Low-density lipoprotein receptor-related protein 1(LRP1)is a multifunctional endocytic receptor whose dysfunction is linked to developmental dysplasia of the hip,osteoporosis and osteoarthritis.Our work addresses the ...Low-density lipoprotein receptor-related protein 1(LRP1)is a multifunctional endocytic receptor whose dysfunction is linked to developmental dysplasia of the hip,osteoporosis and osteoarthritis.Our work addresses the critical question of how these skeletal pathologies emerge.Here,we show the abundant expression of LRP1 in skeletal progenitor cells at mouse embryonic stage E10.5 and onwards,especially in the perichondrium,the stem cell layer surrounding developing limbs essential for bone formation.Lrp1 deficiency in these stem cells causes joint fusion,malformation of cartilage/bone template and markedly delayed or lack of primary ossification.展开更多
Depression(Dep)is one of the most common concomitant symptoms of Parkinson's disease(PD),but there is a lack of detailed pathologic evidence for the occurrence of PD-Dep.Currently,the management of symptoms from b...Depression(Dep)is one of the most common concomitant symptoms of Parkinson's disease(PD),but there is a lack of detailed pathologic evidence for the occurrence of PD-Dep.Currently,the management of symptoms from both conditions using conventional pharmacological interventions remains a formidable task.In this study,we found impaired activation of extracellular signal-related kinase(ERK),reduced levels of transcription and translation,and decreased expression of brain-derived neurotrophic factor(BDNF)in the medial prefrontal cortex(mPFC)of PD-Dep rats.We demonstrated that the abnormal phosphorylation ofα-synuclein(pS129)induced tropomyosin-related kinase receptor type B(TrkB)retention at the neuronal cell membrane,leading to BDNF/TrkB signaling dysfunction.We chose SEW2871 as an ameliorator to upregulate ERK phosphorylation.The results showed that PD-Dep rats exhibited improvement in behavioral manifestations of PD and depression.In addition,a reduction in pS129 was accompanied by a restoration of the function of the BDNF/ERK signaling loop in the mPFC of PD-Dep rats.展开更多
Age-related eye diseases,including cataract,glaucoma,diabetic retinopathy(DR),and age-related macular degeneration(AMD),are the leading causes of vision loss in the world.Several studies have shown that the occurrence...Age-related eye diseases,including cataract,glaucoma,diabetic retinopathy(DR),and age-related macular degeneration(AMD),are the leading causes of vision loss in the world.Several studies have shown that the occurrence and development of these diseases have an important relationship with oxidative stress in the eye.The Keap1-Nrf2-ARE pathway is a classical pathway that resists oxidative stress and inflammation in the body.This pathway is also active in the development of age-related eye diseases.A variety of drugs have been shown to treat agerelated eye diseases through the Keap1-Nrf2-ARE(Kelch-like ECH-Associating protein 1-nuclear factor erythroid 2 related factor 2-antioxidant response element)pathway.This review describes the role of oxidative stress in the development of age-related eye diseases,the function and regulation of the Keap1-Nrf2-ARE pathway,and the therapeutic effects of drugs associated with this pathway on age-related eye diseases.展开更多
ECAPs are the summary of multiple neurons’ spikes which could be recorded by a bidirectional stimulation-recording system via the cochlear implant,with the artifact elimination paradigms of forward-masking subtractio...ECAPs are the summary of multiple neurons’ spikes which could be recorded by a bidirectional stimulation-recording system via the cochlear implant,with the artifact elimination paradigms of forward-masking subtraction paradigm or alternating polarity paradigm.Three kinds of FDA approved cochlear implants support ECAP testing.This article is to summarize the clinical application of ECAP lest.ECAP test after insertion of electrode during implant operation has been widely used during cochlear implant surgery.In recent years.ECAP thresholds are also used to estimate the T levels and C levels helping programming.However,correlation between ECAP thresholds and psychophysical thresholds is affected by many factors.So far,ECAPs cannot yet be a good indicator of post-operative hearing and speech performance.展开更多
Background:The PedsQL Multidimensional Fatigue Scale(PedsQL^(TM)MFS)is widely used to rate fatigue in children living in English-speaking countries.However,insufficient instruments are available to conduct parallel as...Background:The PedsQL Multidimensional Fatigue Scale(PedsQL^(TM)MFS)is widely used to rate fatigue in children living in English-speaking countries.However,insufficient instruments are available to conduct parallel assessment on fatigue in parents and children in China.In this regard,an appropriate measurement method must be developed.Objectives:This study aims to determine the reliability and validity of the Chinese-language PedsQL^(TM)MFS.Methods:Children with cancer(n=125)and their parents were surveyed in Guangzhou,China.The parents of children aged 2e4 years completed the PedsQL^(TM)MFS proxy reports,whereas the other children and their parents completed the questionnaires by themselves.Results:The PedsQL^(TM)MFS-Chinese version demonstrated satisfactory internal consistency reliability(child self-report Cronbach's a=0.87;parent self-report Cronbach's a=0.93).The factor loadings of the items ranged from 0.78 to 0.87 for general fatigue,0.56e0.78 for sleep/rest fatigue,and 0.62e0.89 for cognitive fatigue.Conclusion:This study proves that the PedsQL^(TM)MFS-Chinese version is an effective tool for screening fatigue in Chinese children with cancer.展开更多
Traditional Chinese medicine has unique advantages in preventing and treating COVID-19,and Fuzheng Jiedu decoction(FZJDD)was reported to be effective against COVID-19 in clinical trials.To investigate the potential me...Traditional Chinese medicine has unique advantages in preventing and treating COVID-19,and Fuzheng Jiedu decoction(FZJDD)was reported to be effective against COVID-19 in clinical trials.To investigate the potential mechanisms and material basis of FZJDD against SARS-CoV-2,we performed SARS-CoV-2 target protein inhibition analyses and a metabolite full spectrum analysis of FZJDD.Interestingly,FZJDD was found to block the binding of SARS-CoV-2 Spike protein with the receptor ACE2 and inhibit the activity of SARS-CoV-23CLpro.Moreover,FZJDD can regulate the TNF and the MAPK signaling pathway to inhibit the inflammatory response and alleviate the“cytokine storm”.A total of 298 compounds were identified in FZJDD,among them,caffeic acid and octyl gallate were found to be the potential therapeutic agents of FZJDD.Importantly,FZJDD can broadly inhibit coronavirus infection,including SADS-CoV and porcine epidemic diarrhea virus(PEDV)live viruses,SARS-CoV,MERS-CoV,and SARS-CoV-2 mutant pseudotyped viruses,which might be ascribed to the broad-spectrum anti-coronavirus activity of caffeic acid and octyl gallate.In conclusion,this study reveals the mechanisms and material basis of FZJDD against SARS-CoV-2 and identifies the broadspectrum anti-coronavirus activity of FZJDD for the first time.Our data provide empirical evidence for the development and application of FZJDD.展开更多
Hot deformation with high strain rate has been paid more attention due to its high efficiency and low cost,however,the strain rate dependent dynamic recrystallization(DRX)and texture evolution in hot deformation proce...Hot deformation with high strain rate has been paid more attention due to its high efficiency and low cost,however,the strain rate dependent dynamic recrystallization(DRX)and texture evolution in hot deformation process,which affect the formability of metals,are lack of study.In this work,the DRX behavior and texture evolution of Mg-8Gd-1Er-0.5Zr alloy hot compressed with strain rates of 0.1 s^(−1),1 s^(−1),10 s^(−1) and 50 s^(−1) are studied,and the corresponding dominant mechanisms for DRX and texture weakening are discussed.Results indicated the DRX fraction was 20%and the whole texture intensity was 16.89 MRD when the strain rate was 0.1 s^(−1),but they were 76%and 6.55 MRD,respectively,when the strain rate increased to 50 s^(−1).The increment of DRX fraction is suggested to result from the reduced DRX critical strain and the increased dislocation density as well as velocity,while the weakened whole texture is attributed to the increased DRX grains.At the low strain rate of 0.1 s^(−1),discontinuous DRX(DDRX)was the dominant,but the whole texture was controlled by the deformed grains with the preferred orientation of{0001}⊥CD,because the number of DDRX grains was limited.At the high strain rate of 50 s^(−1),continuous DRX(CDRX)and twin-induced DRX(TDRX)were promoted,and more DRX grains resulted in orientation randomization.The whole texture was mainly weakened by CDRX and TDRX grains,in which CDRX plays a major role.The results of present work are significant for understanding the hot workability of Mg-RE alloys with a high strain rate.展开更多
BACKGROUND Transcatheter arterial chemoembolization(TACE)is a key treatment approach for advanced invasive liver cancer(infiltrative hepatocellular carcinoma).However,its therapeutic response can be difficult to evalu...BACKGROUND Transcatheter arterial chemoembolization(TACE)is a key treatment approach for advanced invasive liver cancer(infiltrative hepatocellular carcinoma).However,its therapeutic response can be difficult to evaluate accurately using conventional two-dimensional imaging criteria due to the tumor’s diffuse and multifocal growth pattern.Volumetric imaging,especially enhanced tumor volume(ETV),offers a more comprehensive assessment.Nonetheless,bias field inhomogeneity in magnetic resonance imaging(MRI)poses challenges,potentially skewing volumetric measurements and undermining prognostic evaluation.AIM To investigate whether MRI bias field correction enhances the accuracy of volumetric assessment of infiltrative hepatocellular carcinoma treated with TACE,and to analyze how this improved measurement impacts prognostic prediction.METHODS We retrospectively collected data from 105 patients with invasive liver cancer who underwent TACE treatment at the Affiliated Hospital of Xuzhou Medical University from January 2020 to January 2024.The improved N4 bias field correction algorithm was applied to process MRI images,and the ETV before and after treatment was calculated.The ETV measurements before and after correction were compared,and their relationship with patient prognosis was analyzed.A Cox proportional hazards model was used to evaluate prognostic factors,with Martingale residual analysis determining the optimal cutoff value,followed by survival analysis.RESULTS Bias field correction significantly affected ETV measurements,with the corrected baseline ETV mean(505.235 cm^(3))being significantly lower than before correction(825.632 cm^(3),P<0.001).Cox analysis showed that the hazard ratio(HR)for corrected baseline ETV(HR=1.165,95%CI:1.069-1.268)was higher than before correction(HR=1.063,95%CI:1.031-1.095).Using 412 cm^(3) as the cutoff,the group with baseline ETV<415 cm^(3) had a longer median survival time compared to the≥415 cm^(3) group(18.523 months vs 8.926 months,P<0.001).The group with an ETV reduction rate≥41%had better prognosis than the<41%group(17.862 months vs 9.235 months,P=0.006).Multivariate analysis confirmed that ETV reduction rate(HR=0.412,P<0.001),Child-Pugh classification(HR=0.298,P<0.001),and Barcelona Clinic Liver Cancer stage(HR=0.578,P=0.045)were independent prognostic factors.CONCLUSION Volume imaging based on MRI bias field correction can improve the accuracy of evaluating the efficacy of TACE treatment for invasive liver cancer.The corrected ETV and its reduction rate can serve as independent indicators for predicting patient prognosis,providing important reference for developing individualized treatment strategies.展开更多
Dear Editor,We present the reported case of repetitive bilateral suprachoroidal expulsive hemorrhage(SEH)after anti-glaucoma surgeries.SEH is a rare but potentially devastating complication of intraocular surgery.Long...Dear Editor,We present the reported case of repetitive bilateral suprachoroidal expulsive hemorrhage(SEH)after anti-glaucoma surgeries.SEH is a rare but potentially devastating complication of intraocular surgery.Long-term ocular hypertension,high myopia,older age,arterial sclerosis,and aphakia have been reported as preoperative risk factors for developing SEH^([1]).The prognosis for the visual acuity is poor without proper management.A suggested time for surgical drainage is said to be 10-14d when the hemorrhagic clot begins to liquefy^([2]).展开更多
BACKGROUND Due to their significantly lower incidence than colorectal polyps and macroscopic features resembling those of hyperplastic polyps,rectal neuroendocrine tumors(rNETs)are frequently misdiagnosed and resected...BACKGROUND Due to their significantly lower incidence than colorectal polyps and macroscopic features resembling those of hyperplastic polyps,rectal neuroendocrine tumors(rNETs)are frequently misdiagnosed and resected as polyps.To date,no reports have been written on the application of artificial intelligence for assisting in the white-light endoscopy of rNETs.AIM To establish a neuroendocrine tumor lesion detection algorithm based on the YOLOv7 model and evaluate the performance of the algorithm in identifying neuroendocrine tumors.METHODS In total,137748 white-light endoscopic images were collected in this study,including 2232 images of rNET,4429 images of submucosal lesions other than rNET,42563 images of polyps,and 88593 images of normal mucosa.All the images were randomly divided into a training set,a validation set,and a test set.To evaluate the ability of the algorithm to diagnose rNETs,we selected 1578 images to form the test set.The performance of the algorithm was compared with that of endoscopists at different levels.RESULTS The accuracy of the algorithm in identifying rNET from all the images was 97.8%,the sensitivity was 72.6%,the specificity was 99.7%,the positive predictive value was 93.9%,and the negative predictive value was 98.1%.CONCLUSION Our model,which was based on YOLOv7,could effectively detect rNET lesions,which was better than that of most endoscopists.展开更多
The complex compositions of high-entropy alloys(HEAs)enable a variety of phase structures like FCC single phase,BCC single phase,or duplex FCC+BCC phase.Accurate and efficient prediction of phase structure is crucial ...The complex compositions of high-entropy alloys(HEAs)enable a variety of phase structures like FCC single phase,BCC single phase,or duplex FCC+BCC phase.Accurate and efficient prediction of phase structure is crucial for accelerating the discovery of new components and designing HEAs with desired phase structure.In this work,five machine learning strategies were utilized to predict the phase structures of HEAs with a dataset of 296.Specifically,a two-step feature selection strategy was proposed,enabling pronounced improvement in the computational efficiency from 2047 to 12 iterations for each model while ensuring fewer input features and higher prediction accuracy.Compared with traditional valence electron concentration criterion,the prediction accuracy of collected dataset was highly improved from 0.79 to 0.98 for random forest.Furthermore,HEAs with compositions of Al_(x)CoCu_(6)Ni_(6)Fe_(6)(x=1,3,6)were developed to validate the prediction results of machine learning models,and the mechanical properties as well as corrosion resistance were investigated.It is found that the higher Al content enhances the yield strength but deteriorates corrosion resistance.The present two-step feature selection strategy provides an alternative method that is feasible for predicting the phase structure of HEAs with high efficiency and accuracy.展开更多
The exploitation of oil resources has now extended to ultra-deep formations,with depths even exceeding 10,000 m.During drilling operations,the bottomhole temperature(BHT)can surpass 240℃.Under such high-temperature c...The exploitation of oil resources has now extended to ultra-deep formations,with depths even exceeding 10,000 m.During drilling operations,the bottomhole temperature(BHT)can surpass 240℃.Under such high-temperature conditions,measurement while drilling(MWD)instruments are highly likely to malfunction due to the inadequate temperature resistance of their electronic components.As a wellbore temperature control approach,the application of thermal insulated drill pipe(TIDP)has been proposed to manage the wellbore temperature in ultra-deep wells.This paper developed a temperature field model for ultra-deep wells by coupling the interactions of multiple factors on the wellbore temperature.For the first time,five distinct TIDP deployment methods were proposed,and their corresponding wellbo re temperature variation characte ristics were investigated,and the heat transfer laws of the ultra-deep wellbore-formation system were quantitatively elucidated.The results revealed that TIDP can effectively restrain the rapid rise in the temperature of the drilling fluid inside the drill string by reducing the heat flux of the drill string.Among the five deployment methods,the method of deploying TIDP from the bottomhole upwards exhibits the best performance.For a 12,000 m simulated well,when6000 m of TIDP are deployed from the bottomhole upwards,the BHT decreases by 52℃,while the outlet temperature increases by merely 1℃.This not only achieves the objective of wellbore temperature control but also keeps the temperature of the drilling fluid at the outlet of annulus at a relatively low level,thereby reducing the requirements for the heat exchange equipment on the ground.The novel findings of this study provide significant guidance for wellbore temperature control in ultra-deep and ultra-high-temperature wells.展开更多
Background:Makorin ring finger protein 3 gene(MKRN3)gene mutation is the most common genetic cause of central precocious puberty(CPP)in children.Due to the lack of ideal MKRN3-modified animal model(MKRN3-modified mice...Background:Makorin ring finger protein 3 gene(MKRN3)gene mutation is the most common genetic cause of central precocious puberty(CPP)in children.Due to the lack of ideal MKRN3-modified animal model(MKRN3-modified mice enter puberty only 4–5 days earlier than normal mice),the related research is limited.Methods:Therefore,the MKRN3-modified rabbit was developed using CRISPR(clus-tered regularly interspaced short palindromic repeats)gene editing technology.The genotype identification and phenotype evaluation of MKRN3-modified rabbits were carried out.Results:The first estrus of MKRN3-modified female rabbits was observed~27 days earlier than that of wild-type female rabbits,with a typical CPP phenotype.This study found increased gonadotropin releasing hormone(GnRH)and decreased gonadotropin inhibiting hormone(GnIH)in the hypothalamus of the CPP rabbit model with MKRN3 gene mutation.Although this study failed to fully clarify the pathogenesis of CPP caused by MKRN3 mutation,it found some differentially expressed genes and potential pathways through transcriptome sequencing.Conclusions:This study established a novel CPP model:paternal MKRN3 gene-modified rabbit.It is hoped that the establishment of this model will help researchers better understand,treat,and prevent CPP in the future.展开更多
This paper focuses on the transformation of the project-based learning(PBL)teaching model driven by artificial intelligence(AI),and explores the two-way reconstruction path of teacher roles and student abilities.Combi...This paper focuses on the transformation of the project-based learning(PBL)teaching model driven by artificial intelligence(AI),and explores the two-way reconstruction path of teacher roles and student abilities.Combining metacognitive theory to analyze the pain points of traditional PBL,this paper systematically sorts out the functional reconstruction path of AI in the dimensions of teaching design,process monitoring,and evaluation feedback.Then,starting from the social role theory,this paper deeply analyzes the transformation of teacher identity and the reconstruction of student abilities in the AI-PBL fusion scenario.AI not only reshapes the logic of cultivating students’abilities but also prompts teachers to achieve deep changes in their roles at the cognitive,relational,and ethical levels.Human-machine collaboration should not replace teachers’emotional values and educational judgments,but should become a key support for optimizing the educational ecology and realizing personalized education.展开更多
Correlation between tunable optical properties and push-pull structural characters has attracted extensive attention in material science and nonlinear optics.Here,several indacenodithiophene(IDT)derivatives denoted as...Correlation between tunable optical properties and push-pull structural characters has attracted extensive attention in material science and nonlinear optics.Here,several indacenodithiophene(IDT)derivatives denoted as IDT-2NA,NA-IDT-CN,and IDT-2CN with different terminal substituents are investigated comparatively to demonstrate their intrinsic structure-property relationships.Interestingly,the IDT core acts diverse roles as acceptor(A)and donor(D)in the obtained three derivatives.Symmetric IDT-2NA with a D-A-D architecture shows an absorption maximum around 459 nm in THF.Contrary to the symmetric analog IDT-2CN with a reverse A-D-A feature,NA-IDT-CN with a different D-D'-A motif characterizes an obvious solvent polarity effect.Theo-retical calculation and electrostatic potential results confirm the terminal substituents with different electronic conjugation play vital roles in affecting the resultant photophysical properties.Utilizing the femtosecond open-aperture Z-scan technique,significant two-photon absorption(2PA)capabilities are obtained ranging from 540 to 900 nm.The 2PA cross section(δ_(2pA) )maximum about 5390 GM of centrosymmetric IDT-2CN exhibits at 600 nm.Distinct excited-state dynamics with the help of femtosecond transition absorption supports the effective intramolecular charge transfer which accounts for enhancing theδ_(2pA) values.Their potential optical power limiting applications based on the 2PA mechanism were further evaluated.The limiting thresholds were found to be 2.793.35 mJ/cm^(2) for the three IDT derivatives with a sequence of IDT-2CN<IDT-2NA<NA-IDT-CN.The distinct structural motifs and effective 2PA capabilities in the current work may provide reliable insights into the push-pull IDT chromophores for advanced nonlinear optical applications.展开更多
The addition of complexing agents to the electrolyte has been shown to be an effective method to enhance the discharge performance of magnesium-air batteries.In this work,four complexing agents:citric acid(CIT),salicy...The addition of complexing agents to the electrolyte has been shown to be an effective method to enhance the discharge performance of magnesium-air batteries.In this work,four complexing agents:citric acid(CIT),salicylic acid(SAL),2,6-dihydroxybenzoic acid(2,6-DHB),and 5-sulfoisophthalic acid(5-sulfoSAL)were selected as potential candidates.Through electrochemical tests,full-cell discharge experiments,and physicochemical characterization,the impact of these complexing agents on the discharge performance of magnesium-air batteries using AZ31 alloy as the anode material was investigated.The results demonstrated that the four complexing agents increased the discharge voltage of the batteries.Notably,SAL could significantly improve the anodic efficiency and the discharge specific capacity,achieving an anodic efficiency of 60.3%and a specific capacity of 1358.3 mA·h/g at a discharge current density of 10 mA/cm^(2).展开更多
基金The Andor dragonfly Spinning Disk microscope in the CCI was funded by the BBSRC(BB/R01390X/1)This work was supported by the ministry of education of the Kingdom of Saudi Arabia(to M.Alhashmi)+6 种基金Libyan Ministry of Higher Education and Scientific Research and ECMage(to A.M.E.Gremida)Qatar National Research Fund(to N.A.Al-Maslamani)European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement(860635 to M.Antonaci and A.Kerr)BBSRC Grants(BB/T00715X/1 to S.K.Maharana and G.N.WheelerBB/X000907/1 to D.A.Turner)Versus Arthritis Career Development Fellowship(21447 to K.Yamamoto)Versus Arthritis Bridging Fellowship(23137 to K.Yamamoto).
文摘Low-density lipoprotein receptor-related protein 1(LRP1)is a multifunctional endocytic receptor whose dysfunction is linked to developmental dysplasia of the hip,osteoporosis and osteoarthritis.Our work addresses the critical question of how these skeletal pathologies emerge.Here,we show the abundant expression of LRP1 in skeletal progenitor cells at mouse embryonic stage E10.5 and onwards,especially in the perichondrium,the stem cell layer surrounding developing limbs essential for bone formation.Lrp1 deficiency in these stem cells causes joint fusion,malformation of cartilage/bone template and markedly delayed or lack of primary ossification.
基金supported by the National Natural Science Foundation of China(81974200 and 82371270).
文摘Depression(Dep)is one of the most common concomitant symptoms of Parkinson's disease(PD),but there is a lack of detailed pathologic evidence for the occurrence of PD-Dep.Currently,the management of symptoms from both conditions using conventional pharmacological interventions remains a formidable task.In this study,we found impaired activation of extracellular signal-related kinase(ERK),reduced levels of transcription and translation,and decreased expression of brain-derived neurotrophic factor(BDNF)in the medial prefrontal cortex(mPFC)of PD-Dep rats.We demonstrated that the abnormal phosphorylation ofα-synuclein(pS129)induced tropomyosin-related kinase receptor type B(TrkB)retention at the neuronal cell membrane,leading to BDNF/TrkB signaling dysfunction.We chose SEW2871 as an ameliorator to upregulate ERK phosphorylation.The results showed that PD-Dep rats exhibited improvement in behavioral manifestations of PD and depression.In addition,a reduction in pS129 was accompanied by a restoration of the function of the BDNF/ERK signaling loop in the mPFC of PD-Dep rats.
基金Supported by National Natural Science Foundation of China(No.81970801No.81670859)+1 种基金Natural Science Foundation of Hunan Province(No.2019JJ40001)Key Project of Changsha Science and Technology Bureau(No.kh1801229)。
文摘Age-related eye diseases,including cataract,glaucoma,diabetic retinopathy(DR),and age-related macular degeneration(AMD),are the leading causes of vision loss in the world.Several studies have shown that the occurrence and development of these diseases have an important relationship with oxidative stress in the eye.The Keap1-Nrf2-ARE pathway is a classical pathway that resists oxidative stress and inflammation in the body.This pathway is also active in the development of age-related eye diseases.A variety of drugs have been shown to treat agerelated eye diseases through the Keap1-Nrf2-ARE(Kelch-like ECH-Associating protein 1-nuclear factor erythroid 2 related factor 2-antioxidant response element)pathway.This review describes the role of oxidative stress in the development of age-related eye diseases,the function and regulation of the Keap1-Nrf2-ARE pathway,and the therapeutic effects of drugs associated with this pathway on age-related eye diseases.
基金supported by grants from the National Basic Research Program of China(973 Program)(#2012CB967900)Science and Technology Innovation Nursery Foundation of PLA General Hospital(13KMM14)Clinical Research Supporting Foundation of PLA General Hospital(2012FC-TSYS-3056)
文摘ECAPs are the summary of multiple neurons’ spikes which could be recorded by a bidirectional stimulation-recording system via the cochlear implant,with the artifact elimination paradigms of forward-masking subtraction paradigm or alternating polarity paradigm.Three kinds of FDA approved cochlear implants support ECAP testing.This article is to summarize the clinical application of ECAP lest.ECAP test after insertion of electrode during implant operation has been widely used during cochlear implant surgery.In recent years.ECAP thresholds are also used to estimate the T levels and C levels helping programming.However,correlation between ECAP thresholds and psychophysical thresholds is affected by many factors.So far,ECAPs cannot yet be a good indicator of post-operative hearing and speech performance.
文摘Background:The PedsQL Multidimensional Fatigue Scale(PedsQL^(TM)MFS)is widely used to rate fatigue in children living in English-speaking countries.However,insufficient instruments are available to conduct parallel assessment on fatigue in parents and children in China.In this regard,an appropriate measurement method must be developed.Objectives:This study aims to determine the reliability and validity of the Chinese-language PedsQL^(TM)MFS.Methods:Children with cancer(n=125)and their parents were surveyed in Guangzhou,China.The parents of children aged 2e4 years completed the PedsQL^(TM)MFS proxy reports,whereas the other children and their parents completed the questionnaires by themselves.Results:The PedsQL^(TM)MFS-Chinese version demonstrated satisfactory internal consistency reliability(child self-report Cronbach's a=0.87;parent self-report Cronbach's a=0.93).The factor loadings of the items ranged from 0.78 to 0.87 for general fatigue,0.56e0.78 for sleep/rest fatigue,and 0.62e0.89 for cognitive fatigue.Conclusion:This study proves that the PedsQL^(TM)MFS-Chinese version is an effective tool for screening fatigue in Chinese children with cancer.
基金supported by National Key Research and Development Program of China(grant No.2022YFC0867500,2020YFA0712102)National Natural Science Foundation of China(grant No.82151224,82202492)+3 种基金Fundamental Research Funds for Central Universities(grant No.QNTD 2023-01)Nutrition and Care of Maternal&Child Research Project of Biostime Institute of Nutrition&Care(grant No.2023BINCMCF28)State Key Laboratory of Pathogen and Biosecurity of China(grant No.SKLPBS2438)State Key Laboratory of Component-based Chinese Medicine(grant No.CBCM2024204).
文摘Traditional Chinese medicine has unique advantages in preventing and treating COVID-19,and Fuzheng Jiedu decoction(FZJDD)was reported to be effective against COVID-19 in clinical trials.To investigate the potential mechanisms and material basis of FZJDD against SARS-CoV-2,we performed SARS-CoV-2 target protein inhibition analyses and a metabolite full spectrum analysis of FZJDD.Interestingly,FZJDD was found to block the binding of SARS-CoV-2 Spike protein with the receptor ACE2 and inhibit the activity of SARS-CoV-23CLpro.Moreover,FZJDD can regulate the TNF and the MAPK signaling pathway to inhibit the inflammatory response and alleviate the“cytokine storm”.A total of 298 compounds were identified in FZJDD,among them,caffeic acid and octyl gallate were found to be the potential therapeutic agents of FZJDD.Importantly,FZJDD can broadly inhibit coronavirus infection,including SADS-CoV and porcine epidemic diarrhea virus(PEDV)live viruses,SARS-CoV,MERS-CoV,and SARS-CoV-2 mutant pseudotyped viruses,which might be ascribed to the broad-spectrum anti-coronavirus activity of caffeic acid and octyl gallate.In conclusion,this study reveals the mechanisms and material basis of FZJDD against SARS-CoV-2 and identifies the broadspectrum anti-coronavirus activity of FZJDD for the first time.Our data provide empirical evidence for the development and application of FZJDD.
基金supported by the Nation Key Research and Development Program of China(No.2021YFB3701100).
文摘Hot deformation with high strain rate has been paid more attention due to its high efficiency and low cost,however,the strain rate dependent dynamic recrystallization(DRX)and texture evolution in hot deformation process,which affect the formability of metals,are lack of study.In this work,the DRX behavior and texture evolution of Mg-8Gd-1Er-0.5Zr alloy hot compressed with strain rates of 0.1 s^(−1),1 s^(−1),10 s^(−1) and 50 s^(−1) are studied,and the corresponding dominant mechanisms for DRX and texture weakening are discussed.Results indicated the DRX fraction was 20%and the whole texture intensity was 16.89 MRD when the strain rate was 0.1 s^(−1),but they were 76%and 6.55 MRD,respectively,when the strain rate increased to 50 s^(−1).The increment of DRX fraction is suggested to result from the reduced DRX critical strain and the increased dislocation density as well as velocity,while the weakened whole texture is attributed to the increased DRX grains.At the low strain rate of 0.1 s^(−1),discontinuous DRX(DDRX)was the dominant,but the whole texture was controlled by the deformed grains with the preferred orientation of{0001}⊥CD,because the number of DDRX grains was limited.At the high strain rate of 50 s^(−1),continuous DRX(CDRX)and twin-induced DRX(TDRX)were promoted,and more DRX grains resulted in orientation randomization.The whole texture was mainly weakened by CDRX and TDRX grains,in which CDRX plays a major role.The results of present work are significant for understanding the hot workability of Mg-RE alloys with a high strain rate.
文摘BACKGROUND Transcatheter arterial chemoembolization(TACE)is a key treatment approach for advanced invasive liver cancer(infiltrative hepatocellular carcinoma).However,its therapeutic response can be difficult to evaluate accurately using conventional two-dimensional imaging criteria due to the tumor’s diffuse and multifocal growth pattern.Volumetric imaging,especially enhanced tumor volume(ETV),offers a more comprehensive assessment.Nonetheless,bias field inhomogeneity in magnetic resonance imaging(MRI)poses challenges,potentially skewing volumetric measurements and undermining prognostic evaluation.AIM To investigate whether MRI bias field correction enhances the accuracy of volumetric assessment of infiltrative hepatocellular carcinoma treated with TACE,and to analyze how this improved measurement impacts prognostic prediction.METHODS We retrospectively collected data from 105 patients with invasive liver cancer who underwent TACE treatment at the Affiliated Hospital of Xuzhou Medical University from January 2020 to January 2024.The improved N4 bias field correction algorithm was applied to process MRI images,and the ETV before and after treatment was calculated.The ETV measurements before and after correction were compared,and their relationship with patient prognosis was analyzed.A Cox proportional hazards model was used to evaluate prognostic factors,with Martingale residual analysis determining the optimal cutoff value,followed by survival analysis.RESULTS Bias field correction significantly affected ETV measurements,with the corrected baseline ETV mean(505.235 cm^(3))being significantly lower than before correction(825.632 cm^(3),P<0.001).Cox analysis showed that the hazard ratio(HR)for corrected baseline ETV(HR=1.165,95%CI:1.069-1.268)was higher than before correction(HR=1.063,95%CI:1.031-1.095).Using 412 cm^(3) as the cutoff,the group with baseline ETV<415 cm^(3) had a longer median survival time compared to the≥415 cm^(3) group(18.523 months vs 8.926 months,P<0.001).The group with an ETV reduction rate≥41%had better prognosis than the<41%group(17.862 months vs 9.235 months,P=0.006).Multivariate analysis confirmed that ETV reduction rate(HR=0.412,P<0.001),Child-Pugh classification(HR=0.298,P<0.001),and Barcelona Clinic Liver Cancer stage(HR=0.578,P=0.045)were independent prognostic factors.CONCLUSION Volume imaging based on MRI bias field correction can improve the accuracy of evaluating the efficacy of TACE treatment for invasive liver cancer.The corrected ETV and its reduction rate can serve as independent indicators for predicting patient prognosis,providing important reference for developing individualized treatment strategies.
基金Supported by National Natural Science Foundation of China(No.82171087No.82201228)+1 种基金Natural Science Foundation of Hunan Province(No.2024JJ6570)the Scientific Research Launch Project for new employees of the Second Xiangya Hospital of Central South University.
文摘Dear Editor,We present the reported case of repetitive bilateral suprachoroidal expulsive hemorrhage(SEH)after anti-glaucoma surgeries.SEH is a rare but potentially devastating complication of intraocular surgery.Long-term ocular hypertension,high myopia,older age,arterial sclerosis,and aphakia have been reported as preoperative risk factors for developing SEH^([1]).The prognosis for the visual acuity is poor without proper management.A suggested time for surgical drainage is said to be 10-14d when the hemorrhagic clot begins to liquefy^([2]).
基金Supported by the Municipal Key Science and Technology Program of Leshan,No.23SZD039National Natural Science Foundation of China,No.82470539.
文摘BACKGROUND Due to their significantly lower incidence than colorectal polyps and macroscopic features resembling those of hyperplastic polyps,rectal neuroendocrine tumors(rNETs)are frequently misdiagnosed and resected as polyps.To date,no reports have been written on the application of artificial intelligence for assisting in the white-light endoscopy of rNETs.AIM To establish a neuroendocrine tumor lesion detection algorithm based on the YOLOv7 model and evaluate the performance of the algorithm in identifying neuroendocrine tumors.METHODS In total,137748 white-light endoscopic images were collected in this study,including 2232 images of rNET,4429 images of submucosal lesions other than rNET,42563 images of polyps,and 88593 images of normal mucosa.All the images were randomly divided into a training set,a validation set,and a test set.To evaluate the ability of the algorithm to diagnose rNETs,we selected 1578 images to form the test set.The performance of the algorithm was compared with that of endoscopists at different levels.RESULTS The accuracy of the algorithm in identifying rNET from all the images was 97.8%,the sensitivity was 72.6%,the specificity was 99.7%,the positive predictive value was 93.9%,and the negative predictive value was 98.1%.CONCLUSION Our model,which was based on YOLOv7,could effectively detect rNET lesions,which was better than that of most endoscopists.
基金the Shenzhen Fundamental Research Fund(No.JCYJ20210324122801005)the Fundamental Research Funds for the Central Universities(No.HIT.OCEF.2023022).
文摘The complex compositions of high-entropy alloys(HEAs)enable a variety of phase structures like FCC single phase,BCC single phase,or duplex FCC+BCC phase.Accurate and efficient prediction of phase structure is crucial for accelerating the discovery of new components and designing HEAs with desired phase structure.In this work,five machine learning strategies were utilized to predict the phase structures of HEAs with a dataset of 296.Specifically,a two-step feature selection strategy was proposed,enabling pronounced improvement in the computational efficiency from 2047 to 12 iterations for each model while ensuring fewer input features and higher prediction accuracy.Compared with traditional valence electron concentration criterion,the prediction accuracy of collected dataset was highly improved from 0.79 to 0.98 for random forest.Furthermore,HEAs with compositions of Al_(x)CoCu_(6)Ni_(6)Fe_(6)(x=1,3,6)were developed to validate the prediction results of machine learning models,and the mechanical properties as well as corrosion resistance were investigated.It is found that the higher Al content enhances the yield strength but deteriorates corrosion resistance.The present two-step feature selection strategy provides an alternative method that is feasible for predicting the phase structure of HEAs with high efficiency and accuracy.
基金supported by the National Natural Science Foundation of China(Grant No.U22B2072)Research Project of China Petroleum Science and Technology Innovation Fund(Grant No.2025DQ02-0144)。
文摘The exploitation of oil resources has now extended to ultra-deep formations,with depths even exceeding 10,000 m.During drilling operations,the bottomhole temperature(BHT)can surpass 240℃.Under such high-temperature conditions,measurement while drilling(MWD)instruments are highly likely to malfunction due to the inadequate temperature resistance of their electronic components.As a wellbore temperature control approach,the application of thermal insulated drill pipe(TIDP)has been proposed to manage the wellbore temperature in ultra-deep wells.This paper developed a temperature field model for ultra-deep wells by coupling the interactions of multiple factors on the wellbore temperature.For the first time,five distinct TIDP deployment methods were proposed,and their corresponding wellbo re temperature variation characte ristics were investigated,and the heat transfer laws of the ultra-deep wellbore-formation system were quantitatively elucidated.The results revealed that TIDP can effectively restrain the rapid rise in the temperature of the drilling fluid inside the drill string by reducing the heat flux of the drill string.Among the five deployment methods,the method of deploying TIDP from the bottomhole upwards exhibits the best performance.For a 12,000 m simulated well,when6000 m of TIDP are deployed from the bottomhole upwards,the BHT decreases by 52℃,while the outlet temperature increases by merely 1℃.This not only achieves the objective of wellbore temperature control but also keeps the temperature of the drilling fluid at the outlet of annulus at a relatively low level,thereby reducing the requirements for the heat exchange equipment on the ground.The novel findings of this study provide significant guidance for wellbore temperature control in ultra-deep and ultra-high-temperature wells.
基金National Natural Science Foundation of China,Grant/Award Number:82101937Guangdong Medical Science and Technology Research Fund Project,China,Grant/Award Number:B2024069Guangzhou Science and Technology Plan Project,China,Grant/Award Number:2024A04J4923 and SL2023A04J02229。
文摘Background:Makorin ring finger protein 3 gene(MKRN3)gene mutation is the most common genetic cause of central precocious puberty(CPP)in children.Due to the lack of ideal MKRN3-modified animal model(MKRN3-modified mice enter puberty only 4–5 days earlier than normal mice),the related research is limited.Methods:Therefore,the MKRN3-modified rabbit was developed using CRISPR(clus-tered regularly interspaced short palindromic repeats)gene editing technology.The genotype identification and phenotype evaluation of MKRN3-modified rabbits were carried out.Results:The first estrus of MKRN3-modified female rabbits was observed~27 days earlier than that of wild-type female rabbits,with a typical CPP phenotype.This study found increased gonadotropin releasing hormone(GnRH)and decreased gonadotropin inhibiting hormone(GnIH)in the hypothalamus of the CPP rabbit model with MKRN3 gene mutation.Although this study failed to fully clarify the pathogenesis of CPP caused by MKRN3 mutation,it found some differentially expressed genes and potential pathways through transcriptome sequencing.Conclusions:This study established a novel CPP model:paternal MKRN3 gene-modified rabbit.It is hoped that the establishment of this model will help researchers better understand,treat,and prevent CPP in the future.
基金The 2023 Jilin Provincial Department of Education Science and Technology(Social Sciences)Research Planning Project“Research on the Organizational Models of Private Universities in Promoting Rural Revital-ization in Jilin Province”(JJKH20231426SK)。
文摘This paper focuses on the transformation of the project-based learning(PBL)teaching model driven by artificial intelligence(AI),and explores the two-way reconstruction path of teacher roles and student abilities.Combining metacognitive theory to analyze the pain points of traditional PBL,this paper systematically sorts out the functional reconstruction path of AI in the dimensions of teaching design,process monitoring,and evaluation feedback.Then,starting from the social role theory,this paper deeply analyzes the transformation of teacher identity and the reconstruction of student abilities in the AI-PBL fusion scenario.AI not only reshapes the logic of cultivating students’abilities but also prompts teachers to achieve deep changes in their roles at the cognitive,relational,and ethical levels.Human-machine collaboration should not replace teachers’emotional values and educational judgments,but should become a key support for optimizing the educational ecology and realizing personalized education.
基金the National Natural Science Foundation of China(22172097)the Shaanxi Provincial Sci-ence Fund for Distinguished Young Scholars(2025JC-JCQN-044)+1 种基金the National Key Research and Development Program of China(2022YFA1205502)the 111 Project(B14041).
文摘Correlation between tunable optical properties and push-pull structural characters has attracted extensive attention in material science and nonlinear optics.Here,several indacenodithiophene(IDT)derivatives denoted as IDT-2NA,NA-IDT-CN,and IDT-2CN with different terminal substituents are investigated comparatively to demonstrate their intrinsic structure-property relationships.Interestingly,the IDT core acts diverse roles as acceptor(A)and donor(D)in the obtained three derivatives.Symmetric IDT-2NA with a D-A-D architecture shows an absorption maximum around 459 nm in THF.Contrary to the symmetric analog IDT-2CN with a reverse A-D-A feature,NA-IDT-CN with a different D-D'-A motif characterizes an obvious solvent polarity effect.Theo-retical calculation and electrostatic potential results confirm the terminal substituents with different electronic conjugation play vital roles in affecting the resultant photophysical properties.Utilizing the femtosecond open-aperture Z-scan technique,significant two-photon absorption(2PA)capabilities are obtained ranging from 540 to 900 nm.The 2PA cross section(δ_(2pA) )maximum about 5390 GM of centrosymmetric IDT-2CN exhibits at 600 nm.Distinct excited-state dynamics with the help of femtosecond transition absorption supports the effective intramolecular charge transfer which accounts for enhancing theδ_(2pA) values.Their potential optical power limiting applications based on the 2PA mechanism were further evaluated.The limiting thresholds were found to be 2.793.35 mJ/cm^(2) for the three IDT derivatives with a sequence of IDT-2CN<IDT-2NA<NA-IDT-CN.The distinct structural motifs and effective 2PA capabilities in the current work may provide reliable insights into the push-pull IDT chromophores for advanced nonlinear optical applications.
基金supported by the National Natural Science Foundation of China(No.52001015)the Urban Carbon Neutral Science Innovation Foundation of Beijing University of Technology,China(No.053000514124601)the Science and Technology Program of Beijing Municipal Education Commission,China(No.KM201810005007).
文摘The addition of complexing agents to the electrolyte has been shown to be an effective method to enhance the discharge performance of magnesium-air batteries.In this work,four complexing agents:citric acid(CIT),salicylic acid(SAL),2,6-dihydroxybenzoic acid(2,6-DHB),and 5-sulfoisophthalic acid(5-sulfoSAL)were selected as potential candidates.Through electrochemical tests,full-cell discharge experiments,and physicochemical characterization,the impact of these complexing agents on the discharge performance of magnesium-air batteries using AZ31 alloy as the anode material was investigated.The results demonstrated that the four complexing agents increased the discharge voltage of the batteries.Notably,SAL could significantly improve the anodic efficiency and the discharge specific capacity,achieving an anodic efficiency of 60.3%and a specific capacity of 1358.3 mA·h/g at a discharge current density of 10 mA/cm^(2).
