kaplan-Meier analysis revealed that patients without OHE had a significantly longer OS(P=0.005).The 5-year survival rate was 78.4%,with an OHE incidence of 15.1%.Both actual OHE status and predicted OHE value were significant predictors in each Cox model,with model-predicted OHE achieving an AUC of 88.1 in survival prediction.CONCLUSION The ML model accurately predicts post-TIPS OHE and outperforms traditional models,supporting its use in improving outcomes in patients with AVB.展开更多
The Görtler vortex is a characteristic flow feature observed in the boundary layer on compression ramp in hypersonic flow.In the context of high-enthalpy plasma flows during aerospace re-entry processes,there is ...The Görtler vortex is a characteristic flow feature observed in the boundary layer on compression ramp in hypersonic flow.In the context of high-enthalpy plasma flows during aerospace re-entry processes,there is currently a lack of effective means to visualize the boundary layer.In this study,the Nitric Oxide Planar Laser-Induced Fluorescence(NO-PLIF)technique was employed to visualize the boundary layer of a compression ramp in a 50-MW arc-heated plasma wind tunnel.Görtler-like vortex structures were observed in the boundary layer of the ramp.This is the first time that Görtler vortices have been clearly observed in a high-enthalpy plasma flow.By varying the flow conditions,the Görtler vortices persisted in the boundary layer of the ramp when the total enthalpy of the arc-heated wind tunnel exceeded 12.3 MJ/kg.Several image processing techniques were applied to extract the structure of high-speed Görtler streaks,and the position of the high-speed streaks was found to be non-fixed,whereas the average Görtler wavelength remained at approximately 30 mm at a 10°ramp and showed limited variation with the total enthalpy.Additionally,a sheet-forming optics system with an adjustable angle and height was designed to enable visualization of the Görtler vortices in the boundary layer of the ramp at different angles and heights.The vortices on the low-angle ramp exhibited better stability and shorter wavelengths.Visualization results at different heights confirmed that the Görtler vortex wavelength was approximately twice the boundary layer thickness.This study demonstrates the feasibility and potential of the PLIF technique for the visualization of the boundary layer in plasma flows,especially with regard to Görtler vortices.展开更多
With the development of urban infrastructure,it is inevitable that shield tunnels will undercross intercity railways.However,the safe operation of intercity railways requires strict subgrade deformation.On the basis o...With the development of urban infrastructure,it is inevitable that shield tunnels will undercross intercity railways.However,the safe operation of intercity railways requires strict subgrade deformation.On the basis of the engineering background of the Lianghu Tunnel in Wuhan,the three-dimensional centrifuge test and numerical back analysis were used to study the development of subgrade surface settlement during shield tunneling.A three-dimensional numerical model with the same size as the prototype was subsequently established to further study the settlement development and torsion behavior of the subgrade during tunnel excavation.The results show that the maximum settlement point of the transverse settlement trough gradually moves to the tunnel axis during tunnel excavation and that the entire subgrade experiences torsional deformation.Moreover,the effect of the intersection angle between the axes of the tunnel and the subgrade on the surface settlement of the subgrade was further studied.The results show that the intersection angle has no effect on the maximum settlement,but the width of the settlement trough increases gradually with increasing angle.Finally,on the basis of the soil arching effect caused by tunnel excavation,the subgrade settlement during tunnel excavation is reduced by reinforcing the soil in different zones of soil arching.The results show that the settlement of the subgrade caused by the shield tunnel can be effectively controlled by adding reinforcement directly to the top of the tunnel,and the maximum settlement of the subgrade surface is reduced from 24.41 mm to 9.47 mm,a reduction of approximately 61.2%.展开更多
In clinical settings,regenerating critical-sized calvarial bone defects presents substantial problems owing to the intricacy of surgical methods,restricted bone growth medications,and a scarcity of commercial bone gra...In clinical settings,regenerating critical-sized calvarial bone defects presents substantial problems owing to the intricacy of surgical methods,restricted bone growth medications,and a scarcity of commercial bone grafts.To treat this life-threatening issue,improved biofunctional grafts capable of properly healing critical-sized bone defects are required.In this study,we effectively created anti-fracture hydrogel systems using spongy-like metal-organic(magnesium-phosphate)coordinated chitosan-modified injectable hydrogels(CPMg)loaded with a bioinspired neobavaisoflavone(NBF)component.The CPMg-NBF hydrogels showed outstanding anti-fracture capabilities during compression testing and retained exceptional mechanical stability even after 28 d of immersion in phosphatebuffered saline.They also demonstrated prolonged and stable release profiles of Mg^(2+)and NBF.Importantly,CPMg-NBF hydrogels revealed robust biphasic mineralization and were non-toxic to MC3T3-E1 cells.To better understand the underlying mechanism of Mg^(2+)and NBF component,as well as their synergistic effect on osteogenesis,we investigated the expression of key osteogenic proteins in the p38 MAPK and NOTCH pathways.Our results showed that CPMg-NBF hydrogels greatly increased the expression of osteogenic proteins(Runx2,OCN,OPN,BMPS and ALP).In vivo experiments showed that the implantation of CPMg-NBF hydrogels resulted in a significant increase in new bone growth within critical-sized calvarial defects.Based on these findings,we expect that the CPMg-NBF supramolecular hydrogel has tremendous promise for use as a therapeutic biomaterial for treating critical-sized calvarial defects.展开更多
In this work,the phase structure of a holographic s+d model with quartic potential terms from 4D Einstein–Gauss–Bonnet gravity is studied in the probe limit.We first show the qd-μphase diagram with a very small val...In this work,the phase structure of a holographic s+d model with quartic potential terms from 4D Einstein–Gauss–Bonnet gravity is studied in the probe limit.We first show the qd-μphase diagram with a very small value of the Gauss–Bonnet coefficientα=1×10-7and in the absence of the quartic terms to locate the suitable choice of the value of qd,where the system admits coexistent s+d solutions.Then we consider the various values of the Gauss–Bonnet coefficientαand present theα-μphase diagram to show the influence of the Gauss–Bonnet term on the phase structure.We also give an example of the re-entrant phase transition which is also realized in the holographic s+s and s+p models.After that we confirm the universality of the influence of the quartic term with coefficientλdon the d-wave solutions,which is similar to the case of s-wave and p-wave solutions previously studied in the s+p model.Finally we give the dependence of the special values of the quartic term coefficientλdon the Gauss–Bonnet coefficientα,below which the d-wave condensate grows to an opposite direction at the(quasi-)critical point,which is useful in realizing first order phase transitions in further studies of the holographic d-wave superfluids.展开更多
BACKGROUND The early diagnosis rate of esophageal cancer(EC),one of the most prevalent digestive tract cancers worldwide,remains low.AIM To investigate the utility of plasma SHOX2,SEPTIN9,EPO,and RNF180 methylation in...BACKGROUND The early diagnosis rate of esophageal cancer(EC),one of the most prevalent digestive tract cancers worldwide,remains low.AIM To investigate the utility of plasma SHOX2,SEPTIN9,EPO,and RNF180 methylation in the clinical diagnosis and monitoring of EC.Plasma samples were collected from 210 patients at Hubei Cancer Hospital,and TaqMan polymerase chain reaction was employed to detect plasma SHOX2,SEPTIN9,RNF180,and EPO methylation.The area under the curve was used to estimate their diagnostic value for EC.Cox and logistic regression analyses were used to estimate the independent screening risk factors for patients with EC.RESULTS The sensitivity and specificity of combined assessment of plasma SHOX2,SEPTIN9,RNF180,and EPO methylation for adenocarcinoma,squamous cell carcinoma(SCC),and EC detection were 66.67%and 86.27%,77.40%and 85.29%,and 76.19%and 86.27%,respectively;the area under the curve values for diagnosing adenocarcinoma,SCC,and EC were 0.737[95%confidence interval(CI):0.584–0.89],0.824(95%CI:0.775–0.891),and 0.864(95%CI:0.809–0.92),respectively.CONCLUSION According to our findings,plasma SHOX2,SEPTIN9,RNF180,and EPO methylation exhibits appreciated sensitivity for diagnosing EC.The precise measurement of plasma SHOX2,SEPTIN9,RNF180,and EPO methylation can improve EC diagnosis and therapy efficacy monitoring.展开更多
BACKGROUND The recurrence rate of liver cancer after surgery is high.Radiofrequency ablation(RFA)combined with transcatheter arterial chemoembolization(TACE)is an effective treatment for liver cancer;however,its effic...BACKGROUND The recurrence rate of liver cancer after surgery is high.Radiofrequency ablation(RFA)combined with transcatheter arterial chemoembolization(TACE)is an effective treatment for liver cancer;however,its efficacy in recurrent liver cancer remains unclear.AIM To investigate the clinical effect of TACE combined with RFA in the treatment of recurrent liver cancer.METHODS Ninety patients with recurrent liver cancer were divided into 2 groups according to treatment plan:Control(RFA alone);and experimental[TACE combined with RFA(TACE+RFA)].The incidence of increased alanine aminotransferase levels,complications,and other indices were compared between the two groups before and after the procedures.RESULTS One month after the procedures,the short-term efficacy rate and Karnofsky Performance Status scores of the experimental group were significantly higher than those of the control group(P<0.05).Alpha-fetoprotein(AFP)and total bilirubin levels were lower than those in the control group(P<0.05);The overall response rate was 82.22%and 66.67%in the experimental and control groups,respectively;The disease control rate was 93.33%and 82.22%in the experimental and control groups,respectively,the differences are statistically significant(P<0.05).And there were no statistical differences in complications between the two groups(P>0.05).CONCLUSION TACE+RFA was effective for the treatment of recurrent liver cancer and significantly reduced AFP levels and improved various indices of liver function.展开更多
Unraveling the lineage relationships of all descendants from a zygote is fundamental to advancing our understanding of developmental and stem cell biology.However,existing cell barcoding technologies in zebrafish lack...Unraveling the lineage relationships of all descendants from a zygote is fundamental to advancing our understanding of developmental and stem cell biology.However,existing cell barcoding technologies in zebrafish lack the resolution to capture the majority of cell divisions during embryogenesis.A recently developed method,a substitution mutation-aided lineage-tracing system(SMALT),successfully reconstructed high-resolution cell phylogenetic trees for Drosophila melanogaster.Here,we implement the SMALT system in zebrafish,recording a median of 14 substitution mutations on a one-kilobase-pair barcoding sequence for one-day post-fertilization embryos.Leveraging this system,we reconstruct four cell lineage trees for zebrafish fin cells,encompassing both original and regenerated fin.Each tree consists of hundreds of internal nodes with a median bootstrap support of 99%.Analysis of the obtained cell lineage trees reveals that regenerated fin cells mainly originate from cells in the same part of the fins.Through multiple times sampling germ cells from the same individual,we show the stability of the germ cell pool and the early separation of germ cell and somatic cell progenitors.Our system offers the potential for reconstructing high-quality cell phylogenies across diverse tissues,providing valuable insights into development and disease in zebrafish.展开更多
Underwater image enhancement aims to restore a clean appearance and thus improves the quality of underwater degraded images.Current methods feed the whole image directly into the model for enhancement.However,they ign...Underwater image enhancement aims to restore a clean appearance and thus improves the quality of underwater degraded images.Current methods feed the whole image directly into the model for enhancement.However,they ignored that the R,G and B channels of underwater degraded images present varied degrees of degradation,due to the selective absorption for the light.To address this issue,we propose an unsupervised multi-expert learning model by considering the enhancement of each color channel.Specifically,an unsupervised architecture based on generative adversarial network is employed to alleviate the need for paired underwater images.Based on this,we design a generator,including a multi-expert encoder,a feature fusion module and a feature fusion-guided decoder,to generate the clear underwater image.Accordingly,a multi-expert discriminator is proposed to verify the authenticity of the R,G and B channels,respectively.In addition,content perceptual loss and edge loss are introduced into the loss function to further improve the content and details of the enhanced images.Extensive experiments on public datasets demonstrate that our method achieves more pleasing results in vision quality.Various metrics(PSNR,SSIM,UIQM and UCIQE) evaluated on our enhanced images have been improved obviously.展开更多
BACKGROUND Despite significant advancements in the medical treatment of primary hepato-cellular carcinoma(PHC)in recent years,enhancing therapeutic effects and im-proving prognosis remain substantial challenges worldw...BACKGROUND Despite significant advancements in the medical treatment of primary hepato-cellular carcinoma(PHC)in recent years,enhancing therapeutic effects and im-proving prognosis remain substantial challenges worldwide.AIM To investigate the expression levels of serum vascular endothelial growth factor(VEGF)and interleukin(IL)-17 in patients with PHC and evaluate their diagnostic value while exploring their relationship with patients’clinical characteristics.METHODS The study included 50 patients with confirmed PHC who visited Wuhan Han-yang Hospital from January 2021 to January 2022,and 50 healthy individuals from the same period served as the control group.Serum VEGF and IL-17 levels in both groups were measured by Enzyme-Linked Immunosorbent Assay,and their diagnostic value was assessed using receiver operating characteristic(ROC)curves.Pearson correlation analysis was performed to examine the relationship between serum VEGF and IL-17 levels.Pathological data of the PHC patients were analyzed to determine the relationship between serum VEGF and IL-17 levels and pathological characteristics.RESULTS Serum VEGF and IL-17 levels were significantly higher in the study group com-pared to the control group(P<0.05).No significant association was observed between serum VEGF and IL-17 levels and gender,age,combined cirrhosis,tumor diameter,or degree of differentiation(P>0.05).However,there was a significant relationship between clinical TNM stage,tumor metastasis,and serum VEGF and IL-17 levels(P<0.05).Correlation analysis revealed a positive correlation between serum VEGF and IL-17(P<0.05).ROC analysis demonstrated that both serum VEGF and IL-17 had good diagnostic efficacy for PHC.CONCLUSION Serum VEGF and IL-17 levels were significantly higher in PHC patients compared to healthy individuals.Their levels were closely related to pathological features such as tumor metastasis and clinical TNM stage,and there was a significant positive correlation between VEGF and IL-17.These biomarkers may serve as valuable reference in-dicators for the early diagnosis and treatment guidance of PHC.展开更多
Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection often leads to pulmonary complications.Cardiovascular sequelae,including myocarditis and heart failure,have also been reported.Here,the study presen...Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection often leads to pulmonary complications.Cardiovascular sequelae,including myocarditis and heart failure,have also been reported.Here,the study presents two fulminant myocarditis cases infected by SARS-CoV-2 exhibiting remarkable elevation of cardiac biomarkers without significant pulmonary injury,as determined by imaging examinations.Immunohistochemical staining reveals the viral antigen within cardiomyocytes,indicating that SARSCoV-2 could directly infect the myocardium.The full viral genomes from respiratory,anal,and myocardial specimens are obtained via next-generation sequencing.Phylogenetic analyses of the whole genome and spike gene indicate that viruses in the myocardium/pericardial effusion and anal swabs are closely related and cluster together yet diverge from those in the respiratory samples.In addition,unique mutations are found in the anal/myocardial strains compared to the respiratory strains,suggesting tissue-specific virus mutation and adaptation.These findings indicate genetically distinct SARS-CoV-2 variants have infiltrated and disseminated within myocardial tissues,independent of pulmonary injury,and point to different infection routes between the myocardium and respiratory tract,with myocardial infections potentially arising from intestinal infection.These findings highlight the potential for systemic SARS-CoV-2 infection and the importance of a thorough multi-organ assessment in patients for a comprehensive understanding of thepathogenesisof COVID-19.展开更多
Exploring novel two-dimensional(2D)valleytronic materials has an essential impact on the design of spintronic and valleytronic devices.Our first principles calculation results reveal that the Janus SWSiX_(2)(X=N,P,As)...Exploring novel two-dimensional(2D)valleytronic materials has an essential impact on the design of spintronic and valleytronic devices.Our first principles calculation results reveal that the Janus SWSiX_(2)(X=N,P,As)monolayer has excellent dynamical and thermal stability.Owing to strong spin–orbit coupling(SOC),the SWSiX_(2)monolayer exhibits a valence band spin splitting of up to 0.49 eV,making it promising 2D semiconductor for valleytronic applications.The opposite Berry curvatures and optical selection rules lead to the coexistence of valley and spin Hall effects in the SWSiX2 monolayer.Moreover,the optical transition energies can be remarkably modulated by the in-plane strains.Large tensile(compressive)in-plane strains can achieve spin flipping in the SWSiN2 monolayer,and induce both SWSiP_(2)and SWSiAs_(2)monolayers transit from semiconductor to metal.Our research provides new 2D semiconductor candidates for designing high-performance valleytronic devices.展开更多
Objective:This study aims to explore the prevalence,features,and risk factors of lower respiratory tract infections(LRTIs)in the intensive care unit(ICU)of a newly established hospital in Zunyi City.The goal is to dev...Objective:This study aims to explore the prevalence,features,and risk factors of lower respiratory tract infections(LRTIs)in the intensive care unit(ICU)of a newly established hospital in Zunyi City.The goal is to devise strategies for preventing LRTIs in the ICU of new hospitals,thereby mitigating the incidence of nosocomial LRTIs in ICU patients.Methods:A case-control study was conducted from March 2019 to December 2022 to investigate the incidence rate of LRTIs in the ICU of a newly constructed hospital in Zunyi City.Patients with LRTIs constituted the case group,while those without LRTIs constituted the control group,where a 1:1 matching principle was adhered to.A single-factor chi-square(χ2)test was employed to analyze the risk factors,with independent risk factors being explored using a multivariate logistic regression analysis.Results:A total of 169 strains of pathogenic bacteria were isolated,comprising 66.28%gram-negative bacteria,17.75%gram-positive bacteria,and 15.97%fungi.The most prevalent pathogens included Acinetobacter baumannii(43.20%),Candida albicans(10.65%),and Pseudomonas aeruginosa(8.88%).Of the 82 strains infected by multidrug-resistant bacteria in patients with LRTIs,81.7%were carbapenem-resistant Acinetobacter baumannii,9.8%were multidrug-resistant Pseudomonas aeruginosa,and 6.1%were carbapenem-resistant Escherichia coli.Identified risk factors included smoking history,total hospitalization days,ICU stay length,hypoproteinemia,indwelling gastric tube,intubation type,duration of mechanical ventilation,usage of antibacterial drugs,and administration of protein drugs(P<0.05).Multivariate logistic regression analysis demonstrated that these factors were independent risk factors for nosocomial LRTIs in ICU patients(P<0.05).Conclusion:ICU patients in our hospital were mainly infected by carbapenem-resistant Acinetobacter baumannii.To prevent LRTIs in patients,tailored preventive measures should be developed and the rational use of antibacterial drugs should be promoted.展开更多
Objective： To study the mechanisms in gambogic acid （GA） -induced JeKo-1 human Mantle Cell Lymphoma cell apoptosis in vitro. Methods： The proliferation of GA-treated JeKo-1 cells was measured by CCK-8 assay and Ki...Objective： To study the mechanisms in gambogic acid （GA） -induced JeKo-1 human Mantle Cell Lymphoma cell apoptosis in vitro. Methods： The proliferation of GA-treated JeKo-1 cells was measured by CCK-8 assay and Ki-67 immunocytochemical detection. Apopt0sis, cell cycle and mitochondrial membrane potential were measured by flow cytometric analysis. Caspase-3, -8 and -9 were detected by colorimetric assay. Bcl-2 and Bax were analyzed by Western blotting. Results： GA inhibited cell growth in a time- and dose- dependent manner. GA induces apoptosis in JeKo- 1 cells but not in normal bone marrow cells, which was involved in reducing the membrane potential of mitochondria, activating caspases-3, -8 and -9 and decreasing the ratio of Bd-2 and Bax without cell cycle arresting. Conclusions： GA induced apoptosis in human MCL JeKo-1 cells by regulating Bcl-2/Bax and activating caspase-3, -8 and -9 via mitochondrial pathway without affecting cell cycle.展开更多
基金Natural Science Foundation of Guangdong Province,No.2024A1515013069.
文摘BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)is an effective intervention for managing complications of portal hypertension,particularly acute variceal bleeding(AVB).While effective in reducing portal pressure and preventing rebleeding,TIPS is associated with a considerable risk of overt hepatic encephalopathy(OHE),a complication that significantly elevates mortality rates.AIM To develop a machine learning(ML)model to predict OHE occurrence post-TIPS in patients with AVB using a 5-year dataset.METHODS This retrospective single-center study included 218 patients with AVB who underwent TIPS.The dataset was divided into training(70%)and testing(30%)sets.Critical features were identified using embedded methods and recursive feature elimination.Three ML algorithms-random forest,extreme gradient boosting,and logistic regression-were validated via 10-fold cross-validation.SHapley Additive exPlanations analysis was employed to interpret the model’s predictions.Survival analysis was conducted using Kaplan-Meier curves and stepwise Cox regression analysis to compare overall survival(OS)between patients with and without OHE.RESULTS The median OS of the study cohort was 47.83±22.95 months.Among the models evaluated,logistic regression demonstrated the highest performance with an area under the curve(AUC)of 0.825.Key predictors identified were Child-Pugh score,age,and portal vein thrombosis.Kaplan-Meier analysis revealed that patients without OHE had a significantly longer OS(P=0.005).The 5-year survival rate was 78.4%,with an OHE incidence of 15.1%.Both actual OHE status and predicted OHE value were significant predictors in each Cox model,with model-predicted OHE achieving an AUC of 88.1 in survival prediction.CONCLUSION The ML model accurately predicts post-TIPS OHE and outperforms traditional models,supporting its use in improving outcomes in patients with AVB.
基金supported by the National Natural Science Foundation of China(Nos.62175053,62305087)。
文摘The Görtler vortex is a characteristic flow feature observed in the boundary layer on compression ramp in hypersonic flow.In the context of high-enthalpy plasma flows during aerospace re-entry processes,there is currently a lack of effective means to visualize the boundary layer.In this study,the Nitric Oxide Planar Laser-Induced Fluorescence(NO-PLIF)technique was employed to visualize the boundary layer of a compression ramp in a 50-MW arc-heated plasma wind tunnel.Görtler-like vortex structures were observed in the boundary layer of the ramp.This is the first time that Görtler vortices have been clearly observed in a high-enthalpy plasma flow.By varying the flow conditions,the Görtler vortices persisted in the boundary layer of the ramp when the total enthalpy of the arc-heated wind tunnel exceeded 12.3 MJ/kg.Several image processing techniques were applied to extract the structure of high-speed Görtler streaks,and the position of the high-speed streaks was found to be non-fixed,whereas the average Görtler wavelength remained at approximately 30 mm at a 10°ramp and showed limited variation with the total enthalpy.Additionally,a sheet-forming optics system with an adjustable angle and height was designed to enable visualization of the Görtler vortices in the boundary layer of the ramp at different angles and heights.The vortices on the low-angle ramp exhibited better stability and shorter wavelengths.Visualization results at different heights confirmed that the Görtler vortex wavelength was approximately twice the boundary layer thickness.This study demonstrates the feasibility and potential of the PLIF technique for the visualization of the boundary layer in plasma flows,especially with regard to Görtler vortices.
基金funding support from the National Natural Science Foundation of China(Grant Nos.52208355and 52378308)Shenzhen University's 2035 Program for Excellent Research(Grant No.00000219).
文摘With the development of urban infrastructure,it is inevitable that shield tunnels will undercross intercity railways.However,the safe operation of intercity railways requires strict subgrade deformation.On the basis of the engineering background of the Lianghu Tunnel in Wuhan,the three-dimensional centrifuge test and numerical back analysis were used to study the development of subgrade surface settlement during shield tunneling.A three-dimensional numerical model with the same size as the prototype was subsequently established to further study the settlement development and torsion behavior of the subgrade during tunnel excavation.The results show that the maximum settlement point of the transverse settlement trough gradually moves to the tunnel axis during tunnel excavation and that the entire subgrade experiences torsional deformation.Moreover,the effect of the intersection angle between the axes of the tunnel and the subgrade on the surface settlement of the subgrade was further studied.The results show that the intersection angle has no effect on the maximum settlement,but the width of the settlement trough increases gradually with increasing angle.Finally,on the basis of the soil arching effect caused by tunnel excavation,the subgrade settlement during tunnel excavation is reduced by reinforcing the soil in different zones of soil arching.The results show that the settlement of the subgrade caused by the shield tunnel can be effectively controlled by adding reinforcement directly to the top of the tunnel,and the maximum settlement of the subgrade surface is reduced from 24.41 mm to 9.47 mm,a reduction of approximately 61.2%.
基金supported by Natural Science Foundation of China(No.82202664,82172432,U22A20371)Shenzhen Sustainable Development Project(No.KCXFZ20201221173411031)+4 种基金Shenzhen Science and Technology Program(JCYJ20220818102815033,National Science Foundation of Guangdong Province(No.2021A1515220053,2022A1515010034,2021B1515120061)Guangdong Basic and Applied Basic Research Foundation(No.2019A1515110983,2022A1515012663)Guangzhou Basic and Applied Basic Research Foundation(202102021160)the Fundamental Research Funds for the Central Universities(21624221)the Research Fund Program of Guangdong Provincial Key Laboratory of Speed Capability Research(2023B1212010009).
文摘In clinical settings,regenerating critical-sized calvarial bone defects presents substantial problems owing to the intricacy of surgical methods,restricted bone growth medications,and a scarcity of commercial bone grafts.To treat this life-threatening issue,improved biofunctional grafts capable of properly healing critical-sized bone defects are required.In this study,we effectively created anti-fracture hydrogel systems using spongy-like metal-organic(magnesium-phosphate)coordinated chitosan-modified injectable hydrogels(CPMg)loaded with a bioinspired neobavaisoflavone(NBF)component.The CPMg-NBF hydrogels showed outstanding anti-fracture capabilities during compression testing and retained exceptional mechanical stability even after 28 d of immersion in phosphatebuffered saline.They also demonstrated prolonged and stable release profiles of Mg^(2+)and NBF.Importantly,CPMg-NBF hydrogels revealed robust biphasic mineralization and were non-toxic to MC3T3-E1 cells.To better understand the underlying mechanism of Mg^(2+)and NBF component,as well as their synergistic effect on osteogenesis,we investigated the expression of key osteogenic proteins in the p38 MAPK and NOTCH pathways.Our results showed that CPMg-NBF hydrogels greatly increased the expression of osteogenic proteins(Runx2,OCN,OPN,BMPS and ALP).In vivo experiments showed that the implantation of CPMg-NBF hydrogels resulted in a significant increase in new bone growth within critical-sized calvarial defects.Based on these findings,we expect that the CPMg-NBF supramolecular hydrogel has tremendous promise for use as a therapeutic biomaterial for treating critical-sized calvarial defects.
基金supported by the National Natural Science Foundation of China(Grant No.11965013)supported by Yunnan High-level Talent Training Support Plan Young&Elite Talents Project(Grant No.YNWR-QNBJ-2018-181)。
文摘In this work,the phase structure of a holographic s+d model with quartic potential terms from 4D Einstein–Gauss–Bonnet gravity is studied in the probe limit.We first show the qd-μphase diagram with a very small value of the Gauss–Bonnet coefficientα=1×10-7and in the absence of the quartic terms to locate the suitable choice of the value of qd,where the system admits coexistent s+d solutions.Then we consider the various values of the Gauss–Bonnet coefficientαand present theα-μphase diagram to show the influence of the Gauss–Bonnet term on the phase structure.We also give an example of the re-entrant phase transition which is also realized in the holographic s+s and s+p models.After that we confirm the universality of the influence of the quartic term with coefficientλdon the d-wave solutions,which is similar to the case of s-wave and p-wave solutions previously studied in the s+p model.Finally we give the dependence of the special values of the quartic term coefficientλdon the Gauss–Bonnet coefficientα,below which the d-wave condensate grows to an opposite direction at the(quasi-)critical point,which is useful in realizing first order phase transitions in further studies of the holographic d-wave superfluids.
基金Supported by The Medical Talents of Wuhan Hospital of Traditional Chinese and Western Medicine,No.202212001Hubei Natural Science Foundation,No.2023AFB1091 and No.2023AFB988+2 种基金The 7th Wuhan Young and Middle-Aged Backbone Talent of Medical Training ProjectNo.2019-87The Research Projects of Biomedical Center of Hubei Cancer Hospital,No.2022SWZX19.
文摘BACKGROUND The early diagnosis rate of esophageal cancer(EC),one of the most prevalent digestive tract cancers worldwide,remains low.AIM To investigate the utility of plasma SHOX2,SEPTIN9,EPO,and RNF180 methylation in the clinical diagnosis and monitoring of EC.Plasma samples were collected from 210 patients at Hubei Cancer Hospital,and TaqMan polymerase chain reaction was employed to detect plasma SHOX2,SEPTIN9,RNF180,and EPO methylation.The area under the curve was used to estimate their diagnostic value for EC.Cox and logistic regression analyses were used to estimate the independent screening risk factors for patients with EC.RESULTS The sensitivity and specificity of combined assessment of plasma SHOX2,SEPTIN9,RNF180,and EPO methylation for adenocarcinoma,squamous cell carcinoma(SCC),and EC detection were 66.67%and 86.27%,77.40%and 85.29%,and 76.19%and 86.27%,respectively;the area under the curve values for diagnosing adenocarcinoma,SCC,and EC were 0.737[95%confidence interval(CI):0.584–0.89],0.824(95%CI:0.775–0.891),and 0.864(95%CI:0.809–0.92),respectively.CONCLUSION According to our findings,plasma SHOX2,SEPTIN9,RNF180,and EPO methylation exhibits appreciated sensitivity for diagnosing EC.The precise measurement of plasma SHOX2,SEPTIN9,RNF180,and EPO methylation can improve EC diagnosis and therapy efficacy monitoring.
文摘BACKGROUND The recurrence rate of liver cancer after surgery is high.Radiofrequency ablation(RFA)combined with transcatheter arterial chemoembolization(TACE)is an effective treatment for liver cancer;however,its efficacy in recurrent liver cancer remains unclear.AIM To investigate the clinical effect of TACE combined with RFA in the treatment of recurrent liver cancer.METHODS Ninety patients with recurrent liver cancer were divided into 2 groups according to treatment plan:Control(RFA alone);and experimental[TACE combined with RFA(TACE+RFA)].The incidence of increased alanine aminotransferase levels,complications,and other indices were compared between the two groups before and after the procedures.RESULTS One month after the procedures,the short-term efficacy rate and Karnofsky Performance Status scores of the experimental group were significantly higher than those of the control group(P<0.05).Alpha-fetoprotein(AFP)and total bilirubin levels were lower than those in the control group(P<0.05);The overall response rate was 82.22%and 66.67%in the experimental and control groups,respectively;The disease control rate was 93.33%and 82.22%in the experimental and control groups,respectively,the differences are statistically significant(P<0.05).And there were no statistical differences in complications between the two groups(P>0.05).CONCLUSION TACE+RFA was effective for the treatment of recurrent liver cancer and significantly reduced AFP levels and improved various indices of liver function.
基金supported by the National Key R&D Program of China(2021YFA1302500 and 2021YFA1302501)the National Natural Science Foundation of China(32293190,32293191,31970570,and 32200492).
文摘Unraveling the lineage relationships of all descendants from a zygote is fundamental to advancing our understanding of developmental and stem cell biology.However,existing cell barcoding technologies in zebrafish lack the resolution to capture the majority of cell divisions during embryogenesis.A recently developed method,a substitution mutation-aided lineage-tracing system(SMALT),successfully reconstructed high-resolution cell phylogenetic trees for Drosophila melanogaster.Here,we implement the SMALT system in zebrafish,recording a median of 14 substitution mutations on a one-kilobase-pair barcoding sequence for one-day post-fertilization embryos.Leveraging this system,we reconstruct four cell lineage trees for zebrafish fin cells,encompassing both original and regenerated fin.Each tree consists of hundreds of internal nodes with a median bootstrap support of 99%.Analysis of the obtained cell lineage trees reveals that regenerated fin cells mainly originate from cells in the same part of the fins.Through multiple times sampling germ cells from the same individual,we show the stability of the germ cell pool and the early separation of germ cell and somatic cell progenitors.Our system offers the potential for reconstructing high-quality cell phylogenies across diverse tissues,providing valuable insights into development and disease in zebrafish.
基金supported in part by the National Key Research and Development Program of China(2020YFB1313002)the National Natural Science Foundation of China(62276023,U22B2055,62222302,U2013202)+1 种基金the Fundamental Research Funds for the Central Universities(FRF-TP-22-003C1)the Postgraduate Education Reform Project of Henan Province(2021SJGLX260Y)。
文摘Underwater image enhancement aims to restore a clean appearance and thus improves the quality of underwater degraded images.Current methods feed the whole image directly into the model for enhancement.However,they ignored that the R,G and B channels of underwater degraded images present varied degrees of degradation,due to the selective absorption for the light.To address this issue,we propose an unsupervised multi-expert learning model by considering the enhancement of each color channel.Specifically,an unsupervised architecture based on generative adversarial network is employed to alleviate the need for paired underwater images.Based on this,we design a generator,including a multi-expert encoder,a feature fusion module and a feature fusion-guided decoder,to generate the clear underwater image.Accordingly,a multi-expert discriminator is proposed to verify the authenticity of the R,G and B channels,respectively.In addition,content perceptual loss and edge loss are introduced into the loss function to further improve the content and details of the enhanced images.Extensive experiments on public datasets demonstrate that our method achieves more pleasing results in vision quality.Various metrics(PSNR,SSIM,UIQM and UCIQE) evaluated on our enhanced images have been improved obviously.
文摘BACKGROUND Despite significant advancements in the medical treatment of primary hepato-cellular carcinoma(PHC)in recent years,enhancing therapeutic effects and im-proving prognosis remain substantial challenges worldwide.AIM To investigate the expression levels of serum vascular endothelial growth factor(VEGF)and interleukin(IL)-17 in patients with PHC and evaluate their diagnostic value while exploring their relationship with patients’clinical characteristics.METHODS The study included 50 patients with confirmed PHC who visited Wuhan Han-yang Hospital from January 2021 to January 2022,and 50 healthy individuals from the same period served as the control group.Serum VEGF and IL-17 levels in both groups were measured by Enzyme-Linked Immunosorbent Assay,and their diagnostic value was assessed using receiver operating characteristic(ROC)curves.Pearson correlation analysis was performed to examine the relationship between serum VEGF and IL-17 levels.Pathological data of the PHC patients were analyzed to determine the relationship between serum VEGF and IL-17 levels and pathological characteristics.RESULTS Serum VEGF and IL-17 levels were significantly higher in the study group com-pared to the control group(P<0.05).No significant association was observed between serum VEGF and IL-17 levels and gender,age,combined cirrhosis,tumor diameter,or degree of differentiation(P>0.05).However,there was a significant relationship between clinical TNM stage,tumor metastasis,and serum VEGF and IL-17 levels(P<0.05).Correlation analysis revealed a positive correlation between serum VEGF and IL-17(P<0.05).ROC analysis demonstrated that both serum VEGF and IL-17 had good diagnostic efficacy for PHC.CONCLUSION Serum VEGF and IL-17 levels were significantly higher in PHC patients compared to healthy individuals.Their levels were closely related to pathological features such as tumor metastasis and clinical TNM stage,and there was a significant positive correlation between VEGF and IL-17.These biomarkers may serve as valuable reference in-dicators for the early diagnosis and treatment guidance of PHC.
基金supported by the National Key R&D Program of China(2023YFC2307500 and 2021YFC2701700)National Natural Science Foundation of China(82341115)+5 种基金Beijing Research Center for Respiratory Infectious Diseases(BJRID2024-003)Major Project of Guangzhou National Laboratory(GZNL2023A01001 and SRPG22-001)the National Science and Technology Infrastructure of China(National Pathogen Resource Center-NPRC-32)Y.B.is supported by the Youth Innovation Promotion Association of CAs(Y2021034)CAS Project for Young Scientists in Basic Research(YSBR-086)the Innovation Team and Talents Cultivation Program of the National Administration of Traditional Chinese Medicine(ZYYCXTD-D-202208).
文摘Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection often leads to pulmonary complications.Cardiovascular sequelae,including myocarditis and heart failure,have also been reported.Here,the study presents two fulminant myocarditis cases infected by SARS-CoV-2 exhibiting remarkable elevation of cardiac biomarkers without significant pulmonary injury,as determined by imaging examinations.Immunohistochemical staining reveals the viral antigen within cardiomyocytes,indicating that SARSCoV-2 could directly infect the myocardium.The full viral genomes from respiratory,anal,and myocardial specimens are obtained via next-generation sequencing.Phylogenetic analyses of the whole genome and spike gene indicate that viruses in the myocardium/pericardial effusion and anal swabs are closely related and cluster together yet diverge from those in the respiratory samples.In addition,unique mutations are found in the anal/myocardial strains compared to the respiratory strains,suggesting tissue-specific virus mutation and adaptation.These findings indicate genetically distinct SARS-CoV-2 variants have infiltrated and disseminated within myocardial tissues,independent of pulmonary injury,and point to different infection routes between the myocardium and respiratory tract,with myocardial infections potentially arising from intestinal infection.These findings highlight the potential for systemic SARS-CoV-2 infection and the importance of a thorough multi-organ assessment in patients for a comprehensive understanding of thepathogenesisof COVID-19.
基金the National Natural Science Foundation of China(Grant Nos.62174088 and 62371238)。
文摘Exploring novel two-dimensional(2D)valleytronic materials has an essential impact on the design of spintronic and valleytronic devices.Our first principles calculation results reveal that the Janus SWSiX_(2)(X=N,P,As)monolayer has excellent dynamical and thermal stability.Owing to strong spin–orbit coupling(SOC),the SWSiX_(2)monolayer exhibits a valence band spin splitting of up to 0.49 eV,making it promising 2D semiconductor for valleytronic applications.The opposite Berry curvatures and optical selection rules lead to the coexistence of valley and spin Hall effects in the SWSiX2 monolayer.Moreover,the optical transition energies can be remarkably modulated by the in-plane strains.Large tensile(compressive)in-plane strains can achieve spin flipping in the SWSiN2 monolayer,and induce both SWSiP_(2)and SWSiAs_(2)monolayers transit from semiconductor to metal.Our research provides new 2D semiconductor candidates for designing high-performance valleytronic devices.
基金Analysis of influencing factors and direct economic losses of ICU infection in a newly built tertiary comprehensive hospital(Project No:Qiankehe Support[2021]General 043)。
文摘Objective:This study aims to explore the prevalence,features,and risk factors of lower respiratory tract infections(LRTIs)in the intensive care unit(ICU)of a newly established hospital in Zunyi City.The goal is to devise strategies for preventing LRTIs in the ICU of new hospitals,thereby mitigating the incidence of nosocomial LRTIs in ICU patients.Methods:A case-control study was conducted from March 2019 to December 2022 to investigate the incidence rate of LRTIs in the ICU of a newly constructed hospital in Zunyi City.Patients with LRTIs constituted the case group,while those without LRTIs constituted the control group,where a 1:1 matching principle was adhered to.A single-factor chi-square(χ2)test was employed to analyze the risk factors,with independent risk factors being explored using a multivariate logistic regression analysis.Results:A total of 169 strains of pathogenic bacteria were isolated,comprising 66.28%gram-negative bacteria,17.75%gram-positive bacteria,and 15.97%fungi.The most prevalent pathogens included Acinetobacter baumannii(43.20%),Candida albicans(10.65%),and Pseudomonas aeruginosa(8.88%).Of the 82 strains infected by multidrug-resistant bacteria in patients with LRTIs,81.7%were carbapenem-resistant Acinetobacter baumannii,9.8%were multidrug-resistant Pseudomonas aeruginosa,and 6.1%were carbapenem-resistant Escherichia coli.Identified risk factors included smoking history,total hospitalization days,ICU stay length,hypoproteinemia,indwelling gastric tube,intubation type,duration of mechanical ventilation,usage of antibacterial drugs,and administration of protein drugs(P<0.05).Multivariate logistic regression analysis demonstrated that these factors were independent risk factors for nosocomial LRTIs in ICU patients(P<0.05).Conclusion:ICU patients in our hospital were mainly infected by carbapenem-resistant Acinetobacter baumannii.To prevent LRTIs in patients,tailored preventive measures should be developed and the rational use of antibacterial drugs should be promoted.
基金supported by a grant from the Key Project supported by medical science and technology development Foundation of Nanjing Department of Health (No. ZKX09016)
文摘Objective： To study the mechanisms in gambogic acid （GA） -induced JeKo-1 human Mantle Cell Lymphoma cell apoptosis in vitro. Methods： The proliferation of GA-treated JeKo-1 cells was measured by CCK-8 assay and Ki-67 immunocytochemical detection. Apopt0sis, cell cycle and mitochondrial membrane potential were measured by flow cytometric analysis. Caspase-3, -8 and -9 were detected by colorimetric assay. Bcl-2 and Bax were analyzed by Western blotting. Results： GA inhibited cell growth in a time- and dose- dependent manner. GA induces apoptosis in JeKo- 1 cells but not in normal bone marrow cells, which was involved in reducing the membrane potential of mitochondria, activating caspases-3, -8 and -9 and decreasing the ratio of Bd-2 and Bax without cell cycle arresting. Conclusions： GA induced apoptosis in human MCL JeKo-1 cells by regulating Bcl-2/Bax and activating caspase-3, -8 and -9 via mitochondrial pathway without affecting cell cycle.
