BACKGROUND Postoperative delirium(POD)is a prevalent complication,particularly in elderly patients with hip fractures(HFs).It significantly affects recovery,length of hospital stay,healthcare costs,and long-term outco...BACKGROUND Postoperative delirium(POD)is a prevalent complication,particularly in elderly patients with hip fractures(HFs).It significantly affects recovery,length of hospital stay,healthcare costs,and long-term outcomes.Existing studies have investigated risk factors for POD,but most are limited by single-factor analyses or small sample sizes.This study systematically determines independent risk factors using large-scale data and machine learning techniques and develops a validated nomogram model to support early prediction and management of POD.AIM To investigate POD incidence in elderly patients with HF and the independent risk factors,according to which a nomogram prediction model was developed and validated.METHODS This retrospective study included elderly patients with HF who were surgically treated in Dongying People’sHospital from April 2018 to April 2022. The endpoint event includes POD. They were categorized into themodeling and validation cohorts in a 7:3 ratio by randomization. Both cohorts were further classified into thedelirium and normal (non-delirium) groups according to the presence or absence of the endpoint event. Theincidence of POD was calculated, and logistic multivariate analysis was conducted to determine the independentrisk factors. The calibration curve and the Hosmer-Lemeshow test as well as the net benefit threshold probabilityinterval by the decision curve were utilized to statistically validate the accuracy of the nomogram predictionmodel, developed according to each factor’s influence intensity.RESULTSThis study included 532 elderly patients with HF, with an overall POD incidence of 14.85%. The comparison ofbaseline data with perioperative indicators revealed statistical differences in age (P < 0.001), number of comorbidities(P = 0.042), American Society of Anesthesiologists grading (P = 0.004), preoperative red blood cell(RBC) count (P < 0.001), preoperative albumin (P < 0.001), preoperative hemoglobin (P < 0.001), preoperativeplatelet count (P < 0.001), intraoperative blood loss (P < 0.001), RBC transfusion of ≥ 2 units (P = 0.001), andpostoperative intensive care unit care (P < 0.001) between the delirium and non-delirium groups. The participantswere randomized to a training group (n = 372) and a validation group (n = 160). A score-risk nomogram predictionmodel was developed after screening key POD features using Lasso regression, support vector machine, and therandom forest method. The nomogram showed excellent discriminatory capacity with area under the curve of0.833 [95% confidence interval (CI) interval: 0.774-0.888] in the training group and 0.850 (95%CI: 0.718-0.982) in thevalidation group. Calibration curves demonstrated good agreement between predicted and actual probabilities,and decision curve analysis confirmed clinical net benefits within risk thresholds of 0%-30% and 0%-36%, respectively.The model has strong accuracy and clinical utility for predicting the risk of POD.CONCLUSIONThis study reveals cognitive impairment history, American Society of Anesthesiologists grade of > 2, RBCtransfusion of ≥ 2 units, postoperative intensive care unit care, and preoperative hemoglobin level as independentrisk factors for POD in elderly patients with HF. The developed nomogram model demonstrates excellent accuracyand stability in predicting the risk of POD, which is recommended to be applied in clinical practice to optimizepostoperative management and reduce delirium incidence.展开更多
The low egg production of goose greatly limits the development of the industry.China possesses the most abundant goose breeds resources.In this study,genome resequencing data of swan goose(Anser cygnoides)and domestic...The low egg production of goose greatly limits the development of the industry.China possesses the most abundant goose breeds resources.In this study,genome resequencing data of swan goose(Anser cygnoides)and domesticated high and low laying goose breeds(Anser cygnoides domestiation)were used to identify key genes related to egg laying ability in geese and verify their functions.Selective sweep analyses revealed 416 genes that were specifically selected during the domestication process from swan geese to high laying geese.Furthermore,SNPs and Indels markers were used in GWAS analyses between high and low laying breed geese.The results showed that RTCB,BPIFC,SYN3,SYNE1,VIP,and ESR1 may be related to the differences in laying ability of geese.Notably,only ESR1 was identified simultaneously by GWAS and selective sweep analysis.The genotype of Indelchr3:54429172,located downstream of ESR1,was confirmed to affect the expression of ESR1 in the ovarian stroma and showed significant correlation with body weight at first egg and laying frequency of geese.CCK-8,EdU,and flow cytometry confirmed that ESR1 can promote the apoptosis of goose pre-hierarchical follicles ganulosa cells(phGCs)and inhibit their proliferation.Combined with transcriptome data,it was found ESR1 involved in the function of goose phGCs may be related to MAPK and TGF-beta signaling pathways.Overall,our study used genomic information from different goose breeds to identify an indel located in the downstream of ESR1 associated with goose laying ability.The main pathways and biological processes of ESR1 involved in the regulation of goose laying ability were identified by cell biology and transcriptomics methods.These results are helpful to further understand the laying ability characteristics of goose and improve the egg production of geese.展开更多
Helicobacter pylori-associated gastritis(HPAG)is a common condition of the gastrointestinal tract.However,extensive and long-term antibiotic use has resulted in numerous adverse effects,including increased resistance,...Helicobacter pylori-associated gastritis(HPAG)is a common condition of the gastrointestinal tract.However,extensive and long-term antibiotic use has resulted in numerous adverse effects,including increased resistance,gastrointestinal dysfunction,and increased recurrence rates.When these concerns develop,traditional Chinese medicine(TCM)may have advantages.TCM is based on the concept of completeness and aims to eliminate pathogens and strengthen the body.It has the potential to prevent this condition while also boosting the rate of Helicobacter pylori eradication.This review elaborates on the mechanism of TCM treatment for HPAG based on cellular signalling pathways,which reflects the flexibility of TCM in treating diseases and the advantages of multi-level,multipathway,and multi-target treatments for HPAG.展开更多
Colorectal cancer(CRC)with liver metastasis remains a significant therapeutic challenge,particularly in cases of postoperative recurrence.While transarterial chemoembolization(TACE)and targeted therapies have shown pr...Colorectal cancer(CRC)with liver metastasis remains a significant therapeutic challenge,particularly in cases of postoperative recurrence.While transarterial chemoembolization(TACE)and targeted therapies have shown promise individually,the efficacy combining these for treating postoperative recurrent CRC with liver metastasis requires further investigation.AIM To evaluate the efficacy and safety of TACE combined with targeted therapies for postoperative recurrent CRC with liver metastasis.METHODS This observational study enrolled 75 patients with postoperative recurrent CRC accompanied by liver metastasis between January 2020 and December 2023.All patients received combined treatment with TACE and targeted therapy:Bevacizumab(40 patients,53.3%),cetuximab(25 patients,33.3%),or panitumumab(10 patients,13.3%).Treatment response was evaluated using the Response Evaluation Criteria in Solid Tumors 1.1 criteria,with overall survival(OS)and progression-free survival as the primary endpoints.Quality of life was assessed using the European Organization for Research and Treatment of Cancer quality of life questionnaire at baseline and after six months of treatment.RESULTS The median OS was 28 months(95%confidence interval:24-32 months),and the median progression-free survival was 12 months(95%confidence interval:10-14 months).Patients treated with bevacizumab showed significantly better survival outcomes than those treated with cetuximab/panitumumab(median OS,30 vs 24 months,P=0.015).The overall response rate was 58.7%,with a disease control rate of 86.7%.Quality of life scores improved significantly across all domains,with greater improvements observed in the bevacizumab group.Treatment-related adverse events were manageable,with grade 3-4 events occurring in 13.3%of the patients and no treatment-related mortality.CONCLUSION The combination of TACE with targeted therapy,particularly bevacizumab,has demonstrated promising efficacy and acceptable safety for the treatment of postoperative recurrent CRC with liver metastasis.This multimodal approach not only improved survival outcomes but also enhanced the patients’quality of life,suggesting its potential as a valuable treatment strategy for this challenging condition.展开更多
A comprehensive dynamic model for thermal buckling,elastic vibration and transient response analysis of rotating nanocomposite porous metal-matrix microbeams reinforced with graphene nanoplatelets(GNPs)under a uniform...A comprehensive dynamic model for thermal buckling,elastic vibration and transient response analysis of rotating nanocomposite porous metal-matrix microbeams reinforced with graphene nanoplatelets(GNPs)under a uniform thermal gradient is proposed.Various pore distribution patterns are considered together with different GNPs dispersion rules according to the specific functions.The extended rule of mixture and Halpin-Tsai micromechanics model are employed to evaluate the effective material properties of the nanocomposites.Based on the modified couple stress theory and the improved third-order shear deformation theory,the dynamic equations of the rotating microbeam are established by the Lagrange’s equation.The Chebyshev-based Galerkin method is adopted to discretize these equations,which are then solved by the complex modal analysis and Runge-Kutta-Merson method.Convergence study and comparisons with previous literature are conducted for validation of the present method.A parametric study performed analyzes the effects of angular velocity,thickness-to-length scale parameter ratio,porosity coefficient,weight fraction and geometry of GNPs together with distribution patterns of GNPs and pore on the critical buckling temperature rise,fundamental frequency and time-dependent response of the rotating nanocomposite microbeams.The results reveal significant effects of these parameters on the relevant mechanical behaviors,some of which are even contrary to expectations.Therefore,it is necessary to further study this kind of rotating nanocomposite structures for the optimal design.展开更多
The incidence rate and harmfulness of depression are increasing yearly,and the research on the antidepressant effect of regulating the intestinal microecology balance has attracted widespread attention.The purpose of ...The incidence rate and harmfulness of depression are increasing yearly,and the research on the antidepressant effect of regulating the intestinal microecology balance has attracted widespread attention.The purpose of this research was to study the preventive effects and the regulatory mechanism of edible Lilium-egg yolk compound powder(BHT)on gut-brain crosstalk in depressive rats induced by chronic unpredictable mild stress(CUMS)through the“microbiota-gut-brain”axis.Results showed that infusion of BHT for 21 days ameliorated the morphology of the hippocampus and colon,increased the rate of sucrose preference,reduced the immobility time of forced swimming,increased the expression level of anti-inflammatory cytokine interleukin(IL)-10 in serum,up-regulated the expression level of plasma neurotransmitter 5-hydroxytryptamine(5-HT),downregulated the expression of inflammatory factors tumor necrosis factor-α(TNF-α),IL-6,and IL-1βand neurotransmitter glutamic acid(Glu)in serum,and decreased the expression levels of lipopolysaccharide(LPS),diamine oxidase(DAO)and lactate dehydrogenase(LD)in plasma.The underlying mechanism may be to reduce the activation of microglia(lower levels of CD11 antigen-like family member B(CD11b),ionized calcium binding adaptor molecule 1(Iba1)protein and gene expression),regulate hippocampal glucocorticoid receptor/brain-derived neurotrophic factor/neuropeptide Y(GR/BDNF/NPY)signaling pathway(higher levels of GR,BDNF,NPY protein and gene expression),enhance intestinal mucosal barrier function(higher levels of ZO-1,occludin protein and gene expression),regulate the composition and structure of intestinal flora(analysis results of linear discriminant analysis effect size(LEf Se)combined with random forest showed that Prevotella and Paraprevotella might be biomarkers of BHT intervention in depression),and it is related to the improvement of glutathione metabolism,and other metabolic pathways.Pearson correlation analysis found that 5-HT is strongly positively correlated with Prevotella,and Glu has a strong negative correlation with Prevotella.In conclusion,BHT can exert its antidepressant effect on CUMS-induced rats through microbiota-gut-brain interaction,can be used as an alternative to food recuperation for human depression.展开更多
Timely identification and forecast of maize tasseling date(TD)are very important for agronomic management,yield prediction,and crop phenotype estimation.Remote sensing-based phenology monitoring has mostly relied on t...Timely identification and forecast of maize tasseling date(TD)are very important for agronomic management,yield prediction,and crop phenotype estimation.Remote sensing-based phenology monitoring has mostly relied on time series spectral index data of the complete growth season.A recent development in maize phenology detection research is to use canopy height(CH)data instead of spectral indices,but its robustness in multiple treatments and stages has not been confirmed.Meanwhile,because data of a complete growth season are needed,the need for timely in-season TD identification remains unmet.This study proposed an approach to timely identify and forecast the maize TD.We obtained RGB and light detection and ranging(Li DAR)data using the unmanned aerial vehicle platform over plots of different maize varieties under multiple treatments.After CH estimation,the feature points(inflection point)from the Logistic curve of the CH time series were extracted as TD.We examined the impact of various independent variables(day of year vs.accumulated growing degree days(AGDD)),sensors(RGB and Li DAR),time series denoise methods,different feature points,and temporal resolution on TD identification.Lastly,we used early CH time series data to predict height growth and further forecast TD.The results showed that using the 99th percentile of plot scale digital surface model and the minimum digital terrain model from Li DAR to estimate maize CH was the most stable across treatments and stages(R~2:0.928 to0.943).For TD identification,the best performance was achieved by using Li DAR data with AGDD as the independent variable,combined with the knee point method,resulting in RMSE of 2.95 d.The high accuracy was maintained at temporal resolutions as coarse as 14 d.TD forecast got more accurate as the CH time series extended.The optimal timing for forecasting TD was when the CH exceeded half of its maximum.Using only Li DAR CH data below 1.6 m and empirical growth rate estimates,the forecasted TD showed an RMSE of 3.90 d.In conclusion,this study exploited the growth characteristics of maize height to provide a practical approach for the timely identification and forecast of maize TD.展开更多
BACKGROUND Percutaneous cholecystostomy(PC)can be used as a bridging therapy for moderately severe acute biliary pancreatitis(MSABP).Currently,there are only a limited number of reports of MSABP using PCs.AIM To asses...BACKGROUND Percutaneous cholecystostomy(PC)can be used as a bridging therapy for moderately severe acute biliary pancreatitis(MSABP).Currently,there are only a limited number of reports of MSABP using PCs.AIM To assess the short-term outcomes of early PC in MSABP and factors associated with recurrence and death in MSABP.METHODS Patients who received conservative treatment or PC for acute biliary pancreatitis(ABP)in Liaoning Provincial People’s Hospital from January 2017 to July 2022 were collected.A total of 54 patients with MSABP who received early-stage PC and 29 patients who received conservative treatment.The short-term efficacy of PC was evaluated.Depending on whether there is a recurrence,compare the characteristics of the pre-PC and explore the factors of recurrence.Pre-PC features were compared and predictors were discussed,depending on the outcome.RESULTS After 3 days of PC treatment,patients experienced a reduction in inflammatory markers compared to the conservative group.After PC,patients were divided into non-recurrence(n=37)and recurrence(n=10)groups,and the results showed that age was an independent correlation affecting ABP recurrence[odds ratio(OR)=0.937,95%confidence interval(CI):0.878-0.999;P=0.047<0.05].Patient outcomes were divided into non-lethal(n=47)and lethal(n=7)groups,and Charlson Comorbidity Index(CCI)was a risk factor for mortality(OR=2.397,95%CI:1.139-5.047;P=0.021<0.05).CCI was highly accurate in predicting death in MSABP(area under the curve=0.86>0.7).When the Youden index maximum was 0.565,the cut-off value was 5.5,the sensitivity was 71.4%,and the specificity was 85.1%.CONCLUSION PC is an important method in the early years(<72 hours)of MSABP.Age is a protective factor against recurrence of ABP.High pre-PC CCI is significantly associated with mortality.展开更多
This study focuses on coupled vibrations of rotating thin-walled composite beams subjected to hygrothermal effects.In the existing literature,many studies have been conducted on coupled bending-torsional vibration and...This study focuses on coupled vibrations of rotating thin-walled composite beams subjected to hygrothermal effects.In the existing literature,many studies have been conducted on coupled bending-torsional vibration and resonance in hygrothermal environments.Few studies considered the coupled flapwise-edgewise and resonances of composite thin-walled beams.Considering this,the flapwise-edgewise coupling effects and resonant characteristics of rotating thin-walled composite beams in a hygrothermal environment are studied.The Rayleigh–Ritz method is used to solve the equations of the beam.Results indicate that flapwise-edgewise coupling factors are essential for the vibration analysis of rectangular thin-walled beams.The ply angle and setting angle strongly affect the internal and external resonances.Large ply angles can significantly reduce the chances of primary internal and external resonances occurring when the permitted rotational speed is lower.展开更多
Interlayer coupling plays an important role in determining the lattice vibrations and optical properties of twodimensional(2D) materials. By applying pressure, the interlayer coupling in 2D materials can be effectivel...Interlayer coupling plays an important role in determining the lattice vibrations and optical properties of twodimensional(2D) materials. By applying pressure, the interlayer coupling in 2D materials can be effectively modified,thereby tuning their physical properties. In this study, we systematically investigated the crystal structure and electronic structure of bulk and ultrathin CrPS_(4) by combining in situ high-pressure Raman and photoluminescence(PL) spectroscopy measurements. The results of high-pressure Raman spectroscopy indicate that, with an increase in layer number, the pressure at which the A2 and B3 Raman peaks merge into a single peak increases, meanwhile, a delay in fluorescence quenching is observed. These can be attributed to the much harder structural distortion or even phase transitions, and the electronic phase transition of CrPS_(4) with stronger interlayer coupling in thicker layer. The current structural and optical investigation under pressure will provide a firm basis for future studies and applications of atomically thin magnetic semiconductors,which hold potential for the development of strain-sensitive and optical-sensing devices.展开更多
This study examined the effects of pasteurization(PAS),ultrasonic sterilization(ULS),and microwave sterilization(MWS)on the quality and storage characteristics of brine-fermented tofu(BFT)and fermented tofu(FT).Compar...This study examined the effects of pasteurization(PAS),ultrasonic sterilization(ULS),and microwave sterilization(MWS)on the quality and storage characteristics of brine-fermented tofu(BFT)and fermented tofu(FT).Comparative analysis revealed that MWS had a negligible detrimental effect on the structural integrity and organoleptic properties of BFT and FT,while effectively maintaining its water-holding capacity(WHC)and exhibiting the least impact on its texture.In contrast,PAS and ULS increased hardness and chewiness significantly(P<0.05),but ULS also enhanced the brightness of tofu.Throughout the storage period,the WHC,elasticity,and sensory properties of tofu generally decreased,whereas the hardness and chewiness increased.PAS-BFT and MWS-FT maintained sensory quality for the longest periods of 14 and 12 days respectively,and could be decomposed to more small molecule peptides within 0–8 days and 0–6 days,which are more easily to be absorbed by the body.The findings discovered that MWS is the most suitable method for sterilization of tofu,with superior capability in maintaining the quality,extending shelf life,and improving digestibility of tofu.展开更多
High-volume fraction silicon particle-reinforced aluminium matrix composites(Si/Al)are increasingly applied in aerospace,radar communications,and large-scale integrated circuits because of their superior thermal condu...High-volume fraction silicon particle-reinforced aluminium matrix composites(Si/Al)are increasingly applied in aerospace,radar communications,and large-scale integrated circuits because of their superior thermal conductivity,wear resistance,and low thermal expansion coefficient.However,the abrasive and adhesive wear caused by the hard silicon reinforcement and the ductile aluminium matrix leads to significant tool wear,decreased machining efficiency,and compromised surface quality.This study combines theoretical analysis and cutting experiments to investigate polycrystalline diamond(PCD)tool wear during milling of 70 vol%Si/Al composite.A key contribution of this work is the development of a tool wear model that incorporates reinforcement particle characteristics,treating them as ellipsoidal structures,which enhances the accuracy of predicting abrasive and adhesive wear mechanisms.The model is based on abrasive and adhesive wear mechanisms,and can analyze the interaction between silicon particles,aluminium matrix,and tool components,thus providing deeper insights into PCD tool wear processes.Experimental validation of the model shows a good agreement with the results,with a mean deviation of approximately 10%.The findings on the tool wear mechanism reveal that,as tool wear progresses,the proportion of abrasive wear increases from 40%in the running-in stage to 75%in the rapid wear stage,while adhesive wear decreases.The optimal machining parameters of 120 m·min^(–1) cutting speed(v_(c))and 0.04 mm·z^(–1) feed rate(f_(z)),result in tool life of 33 min and surface roughness(S_(a))of 2.2μm.The study uncovers the variation patterns of abrasive and adhesive wear during the tool wear process,and the proposed model offers a robust framework for predicting tool wear during the machining of high-volume fraction Si/Al composites.The research findings also offer key insights for optimizing tool selection and machining parameters,advancing both the theoretical understanding and practical application of PCD tool wear.展开更多
BACKGROUND Non-operative spinal infections(NOSI)are caused by tuberculosis,brucella,and other specific bacteria.The etiology of the disease is insidious,the onset is slow and the diagnosis and treatment are difficult....BACKGROUND Non-operative spinal infections(NOSI)are caused by tuberculosis,brucella,and other specific bacteria.The etiology of the disease is insidious,the onset is slow and the diagnosis and treatment are difficult.Identifying the factors associated with spinal infection and early intervention can reduce the occurrence of the disease.At present,the research mainly focuses on the accurate diagnosis and treatment of spinal infection,and there are few studies on the prevention of spinal infection.The concept of"preventive treatment of diseases"in traditional Chinese medicine may help identify the causes and reduce the occurrence of NOSI.AIM To determine the association of age,bowel movements,and sleep patterns with NOSI.METHODS Data of 69 NOSI patients and 84 healthy controls in a tertiary hospital from January 2019 to June 2024 were collected.Patients with NOSI had imaging evidence(magnetic resonance imaging)of spinal infections(including infections caused by tuberculosis,brucopathy,and other pathogens)and had no history of spinal surgery in the last 1 year were included in the analysis.Patients with spinalinfection due to spinal surgery are excluded in the study.Data including age,sex,place of residence,sleeping status,and bowel movements were collected.SPSS22.0 was used for correlation analysis of all data.RESULTS The mean age of the NOSI group and the control group was 63.55±14.635 years and 59.18±17.111 years,respectively,without statistical difference(P=0.096).There was also no statistically significant difference in gender between the two groups.In the NOSI group,45(65.22%)were over 60 years old,and 44(63.77%)were rural residents.Compared with the control group,the NOSI group had more patients with sleep disorder and defecation disorder,accounting for 69.57%and 68.12%,respectively,with significant statistical difference(both P<0.001).Regression analysis showed that defecation and sleep disorders were closely related to NOSI(both P<0.001).CONCLUSION Most patients with NOSI are older and have sleep disorders and abnormal defecation.展开更多
Formaldehyde(HCHO)is a high-yield product of the oxidation of volatile organic compounds(VOCs)released by anthropogenic activities,fires,and vegetations.Hence,we examined the spatiotemporal variation trends in HCHO co...Formaldehyde(HCHO)is a high-yield product of the oxidation of volatile organic compounds(VOCs)released by anthropogenic activities,fires,and vegetations.Hence,we examined the spatiotemporal variation trends in HCHO columns observed using the Ozone Monitoring Instrument(OMI)during 2005–2021 across the Fenwei Plain(FWP)and analysed the source and variability of HCHO using multi-source data,such as thermal anomalies.The spatial distribution of the annualmean HCHO in the FWP increased from northwest to southeast during 2005–2021,and the high-value aggregation areas contracted and gradually clustered,forming a belt-shaped distribution area from Xi’an to Baoji,north of the Qinling Mountains.The annual mean HCHO concentration generally showed a two-step increase over the 17 years.Fires showed a single-peak trend in March and a double-peak M-shaped trend in March and October,whereas urban thermal anomalies(UTAs)showed an inverted U-shaped trend over 17 years,with peaks occurring in May.The HCHO peaks are mainly caused by the alternating contributions of fires and UTAs.The fires and UTAs(predominantly industrial heat sources)played a role in controlling the background level of HCHO in the FWP.Precipitation and temperature were also important influencing variables for seasonal variations,and the influence of plant sources on HCHO concentrations had significant regional characteristics and contributions.In addition,the FWP has poor dispersion conditions and is an aggregated area for the long-range transport of air pollutants.展开更多
BACKGROUND Knee osteoarthritis(KOA),a common disabling pathology characterized by knee joint pain,swelling,and functional impairment,primarily affects middle-aged and older adults.In addition to physical limitations,c...BACKGROUND Knee osteoarthritis(KOA),a common disabling pathology characterized by knee joint pain,swelling,and functional impairment,primarily affects middle-aged and older adults.In addition to physical limitations,chronic pain often leads to psychological problems,including anxiety and depression,which further impact patients’quality of life.AIM To examine the efficacy and safety of celecoxib plus duloxetine in managing chronic pain,anxiety,and depression in patients with KOA.METHODS A retrospective analysis was conducted on 123 patients with KOA treated at our center between February 2020 and February 2023.Of these,66 received celecoxib plus duloxetine,and 57 received celecoxib alone.Outcomes were assessed using the Visual Analog Scale(VAS),the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),and the Self-Rating Anxiety Scales(SAS)/Self-Rating Depression Scales(SDS).Safety was evaluated by monitoring changes in liver function enzymes(alanine aminotransferase,aspartate aminotransferase),creatinine,and blood urea nitrogen.RESULTS Patients receiving celecoxib plus duloxetine showed significantly greater reductions in VAS and WOMAC and greater improvements in SAS and SDS scores compared with those receiving celecoxib alone.Hepatorenal function did not differ significantly between the treatment groups.Logistic regression analysis identified patient age,educational background,and treatment regimen as independent predictors of inadequate improvement in negative emotional symptoms.CONCLUSION In patients with KOA,celecoxib plus duloxetine effectively mitigates chronic pain and improves anxiety and depressive symptoms without increasing adverse hepatic or renal effects.These findings support its use as a safe and effective treatment option.展开更多
基金Supported by Wang Zhengguo Foundation for Traumatic Medicine“Sequential Medical Research Special Foundation”,No 2024-XGM05.
文摘BACKGROUND Postoperative delirium(POD)is a prevalent complication,particularly in elderly patients with hip fractures(HFs).It significantly affects recovery,length of hospital stay,healthcare costs,and long-term outcomes.Existing studies have investigated risk factors for POD,but most are limited by single-factor analyses or small sample sizes.This study systematically determines independent risk factors using large-scale data and machine learning techniques and develops a validated nomogram model to support early prediction and management of POD.AIM To investigate POD incidence in elderly patients with HF and the independent risk factors,according to which a nomogram prediction model was developed and validated.METHODS This retrospective study included elderly patients with HF who were surgically treated in Dongying People’sHospital from April 2018 to April 2022. The endpoint event includes POD. They were categorized into themodeling and validation cohorts in a 7:3 ratio by randomization. Both cohorts were further classified into thedelirium and normal (non-delirium) groups according to the presence or absence of the endpoint event. Theincidence of POD was calculated, and logistic multivariate analysis was conducted to determine the independentrisk factors. The calibration curve and the Hosmer-Lemeshow test as well as the net benefit threshold probabilityinterval by the decision curve were utilized to statistically validate the accuracy of the nomogram predictionmodel, developed according to each factor’s influence intensity.RESULTSThis study included 532 elderly patients with HF, with an overall POD incidence of 14.85%. The comparison ofbaseline data with perioperative indicators revealed statistical differences in age (P < 0.001), number of comorbidities(P = 0.042), American Society of Anesthesiologists grading (P = 0.004), preoperative red blood cell(RBC) count (P < 0.001), preoperative albumin (P < 0.001), preoperative hemoglobin (P < 0.001), preoperativeplatelet count (P < 0.001), intraoperative blood loss (P < 0.001), RBC transfusion of ≥ 2 units (P = 0.001), andpostoperative intensive care unit care (P < 0.001) between the delirium and non-delirium groups. The participantswere randomized to a training group (n = 372) and a validation group (n = 160). A score-risk nomogram predictionmodel was developed after screening key POD features using Lasso regression, support vector machine, and therandom forest method. The nomogram showed excellent discriminatory capacity with area under the curve of0.833 [95% confidence interval (CI) interval: 0.774-0.888] in the training group and 0.850 (95%CI: 0.718-0.982) in thevalidation group. Calibration curves demonstrated good agreement between predicted and actual probabilities,and decision curve analysis confirmed clinical net benefits within risk thresholds of 0%-30% and 0%-36%, respectively.The model has strong accuracy and clinical utility for predicting the risk of POD.CONCLUSIONThis study reveals cognitive impairment history, American Society of Anesthesiologists grade of > 2, RBCtransfusion of ≥ 2 units, postoperative intensive care unit care, and preoperative hemoglobin level as independentrisk factors for POD in elderly patients with HF. The developed nomogram model demonstrates excellent accuracyand stability in predicting the risk of POD, which is recommended to be applied in clinical practice to optimizepostoperative management and reduce delirium incidence.
基金supported by the China Agriculture Research System of MOF and MARA(CARS-42-4)School Cooperation Project of Ya’an(21SXHZ0028)the Key Technology Support Program of Sichuan Province,China(2021YFYZ0014),for the financial support。
文摘The low egg production of goose greatly limits the development of the industry.China possesses the most abundant goose breeds resources.In this study,genome resequencing data of swan goose(Anser cygnoides)and domesticated high and low laying goose breeds(Anser cygnoides domestiation)were used to identify key genes related to egg laying ability in geese and verify their functions.Selective sweep analyses revealed 416 genes that were specifically selected during the domestication process from swan geese to high laying geese.Furthermore,SNPs and Indels markers were used in GWAS analyses between high and low laying breed geese.The results showed that RTCB,BPIFC,SYN3,SYNE1,VIP,and ESR1 may be related to the differences in laying ability of geese.Notably,only ESR1 was identified simultaneously by GWAS and selective sweep analysis.The genotype of Indelchr3:54429172,located downstream of ESR1,was confirmed to affect the expression of ESR1 in the ovarian stroma and showed significant correlation with body weight at first egg and laying frequency of geese.CCK-8,EdU,and flow cytometry confirmed that ESR1 can promote the apoptosis of goose pre-hierarchical follicles ganulosa cells(phGCs)and inhibit their proliferation.Combined with transcriptome data,it was found ESR1 involved in the function of goose phGCs may be related to MAPK and TGF-beta signaling pathways.Overall,our study used genomic information from different goose breeds to identify an indel located in the downstream of ESR1 associated with goose laying ability.The main pathways and biological processes of ESR1 involved in the regulation of goose laying ability were identified by cell biology and transcriptomics methods.These results are helpful to further understand the laying ability characteristics of goose and improve the egg production of geese.
文摘目的:筛选乳腺癌(breast cancer,BC)血浆胞外囊泡中差异表达的长链非编码RNA(long non-coding RNA,LncRNA),并验证其诊断BC的价值。方法:采用电镜、粒径分析、Western blot检测等方法鉴定血浆样本中制备的胞外囊泡。对8例BC病人和8例健康人的血浆胞外囊泡进行LncRNA测序分析。qRT-PCR测定65例BC病人和65例健康对照样本以及鉴别诊断疾病乳腺纤维腺瘤、乳腺囊性增生病、浆细胞性乳腺炎病人的胞外囊泡中Linc01305的表达水平。qRT-PCR检测乳腺癌细胞系中Linc01305的表达水平。qRT-PCR检测BC病人术前与术后血浆胞外囊泡中Linc01305的表达水平。统计分析BC病人血浆胞外囊泡Linc01305的表达量与临床病理特征的相关性。结果:电镜、粒径分析、Western blot检测发现典型的胞外囊泡特征。测序结果显示Linc01305在BC病人血浆胞外囊泡中的表达水平高于健康人,qRT-PCR结果确认了测序结果,并且Linc01305在乳腺癌细胞系中高表达(P均<0.01),而在BC病人手术切除肿瘤后表达降低(P<0.01)。BC病人血浆胞外囊泡Linc01305的高表达与BC的肿瘤大小、TNM分期、浸润深度和淋巴结转移相关。血浆胞外囊泡Linc01305诊断BC病人的曲线下面积(area under the curve,AUC)为0.7712(P<0.0001)。结论:Linc01305在BC病人血浆胞外囊泡中高表达,且与肿瘤大小、TNM分期、浸润深度和淋巴结转移相关,有望成为BC新的诊断标志物。
基金Supported by National Natural Science Foundation of China,No.82374323and Hunan Graduate Research Innovation Project,No.2023CX15.
文摘Helicobacter pylori-associated gastritis(HPAG)is a common condition of the gastrointestinal tract.However,extensive and long-term antibiotic use has resulted in numerous adverse effects,including increased resistance,gastrointestinal dysfunction,and increased recurrence rates.When these concerns develop,traditional Chinese medicine(TCM)may have advantages.TCM is based on the concept of completeness and aims to eliminate pathogens and strengthen the body.It has the potential to prevent this condition while also boosting the rate of Helicobacter pylori eradication.This review elaborates on the mechanism of TCM treatment for HPAG based on cellular signalling pathways,which reflects the flexibility of TCM in treating diseases and the advantages of multi-level,multipathway,and multi-target treatments for HPAG.
基金Supported by 2023 Hebei Provincial Medical Scientific Research Project Plan,No.20231304.
文摘Colorectal cancer(CRC)with liver metastasis remains a significant therapeutic challenge,particularly in cases of postoperative recurrence.While transarterial chemoembolization(TACE)and targeted therapies have shown promise individually,the efficacy combining these for treating postoperative recurrent CRC with liver metastasis requires further investigation.AIM To evaluate the efficacy and safety of TACE combined with targeted therapies for postoperative recurrent CRC with liver metastasis.METHODS This observational study enrolled 75 patients with postoperative recurrent CRC accompanied by liver metastasis between January 2020 and December 2023.All patients received combined treatment with TACE and targeted therapy:Bevacizumab(40 patients,53.3%),cetuximab(25 patients,33.3%),or panitumumab(10 patients,13.3%).Treatment response was evaluated using the Response Evaluation Criteria in Solid Tumors 1.1 criteria,with overall survival(OS)and progression-free survival as the primary endpoints.Quality of life was assessed using the European Organization for Research and Treatment of Cancer quality of life questionnaire at baseline and after six months of treatment.RESULTS The median OS was 28 months(95%confidence interval:24-32 months),and the median progression-free survival was 12 months(95%confidence interval:10-14 months).Patients treated with bevacizumab showed significantly better survival outcomes than those treated with cetuximab/panitumumab(median OS,30 vs 24 months,P=0.015).The overall response rate was 58.7%,with a disease control rate of 86.7%.Quality of life scores improved significantly across all domains,with greater improvements observed in the bevacizumab group.Treatment-related adverse events were manageable,with grade 3-4 events occurring in 13.3%of the patients and no treatment-related mortality.CONCLUSION The combination of TACE with targeted therapy,particularly bevacizumab,has demonstrated promising efficacy and acceptable safety for the treatment of postoperative recurrent CRC with liver metastasis.This multimodal approach not only improved survival outcomes but also enhanced the patients’quality of life,suggesting its potential as a valuable treatment strategy for this challenging condition.
基金supported by the National Natural Science Foundation of China(Grant Nos.12232012,11872031)the Postgraduate Research&Practice Innovation Program of Jiangsu Province(Grant No.SJCX24_1292)the Outstanding Scientific and Technological Innovation Team in Colleges and Universities of Jiangsu Province.
文摘A comprehensive dynamic model for thermal buckling,elastic vibration and transient response analysis of rotating nanocomposite porous metal-matrix microbeams reinforced with graphene nanoplatelets(GNPs)under a uniform thermal gradient is proposed.Various pore distribution patterns are considered together with different GNPs dispersion rules according to the specific functions.The extended rule of mixture and Halpin-Tsai micromechanics model are employed to evaluate the effective material properties of the nanocomposites.Based on the modified couple stress theory and the improved third-order shear deformation theory,the dynamic equations of the rotating microbeam are established by the Lagrange’s equation.The Chebyshev-based Galerkin method is adopted to discretize these equations,which are then solved by the complex modal analysis and Runge-Kutta-Merson method.Convergence study and comparisons with previous literature are conducted for validation of the present method.A parametric study performed analyzes the effects of angular velocity,thickness-to-length scale parameter ratio,porosity coefficient,weight fraction and geometry of GNPs together with distribution patterns of GNPs and pore on the critical buckling temperature rise,fundamental frequency and time-dependent response of the rotating nanocomposite microbeams.The results reveal significant effects of these parameters on the relevant mechanical behaviors,some of which are even contrary to expectations.Therefore,it is necessary to further study this kind of rotating nanocomposite structures for the optimal design.
基金financial support of the Natural Science Foundation of Hunan Province(2023JJ60481)the Natural Science Foundation of Changsha Municipality(kq2208181)+3 种基金the Hunan Provincial Department of Education’s Outstanding Youth Science Research Project(22B0360)the Hunan Provincial Department of Education’s Science Research Project(22C0191)the National Ministry of Agriculture’s Edible Lily Longshan Comprehensive Experimental Station Project(CARS-21)the Hunan University of Chinese Medicine Graduate Innovation Project(2023CX157)。
文摘The incidence rate and harmfulness of depression are increasing yearly,and the research on the antidepressant effect of regulating the intestinal microecology balance has attracted widespread attention.The purpose of this research was to study the preventive effects and the regulatory mechanism of edible Lilium-egg yolk compound powder(BHT)on gut-brain crosstalk in depressive rats induced by chronic unpredictable mild stress(CUMS)through the“microbiota-gut-brain”axis.Results showed that infusion of BHT for 21 days ameliorated the morphology of the hippocampus and colon,increased the rate of sucrose preference,reduced the immobility time of forced swimming,increased the expression level of anti-inflammatory cytokine interleukin(IL)-10 in serum,up-regulated the expression level of plasma neurotransmitter 5-hydroxytryptamine(5-HT),downregulated the expression of inflammatory factors tumor necrosis factor-α(TNF-α),IL-6,and IL-1βand neurotransmitter glutamic acid(Glu)in serum,and decreased the expression levels of lipopolysaccharide(LPS),diamine oxidase(DAO)and lactate dehydrogenase(LD)in plasma.The underlying mechanism may be to reduce the activation of microglia(lower levels of CD11 antigen-like family member B(CD11b),ionized calcium binding adaptor molecule 1(Iba1)protein and gene expression),regulate hippocampal glucocorticoid receptor/brain-derived neurotrophic factor/neuropeptide Y(GR/BDNF/NPY)signaling pathway(higher levels of GR,BDNF,NPY protein and gene expression),enhance intestinal mucosal barrier function(higher levels of ZO-1,occludin protein and gene expression),regulate the composition and structure of intestinal flora(analysis results of linear discriminant analysis effect size(LEf Se)combined with random forest showed that Prevotella and Paraprevotella might be biomarkers of BHT intervention in depression),and it is related to the improvement of glutathione metabolism,and other metabolic pathways.Pearson correlation analysis found that 5-HT is strongly positively correlated with Prevotella,and Glu has a strong negative correlation with Prevotella.In conclusion,BHT can exert its antidepressant effect on CUMS-induced rats through microbiota-gut-brain interaction,can be used as an alternative to food recuperation for human depression.
基金supported by National Science and Technology Major Project(2022ZD0115701)Nanfan Special Project,CAAS(YBXM2305,YBXM2401,YBXM2402,PTXM2402)+1 种基金National Natural Science Foundation of China(42071426,42301427)the Agricultural Science and Technology Innovation Program of the Chinese Academy of Agricultural Sciences。
文摘Timely identification and forecast of maize tasseling date(TD)are very important for agronomic management,yield prediction,and crop phenotype estimation.Remote sensing-based phenology monitoring has mostly relied on time series spectral index data of the complete growth season.A recent development in maize phenology detection research is to use canopy height(CH)data instead of spectral indices,but its robustness in multiple treatments and stages has not been confirmed.Meanwhile,because data of a complete growth season are needed,the need for timely in-season TD identification remains unmet.This study proposed an approach to timely identify and forecast the maize TD.We obtained RGB and light detection and ranging(Li DAR)data using the unmanned aerial vehicle platform over plots of different maize varieties under multiple treatments.After CH estimation,the feature points(inflection point)from the Logistic curve of the CH time series were extracted as TD.We examined the impact of various independent variables(day of year vs.accumulated growing degree days(AGDD)),sensors(RGB and Li DAR),time series denoise methods,different feature points,and temporal resolution on TD identification.Lastly,we used early CH time series data to predict height growth and further forecast TD.The results showed that using the 99th percentile of plot scale digital surface model and the minimum digital terrain model from Li DAR to estimate maize CH was the most stable across treatments and stages(R~2:0.928 to0.943).For TD identification,the best performance was achieved by using Li DAR data with AGDD as the independent variable,combined with the knee point method,resulting in RMSE of 2.95 d.The high accuracy was maintained at temporal resolutions as coarse as 14 d.TD forecast got more accurate as the CH time series extended.The optimal timing for forecasting TD was when the CH exceeded half of its maximum.Using only Li DAR CH data below 1.6 m and empirical growth rate estimates,the forecasted TD showed an RMSE of 3.90 d.In conclusion,this study exploited the growth characteristics of maize height to provide a practical approach for the timely identification and forecast of maize TD.
基金The Institutional Ethics Committee of Liaoning Provincial People’s Hospital approved the study,No.(2023)K037.
文摘BACKGROUND Percutaneous cholecystostomy(PC)can be used as a bridging therapy for moderately severe acute biliary pancreatitis(MSABP).Currently,there are only a limited number of reports of MSABP using PCs.AIM To assess the short-term outcomes of early PC in MSABP and factors associated with recurrence and death in MSABP.METHODS Patients who received conservative treatment or PC for acute biliary pancreatitis(ABP)in Liaoning Provincial People’s Hospital from January 2017 to July 2022 were collected.A total of 54 patients with MSABP who received early-stage PC and 29 patients who received conservative treatment.The short-term efficacy of PC was evaluated.Depending on whether there is a recurrence,compare the characteristics of the pre-PC and explore the factors of recurrence.Pre-PC features were compared and predictors were discussed,depending on the outcome.RESULTS After 3 days of PC treatment,patients experienced a reduction in inflammatory markers compared to the conservative group.After PC,patients were divided into non-recurrence(n=37)and recurrence(n=10)groups,and the results showed that age was an independent correlation affecting ABP recurrence[odds ratio(OR)=0.937,95%confidence interval(CI):0.878-0.999;P=0.047<0.05].Patient outcomes were divided into non-lethal(n=47)and lethal(n=7)groups,and Charlson Comorbidity Index(CCI)was a risk factor for mortality(OR=2.397,95%CI:1.139-5.047;P=0.021<0.05).CCI was highly accurate in predicting death in MSABP(area under the curve=0.86>0.7).When the Youden index maximum was 0.565,the cut-off value was 5.5,the sensitivity was 71.4%,and the specificity was 85.1%.CONCLUSION PC is an important method in the early years(<72 hours)of MSABP.Age is a protective factor against recurrence of ABP.High pre-PC CCI is significantly associated with mortality.
基金supported by the National Natural Science Foundation of China(Grant Nos.11902002 and 51705002)the Sichuan Provincial Natural Science Foundation(Grant No.2022NSFSC0275)the University Outstanding Youth Researcher Support Program of the Education Department of Anhui Province,and the Teaching Project of the Education Department of Anhui Province(Grant No.2022xxsfkc023).
文摘This study focuses on coupled vibrations of rotating thin-walled composite beams subjected to hygrothermal effects.In the existing literature,many studies have been conducted on coupled bending-torsional vibration and resonance in hygrothermal environments.Few studies considered the coupled flapwise-edgewise and resonances of composite thin-walled beams.Considering this,the flapwise-edgewise coupling effects and resonant characteristics of rotating thin-walled composite beams in a hygrothermal environment are studied.The Rayleigh–Ritz method is used to solve the equations of the beam.Results indicate that flapwise-edgewise coupling factors are essential for the vibration analysis of rectangular thin-walled beams.The ply angle and setting angle strongly affect the internal and external resonances.Large ply angles can significantly reduce the chances of primary internal and external resonances occurring when the permitted rotational speed is lower.
基金Project supported by the National Natural Science Foundation of China (Grant Nos. 12074141, 12274168, and 12104180)the National Major Science Facility Synergetic Extreme Condition User Facility Achievement Transformation Platform Construction (Grant No. 2021FGWCXNLJSKJ01)。
文摘Interlayer coupling plays an important role in determining the lattice vibrations and optical properties of twodimensional(2D) materials. By applying pressure, the interlayer coupling in 2D materials can be effectively modified,thereby tuning their physical properties. In this study, we systematically investigated the crystal structure and electronic structure of bulk and ultrathin CrPS_(4) by combining in situ high-pressure Raman and photoluminescence(PL) spectroscopy measurements. The results of high-pressure Raman spectroscopy indicate that, with an increase in layer number, the pressure at which the A2 and B3 Raman peaks merge into a single peak increases, meanwhile, a delay in fluorescence quenching is observed. These can be attributed to the much harder structural distortion or even phase transitions, and the electronic phase transition of CrPS_(4) with stronger interlayer coupling in thicker layer. The current structural and optical investigation under pressure will provide a firm basis for future studies and applications of atomically thin magnetic semiconductors,which hold potential for the development of strain-sensitive and optical-sensing devices.
基金supported by the Innovation Talents Project of Harbin Science and Technology Bureau(2022CXRCCGO11)。
文摘This study examined the effects of pasteurization(PAS),ultrasonic sterilization(ULS),and microwave sterilization(MWS)on the quality and storage characteristics of brine-fermented tofu(BFT)and fermented tofu(FT).Comparative analysis revealed that MWS had a negligible detrimental effect on the structural integrity and organoleptic properties of BFT and FT,while effectively maintaining its water-holding capacity(WHC)and exhibiting the least impact on its texture.In contrast,PAS and ULS increased hardness and chewiness significantly(P<0.05),but ULS also enhanced the brightness of tofu.Throughout the storage period,the WHC,elasticity,and sensory properties of tofu generally decreased,whereas the hardness and chewiness increased.PAS-BFT and MWS-FT maintained sensory quality for the longest periods of 14 and 12 days respectively,and could be decomposed to more small molecule peptides within 0–8 days and 0–6 days,which are more easily to be absorbed by the body.The findings discovered that MWS is the most suitable method for sterilization of tofu,with superior capability in maintaining the quality,extending shelf life,and improving digestibility of tofu.
基金supported by the National Natural Science Foundation of China(Grant No.52075255)the Jiangsu Provincial Science and Technology Plan(Grant No.BZ2023005).
文摘High-volume fraction silicon particle-reinforced aluminium matrix composites(Si/Al)are increasingly applied in aerospace,radar communications,and large-scale integrated circuits because of their superior thermal conductivity,wear resistance,and low thermal expansion coefficient.However,the abrasive and adhesive wear caused by the hard silicon reinforcement and the ductile aluminium matrix leads to significant tool wear,decreased machining efficiency,and compromised surface quality.This study combines theoretical analysis and cutting experiments to investigate polycrystalline diamond(PCD)tool wear during milling of 70 vol%Si/Al composite.A key contribution of this work is the development of a tool wear model that incorporates reinforcement particle characteristics,treating them as ellipsoidal structures,which enhances the accuracy of predicting abrasive and adhesive wear mechanisms.The model is based on abrasive and adhesive wear mechanisms,and can analyze the interaction between silicon particles,aluminium matrix,and tool components,thus providing deeper insights into PCD tool wear processes.Experimental validation of the model shows a good agreement with the results,with a mean deviation of approximately 10%.The findings on the tool wear mechanism reveal that,as tool wear progresses,the proportion of abrasive wear increases from 40%in the running-in stage to 75%in the rapid wear stage,while adhesive wear decreases.The optimal machining parameters of 120 m·min^(–1) cutting speed(v_(c))and 0.04 mm·z^(–1) feed rate(f_(z)),result in tool life of 33 min and surface roughness(S_(a))of 2.2μm.The study uncovers the variation patterns of abrasive and adhesive wear during the tool wear process,and the proposed model offers a robust framework for predicting tool wear during the machining of high-volume fraction Si/Al composites.The research findings also offer key insights for optimizing tool selection and machining parameters,advancing both the theoretical understanding and practical application of PCD tool wear.
文摘BACKGROUND Non-operative spinal infections(NOSI)are caused by tuberculosis,brucella,and other specific bacteria.The etiology of the disease is insidious,the onset is slow and the diagnosis and treatment are difficult.Identifying the factors associated with spinal infection and early intervention can reduce the occurrence of the disease.At present,the research mainly focuses on the accurate diagnosis and treatment of spinal infection,and there are few studies on the prevention of spinal infection.The concept of"preventive treatment of diseases"in traditional Chinese medicine may help identify the causes and reduce the occurrence of NOSI.AIM To determine the association of age,bowel movements,and sleep patterns with NOSI.METHODS Data of 69 NOSI patients and 84 healthy controls in a tertiary hospital from January 2019 to June 2024 were collected.Patients with NOSI had imaging evidence(magnetic resonance imaging)of spinal infections(including infections caused by tuberculosis,brucopathy,and other pathogens)and had no history of spinal surgery in the last 1 year were included in the analysis.Patients with spinalinfection due to spinal surgery are excluded in the study.Data including age,sex,place of residence,sleeping status,and bowel movements were collected.SPSS22.0 was used for correlation analysis of all data.RESULTS The mean age of the NOSI group and the control group was 63.55±14.635 years and 59.18±17.111 years,respectively,without statistical difference(P=0.096).There was also no statistically significant difference in gender between the two groups.In the NOSI group,45(65.22%)were over 60 years old,and 44(63.77%)were rural residents.Compared with the control group,the NOSI group had more patients with sleep disorder and defecation disorder,accounting for 69.57%and 68.12%,respectively,with significant statistical difference(both P<0.001).Regression analysis showed that defecation and sleep disorders were closely related to NOSI(both P<0.001).CONCLUSION Most patients with NOSI are older and have sleep disorders and abnormal defecation.
基金supported by the National Natural Science Foundation of China(No.41571062)the Fundamental Research Funds for the Central Universities(No.2021TS014)the Natural Science Basic Research Plan in Shaanxi Province of China(No.2023-JC-YB-259).
文摘Formaldehyde(HCHO)is a high-yield product of the oxidation of volatile organic compounds(VOCs)released by anthropogenic activities,fires,and vegetations.Hence,we examined the spatiotemporal variation trends in HCHO columns observed using the Ozone Monitoring Instrument(OMI)during 2005–2021 across the Fenwei Plain(FWP)and analysed the source and variability of HCHO using multi-source data,such as thermal anomalies.The spatial distribution of the annualmean HCHO in the FWP increased from northwest to southeast during 2005–2021,and the high-value aggregation areas contracted and gradually clustered,forming a belt-shaped distribution area from Xi’an to Baoji,north of the Qinling Mountains.The annual mean HCHO concentration generally showed a two-step increase over the 17 years.Fires showed a single-peak trend in March and a double-peak M-shaped trend in March and October,whereas urban thermal anomalies(UTAs)showed an inverted U-shaped trend over 17 years,with peaks occurring in May.The HCHO peaks are mainly caused by the alternating contributions of fires and UTAs.The fires and UTAs(predominantly industrial heat sources)played a role in controlling the background level of HCHO in the FWP.Precipitation and temperature were also important influencing variables for seasonal variations,and the influence of plant sources on HCHO concentrations had significant regional characteristics and contributions.In addition,the FWP has poor dispersion conditions and is an aggregated area for the long-range transport of air pollutants.
文摘BACKGROUND Knee osteoarthritis(KOA),a common disabling pathology characterized by knee joint pain,swelling,and functional impairment,primarily affects middle-aged and older adults.In addition to physical limitations,chronic pain often leads to psychological problems,including anxiety and depression,which further impact patients’quality of life.AIM To examine the efficacy and safety of celecoxib plus duloxetine in managing chronic pain,anxiety,and depression in patients with KOA.METHODS A retrospective analysis was conducted on 123 patients with KOA treated at our center between February 2020 and February 2023.Of these,66 received celecoxib plus duloxetine,and 57 received celecoxib alone.Outcomes were assessed using the Visual Analog Scale(VAS),the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),and the Self-Rating Anxiety Scales(SAS)/Self-Rating Depression Scales(SDS).Safety was evaluated by monitoring changes in liver function enzymes(alanine aminotransferase,aspartate aminotransferase),creatinine,and blood urea nitrogen.RESULTS Patients receiving celecoxib plus duloxetine showed significantly greater reductions in VAS and WOMAC and greater improvements in SAS and SDS scores compared with those receiving celecoxib alone.Hepatorenal function did not differ significantly between the treatment groups.Logistic regression analysis identified patient age,educational background,and treatment regimen as independent predictors of inadequate improvement in negative emotional symptoms.CONCLUSION In patients with KOA,celecoxib plus duloxetine effectively mitigates chronic pain and improves anxiety and depressive symptoms without increasing adverse hepatic or renal effects.These findings support its use as a safe and effective treatment option.
基金Supported by National Basic Research Program of China grant(to Zhu B),No.2011CB505201National Natural Science Foundation of China No.81130063 and No.81173345(to Zhu B and Gao X)
文摘AIM: To investigate the effect and mechanism of acupuncture at heterotopic acupoints on jejunal motility, particularly in pathological conditions.
