Spontaneous recovery frequently proves maladaptive or insufficient because the plasticity of the injured adult mammalian central nervous system is limited.This limited plasticity serves as a primary barrier to functio...Spontaneous recovery frequently proves maladaptive or insufficient because the plasticity of the injured adult mammalian central nervous system is limited.This limited plasticity serves as a primary barrier to functional recovery after brain injury.Neuromodulation technologies represent one of the fastest-growing fields in medicine.These techniques utilize electricity,magnetism,sound,and light to restore or optimize brain functions by promoting reorganization or long-term changes that support functional recovery in patients with brain injury.Therefore,this review aims to provide a comprehensive overview of the effects and underlying mechanisms of neuromodulation technologies in supporting motor function recovery after brain injury.Many of these technologies are widely used in clinical practice and show significant improvements in motor function across various types of brain injury.However,studies report negative findings,potentially due to variations in stimulation protocols,differences in observation periods,and the severity of functional impairments among participants across different clinical trials.Additionally,we observed that different neuromodulation techniques share remarkably similar mechanisms,including promoting neuroplasticity,enhancing neurotrophic factor release,improving cerebral blood flow,suppressing neuroinflammation,and providing neuroprotection.Finally,considering the advantages and disadvantages of various neuromodulation techniques,we propose that future development should focus on closed-loop neural circuit stimulation,personalized treatment,interdisciplinary collaboration,and precision stimulation.展开更多
The sticking phenomenon between molten slag and refractory is one of the crucial problems when preparing ferronickel from laterite ore using rotary hearth fulnace or rotary kiln processes. This study aims to ameliorat...The sticking phenomenon between molten slag and refractory is one of the crucial problems when preparing ferronickel from laterite ore using rotary hearth fulnace or rotary kiln processes. This study aims to ameliorate sticking problems by using silicon dioxide （SiO2） to adjust the melting degree of file briquette during reduction roasting. Thermodynamic analysis indicates that the melting temperature of the slag gradually increases with an increase in the SiO2 proportion （SiO2/（SiO2 ＋ A1203 ＋ MgO） mass ratio）. Experimental validations also prove that the briquette retains its original shape when the SiO2 proportion is greater than 75wt%, and sticking problems axe avoided during reduction. A ferronickel product with 8.33wt% Ni and 84.71wt% Fe was prepared via reductive roasting at 1500~C for 90 min with a SiO2 proportion of 75wt% and a C/O molar ratio of 1.0 followed by dry magnetic separation; the corresponding recoveries of Ni and Fe reached 75.70% and 77.97%, respectively. The micro stxucture and phase txmlsformation of reduced briquette reveals that the aggregation and growth of ferroinckel particles were not significantly affected after adding SiO2 to the reduction process.展开更多
BACKGROUND Laparoscopic cholecystectomy(LC)is the primary treatment for acute calculous cholecystitis.Although rapid recovery nursing is commonly implemented in postoperative care,its effect on acute calculous cholecy...BACKGROUND Laparoscopic cholecystectomy(LC)is the primary treatment for acute calculous cholecystitis.Although rapid recovery nursing is commonly implemented in postoperative care,its effect on acute calculous cholecystitis after LC remains unclear.AIM To analyze the impact of rapid recovery nursing in patients with acute calculous cholecystitis undergoing LC.METHODS A retrospective study was conducted with a total of 120 patients with acute calculous cholecystitis who underwent LC at our hospital between October 2023 and October 2024.The patients were divided into two groups with 60 patients in each group according to the different nursing methods:Conventional nursing and rapid recovery nursing groups.Data was recorded from the electronic medical records.Gastrointestinal recovery,pain,quality of life,and nursing satisfaction were compared between the two groups before and after nursing.RESULTS Following nursing intervention,the visual analog scale scores on Days 3 and 7 post-surgery in the rapid recovery nursing group were notably lower than those of the conventional nursing group(P<0.05).The rapid recovery nursing group experienced significantly reduced times for bowel sound recovery,getting out of bed,hospital stay,passing flatus,and first defecation compared with the conventional nursing group(P<0.05),thereby experiencing significantly better quality of life and nursing satisfaction(P<0.05).CONCLUSION Rapid recovery nursing effectively promoted the recovery of gastrointestinal function,reducing pain and improving the quality of life of patients who underwent LC for acute calculous cholecystitis.展开更多
BACKGROUND The role of NLR family pyrin domain containing 3(NLRP3)in post-endoscopic submucosal dissection(ESD)esophageal stricture remains incompletely understood.The effect of celastrol(CEL)on the prevention of esop...BACKGROUND The role of NLR family pyrin domain containing 3(NLRP3)in post-endoscopic submucosal dissection(ESD)esophageal stricture remains incompletely understood.The effect of celastrol(CEL)on the prevention of esophageal strictures has not yet been investigated.AIM To explore the effect of CEL on the prevention of esophageal stricture in rats.METHODS NLRP3,interleukin(IL)-1β,and IL-18 mRNA levels were measured in patients’tissues after esophageal ESD.NLRP3 expression in esophageal fibroblasts was determined using immunohistochemistry and immunofluorescence staining.Lentiviral transfection was used to induce NLRP3 overexpression and thioredoxin reductase 1(TXNRD1)silencing.The CCK8 assay was used to determine the optimal CEL concentration.Reactive oxygen species(ROS)generation was detected via fluorescence and flow cytometry.Masson’s trichrome staining and barium esophagography were performed to assess collagen deposition and esophageal stenosis.RESULTS The mRNA levels of NLRP3 and IL-1βwere higher in human tissues from the ESD resection bed than in normal esophageal mucosa.NLRP3 overexpression in primary rat esophageal fibroblasts led to high collagen 1 expression.Thus,NLRP3 participated in esophageal inflammation and tissue repair after ESD.Comparable to prednisolone,CEL significantly inhibited NLRP3 activation in vitro and in vivo,and esophageal strictures were markedly alleviated.Mechanistically,CEL upregulated TXNRD1 expression and reduced ROS production,thereby inhibiting NLRP3 expression.This effect was reversed by TXNRD1 silencing.Furthermore,TXNRD1 interacted with NLRP3 and promoted its ubiquitination.CONCLUSION CEL is a promising alternative therapeutic agent for the prevention of post-ESD esophageal strictures.展开更多
Improving the surface atoms utilization efficiency of catalysts is extremely important for large-scale H_(2)production by electrochemical water splitting,but it remains a great challenge.Herein,we reported two kinds o...Improving the surface atoms utilization efficiency of catalysts is extremely important for large-scale H_(2)production by electrochemical water splitting,but it remains a great challenge.Herein,we reported two kinds of Mo O_(3)-polyoxometalate hybrid nanobelt superstructures(MoO_(3)-POM HNSs,POM=PW_(12)O_(40)and Si W_(12)O_(40))using a simple hydrothermal method.Such superstructure with highly uniform nanoparticles as building blocks can expose more surface atoms and emanate increased specific surface area.The incorporated POMs generated abundant oxygen vacancies,improved the electronic mobility,and modulated the surface electronic structure of MoO_(3),allowing to optimize the H^(*)adsorption/desorption and dehydrogenation kinetics of catalyst.Notably,the as-prepared MoO_(3)-PW_(12)O_(40)HNSs electrodes not only displayed the low overpotentials of 108 mV at 10 mA/cm^(2)current density in 0.5 mol/L H_(2)SO_(4)electrolyte but also displayed excellent long-term stability.The hydrogen evolution reaction(HER)performance of MoO_(3)-POM superstructures is significantly better than that of corresponding bulk materials MoO_(3)@PW_(12)O_(40)and Mo O_(3)@Si W_(12)O_(40),and the overpotentials are about 8.3 and 4.9 times lower than that of single Mo O_(3).This work opens an avenue for designing highly surface-exposed catalysts for electrocatalytic H_(2)production and other electrochemical applications.展开更多
BACKGROUND Squamous cell carcinoma(SCC)of the colon is a rare malignant tumor with an unclear pathogenesis.Its clinical presentation is similar to that of adenocarcinoma,and there are no standard treatment guidelines....BACKGROUND Squamous cell carcinoma(SCC)of the colon is a rare malignant tumor with an unclear pathogenesis.Its clinical presentation is similar to that of adenocarcinoma,and there are no standard treatment guidelines.Treatment for SCC of the colon is mainly based on the protocols for colon adenocarcinoma.In advanced stages,colon SCC is highly invasive,prone to distant metastasis,and has a worse prog-nosis than adenocarcinoma.Furthermore,pancreatic metastasis from colon SCC is even rarer.CASE SUMMARY The patient presented with abdominal pain and was diagnosed with SCC of the descending colon following colonoscopy.Preoperative examinations did not reveal any obvious metastasis to other organs,and the patient underwent laparo-scopic radical resection of the descending colon cancer.During surgery,suspi-cious metastases to the pancreatic body and tail,splenic vessels,and splenic hilum were found,leading to combined resection of the pancreatic body and tail along with the spleen.Postoperative pathology confirmed moderately to poorly diffe-rentiated SCC with nerve invasion.The patient developed postoperative compli-cations,including abdominal cavity infection,acute myocardial infarction,and deep vein thrombosis in the lower limbs.Despite active symptomatic treatment and stabilization of the patient’s vital signs,the patient did not undergo adjuvant chemotherapy due to an Eastern Cooperative Oncology Group score of 3.The patient passed away 3 months postoperatively due to multiple organ failure.CONCLUSION This case highlights the aggressive nature of colorectal SCC with atypical meta-stasis and underscores the necessity for multidisciplinary perioperative management.展开更多
Background:In recent years,there has been a growing trend in the utilization of observational studies that make use of routinely collected healthcare data(RCD).These studies rely on algorithms to identify specific hea...Background:In recent years,there has been a growing trend in the utilization of observational studies that make use of routinely collected healthcare data(RCD).These studies rely on algorithms to identify specific health conditions(e.g.,diabetes or sepsis)for statistical analyses.However,there has been substantial variation in the algorithm development and validation,leading to frequently suboptimal performance and posing a significant threat to the validity of study findings.Unfortunately,these issues are often overlooked.Methods:We systematically developed guidance for the development,validation,and evaluation of algorithms designed to identify health status(DEVELOP-RCD).Our initial efforts involved conducting both a narrative review and a systematic review of published studies on the concepts and methodological issues related to algorithm development,validation,and evaluation.Subsequently,we conducted an empirical study on an algorithm for identifying sepsis.Based on these findings,we formulated specific workflow and recommendations for algorithm development,validation,and evaluation within the guidance.Finally,the guidance underwent independent review by a panel of 20 external experts who then convened a consensus meeting to finalize it.Results:A standardized workflow for algorithm development,validation,and evaluation was established.Guided by specific health status considerations,the workflow comprises four integrated steps:assessing an existing algorithm’s suitability for the target health status;developing a new algorithm using recommended methods;validating the algorithm using prescribed performance measures;and evaluating the impact of the algorithm on study results.Additionally,13 good practice recommendations were formulated with detailed explanations.Furthermore,a practical study on sepsis identification was included to demonstrate the application of this guidance.Conclusions:The establishment of guidance is intended to aid researchers and clinicians in the appropriate and accurate development and application of algorithms for identifying health status from RCD.This guidance has the potential to enhance the credibility of findings from observational studies involving RCD.展开更多
The large amount of harmful particles in coal dust not only pollutes the production environment,affects the production efficiency and resource utilization of enterprises,but also poses a risk to human health.Effective...The large amount of harmful particles in coal dust not only pollutes the production environment,affects the production efficiency and resource utilization of enterprises,but also poses a risk to human health.Effectively controlling coal dust is of great significance to clean production.Water-based dust suppressants are extensively employed to mitigate coal dust.This paper provides a comprehensive review of the water-based dust suppression materials for coal dust control.Accord-ing to the difference of mechanism,the dust suppressants are divided into wetting type,hygroscopic coalescence type,cohesive agglomeration type,and composite type.The evaluation methods for dust suppressants key properties such as wettability,permeability,moisture absorption and water retention,and consolidation are summarized.The review results show that coal dust suppressants are no longer limited to a single dust suppression function.For example,it is necessary to develop multi-functional coal suppressants to meet the needs for synergistic suppression both coal dust and coal spon-taneous combustion.Driven by the concept of green,low-carbon and sustainable development,attention should be paid to the development of bio-based environmentally friendly coal dust suppressants.In addition,the evaluation method system for the key performance of water-based dust suppressants should also be improved,and further research is necessary.展开更多
The detection of nanoplastics(NPs)and their interactions with antibiotics is critical due to their potential environmental and health risks.Traditional detection methods are challenged by the small size and chemical s...The detection of nanoplastics(NPs)and their interactions with antibiotics is critical due to their potential environmental and health risks.Traditional detection methods are challenged by the small size and chemical similarity of NPs to microplastics.Current surface-enhanced Raman scattering(SERS)substrates for NP detection are limited by high cost,reliance on single enhancement modes,and insufficient sensitivity and selectivity,especially for NP-antibiotic complexes.In this study,the F/M-AAO substrate,which integrates 2,3,5,6-tetrafluoro-tetracyanoquinodimethane(F_(4)TCNQ)and molybdenum disulfide(MoS_(2))with anodic aluminum oxide(AAO)templates,is used to enhance the detection of NPs and NP-antibiotic complexes.The conical cavity structure of the substrate facilitates the enrichment and direct detection of NPs with diameters smaller than 450 nm.The three-dimensional(3D)F/M-AAO substrate achieved a limit of detection(LOD)of 1.73×10^(6)ng/L for 100-nm NPs and a minimum detection concentration of 10^(-10)M for ciprofloxacin adsorbed on NPs(NPs-CIP).It demonstrated remarkable sensitivity and selectivity in the detection of both individual NPs and NPantibiotic complexes.This work highlights the innovative application of the F/M-AAO substrate in the SERS detection of NPs and NP-antibiotic complexes,providing a low-cost and effective platform for monitoring emerging environmental contaminants.展开更多
The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventficular hemorrhage (IVH) were explored and compared.From Jan.2015 to Dec.2016,the...The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventficular hemorrhage (IVH) were explored and compared.From Jan.2015 to Dec.2016,the clinical data of 42 cases of IVH were retrospectively analyzed,including 18 patients undergoing endoscopic hematoma evacuation (group A),and 24patients receiving EVD (group B).The hematoma clearance rate was calculated by 3D Slicer software,and complications and outcomes were compared between the two groups.There were no significant differences in age,sex and Graeb score between groups A and B (P>0.05).The hematoma clearance rate was 70.81%±27.64% in group A and 48.72%±36.58% in group B with a statistically significant difference (P<0.05).The operative time in groups A and B was 72.45±25.26 min and 28.54±15.27min,respectively (P<0.05).The Glasgow Coma Scale (GCS) score increased from 9.28±2.72 at baseline to 11.83±2.91 at 1 week postoperatively in group A,and from 8.25±2.62 at baseline to 10.79±4.12 at 1 week postoperatively in group B (P<0.05).The length of hospital stay was 12.67±5.97 days in group A and 17.33±8.91 days in group B with a statistically significant difference (P<0.05).The GOS scores at 6 months after surgery were 3.83±1.12 in group A,and 2.75±1.23 in group B (P<0.05). These results suggested that endoscopic hematoma evacuation has an advantage of a higher hematoma clearance rate,fewer complications and better outcomes in the treatment of severe IVH,indicating it is a safe,effective and promising approach for severe IVH.展开更多
Tissue engineering has become a promising strategy for repairing damaged cartilage and bone tissue. Among the scaffolds for tissue-engineering applications, injectable hydrogels have demonstrated great potential for u...Tissue engineering has become a promising strategy for repairing damaged cartilage and bone tissue. Among the scaffolds for tissue-engineering applications, injectable hydrogels have demonstrated great potential for use as three-dimensional cell culture scaffolds in cartilage and bone tissue engineering, owing to their high water content, similarity to the natural extracellular matrix(ECM), porous framework for cell transplantation and proliferation, minimal invasive properties, and ability to match irregular defects. In this review, we describe the selection of appropriate biomaterials and fabrication methods to prepare novel injectable hydrogels for cartilage and bone tissue engineering. In addition, the biology of cartilage and the bony ECM is also summarized. Finally, future perspectives for injectable hydrogels in cartilage and bone tissue engineering are discussed.展开更多
AIM: To determine the prognostic value of circulating indicators of cell death in acute-on-chronic liver failure (ACLF) patients with chronic hepatitis B virus (HBV) infection as the single etiology. METHODS: Full len...AIM: To determine the prognostic value of circulating indicators of cell death in acute-on-chronic liver failure (ACLF) patients with chronic hepatitis B virus (HBV) infection as the single etiology. METHODS: Full length and caspase cleaved cytokeratin 18 (detected as M65 and M30 antigens) represent circulating indicators of necrosis and apoptosis. M65 and M30 were identified by enzyme-linked immunosorbent assay in 169 subjects including healthy controls (n = 33), patients with chronic hepatitis B (CHB, n = 55) and patients with ACLF (n = 81). According to the 3-mo survival period, ACLF patients were defined as having spontaneous recovery (n = 33) and non-spontaneous recovery which included deceased patients and those who required liver transplantation (n = 48). RESULTS: Both biomarker levels significantly increased gradually as liver disease progressed (for M65: P < 0.001 for all; for M30: control vs CHB, P = 0.072; others: P < 0.001 for all). In contrast, the M30/M65 ratio was significantly higher in controls compared with CHB patients (P = 0.010) or ACLF patients (P < 0.001). In addition, the area under receiver operating characteristic curve (AUC) analysis demonstrated that both biomarkers had diagnostic value (AUC >= 0.80) in identifying ACLF from CHB patients. Interestingly, it is worth noting that the M30/M65 ratio was significantly different between spontaneous and non-spontaneous recovery in ACLF patients (P = 0.032). The prognostic value of the M30/M65 ratio was compared with the Model for End-Stage Liver Disease (MELD) and Child-Pugh scores at the 3-mo survival period, the AUC of the M30/M65 ratio was 0.66 with a sensitivity of 52.9% and the highest specificity of 92.6% (MELD:AUC = 0.71; sensitivity, 79.4%; specificity, 63.0%; Child-Pugh: AUC = 0.77; sensitivity, 61.8%; specificity, 88.9%). CONCLUSION: M65 and M30 are strongly associated with liver disease severity. The M30/M65 ratio may be a potential prognostic marker for spontaneous recovery in patients with HBV-related ACLF. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.展开更多
In this study, we hypothesized that an increase in integrin αβand its co-activator vascular endothelial growth factor play important neuroprotective roles in ischemic injury. We performed ischemic preconditioning wi...In this study, we hypothesized that an increase in integrin αβand its co-activator vascular endothelial growth factor play important neuroprotective roles in ischemic injury. We performed ischemic preconditioning with bilateral common carotid artery occlusion for 5 minutes in C57BL/6J mice. This was followed by ischemic injury with bilateral common carotid artery occlusion for 30 minutes. The time interval between ischemic preconditioning and lethal ischemia was 48 hours. Histopathological analysis showed that ischemic preconditioning substantially diminished damage to neurons in the hippocampus 7 days after ischemia. Evans Blue dye assay showed that ischemic preconditioning reduced damage to the blood-brain barrier 24 hours after ischemia. This demonstrates the neuroprotective effect of ischemic preconditioning. Western blot assay revealed a significant reduction in protein levels of integrin αβ, vascular endothelial growth factor and its receptor in mice given ischemic preconditioning compared with mice not given ischemic preconditioning 24 hours after ischemia. These findings suggest that the neuroprotective effect of ischemic preconditioning is associated with lower integrin αβand vascular endothelial growth factor levels in the brain following ischemia.展开更多
基金supported by the National Natural Science Foundation of China,No.82371399(to YY)the Natural Science Foundation of Jiangsu Province,No.BK20221206(to YY)+1 种基金the Young Elite Scientists Sponsorship Program of Jiangsu Province,No.TJ-2022-028(to YY)the Scientific Research Program of Wuxi Health Commission,No.Z202302(to LY)。
文摘Spontaneous recovery frequently proves maladaptive or insufficient because the plasticity of the injured adult mammalian central nervous system is limited.This limited plasticity serves as a primary barrier to functional recovery after brain injury.Neuromodulation technologies represent one of the fastest-growing fields in medicine.These techniques utilize electricity,magnetism,sound,and light to restore or optimize brain functions by promoting reorganization or long-term changes that support functional recovery in patients with brain injury.Therefore,this review aims to provide a comprehensive overview of the effects and underlying mechanisms of neuromodulation technologies in supporting motor function recovery after brain injury.Many of these technologies are widely used in clinical practice and show significant improvements in motor function across various types of brain injury.However,studies report negative findings,potentially due to variations in stimulation protocols,differences in observation periods,and the severity of functional impairments among participants across different clinical trials.Additionally,we observed that different neuromodulation techniques share remarkably similar mechanisms,including promoting neuroplasticity,enhancing neurotrophic factor release,improving cerebral blood flow,suppressing neuroinflammation,and providing neuroprotection.Finally,considering the advantages and disadvantages of various neuromodulation techniques,we propose that future development should focus on closed-loop neural circuit stimulation,personalized treatment,interdisciplinary collaboration,and precision stimulation.
基金the National Natural Science Foundation of China(No.51234010)the Fundamental Research Funds for Central Universities(No.106112017CDJXY130001)for the financial support provided for this research
文摘The sticking phenomenon between molten slag and refractory is one of the crucial problems when preparing ferronickel from laterite ore using rotary hearth fulnace or rotary kiln processes. This study aims to ameliorate sticking problems by using silicon dioxide （SiO2） to adjust the melting degree of file briquette during reduction roasting. Thermodynamic analysis indicates that the melting temperature of the slag gradually increases with an increase in the SiO2 proportion （SiO2/（SiO2 ＋ A1203 ＋ MgO） mass ratio）. Experimental validations also prove that the briquette retains its original shape when the SiO2 proportion is greater than 75wt%, and sticking problems axe avoided during reduction. A ferronickel product with 8.33wt% Ni and 84.71wt% Fe was prepared via reductive roasting at 1500~C for 90 min with a SiO2 proportion of 75wt% and a C/O molar ratio of 1.0 followed by dry magnetic separation; the corresponding recoveries of Ni and Fe reached 75.70% and 77.97%, respectively. The micro stxucture and phase txmlsformation of reduced briquette reveals that the aggregation and growth of ferroinckel particles were not significantly affected after adding SiO2 to the reduction process.
文摘BACKGROUND Laparoscopic cholecystectomy(LC)is the primary treatment for acute calculous cholecystitis.Although rapid recovery nursing is commonly implemented in postoperative care,its effect on acute calculous cholecystitis after LC remains unclear.AIM To analyze the impact of rapid recovery nursing in patients with acute calculous cholecystitis undergoing LC.METHODS A retrospective study was conducted with a total of 120 patients with acute calculous cholecystitis who underwent LC at our hospital between October 2023 and October 2024.The patients were divided into two groups with 60 patients in each group according to the different nursing methods:Conventional nursing and rapid recovery nursing groups.Data was recorded from the electronic medical records.Gastrointestinal recovery,pain,quality of life,and nursing satisfaction were compared between the two groups before and after nursing.RESULTS Following nursing intervention,the visual analog scale scores on Days 3 and 7 post-surgery in the rapid recovery nursing group were notably lower than those of the conventional nursing group(P<0.05).The rapid recovery nursing group experienced significantly reduced times for bowel sound recovery,getting out of bed,hospital stay,passing flatus,and first defecation compared with the conventional nursing group(P<0.05),thereby experiencing significantly better quality of life and nursing satisfaction(P<0.05).CONCLUSION Rapid recovery nursing effectively promoted the recovery of gastrointestinal function,reducing pain and improving the quality of life of patients who underwent LC for acute calculous cholecystitis.
基金Supported by National Natural Science Foundation of China,No.82002609.
文摘BACKGROUND The role of NLR family pyrin domain containing 3(NLRP3)in post-endoscopic submucosal dissection(ESD)esophageal stricture remains incompletely understood.The effect of celastrol(CEL)on the prevention of esophageal strictures has not yet been investigated.AIM To explore the effect of CEL on the prevention of esophageal stricture in rats.METHODS NLRP3,interleukin(IL)-1β,and IL-18 mRNA levels were measured in patients’tissues after esophageal ESD.NLRP3 expression in esophageal fibroblasts was determined using immunohistochemistry and immunofluorescence staining.Lentiviral transfection was used to induce NLRP3 overexpression and thioredoxin reductase 1(TXNRD1)silencing.The CCK8 assay was used to determine the optimal CEL concentration.Reactive oxygen species(ROS)generation was detected via fluorescence and flow cytometry.Masson’s trichrome staining and barium esophagography were performed to assess collagen deposition and esophageal stenosis.RESULTS The mRNA levels of NLRP3 and IL-1βwere higher in human tissues from the ESD resection bed than in normal esophageal mucosa.NLRP3 overexpression in primary rat esophageal fibroblasts led to high collagen 1 expression.Thus,NLRP3 participated in esophageal inflammation and tissue repair after ESD.Comparable to prednisolone,CEL significantly inhibited NLRP3 activation in vitro and in vivo,and esophageal strictures were markedly alleviated.Mechanistically,CEL upregulated TXNRD1 expression and reduced ROS production,thereby inhibiting NLRP3 expression.This effect was reversed by TXNRD1 silencing.Furthermore,TXNRD1 interacted with NLRP3 and promoted its ubiquitination.CONCLUSION CEL is a promising alternative therapeutic agent for the prevention of post-ESD esophageal strictures.
基金financially supported by the Program for the Development of Science and Technology of Jilin Province(Nos.YDZJ202201ZYTS313,YDZJ202201ZYTS395,20240402072GH,and 20240101004JJ)the National Natural Science Foundation of China(Nos.22201097 and 52171210)。
文摘Improving the surface atoms utilization efficiency of catalysts is extremely important for large-scale H_(2)production by electrochemical water splitting,but it remains a great challenge.Herein,we reported two kinds of Mo O_(3)-polyoxometalate hybrid nanobelt superstructures(MoO_(3)-POM HNSs,POM=PW_(12)O_(40)and Si W_(12)O_(40))using a simple hydrothermal method.Such superstructure with highly uniform nanoparticles as building blocks can expose more surface atoms and emanate increased specific surface area.The incorporated POMs generated abundant oxygen vacancies,improved the electronic mobility,and modulated the surface electronic structure of MoO_(3),allowing to optimize the H^(*)adsorption/desorption and dehydrogenation kinetics of catalyst.Notably,the as-prepared MoO_(3)-PW_(12)O_(40)HNSs electrodes not only displayed the low overpotentials of 108 mV at 10 mA/cm^(2)current density in 0.5 mol/L H_(2)SO_(4)electrolyte but also displayed excellent long-term stability.The hydrogen evolution reaction(HER)performance of MoO_(3)-POM superstructures is significantly better than that of corresponding bulk materials MoO_(3)@PW_(12)O_(40)and Mo O_(3)@Si W_(12)O_(40),and the overpotentials are about 8.3 and 4.9 times lower than that of single Mo O_(3).This work opens an avenue for designing highly surface-exposed catalysts for electrocatalytic H_(2)production and other electrochemical applications.
文摘BACKGROUND Squamous cell carcinoma(SCC)of the colon is a rare malignant tumor with an unclear pathogenesis.Its clinical presentation is similar to that of adenocarcinoma,and there are no standard treatment guidelines.Treatment for SCC of the colon is mainly based on the protocols for colon adenocarcinoma.In advanced stages,colon SCC is highly invasive,prone to distant metastasis,and has a worse prog-nosis than adenocarcinoma.Furthermore,pancreatic metastasis from colon SCC is even rarer.CASE SUMMARY The patient presented with abdominal pain and was diagnosed with SCC of the descending colon following colonoscopy.Preoperative examinations did not reveal any obvious metastasis to other organs,and the patient underwent laparo-scopic radical resection of the descending colon cancer.During surgery,suspi-cious metastases to the pancreatic body and tail,splenic vessels,and splenic hilum were found,leading to combined resection of the pancreatic body and tail along with the spleen.Postoperative pathology confirmed moderately to poorly diffe-rentiated SCC with nerve invasion.The patient developed postoperative compli-cations,including abdominal cavity infection,acute myocardial infarction,and deep vein thrombosis in the lower limbs.Despite active symptomatic treatment and stabilization of the patient’s vital signs,the patient did not undergo adjuvant chemotherapy due to an Eastern Cooperative Oncology Group score of 3.The patient passed away 3 months postoperatively due to multiple organ failure.CONCLUSION This case highlights the aggressive nature of colorectal SCC with atypical meta-stasis and underscores the necessity for multidisciplinary perioperative management.
基金supported by the National Natural Science Foundation of China(82225049,72104155)the Sichuan Provincial Central Government Guides Local Science and Technology Development Special Project(2022ZYD0127)the 1·3·5 Project for Disciplines of Excellence,West China Hospital,Sichuan University(ZYGD23004).
文摘Background:In recent years,there has been a growing trend in the utilization of observational studies that make use of routinely collected healthcare data(RCD).These studies rely on algorithms to identify specific health conditions(e.g.,diabetes or sepsis)for statistical analyses.However,there has been substantial variation in the algorithm development and validation,leading to frequently suboptimal performance and posing a significant threat to the validity of study findings.Unfortunately,these issues are often overlooked.Methods:We systematically developed guidance for the development,validation,and evaluation of algorithms designed to identify health status(DEVELOP-RCD).Our initial efforts involved conducting both a narrative review and a systematic review of published studies on the concepts and methodological issues related to algorithm development,validation,and evaluation.Subsequently,we conducted an empirical study on an algorithm for identifying sepsis.Based on these findings,we formulated specific workflow and recommendations for algorithm development,validation,and evaluation within the guidance.Finally,the guidance underwent independent review by a panel of 20 external experts who then convened a consensus meeting to finalize it.Results:A standardized workflow for algorithm development,validation,and evaluation was established.Guided by specific health status considerations,the workflow comprises four integrated steps:assessing an existing algorithm’s suitability for the target health status;developing a new algorithm using recommended methods;validating the algorithm using prescribed performance measures;and evaluating the impact of the algorithm on study results.Additionally,13 good practice recommendations were formulated with detailed explanations.Furthermore,a practical study on sepsis identification was included to demonstrate the application of this guidance.Conclusions:The establishment of guidance is intended to aid researchers and clinicians in the appropriate and accurate development and application of algorithms for identifying health status from RCD.This guidance has the potential to enhance the credibility of findings from observational studies involving RCD.
基金supported by the National Natural Science Foundation of China(52474226,52322404)Basic scientific research projects in higher education institutions of Liaoning Province(JYTZD2023079)。
文摘The large amount of harmful particles in coal dust not only pollutes the production environment,affects the production efficiency and resource utilization of enterprises,but also poses a risk to human health.Effectively controlling coal dust is of great significance to clean production.Water-based dust suppressants are extensively employed to mitigate coal dust.This paper provides a comprehensive review of the water-based dust suppression materials for coal dust control.Accord-ing to the difference of mechanism,the dust suppressants are divided into wetting type,hygroscopic coalescence type,cohesive agglomeration type,and composite type.The evaluation methods for dust suppressants key properties such as wettability,permeability,moisture absorption and water retention,and consolidation are summarized.The review results show that coal dust suppressants are no longer limited to a single dust suppression function.For example,it is necessary to develop multi-functional coal suppressants to meet the needs for synergistic suppression both coal dust and coal spon-taneous combustion.Driven by the concept of green,low-carbon and sustainable development,attention should be paid to the development of bio-based environmentally friendly coal dust suppressants.In addition,the evaluation method system for the key performance of water-based dust suppressants should also be improved,and further research is necessary.
基金Project supported by the National Natural Science Foundation of China(Grant No.12074229).
文摘The detection of nanoplastics(NPs)and their interactions with antibiotics is critical due to their potential environmental and health risks.Traditional detection methods are challenged by the small size and chemical similarity of NPs to microplastics.Current surface-enhanced Raman scattering(SERS)substrates for NP detection are limited by high cost,reliance on single enhancement modes,and insufficient sensitivity and selectivity,especially for NP-antibiotic complexes.In this study,the F/M-AAO substrate,which integrates 2,3,5,6-tetrafluoro-tetracyanoquinodimethane(F_(4)TCNQ)and molybdenum disulfide(MoS_(2))with anodic aluminum oxide(AAO)templates,is used to enhance the detection of NPs and NP-antibiotic complexes.The conical cavity structure of the substrate facilitates the enrichment and direct detection of NPs with diameters smaller than 450 nm.The three-dimensional(3D)F/M-AAO substrate achieved a limit of detection(LOD)of 1.73×10^(6)ng/L for 100-nm NPs and a minimum detection concentration of 10^(-10)M for ciprofloxacin adsorbed on NPs(NPs-CIP).It demonstrated remarkable sensitivity and selectivity in the detection of both individual NPs and NPantibiotic complexes.This work highlights the innovative application of the F/M-AAO substrate in the SERS detection of NPs and NP-antibiotic complexes,providing a low-cost and effective platform for monitoring emerging environmental contaminants.
基金Supported by the Key Research and Development Plan of Shandong Province(2018GGX106001)supported by the Natural Science Foundation of Shandong Province(ZR2017MEE066)Supported by the Science and Technology Plan of Shandong higher Education institutions(J16LB58)~~
基金This study was funded by the Science and Technology Commission of Wuhan City (No.WX16B02)and Natural Science Foundation of Hubei Province (No.2018CFB353).
文摘The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventficular hemorrhage (IVH) were explored and compared.From Jan.2015 to Dec.2016,the clinical data of 42 cases of IVH were retrospectively analyzed,including 18 patients undergoing endoscopic hematoma evacuation (group A),and 24patients receiving EVD (group B).The hematoma clearance rate was calculated by 3D Slicer software,and complications and outcomes were compared between the two groups.There were no significant differences in age,sex and Graeb score between groups A and B (P>0.05).The hematoma clearance rate was 70.81%±27.64% in group A and 48.72%±36.58% in group B with a statistically significant difference (P<0.05).The operative time in groups A and B was 72.45±25.26 min and 28.54±15.27min,respectively (P<0.05).The Glasgow Coma Scale (GCS) score increased from 9.28±2.72 at baseline to 11.83±2.91 at 1 week postoperatively in group A,and from 8.25±2.62 at baseline to 10.79±4.12 at 1 week postoperatively in group B (P<0.05).The length of hospital stay was 12.67±5.97 days in group A and 17.33±8.91 days in group B with a statistically significant difference (P<0.05).The GOS scores at 6 months after surgery were 3.83±1.12 in group A,and 2.75±1.23 in group B (P<0.05). These results suggested that endoscopic hematoma evacuation has an advantage of a higher hematoma clearance rate,fewer complications and better outcomes in the treatment of severe IVH,indicating it is a safe,effective and promising approach for severe IVH.
基金supported by NSFC (nos 61471168, 61571187,61301043,and 61527806)China Postdoctoral Science Foundation (2016T90403)the Economical Forest Cultivation and Utilization of 2011 Collaborative Innovation Center in Hunan Province [(2013)448]
文摘Tissue engineering has become a promising strategy for repairing damaged cartilage and bone tissue. Among the scaffolds for tissue-engineering applications, injectable hydrogels have demonstrated great potential for use as three-dimensional cell culture scaffolds in cartilage and bone tissue engineering, owing to their high water content, similarity to the natural extracellular matrix(ECM), porous framework for cell transplantation and proliferation, minimal invasive properties, and ability to match irregular defects. In this review, we describe the selection of appropriate biomaterials and fabrication methods to prepare novel injectable hydrogels for cartilage and bone tissue engineering. In addition, the biology of cartilage and the bony ECM is also summarized. Finally, future perspectives for injectable hydrogels in cartilage and bone tissue engineering are discussed.
基金Supported by National Science and Technology Key Project of China on"Major Infectious Diseases",No.2012ZX10002004-006,No.2012ZX10004904-003-001,No.2013ZX10002002-006-001Beijing Municipal Science and Technology Commission,No.Z131107002213019,No.Z131100004613030+2 种基金High Technical Personnel Training Program in Beijing Health System,No.2011-3-083,No.2013-3-071Special Scientific Research Fund for Beijing Health Development,No.2011-2018-04National Natural Science Foundation of China,No.30800979,No.30800517
文摘AIM: To determine the prognostic value of circulating indicators of cell death in acute-on-chronic liver failure (ACLF) patients with chronic hepatitis B virus (HBV) infection as the single etiology. METHODS: Full length and caspase cleaved cytokeratin 18 (detected as M65 and M30 antigens) represent circulating indicators of necrosis and apoptosis. M65 and M30 were identified by enzyme-linked immunosorbent assay in 169 subjects including healthy controls (n = 33), patients with chronic hepatitis B (CHB, n = 55) and patients with ACLF (n = 81). According to the 3-mo survival period, ACLF patients were defined as having spontaneous recovery (n = 33) and non-spontaneous recovery which included deceased patients and those who required liver transplantation (n = 48). RESULTS: Both biomarker levels significantly increased gradually as liver disease progressed (for M65: P < 0.001 for all; for M30: control vs CHB, P = 0.072; others: P < 0.001 for all). In contrast, the M30/M65 ratio was significantly higher in controls compared with CHB patients (P = 0.010) or ACLF patients (P < 0.001). In addition, the area under receiver operating characteristic curve (AUC) analysis demonstrated that both biomarkers had diagnostic value (AUC >= 0.80) in identifying ACLF from CHB patients. Interestingly, it is worth noting that the M30/M65 ratio was significantly different between spontaneous and non-spontaneous recovery in ACLF patients (P = 0.032). The prognostic value of the M30/M65 ratio was compared with the Model for End-Stage Liver Disease (MELD) and Child-Pugh scores at the 3-mo survival period, the AUC of the M30/M65 ratio was 0.66 with a sensitivity of 52.9% and the highest specificity of 92.6% (MELD:AUC = 0.71; sensitivity, 79.4%; specificity, 63.0%; Child-Pugh: AUC = 0.77; sensitivity, 61.8%; specificity, 88.9%). CONCLUSION: M65 and M30 are strongly associated with liver disease severity. The M30/M65 ratio may be a potential prognostic marker for spontaneous recovery in patients with HBV-related ACLF. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
基金supported by grants from the National Natural Science Foundation of China,No.81071068the Israel Science Foundation-the National Natural Science Foundation of China(Joint Program),No.813111290the Natural Science Foundation of Guangdong Province in China,No.2014A030313172
文摘In this study, we hypothesized that an increase in integrin αβand its co-activator vascular endothelial growth factor play important neuroprotective roles in ischemic injury. We performed ischemic preconditioning with bilateral common carotid artery occlusion for 5 minutes in C57BL/6J mice. This was followed by ischemic injury with bilateral common carotid artery occlusion for 30 minutes. The time interval between ischemic preconditioning and lethal ischemia was 48 hours. Histopathological analysis showed that ischemic preconditioning substantially diminished damage to neurons in the hippocampus 7 days after ischemia. Evans Blue dye assay showed that ischemic preconditioning reduced damage to the blood-brain barrier 24 hours after ischemia. This demonstrates the neuroprotective effect of ischemic preconditioning. Western blot assay revealed a significant reduction in protein levels of integrin αβ, vascular endothelial growth factor and its receptor in mice given ischemic preconditioning compared with mice not given ischemic preconditioning 24 hours after ischemia. These findings suggest that the neuroprotective effect of ischemic preconditioning is associated with lower integrin αβand vascular endothelial growth factor levels in the brain following ischemia.
