Although atmospheric CO_(2) observations are becoming increasingly widespread in China,the identification of CO_(2) emission sources is still scarce,especially in undeveloped Central China.To effectively address this ...Although atmospheric CO_(2) observations are becoming increasingly widespread in China,the identification of CO_(2) emission sources is still scarce,especially in undeveloped Central China.To effectively address this issue,in a typical site in Central China,the simultaneous measurements of atmospheric CO_(2),CO,andδ^(13)C were conducted,and the characteristics of CO_(2) emission sources were systematically investigated based on the relationships among CO_(2),CO,andδ^(13)C.The average CO_(2)/CO ratio of winter increased from 52.4 ppm/ppm during 2018–2020 to 65.1 ppm/ppm during 2021–2022,which confirmed the improvement of energy consumption efficiency in China.Air-mass transportation from central China and Yangtze River Delta regions contributed largely to higher CO_(2)/CO ratios in 2021–2022.A highermean CO_(2)/CO ratio appeared during the morning rush hours(60.3 ppm/ppm)than in the afternoon rush hours(51.4 ppm/ppm)in winter.In addition,the meanδ^(13)C value of CO_(2) sources(δ^(13)Cs)also displayed more negative values during the morning rush hours(-28.3‰)than the afternoon rush hours(-22.2‰),suggesting the significant influence of vehicle and natural gas usage at themorning rush hours and the impact of straw burning in the afternoon rush hours.The meanδ^(13)Cs was-24.7‰for winter and-21.9‰for vegetation season,implying the main contribution of coal in winter and the impact of C4 plants during the vegetation season.The contribution of biogenic respiration CO_(2) was inferred to exceed 50%during the nighttime of summer according to the obtained meanδ^(13)C value of biogenic respiration CO_(2),which was calculated to be-21.4‰.展开更多
Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs ...Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.展开更多
Fluorescence lifetime(FLT)of fluorophores is sensitive to the changes in their surrounding microenvironment,and hence it can quantitatively reveal the physiological characterization of the tissue under investigation.F...Fluorescence lifetime(FLT)of fluorophores is sensitive to the changes in their surrounding microenvironment,and hence it can quantitatively reveal the physiological characterization of the tissue under investigation.Fluorescence lifetime imaging microscopy(FLIM)provides not only morphological but also functional information of the tisse by producing spatially resolved image of fuorophore lifetime,which can be used as a signature of disorder and/or malignancy in diseased tissues.In this paper,we begin by introducing the basic principle and common detection methods of FLIM.Then the recent advances in the FLIM-based diagnosis of three different skin cancers,including basal cell carcinoma(BCC),squamous cell carcinoma(SCC)and malignant melanoma(MM)are reviewed.Furthermore,the potential advantages of FLIM in skin cancer diagnosis and the challenges that may be faced in the future are prospected.展开更多
Fluorescence lifetime is not only associated with the molecular structure f fuorophores,but alsostrongly depends on the environment around them,which llows fuorescence lifetime imagingmicroscopy(FLIM)to be used as a t...Fluorescence lifetime is not only associated with the molecular structure f fuorophores,but alsostrongly depends on the environment around them,which llows fuorescence lifetime imagingmicroscopy(FLIM)to be used as a tool for precise measurement of the cell or tisue microenvironment,This review introduces the basic principle of fuorescence lifetime imagingtechnology and its application in clinical medicine,including research and diagnosis of diseases inskin,brain,eyes,mouth,bone,blood vessels and cavity organs,and drug evaluation.As anoninvasive,nontoxic and nonionizing radiation technique,FLIM demonstrates excellent per-formance with high sensitivity and specificity,which allows to determine precise position of thelesion and,thus,has good potential for application in biomedical research and clinical diagnosis.展开更多
Multifocal multiphoton microscopy(MMM)has recently become an important tool in biomedicine for performing three-dimensional fastfluorescence imaging.Using various beamsplitting techniques,MMM splits the near-infrared ...Multifocal multiphoton microscopy(MMM)has recently become an important tool in biomedicine for performing three-dimensional fastfluorescence imaging.Using various beamsplitting techniques,MMM splits the near-infrared laser beam into multiple beamlets and produces a multifocal array on the sample for parallel multiphoton excitation and then recordsfluorescence signal from all foci simultaneously with an area array detector,which significantly improves the imaging speed of multiphoton microscopy and allows for high efficiency in use of the excitation light.In this paper,we discuss the features of several MMM setups using different beamsplitting devices,including a Nipkow spinning disk,a microlens array,a set of beamsplitting mirrors,or a diffractive optical element(DOE).In particular,we present our recent work on the development of an MMM using a spatial light modulator(SLM).展开更多
Multifocal multiphoton microscopy(MMM)has greatly improved the utilization of excitationlight and imaging speed due to parallel multiphoton excitation of the samples and simultaneousdetection of the signals,which allo...Multifocal multiphoton microscopy(MMM)has greatly improved the utilization of excitationlight and imaging speed due to parallel multiphoton excitation of the samples and simultaneousdetection of the signals,which allows it to perform three-dimensional fast fuorescence imaging.Stochastic scanming can provide continuous,uniform and high-speed excitation of the sample,which makes it a suitable scanning scheme for MMM.In this paper,the graphical programminglanguage,LabVIEW is used to achieve stochastic scanning of the two-dimensional galvo scanmers by using white noise signals to control the a and y mirrors independently.Moreover,thestochastic scanning process is simulated by using Monte Carlo method.Our results show that MMM can avoid oversampling or subsampling in the scanning area and meet the requirements of uniform sampling by stochastically scanning the individual units of the N×N foci array.Therefore,continuous and umiform scaning in the whole field of view is implemented.展开更多
AM1(ABA-mimicking ligand)is a newly identified signaling molecule for plants during drought tolerance.To investigate the potential role of AM1 in response of rapeseed to drought stress,we conducted experiments by grow...AM1(ABA-mimicking ligand)is a newly identified signaling molecule for plants during drought tolerance.To investigate the potential role of AM1 in response of rapeseed to drought stress,we conducted experiments by growing rapeseed plants under different levels of drought stress with or without applying AM1 or ABA in a rain shelter.The results indicated that drought significantly inhibited rapeseed growth by damaging the photosyn-thesis system,increasing active oxygen accumulation,destroying the oxidative system,and worsening membrane lipid peroxidation.Exogenously applied AM1 and ABA both relieved the damage to rapeseed that was induced by drought stress.Compared with the drought-treated rapeseed,the AM1 treatment significantly improved plant height,number of greelp leaves,root collar thickness,leaf area,dry matter weight,and root cap ratios of rapeseed.In addition,Pn,Gs,Ci,Tr were significantly increased by the AM1 treatment.The AM1 treatment also alleviated the drought induced reductions in Fv/Fm,ΦPSII,qN and ETR;induced an increase in NPQ;and resulted in decreased active oxygen accumulation and membrane lipid peroxidation.Although the ABA treatment relieved photosynthetic fluorescence and antioxidation system parameters to some extent,the effect was inferior to AM1 treatment.Yield under AM1 treatment was higher than that under ABA treatment but was still far lower than that of normal water supply control.In summary,AM1 is functionally similar to ABA in terms of drought relief and regulation,moreover has a better effect.展开更多
Objective This study aims to explore the application value of multimodal magnetic resonance imaging(MRI)in the diagnosis of atypical hepatocellular carcinoma(HCC).Methods 80 patients with atypical HCC who were admitte...Objective This study aims to explore the application value of multimodal magnetic resonance imaging(MRI)in the diagnosis of atypical hepatocellular carcinoma(HCC).Methods 80 patients with atypical HCC who were admitted to our hospital from August 2018 to February 2020 were selected as the research subjects.All patients underwent dynamic computed tomography(CT)enhancement scans,and then multimodal MRI scans,including an MRI plain scan,dynamic contrastenhancement(DCE),and diffusion-weighted imaging(DWI).Then,the image data were analyzed.Results The diagnostic accuracy of the observation group(95.00%)was significantly higher than that of the control group(75.00%).This difference was statistically significant(χ2=6.128,P<0.05).With the increase of the b value,the apparent diffusion coefficient(ADC)values of the liver tissue and liver cancer tissue gradually decreased.Compared with normal liver tissue,the ADC value of liver cancer tissue was significantly lower than that of normal liver tissue(P<0.05).A plain MRI scan of 89 lesions,DCE examination of 93 lesions,(1)7 lesions were slow-rising and fast-falling;(2)72 lesions were fast-rising and fast-falling;(3)10 were platform-type lesions;(4)4 lesions had no enhancement.Conclusion The diagnostic efficiency of a multimodal MRI in the diagnosis of atypical HCC is high,and it has particular clinical application value.展开更多
This study is an intrinsic study of EFL motivation at the tertiary level by the use of a combination of quantitative and qualitative approaches. Three parts are involved in this study： 1） variables that constitute l...This study is an intrinsic study of EFL motivation at the tertiary level by the use of a combination of quantitative and qualitative approaches. Three parts are involved in this study： 1） variables that constitute learners＇ motivation of EFL learning; 2） the relationships among motivational components; 3） the differences between high achievers and low achievers.展开更多
Long developmental stage and late harvest time of winter rapeseed (Brassica napus L.) have great negative effects on rice planting of rice-rapeseed farming system in China. Early maturity improvement of rapeseed is ne...Long developmental stage and late harvest time of winter rapeseed (Brassica napus L.) have great negative effects on rice planting of rice-rapeseed farming system in China. Early maturity improvement of rapeseed is necessary. ‘Zhongshuang 11’, an elite winter rapeseed cultivar, was used in consecutive field experiments during 2010-2012. At initial flowering stage, plants were consecutively sprayed with 0.1 mg/L 2-4-Epibrassinolide(BR) for 3 d. Two hundred sampling pods from different plants were randomly collected to measure seed related indexes with a 4 d interval from 7 to 47 d after peak anthesis (DAPA).Seed color turned light brown at 31 or 35 DAPA after BR treatment, seed dry weight (DWT)was increased while seed moisture content (SMC) was decreased during seed development.DWT almost reached the maximum value when SMC was 33.20% at 31 DAPA in 2010-2011 and 35.29% at 35 DAPA in 2011-2012 growing season after BR treatment. Similarly,the maximum values of standard germination test (SGT), accelerated aging test (AAT)and cold test (CT) were observed at 31 or 35 DAPA after BR treatment respectively. The high yield and seed oil content appeared at 31 or 35 DAPA accompanied with rapid decrease in total non-structural carbohydrate (TNC) in stems and leaves. Our study indicated that BR application advanced maturity of winter rapeseed by 4 to 8 days.展开更多
Effective subunit vaccines against pathogen infection require potent adjuvant systems that can induce both humoral and cellular immune responses.Here,we present a nanoparticulate lipid adjuvant(NLA)platform based on i...Effective subunit vaccines against pathogen infection require potent adjuvant systems that can induce both humoral and cellular immune responses.Here,we present a nanoparticulate lipid adjuvant(NLA)platform based on ionizable lipid(IL)nanoparticles.A library of 124 structurally diverse ILs synthesized via Ugi four-component reaction(Ugi-4CR)is formulated with helper lipids into 124 nanoparticles,respectively.In vitro screening based on TNF-αproduction from splenocytes identifies a few NLA candidates with high performance.Furthermore,the formulations from the ILs with varied amine heads are checked for stimulating immune cells,including bone marrow-derived dendritic cells and RAW264.7 cells.The leading IL nanoparticles,NLAs,potently facilitate the immune activation by expressing TNF-αand costimulatory molecules,CD80 and CD86,respectively.When co-administered with RSV pre-F antigen in mice via intramuscular injection,the optimized formulation induces robust cellular and humoral immunity,with significantly enhanced central and effector memory T cell responses.Challenge studies against viral infection reveal that the leading formulation provides superior protection of mice with a comparable efficacy to AS01e-like liposome adjuvant.Safety evaluations,including hematology,blood biochemistry,and histopathological analyses,confirm a good biocompatibility.By using NLRP3 gene knockout cells,we confirm that the inflammatory properties of NLAs mainly rely on the NLRP3-based inflammasome pathway.This work demonstrates that the rationally designed IL-based NLAs can serve as high-performing yet accessible adjuvants to enhance the immunogenicity of subunit vaccines.展开更多
Wafer-scale van der Waals heterostructures(vdWHs),benefitting from the rich diversity in materials available and stacking geometry,precise controllability in devices structure and performance,and unprecedented potenti...Wafer-scale van der Waals heterostructures(vdWHs),benefitting from the rich diversity in materials available and stacking geometry,precise controllability in devices structure and performance,and unprecedented potential in practical application,have attracted considerable attention in the field of twodimensional(2D)materials.This article reviews the state-of-the-art research activities that focus on wafer-scale vdWHs and their(opto)electronic applications.We begin with the preparation strategies of vdWHs with wafer size and illustrate them from four key aspects,that is,mechanical-assembly stack,successive deposition,synchronous evolution,and seeded growth.We discuss the fundamental principle,underlying mechanism,advantages,and disadvantages for each strategy.We will then review the applications of large-area vdWHs based devices in electronic,optoelectronic and flexible devices field,unveiling their promising potential for practical application.Ultimately,we will demonstrate the challenges they face and provide some viable solutions on waferscale heterostructure synthesis and device fabrication.展开更多
Social networks are fundamental media for dif- fusion of information and contagions appear at some node of the network and get propagated over the edges. Prior re- searches mainly focus on each contagion spreading ind...Social networks are fundamental media for dif- fusion of information and contagions appear at some node of the network and get propagated over the edges. Prior re- searches mainly focus on each contagion spreading indepen- dently, regardless of multiple contagions＇ interactions as they propagate at the same time. In the real world, simultaneous news and events usually have to compete for user＇s attention to get propagated. In some other cases, they can cooperate with each other and achieve more influences. In this paper, an evolutionary game theoretic framework is proposed to model the interactions among multiple con- tagions. The basic idea is that different contagions in social networks are similar to the multiple organisms in a popula- tion, and the diffusion process is as organisms interact and then evolve from one state to another. This framework statis- tically learns the payoffs as contagions interacting with each other and builds the payoff matrix. Since learning payoffs for all pairs of contagions IS almost impossible （quadratic in the number of contagions）, a contagion clustering method is proposed in order to decrease the number of parameters to fit, which makes our approach efficient and scalable. To ver- ify the proposed framework, we conduct experiments by us- ing real-world information spreading dataset of Digg. Exper- imental results show that the proposed game theoretic frame- work helps to comprehend the information diffusion process better and can predict users＇ forwarding behaviors with more accuracy than the previous studies. The analyses of evolution dynamics of contagions and evolutionarily stable strategy re- veal whether a contagion can be promoted or suppressed by others in the diffusion process.展开更多
Levodopa(L-DOPA),a precursor of dopamine,is commonly prescribed for the treatment of the Parkinson’s disease(PD).However,oral administration of levodopa results in a high level of homocysteine in the peripheral circu...Levodopa(L-DOPA),a precursor of dopamine,is commonly prescribed for the treatment of the Parkinson’s disease(PD).However,oral administration of levodopa results in a high level of homocysteine in the peripheral circulation,thereby elevating the risk of cardiovascular disease,and limiting its clinical application.Here,we report a non-invasive method to deliver levodopa to the brain by delivering L-DOPA-loaded sub-50 nm nanoparticles via brain-lymphatic vasculature.The hydrophilic L-DOPA was successfully encapsulated into nanoparticles of tannic acid(TA)/polyvinyl alcohol(PVA)via hydrogen bonding using the flash nanocomplexation(FNC)process,resulting in a high L-DOPA-loading capacity and uniform size in a scalable manner.Pharmacodynamics analysis in a PD rat model demonstrated that the levels of dopamine and tyrosine hydroxylase,which indicate the dopaminergic neuron functions,were increased by 2-and 4-fold,respectively.Movement disorders and cerebral oxidative stress of the rats were significantly improved.This formulation exhibited a high degree of biocompatibility as evidenced by lack of induced inflammation or other pathological changes in major organs.This antioxidative and drug-delivery platform administered through the brain-lymphatic vasculature shows promise for clinical treatment of the PD.展开更多
Background:Enhanced recovery after surgery is used in gastrointestinal surgery.This study aimed to access the effects of early liquid drinking(ELD)on gastrointestinal function recovery in patients with gastric cancer(...Background:Enhanced recovery after surgery is used in gastrointestinal surgery.This study aimed to access the effects of early liquid drinking(ELD)on gastrointestinal function recovery in patients with gastric cancer(GC)who underwent radical gastrectomy,as high-quality evidence on the outcomes of ELD after gastrectomy is currently lacking.Methods:Clinicopathological data of patients with GC from 11 centers were retrospectively analysed.Clinical outcomes were investigated in 555 patients,including 225 who started drinking liquid within 48 h(ELD group)of surgery and 330 who started drinking liquid after flatus resumption(traditional liquid drinking[TLD]group).Propensity score matching(PSM)analysis was performed using a match ratio of 1:1 and 201 patients were selected from each group for the analysis.Primary outcome was time to first passage of flatus.Secondary outcomes included time to first defecation,post-operative hospitalization days,occurrence of short-term post-operative complications,and hospitalization costs.Results:After PSM,baseline characteristics were not significantly different between the two groups.The time to first flatus(2.7261.08 vs 3.3661.39 days),first defecation(4.3461.85 vs 4.7761.61 days),and post-operative hospital stay(8.2764.02 vs 12.9464.43 days)were shorter in the ELD group than in the TLD group(all P<0.05).The ELD group had lower hospitalization costs than the TLD group([7.8362.44 vs 8.7863.41]104 RMB,P=0.041).No significant differences were observed in the incidence of post-operative complications.Conclusions:Compared with TLD,post-operative ELD could promote rapid recovery of gastrointestinal function and reduce hospitalization costs;moreover,ELD does not increase the risk of post-operative complications.展开更多
A central paradigm in nanomedicine is that when synthetic nanoparticles(NPs)enter the body,they are immediately cloaked by a corona of macromolecules(mostly proteins)that mediates the role of the physico-chemical prop...A central paradigm in nanomedicine is that when synthetic nanoparticles(NPs)enter the body,they are immediately cloaked by a corona of macromolecules(mostly proteins)that mediates the role of the physico-chemical properties in the NP biological functions(the“coronation paradigm”).In this work,we focused on the assessment of the“coronation paradigm”for cationic NPs(cNPs)used as rheumatoid arthritis(RA)drugs due to their ability to scavenge cell-free DNA(cfDNA).We fabricated series of cNPs uniformly coated with single or di-hydroxyl groups and different types of amino groups and showed that hydroxylated nanoparticles displayed a prolonged retention in inflamed joints and greater anti-inflammatory effect in collagen-induced arthritis(CIA)rats than the non-hydroxylated analogues.Especially,the cNPs with secondary amines and a di-hydroxyl shell showed the best performance among the tested cNPs.Proteomic analysis showed that the cNPs with a di-hydroxyl shell adsorbed less opsonin proteins than the cNPs carrying mono hydroxyl groups and non-hydroxylated ones,which may provide a mechanistic explanation for the different biodistribution profiles of cNPs.Thus,this study suggests that the protein corona mediates the effects of the surface chemistry on the fate and functions of cNPs as anti-RA drugs.展开更多
The preparation of graphene-based conductive inks and their application in the field of flexible electronics have been extensively studied.However,improving the conductivity of the printed patterns always induces the ...The preparation of graphene-based conductive inks and their application in the field of flexible electronics have been extensively studied.However,improving the conductivity of the printed patterns always induces the neglect of the rheological properties of the graphene-based conductive inks or the mechanical properties of the as-printed patterns.In this study,the p-type doping of graphene with CuCl_(2)as the dopant is realized through liquid phase reaction,and the doped graphene powders are used to prepare the graphenebased conductive inks with a conductivity of 3.13×10^(4)S m^(-1).Subsequently,to simplify the preparation of inks,CuCl_(2)is directly added into the graphene-based conductive inks,achieving the p-type doped graphene ink with the conductivity of 3.64×10^(4)S m^(-1).The read range of ultrahigh-frequency radio frequency identification antenna and the temperature of the flexible electrothermal film printed with the CuCl_(2)-doped graphene-based conductive inks can reach 7.15 m and 200℃,respectively when the equivalent isotropically radiated power is equal to 4 W and the input power density is 0.94 W cm^(-2).Moreover,good rheological properties of the conductive inks and high mechanical properties of the printed patterns are also obtained.展开更多
This study presents atmospheric N_(2)O mole fractions measured from discrete air samples from 2001 to 2018 at Mt.Waliguan(WLG)station(36°17′N,100°54′E,3816 m asl)in China,which is a global background stati...This study presents atmospheric N_(2)O mole fractions measured from discrete air samples from 2001 to 2018 at Mt.Waliguan(WLG)station(36°17′N,100°54′E,3816 m asl)in China,which is a global background station of the World Meteorological Organization/Global Atmosphere Watch Programme(WMO/GAW)in central Eurasia.Observed N_(2)O characteristics of annual means,interannual variability,and seasonal cycles were investigated.Our results show that N_(2)O at WLG possess a distinct increasing trend and a statistically significant seasonal cycle,with an average growth rate of 0.9±0.01 ppb yr^(−1)(1σ)(1ppb=10^(−9)),which is close to the global mean.The detrended seasonal cycle shows a trough of−0.25±0.04(1σ)ppb in June and a peak of 0.13±0.07(1σ)ppb in September,with an amplitude of 0.38 ppb.The pattern is due to combined effects of variation in surface sources,vertical convection within the boundary layer and stratosphere to troposphere transportation(STE).The interannual variability in growth rate was partly driven by quasi-biennial oscillation(QBO)of tropical zonal wind through stratospheric transport into the troposphere.According to a cluster analysis of back trajectories and the corresponding average N_(2)O load,most air masses cover arid and semi-arid areas in inner Asia with low N_(2)O emissions,indicating that the atmospheric N_(2)O at the WLG represents the background N_(2)O level in central Eurasia.展开更多
基金supported by the National Natural Science Foundation of China(No.42105159)the Key Technologies Research and Development Program(No.2022YFF0606400)+2 种基金China Meteorological Administration“Research on value realization of climate ecological products”Youth Innovation Team Project(No.CMA2024QN15)Jiangxi Meteorological Technology Project(Nos.JX2021Z06,JX2022Z03,and JX2023Z03)the Joint Open Fund of the Institute of Atmospheric Environment,China Meteorological Administration,Shenyang and Key Laboratory of Agro-Meteorological Disasters of Liaoning Province(No.2024SYIAEKFZD05)。
文摘Although atmospheric CO_(2) observations are becoming increasingly widespread in China,the identification of CO_(2) emission sources is still scarce,especially in undeveloped Central China.To effectively address this issue,in a typical site in Central China,the simultaneous measurements of atmospheric CO_(2),CO,andδ^(13)C were conducted,and the characteristics of CO_(2) emission sources were systematically investigated based on the relationships among CO_(2),CO,andδ^(13)C.The average CO_(2)/CO ratio of winter increased from 52.4 ppm/ppm during 2018–2020 to 65.1 ppm/ppm during 2021–2022,which confirmed the improvement of energy consumption efficiency in China.Air-mass transportation from central China and Yangtze River Delta regions contributed largely to higher CO_(2)/CO ratios in 2021–2022.A highermean CO_(2)/CO ratio appeared during the morning rush hours(60.3 ppm/ppm)than in the afternoon rush hours(51.4 ppm/ppm)in winter.In addition,the meanδ^(13)C value of CO_(2) sources(δ^(13)Cs)also displayed more negative values during the morning rush hours(-28.3‰)than the afternoon rush hours(-22.2‰),suggesting the significant influence of vehicle and natural gas usage at themorning rush hours and the impact of straw burning in the afternoon rush hours.The meanδ^(13)Cs was-24.7‰for winter and-21.9‰for vegetation season,implying the main contribution of coal in winter and the impact of C4 plants during the vegetation season.The contribution of biogenic respiration CO_(2) was inferred to exceed 50%during the nighttime of summer according to the obtained meanδ^(13)C value of biogenic respiration CO_(2),which was calculated to be-21.4‰.
文摘Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.
基金supported by The 111 Project(B17035)Open Research Fund Program of the State Key Laboratory of Low Dimensional Quantum Physics(KF201713)+1 种基金State Key Laboratory of Transient Optics and Photonics,Chinese Academy of Sciences(SKLST201804)the Key Laboratory of Optoelectronic Devices and Systems of Ministry of Education and Guangdong Province(GD201711).
文摘Fluorescence lifetime(FLT)of fluorophores is sensitive to the changes in their surrounding microenvironment,and hence it can quantitatively reveal the physiological characterization of the tissue under investigation.Fluorescence lifetime imaging microscopy(FLIM)provides not only morphological but also functional information of the tisse by producing spatially resolved image of fuorophore lifetime,which can be used as a signature of disorder and/or malignancy in diseased tissues.In this paper,we begin by introducing the basic principle and common detection methods of FLIM.Then the recent advances in the FLIM-based diagnosis of three different skin cancers,including basal cell carcinoma(BCC),squamous cell carcinoma(SCC)and malignant melanoma(MM)are reviewed.Furthermore,the potential advantages of FLIM in skin cancer diagnosis and the challenges that may be faced in the future are prospected.
基金funded by the Science and Technology Planning Fundamental Research Project of Shenzhen(No.JCYJ20150324140036853)National Natural Science Foundation of China(No.61378091)+1 种基金Ningbo Natural Science Foundation Project(No.2016A610032)the Central University Basic Scientic Research Business Expenses Project(No.NSIY051405).
文摘Fluorescence lifetime is not only associated with the molecular structure f fuorophores,but alsostrongly depends on the environment around them,which llows fuorescence lifetime imagingmicroscopy(FLIM)to be used as a tool for precise measurement of the cell or tisue microenvironment,This review introduces the basic principle of fuorescence lifetime imagingtechnology and its application in clinical medicine,including research and diagnosis of diseases inskin,brain,eyes,mouth,bone,blood vessels and cavity organs,and drug evaluation.As anoninvasive,nontoxic and nonionizing radiation technique,FLIM demonstrates excellent per-formance with high sensitivity and specificity,which allows to determine precise position of thelesion and,thus,has good potential for application in biomedical research and clinical diagnosis.
基金This work has been partially supported by NIH(SC COBRE P20RR021949 and Career Award 1k25hl088262-01)NSF(MRI CBET-0923311 and SC EPSCoR RII EPS-0903795 through SC GEAR program)+3 种基金The National Natural Science Foundation of China(31171372,61078067)Guangdong Province Science and Technology Project(2010B060300002)Shenzhen University Application Technology Development Project(201136,CXB201104220021A,JC201005250032A,200854)the Fundamental Research Funds for the Central Universities(K50510050006).
文摘Multifocal multiphoton microscopy(MMM)has recently become an important tool in biomedicine for performing three-dimensional fastfluorescence imaging.Using various beamsplitting techniques,MMM splits the near-infrared laser beam into multiple beamlets and produces a multifocal array on the sample for parallel multiphoton excitation and then recordsfluorescence signal from all foci simultaneously with an area array detector,which significantly improves the imaging speed of multiphoton microscopy and allows for high efficiency in use of the excitation light.In this paper,we discuss the features of several MMM setups using different beamsplitting devices,including a Nipkow spinning disk,a microlens array,a set of beamsplitting mirrors,or a diffractive optical element(DOE).In particular,we present our recent work on the development of an MMM using a spatial light modulator(SLM).
基金partially supported,by,the National Natural Science Foundation of China(11204226)the Fundamental Research Fundsfor,the Central Universities(K5051005006,K5051305002).
文摘Multifocal multiphoton microscopy(MMM)has greatly improved the utilization of excitationlight and imaging speed due to parallel multiphoton excitation of the samples and simultaneousdetection of the signals,which allows it to perform three-dimensional fast fuorescence imaging.Stochastic scanming can provide continuous,uniform and high-speed excitation of the sample,which makes it a suitable scanning scheme for MMM.In this paper,the graphical programminglanguage,LabVIEW is used to achieve stochastic scanning of the two-dimensional galvo scanmers by using white noise signals to control the a and y mirrors independently.Moreover,thestochastic scanning process is simulated by using Monte Carlo method.Our results show that MMM can avoid oversampling or subsampling in the scanning area and meet the requirements of uniform sampling by stochastically scanning the individual units of the N×N foci array.Therefore,continuous and umiform scaning in the whole field of view is implemented.
基金the Natural Science Foundation of China(No.31771735,No.31971855)the Natural Science Foundation of Hubei Province(No.2019CFB273)Science and Technology Innovation Project from the Chinese Academy of Agricultural Sciences(CAASASTIP-2016-OCRI)。
文摘AM1(ABA-mimicking ligand)is a newly identified signaling molecule for plants during drought tolerance.To investigate the potential role of AM1 in response of rapeseed to drought stress,we conducted experiments by growing rapeseed plants under different levels of drought stress with or without applying AM1 or ABA in a rain shelter.The results indicated that drought significantly inhibited rapeseed growth by damaging the photosyn-thesis system,increasing active oxygen accumulation,destroying the oxidative system,and worsening membrane lipid peroxidation.Exogenously applied AM1 and ABA both relieved the damage to rapeseed that was induced by drought stress.Compared with the drought-treated rapeseed,the AM1 treatment significantly improved plant height,number of greelp leaves,root collar thickness,leaf area,dry matter weight,and root cap ratios of rapeseed.In addition,Pn,Gs,Ci,Tr were significantly increased by the AM1 treatment.The AM1 treatment also alleviated the drought induced reductions in Fv/Fm,ΦPSII,qN and ETR;induced an increase in NPQ;and resulted in decreased active oxygen accumulation and membrane lipid peroxidation.Although the ABA treatment relieved photosynthetic fluorescence and antioxidation system parameters to some extent,the effect was inferior to AM1 treatment.Yield under AM1 treatment was higher than that under ABA treatment but was still far lower than that of normal water supply control.In summary,AM1 is functionally similar to ABA in terms of drought relief and regulation,moreover has a better effect.
文摘Objective This study aims to explore the application value of multimodal magnetic resonance imaging(MRI)in the diagnosis of atypical hepatocellular carcinoma(HCC).Methods 80 patients with atypical HCC who were admitted to our hospital from August 2018 to February 2020 were selected as the research subjects.All patients underwent dynamic computed tomography(CT)enhancement scans,and then multimodal MRI scans,including an MRI plain scan,dynamic contrastenhancement(DCE),and diffusion-weighted imaging(DWI).Then,the image data were analyzed.Results The diagnostic accuracy of the observation group(95.00%)was significantly higher than that of the control group(75.00%).This difference was statistically significant(χ2=6.128,P<0.05).With the increase of the b value,the apparent diffusion coefficient(ADC)values of the liver tissue and liver cancer tissue gradually decreased.Compared with normal liver tissue,the ADC value of liver cancer tissue was significantly lower than that of normal liver tissue(P<0.05).A plain MRI scan of 89 lesions,DCE examination of 93 lesions,(1)7 lesions were slow-rising and fast-falling;(2)72 lesions were fast-rising and fast-falling;(3)10 were platform-type lesions;(4)4 lesions had no enhancement.Conclusion The diagnostic efficiency of a multimodal MRI in the diagnosis of atypical HCC is high,and it has particular clinical application value.
文摘This study is an intrinsic study of EFL motivation at the tertiary level by the use of a combination of quantitative and qualitative approaches. Three parts are involved in this study： 1） variables that constitute learners＇ motivation of EFL learning; 2） the relationships among motivational components; 3） the differences between high achievers and low achievers.
文摘Long developmental stage and late harvest time of winter rapeseed (Brassica napus L.) have great negative effects on rice planting of rice-rapeseed farming system in China. Early maturity improvement of rapeseed is necessary. ‘Zhongshuang 11’, an elite winter rapeseed cultivar, was used in consecutive field experiments during 2010-2012. At initial flowering stage, plants were consecutively sprayed with 0.1 mg/L 2-4-Epibrassinolide(BR) for 3 d. Two hundred sampling pods from different plants were randomly collected to measure seed related indexes with a 4 d interval from 7 to 47 d after peak anthesis (DAPA).Seed color turned light brown at 31 or 35 DAPA after BR treatment, seed dry weight (DWT)was increased while seed moisture content (SMC) was decreased during seed development.DWT almost reached the maximum value when SMC was 33.20% at 31 DAPA in 2010-2011 and 35.29% at 35 DAPA in 2011-2012 growing season after BR treatment. Similarly,the maximum values of standard germination test (SGT), accelerated aging test (AAT)and cold test (CT) were observed at 31 or 35 DAPA after BR treatment respectively. The high yield and seed oil content appeared at 31 or 35 DAPA accompanied with rapid decrease in total non-structural carbohydrate (TNC) in stems and leaves. Our study indicated that BR application advanced maturity of winter rapeseed by 4 to 8 days.
基金supported by the National Key Research and Development Program of China(2022YFC2304201)the National Natural Science Foundation of China(82341037,52433005)。
文摘Effective subunit vaccines against pathogen infection require potent adjuvant systems that can induce both humoral and cellular immune responses.Here,we present a nanoparticulate lipid adjuvant(NLA)platform based on ionizable lipid(IL)nanoparticles.A library of 124 structurally diverse ILs synthesized via Ugi four-component reaction(Ugi-4CR)is formulated with helper lipids into 124 nanoparticles,respectively.In vitro screening based on TNF-αproduction from splenocytes identifies a few NLA candidates with high performance.Furthermore,the formulations from the ILs with varied amine heads are checked for stimulating immune cells,including bone marrow-derived dendritic cells and RAW264.7 cells.The leading IL nanoparticles,NLAs,potently facilitate the immune activation by expressing TNF-αand costimulatory molecules,CD80 and CD86,respectively.When co-administered with RSV pre-F antigen in mice via intramuscular injection,the optimized formulation induces robust cellular and humoral immunity,with significantly enhanced central and effector memory T cell responses.Challenge studies against viral infection reveal that the leading formulation provides superior protection of mice with a comparable efficacy to AS01e-like liposome adjuvant.Safety evaluations,including hematology,blood biochemistry,and histopathological analyses,confirm a good biocompatibility.By using NLRP3 gene knockout cells,we confirm that the inflammatory properties of NLAs mainly rely on the NLRP3-based inflammasome pathway.This work demonstrates that the rationally designed IL-based NLAs can serve as high-performing yet accessible adjuvants to enhance the immunogenicity of subunit vaccines.
基金National Nature Science Foundation of China,Grant/Award Number:21825103Natural Science Foundation of Hubei Province of China,Grant/Award Number:2019CFA002Fundamental Research Funds for the Central University,Grant/Award Number:2019kfyXMBZ018。
文摘Wafer-scale van der Waals heterostructures(vdWHs),benefitting from the rich diversity in materials available and stacking geometry,precise controllability in devices structure and performance,and unprecedented potential in practical application,have attracted considerable attention in the field of twodimensional(2D)materials.This article reviews the state-of-the-art research activities that focus on wafer-scale vdWHs and their(opto)electronic applications.We begin with the preparation strategies of vdWHs with wafer size and illustrate them from four key aspects,that is,mechanical-assembly stack,successive deposition,synchronous evolution,and seeded growth.We discuss the fundamental principle,underlying mechanism,advantages,and disadvantages for each strategy.We will then review the applications of large-area vdWHs based devices in electronic,optoelectronic and flexible devices field,unveiling their promising potential for practical application.Ultimately,we will demonstrate the challenges they face and provide some viable solutions on waferscale heterostructure synthesis and device fabrication.
基金This work was supported by State Key Development Program of Basic Research of China （2013CB 329605） and the National Nat- ural Science Foundation of China （Grant Nos. 61300014, 61372191）.
文摘Social networks are fundamental media for dif- fusion of information and contagions appear at some node of the network and get propagated over the edges. Prior re- searches mainly focus on each contagion spreading indepen- dently, regardless of multiple contagions＇ interactions as they propagate at the same time. In the real world, simultaneous news and events usually have to compete for user＇s attention to get propagated. In some other cases, they can cooperate with each other and achieve more influences. In this paper, an evolutionary game theoretic framework is proposed to model the interactions among multiple con- tagions. The basic idea is that different contagions in social networks are similar to the multiple organisms in a popula- tion, and the diffusion process is as organisms interact and then evolve from one state to another. This framework statis- tically learns the payoffs as contagions interacting with each other and builds the payoff matrix. Since learning payoffs for all pairs of contagions IS almost impossible （quadratic in the number of contagions）, a contagion clustering method is proposed in order to decrease the number of parameters to fit, which makes our approach efficient and scalable. To ver- ify the proposed framework, we conduct experiments by us- ing real-world information spreading dataset of Digg. Exper- imental results show that the proposed game theoretic frame- work helps to comprehend the information diffusion process better and can predict users＇ forwarding behaviors with more accuracy than the previous studies. The analyses of evolution dynamics of contagions and evolutionarily stable strategy re- veal whether a contagion can be promoted or suppressed by others in the diffusion process.
基金supported by Natural Science Foundation of China(No.51533009)the Guangdong Innovative and Entrepreneurial Research Team Program(No.2013S086)the key Area Research and Development of Guangzhou(No.202007020006).
文摘Levodopa(L-DOPA),a precursor of dopamine,is commonly prescribed for the treatment of the Parkinson’s disease(PD).However,oral administration of levodopa results in a high level of homocysteine in the peripheral circulation,thereby elevating the risk of cardiovascular disease,and limiting its clinical application.Here,we report a non-invasive method to deliver levodopa to the brain by delivering L-DOPA-loaded sub-50 nm nanoparticles via brain-lymphatic vasculature.The hydrophilic L-DOPA was successfully encapsulated into nanoparticles of tannic acid(TA)/polyvinyl alcohol(PVA)via hydrogen bonding using the flash nanocomplexation(FNC)process,resulting in a high L-DOPA-loading capacity and uniform size in a scalable manner.Pharmacodynamics analysis in a PD rat model demonstrated that the levels of dopamine and tyrosine hydroxylase,which indicate the dopaminergic neuron functions,were increased by 2-and 4-fold,respectively.Movement disorders and cerebral oxidative stress of the rats were significantly improved.This formulation exhibited a high degree of biocompatibility as evidenced by lack of induced inflammation or other pathological changes in major organs.This antioxidative and drug-delivery platform administered through the brain-lymphatic vasculature shows promise for clinical treatment of the PD.
基金supported by an Ethicon Excellence in Surgery Grant(EESG)[grant number HZB-2018111949]the National Key Clinical Specialty Construction Project(2021-2024)[grant number 2022YW030009].
文摘Background:Enhanced recovery after surgery is used in gastrointestinal surgery.This study aimed to access the effects of early liquid drinking(ELD)on gastrointestinal function recovery in patients with gastric cancer(GC)who underwent radical gastrectomy,as high-quality evidence on the outcomes of ELD after gastrectomy is currently lacking.Methods:Clinicopathological data of patients with GC from 11 centers were retrospectively analysed.Clinical outcomes were investigated in 555 patients,including 225 who started drinking liquid within 48 h(ELD group)of surgery and 330 who started drinking liquid after flatus resumption(traditional liquid drinking[TLD]group).Propensity score matching(PSM)analysis was performed using a match ratio of 1:1 and 201 patients were selected from each group for the analysis.Primary outcome was time to first passage of flatus.Secondary outcomes included time to first defecation,post-operative hospitalization days,occurrence of short-term post-operative complications,and hospitalization costs.Results:After PSM,baseline characteristics were not significantly different between the two groups.The time to first flatus(2.7261.08 vs 3.3661.39 days),first defecation(4.3461.85 vs 4.7761.61 days),and post-operative hospital stay(8.2764.02 vs 12.9464.43 days)were shorter in the ELD group than in the TLD group(all P<0.05).The ELD group had lower hospitalization costs than the TLD group([7.8362.44 vs 8.7863.41]104 RMB,P=0.041).No significant differences were observed in the incidence of post-operative complications.Conclusions:Compared with TLD,post-operative ELD could promote rapid recovery of gastrointestinal function and reduce hospitalization costs;moreover,ELD does not increase the risk of post-operative complications.
基金The financial support from the National Natural Science Foundation of China(21875290)the key Areas Research and Development Program of Guangzhou(202007020006)support of Sun Yat-sen University(19lgjc01)was acknowledged for support。
文摘A central paradigm in nanomedicine is that when synthetic nanoparticles(NPs)enter the body,they are immediately cloaked by a corona of macromolecules(mostly proteins)that mediates the role of the physico-chemical properties in the NP biological functions(the“coronation paradigm”).In this work,we focused on the assessment of the“coronation paradigm”for cationic NPs(cNPs)used as rheumatoid arthritis(RA)drugs due to their ability to scavenge cell-free DNA(cfDNA).We fabricated series of cNPs uniformly coated with single or di-hydroxyl groups and different types of amino groups and showed that hydroxylated nanoparticles displayed a prolonged retention in inflamed joints and greater anti-inflammatory effect in collagen-induced arthritis(CIA)rats than the non-hydroxylated analogues.Especially,the cNPs with secondary amines and a di-hydroxyl shell showed the best performance among the tested cNPs.Proteomic analysis showed that the cNPs with a di-hydroxyl shell adsorbed less opsonin proteins than the cNPs carrying mono hydroxyl groups and non-hydroxylated ones,which may provide a mechanistic explanation for the different biodistribution profiles of cNPs.Thus,this study suggests that the protein corona mediates the effects of the surface chemistry on the fate and functions of cNPs as anti-RA drugs.
基金supported by the National Natural Science Foundation of China(22103026,21825103,and U21A2069)Hubei Provincial Natural Science Foundation(2019CFA002)the Fundamental Research Funds for the Central Universities(2020kfy XJJS050)。
基金supported by the Special Funds for the Co-construction Project of Beijing Municipal Commission of Education。
文摘The preparation of graphene-based conductive inks and their application in the field of flexible electronics have been extensively studied.However,improving the conductivity of the printed patterns always induces the neglect of the rheological properties of the graphene-based conductive inks or the mechanical properties of the as-printed patterns.In this study,the p-type doping of graphene with CuCl_(2)as the dopant is realized through liquid phase reaction,and the doped graphene powders are used to prepare the graphenebased conductive inks with a conductivity of 3.13×10^(4)S m^(-1).Subsequently,to simplify the preparation of inks,CuCl_(2)is directly added into the graphene-based conductive inks,achieving the p-type doped graphene ink with the conductivity of 3.64×10^(4)S m^(-1).The read range of ultrahigh-frequency radio frequency identification antenna and the temperature of the flexible electrothermal film printed with the CuCl_(2)-doped graphene-based conductive inks can reach 7.15 m and 200℃,respectively when the equivalent isotropically radiated power is equal to 4 W and the input power density is 0.94 W cm^(-2).Moreover,good rheological properties of the conductive inks and high mechanical properties of the printed patterns are also obtained.
基金This work was supported by the National Natural Science Foundation of China(Grant Nos.41730103&41805129).
文摘This study presents atmospheric N_(2)O mole fractions measured from discrete air samples from 2001 to 2018 at Mt.Waliguan(WLG)station(36°17′N,100°54′E,3816 m asl)in China,which is a global background station of the World Meteorological Organization/Global Atmosphere Watch Programme(WMO/GAW)in central Eurasia.Observed N_(2)O characteristics of annual means,interannual variability,and seasonal cycles were investigated.Our results show that N_(2)O at WLG possess a distinct increasing trend and a statistically significant seasonal cycle,with an average growth rate of 0.9±0.01 ppb yr^(−1)(1σ)(1ppb=10^(−9)),which is close to the global mean.The detrended seasonal cycle shows a trough of−0.25±0.04(1σ)ppb in June and a peak of 0.13±0.07(1σ)ppb in September,with an amplitude of 0.38 ppb.The pattern is due to combined effects of variation in surface sources,vertical convection within the boundary layer and stratosphere to troposphere transportation(STE).The interannual variability in growth rate was partly driven by quasi-biennial oscillation(QBO)of tropical zonal wind through stratospheric transport into the troposphere.According to a cluster analysis of back trajectories and the corresponding average N_(2)O load,most air masses cover arid and semi-arid areas in inner Asia with low N_(2)O emissions,indicating that the atmospheric N_(2)O at the WLG represents the background N_(2)O level in central Eurasia.
