Meta-devices have significantly revitalized the study of nonlinear optical phenomena.At the nanoscale,the detrimental effects of phase mismatching between fundamental and harmonic waves can be substantially reduced.Th...Meta-devices have significantly revitalized the study of nonlinear optical phenomena.At the nanoscale,the detrimental effects of phase mismatching between fundamental and harmonic waves can be substantially reduced.This review analyzes the theoretical frameworks of how plasmonic and dielectric materials induce nonlinear optical properties.Plasmonic and dielectric nonlinear meta-devices that can excite strong resonant modes for efficiency enhancement are explored.We outline different strategies designed to shape the radiation pattern in order to increase the collection capability of nonlinear signals emitted from meta-devices.In addition,we discuss how nonlinear phase manipulation in meta-devices can integrate the benefits of efficiency enhancement and radiation shaping,not only boosting the energy density of the nonlinear signal but also facilitating a wide range of applications.Finally,potential research directions within this field are discussed.展开更多
Diet and nutrition significantly influence health, largely by regulating intestinalnutrient absorption. The intestinal epithelium, as the primary site for nutrientuptake, undergoes continuous renewal driven by precise...Diet and nutrition significantly influence health, largely by regulating intestinalnutrient absorption. The intestinal epithelium, as the primary site for nutrientuptake, undergoes continuous renewal driven by precise regulation of intestinalstem cells (ISCs). Nutrient sensing and metabolism are key determinants of ISCfate, making ISCs a central link between nutrient metabolism and the regulationof intestinal tissue renewal and homeostasis. Understanding how ISCs respond ormake adaptations to nutritional signals is therefore vital for maintaining intestinalhomeostasis. Recent studies have spotlighted the origin and identity of ISCs andbroadened our insight into the plasticity and function of ISCs under differentconditions. Mitochondria, the central hubs of energy production and metabolicsignals provided by dietary components and metabolic substrates, such as glucose,amino acids, and lipids, govern the intricate balance between self-renewal anddifferentiation of ISCs. This review highlights the importance of nutrient sensing,metabolic regulation, and mitochondrial function in the specification of ISC fate.A thorough understanding of these mechanisms paves the way for the developmentof stem cell-based therapy for the mucosal healing of gastrointestinaldiseases and diet intervention to foster body health.展开更多
BACKGROUND Although chronic erosive gastritis(CEG)is common,its clinical characteristics have not been fully elucidated.The lack of consensus regarding its treatment has resulted in varied treatment regimens.AIM To ex...BACKGROUND Although chronic erosive gastritis(CEG)is common,its clinical characteristics have not been fully elucidated.The lack of consensus regarding its treatment has resulted in varied treatment regimens.AIM To explore the clinical characteristics,treatment patterns,and short-term outcomes in CEG patients in China.METHODS We recruited patients with chronic non-atrophic or mild-to-moderate atrophic gastritis with erosion based on endoscopy and pathology.Patients and treating physicians completed a questionnaire regarding history,endoscopic findings,and treatment plans as well as a follow-up questionnaire to investigate changes in symptoms after 4 wk of treatment.RESULTS Three thousand five hundred sixty-three patients from 42 centers across 24 cities in China were included.Epigastric pain(68.0%),abdominal distension(62.6%),and postprandial fullness(47.5%)were the most common presenting symptoms.Gastritis was classified as chronic non-atrophic in 69.9%of patients.Among those with erosive lesions,72.1%of patients had lesions in the antrum,51.0%had multiple lesions,and 67.3%had superficial flat lesions.In patients with epigastric pain,the combination of a mucosal protective agent(MPA)and proton pump inhibitor was more effective.For those with postprandial fullness,acid regurgitation,early satiety,or nausea,a MPA appeared more promising.CONCLUSION CEG is a multifactorial disease which is common in Asian patients and has non-specific symptoms.Gastroscopy may play a major role in its detection and diagnosis.Treatment should be individualized based on symptom profile.展开更多
Atrial fibrillation ablation procedures have become a focus of research among electrophysiologists,with the aim of increasing success rates while minimizing complications.One major concern is phrenic nerve injury(PNI)...Atrial fibrillation ablation procedures have become a focus of research among electrophysiologists,with the aim of increasing success rates while minimizing complications.One major concern is phrenic nerve injury(PNI).Despite advancements in ablation strategies,equipment,and monitoring methods,the incidence of PNI during these procedures remains substantial,particularly during cryoballoon ablation,which has a reported PNI incidence of 3.5%.This review examines recent studies,to provide a comprehensive overview of PNI mechanisms,clinical features,prognosis,and methods for prevention during ablation.展开更多
BACKGROUND Endoscopic ultrasound-guided biliary drainage,including endoscopic ultrasoundguided choledochoduodenostomy and endoscopic ultrasound-guided hepatogastrostomy(EUS-HGS),is an efficacious alternative to endosc...BACKGROUND Endoscopic ultrasound-guided biliary drainage,including endoscopic ultrasoundguided choledochoduodenostomy and endoscopic ultrasound-guided hepatogastrostomy(EUS-HGS),is an efficacious alternative to endoscopic retrograde cholangiopancreatography and its common complications are bile leak,infection,stent migration and bleeding.Here,we report an atypical case of a patient who developed unexplained dark green urine after receiving EUS-HGS,which we suspected to be caused by an abnormal biliary-vascular fistula.CASE SUMMARY A 76-year-old woman diagnosed with pancreatic adenocarcinoma received EUSHGS for relieving jaundice.The patient reported abdominal pain and chest tightness after the operation,with difficulty in urinating.X-ray suggested rightsided pleural effusion and dark green pleural effusion was drained out.However,the patient also developed dark green urine,which appeared everyday afternoon and disappeared automatically after intravenous treatment.The previous pleural effusion disappeared after one week,but later the patient showed an increase of ascites,and the lesions were compartmentalized and encapsulated internally.CONCLUSION Postoperative surveillance after EUS-HGS must be emphasized to check for in order to prevent severe and hidden complications.展开更多
AIM:To investigate the prevalence and characteristics of myopia in school-aged students and effects of environmental and genetic factors on the progression of myopia.METHODS:A total of 2422 students aged between 5 and...AIM:To investigate the prevalence and characteristics of myopia in school-aged students and effects of environmental and genetic factors on the progression of myopia.METHODS:A total of 2422 students aged between 5 and 18y from nine schools in Baiyun District of Guangzhou,China were sampled using a stratified sampling method in 2020.Among them,1066 students participated in the follow-up survey the following year.Data were obtained based on ocular examinations and a questionnaire survey conducted during two visits.Factors potentially influencing the progression of myopia were analyzed.RESULTS:During the year assessed in this study,the percentage of students with myopia increased from 58.4%to 64.8%(P=0.002).Spherical equivalent(SE)progressed from-1.44±1.91 diopters(D)at baseline to-1.66±1.10 D(P=0.005).A generalized estimating equation(GEE)model revealed that age[adjusted odds ratio(aOR)=1.298,P<0.001],residential students(aOR=2.428,P=0.018),parental myopia(one myopic parent:aOR=1.553,both parents myopic:aOR=2.609,P<0.001),frequent reading of books or viewing of screens in direct sunlight(aOR=3.502,P=0.023),using only overhead lighting for reading and writing at night(aOR=1.633,P=0.011),parental restrictions on exercise time(aOR=2.286,P=0.012),and having less than 2h of outdoor exercise per day during the past week(aOR=1.584,P=0.019)were all identified as independent risk factors for progression of myopia.CONCLUSION:Our findings in this study indicate that age,residential students,parental myopia,indoor lighting environment,and physical activity have significant effects on the progression of myopia,providing evidence for further in-depth mechanistic interpretation and efficient intervention strategies for school-age children in this area.展开更多
基金supported by the University Grants Committee/Research Grants Council of the Hong Kong Special Administrative Region,China(AoE/P-502/20,C1015-21E,C5031-22G,CityU15303521,CityU11305223,CityU11310522,CityU11300123,and G-CityU 101/22)the City University of Hong Kong(9380131 and 7005867)the National Natural Science Foundation of China(62375232).
文摘Meta-devices have significantly revitalized the study of nonlinear optical phenomena.At the nanoscale,the detrimental effects of phase mismatching between fundamental and harmonic waves can be substantially reduced.This review analyzes the theoretical frameworks of how plasmonic and dielectric materials induce nonlinear optical properties.Plasmonic and dielectric nonlinear meta-devices that can excite strong resonant modes for efficiency enhancement are explored.We outline different strategies designed to shape the radiation pattern in order to increase the collection capability of nonlinear signals emitted from meta-devices.In addition,we discuss how nonlinear phase manipulation in meta-devices can integrate the benefits of efficiency enhancement and radiation shaping,not only boosting the energy density of the nonlinear signal but also facilitating a wide range of applications.Finally,potential research directions within this field are discussed.
基金Supported by the Ministry of Science and Technology of China,No.2022YFF1203300National Key Research and Development Program,No.2023YFC2307001China Postdoctoral Science Foundation,No.2023TQ0125 and No.2024M751031.
文摘Diet and nutrition significantly influence health, largely by regulating intestinalnutrient absorption. The intestinal epithelium, as the primary site for nutrientuptake, undergoes continuous renewal driven by precise regulation of intestinalstem cells (ISCs). Nutrient sensing and metabolism are key determinants of ISCfate, making ISCs a central link between nutrient metabolism and the regulationof intestinal tissue renewal and homeostasis. Understanding how ISCs respond ormake adaptations to nutritional signals is therefore vital for maintaining intestinalhomeostasis. Recent studies have spotlighted the origin and identity of ISCs andbroadened our insight into the plasticity and function of ISCs under differentconditions. Mitochondria, the central hubs of energy production and metabolicsignals provided by dietary components and metabolic substrates, such as glucose,amino acids, and lipids, govern the intricate balance between self-renewal anddifferentiation of ISCs. This review highlights the importance of nutrient sensing,metabolic regulation, and mitochondrial function in the specification of ISC fate.A thorough understanding of these mechanisms paves the way for the developmentof stem cell-based therapy for the mucosal healing of gastrointestinaldiseases and diet intervention to foster body health.
基金the National Key Clinical Specialty Construction Project,No.ZK108000CAMS Innovation Fund for Medical Sciences,No.2021-I2M-C&T-A-001 and No.2022-I2M-C&T-B-012.
文摘BACKGROUND Although chronic erosive gastritis(CEG)is common,its clinical characteristics have not been fully elucidated.The lack of consensus regarding its treatment has resulted in varied treatment regimens.AIM To explore the clinical characteristics,treatment patterns,and short-term outcomes in CEG patients in China.METHODS We recruited patients with chronic non-atrophic or mild-to-moderate atrophic gastritis with erosion based on endoscopy and pathology.Patients and treating physicians completed a questionnaire regarding history,endoscopic findings,and treatment plans as well as a follow-up questionnaire to investigate changes in symptoms after 4 wk of treatment.RESULTS Three thousand five hundred sixty-three patients from 42 centers across 24 cities in China were included.Epigastric pain(68.0%),abdominal distension(62.6%),and postprandial fullness(47.5%)were the most common presenting symptoms.Gastritis was classified as chronic non-atrophic in 69.9%of patients.Among those with erosive lesions,72.1%of patients had lesions in the antrum,51.0%had multiple lesions,and 67.3%had superficial flat lesions.In patients with epigastric pain,the combination of a mucosal protective agent(MPA)and proton pump inhibitor was more effective.For those with postprandial fullness,acid regurgitation,early satiety,or nausea,a MPA appeared more promising.CONCLUSION CEG is a multifactorial disease which is common in Asian patients and has non-specific symptoms.Gastroscopy may play a major role in its detection and diagnosis.Treatment should be individualized based on symptom profile.
基金This work received support from the National Science Foundation of China through grant Nos.81870244,82170318,and 81770318,as well as from the Beijing Municipal Science and Technology Commission(Z181100001718174).
文摘Atrial fibrillation ablation procedures have become a focus of research among electrophysiologists,with the aim of increasing success rates while minimizing complications.One major concern is phrenic nerve injury(PNI).Despite advancements in ablation strategies,equipment,and monitoring methods,the incidence of PNI during these procedures remains substantial,particularly during cryoballoon ablation,which has a reported PNI incidence of 3.5%.This review examines recent studies,to provide a comprehensive overview of PNI mechanisms,clinical features,prognosis,and methods for prevention during ablation.
基金Supported by the National Key Research and Development Program,No.2023YFC2307001the National Natural Science Foundation of China,No.82170570,No.82270698,and No.82470679.
文摘BACKGROUND Endoscopic ultrasound-guided biliary drainage,including endoscopic ultrasoundguided choledochoduodenostomy and endoscopic ultrasound-guided hepatogastrostomy(EUS-HGS),is an efficacious alternative to endoscopic retrograde cholangiopancreatography and its common complications are bile leak,infection,stent migration and bleeding.Here,we report an atypical case of a patient who developed unexplained dark green urine after receiving EUS-HGS,which we suspected to be caused by an abnormal biliary-vascular fistula.CASE SUMMARY A 76-year-old woman diagnosed with pancreatic adenocarcinoma received EUSHGS for relieving jaundice.The patient reported abdominal pain and chest tightness after the operation,with difficulty in urinating.X-ray suggested rightsided pleural effusion and dark green pleural effusion was drained out.However,the patient also developed dark green urine,which appeared everyday afternoon and disappeared automatically after intravenous treatment.The previous pleural effusion disappeared after one week,but later the patient showed an increase of ascites,and the lesions were compartmentalized and encapsulated internally.CONCLUSION Postoperative surveillance after EUS-HGS must be emphasized to check for in order to prevent severe and hidden complications.
基金Supported by the Guangzhou Health Science and Technology Project(No.20221A010077)the Guangdong Provincial Medical Science and Technology Research Fund Project(No.A2020146).
文摘AIM:To investigate the prevalence and characteristics of myopia in school-aged students and effects of environmental and genetic factors on the progression of myopia.METHODS:A total of 2422 students aged between 5 and 18y from nine schools in Baiyun District of Guangzhou,China were sampled using a stratified sampling method in 2020.Among them,1066 students participated in the follow-up survey the following year.Data were obtained based on ocular examinations and a questionnaire survey conducted during two visits.Factors potentially influencing the progression of myopia were analyzed.RESULTS:During the year assessed in this study,the percentage of students with myopia increased from 58.4%to 64.8%(P=0.002).Spherical equivalent(SE)progressed from-1.44±1.91 diopters(D)at baseline to-1.66±1.10 D(P=0.005).A generalized estimating equation(GEE)model revealed that age[adjusted odds ratio(aOR)=1.298,P<0.001],residential students(aOR=2.428,P=0.018),parental myopia(one myopic parent:aOR=1.553,both parents myopic:aOR=2.609,P<0.001),frequent reading of books or viewing of screens in direct sunlight(aOR=3.502,P=0.023),using only overhead lighting for reading and writing at night(aOR=1.633,P=0.011),parental restrictions on exercise time(aOR=2.286,P=0.012),and having less than 2h of outdoor exercise per day during the past week(aOR=1.584,P=0.019)were all identified as independent risk factors for progression of myopia.CONCLUSION:Our findings in this study indicate that age,residential students,parental myopia,indoor lighting environment,and physical activity have significant effects on the progression of myopia,providing evidence for further in-depth mechanistic interpretation and efficient intervention strategies for school-age children in this area.
