Predictive models for assessing the risk of developing lung cancers can help identify high-risk individuals with the aim of recommending further screening and early intervention.To facilitate pre-hospital self-assessm...Predictive models for assessing the risk of developing lung cancers can help identify high-risk individuals with the aim of recommending further screening and early intervention.To facilitate pre-hospital self-assessments,some studies have exploited predictive models trained on non-clinical data(e.g.,smoking status and family history).The performance of these models is limited due to not considering clinical data(e.g.,blood test and medical imaging results).Deep learning has shown the potential in processing complex data that combine both clinical and non-clinical information.However,predicting lung cancers remains difficult due to the severe lack of positive samples among follow-ups.To tackle this problem,this paper presents a generative-discriminative framework for improving the ability of deep learning models to generalize.According to the proposed framework,two nonlinear generative models,one based on the generative adversarial network and another on the variational autoencoder,are used to synthesize auxiliary positive samples for the training set.Then,several discriminative models,including a deep neural network(DNN),are used to assess the lung cancer risk based on a comprehensive list of risk factors.The framework was evaluated on over 55000 subjects questioned between January 2014 and December 2017,with 699 subjects being clinically diagnosed with lung cancer between January 2014 and August 2019.According to the results,the best performing predictive model built using the proposed framework was based on DNN.It achieved an average sensitivity of 76.54%and an area under the curve of 69.24%in distinguishing between the cases of lung cancer and normal cases on test sets.展开更多
<strong>Objective:</strong> To evaluate the status quo and influencing factors of readiness for hospital discharge of patients undergoing hysteromyomectomy. <strong>Methods:</strong> A total of...<strong>Objective:</strong> To evaluate the status quo and influencing factors of readiness for hospital discharge of patients undergoing hysteromyomectomy. <strong>Methods:</strong> A total of 240 patients with uterine fibroid undergoing hysteromyomectomy from 2 hospitals in Jingzhou were investigated using a self-designed general information questionnaire, the Readiness for Hospital Discharge Scale and the Quality of Discharge Teaching Scale. <strong>Results:</strong> The total score of readiness for hospital discharge was (91.36 ± 18.46), the multiple linear regression analysis showed that the quality of discharge guidance, the scope of myomectomy, pain degree of incision and the average monthly income per family were the main influencing factors of readiness for hospital discharge. <strong>Conclusion:</strong> The readiness for hospital discharge was at a medium level in patients with uterine fibroid undergoing hysteromyomectomy, medical personnel should give specific discharge guidance according to the specific conditions of patients to ensure the safety of patients after discharge.展开更多
目的系统评价干细胞对面神经缺损的修复效果。方法在Pubmed、Cochrane Library、Web of Science、Embase、Scopus及中国生物医学文献数据库检索关于评价干细胞对动物面神经再生效果的所有原始研究,2名专业人员独立完成文献筛选、数据提...目的系统评价干细胞对面神经缺损的修复效果。方法在Pubmed、Cochrane Library、Web of Science、Embase、Scopus及中国生物医学文献数据库检索关于评价干细胞对动物面神经再生效果的所有原始研究,2名专业人员独立完成文献筛选、数据提取及偏倚风险评估。使用RevMan 5.3软件及随机效应模型进行统计分析,分析结果以均数差(MD)及95%可信区间(CI)的形式呈现。对面神经的功能性评估(胡须运动评分、面瘫评分)及组织学评估(有髓纤维密度、纤维直径、髓鞘厚度、G比值)结果进行Meta分析。结果从6个数据库共检索出4614篇文献,15篇被纳入了Meta分析。干细胞组的胡须运动评分、面瘫评分、有髓纤维密度、髓鞘厚度均高于非干细胞组(P<0.05),G比值小于非干细胞组(P=0.001),纤维直径二者无统计学差异(P=0.08)。结论干细胞具有促进面神经再生的潜能。展开更多
Amorphous solid dispersion(ASD)is one of the most effective approaches for delivering poorly soluble drugs.In ASDs,polymeric materials serve as the carriers in which the drugs are dispersed at the molecular level.To p...Amorphous solid dispersion(ASD)is one of the most effective approaches for delivering poorly soluble drugs.In ASDs,polymeric materials serve as the carriers in which the drugs are dispersed at the molecular level.To prepare the solid dispersions,there are many polymers with various physicochemical and thermochemical characteristics available for use in ASD formulations.Polymer selection is of great importance because it influences the stability,solubility and dissolution rates,manufacturing process,and bioavailability of the ASD.This review article provides a comprehensive overview of ASDs from the perspectives of physicochemical characteristics of polymers,formulation designs and preparation methods.Furthermore,considerations of safety and regulatory requirements along with the studies recommended for characterizing and evaluating polymeric carriers are briefly discussed.展开更多
BACKGROUND Helicobacter pylori(H.pylori)is a prevalent pathogen associated with various diseases.Cholelithiasis is also a common condition.H.pylori infection has been identified in the biliary system,suggesting its po...BACKGROUND Helicobacter pylori(H.pylori)is a prevalent pathogen associated with various diseases.Cholelithiasis is also a common condition.H.pylori infection has been identified in the biliary system,suggesting its potential involvement in biliary diseases.However,the specific role of H.pylori in the development of cholelithiasis remains inconclusive.AIM To investigate the potential association between H.pylori infection and the development of cholelithiasis.METHODS We performed a retrospective study in more than 70000 subjects in health examination center from 3 institutions in the middle,northern and eastern China,from October 2018 to December 2021,to explore the potential association between H.pylori and cholelithiasis through univariate and multivariate analysis.Meanwhile,the influence of H.pylori on biliary-related parameters was investigated.A comprehensive analysis of previous studies concerned about H.pylori and cholelithiasis was also executed.RESULTS In our multi-center study,H.pylori was positively associated with cholelithiasis[odds ratio(OR)=1.103,95%confidence interval(CI):1.001-1.216,P=0.049].Furthermore,H.pylori patients had less total and direct bilirubin than uninfected patients,while the total cholesterol and low-density lipoprotein cholesterol were more in H.pyloripositive participants(P<0.05).In the published articles,the cohort studies indicated H.pylori was a risk factor of cholelithiasis(hazard ratio=1.3280,95%CI:1.1810-1.4933,P<0.0001).The pooled results of case-control and crosssectional studies showed positive association between H.pylori and cholelithiasis in Asia(OR=1.5993,95%CI:1.0353-2.4706,P=0.034)but not in Europe(OR=1.2770,95%CI:0.8446-1.9308,P=0.246).Besides,H.pylori was related to a higher choledocholithiasis/cholecystolithiasis ratio(OR=3.3215,95%CI:1.1034-9.9986,P=0.033).CONCLUSION H.pylori is positively correlated with cholelithiasis,choledocholithiasis phenotype particularly,especially in Asia,which may be relevant to bilirubin/cholesterol metabolism.Cohort studies confirm an increased risk of cholelithiasis in H.pylori patients.展开更多
Objective:The efflux pump(EP) is one of the major mechanisms of antibiotic resistance in Klebsiella pneumoniae.However,there are few reports on the effect of the abuse of antibiotic use on the activity of EPs.To deter...Objective:The efflux pump(EP) is one of the major mechanisms of antibiotic resistance in Klebsiella pneumoniae.However,there are few reports on the effect of the abuse of antibiotic use on the activity of EPs.To determine whether the use of low efficacy antibiotics has any effect on the activity of EPs and induces drug resistance in K.pneumoniae,we investigated the effect of ciprofloxacin on the activity of EPs in K.pneumoniae strains.Methods:Sixteen susceptible K.pneumoniae strains were isolated from patients and their minimum inhibitory concentrations(MICs) of ciprofloxacin were measured in the absence and presence of the pump inhibitor carbonyl cyanide m-chlorophenyl hydrazone(CCCP).The strains were then induced with a gradient of ciprofloxacin until the MICs of the strains showed no further increase,to obtain induced resistant strains.The EP activities of the strains before and after induction were compared using EP inhibition and ethidium bromide(EtBr) accumulation assays.Results:The MIC values of the strains were 16 256 times higher after induction than before induction.In the presence of CCCP,the MIC values of 50% of the induced strains were 2 4-fold lower than that in the absence of this inhibitor.The EtBr accumulation assay showed that the fluorescence of EtBr in the induced cells was lower than that in the cells before induction.Conclusions:EPs are widespread in susceptible and drug-resistant K.pneumoniae strains.Induction with ciprofloxacin may increase the activity of EPs in K.pneumoniae.The EtBr accumulation assay is more sensitive than the EP inhibition assay in evaluating the activity of EPs in K.pneumoniae.展开更多
Acetaminophen(APAP), a classic nonsteroidal anti-inflammatory drug(NSAID), has attracted much attention due to the overdose-induced hepatotoxicity in the past several decades. N-Acetyl-p-benzoquinone imine(NAPQI), the...Acetaminophen(APAP), a classic nonsteroidal anti-inflammatory drug(NSAID), has attracted much attention due to the overdose-induced hepatotoxicity in the past several decades. N-Acetyl-p-benzoquinone imine(NAPQI), the P450-dependent metabolism of APAP, leads to GSH depletion, protein binding, mitochondrial oxidative stress, and eventually the liver injury. Herein, we develop a Fe-based metal-organic framework(MOF) to deliver and transform acetaminophen into toxic “chemo” drug through the cascade reaction for enhanced cancer therapy. In the acidic tumor microenvironment, the Fe-based MOF collapses and releases abundant Fe ions to generate hydroxyl radicals(·OH) via Fenton reaction, subsequently catalyzing nontoxic APAP into toxic NAPQI. Meanwhile, NAPQI depletes intracellular glutathione(GSH) rapidly, leading to alleviating the antioxidant ability of cancer cells and amplifying Fenton activity. The intracellular oxidative stress and the toxic metabolite of APAP can provide a synergistic effect on antitumor activity.展开更多
The world produces vast quantities of high-dimensional multi-semantic data.However,extracting valuable information from such a large amount of high-dimensional and multi-label data is undoubtedly arduous and challengi...The world produces vast quantities of high-dimensional multi-semantic data.However,extracting valuable information from such a large amount of high-dimensional and multi-label data is undoubtedly arduous and challenging.Feature selection aims to mitigate the adverse impacts of high dimensionality in multi-label data by eliminating redundant and irrelevant features.The ant colony optimization algorithm has demonstrated encouraging outcomes in multi-label feature selection,because of its simplicity,efficiency,and similarity to reinforcement learning.Nevertheless,existing methods do not consider crucial correlation information,such as dynamic redundancy and label correlation.To tackle these concerns,the paper proposes a multi-label feature selection technique based on ant colony optimization algorithm(MFACO),focusing on dynamic redundancy and label correlation.Initially,the dynamic redundancy is assessed between the selected feature subset and potential features.Meanwhile,the ant colony optimization algorithm extracts label correlation from the label set,which is then combined into the heuristic factor as label weights.Experimental results demonstrate that our proposed strategies can effectively enhance the optimal search ability of ant colony,outperforming the other algorithms involved in the paper.展开更多
Objective: To investigate human cytomegalovirus infec-tion and genetic variations in glycoprotein B(gB) inliver transplant recipients in south-east China.Methods:EDTA-blood samples were obtained from 21liver transplan...Objective: To investigate human cytomegalovirus infec-tion and genetic variations in glycoprotein B(gB) inliver transplant recipients in south-east China.Methods:EDTA-blood samples were obtained from 21liver transplant recipients. The semi-nested PCR wasused to amplify a region of high sequence variabilityin the gB gene of human cytomegalovirus (HCMV)followed by direct sequence analysis.Results: Out of the 21 liver transplant recipients, 5were proved HCMV positive 62 to 180 days aftertransplantation. The nucleotide and encoded aminoacid sequences were compared with published se-quences of AD169 and Towne laboratory strains.Within the region sequenced, 2 out of 5 strains pos-sessed a peptide configuration similar to that of strainAD169, while another 2 strains displayed a peptideconfiguration similar to that of strain Towne. Onestrain had amino acid substitution, which was differ-ent from those of both AD169 and Towne in thecleavage site.Conclusion: Our results provide molecular epidemio-logical data for HCMV strains circulating among trans-plant recipients in south-east China.展开更多
This study aims to evaluate the impact of physical activity (PA) on the prevalence of hypertension among older adults in Beijing community. As economy growing rapidly in China, the occurrence of hypertension increases...This study aims to evaluate the impact of physical activity (PA) on the prevalence of hypertension among older adults in Beijing community. As economy growing rapidly in China, the occurrence of hypertension increases among older people in China as well. Epidemiological studies have shown that physical activity may significantly related to lower risk of hypertension. Taking PA maybe an instructive factor to reduce the risk of being hypertensive. We randomly selected Beijing community residents aged 65 and above (n = 400), collected data comprising level of PA (low, moderate, high), blood pressure, and a host of potentially confounding variables indicated by the literature. Five logistic regression models adjusted for different modifiers were used to estimate the association between hypertension and PA. The prevalence of hypertension was 96.88%, 78.57% and 73.66% among subjects with low, moderate and high level of PA respectively. Lower diastolic BP was observed for elder people with higher level of PA (p<0.01). We observed a strong and statistically significant association between moderate (OR=0.09, 95% CI: 0.01 to 0.74) or high (OR=0.08, 95% CI: 0.01 to 0.57) level of PA and lower risk of hypertension (p < 0.05). PA is a protective factor for hypertension among older Beijing people, which suggests elderly people be encouraged to actively engage in PA, if body conditions permit.展开更多
Metabolic regulation has been proven to play a critical role in T cell antitumor immunity.However,cholesterol metabolism as a key component of this regulation remains largely unexplored.Herein,we found that the low-de...Metabolic regulation has been proven to play a critical role in T cell antitumor immunity.However,cholesterol metabolism as a key component of this regulation remains largely unexplored.Herein,we found that the low-density lipoprotein receptor(LDLR),which has been previously identified as a transporter for cholesterol,plays a pivotal role in regulating CD8+T cell antitumor activity.Besides the involvement of cholesterol uptake which is mediated by LDLR in T cell priming and clonal expansion,we also found a non-canonical function of LDLR in CD8+T cells:LDLR interacts with the T-cell receptor(TCR)complex and regulates TCR recycling and signaling,thus facilitating the effector function of cytotoxic T-lymphocytes(CTLs).Furthermore,we found that the tumor microenvironment(TME)downregulates CD8+T cell LDLR level and TCR signaling via tumor cell-derived proprotein convertase subtilisin/kexin type 9(PCSK9)which binds to LDLR and prevents the recycling of LDLR and TCR to the plasma membrane thus inhibits the effector function of CTLs.Moreover,genetic deletion or pharmacological inhibition of PCSK9 in tumor cells can enhance the antitumor activity of CD8+T cells by alleviating the suppressive effect on CD8+T cells and consequently inhibit tumor progression.While previously established as a hypercholesterolemia target,this study highlights PCSK9/LDLR as a potential target for cancer immunotherapy as well.展开更多
Figure 1.LDLR deficiency hinders the antitumor activity of CD8^(+)T cells.(A)Transcriptional level of genes involved in cholesterol transport in naïve CD8^(+)T cells,CTLs and CD8^(+)TILs(isolated at Day3 or Day7 ...Figure 1.LDLR deficiency hinders the antitumor activity of CD8^(+)T cells.(A)Transcriptional level of genes involved in cholesterol transport in naïve CD8^(+)T cells,CTLs and CD8^(+)TILs(isolated at Day3 or Day7 post CTLs adoptive transfer),(n=4).(B)LDLR expression level on CTLs and CD8^(+)TILs(isolated at Day3 post CTLs adoptive transfer),(n=4).展开更多
Teacher emotion recognition(TER)has a significant impact on student engagement,classroom atmosphere,and teaching quality,which is a research hotspot in the smart education area.However,existing studies lack high-quali...Teacher emotion recognition(TER)has a significant impact on student engagement,classroom atmosphere,and teaching quality,which is a research hotspot in the smart education area.However,existing studies lack high-quality multimodal datasets and neglect common and discriminative features of multimodal data in emotion expression.To address these challenges,this research constructs a multimodal TER dataset suitable for real classroom teaching scenarios.TER dataset contains a total of 102 lessons and 2,170 video segments from multiple educational stages and subjects,innovatively labelled with emotional tags that characterize teacher‒student interactions,such as satisfaction and questions.To explore the characteristics of multimodal data in emotion expression,this research proposes an emotion dual-space network(EDSN)that establishes an emotion commonality space construction(ECSC)module and an emotion discrimination space construction(EDSC)module.Specifically,the EDSN utilizes central moment differences to measure the similarity to assess the correlation between multiple modalities within the emotion commonality space.On this basis,the gradient reversal layer and orthogonal projection are further utilized to construct the EDSC to extract unique emotional information and remove redundant information from each modality.Experimental results demonstrate that the EDSN achieves an accuracy of 0.770 and a weighted F1 score of 0.769 on the TER dataset,outperforming other comparative models.展开更多
Polycyclic aromatic sulfur heterocycles,such as dibenzothiophene(DBT),and their alkylated derivatives are recognized as persistent and toxic contaminants that pose major risks to the environment and human health.Here,...Polycyclic aromatic sulfur heterocycles,such as dibenzothiophene(DBT),and their alkylated derivatives are recognized as persistent and toxic contaminants that pose major risks to the environment and human health.Here,a novel electroactive gram-positive bacterium,Lysinibacillus macroides AP,was isolated and identified from a microbial fuel cell(MFC)powered by aromatic compounds.An electricity generation performance with a maximum discharge voltage of 424.59 mV and a power density of 420.95 mW m^(-2) was obtained using L.macroides AP in an MFC fueled with sodium formate.An analysis of the extracellular electron transfer(EET)mechanism indicated that the endogenous redox mediators produced by L.macroides AP were not detected,but exogenous redox mediators such as thionine acetate and anthraquinone-2,6-disulfonate could temporarily enhance EET.The characterization of biofilm morphology revealed a dense network of microbial nanowires on the cell surface of L.macroides AP;the abundance of these nanowires was positively correlated with the discharge efficiency of the MFC,suggesting that the nanowires generated by L.macroides AP cells were likely to promote EET.Additionally,effective bioelectricity generation and simultaneous DBT degradation were successfully achieved using L.macroides AP in MFCs,with a power density of 385.20 mW m^(-2) and 88.72%DBT removal.This is the first report on a novel ecological role of L.macroides AP as a gram-positive electroactive bacterium,emphasizing its potential applications in environmental remediation and energy recovery.展开更多
Organic electrochemical transistors(OECTs)are regarded as a promising platform for chemical and biological sensing due to their biocompatibility,cost-effectiveness and flexibility.However,maintaining long-term stabili...Organic electrochemical transistors(OECTs)are regarded as a promising platform for chemical and biological sensing due to their biocompatibility,cost-effectiveness and flexibility.However,maintaining long-term stability of OECTs while achieving high sensitivity remains a challenge for their practical applications.One of the main reasons is the relatively low electronic and ionic conductivity of the channel material.Herein,we present a p-type OECT fabricated by incorporating metal-organic framework(MOF)-MoS_(2)hybrid nanosheets into the PEDOT:PSS channel via solution-based processes.The strategy significantly improves the sensitivity of OECT,with the transconductance of the device increasing by∼threefold to 19.34 mS.The higher transconductance is attributed to the hybrid MOF-MoS_(2)dopant,which not only enhances the electronic conductivity,but also strengthens ion transport and capacitance of the PEDOT:PSS film due to the synergistic effects from high electron mobility of MoS_(2)and MOF porous structure with large surface area.The fabricated OECT demonstrates high selectivity and sensitivity as a glucose biosensor across a wide concentration range in saliva.Finally,we illustrate the merits of integration machine learning algorithms to construct predictive models using the extensive datasets produced by our sensors for both classification and quantification tasks.These findings highlight the great potential of OECTs incorporating MOF-MoS_(2)hybrid,as a promising candidate for ultra-sensitive biological detections,and broaden the applications of our OECT biosensors for non-invasive health monitoring and wearable electronics.展开更多
Gene overlap serves as a common strategy employed by bacteria and viruses to expand their genomic capacity.Over the past two decades,advances in omics studies have unveiled a prevalence of overlapped genes in eukaryot...Gene overlap serves as a common strategy employed by bacteria and viruses to expand their genomic capacity.Over the past two decades,advances in omics studies have unveiled a prevalence of overlapped genes in eukaryotes,including mammals.However,few are reported to participate in the regulation of the cardiovascular system.展开更多
The rapid development of new-quality productive forces(NQPF)has intensified the demand for high-level innovative talent.As a representative of NQPF,generative artificial intelligence(GenAI)offers powerful tools to res...The rapid development of new-quality productive forces(NQPF)has intensified the demand for high-level innovative talent.As a representative of NQPF,generative artificial intelligence(GenAI)offers powerful tools to reshape talent cultivation but also presents significant challenges,including skill hollowing,ethical risks,and a growing disconnect between education and industry needs.Currently,graduate-level software engineering education struggles with outdated curricula and insufficient alignment with practical demands.In this paper,we propose a dual-core collaborative framework driven by“GenAI technology”and“industry demand”.Under this framework,we design a four-dimensional capability development path to enhance graduate students’innovation in software engineering practice.This path focuses on①scientific research innovation,②engineering problem-solving,③cross-domain collaborative evolution,and④ethical risk governance.The proposed approach promotes a shift from traditional knowledge transfer to human-machine collaborative innovation,aligning talent cultivation with the demands of the NQPF.展开更多
Pharmaceutical cocrystals are multicomponent systems in which at least one component is an active pharmaceutical ingredient and the others are pharmaceutically acceptable ingredients.Cocrystallization of a drug substa...Pharmaceutical cocrystals are multicomponent systems in which at least one component is an active pharmaceutical ingredient and the others are pharmaceutically acceptable ingredients.Cocrystallization of a drug substance with a coformer is a promising and emerging approach to improve the performance of pharmaceuticals,such as solubility,dissolution profile,pharmacokinetics and stability.This review article presents a comprehensive overview of pharmaceutical cocrystals,including preparation methods,physicochemical properties,and applications.Furthermore,some examples of drug cocrystals are highlighted to illustrate the effect of crystal structures on the various aspects of active pharmaceutical ingredients,such as physical stability,chemical stability,mechanical properties,optical properties,bioavailability,sustained release and therapeutic effect.This review will provide guidance for more efficient design and manufacture of pharmaceutical cocrystals with desired physicochemical properties and applications.展开更多
In recent years, the coamorphous drug delivery system has been established as a promising formulation approach for delivering poorly water-soluble drugs. The coamorphous solid is a single-phase system containing an ac...In recent years, the coamorphous drug delivery system has been established as a promising formulation approach for delivering poorly water-soluble drugs. The coamorphous solid is a single-phase system containing an active pharmaceutical ingredient(API) and other low molecular weight molecules that might be pharmacologically relevant APIs or excipients. These formulations exhibit considerable advantages over neat crystalline or amorphous material, including improved physical stability, dissolution profiles, and potentially enhanced therapeutic efficacy. This review provides a comprehensive overview of coamorphous drug delivery systems from the perspectives of preparation, physicochemical characteristics,physical stability, in vitro and in vivo performance. Furthermore, the challenges and strategies in developing robust coamorphous drug products of high quality and performance are briefly discussed.展开更多
基金supported in part by Zhejiang Provincial Natural Science Foundation of China(LQ20F030013)Research Foundation of Hwa Mei Hospital,University of Chinese Academy of Sciences(2020HMZD22)+1 种基金Ningbo Public Service Technology Foundation(202002N3181)Medical Scientific Research Foundation of Zhejiang Province(2021431314)。
文摘Predictive models for assessing the risk of developing lung cancers can help identify high-risk individuals with the aim of recommending further screening and early intervention.To facilitate pre-hospital self-assessments,some studies have exploited predictive models trained on non-clinical data(e.g.,smoking status and family history).The performance of these models is limited due to not considering clinical data(e.g.,blood test and medical imaging results).Deep learning has shown the potential in processing complex data that combine both clinical and non-clinical information.However,predicting lung cancers remains difficult due to the severe lack of positive samples among follow-ups.To tackle this problem,this paper presents a generative-discriminative framework for improving the ability of deep learning models to generalize.According to the proposed framework,two nonlinear generative models,one based on the generative adversarial network and another on the variational autoencoder,are used to synthesize auxiliary positive samples for the training set.Then,several discriminative models,including a deep neural network(DNN),are used to assess the lung cancer risk based on a comprehensive list of risk factors.The framework was evaluated on over 55000 subjects questioned between January 2014 and December 2017,with 699 subjects being clinically diagnosed with lung cancer between January 2014 and August 2019.According to the results,the best performing predictive model built using the proposed framework was based on DNN.It achieved an average sensitivity of 76.54%and an area under the curve of 69.24%in distinguishing between the cases of lung cancer and normal cases on test sets.
文摘<strong>Objective:</strong> To evaluate the status quo and influencing factors of readiness for hospital discharge of patients undergoing hysteromyomectomy. <strong>Methods:</strong> A total of 240 patients with uterine fibroid undergoing hysteromyomectomy from 2 hospitals in Jingzhou were investigated using a self-designed general information questionnaire, the Readiness for Hospital Discharge Scale and the Quality of Discharge Teaching Scale. <strong>Results:</strong> The total score of readiness for hospital discharge was (91.36 ± 18.46), the multiple linear regression analysis showed that the quality of discharge guidance, the scope of myomectomy, pain degree of incision and the average monthly income per family were the main influencing factors of readiness for hospital discharge. <strong>Conclusion:</strong> The readiness for hospital discharge was at a medium level in patients with uterine fibroid undergoing hysteromyomectomy, medical personnel should give specific discharge guidance according to the specific conditions of patients to ensure the safety of patients after discharge.
文摘目的系统评价干细胞对面神经缺损的修复效果。方法在Pubmed、Cochrane Library、Web of Science、Embase、Scopus及中国生物医学文献数据库检索关于评价干细胞对动物面神经再生效果的所有原始研究,2名专业人员独立完成文献筛选、数据提取及偏倚风险评估。使用RevMan 5.3软件及随机效应模型进行统计分析,分析结果以均数差(MD)及95%可信区间(CI)的形式呈现。对面神经的功能性评估(胡须运动评分、面瘫评分)及组织学评估(有髓纤维密度、纤维直径、髓鞘厚度、G比值)结果进行Meta分析。结果从6个数据库共检索出4614篇文献,15篇被纳入了Meta分析。干细胞组的胡须运动评分、面瘫评分、有髓纤维密度、髓鞘厚度均高于非干细胞组(P<0.05),G比值小于非干细胞组(P=0.001),纤维直径二者无统计学差异(P=0.08)。结论干细胞具有促进面神经再生的潜能。
基金the National Natural Science Foundation of China(No.81872813,22108313,82273880)Natural Science Foundation of Jiangsu Province(No.BK 20200573,BK 20200576)+1 种基金Fundamental Research Funds for the Central Universities(No 2632022ZD16)the Scientific Research Fund of Hunan Provincial Education Department(No.22B0820).
文摘Amorphous solid dispersion(ASD)is one of the most effective approaches for delivering poorly soluble drugs.In ASDs,polymeric materials serve as the carriers in which the drugs are dispersed at the molecular level.To prepare the solid dispersions,there are many polymers with various physicochemical and thermochemical characteristics available for use in ASD formulations.Polymer selection is of great importance because it influences the stability,solubility and dissolution rates,manufacturing process,and bioavailability of the ASD.This review article provides a comprehensive overview of ASDs from the perspectives of physicochemical characteristics of polymers,formulation designs and preparation methods.Furthermore,considerations of safety and regulatory requirements along with the studies recommended for characterizing and evaluating polymeric carriers are briefly discussed.
基金Supported by the National Natural Science Foundation of China,No.82270594the National Natural Science Foundation for Youths of China,No.82103151+1 种基金the Outstanding Youth Foundation of Hunan Province,No.2022JJ20092the Wisdom Accumulation and Talent Cultivation Project of Third Xiangya Hospital of Central South University,No.YX202103.
文摘BACKGROUND Helicobacter pylori(H.pylori)is a prevalent pathogen associated with various diseases.Cholelithiasis is also a common condition.H.pylori infection has been identified in the biliary system,suggesting its potential involvement in biliary diseases.However,the specific role of H.pylori in the development of cholelithiasis remains inconclusive.AIM To investigate the potential association between H.pylori infection and the development of cholelithiasis.METHODS We performed a retrospective study in more than 70000 subjects in health examination center from 3 institutions in the middle,northern and eastern China,from October 2018 to December 2021,to explore the potential association between H.pylori and cholelithiasis through univariate and multivariate analysis.Meanwhile,the influence of H.pylori on biliary-related parameters was investigated.A comprehensive analysis of previous studies concerned about H.pylori and cholelithiasis was also executed.RESULTS In our multi-center study,H.pylori was positively associated with cholelithiasis[odds ratio(OR)=1.103,95%confidence interval(CI):1.001-1.216,P=0.049].Furthermore,H.pylori patients had less total and direct bilirubin than uninfected patients,while the total cholesterol and low-density lipoprotein cholesterol were more in H.pyloripositive participants(P<0.05).In the published articles,the cohort studies indicated H.pylori was a risk factor of cholelithiasis(hazard ratio=1.3280,95%CI:1.1810-1.4933,P<0.0001).The pooled results of case-control and crosssectional studies showed positive association between H.pylori and cholelithiasis in Asia(OR=1.5993,95%CI:1.0353-2.4706,P=0.034)but not in Europe(OR=1.2770,95%CI:0.8446-1.9308,P=0.246).Besides,H.pylori was related to a higher choledocholithiasis/cholecystolithiasis ratio(OR=3.3215,95%CI:1.1034-9.9986,P=0.033).CONCLUSION H.pylori is positively correlated with cholelithiasis,choledocholithiasis phenotype particularly,especially in Asia,which may be relevant to bilirubin/cholesterol metabolism.Cohort studies confirm an increased risk of cholelithiasis in H.pylori patients.
基金supported by the Programme of Zhejiang Scientific Research Fund in Traditional Chinese Medicine,China(No.2011ZA094)the Zhejiang Provincial Natural Science Foundation of China(No.LY13H190008)
文摘Objective:The efflux pump(EP) is one of the major mechanisms of antibiotic resistance in Klebsiella pneumoniae.However,there are few reports on the effect of the abuse of antibiotic use on the activity of EPs.To determine whether the use of low efficacy antibiotics has any effect on the activity of EPs and induces drug resistance in K.pneumoniae,we investigated the effect of ciprofloxacin on the activity of EPs in K.pneumoniae strains.Methods:Sixteen susceptible K.pneumoniae strains were isolated from patients and their minimum inhibitory concentrations(MICs) of ciprofloxacin were measured in the absence and presence of the pump inhibitor carbonyl cyanide m-chlorophenyl hydrazone(CCCP).The strains were then induced with a gradient of ciprofloxacin until the MICs of the strains showed no further increase,to obtain induced resistant strains.The EP activities of the strains before and after induction were compared using EP inhibition and ethidium bromide(EtBr) accumulation assays.Results:The MIC values of the strains were 16 256 times higher after induction than before induction.In the presence of CCCP,the MIC values of 50% of the induced strains were 2 4-fold lower than that in the absence of this inhibitor.The EtBr accumulation assay showed that the fluorescence of EtBr in the induced cells was lower than that in the cells before induction.Conclusions:EPs are widespread in susceptible and drug-resistant K.pneumoniae strains.Induction with ciprofloxacin may increase the activity of EPs in K.pneumoniae.The EtBr accumulation assay is more sensitive than the EP inhibition assay in evaluating the activity of EPs in K.pneumoniae.
基金financial support of this work by the National Natural Science Foundation of China (No. 81872813)the Outstanding Youth Fund of Jiangsu Province of China (No. BK20190029)+1 种基金the China Postdoctoral Science Foundation (No. 2021M703597)the Program of State Key Laboratory of Natural Medicines-China Pharmaceutical University (No. SKLNMZZ202031)。
文摘Acetaminophen(APAP), a classic nonsteroidal anti-inflammatory drug(NSAID), has attracted much attention due to the overdose-induced hepatotoxicity in the past several decades. N-Acetyl-p-benzoquinone imine(NAPQI), the P450-dependent metabolism of APAP, leads to GSH depletion, protein binding, mitochondrial oxidative stress, and eventually the liver injury. Herein, we develop a Fe-based metal-organic framework(MOF) to deliver and transform acetaminophen into toxic “chemo” drug through the cascade reaction for enhanced cancer therapy. In the acidic tumor microenvironment, the Fe-based MOF collapses and releases abundant Fe ions to generate hydroxyl radicals(·OH) via Fenton reaction, subsequently catalyzing nontoxic APAP into toxic NAPQI. Meanwhile, NAPQI depletes intracellular glutathione(GSH) rapidly, leading to alleviating the antioxidant ability of cancer cells and amplifying Fenton activity. The intracellular oxidative stress and the toxic metabolite of APAP can provide a synergistic effect on antitumor activity.
基金supported by National Natural Science Foundation of China(Grant Nos.62376089,62302153,62302154,62202147)the key Research and Development Program of Hubei Province,China(Grant No.2023BEB024).
文摘The world produces vast quantities of high-dimensional multi-semantic data.However,extracting valuable information from such a large amount of high-dimensional and multi-label data is undoubtedly arduous and challenging.Feature selection aims to mitigate the adverse impacts of high dimensionality in multi-label data by eliminating redundant and irrelevant features.The ant colony optimization algorithm has demonstrated encouraging outcomes in multi-label feature selection,because of its simplicity,efficiency,and similarity to reinforcement learning.Nevertheless,existing methods do not consider crucial correlation information,such as dynamic redundancy and label correlation.To tackle these concerns,the paper proposes a multi-label feature selection technique based on ant colony optimization algorithm(MFACO),focusing on dynamic redundancy and label correlation.Initially,the dynamic redundancy is assessed between the selected feature subset and potential features.Meanwhile,the ant colony optimization algorithm extracts label correlation from the label set,which is then combined into the heuristic factor as label weights.Experimental results demonstrate that our proposed strategies can effectively enhance the optimal search ability of ant colony,outperforming the other algorithms involved in the paper.
文摘Objective: To investigate human cytomegalovirus infec-tion and genetic variations in glycoprotein B(gB) inliver transplant recipients in south-east China.Methods:EDTA-blood samples were obtained from 21liver transplant recipients. The semi-nested PCR wasused to amplify a region of high sequence variabilityin the gB gene of human cytomegalovirus (HCMV)followed by direct sequence analysis.Results: Out of the 21 liver transplant recipients, 5were proved HCMV positive 62 to 180 days aftertransplantation. The nucleotide and encoded aminoacid sequences were compared with published se-quences of AD169 and Towne laboratory strains.Within the region sequenced, 2 out of 5 strains pos-sessed a peptide configuration similar to that of strainAD169, while another 2 strains displayed a peptideconfiguration similar to that of strain Towne. Onestrain had amino acid substitution, which was differ-ent from those of both AD169 and Towne in thecleavage site.Conclusion: Our results provide molecular epidemio-logical data for HCMV strains circulating among trans-plant recipients in south-east China.
文摘This study aims to evaluate the impact of physical activity (PA) on the prevalence of hypertension among older adults in Beijing community. As economy growing rapidly in China, the occurrence of hypertension increases among older people in China as well. Epidemiological studies have shown that physical activity may significantly related to lower risk of hypertension. Taking PA maybe an instructive factor to reduce the risk of being hypertensive. We randomly selected Beijing community residents aged 65 and above (n = 400), collected data comprising level of PA (low, moderate, high), blood pressure, and a host of potentially confounding variables indicated by the literature. Five logistic regression models adjusted for different modifiers were used to estimate the association between hypertension and PA. The prevalence of hypertension was 96.88%, 78.57% and 73.66% among subjects with low, moderate and high level of PA respectively. Lower diastolic BP was observed for elder people with higher level of PA (p<0.01). We observed a strong and statistically significant association between moderate (OR=0.09, 95% CI: 0.01 to 0.74) or high (OR=0.08, 95% CI: 0.01 to 0.57) level of PA and lower risk of hypertension (p < 0.05). PA is a protective factor for hypertension among older Beijing people, which suggests elderly people be encouraged to actively engage in PA, if body conditions permit.
文摘Metabolic regulation has been proven to play a critical role in T cell antitumor immunity.However,cholesterol metabolism as a key component of this regulation remains largely unexplored.Herein,we found that the low-density lipoprotein receptor(LDLR),which has been previously identified as a transporter for cholesterol,plays a pivotal role in regulating CD8+T cell antitumor activity.Besides the involvement of cholesterol uptake which is mediated by LDLR in T cell priming and clonal expansion,we also found a non-canonical function of LDLR in CD8+T cells:LDLR interacts with the T-cell receptor(TCR)complex and regulates TCR recycling and signaling,thus facilitating the effector function of cytotoxic T-lymphocytes(CTLs).Furthermore,we found that the tumor microenvironment(TME)downregulates CD8+T cell LDLR level and TCR signaling via tumor cell-derived proprotein convertase subtilisin/kexin type 9(PCSK9)which binds to LDLR and prevents the recycling of LDLR and TCR to the plasma membrane thus inhibits the effector function of CTLs.Moreover,genetic deletion or pharmacological inhibition of PCSK9 in tumor cells can enhance the antitumor activity of CD8+T cells by alleviating the suppressive effect on CD8+T cells and consequently inhibit tumor progression.While previously established as a hypercholesterolemia target,this study highlights PCSK9/LDLR as a potential target for cancer immunotherapy as well.
文摘Figure 1.LDLR deficiency hinders the antitumor activity of CD8^(+)T cells.(A)Transcriptional level of genes involved in cholesterol transport in naïve CD8^(+)T cells,CTLs and CD8^(+)TILs(isolated at Day3 or Day7 post CTLs adoptive transfer),(n=4).(B)LDLR expression level on CTLs and CD8^(+)TILs(isolated at Day3 post CTLs adoptive transfer),(n=4).
基金supported by the National Natural Science Foundation of China(Grant Nos.62377007 and 62407009)the Chongqing University Graduate Education Teaching Reform Research Key Project,China(Grant No.232073)+1 种基金the Scientific and Technological Research Program of Chongqing Municipal Education Commission,China(Grant Nos.KJZD-M202400606 and KJZD-M202300603)the Chongqing Natural Science Foundation Joint Key Project for Innovation and Development,China(Grant No.2024NSCQ-LZX0057).
文摘Teacher emotion recognition(TER)has a significant impact on student engagement,classroom atmosphere,and teaching quality,which is a research hotspot in the smart education area.However,existing studies lack high-quality multimodal datasets and neglect common and discriminative features of multimodal data in emotion expression.To address these challenges,this research constructs a multimodal TER dataset suitable for real classroom teaching scenarios.TER dataset contains a total of 102 lessons and 2,170 video segments from multiple educational stages and subjects,innovatively labelled with emotional tags that characterize teacher‒student interactions,such as satisfaction and questions.To explore the characteristics of multimodal data in emotion expression,this research proposes an emotion dual-space network(EDSN)that establishes an emotion commonality space construction(ECSC)module and an emotion discrimination space construction(EDSC)module.Specifically,the EDSN utilizes central moment differences to measure the similarity to assess the correlation between multiple modalities within the emotion commonality space.On this basis,the gradient reversal layer and orthogonal projection are further utilized to construct the EDSC to extract unique emotional information and remove redundant information from each modality.Experimental results demonstrate that the EDSN achieves an accuracy of 0.770 and a weighted F1 score of 0.769 on the TER dataset,outperforming other comparative models.
基金supported by grants from National Natural Science Foundation of China(32070097 and 91951202)National Key Research and Development Program of China(2019YFA0904803)。
文摘Polycyclic aromatic sulfur heterocycles,such as dibenzothiophene(DBT),and their alkylated derivatives are recognized as persistent and toxic contaminants that pose major risks to the environment and human health.Here,a novel electroactive gram-positive bacterium,Lysinibacillus macroides AP,was isolated and identified from a microbial fuel cell(MFC)powered by aromatic compounds.An electricity generation performance with a maximum discharge voltage of 424.59 mV and a power density of 420.95 mW m^(-2) was obtained using L.macroides AP in an MFC fueled with sodium formate.An analysis of the extracellular electron transfer(EET)mechanism indicated that the endogenous redox mediators produced by L.macroides AP were not detected,but exogenous redox mediators such as thionine acetate and anthraquinone-2,6-disulfonate could temporarily enhance EET.The characterization of biofilm morphology revealed a dense network of microbial nanowires on the cell surface of L.macroides AP;the abundance of these nanowires was positively correlated with the discharge efficiency of the MFC,suggesting that the nanowires generated by L.macroides AP cells were likely to promote EET.Additionally,effective bioelectricity generation and simultaneous DBT degradation were successfully achieved using L.macroides AP in MFCs,with a power density of 385.20 mW m^(-2) and 88.72%DBT removal.This is the first report on a novel ecological role of L.macroides AP as a gram-positive electroactive bacterium,emphasizing its potential applications in environmental remediation and energy recovery.
基金supported by Natural Science Foundation of Guangdong Province,China(2025A1515011790)The Open Research Fund of Songshan Lake Materials Laboratory(2023SLABFK06)+1 种基金Guangdong Innovative and Entrepreneurial Research Team Program(2021ZT09L227)Guangdong Youth Top Talent Program(2021QN02L119).
文摘Organic electrochemical transistors(OECTs)are regarded as a promising platform for chemical and biological sensing due to their biocompatibility,cost-effectiveness and flexibility.However,maintaining long-term stability of OECTs while achieving high sensitivity remains a challenge for their practical applications.One of the main reasons is the relatively low electronic and ionic conductivity of the channel material.Herein,we present a p-type OECT fabricated by incorporating metal-organic framework(MOF)-MoS_(2)hybrid nanosheets into the PEDOT:PSS channel via solution-based processes.The strategy significantly improves the sensitivity of OECT,with the transconductance of the device increasing by∼threefold to 19.34 mS.The higher transconductance is attributed to the hybrid MOF-MoS_(2)dopant,which not only enhances the electronic conductivity,but also strengthens ion transport and capacitance of the PEDOT:PSS film due to the synergistic effects from high electron mobility of MoS_(2)and MOF porous structure with large surface area.The fabricated OECT demonstrates high selectivity and sensitivity as a glucose biosensor across a wide concentration range in saliva.Finally,we illustrate the merits of integration machine learning algorithms to construct predictive models using the extensive datasets produced by our sensors for both classification and quantification tasks.These findings highlight the great potential of OECTs incorporating MOF-MoS_(2)hybrid,as a promising candidate for ultra-sensitive biological detections,and broaden the applications of our OECT biosensors for non-invasive health monitoring and wearable electronics.
基金supported by a British Heart Foundation PhD studentshipFS-15-74-31669 (to L.Z.)projectgrantPG/22/11055 (to M.Z.)partially supported by the China Scholarship Council。
文摘Gene overlap serves as a common strategy employed by bacteria and viruses to expand their genomic capacity.Over the past two decades,advances in omics studies have unveiled a prevalence of overlapped genes in eukaryotes,including mammals.However,few are reported to participate in the regulation of the cardiovascular system.
基金supported in part by the Graduate Education Reform Research Project of Hubei University of Technology under Grant 2024YB003the Hubei University of Arts and Science,Teaching Research Project,under Grant JY2025018.
文摘The rapid development of new-quality productive forces(NQPF)has intensified the demand for high-level innovative talent.As a representative of NQPF,generative artificial intelligence(GenAI)offers powerful tools to reshape talent cultivation but also presents significant challenges,including skill hollowing,ethical risks,and a growing disconnect between education and industry needs.Currently,graduate-level software engineering education struggles with outdated curricula and insufficient alignment with practical demands.In this paper,we propose a dual-core collaborative framework driven by“GenAI technology”and“industry demand”.Under this framework,we design a four-dimensional capability development path to enhance graduate students’innovation in software engineering practice.This path focuses on①scientific research innovation,②engineering problem-solving,③cross-domain collaborative evolution,and④ethical risk governance.The proposed approach promotes a shift from traditional knowledge transfer to human-machine collaborative innovation,aligning talent cultivation with the demands of the NQPF.
基金the financial support to this work from the National Natural Science Foundation of China(Nos.81872813)the Outstanding Youth Fund of Jiangsu Province of China(BK20190029)+2 种基金Natural Science Foundation of Jiangsu Province(BK 20200576,China)Fundamental Research Funds for the Central Universities(No.2632020PY04)the Program of State Key Laboratory of Natural Medicines-China Pharmaceutical University(No.SKLNMZZ202031)
文摘Pharmaceutical cocrystals are multicomponent systems in which at least one component is an active pharmaceutical ingredient and the others are pharmaceutically acceptable ingredients.Cocrystallization of a drug substance with a coformer is a promising and emerging approach to improve the performance of pharmaceuticals,such as solubility,dissolution profile,pharmacokinetics and stability.This review article presents a comprehensive overview of pharmaceutical cocrystals,including preparation methods,physicochemical properties,and applications.Furthermore,some examples of drug cocrystals are highlighted to illustrate the effect of crystal structures on the various aspects of active pharmaceutical ingredients,such as physical stability,chemical stability,mechanical properties,optical properties,bioavailability,sustained release and therapeutic effect.This review will provide guidance for more efficient design and manufacture of pharmaceutical cocrystals with desired physicochemical properties and applications.
基金financial support of this work by the National Natural Science Foundation of China (81872813,81803452)the State Project for Essential Drug Research and Development (No.2017ZX09301075)+1 种基金the Program of State Key Laboratory of Natural Medicines China Pharmaceutical University (SKLNMZZCX201826, 111 Project (B16046)the Program for Jiangsu Province Innovative Research Team
文摘In recent years, the coamorphous drug delivery system has been established as a promising formulation approach for delivering poorly water-soluble drugs. The coamorphous solid is a single-phase system containing an active pharmaceutical ingredient(API) and other low molecular weight molecules that might be pharmacologically relevant APIs or excipients. These formulations exhibit considerable advantages over neat crystalline or amorphous material, including improved physical stability, dissolution profiles, and potentially enhanced therapeutic efficacy. This review provides a comprehensive overview of coamorphous drug delivery systems from the perspectives of preparation, physicochemical characteristics,physical stability, in vitro and in vivo performance. Furthermore, the challenges and strategies in developing robust coamorphous drug products of high quality and performance are briefly discussed.
