Single-atom catalysts(SACs)have garnered significant attention in lithium-sulfur(Li-S)batteries for their potential to mitigate the severe polysulfide shuttle effect and sluggish redox kinetics.However,the development...Single-atom catalysts(SACs)have garnered significant attention in lithium-sulfur(Li-S)batteries for their potential to mitigate the severe polysulfide shuttle effect and sluggish redox kinetics.However,the development of highly efficient SACs and a comprehensive understanding of their structure-activity relationships remain enormously challenging.Herein,a novel kind of Fe-based SAC featuring an asymmetric FeN_(5)-TeN_(4) coordination structure was precisely designed by introducing Te atom adjacent to the Fe active center to enhance the catalytic activity.Theoretical calculations reveal that the neighboring Te atom modulates the local coordination environment of the central Fe site,elevating the d-band center closer to the Fermi level and strengthening the d-p orbital hybridization between the catalyst and sulfur species,thereby immobilizing polysulfides and improving the bidirectional catalysis of Li-S redox.Consequently,the Fe-Te atom pair catalyst endows Li-S batteries with exceptional rate performance,achieving a high specific capacity of 735 mAh g^(−1) at 5 C,and remarkable cycling stability with a low decay rate of 0.038%per cycle over 1000 cycles at 1 C.This work provides fundamental insights into the electronic structure modulation of SACs and establishes a clear correlation between precisely engineered atomic configurations and their enhanced catalytic performance in Li-S electrochemistry.展开更多
Objective To analyze the prevalence and burden of headache disorders in China and its provinces from 1990 to 2021.Methods Using data from the Global Burden of Disease Study(GBD)2021,the number of prevalent cases,preva...Objective To analyze the prevalence and burden of headache disorders in China and its provinces from 1990 to 2021.Methods Using data from the Global Burden of Disease Study(GBD)2021,the number of prevalent cases,prevalence rate,disability-adjusted life years(DALYs),and age-standardized DALY rates were analyzed by sex,age group,and province for headache disorders and their subtypes(migraine and tension-type headache[TTH])between 1990 and 2021.Percentage changes during this period were also estimated.Results In 2021,approximately 426 million individuals in China were affected by headache disorders,with an age-standardized prevalence rate of 27,582.61/100,000.The age-standardized DALY rate for all headache disorders was 487.15/100,000.Between 1990 and 2021,the number of prevalent cases increased by 37.78%,while the prevalence of all headache disorders,migraine,and TTH increased by 6.92%,7.57%,and 7.86%,respectively.The highest prevalence was observed in the 30-34 age group(39,520.60/100,000).Migraine accounted for a larger proportion of DALYs attributable to headache disorders,whereas TTH has a greater impact on its prevalence.In 2021,the highest age-standardized DALY rates for headache disorders were observed in Heilongjiang(617.85/100,000)and Shanghai(542.86/100,000).Conclusion The prevalence of headache disorders is increasing in China.Effective health education,improve diagnosis and treatment are essential,particularly for middle-aged working populations and women of childbearing age.展开更多
Drug overdose is a common reason for emergency department admissions.Although pharmacobezoars due to drug overdose are rare,they can increase the length of hospital stay and risk of mortality.^([1]) Currently,no clear...Drug overdose is a common reason for emergency department admissions.Although pharmacobezoars due to drug overdose are rare,they can increase the length of hospital stay and risk of mortality.^([1]) Currently,no clear procedure for the management of gastric pharmacobezoars exists.We report a case of a patient with pharmacobezoars caused by high-dose oral drug poisoning.The patient recovered completely after gastroscopy,gastric lavage,and symptomatic treatments.展开更多
Exercise training is beneficial to the cardiovascular system. MicroRNAs （miRNAs, miRs） are a class of conserved non-coding RNAs and play a wide-ranging role in the regulation of eukaryotic gene expression. Exercise ...Exercise training is beneficial to the cardiovascular system. MicroRNAs （miRNAs, miRs） are a class of conserved non-coding RNAs and play a wide-ranging role in the regulation of eukaryotic gene expression. Exercise training alters the expression levels of large amounts ofmiRNAs in the heart. In addition, circulating miRNAs appear to be regulated by exercise training. In this review, we will summarize recent advances in the regulation of miRNAs during physical exercise intervention in various cardiovascular diseases, including pathologic cardiac hypertrophy, myocardial fibrosis, ischemia-reperfusion injury, myocardial infarction, and heart failure. The regulatory role of circulating miRNAs after exercise training was also reviewed. In conclusion, miRNAs might be a valuable target for treatment of cardiovascular diseases and have great potential as biomarkers for assessment of physical performance.2018 Published by Elsevier B.V.on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license. （http：//creativecommons.org/licenses/by-nc-nd/4.0/）.展开更多
Piezo1,a key mechanosensor in bone homeostasis,plays a crucial role in fracture healing.However,the mechanisms through which Piezo1 regulates chondrocytes and affects endochondral ossification remain poorly understood...Piezo1,a key mechanosensor in bone homeostasis,plays a crucial role in fracture healing.However,the mechanisms through which Piezo1 regulates chondrocytes and affects endochondral ossification remain poorly understood.This study aimed to investigate the regulatory mechanisms of Piezo1 in chondrocytes during endochondral ossification.Using lineage tracing,we identified chondrocyte-to-osteoblast transdifferentiation during endochondral ossification,which was impaired by chondrocyte-specific Piezo1 knockout.Piezo1 deficiency disrupted mitochondrial bioenergetics,characterized by diminished membrane potential,reduced adenosine triphosphate(ATP)synthesis,suppressed oxygen consumption rates(basal and maximal respiration),and elevated mitochondrial superoxide generation,thereby impairing endochondral ossification during fracture healing.Single-cell RNA sequencing revealed upregulated Lars2 expression in hypertrophic chondrocytes following Piezo1 knockout.Inhibition of Lars2 in chondrocytes normalized mitochondrial dynamics-related markers(MFN1,MFN2,OPA1,DRP1)and restored mitochondrial functional homeostasis.This intervention concurrently reversed Piezo1 knockout-induced suppression of osteogenic markers(Col1,ALP,OCN,OPN,RUNX2),thereby enhancing fracture repair.Protein interaction analyses confirmed direct binding betweenβ-catenin and Lars2.Mechanistically,Piezo1 governs Lars2 expression viaβ-catenin signaling.Our findings demonstrate that Piezo1 activation via Yoda1 enhances mitochondrial bioenergetics and accelerates fracture repair through theβ-catenin/Lars2 axis,offering novel insights and therapeutic avenues for fracture treatment.展开更多
The selection of twin variants plays a critical role in shaping the deformation texture and mechanical properties of magnesium alloys that are limited by slip systems and diverse twinning modes.In this study,we invest...The selection of twin variants plays a critical role in shaping the deformation texture and mechanical properties of magnesium alloys that are limited by slip systems and diverse twinning modes.In this study,we investigated the twin variant selection and the effect of twinning activity on the strain hardening of a hot-rolled AZ31 magnesium alloy by quasi-in-situ EBSD.Moreover,the Schmid factors and the displacement gradient tensors were computed to evaluate the activation of twin variants.The results reveal that the yield strength increased progressively after each deformation step,driven by grain subdivision and texture hardening induced by extension{1012}twinning and the Basinski effect at large strains.The nucleation and growth of the{1012}twins occurred either sequentially or simultaneously during the plastic deformation.At low plastic strains,the activation of most twin variants followed the high Schmid factor criterion while the other twin variants with lower Schmid factors were activated due to the interactions with preexisting twins characterized by high misorientation angles(around 60°).Additionally,this non-Schmid factor scenario was also attributed to low coordinated strain requirements from neighboring grains,showing the critical role of local deformation accommodation in the twinning process.These findings advance the fundamental understanding of the twin variant selection and its implications for the microstructure-property relationship in magnesium alloys for structural applications.展开更多
Efficient and safe information exchange between vehicles can reduce the probability of road accidents,thereby improving the driving experience of vehicles in Vehicular Ad Hoc Networks(VANETs).This paper proposes a gro...Efficient and safe information exchange between vehicles can reduce the probability of road accidents,thereby improving the driving experience of vehicles in Vehicular Ad Hoc Networks(VANETs).This paper proposes a group management algorithm with trust and mobility evaluation to address the enormous pressure on VANETs topology caused by high-speed vehicle movement and dynamic changes in the direction of travel.This algorithm utilizes historical interactive data to mine the fusion trust between vehicles.Then,combined with fusion mobility,the selection of center members and information maintenance of group members is achieved.Furthermore,based on bilinear pairing,an encryption protocol is designed to solve the problem of key management and update when the group structure changes rapidly,ensuring the safe forwarding of messages within and between groups.Numerical analysis shows that the algorithm in the paper ensures group stability and improves performance such as average message delivery rate and interaction delay.展开更多
BACKGROUND:In recent years,with the ban on paraquat,the use of diquat (DQ) as a substitute has significantly increased,leading to a corresponding increase in DQ poisoning cases.This study aimed to identify relevant ri...BACKGROUND:In recent years,with the ban on paraquat,the use of diquat (DQ) as a substitute has significantly increased,leading to a corresponding increase in DQ poisoning cases.This study aimed to identify relevant risk factors affecting patient prognosis and provide a basis for the assessment of patient prognosis.METHODS:Patients with DQ poisoning were included from September 2020 to December2023,and data were extracted from their electronic medical records on the first day of hospitalization.Least Absolute Shrinkage and Selection Operator (LASSO) regression and binary multivariate logistic regression analyses were performed on the collected clinical data to identify risk factors.RESULTS:A total of 117 patients with acute DQ poisoning were included,and were categorized into two groups based on their 28-day outcomes:survival group (n=67) and non-survival group (n=50).There were no statistically significant differences between the two groups in terms of sex,lymphocyte count,platelet-to-lymphocyte ratio,or blood purification rate (P>0.05).The analysis revealed that age (odds ratio[OR]1.094,95%confidence interval[95%CI]1.022–1.171),blood drug concentration (OR 3.659,95%CI1.846–7.252),lactate (OR 1.686,95%CI 1.062–2.678),neutrophil-to-lymphocyte ratio (NLR)(OR 1.101,95%CI 1.017–1.192),albumin (OR 1.275,95%CI 1.107–1.468),and aspartate aminotransferase (AST)(OR 1.027,95%CI 1.005–1.051) were the risk factors for mortality.CONCLUSION:This study identified key risk factors for 28-day mortality in patients with acute DQ poisoning,which may provide valuable guidance for clinical treatment,particularly for emergency physicians.展开更多
A 38-year-old man with no history of uveitis developed neovascular glaucoma (NVG) due to proliferative diabetic retinopathy (PDR). He had a history of ocular surgery with placement of glaucoma drainage implants (GDI),...A 38-year-old man with no history of uveitis developed neovascular glaucoma (NVG) due to proliferative diabetic retinopathy (PDR). He had a history of ocular surgery with placement of glaucoma drainage implants (GDI), ultrasonic phacoemulsification, and intraocular lens implantation in both eyes. The patient had undergone a recent pars plana vitrectomy with complete panretinal photocoagulation (PRP) to clear vitreous hemorrhage in his right eye. To prevent progressive optic nerve damage, travoprost was tentatively administered because of inadequate intraocular pressure (IOP) control following surgery, laser treatment, and topical administration of many other IOP-lowering drugs. The patient experienced severe vision loss associated with acute anterior and intermediate uveitis. We consider it a rare complication due to the NVG patient’s vulnerability following ocular surgery. Given that acute uveitis developed rapidly and required time to resolve, systemic corticosteroid treatment could be considered to accelerate the resolution of inflammation.展开更多
Bone remodeling is a lifelong process that gives rise to a mature, dynamic bone structure via a balance between bone formation by osteoblasts and resorption by osteoclasts. These opposite processes allow the accommoda...Bone remodeling is a lifelong process that gives rise to a mature, dynamic bone structure via a balance between bone formation by osteoblasts and resorption by osteoclasts. These opposite processes allow the accommodation of bones to dynamic mechanical forces, altering bone mass in response to changing conditions. Mechanical forces are indispensable for bone homeostasis;skeletal formation, resorption, and adaptation are dependent on mechanical signals, and loss of mechanical stimulation can therefore significantly weaken the bone structure, causing disuse osteoporosis and increasing the risk of fracture. The exact mechanisms by which the body senses and transduces mechanical forces to regulate bone remodeling have long been an active area of study among researchers and clinicians. Such research will lead to a deeper understanding of bone disorders and identify new strategies for skeletal rejuvenation. Here, we will discuss the mechanical properties, mechanosensitive cell populations, and mechanotransducive signaling pathways of the skeletal system.展开更多
Robust quantum cascade laser(QCL)enduring high temperature continuous-wave(CW)operation is of critical importance for some applications.We report on the realization of lattice-matched InGaAs/InAlAs/InP QCL materials g...Robust quantum cascade laser(QCL)enduring high temperature continuous-wave(CW)operation is of critical importance for some applications.We report on the realization of lattice-matched InGaAs/InAlAs/InP QCL materials grown by metal-organic chemical vapor deposition(MOCVD).High interface quality structures designed for light emission at 8.5μm are achieved by optimizing and precise controlling of growth conditions.A CW output power of 1.04 W at 288 K was obtained from a 4 mm-long and 10μm-wide coated laser.Corresponding maximum wall-plug efficiency and threshold current density were 7.1%and 1.18 kA/cm2,respectively.The device can operate in CW mode up to 408 K with an output power of 160 mW.展开更多
There is a large amount of fat in the postganglionic segment of the brachial plexus nerve.The use of short T1 inversion recovery pulse sequence may improve signal strength of the brachial plexus postganglionic segment...There is a large amount of fat in the postganglionic segment of the brachial plexus nerve.The use of short T1 inversion recovery pulse sequence may improve signal strength of the brachial plexus postganglionic segment.The present study revealed that the combination of three-dimensional fast imaging employing steady-state acquisition with phase-cycled and short T1 inversion recovery pulse sequence clearly displayed the anatomical morphology and structure of the brachial plexus nerve,together with maximum intensity projection,volume rendering and other three-dimensional reconstruction techniques.Our results suggested that this method is also suitable for providing accurate assessment and diagnosis of the site,severity and scope of brachial plexus injury.展开更多
Phosphate residue is regarded as a hazardous waste, which could potentially create significant environmental and health problems if it is not properly treated and disposed of. In this study, nitrogen-doped carbon nano...Phosphate residue is regarded as a hazardous waste, which could potentially create significant environmental and health problems if it is not properly treated and disposed of. In this study, nitrogen-doped carbon nanotubes-FePO_4(NCNTs-FePO_4) composite was successfully synthesized from phosphate residue, and its application as an effective catalyst was explored. Firstly, an effective method was developed to recover FePO_4 from phosphate residue, achieving an impressive FePO_4 mass recovery rate of 98.14%. Then, the NCNTsFePO_4 catalyst was synthesized from the recovered FePO_4 by two main reactions, including surface modification and chemical vapor deposition. Finally, the synthesized NCNTs-FePO_4 was applied to photo-degrade 15 mg/L Rhodamine B(RhB) in a Fenton-like system. The results showed that 98.9% of RhB could be degraded in 60 min, closely following the pseudofirst-order kinetics model. It was found that even after six consecutive cycles, NCNTs-FePO_4 still retained a high catalytic capacity(>50%). Moreover, ·OH radicals participating in the RhB degradation process were evidenced using quenching experiments and electron paramagnetic resonance analysis, and a rational mechanism was proposed. It was demonstrated that the materials synthesized from hazardous phosphate residue can be used as an effective catalyst for dye removal.展开更多
基金supported by the National Natural Science Foundation(52302284,22002086,22204096)Shanghai Sailing Program(23YF1412200)the Fundamental Research Funds for the Central Universities(22120240314).
文摘Single-atom catalysts(SACs)have garnered significant attention in lithium-sulfur(Li-S)batteries for their potential to mitigate the severe polysulfide shuttle effect and sluggish redox kinetics.However,the development of highly efficient SACs and a comprehensive understanding of their structure-activity relationships remain enormously challenging.Herein,a novel kind of Fe-based SAC featuring an asymmetric FeN_(5)-TeN_(4) coordination structure was precisely designed by introducing Te atom adjacent to the Fe active center to enhance the catalytic activity.Theoretical calculations reveal that the neighboring Te atom modulates the local coordination environment of the central Fe site,elevating the d-band center closer to the Fermi level and strengthening the d-p orbital hybridization between the catalyst and sulfur species,thereby immobilizing polysulfides and improving the bidirectional catalysis of Li-S redox.Consequently,the Fe-Te atom pair catalyst endows Li-S batteries with exceptional rate performance,achieving a high specific capacity of 735 mAh g^(−1) at 5 C,and remarkable cycling stability with a low decay rate of 0.038%per cycle over 1000 cycles at 1 C.This work provides fundamental insights into the electronic structure modulation of SACs and establishes a clear correlation between precisely engineered atomic configurations and their enhanced catalytic performance in Li-S electrochemistry.
基金supported by the National Key Research and Development Program of China(2018YFC1315301).
文摘Objective To analyze the prevalence and burden of headache disorders in China and its provinces from 1990 to 2021.Methods Using data from the Global Burden of Disease Study(GBD)2021,the number of prevalent cases,prevalence rate,disability-adjusted life years(DALYs),and age-standardized DALY rates were analyzed by sex,age group,and province for headache disorders and their subtypes(migraine and tension-type headache[TTH])between 1990 and 2021.Percentage changes during this period were also estimated.Results In 2021,approximately 426 million individuals in China were affected by headache disorders,with an age-standardized prevalence rate of 27,582.61/100,000.The age-standardized DALY rate for all headache disorders was 487.15/100,000.Between 1990 and 2021,the number of prevalent cases increased by 37.78%,while the prevalence of all headache disorders,migraine,and TTH increased by 6.92%,7.57%,and 7.86%,respectively.The highest prevalence was observed in the 30-34 age group(39,520.60/100,000).Migraine accounted for a larger proportion of DALYs attributable to headache disorders,whereas TTH has a greater impact on its prevalence.In 2021,the highest age-standardized DALY rates for headache disorders were observed in Heilongjiang(617.85/100,000)and Shanghai(542.86/100,000).Conclusion The prevalence of headache disorders is increasing in China.Effective health education,improve diagnosis and treatment are essential,particularly for middle-aged working populations and women of childbearing age.
基金supported by the Tianjin Key Medical Discipline (Specialty) Construction Project (TJYXZDXK-007A)Beijing Union Medical Foundation-Rui E Emergency Medicine Research Funding (PUMF01010010-2024-18)。
文摘Drug overdose is a common reason for emergency department admissions.Although pharmacobezoars due to drug overdose are rare,they can increase the length of hospital stay and risk of mortality.^([1]) Currently,no clear procedure for the management of gastric pharmacobezoars exists.We report a case of a patient with pharmacobezoars caused by high-dose oral drug poisoning.The patient recovered completely after gastroscopy,gastric lavage,and symptomatic treatments.
基金supported by grants from the National Natural Science Foundation of China(81722008,91639101,and81570362 to JX and 81800358 to LW)the Innovation Program of Shanghai Municipal Education Commission(2017-01-07-00-09-E00042 to JX)+1 种基金the Science and TechnologyCommission of Shanghai Municipality(17010500100 to JX)the development fund for Shanghai talents(to JX)
文摘Exercise training is beneficial to the cardiovascular system. MicroRNAs （miRNAs, miRs） are a class of conserved non-coding RNAs and play a wide-ranging role in the regulation of eukaryotic gene expression. Exercise training alters the expression levels of large amounts ofmiRNAs in the heart. In addition, circulating miRNAs appear to be regulated by exercise training. In this review, we will summarize recent advances in the regulation of miRNAs during physical exercise intervention in various cardiovascular diseases, including pathologic cardiac hypertrophy, myocardial fibrosis, ischemia-reperfusion injury, myocardial infarction, and heart failure. The regulatory role of circulating miRNAs after exercise training was also reviewed. In conclusion, miRNAs might be a valuable target for treatment of cardiovascular diseases and have great potential as biomarkers for assessment of physical performance.2018 Published by Elsevier B.V.on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license. （http：//creativecommons.org/licenses/by-nc-nd/4.0/）.
基金supported by the Key Projects of the National Natural Science Foundation of China(Grant No.32130052)the National Natural Science Youth Foundation of China(Grant No.82102584)Natural Science Foundation of Hebei Province(CN)-for Yanzhao Young Scientists Project(Grant No.H2023206519).
文摘Piezo1,a key mechanosensor in bone homeostasis,plays a crucial role in fracture healing.However,the mechanisms through which Piezo1 regulates chondrocytes and affects endochondral ossification remain poorly understood.This study aimed to investigate the regulatory mechanisms of Piezo1 in chondrocytes during endochondral ossification.Using lineage tracing,we identified chondrocyte-to-osteoblast transdifferentiation during endochondral ossification,which was impaired by chondrocyte-specific Piezo1 knockout.Piezo1 deficiency disrupted mitochondrial bioenergetics,characterized by diminished membrane potential,reduced adenosine triphosphate(ATP)synthesis,suppressed oxygen consumption rates(basal and maximal respiration),and elevated mitochondrial superoxide generation,thereby impairing endochondral ossification during fracture healing.Single-cell RNA sequencing revealed upregulated Lars2 expression in hypertrophic chondrocytes following Piezo1 knockout.Inhibition of Lars2 in chondrocytes normalized mitochondrial dynamics-related markers(MFN1,MFN2,OPA1,DRP1)and restored mitochondrial functional homeostasis.This intervention concurrently reversed Piezo1 knockout-induced suppression of osteogenic markers(Col1,ALP,OCN,OPN,RUNX2),thereby enhancing fracture repair.Protein interaction analyses confirmed direct binding betweenβ-catenin and Lars2.Mechanistically,Piezo1 governs Lars2 expression viaβ-catenin signaling.Our findings demonstrate that Piezo1 activation via Yoda1 enhances mitochondrial bioenergetics and accelerates fracture repair through theβ-catenin/Lars2 axis,offering novel insights and therapeutic avenues for fracture treatment.
文摘The selection of twin variants plays a critical role in shaping the deformation texture and mechanical properties of magnesium alloys that are limited by slip systems and diverse twinning modes.In this study,we investigated the twin variant selection and the effect of twinning activity on the strain hardening of a hot-rolled AZ31 magnesium alloy by quasi-in-situ EBSD.Moreover,the Schmid factors and the displacement gradient tensors were computed to evaluate the activation of twin variants.The results reveal that the yield strength increased progressively after each deformation step,driven by grain subdivision and texture hardening induced by extension{1012}twinning and the Basinski effect at large strains.The nucleation and growth of the{1012}twins occurred either sequentially or simultaneously during the plastic deformation.At low plastic strains,the activation of most twin variants followed the high Schmid factor criterion while the other twin variants with lower Schmid factors were activated due to the interactions with preexisting twins characterized by high misorientation angles(around 60°).Additionally,this non-Schmid factor scenario was also attributed to low coordinated strain requirements from neighboring grains,showing the critical role of local deformation accommodation in the twinning process.These findings advance the fundamental understanding of the twin variant selection and its implications for the microstructure-property relationship in magnesium alloys for structural applications.
文摘Efficient and safe information exchange between vehicles can reduce the probability of road accidents,thereby improving the driving experience of vehicles in Vehicular Ad Hoc Networks(VANETs).This paper proposes a group management algorithm with trust and mobility evaluation to address the enormous pressure on VANETs topology caused by high-speed vehicle movement and dynamic changes in the direction of travel.This algorithm utilizes historical interactive data to mine the fusion trust between vehicles.Then,combined with fusion mobility,the selection of center members and information maintenance of group members is achieved.Furthermore,based on bilinear pairing,an encryption protocol is designed to solve the problem of key management and update when the group structure changes rapidly,ensuring the safe forwarding of messages within and between groups.Numerical analysis shows that the algorithm in the paper ensures group stability and improves performance such as average message delivery rate and interaction delay.
基金supported by Tianjin Municipal Medical Key Construction Project Funding (TJYXZDXK-007A)the Beijing Union Medical Foundation-Rui E Emergency Medicine Research Funding (PUMF01010010-2024-18)。
文摘BACKGROUND:In recent years,with the ban on paraquat,the use of diquat (DQ) as a substitute has significantly increased,leading to a corresponding increase in DQ poisoning cases.This study aimed to identify relevant risk factors affecting patient prognosis and provide a basis for the assessment of patient prognosis.METHODS:Patients with DQ poisoning were included from September 2020 to December2023,and data were extracted from their electronic medical records on the first day of hospitalization.Least Absolute Shrinkage and Selection Operator (LASSO) regression and binary multivariate logistic regression analyses were performed on the collected clinical data to identify risk factors.RESULTS:A total of 117 patients with acute DQ poisoning were included,and were categorized into two groups based on their 28-day outcomes:survival group (n=67) and non-survival group (n=50).There were no statistically significant differences between the two groups in terms of sex,lymphocyte count,platelet-to-lymphocyte ratio,or blood purification rate (P>0.05).The analysis revealed that age (odds ratio[OR]1.094,95%confidence interval[95%CI]1.022–1.171),blood drug concentration (OR 3.659,95%CI1.846–7.252),lactate (OR 1.686,95%CI 1.062–2.678),neutrophil-to-lymphocyte ratio (NLR)(OR 1.101,95%CI 1.017–1.192),albumin (OR 1.275,95%CI 1.107–1.468),and aspartate aminotransferase (AST)(OR 1.027,95%CI 1.005–1.051) were the risk factors for mortality.CONCLUSION:This study identified key risk factors for 28-day mortality in patients with acute DQ poisoning,which may provide valuable guidance for clinical treatment,particularly for emergency physicians.
文摘A 38-year-old man with no history of uveitis developed neovascular glaucoma (NVG) due to proliferative diabetic retinopathy (PDR). He had a history of ocular surgery with placement of glaucoma drainage implants (GDI), ultrasonic phacoemulsification, and intraocular lens implantation in both eyes. The patient had undergone a recent pars plana vitrectomy with complete panretinal photocoagulation (PRP) to clear vitreous hemorrhage in his right eye. To prevent progressive optic nerve damage, travoprost was tentatively administered because of inadequate intraocular pressure (IOP) control following surgery, laser treatment, and topical administration of many other IOP-lowering drugs. The patient experienced severe vision loss associated with acute anterior and intermediate uveitis. We consider it a rare complication due to the NVG patient’s vulnerability following ocular surgery. Given that acute uveitis developed rapidly and required time to resolve, systemic corticosteroid treatment could be considered to accelerate the resolution of inflammation.
基金Supported by the National Natural Science Foundation of China(NSFC)(21002092,21272215)by the Open Project of State Key Laboratoryof Pharmaceutical Biotechnology in Nanjing University(KF-GN-201411)
基金supported by the National Natural Science Foundation of China(NSFC)[81725010,81672119,81991512,82102554]the Strategic Priority Research Program of the Chinese Academy of Sciences[Grant No.XDB19000000]the Space Medical Experiment Project of China Manned Space Program[HYZHXM01025].
文摘Bone remodeling is a lifelong process that gives rise to a mature, dynamic bone structure via a balance between bone formation by osteoblasts and resorption by osteoclasts. These opposite processes allow the accommodation of bones to dynamic mechanical forces, altering bone mass in response to changing conditions. Mechanical forces are indispensable for bone homeostasis;skeletal formation, resorption, and adaptation are dependent on mechanical signals, and loss of mechanical stimulation can therefore significantly weaken the bone structure, causing disuse osteoporosis and increasing the risk of fracture. The exact mechanisms by which the body senses and transduces mechanical forces to regulate bone remodeling have long been an active area of study among researchers and clinicians. Such research will lead to a deeper understanding of bone disorders and identify new strategies for skeletal rejuvenation. Here, we will discuss the mechanical properties, mechanosensitive cell populations, and mechanotransducive signaling pathways of the skeletal system.
基金The authors would thank Ping Liang and Ying Hu for their help with device fabrication.This work was supported by the National Key Research and Development Program of China(Grant No.2020YFB0408401)in part by the National Natural Science Foundation of China(Grant Nos.61991430,61774146,61790583,61734006,61835011,61674144,61774150,61805168)+1 种基金in part by Beijing Municipal Science&Technology Commission(Grant No.Z201100004020006)in part by the Key Projects of the Chinese Academy of Sciences(Grant Nos.2018147,YJKYYQ20190002,QYZDJ-SSW-JSC027,XDB43000000,ZDKYYQ20200006).
文摘Robust quantum cascade laser(QCL)enduring high temperature continuous-wave(CW)operation is of critical importance for some applications.We report on the realization of lattice-matched InGaAs/InAlAs/InP QCL materials grown by metal-organic chemical vapor deposition(MOCVD).High interface quality structures designed for light emission at 8.5μm are achieved by optimizing and precise controlling of growth conditions.A CW output power of 1.04 W at 288 K was obtained from a 4 mm-long and 10μm-wide coated laser.Corresponding maximum wall-plug efficiency and threshold current density were 7.1%and 1.18 kA/cm2,respectively.The device can operate in CW mode up to 408 K with an output power of 160 mW.
文摘There is a large amount of fat in the postganglionic segment of the brachial plexus nerve.The use of short T1 inversion recovery pulse sequence may improve signal strength of the brachial plexus postganglionic segment.The present study revealed that the combination of three-dimensional fast imaging employing steady-state acquisition with phase-cycled and short T1 inversion recovery pulse sequence clearly displayed the anatomical morphology and structure of the brachial plexus nerve,together with maximum intensity projection,volume rendering and other three-dimensional reconstruction techniques.Our results suggested that this method is also suitable for providing accurate assessment and diagnosis of the site,severity and scope of brachial plexus injury.
基金supported by the Science and Technology Development Foundation of Pudong New Area (No.PKJ2014Z03)Dawn Program of Shanghai (No.09SG54)+1 种基金Material Science and Engineering Key Subject of Shanghai Polytechnic University (No.XXKZD1601)Gaoyuan Discipline of Shanghai-Environmental Science and Engineering (Resource Recycling Science and Engineering)
文摘Phosphate residue is regarded as a hazardous waste, which could potentially create significant environmental and health problems if it is not properly treated and disposed of. In this study, nitrogen-doped carbon nanotubes-FePO_4(NCNTs-FePO_4) composite was successfully synthesized from phosphate residue, and its application as an effective catalyst was explored. Firstly, an effective method was developed to recover FePO_4 from phosphate residue, achieving an impressive FePO_4 mass recovery rate of 98.14%. Then, the NCNTsFePO_4 catalyst was synthesized from the recovered FePO_4 by two main reactions, including surface modification and chemical vapor deposition. Finally, the synthesized NCNTs-FePO_4 was applied to photo-degrade 15 mg/L Rhodamine B(RhB) in a Fenton-like system. The results showed that 98.9% of RhB could be degraded in 60 min, closely following the pseudofirst-order kinetics model. It was found that even after six consecutive cycles, NCNTs-FePO_4 still retained a high catalytic capacity(>50%). Moreover, ·OH radicals participating in the RhB degradation process were evidenced using quenching experiments and electron paramagnetic resonance analysis, and a rational mechanism was proposed. It was demonstrated that the materials synthesized from hazardous phosphate residue can be used as an effective catalyst for dye removal.
