Objective： To evaluate the short-term clinical outcomes of intracranial germinoma patients treated with craniospinal irradiation （CSI） using helical tomotherapy （HT） system in our center. Methods： Twenty-three p...Objective： To evaluate the short-term clinical outcomes of intracranial germinoma patients treated with craniospinal irradiation （CSI） using helical tomotherapy （HT） system in our center. Methods： Twenty-three patients who were treated with CSI in our center from January 2008 to July 2012 were collected, with an average age of 20. M1 of the patients＇ CSI used the HT system. The total doses were 27-36 Gy/15-20 F （1.5-2 Gy per fraction）, and total local doses were 46-60 Gy/30-50 F （5 fractions per week）. M1 female patients for CSI were treated with left-right parallel-opposed field irradiation to protect their ovarian functions. Median follow-up time was 30.9 months （range, 5-67 months）. The SPSS19.0 software was used, and the overall survival （OS） was calculated using the Kaplan-Meier method. Results： Among 17 patients with assessable tumors, 9 cases （52.9%） were CR, 7 cases （41.2%） were PR, and 1 case （5.9%） was SD. Hematological toxicity was the severest side-effect occurred in the procedure of CSI. The level 1-4 acute leukopenia were 8.7%, 30.4%, 34.8% and 21.7% and the level 1-4 acute thrombopenia were 8.7%, 30.4%, 21.7% and 8.7%, respectively. Conclusions： For primary intracranial germinomas, HT can be used to implement CSI for simplifying radiotherapy procedures, improving radiotherapy accuracy, enhancing protection of peripheral organs at risk （ORA） and guaranteeing therapeutic effects. With the acceptable acute and long-term toxicity, CSI using HT in intracranial germinoma patients can be a safe and alternative mode.展开更多
Heterogenous distribution of crops,feed and livestock across China has halted the circulation of nutrients within the agricultural system and is responsible for massive nutrient losses[1,2].Generated livestock manure ...Heterogenous distribution of crops,feed and livestock across China has halted the circulation of nutrients within the agricultural system and is responsible for massive nutrient losses[1,2].Generated livestock manure exceeded optimal crop requirements in 30%and 50%of over 2300 studied counties when there was improved recycling of nitrogen(N)and phosphorus(P)in the food chain,repectively[2].Most of these counties are located in southern and coastal areas,whereas there is a deficit of livestock manure in northern and western China.Such heterogenous distribution of crop-livestock production led to 4.0 Tg manure N and 0.9 Tg manure P[2],which are economically impossible to recycle and will end up in the surrounding environment.In addition,about 40%of feed protein consumed by domestic livestock production relied on importation,putting China’s livestock production supply at high risk in the post pandemic world[3].Hence,China is facing the twin issues of too many manure nutrients but too little feed nutrients simultaneously.展开更多
In this work,a series of specimens was prepared by the casting method.Sharp cube-textured substrates were processed by heavy cold rolling and recrystallization annealing(i.e.,the rolling-assisted biaxially textured su...In this work,a series of specimens was prepared by the casting method.Sharp cube-textured substrates were processed by heavy cold rolling and recrystallization annealing(i.e.,the rolling-assisted biaxially textured substrates(RABi TS) method).Both the rolling and the recrystallization texture in the alloy tapes were investigated by X-ray diffraction and electron back-scatter diffraction,respectively.The results showed that a strong copper-type deformation texture was obtained in the heavy cold-rolled substrate.In addition,the recrystallization annealing process was found to be very important for the texture transition in the Cu–Ni alloy substrates.The cube texture content in the Cu60 Ni40 alloy substrates reached 99.7%(≤10°) after optimization of the cold-rolling procedure and the recrystallizing heat-treatment process,whereas the content of low-angle grain boundaries(from 2° to 10° misorientation) in the substrate reached 95.1%.展开更多
Erect milkvetch(Astragalus adsurgens)is a perennial legume forage crop with economic and ecological value in livestock grazing and soil-erosion control in arid and semiarid areas worldwide.Genomic information and mole...Erect milkvetch(Astragalus adsurgens)is a perennial legume forage crop with economic and ecological value in livestock grazing and soil-erosion control in arid and semiarid areas worldwide.Genomic information and molecular tools to support breeding and research in the species are limited.The objectives of this investigation were to map its genome using DNA markers and to identify quantitative trait loci(QTL)in the species.An F1 mapping population of 250 plants was developed from a cross between two parents with differing flowering-related traits.A high-density genetic linkage map containing 4821 markers on eight linkage groups(LGs)with a total genetic length of 1395 cM and a mean interval of 0.29 cM between adjacent markers was constructed with SLAF-seq technology.Comparative genomic analyses revealed the highest genome sequence similarity(8.71%)between erect milkvetch and Medicago truncatula,followed by Glycine max(7.65%),Cicer arietinum(7.53%),and Lupinus angustifolius(5.21%).A total of 64 significant QTL for flowering-related traits on six LGs were detected,accounting for 9.38 to 19.1%of the associated phenotype variation.Five and 48 key candidate genes for floret number and inflorescence length were identified based on the Glycyrrhiza uralensis genome.These candidate genes were involved in ubiquitination/degradation,pollen development,cell division,cytokinin biosynthetic process,and plant flowering.These findings shed light on the regulation of flowering traits in erect milkvetch and provide genomic resources for future molecular breeding of the crop.展开更多
To realize the application of electromagnetic wave absorption(EWA)devices in humid marine environments,bifunctional EWA materials with better EWA capacities and anticorrosion properties have great exploration signific...To realize the application of electromagnetic wave absorption(EWA)devices in humid marine environments,bifunctional EWA materials with better EWA capacities and anticorrosion properties have great exploration significance and systematic research re-quirements.By utilizing the low-cost and excellent magnetic and stable chemical characteristics of barium ferrite(BaFe_(12)O_(19))and using the high dielectric loss and excellent chemical inertia of nanocarbon clusters,a new type of nanocomposites with carbon nanoclusters en-capsulating BaFe_(12)O_(19)was designed and synthesized by combining an impregnation method and a high-temperature calcination strategy.Furthermore,Ce-Mn ions were introduced into the BaFe_(12)O_(19)lattice to improve the dielectric and magnetic properties of BaFe_(12)O_(19)cores significantly,and the energy band structure of the doped lattice and the orders of Ce replacing Fe sites were calculated.Benefiting from Ce-Mn ion doping and carbon nanocluster encapsulation,the composite material exhibited excellent dual functionality of corrosion resist-ance and EWA.When BaCe_(0.2)Mn_(0.3)Fe_(11.5)O_(19)-C(BCM-C)was calcined at 600°C,the minimum reflection loss of-20.1 dB was achieved at 14.43 GHz.The Ku band’s effective absorption bandwidth of 4.25 GHz was achieved at an absorber thickness of only 1.3 mm.The BCM-C/polydimethylsiloxane coating had excellent corrosion resistance in the simulated marine environment(3.5wt%NaCl solution).The|Z|0.01Hz value of BCM-C remained at 106Ω·cm^(2)after 12 soaking days.The successful preparation of the BaFe_(12)O_(19)composite en-capsulated with carbon nanoclusters provides new insights into the preparation of multifunctional absorbent materials and the fabrication of absorbent devices applied in humid marine environments in the future.展开更多
Nanocrystalline TiO2 powders with high photocatalytic activity were prepared by one-step microemulsion-mediated hydrothermal method using tetrabutylorthotitanate (TiO(C4H9)4, TBOT) as precursor. The as-prepared TiO2 p...Nanocrystalline TiO2 powders with high photocatalytic activity were prepared by one-step microemulsion-mediated hydrothermal method using tetrabutylorthotitanate (TiO(C4H9)4, TBOT) as precursor. The as-prepared TiO2 powders were characterized by X-ray diffraction (XRD), transmission electron microscopy (TEM) and the Brunauer-Emmett-Teller (BET) specific surface area measurements. The effects of the oil/water ratio and hydrothermal temperature on the microstructures and photocatalytic activity of the TiO2 powders were investigated. The results suggest that increasing the oil/water emulsion ratio significantly decreased the particle size of the as-prepared TiO2 powders and improved the photocatalytic activity. With hydrothermal temperature increasing, the average crystallite size increased and the photocatalytic activities of TiO2 powders decreased.展开更多
The single-layer Ti_(3)C_(2)T_(x)/MXene has become a special electromagnetic wave absorber near the terahertz band because of its abundant surface groups and excellent conductivity.However,the macro-preparation of sin...The single-layer Ti_(3)C_(2)T_(x)/MXene has become a special electromagnetic wave absorber near the terahertz band because of its abundant surface groups and excellent conductivity.However,the macro-preparation of single-layer Ti_(3)C_(2)T_(x)/MXene shows significantly difficult to influence its application.The two-dimensional Ti_(3)C_(2)T_(x)is easily prepared to have high production,but its weak absorption ability due to high surface conductivity also restricts its application.To realize the strong electromagnetic wave absorption of two-dimensional Ti_(3)C_(2)T_(x)/MXene,a new strategy with magnetic FeNi nanoparticles decorating Ti_(3)C_(2)T_(x)/MXene composites(FeNi-Ti_(3)C_(2)T_(x))were proposed and the effective electromagnetic wave absorption features covering 170-220 GHz that means the absorption band width reach 50 GHz.With an absorber composite film thickness being only 0.6 mm,the absorptivity of the composite is enhanced with the increase of decorating FeNi nanoparticles and promote up to 75%when the FeNi nanoparticles loading content reaches 30 wt%.The improvement of absorption is attributed to the introduction of soft magnetic FeNi to adjust the high surface conductivity of MXene and improve the electromagnetic balance of the absorber.展开更多
The NOD-like receptor family pyrin domain-containing protein 3(NLRP3)inflammasome is an intracellular protein complex containing a nucleotide-binding oligomerization domain,leucine-rich repeats,and a pyrin domain.It i...The NOD-like receptor family pyrin domain-containing protein 3(NLRP3)inflammasome is an intracellular protein complex containing a nucleotide-binding oligomerization domain,leucine-rich repeats,and a pyrin domain.It is a key regulator of inflammation in viral pneumonia(VP).Small-molecule inhibitors targeting various NLRP3 binding sites are advancing into early clinical trials,but their therapeutic utility is incompletely established.Xuanfei Baidu Formula(XF),clinically used for VP treatment,attenuates NLRP3 activation by hampering caspase-11 to impede polarization of pro-inflammatory macrophages in a model of lipopolysaccharide(LPS)-induced lung injury inmice.Herein,we demonstrate that XF attenuated influenza A virus(IAV)-induced lung inflammation as well as lung injury in immunocompetent(but not in macrophage-depleted)mice.RNA sequencing of sorted lung macrophages from IAV-infected mice revealed that XF inhibited activation of the NLRP3 inflammation and interleukin(IL)-1βproduction.Quantitative nuclear magnetic resonance of XF enabled us to develop XF-Comb1,a fixed-ratio combination of five bioactive compounds that recapitulated the bioactivity of XF in suppressing NLRP3 activation in macrophages in vitro and in vivo.Interestingly,XF-Comb1 inhibited assembly of the NLRP3 inflammasome through multi-site interactions with functional residues of NLRP3,apoptosis-associated speck-like protein containing caspase recruitment domain(ASC),and caspase-1.Taken together,this work advances the development of NLRP3 inhibitors by translating a complex herbal formula into defined bioactive compounds.展开更多
BACKGROUND Colorectal cancer has high global incidence and mortality rates.Colorectal polyps are relatively common,with adenomatous polyps having a higher risk of malignant transformation.Non-alcoholic fatty liver dis...BACKGROUND Colorectal cancer has high global incidence and mortality rates.Colorectal polyps are relatively common,with adenomatous polyps having a higher risk of malignant transformation.Non-alcoholic fatty liver disease(NAFLD)has been identified as a risk factor for the development of colorectal adenomas.Here,inpatients with NAFLD from the Second People's Hospital of Xining,in Qinghai Province,and the Second People's Hospital of Tianjin were investigated,comparing the biochemical indicators,colonoscopy findings,and pathological results of polyps between patients from low-altitude(Tianjin)and high-altitude(Qinghai Province)areas.Risk factors associated with the occurrence of adenomatous polyps in NAFLD patients from high-altitude areas were also explored.AIM To investigate the clinical characteristics of colorectal polyps in NAFLD patients from high-altitude areas.METHODS A total of 848 patients with NAFLD were enrolled.Of these,118 underwent colonoscopy between January 2021 and January 2024 at the Second People's Hospital of Tianjin(low-altitude),while the remaining 730 patients were assessed during the same period at the Second People's Hospital of Xining,Qinghai(high-altitude).All enrolled patients met the diagnostic criteria for NAFLD,and the excised colorectal polyps were analyzed pathologically.RESULTS Colorectal polyps were found in 585 cases(80.1%)in the Qinghai cohort and 91 patients(77.1%)in the Tianjin group,indicating a slightly higher incidence in the Qinghai group,although the difference was non-significant(P=0.449,P>0.05).The two groups showed no significant difference in sex(P=0.153,P>0.05)but differed significantly in the proportion of younger patients(P<0.01),although no differences were seen in terms of middleaged and elderly patients(P>0.05).No differences in polyp numbers were observed between the two regions(P>0.05),while significant differences were found between the≤0.5 cm and>1 cm and≤2 cm proportions in both regions(P<0.05),with no differences in other size categories(P>0.05).Polyp locations(proximal colon,distal colon)also differed significantly(P<0.05).Patients in Qinghai were more prone to adenomatous polyps,accounting for 89.2%of polyps,compared to those from Tianjin(P<0.05).Patients in Qinghai had a higher incidence of tubular adenomas with low-grade dysplasia,while tubular adenomas with high-grade dysplasia predominated in patients from Tianjin(P<0.05).Patients in Tianjin had a significantly higher proportion of mixed hyperplastic-adenomatous polyps(P<0.05),as well as greater proportions of mixed hyperplastic-adenomas with low-grade dysplasia(P<0.05).The incidence of hyperplastic polyps was markedly higher in Tianjin,accounting for 58.4%(P<0.05).Multivariate logistic regression indicated that sex[OR=1.693,95%confidence interval(CI):1.131-2.536],smoking(OR=0.604,95%CI:0.406-0.897),hypertension(OR=0.683,95%CI:0.471-0.991),and white blood cell counts(WBC)(OR=1.091,95%CI:1.015-1.173)were risk factors for the occurrence of adenomatous polyps in patients with NAFLD in high-altitude areas(Qinghai Province).CONCLUSION Patients with NAFLD from high-altitude regions have a higher incidence of colorectal polyps,with a significantly higher incidence of adenomatous polyps compared to other polyp types.Sex,smoking,hypertension,and WBC are risk factors for adenomatous polyps in NAFLD patients in high-altitude regions.展开更多
BACKGROUND Acute drug-induced liver injury(DILI)events caused by chronic liver disease are relatively common.Some researchers believe that nonalcoholic fatty liver(NAFL)increases the overall risk of DILI.The clinical ...BACKGROUND Acute drug-induced liver injury(DILI)events caused by chronic liver disease are relatively common.Some researchers believe that nonalcoholic fatty liver(NAFL)increases the overall risk of DILI.The clinical characteristics and prognosis of DILI in the context of NAFL disease(NAFLD)are still unclear.Therefore,hospitalized patients with NAFLD combined with DILI at the Tianjin Second People's Hospital were included in this study.The clinical manifestations,classifications,severities,laboratory indicators,and clinical outcomes of the enrolled patients were analyzed,and the clinical characteristics and prognoses of the NAFL+DILI patients were evaluated.AIM To investigate the clinical characteristics and prognosis of DILI in the context of NAFL.METHODS Eighty-nine patients diagnosed with DILI and 110 patients diagnosed with both DILI and NAFL at the Tianjin Second People's Hospital were enrolled.Clinical data,including demographic characteristics,clinical features,laboratory test results,pathology findings,autoantibody titers,suspected drugs,and outcomes,were collected from the two groups of patients.All enrolled patients were followed up to determine the liver function recovery time.RESULTS Compared with the patients in the DILI group,those in the NAFL+DILI group had higher body mass indices;Controlled Attenuation Parameter scores;and triglyceride,total cholesterol,low-density lipoprotein,and insulin levels.The levels of the cytokines interleukin-4 and complement complement c3(C3)were also greater in the NAFL+DILI group than in the DILI group.The proportions of patients with cholestatic-type DILI(16.4%vs 4.5%),cholestasis seen on pathoscopy(40.9%vs 25.8%),grade 2 or above DILI(48.18%vs 40.45%),and a recovery time for liver function ranging from 90 to 180 days(30.6%vs 15.5%)were greater in the NAFL+DILI group than in the DILI group.All of the abovementioned differences between the groups were statistically significant(P<0.05).The autoantibody positivity rates did not significantly differ between the two groups(P>0.05),and the proportions of patients who progressed to chronic drug hepatitis or autoimmune hepatitis were not significantly different between the two groups(both P>0.05).CONCLUSION In the context of NAFL,DILI is more likely to be cholestatic,with a greater degree of liver injury,a longer recovery time,and more pronounced expression of immune factors.展开更多
AIM:To investigate the mRNA expression of cyclooxygensae-2(COX-2)in benign and malignant ascites,and to explore the difference in COX-2 mRNA expression among different diseases.METHODS:A total of 36 samples were colle...AIM:To investigate the mRNA expression of cyclooxygensae-2(COX-2)in benign and malignant ascites,and to explore the difference in COX-2 mRNA expression among different diseases.METHODS:A total of 36 samples were collected from the Fifth Affiliated Hospital of Sun Yat-Sen University and divided into two experimental groups:benign ascites(n=21)and malignant ascites(n=15).Benign ascites included cirrhotic ascites(n=10)and tuberculous ascites(n=5).Malignant ascites included oophoroma(n=7),cancer of colon(n=5),cancer of the liver(n=6),gastric cancer(n=2),and bladder carcinoma(n=1).The mRNA expression of COX-2 in ascites was examined with reverse transcriptase polymerase chain reaction(RT-PCR)technology,and the positive rate of COX-2 mRNA was compared between different diseases.RESULTS:The positive rate of COX-2 mRNA in malignant ascites was 42.9%(9/21),which was significantly higher than in benign ascites,6.7%(1/15),difference being significant between these two groups(χ2=4.051,P=0.044).The proportion of the positive rate in the malignant ascites was as follows:ovarian cancers57.1%(4/7),colon cancer 40.0%(2/5),liver cancer33.3%(2/6),gastric cancer 50.0%(1/2),and bladder cancer 0.00%(0/1).However,there was no significant difference in COX-2 mRNA expression among various tumors with malignant ascites(χ2=1.614,P=0.806).Among the benign ascites,COX-2 mRNA levels were different between the tuberculous ascites(0/5)and cirrhotic ascites(1/10),but there was no significant difference(P=1.000).CONCLUSION:COX-2 mRNA,detected by RT-PCR,is useful in the differential diagnosis of benign and malignant ascites,which also has potential value in the clinical diagnosis of tumors.展开更多
Objective:To observe and compare the clinical effect on knee osteoarthritis(KOA)between Fu’s subcutaneous needling therapy(FSN)and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a...Objective:To observe and compare the clinical effect on knee osteoarthritis(KOA)between Fu’s subcutaneous needling therapy(FSN)and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a FSN group(40 cases)and a conventional acupuncture group(40 cases)according to random number table.Within 1 week of treatment,FSN was used once every two days in the FSN group.The needle tip of Fu’s subcutaneous needle was inserted toward the affected muscle,about 5 mm in depth,at the angle of 15 to 25°.After the needle body lifted slightly,the needle went forward subcutaneously for 25 to 35 mm in depth and was swiped side to side horizontally with even exertion for about 1 min.According to the distribution of affected muscle,the reperfusion approach was repeated for 3 times consecutively.In the conventional acupuncture group conventional acupuncture was given,once a day,for 6 times totally.The scores of Western Ontario and McMaster universities osteoarthritis index(WOMAC)and Lysholm knee scoring scale(Lysholm)were compared between the two groups before and after 1-week treatment.The clinical effect of the two groups was analyzed statistically and evaluated.Results:After 1-week treatment with FSN,in the FSN group,the score of WOMACpain was reduced to be7.7±1.9 from 18.5±3.2,the score of WOMACstiffnessto be 1.5±0.7 from 4.5±1.8,WOMACfunction to be22.7±3.9 from 45.7±2.7 and the score of WOMACoverall to be 31.9±5.3 from 69.7±6.5.The differences were significant in comparison before and after treatment(all P<0.05).In the conventional acupuncture group,after 1-week treatment with conventional acupuncture,the score of WOMACpain was reduced to be11.3±2.8 from 18.2±3.0,the score of WOMACstiffness to be 3.0±1.6 from 5.6±1.7,WOMACfunction to be29.8±5.1 from 44.3±2.9 and the score of WOMACoverall to be 44.1±7.8 from 69.1±7.3.The differences were significant in comparison before and after treatment(all P<0.05).WOMAC score of every item in the FSN group was lower obviously than that in the conventional acupuncture group(P<0.01).After 1-week treatment,Lysholm score was increased to be 78.52±18.4 from 59.64±18.3 in the FSN group and it was to be 69.27±11.9 from 58.17±12.5 in the conventional acupuncture group.The differences were significant in comparison before and after treatment in either group(both P<0.05).Lysholm score in the FSN group was higher than that in the conventional acupuncture group(P<0.05).The total effective rate was 92.5%in the FSN group,higher than 77.5%in the conventional acupuncture group(P<0.05).Conclusion:Fu’s subcutaneous needling therapy effectively relieves the clinical symptoms of KOA and improves knee joint function.The therapeutic effect is better than that of the regular acupuncture.展开更多
Objective To evaluate the feasibility of whole body diffusion weighted imaging (DWI) in bone metastasis detection using bone scintigraphy as comparison. Methods Forty-five patients with malignancy history were enrolle...Objective To evaluate the feasibility of whole body diffusion weighted imaging (DWI) in bone metastasis detection using bone scintigraphy as comparison. Methods Forty-five patients with malignancy history were enrolled in our study. All the patients received the whole body DWI and bone scintigraphy scan within 1 week. The magnetic resonance (MR) examination was performed on 3.0T MR scanner using embedded body coil. The images were reviewed separately by two radiologists and two nuclear medicine physicians, who were blinded to the results of the other imaging modality. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the two techniques for detecting bone metastasis were analyzed. Results A total of 181 metastatic lesions in 77 regions of 34 patients were detected by whole body DWI, and 167 metastatic lesions in 76 regions of 31 patients were identified by bone scintigraphy. The patient-based sensitivity and PPV of whole body DWI and bone scintigraphy were similar (89.5% vs. 81.6%, 97.1% vs. 91.2%), whereas, the patient-based specificity and NPV of whole body DWI were obviously higher than those of bone scintigraphy (85.7% vs. 57.1%, 60.0% vs. 36.4%). Ten regions negative in scintigraphy but positive in whole body DWI, mainly located in spine, pelvis, and femur; nine regions only detected by scintigraphy, mainly located in skull, sternum, clavicle, and scapula. The region-based sensitivity and specificity of whole body DWI were slightly higher than those of bone scintigraphy (89.5% vs. 88.4%, 95.6% vs. 87.6%). Conclusion Whole body DWI reveals excellent concordance with bone scintigraphy regarding detection of bone metastasis, and the two techniques are complementary for each other.展开更多
Objective： To evaluate whether radiofrequency ablation （RFA） might have an influence on immune status in hepatocellular carcinoma （HCC） patients. Methods： We measured the T lymphocytes, B lymphocyte and NK cell...Objective： To evaluate whether radiofrequency ablation （RFA） might have an influence on immune status in hepatocellular carcinoma （HCC） patients. Methods： We measured the T lymphocytes, B lymphocyte and NK cells, and determined the population of Thl, Th2, Tcl and Tc2 of peripheral blood samples taken from 26 HCC patients before and after RFA. Results： The proportion of Typel cells （Thl and Tcl） and NK cells were significantly increased after RFA, especially in patients of the following subgroups： male, age〉55 years, pathological grade Ⅰ-Ⅱ tumor, clinical stage Ⅰ-Ⅱ or Child-Pugh A and B. Conclusion： TypeⅠ cells and NK cells in HCC patients were increased in a short period after RFA.展开更多
Deep brain stimulation is a therapy for Alzheimer＇s disease（AD） that has previously been used for mainly mild to moderate cases. This study provides the first evidence of early alterations in performance induced by...Deep brain stimulation is a therapy for Alzheimer＇s disease（AD） that has previously been used for mainly mild to moderate cases. This study provides the first evidence of early alterations in performance induced by stimulation targeted at the fornix in severe AD patients. The performance of the five cases enrolled in this study was scored with specialized assessments including the Mini-Mental State Examination and Clinical Dementia Rating, both before and at an early stage after deep brain stimulation. The burden of caregivers was also evaluated using the Zarit Caregiver Burden Interview. As a whole, the cognitive performance of patients remained stable or improved to varying degrees, and caregiver burden was decreased. Individually, an improved mental state or social performance was observed in three patients, and one of these three patients showed remarkable improvement in long-term memory. The conditions of another patient deteriorated because of inappropriate antipsychotic medications that were administered by his caregivers. Taken together, deep brain stimulation was capable of improving some cognitive aspects in patients with severe AD, and of ameliorating their emotional and social performance, at least at an early stage. However, long-term effects induced by deep brain stimulation in patients with severe AD need to be further validated. More research should focus on clarifying the mechanism of deep brain stimulation. This study was registered with ClinicalTrials.gov（NCT03115814） on April 14, 2017.展开更多
Background:Primary biliary cholangitis(PBC)patients often have concomitant extrahepatic autoimmune(EHA)diseases including Sjögren’s syndrome(SS),systemic sclerosis(SSc),rheumatoid arthritis(RA),and autoimmune th...Background:Primary biliary cholangitis(PBC)patients often have concomitant extrahepatic autoimmune(EHA)diseases including Sjögren’s syndrome(SS),systemic sclerosis(SSc),rheumatoid arthritis(RA),and autoimmune thyroid disease.The present study aimed to describe the prevalence of EHA diseases in PBC and explore the impact of EHA diseases on the long-term outcomes of PBC in Chinese patients.Methods:Medical records of PBC patients diagnosed in our institute were retrospectively reviewed.Pa-tients were followed up by a standardized telephone interview.The endpoints were defined as liver-related death and/or liver transplantation.Results:Totally 247 of the 985(25.1%)PBC patients enrolled in the study had at least one concomi-tant EHA disease.Sjögren’s syndrome(n=140,14.2%)was the most frequent one,followed by rheuma-toid arthritis(RA)(n=56,5.7%)and Hashimoto’s thyroiditis(n=45,4.6%).Patients with EHA dis-eases were more common in females(P<0.001)and in those with a family history of autoimmune disease(P=0.017).Overall,no differences were found between PBC patients with and without EHA dis-eases in terms of biochemical response rates to ursodeoxycholic acid,the incidence of hepatic events,or transplant-free survival.RA and EHA≥2 were protective factors for hepatic events in univariate Cox analysis,but the results became insignificant in multivariate analysis.Conclusions:Concomitant EHA diseases were common in PBC patients but did not compromise the long-term outcomes of PBC.展开更多
Despite recent efforts to investigate the distribution and fate of polycyclic aromatic hydrocarbons （PAHs） in air, water, and soil, very little is known about their temporal change in wet deposition. As a result of ...Despite recent efforts to investigate the distribution and fate of polycyclic aromatic hydrocarbons （PAHs） in air, water, and soil, very little is known about their temporal change in wet deposition. As a result of increased attention to public health, a large-scale survey on the deposition flux and distribution of PAH contamination in rainwater was urgently conducted in Shanghai, China. In this study, 163 rainwater samples were collected from six sites, and 15 PAH compounds were detected by the use of a simple solid phase microextraction （SPME） technique coupled with gas chromatography-mass spectrometry. The dominant PAH species monitored were naphthalene, phenanthrene, anthracene, and fluoranthene. The concentration of total PAHs per event was between 74 and 980 ng/L, with an average value of 481 ng/L, which is at the high end of worldwide figures. The annual deposition flux of PAHs in rainwater was estimated to be 4148 kg/yr in the Shanghai area, suggesting rainfall as a major possible pathway for removing PAHs from the atmosphere. Diagnostic analysis by the ratios of An/178 and Fl/Fl＋Py suggested that combustion of grass, wood, and coal was the major contributor to PAHs in the Shanghai region. Back trajectory analysis also indicated that the pollutant sources could be from the southern part of China.展开更多
Many therapies are effective in treating varicoceles,including dilation of the pampiniform plexus in males.The most common method of treatment is varicocelectomy.We aimed to assess an alternative technique(microsurgic...Many therapies are effective in treating varicoceles,including dilation of the pampiniform plexus in males.The most common method of treatment is varicocelectomy.We aimed to assess an alternative technique(microsurgical spermatic[distal end]-superficial or inferior epigastric vein anastomosis)that preserves the normal blood flow pattern for varicocele treatment.We retrospectively analyzed 27 men with varicocele between October 2019 and July 2020.All patients underwent microsurgical spermatic(distal end)-superficial or inferior epigastric vein anastomosis.The prognosis was reviewed retrospectively with an additional survey conducted 3 months after surgery.The mean±standard deviation of the age was 26.1±7.3 years in patients with microsurgical spermatic(distal end)-superficial or inferior epigastric vein anastomosis.The maximum diameter of the varicocele vein,perineal pain score,sperm density,and forward movement of sperm improved over 3 months after surgery.Microsurgical spermatic(distal end)-superficial or inferior epigastric vein anastomosis is a safe and efficient surgical treatment for varicoceles.展开更多
Objective To investigate the effect of multiple coatings of the one-step self-etching adhesive on immediate microtensile bond strength to primary dentin.Methods Twelve caries-free human primary molars were randomly di...Objective To investigate the effect of multiple coatings of the one-step self-etching adhesive on immediate microtensile bond strength to primary dentin.Methods Twelve caries-free human primary molars were randomly divided into 2 groups with 6 teeth each.In group 1,each tooth was hemisected into two halves.One half was assigned to control subgroup 1,which was bonded with a single-step self-etching adhesive according to the manufacturer's instructions;the other half was assigned to experimental subgroup 1 in which the adhesive was applied three times before light curing.In group 2,the teeth were also hemisected into two halves.One half was assigned to control subgroup 2,which was bonded with the single-step self-etching adhesive according to the manufacturer's instructions;the other half was assigned to experimental subgroup 2 in which three layers of adhesive were applied with light curing each successive layer.Microtensile bond strength was immediately tested after specimen preparation.Results When the adhesive was applied three times before light curing,the bond strength of the experimental subgroup 1(n=33,57.49±11.61 MPa) was higher than that of the control subgroup 1(n=31,49.71±11.43 MPa,P<0.05).When using the technique of applying multiple layers of adhesive with light curing each successive layer,no difference of immediate bond strength was observed between the control subgroup 2 and the experimental subgroup 2(P>0.05).Conclusion Multiple coatings of one-step self-etching adhesive can increase the immediate bond strength to primary dentin when using the technique of light-curing after applying three layers of adhesive.展开更多
文摘Objective： To evaluate the short-term clinical outcomes of intracranial germinoma patients treated with craniospinal irradiation （CSI） using helical tomotherapy （HT） system in our center. Methods： Twenty-three patients who were treated with CSI in our center from January 2008 to July 2012 were collected, with an average age of 20. M1 of the patients＇ CSI used the HT system. The total doses were 27-36 Gy/15-20 F （1.5-2 Gy per fraction）, and total local doses were 46-60 Gy/30-50 F （5 fractions per week）. M1 female patients for CSI were treated with left-right parallel-opposed field irradiation to protect their ovarian functions. Median follow-up time was 30.9 months （range, 5-67 months）. The SPSS19.0 software was used, and the overall survival （OS） was calculated using the Kaplan-Meier method. Results： Among 17 patients with assessable tumors, 9 cases （52.9%） were CR, 7 cases （41.2%） were PR, and 1 case （5.9%） was SD. Hematological toxicity was the severest side-effect occurred in the procedure of CSI. The level 1-4 acute leukopenia were 8.7%, 30.4%, 34.8% and 21.7% and the level 1-4 acute thrombopenia were 8.7%, 30.4%, 21.7% and 8.7%, respectively. Conclusions： For primary intracranial germinomas, HT can be used to implement CSI for simplifying radiotherapy procedures, improving radiotherapy accuracy, enhancing protection of peripheral organs at risk （ORA） and guaranteeing therapeutic effects. With the acceptable acute and long-term toxicity, CSI using HT in intracranial germinoma patients can be a safe and alternative mode.
基金the National Key R&D Program of China(2016YFD0800106)the National Natural Science Foundation of China(31572210,31872403,71961137011)+5 种基金Key Research Program of Frontier Sciences-CAS(QYZDY-SSWSMC014)Key Laboratory of Agricultural Water Resources-CAS(ZD201802)the Key Research Program-CAS(KFJ-STS-ZDTP-053)Hebei Dairy Cattle Innovation Team of Modern Agroindustry Technology Research System,China(HBCT2018120206)the Youth Innovation Promotion Association,CAS(2019101)Outstanding Young Scientists Project of Natural Science Foundation of Hebei(C2019503054).
文摘Heterogenous distribution of crops,feed and livestock across China has halted the circulation of nutrients within the agricultural system and is responsible for massive nutrient losses[1,2].Generated livestock manure exceeded optimal crop requirements in 30%and 50%of over 2300 studied counties when there was improved recycling of nitrogen(N)and phosphorus(P)in the food chain,repectively[2].Most of these counties are located in southern and coastal areas,whereas there is a deficit of livestock manure in northern and western China.Such heterogenous distribution of crop-livestock production led to 4.0 Tg manure N and 0.9 Tg manure P[2],which are economically impossible to recycle and will end up in the surrounding environment.In addition,about 40%of feed protein consumed by domestic livestock production relied on importation,putting China’s livestock production supply at high risk in the post pandemic world[3].Hence,China is facing the twin issues of too many manure nutrients but too little feed nutrients simultaneously.
基金financially supported by the National Natural Science Foundation of China (No.51571002)the Beijing Natural Science Foundation (No.2172008)+4 种基金the Doctoral Program of Higher Education of Special Research Fund of China (No.20121103110012)the Beijing Municipal Natural Science Foundation B Type (No.KZ201310005003)the China Scholarship Councilthe Technology Program of Beijing CityBeijing University of Technology
文摘In this work,a series of specimens was prepared by the casting method.Sharp cube-textured substrates were processed by heavy cold rolling and recrystallization annealing(i.e.,the rolling-assisted biaxially textured substrates(RABi TS) method).Both the rolling and the recrystallization texture in the alloy tapes were investigated by X-ray diffraction and electron back-scatter diffraction,respectively.The results showed that a strong copper-type deformation texture was obtained in the heavy cold-rolled substrate.In addition,the recrystallization annealing process was found to be very important for the texture transition in the Cu–Ni alloy substrates.The cube texture content in the Cu60 Ni40 alloy substrates reached 99.7%(≤10°) after optimization of the cold-rolling procedure and the recrystallizing heat-treatment process,whereas the content of low-angle grain boundaries(from 2° to 10° misorientation) in the substrate reached 95.1%.
基金supported by the Chinese Universities Scientific Fund(2021RC001)the China Agriculture Research System(CARS34)the National Program for Forage Germplasm Conservation(2130135).
文摘Erect milkvetch(Astragalus adsurgens)is a perennial legume forage crop with economic and ecological value in livestock grazing and soil-erosion control in arid and semiarid areas worldwide.Genomic information and molecular tools to support breeding and research in the species are limited.The objectives of this investigation were to map its genome using DNA markers and to identify quantitative trait loci(QTL)in the species.An F1 mapping population of 250 plants was developed from a cross between two parents with differing flowering-related traits.A high-density genetic linkage map containing 4821 markers on eight linkage groups(LGs)with a total genetic length of 1395 cM and a mean interval of 0.29 cM between adjacent markers was constructed with SLAF-seq technology.Comparative genomic analyses revealed the highest genome sequence similarity(8.71%)between erect milkvetch and Medicago truncatula,followed by Glycine max(7.65%),Cicer arietinum(7.53%),and Lupinus angustifolius(5.21%).A total of 64 significant QTL for flowering-related traits on six LGs were detected,accounting for 9.38 to 19.1%of the associated phenotype variation.Five and 48 key candidate genes for floret number and inflorescence length were identified based on the Glycyrrhiza uralensis genome.These candidate genes were involved in ubiquitination/degradation,pollen development,cell division,cytokinin biosynthetic process,and plant flowering.These findings shed light on the regulation of flowering traits in erect milkvetch and provide genomic resources for future molecular breeding of the crop.
基金supported by the National Key R&D Program of China(Nos.2022YFB3504804 and 2023YFF0718303)the National Natural Science Foundation of China(Nos.51871219,52071324,52031014,and 52401255)+1 种基金Science and Technology Project of Shenyang City(No.22-101-0-27)Liaoning Institute of Science and Technology Doctoral Initiation Fund Project(No.2307B19).
文摘To realize the application of electromagnetic wave absorption(EWA)devices in humid marine environments,bifunctional EWA materials with better EWA capacities and anticorrosion properties have great exploration significance and systematic research re-quirements.By utilizing the low-cost and excellent magnetic and stable chemical characteristics of barium ferrite(BaFe_(12)O_(19))and using the high dielectric loss and excellent chemical inertia of nanocarbon clusters,a new type of nanocomposites with carbon nanoclusters en-capsulating BaFe_(12)O_(19)was designed and synthesized by combining an impregnation method and a high-temperature calcination strategy.Furthermore,Ce-Mn ions were introduced into the BaFe_(12)O_(19)lattice to improve the dielectric and magnetic properties of BaFe_(12)O_(19)cores significantly,and the energy band structure of the doped lattice and the orders of Ce replacing Fe sites were calculated.Benefiting from Ce-Mn ion doping and carbon nanocluster encapsulation,the composite material exhibited excellent dual functionality of corrosion resist-ance and EWA.When BaCe_(0.2)Mn_(0.3)Fe_(11.5)O_(19)-C(BCM-C)was calcined at 600°C,the minimum reflection loss of-20.1 dB was achieved at 14.43 GHz.The Ku band’s effective absorption bandwidth of 4.25 GHz was achieved at an absorber thickness of only 1.3 mm.The BCM-C/polydimethylsiloxane coating had excellent corrosion resistance in the simulated marine environment(3.5wt%NaCl solution).The|Z|0.01Hz value of BCM-C remained at 106Ω·cm^(2)after 12 soaking days.The successful preparation of the BaFe_(12)O_(19)composite en-capsulated with carbon nanoclusters provides new insights into the preparation of multifunctional absorbent materials and the fabrication of absorbent devices applied in humid marine environments in the future.
文摘Nanocrystalline TiO2 powders with high photocatalytic activity were prepared by one-step microemulsion-mediated hydrothermal method using tetrabutylorthotitanate (TiO(C4H9)4, TBOT) as precursor. The as-prepared TiO2 powders were characterized by X-ray diffraction (XRD), transmission electron microscopy (TEM) and the Brunauer-Emmett-Teller (BET) specific surface area measurements. The effects of the oil/water ratio and hydrothermal temperature on the microstructures and photocatalytic activity of the TiO2 powders were investigated. The results suggest that increasing the oil/water emulsion ratio significantly decreased the particle size of the as-prepared TiO2 powders and improved the photocatalytic activity. With hydrothermal temperature increasing, the average crystallite size increased and the photocatalytic activities of TiO2 powders decreased.
基金supported by the National Key R&D Program of China(Nos.2023YFF0718303 and 2022YFB3504804)the National Natural Science Foundation of China(Nos.51871219,52031014 and 52401255)the Science and Technology Project of Shenyang City(No.22-101-0-27).
文摘The single-layer Ti_(3)C_(2)T_(x)/MXene has become a special electromagnetic wave absorber near the terahertz band because of its abundant surface groups and excellent conductivity.However,the macro-preparation of single-layer Ti_(3)C_(2)T_(x)/MXene shows significantly difficult to influence its application.The two-dimensional Ti_(3)C_(2)T_(x)is easily prepared to have high production,but its weak absorption ability due to high surface conductivity also restricts its application.To realize the strong electromagnetic wave absorption of two-dimensional Ti_(3)C_(2)T_(x)/MXene,a new strategy with magnetic FeNi nanoparticles decorating Ti_(3)C_(2)T_(x)/MXene composites(FeNi-Ti_(3)C_(2)T_(x))were proposed and the effective electromagnetic wave absorption features covering 170-220 GHz that means the absorption band width reach 50 GHz.With an absorber composite film thickness being only 0.6 mm,the absorptivity of the composite is enhanced with the increase of decorating FeNi nanoparticles and promote up to 75%when the FeNi nanoparticles loading content reaches 30 wt%.The improvement of absorption is attributed to the introduction of soft magnetic FeNi to adjust the high surface conductivity of MXene and improve the electromagnetic balance of the absorber.
基金supported by the National Natural Science Foundation of China(82141201,82405164,82204878,and 32170872)the Haihe Laboratory of Modern Chinese Medicine(Research and development of a universal treatment formula for respiratory viral infections)+3 种基金the National Key Research and Development Program of China(2021YFC1712905,2021YFC1712904,2020YFA0708004,2021YFE0200300,and 2023YFC2306202)the Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine(ZYYCXTD-D-202002,ZYYCXTD-D-202001)the China Postdoctoral Science Foundation(2023M742626)the Postdoctoral Fellowship Program of China Postdoctoral Science Foundation(CPSF)(GZC20231927).
文摘The NOD-like receptor family pyrin domain-containing protein 3(NLRP3)inflammasome is an intracellular protein complex containing a nucleotide-binding oligomerization domain,leucine-rich repeats,and a pyrin domain.It is a key regulator of inflammation in viral pneumonia(VP).Small-molecule inhibitors targeting various NLRP3 binding sites are advancing into early clinical trials,but their therapeutic utility is incompletely established.Xuanfei Baidu Formula(XF),clinically used for VP treatment,attenuates NLRP3 activation by hampering caspase-11 to impede polarization of pro-inflammatory macrophages in a model of lipopolysaccharide(LPS)-induced lung injury inmice.Herein,we demonstrate that XF attenuated influenza A virus(IAV)-induced lung inflammation as well as lung injury in immunocompetent(but not in macrophage-depleted)mice.RNA sequencing of sorted lung macrophages from IAV-infected mice revealed that XF inhibited activation of the NLRP3 inflammation and interleukin(IL)-1βproduction.Quantitative nuclear magnetic resonance of XF enabled us to develop XF-Comb1,a fixed-ratio combination of five bioactive compounds that recapitulated the bioactivity of XF in suppressing NLRP3 activation in macrophages in vitro and in vivo.Interestingly,XF-Comb1 inhibited assembly of the NLRP3 inflammasome through multi-site interactions with functional residues of NLRP3,apoptosis-associated speck-like protein containing caspase recruitment domain(ASC),and caspase-1.Taken together,this work advances the development of NLRP3 inhibitors by translating a complex herbal formula into defined bioactive compounds.
基金Supported by Tianjin Key Medical Discipline Construction Project,No.TJYXZDXK-3-019B.
文摘BACKGROUND Colorectal cancer has high global incidence and mortality rates.Colorectal polyps are relatively common,with adenomatous polyps having a higher risk of malignant transformation.Non-alcoholic fatty liver disease(NAFLD)has been identified as a risk factor for the development of colorectal adenomas.Here,inpatients with NAFLD from the Second People's Hospital of Xining,in Qinghai Province,and the Second People's Hospital of Tianjin were investigated,comparing the biochemical indicators,colonoscopy findings,and pathological results of polyps between patients from low-altitude(Tianjin)and high-altitude(Qinghai Province)areas.Risk factors associated with the occurrence of adenomatous polyps in NAFLD patients from high-altitude areas were also explored.AIM To investigate the clinical characteristics of colorectal polyps in NAFLD patients from high-altitude areas.METHODS A total of 848 patients with NAFLD were enrolled.Of these,118 underwent colonoscopy between January 2021 and January 2024 at the Second People's Hospital of Tianjin(low-altitude),while the remaining 730 patients were assessed during the same period at the Second People's Hospital of Xining,Qinghai(high-altitude).All enrolled patients met the diagnostic criteria for NAFLD,and the excised colorectal polyps were analyzed pathologically.RESULTS Colorectal polyps were found in 585 cases(80.1%)in the Qinghai cohort and 91 patients(77.1%)in the Tianjin group,indicating a slightly higher incidence in the Qinghai group,although the difference was non-significant(P=0.449,P>0.05).The two groups showed no significant difference in sex(P=0.153,P>0.05)but differed significantly in the proportion of younger patients(P<0.01),although no differences were seen in terms of middleaged and elderly patients(P>0.05).No differences in polyp numbers were observed between the two regions(P>0.05),while significant differences were found between the≤0.5 cm and>1 cm and≤2 cm proportions in both regions(P<0.05),with no differences in other size categories(P>0.05).Polyp locations(proximal colon,distal colon)also differed significantly(P<0.05).Patients in Qinghai were more prone to adenomatous polyps,accounting for 89.2%of polyps,compared to those from Tianjin(P<0.05).Patients in Qinghai had a higher incidence of tubular adenomas with low-grade dysplasia,while tubular adenomas with high-grade dysplasia predominated in patients from Tianjin(P<0.05).Patients in Tianjin had a significantly higher proportion of mixed hyperplastic-adenomatous polyps(P<0.05),as well as greater proportions of mixed hyperplastic-adenomas with low-grade dysplasia(P<0.05).The incidence of hyperplastic polyps was markedly higher in Tianjin,accounting for 58.4%(P<0.05).Multivariate logistic regression indicated that sex[OR=1.693,95%confidence interval(CI):1.131-2.536],smoking(OR=0.604,95%CI:0.406-0.897),hypertension(OR=0.683,95%CI:0.471-0.991),and white blood cell counts(WBC)(OR=1.091,95%CI:1.015-1.173)were risk factors for the occurrence of adenomatous polyps in patients with NAFLD in high-altitude areas(Qinghai Province).CONCLUSION Patients with NAFLD from high-altitude regions have a higher incidence of colorectal polyps,with a significantly higher incidence of adenomatous polyps compared to other polyp types.Sex,smoking,hypertension,and WBC are risk factors for adenomatous polyps in NAFLD patients in high-altitude regions.
文摘BACKGROUND Acute drug-induced liver injury(DILI)events caused by chronic liver disease are relatively common.Some researchers believe that nonalcoholic fatty liver(NAFL)increases the overall risk of DILI.The clinical characteristics and prognosis of DILI in the context of NAFL disease(NAFLD)are still unclear.Therefore,hospitalized patients with NAFLD combined with DILI at the Tianjin Second People's Hospital were included in this study.The clinical manifestations,classifications,severities,laboratory indicators,and clinical outcomes of the enrolled patients were analyzed,and the clinical characteristics and prognoses of the NAFL+DILI patients were evaluated.AIM To investigate the clinical characteristics and prognosis of DILI in the context of NAFL.METHODS Eighty-nine patients diagnosed with DILI and 110 patients diagnosed with both DILI and NAFL at the Tianjin Second People's Hospital were enrolled.Clinical data,including demographic characteristics,clinical features,laboratory test results,pathology findings,autoantibody titers,suspected drugs,and outcomes,were collected from the two groups of patients.All enrolled patients were followed up to determine the liver function recovery time.RESULTS Compared with the patients in the DILI group,those in the NAFL+DILI group had higher body mass indices;Controlled Attenuation Parameter scores;and triglyceride,total cholesterol,low-density lipoprotein,and insulin levels.The levels of the cytokines interleukin-4 and complement complement c3(C3)were also greater in the NAFL+DILI group than in the DILI group.The proportions of patients with cholestatic-type DILI(16.4%vs 4.5%),cholestasis seen on pathoscopy(40.9%vs 25.8%),grade 2 or above DILI(48.18%vs 40.45%),and a recovery time for liver function ranging from 90 to 180 days(30.6%vs 15.5%)were greater in the NAFL+DILI group than in the DILI group.All of the abovementioned differences between the groups were statistically significant(P<0.05).The autoantibody positivity rates did not significantly differ between the two groups(P>0.05),and the proportions of patients who progressed to chronic drug hepatitis or autoimmune hepatitis were not significantly different between the two groups(both P>0.05).CONCLUSION In the context of NAFL,DILI is more likely to be cholestatic,with a greater degree of liver injury,a longer recovery time,and more pronounced expression of immune factors.
基金Supported by Fund of Science and Technology Plan Project in Zhuhai,No.PC20061084
文摘AIM:To investigate the mRNA expression of cyclooxygensae-2(COX-2)in benign and malignant ascites,and to explore the difference in COX-2 mRNA expression among different diseases.METHODS:A total of 36 samples were collected from the Fifth Affiliated Hospital of Sun Yat-Sen University and divided into two experimental groups:benign ascites(n=21)and malignant ascites(n=15).Benign ascites included cirrhotic ascites(n=10)and tuberculous ascites(n=5).Malignant ascites included oophoroma(n=7),cancer of colon(n=5),cancer of the liver(n=6),gastric cancer(n=2),and bladder carcinoma(n=1).The mRNA expression of COX-2 in ascites was examined with reverse transcriptase polymerase chain reaction(RT-PCR)technology,and the positive rate of COX-2 mRNA was compared between different diseases.RESULTS:The positive rate of COX-2 mRNA in malignant ascites was 42.9%(9/21),which was significantly higher than in benign ascites,6.7%(1/15),difference being significant between these two groups(χ2=4.051,P=0.044).The proportion of the positive rate in the malignant ascites was as follows:ovarian cancers57.1%(4/7),colon cancer 40.0%(2/5),liver cancer33.3%(2/6),gastric cancer 50.0%(1/2),and bladder cancer 0.00%(0/1).However,there was no significant difference in COX-2 mRNA expression among various tumors with malignant ascites(χ2=1.614,P=0.806).Among the benign ascites,COX-2 mRNA levels were different between the tuberculous ascites(0/5)and cirrhotic ascites(1/10),but there was no significant difference(P=1.000).CONCLUSION:COX-2 mRNA,detected by RT-PCR,is useful in the differential diagnosis of benign and malignant ascites,which also has potential value in the clinical diagnosis of tumors.
基金Supported by Outstanding Innovation Talent Support Project of Heilongjiang University of Traditional Chinese Medicine:2018RCD10:the ForthTerm National Chinese Medicine(Clinical and Basic Research)Outstanding Talent Advanced Training Program,State Administration of Traditional Chinese Medicine:National TCM Education[2017]24.
文摘Objective:To observe and compare the clinical effect on knee osteoarthritis(KOA)between Fu’s subcutaneous needling therapy(FSN)and convention acupuncture.Methods:A total of 80 outpatients with KOA were divided into a FSN group(40 cases)and a conventional acupuncture group(40 cases)according to random number table.Within 1 week of treatment,FSN was used once every two days in the FSN group.The needle tip of Fu’s subcutaneous needle was inserted toward the affected muscle,about 5 mm in depth,at the angle of 15 to 25°.After the needle body lifted slightly,the needle went forward subcutaneously for 25 to 35 mm in depth and was swiped side to side horizontally with even exertion for about 1 min.According to the distribution of affected muscle,the reperfusion approach was repeated for 3 times consecutively.In the conventional acupuncture group conventional acupuncture was given,once a day,for 6 times totally.The scores of Western Ontario and McMaster universities osteoarthritis index(WOMAC)and Lysholm knee scoring scale(Lysholm)were compared between the two groups before and after 1-week treatment.The clinical effect of the two groups was analyzed statistically and evaluated.Results:After 1-week treatment with FSN,in the FSN group,the score of WOMACpain was reduced to be7.7±1.9 from 18.5±3.2,the score of WOMACstiffnessto be 1.5±0.7 from 4.5±1.8,WOMACfunction to be22.7±3.9 from 45.7±2.7 and the score of WOMACoverall to be 31.9±5.3 from 69.7±6.5.The differences were significant in comparison before and after treatment(all P<0.05).In the conventional acupuncture group,after 1-week treatment with conventional acupuncture,the score of WOMACpain was reduced to be11.3±2.8 from 18.2±3.0,the score of WOMACstiffness to be 3.0±1.6 from 5.6±1.7,WOMACfunction to be29.8±5.1 from 44.3±2.9 and the score of WOMACoverall to be 44.1±7.8 from 69.1±7.3.The differences were significant in comparison before and after treatment(all P<0.05).WOMAC score of every item in the FSN group was lower obviously than that in the conventional acupuncture group(P<0.01).After 1-week treatment,Lysholm score was increased to be 78.52±18.4 from 59.64±18.3 in the FSN group and it was to be 69.27±11.9 from 58.17±12.5 in the conventional acupuncture group.The differences were significant in comparison before and after treatment in either group(both P<0.05).Lysholm score in the FSN group was higher than that in the conventional acupuncture group(P<0.05).The total effective rate was 92.5%in the FSN group,higher than 77.5%in the conventional acupuncture group(P<0.05).Conclusion:Fu’s subcutaneous needling therapy effectively relieves the clinical symptoms of KOA and improves knee joint function.The therapeutic effect is better than that of the regular acupuncture.
文摘Objective To evaluate the feasibility of whole body diffusion weighted imaging (DWI) in bone metastasis detection using bone scintigraphy as comparison. Methods Forty-five patients with malignancy history were enrolled in our study. All the patients received the whole body DWI and bone scintigraphy scan within 1 week. The magnetic resonance (MR) examination was performed on 3.0T MR scanner using embedded body coil. The images were reviewed separately by two radiologists and two nuclear medicine physicians, who were blinded to the results of the other imaging modality. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the two techniques for detecting bone metastasis were analyzed. Results A total of 181 metastatic lesions in 77 regions of 34 patients were detected by whole body DWI, and 167 metastatic lesions in 76 regions of 31 patients were identified by bone scintigraphy. The patient-based sensitivity and PPV of whole body DWI and bone scintigraphy were similar (89.5% vs. 81.6%, 97.1% vs. 91.2%), whereas, the patient-based specificity and NPV of whole body DWI were obviously higher than those of bone scintigraphy (85.7% vs. 57.1%, 60.0% vs. 36.4%). Ten regions negative in scintigraphy but positive in whole body DWI, mainly located in spine, pelvis, and femur; nine regions only detected by scintigraphy, mainly located in skull, sternum, clavicle, and scapula. The region-based sensitivity and specificity of whole body DWI were slightly higher than those of bone scintigraphy (89.5% vs. 88.4%, 95.6% vs. 87.6%). Conclusion Whole body DWI reveals excellent concordance with bone scintigraphy regarding detection of bone metastasis, and the two techniques are complementary for each other.
文摘Objective： To evaluate whether radiofrequency ablation （RFA） might have an influence on immune status in hepatocellular carcinoma （HCC） patients. Methods： We measured the T lymphocytes, B lymphocyte and NK cells, and determined the population of Thl, Th2, Tcl and Tc2 of peripheral blood samples taken from 26 HCC patients before and after RFA. Results： The proportion of Typel cells （Thl and Tcl） and NK cells were significantly increased after RFA, especially in patients of the following subgroups： male, age〉55 years, pathological grade Ⅰ-Ⅱ tumor, clinical stage Ⅰ-Ⅱ or Child-Pugh A and B. Conclusion： TypeⅠ cells and NK cells in HCC patients were increased in a short period after RFA.
基金supported by the National Natural Science Foundation of China,No.8187052509(to XGY)the National Key Research and Development Plan of China,No.2017YFC0114005(to ZPL)
文摘Deep brain stimulation is a therapy for Alzheimer＇s disease（AD） that has previously been used for mainly mild to moderate cases. This study provides the first evidence of early alterations in performance induced by stimulation targeted at the fornix in severe AD patients. The performance of the five cases enrolled in this study was scored with specialized assessments including the Mini-Mental State Examination and Clinical Dementia Rating, both before and at an early stage after deep brain stimulation. The burden of caregivers was also evaluated using the Zarit Caregiver Burden Interview. As a whole, the cognitive performance of patients remained stable or improved to varying degrees, and caregiver burden was decreased. Individually, an improved mental state or social performance was observed in three patients, and one of these three patients showed remarkable improvement in long-term memory. The conditions of another patient deteriorated because of inappropriate antipsychotic medications that were administered by his caregivers. Taken together, deep brain stimulation was capable of improving some cognitive aspects in patients with severe AD, and of ameliorating their emotional and social performance, at least at an early stage. However, long-term effects induced by deep brain stimulation in patients with severe AD need to be further validated. More research should focus on clarifying the mechanism of deep brain stimulation. This study was registered with ClinicalTrials.gov（NCT03115814） on April 14, 2017.
基金the National Natural Science Foundation of China(82000533 and 81770598).
文摘Background:Primary biliary cholangitis(PBC)patients often have concomitant extrahepatic autoimmune(EHA)diseases including Sjögren’s syndrome(SS),systemic sclerosis(SSc),rheumatoid arthritis(RA),and autoimmune thyroid disease.The present study aimed to describe the prevalence of EHA diseases in PBC and explore the impact of EHA diseases on the long-term outcomes of PBC in Chinese patients.Methods:Medical records of PBC patients diagnosed in our institute were retrospectively reviewed.Pa-tients were followed up by a standardized telephone interview.The endpoints were defined as liver-related death and/or liver transplantation.Results:Totally 247 of the 985(25.1%)PBC patients enrolled in the study had at least one concomi-tant EHA disease.Sjögren’s syndrome(n=140,14.2%)was the most frequent one,followed by rheuma-toid arthritis(RA)(n=56,5.7%)and Hashimoto’s thyroiditis(n=45,4.6%).Patients with EHA dis-eases were more common in females(P<0.001)and in those with a family history of autoimmune disease(P=0.017).Overall,no differences were found between PBC patients with and without EHA dis-eases in terms of biochemical response rates to ursodeoxycholic acid,the incidence of hepatic events,or transplant-free survival.RA and EHA≥2 were protective factors for hepatic events in univariate Cox analysis,but the results became insignificant in multivariate analysis.Conclusions:Concomitant EHA diseases were common in PBC patients but did not compromise the long-term outcomes of PBC.
基金supported by the National Natural Science Foundation of China (No. 21177025, 40705045, 40875073, 40728006)the New-teacher Fund for Ph.D Studies of Ministry of Education of China (No. 20070246029)+2 种基金the Science & Technology Commission of Shanghai Municipality (No.09160707700)the Key Project from Ministry of Education of China (No. 108050)the State Key Laboratory of Pollution Control and Resource Reuse Foundation (No. PCRRF1011)
文摘Despite recent efforts to investigate the distribution and fate of polycyclic aromatic hydrocarbons （PAHs） in air, water, and soil, very little is known about their temporal change in wet deposition. As a result of increased attention to public health, a large-scale survey on the deposition flux and distribution of PAH contamination in rainwater was urgently conducted in Shanghai, China. In this study, 163 rainwater samples were collected from six sites, and 15 PAH compounds were detected by the use of a simple solid phase microextraction （SPME） technique coupled with gas chromatography-mass spectrometry. The dominant PAH species monitored were naphthalene, phenanthrene, anthracene, and fluoranthene. The concentration of total PAHs per event was between 74 and 980 ng/L, with an average value of 481 ng/L, which is at the high end of worldwide figures. The annual deposition flux of PAHs in rainwater was estimated to be 4148 kg/yr in the Shanghai area, suggesting rainfall as a major possible pathway for removing PAHs from the atmosphere. Diagnostic analysis by the ratios of An/178 and Fl/Fl＋Py suggested that combustion of grass, wood, and coal was the major contributor to PAHs in the Shanghai region. Back trajectory analysis also indicated that the pollutant sources could be from the southern part of China.
基金the National Natural Science Foundation of China(No.81871110).
文摘Many therapies are effective in treating varicoceles,including dilation of the pampiniform plexus in males.The most common method of treatment is varicocelectomy.We aimed to assess an alternative technique(microsurgical spermatic[distal end]-superficial or inferior epigastric vein anastomosis)that preserves the normal blood flow pattern for varicocele treatment.We retrospectively analyzed 27 men with varicocele between October 2019 and July 2020.All patients underwent microsurgical spermatic(distal end)-superficial or inferior epigastric vein anastomosis.The prognosis was reviewed retrospectively with an additional survey conducted 3 months after surgery.The mean±standard deviation of the age was 26.1±7.3 years in patients with microsurgical spermatic(distal end)-superficial or inferior epigastric vein anastomosis.The maximum diameter of the varicocele vein,perineal pain score,sperm density,and forward movement of sperm improved over 3 months after surgery.Microsurgical spermatic(distal end)-superficial or inferior epigastric vein anastomosis is a safe and efficient surgical treatment for varicoceles.
文摘Objective To investigate the effect of multiple coatings of the one-step self-etching adhesive on immediate microtensile bond strength to primary dentin.Methods Twelve caries-free human primary molars were randomly divided into 2 groups with 6 teeth each.In group 1,each tooth was hemisected into two halves.One half was assigned to control subgroup 1,which was bonded with a single-step self-etching adhesive according to the manufacturer's instructions;the other half was assigned to experimental subgroup 1 in which the adhesive was applied three times before light curing.In group 2,the teeth were also hemisected into two halves.One half was assigned to control subgroup 2,which was bonded with the single-step self-etching adhesive according to the manufacturer's instructions;the other half was assigned to experimental subgroup 2 in which three layers of adhesive were applied with light curing each successive layer.Microtensile bond strength was immediately tested after specimen preparation.Results When the adhesive was applied three times before light curing,the bond strength of the experimental subgroup 1(n=33,57.49±11.61 MPa) was higher than that of the control subgroup 1(n=31,49.71±11.43 MPa,P<0.05).When using the technique of applying multiple layers of adhesive with light curing each successive layer,no difference of immediate bond strength was observed between the control subgroup 2 and the experimental subgroup 2(P>0.05).Conclusion Multiple coatings of one-step self-etching adhesive can increase the immediate bond strength to primary dentin when using the technique of light-curing after applying three layers of adhesive.
