Neuromodulation techniques effectively intervene in cognitive function,holding considerable scientific and practical value in fields such as aerospace,medicine,life sciences,and brain research.These techniques utilize...Neuromodulation techniques effectively intervene in cognitive function,holding considerable scientific and practical value in fields such as aerospace,medicine,life sciences,and brain research.These techniques utilize electrical stimulation to directly or indirectly target specific brain regions,modulating neural activity and influencing broader brain networks,thereby regulating cognitive function.Regulating cognitive function involves an understanding of aspects such as perception,learning and memory,attention,spatial cognition,and physical function.To enhance the application of cognitive regulation in the general population,this paper reviews recent publications from the Web of Science to assess the advancements and challenges of invasive and non-invasive stimulation methods in modulating cognitive functions.This review covers various neuromodulation techniques for cognitive intervention,including deep brain stimulation,vagus nerve stimulation,and invasive methods using microelectrode arrays.The non-invasive techniques discussed include transcranial magnetic stimulation,transcranial direct current stimulation,transcranial alternating current stimulation,transcutaneous electrical acupoint stimulation,and time interference stimulation for activating deep targets.Invasive stimulation methods,which are ideal for studying the pathogenesis of neurological diseases,tend to cause greater trauma and have been less researched in the context of cognitive function regulation.Non-invasive methods,particularly newer transcranial stimulation techniques,are gentler and more appropriate for regulating cognitive functions in the general population.These include transcutaneous acupoint electrical stimulation using acupoints and time interference methods for activating deep targets.This paper also discusses current technical challenges and potential future breakthroughs in neuromodulation technology.It is recommended that neuromodulation techniques be combined with neural detection methods to better assess their effects and improve the accuracy of non-invasive neuromodulation.Additionally,researching closed-loop feedback neuromodulation methods is identified as a promising direction for future development.展开更多
BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning ofte...BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning often fail to capture the sparse and diagnostically critical features of metastatic potential.AIM To develop and validate a case-level multiple-instance learning(MIL)framework mimicking a pathologist's comprehensive review and improve T3/T4 CRC LNM prediction.METHODS The whole-slide images of 130 patients with T3/T4 CRC were retrospectively collected.A case-level MIL framework utilising the CONCH v1.5 and UNI2-h deep learning models was trained on features from all haematoxylin and eosinstained primary tumour slides for each patient.These pathological features were subsequently integrated with clinical data,and model performance was evaluated using the area under the curve(AUC).RESULTS The case-level framework demonstrated superior LNM prediction over slide-level training,with the CONCH v1.5 model achieving a mean AUC(±SD)of 0.899±0.033 vs 0.814±0.083,respectively.Integrating pathology features with clinical data further enhanced performance,yielding a top model with a mean AUC of 0.904±0.047,in sharp contrast to a clinical-only model(mean AUC 0.584±0.084).Crucially,a pathologist’s review confirmed that the model-identified high-attention regions correspond to known high-risk histopathological features.CONCLUSION A case-level MIL framework provides a superior approach for predicting LNM in advanced CRC.This method shows promise for risk stratification and therapy decisions,requiring further validation.展开更多
The activity and selectivity of electrocatalytic CO_(2)reduction reaction(CO_(2)RR)to C_(2)products on metal catalysts can be regulated by molecular surfactants.However,the mechanism behind it remains elusive and deba...The activity and selectivity of electrocatalytic CO_(2)reduction reaction(CO_(2)RR)to C_(2)products on metal catalysts can be regulated by molecular surfactants.However,the mechanism behind it remains elusive and debatable.Herein,copper nanowires(Cu NWs)were fabricated and decorated with cobalt phthalocyanine(CoPc).The electronic interaction between the Cu NWs,CoPc,CO_(2) and CO_(2)RR intermediates were explored by density functional theory(DFT)calculations.It was found that the selectivity and activity of CO_(2)RR towards C_(2)products on Cu NWs were considerably enhanced from 35.2%to 69.9%by surface decoration of CoPc.DFT calculations revealed that CO_(2)RR can proceed in the interphase between Cu substrate and CoPc,and the CO_(2)RR intermediates could synergistically bond with both Cu and Co metal centre in CuNWs-CoPc,which favours the adsorption of CO_(2),CO and CO_(2)RR intermediates,thus reducing the free energy for CO-COcoupling towards C_(2)products.The synergistic interaction was further extended to phthalocyanine(Pc)and other metal phthalocyanine derivatives(MPc),where a relatively weaker synergistic interaction of COintermediates with MPc and Cu substrate and only a slight enhancement of CO_(2)RR towards C_(2) products were observed.This study demonstrates a synergistic catalysis pathway for CO_(2)RR,a novel perspective in interpreting the role of CoPc in enhancing the activity and selectivity of CO_(2)RR on Cu NWs,in contrast to the conventional tandem catalysis mechanism.展开更多
Fertilization or atmospheric deposition of nitrogen(N)and phosphorus(P)to terrestrial ecosystems can alter soil N(P)availability and the nature of nutrient limitation for plant growth.Changing the allocation of leaf P...Fertilization or atmospheric deposition of nitrogen(N)and phosphorus(P)to terrestrial ecosystems can alter soil N(P)availability and the nature of nutrient limitation for plant growth.Changing the allocation of leaf P fractions is potentially an adaptive strategy for plants to cope with soil N(P)availability and nutrient-limiting conditions.However,the impact of the interactions between imbalanced anthropogenic N and P inputs on the concentrations and allocation proportions of leaf P fractions in forest woody plants remains elusive.We conducted a metaanalysis of data about the concentrations and allocation proportions of leaf P fractions,specifically associated with individual and combined additions of N and P in evergreen forests,the dominant vegetation type in southern China where the primary productivity is usually considered limited by P.This assessment allowed us to quantitatively evaluate the effects of N and P additions alone and interactively on leaf P allocation and use strategies.Nitrogen addition(exacerbating P limitation)reduced the concentrations of leaf total P and different leaf P fractions.Nitrogen addition reduced the allocation to leaf metabolic P but increased the allocation to other fractions,while P addition showed opposite trends.The simultaneous additions of N and P showed an antagonistic(mutual suppression)effect on the concentrations of leaf P fractions,but an additive(summary)effect on the allocation proportions of leaf P fractions.These results highlight the importance of strategies of leaf P fraction allocation in forest plants under changes in environmental nutrient availability.Importantly,our study identified critical interactions associated with combined N and P inputs that affect leaf P fractions,thus aiding in predicting plant acclimation strategies in the context of intensifying and imbalanced anthropogenic nutrient inputs.展开更多
The development of general and practical strategies toward the construction of medium-sized rings is still challenging in organic synthesis,especially for the multiple stereocenters control of substituted groups on th...The development of general and practical strategies toward the construction of medium-sized rings is still challenging in organic synthesis,especially for the multiple stereocenters control of substituted groups on the ring owing to the long distance between groups.Thus,stereoselective synthesis of multi-substituted ten-membered rings is attractive.Herein,a rapid assembly of various highly substituted ten-membered nitrogen heterocycles between two 1,3-dipoles through a tandem[3+3]cycloaddition/aza-Claisen rearrangement of N-vinyl-α,β-unsaturated nitrones and aza-oxyallyl or oxyallyl cations are disclosed.Products containing two or multiple stereocenters could be obtained in up to 96%yield with high regioselectivity and diastereoselectivity.Selective N-O bond cleavages of ten-membered nitrogen heterocycles lead to various novel 5,6,6-perifused benzofurans,bicyclo[4.4.0]or bicyclo[5.3.0]skeletons containing three or multiple continuous stereocenters in good yields and high diastereoselectivity.Biological tests show that the obtained ten-membered N-heterocycles and bicyclo[4.4.0]skeletons inhibited nitric oxide generation in LPS-stimulated RAW264.7 cells and might serve as good anti-inflammatory agents.展开更多
Electrocatalysis for nitrate(NO_(3^(–)))removal from wastewater faces the challenge of merging efficient reduction and high selectivity to nitrogen(N2)with economic viability in a durable catalyst.In this study,bimet...Electrocatalysis for nitrate(NO_(3^(–)))removal from wastewater faces the challenge of merging efficient reduction and high selectivity to nitrogen(N2)with economic viability in a durable catalyst.In this study,bimetallic PdCu/TiO_(x)composite catalysts were synthesized with varying Pd and Cu ratios through electrochemical deposition on defective TiOxnanotube arrays.Denitrification experiments demonstrated that the Pd_(1)Cu_(1)/TiO_(x)catalyst exhibited the highest(NO_(3^(–)))removal rate(81.2%)and N_(2)selectivity(67.2%)among all tested catalysts.Leveraging the exceptional light-responsive property of TiO_(x),the introduction of light energy as an assisting factor in electrocatalysis further augmented the(NO_(3^(–)))treatment rate,resulting in a higher(NO_(3^(–)))removal rate of 95.1%and N_(2)selectivity of approximately 90%.Compared to individual electrocatalysis and photocatalysis systems,the overpotential for the catalytic interface active*H formation in the photo-assisted electrocatalysis system was remarkably reduced,thus accelerating electron migration and promoting(NO_(3^(–)))reduction kinetics.Economic analysis revealed an energy consumption of 2.74 k Wh/mol and a corresponding energy consumption per order(EEO)of 0.79 k Wh/m^(3)for the Pd_(1)Cu_(1)/TiOxcatalyst to reduce 25.2 mg/L of(NO_(3^(–)))-N in water to N_(2),showcasing remarkable competitiveness and economic advantages over other water treatment technologies.This study developed the PdCu/TiOxelectrocatalysts with high(NO_(3^(–)))removal rates and N_(2)selectivity,particularly when combined with light energy,the efficiency and selectivity were significantly enhanced,offering a competitive and economically viable solution for wastewater treatment.展开更多
Hepatocellular carcinoma(HCC)is a major global health challenge,particularly in regions with high aflatoxin B1(AFB1)exposure.This editorial explores the mechanistic interplay between AFB1 and tissue inhibitor of metal...Hepatocellular carcinoma(HCC)is a major global health challenge,particularly in regions with high aflatoxin B1(AFB1)exposure.This editorial explores the mechanistic interplay between AFB1 and tissue inhibitor of metalloproteinase-3(TIMP-3)in AFB1-related HCC.TIMP-3,frequently downregulated in HCC due to promoter methylation,is linked to increased tumor aggressiveness and poor prognosis.We propose that AFB1 induces epigenetic silencing of TIMP-3,potentially via DNA adducts and oxidative stress,exacerbating AFB1-related HCC progression.This AFB1-TIMP-3 axis highlights TIMP-3’s potential as a prognostic biomarker and therapeutic target.Future research should focus on elucidating these molecular pathways and integrating TIMP-3 into clinical practice for early detection and targeted therapies in AFB1-prevalent regions.展开更多
Li et al’s recent work on the risk factors for autoimmune gastritis provides clinical context for the vast majority of gastric neuroendocrine tumors(G-NETs).However,a deeper understanding of the underlying pathology ...Li et al’s recent work on the risk factors for autoimmune gastritis provides clinical context for the vast majority of gastric neuroendocrine tumors(G-NETs).However,a deeper understanding of the underlying pathology is needed for precise clinical management.Our letter details the predictable stepwise progression of type 1 G-NETs from autoimmune-driven corporal atrophy and hypergastrinemia to a clear microscopic sequence of enterochromaffin-like cell precursor lesions,including linear hyperplasia,micronodular hyperplasia,and dysplasia.We highlight the definitive diagnostic thresholds that separate these precursors from overt neoplasia:The 0.5 mm size rule and the presence of submucosal invasion.We advocate for a“prognostic biopsy protocol”in which pathologists actively report these precursor lesions and use Ki-67 to grade G-NETs,providing a quantitative risk assessment.This pathology-centric approach transforms surveillance,allowing clinicians to act on objective microscopic milestones rather than waiting for macroscopically visible tumors.展开更多
BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have ...BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have suggested that the coexistence of these conditions may exacerbate liver inflammation and fibrosis;however,the impacts of dynamic changes in glucose metabolism indicators,hypoglycemic medication regimens,and glycemic control status on liver fibrosis require further elucidation.AIM To explore the effect of glycemic control on hepatic fibrosis in patients with CHB and T2DM.METHODS A total of 420 patients with CHB and T2DM admitted to the Public Health Clinical Center of Chengdu between October 2018 and January 2022 were retrospectively included and classified according to liver stiffness measurement and glycemic control for between-group comparisons.RESULTS Significant differences were observed in the alanine aminotransferase(ALT),aspartate aminotransferase(AST),alkaline phosphatase,AST/ALT ratio,total bilirubin,direct bilirubin,diabetes treatment program,and thrombin time values among the liver fibrosis groups(adjusted P<0.05).Significant differences in albumin and gamma-glutamyl transferase levels were observed among the groups categorized by glucose status at admission(adjusted P<0.05).A positive correlation between fasting plasma glucose(FPG)and liver stiffness measurement was found to be mediated by ALT and AST.Fibrinogen and the international normalized ratio were positively correlated with glycated hemoglobin A1c,while the fibrosis-4 score,ALT,AST/ALT ratio,type III procollagen N-terminal peptide,ferritin,and activated partial thromboplastin time were correlated with FPG at admission.Additionally,AST was positively correlated with FPG at discharge(P<0.05).CONCLUSION Specific glucose metabolic parameters,hypoglycemic agents,and glycemic control status markers are associated with hepatic fibrosis in patients with both CHB and T2DM.Close blood glucose monitoring,optimized use of hypoglycemic agents,and continuous maintenance of good glycemic control may slow the progression of liver fibrosis in patients with CHB and T2DM.展开更多
Foundation models(FMs)have rapidly evolved and have achieved signicant accomplishments in computer vision tasks.Specically,the prompt mechanism conveniently allows users to integrate image prior information into the m...Foundation models(FMs)have rapidly evolved and have achieved signicant accomplishments in computer vision tasks.Specically,the prompt mechanism conveniently allows users to integrate image prior information into the model,making it possible to apply models without any training.Therefore,we proposed a workflow based on foundation models and zero training to solve the tasks of photoacoustic(PA)image processing.We employed the Segment Anything Model(SAM)by setting simple prompts and integrating the model's outputs with prior knowledge of the imaged objects to accomplish various tasks,including:(1)removing the skin signal in three-dimensional PA image rendering;(2)dual speed-of-sound reconstruction,and(3)segmentation ofnger blood vessels.Through these demonstrations,we have concluded that FMs can be directly applied in PA imaging without the requirement for network design and training.This potentially allows for a hands-on,convenient approach to achieving efficient and accurate segmentation of PA images.This paper serves as a comprehensive tutorial,facilitating the mastery of the technique through the provision of code and sample datasets.展开更多
Animal husbandry is an essential pillar sector in China.However,the wastewater including a mixture of feces,urine,and flushing water from livestock and poultry farming poses serious environmental risks if not properly...Animal husbandry is an essential pillar sector in China.However,the wastewater including a mixture of feces,urine,and flushing water from livestock and poultry farming poses serious environmental risks if not properly managed or over-applied.This paper analyzes the existing challenges in the utilization of livestock manure,focusing on source control,process management,and end-use treatment.To address these issues,it proposes establishing a sustainable long-term mechanism.Key recommendations include enhancing source control,strengthening policy support to alleviate the financial burden on enterprises,aligning with market demands,intensifying the promotion of technologies and equipment development,and improving manure quality.In addition,advocating for grain-efficient animal husbandry and promoting diversified utilization through bio-chain approaches are essential.展开更多
Recent advancements in large language models(LLMs)have driven remarkable progress in text process-ing,opening new avenues for medical knowledge discovery.In this study,we present ERQA,a mEdical knowledge Retrieval and...Recent advancements in large language models(LLMs)have driven remarkable progress in text process-ing,opening new avenues for medical knowledge discovery.In this study,we present ERQA,a mEdical knowledge Retrieval and Question-Answering framework powered by an enhanced LLM that integrates a semantic vector database and a curated literature repository.The ERQA framework leverages domain-specific incremental pretraining and conducts supervised fine-tuning on medical literature,enabling retrieval and question-answering(QA)tasks to be completed with high precision.Performance evaluations implemented on the coronavirus disease 2019(COVID-19)and TripClick data-sets demonstrate the robust capabilities of ERQA across multiple tasks.On the COVID-19 dataset,ERQA-13B achieves state-of-the-art retrieval metrics,with normalized discounted cumulative gain at top 10(NDCG@10)0.297,recall values at top 10(Recall@10)0.347,and mean reciprocal rank(MRR)=0.370;it also attains strong abstract summarization performance,with a recall-oriented understudy for gisting evaluation(ROUGE)-1 score of 0.434,and QA performance,with a bilingual evaluation understudy(BLEU)-1 score of 7.851.The comparable performance achieved on the TripClick dataset further under-scores the adaptability of ERQA across diverse medical topics.These findings suggest that ERQA repre-sents a significant step toward efficient biomedical knowledge retrieval and QA.展开更多
Bilateral diffuse uveal melanocytic proliferation(BDUMP)is a rare paraneoplastic ocular syndrome,often associated with significant vision loss and poor prognosis.BDUMP is typically linked to systemic malignancies,incl...Bilateral diffuse uveal melanocytic proliferation(BDUMP)is a rare paraneoplastic ocular syndrome,often associated with significant vision loss and poor prognosis.BDUMP is typically linked to systemic malignancies,including ovarian,lung,pancreatic,and colorectal cancers.Here,we reported a case of BDUMP in a 59-year-old male patient who had been misdiagnosed with a nonfunctional adrenal adenoma.This man,with a history of diabetes mellitus and high blood pressure,complained of progressive visual loss in both eyes.He was diagnosed with BDUMP after undergoing comprehensive ophthalmic assessments at our eye center.After being referred to the urology department,he was initially diagnosed with a right nonfunctional adrenal adenoma because his renin-aldosterone levels and serum potassium levels were normal.However,three months later,the adrenal mass rapidly increased in size,and liver metastasis was confirmed.Despite normal tumor marker levels,a histopathological diagnosis ultimately confirmed adrenocortical carcinoma.This case underscores the importance of considering underlying malignancies in patients with BDUMP and highlights the necessity for early systemic evaluation,including imaging studies and multidisciplinary consultations.Timely diagnosis of underlying cancers may improve patient outcomes.It is worth noting that normal hormone levels and a tumor small-sized cannot be used as conclusive evidence that the tumor is a nonfunctional adrenal adenoma;patients with BDUMP should be closely followed up to identify the primary malignancy.展开更多
With the development of virtual reality (VR) technology, more and more industries are beginning to integrate with VR technology. In response to the problem of not being able to directly render the lighting effect of C...With the development of virtual reality (VR) technology, more and more industries are beginning to integrate with VR technology. In response to the problem of not being able to directly render the lighting effect of Caideng in digital Caideng scenes, this article analyzes the lighting model. It combines it with the lighting effect of Caideng scenes to design an optimized lighting model algorithm that fuses the bidirectional transmission distribution function (BTDF) model. This algorithm can efficiently render the lighting effect of Caideng models in a virtual environment. And using image optimization processing methods, the immersive experience effect on the VR is enhanced. Finally, a Caideng roaming interactive system was designed based on this method. The results show that the frame rate of the system is stable during operation, maintained above 60 fps, and has a good immersive experience.展开更多
基金supported by STI 2030-Major Projects,No.2021ZD0201603(to JL)the Joint Foundation Program of the Chinese Academy of Sciences,No.8091A170201(to JL)+1 种基金the National Natural Science Foundation of China,Nos.T2293730(to XC),T2293731(to XC),T2293734(to XC),62471291(to YW),62121003(to XC),61960206012(to XC),62333020(to XC),and 62171434(to XC)the National Key Research and Development Program of China,Nos.2022YFC2402501(to XC),2022YFB3205602(to XC).
文摘Neuromodulation techniques effectively intervene in cognitive function,holding considerable scientific and practical value in fields such as aerospace,medicine,life sciences,and brain research.These techniques utilize electrical stimulation to directly or indirectly target specific brain regions,modulating neural activity and influencing broader brain networks,thereby regulating cognitive function.Regulating cognitive function involves an understanding of aspects such as perception,learning and memory,attention,spatial cognition,and physical function.To enhance the application of cognitive regulation in the general population,this paper reviews recent publications from the Web of Science to assess the advancements and challenges of invasive and non-invasive stimulation methods in modulating cognitive functions.This review covers various neuromodulation techniques for cognitive intervention,including deep brain stimulation,vagus nerve stimulation,and invasive methods using microelectrode arrays.The non-invasive techniques discussed include transcranial magnetic stimulation,transcranial direct current stimulation,transcranial alternating current stimulation,transcutaneous electrical acupoint stimulation,and time interference stimulation for activating deep targets.Invasive stimulation methods,which are ideal for studying the pathogenesis of neurological diseases,tend to cause greater trauma and have been less researched in the context of cognitive function regulation.Non-invasive methods,particularly newer transcranial stimulation techniques,are gentler and more appropriate for regulating cognitive functions in the general population.These include transcutaneous acupoint electrical stimulation using acupoints and time interference methods for activating deep targets.This paper also discusses current technical challenges and potential future breakthroughs in neuromodulation technology.It is recommended that neuromodulation techniques be combined with neural detection methods to better assess their effects and improve the accuracy of non-invasive neuromodulation.Additionally,researching closed-loop feedback neuromodulation methods is identified as a promising direction for future development.
基金Supported by Chongqing Medical Scientific Research Project(Joint Project of Chongqing Health Commission and Science and Technology Bureau),No.2023MSXM060.
文摘BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning often fail to capture the sparse and diagnostically critical features of metastatic potential.AIM To develop and validate a case-level multiple-instance learning(MIL)framework mimicking a pathologist's comprehensive review and improve T3/T4 CRC LNM prediction.METHODS The whole-slide images of 130 patients with T3/T4 CRC were retrospectively collected.A case-level MIL framework utilising the CONCH v1.5 and UNI2-h deep learning models was trained on features from all haematoxylin and eosinstained primary tumour slides for each patient.These pathological features were subsequently integrated with clinical data,and model performance was evaluated using the area under the curve(AUC).RESULTS The case-level framework demonstrated superior LNM prediction over slide-level training,with the CONCH v1.5 model achieving a mean AUC(±SD)of 0.899±0.033 vs 0.814±0.083,respectively.Integrating pathology features with clinical data further enhanced performance,yielding a top model with a mean AUC of 0.904±0.047,in sharp contrast to a clinical-only model(mean AUC 0.584±0.084).Crucially,a pathologist’s review confirmed that the model-identified high-attention regions correspond to known high-risk histopathological features.CONCLUSION A case-level MIL framework provides a superior approach for predicting LNM in advanced CRC.This method shows promise for risk stratification and therapy decisions,requiring further validation.
基金supported by the National Natural Science Foundation of China(U2032151,22272059)。
文摘The activity and selectivity of electrocatalytic CO_(2)reduction reaction(CO_(2)RR)to C_(2)products on metal catalysts can be regulated by molecular surfactants.However,the mechanism behind it remains elusive and debatable.Herein,copper nanowires(Cu NWs)were fabricated and decorated with cobalt phthalocyanine(CoPc).The electronic interaction between the Cu NWs,CoPc,CO_(2) and CO_(2)RR intermediates were explored by density functional theory(DFT)calculations.It was found that the selectivity and activity of CO_(2)RR towards C_(2)products on Cu NWs were considerably enhanced from 35.2%to 69.9%by surface decoration of CoPc.DFT calculations revealed that CO_(2)RR can proceed in the interphase between Cu substrate and CoPc,and the CO_(2)RR intermediates could synergistically bond with both Cu and Co metal centre in CuNWs-CoPc,which favours the adsorption of CO_(2),CO and CO_(2)RR intermediates,thus reducing the free energy for CO-COcoupling towards C_(2)products.The synergistic interaction was further extended to phthalocyanine(Pc)and other metal phthalocyanine derivatives(MPc),where a relatively weaker synergistic interaction of COintermediates with MPc and Cu substrate and only a slight enhancement of CO_(2)RR towards C_(2) products were observed.This study demonstrates a synergistic catalysis pathway for CO_(2)RR,a novel perspective in interpreting the role of CoPc in enhancing the activity and selectivity of CO_(2)RR on Cu NWs,in contrast to the conventional tandem catalysis mechanism.
基金supported by the National Natural Science Foundation of China(No.41473068)supported by China Postdoctoral Science Foundation(No.2022M722667)。
文摘Fertilization or atmospheric deposition of nitrogen(N)and phosphorus(P)to terrestrial ecosystems can alter soil N(P)availability and the nature of nutrient limitation for plant growth.Changing the allocation of leaf P fractions is potentially an adaptive strategy for plants to cope with soil N(P)availability and nutrient-limiting conditions.However,the impact of the interactions between imbalanced anthropogenic N and P inputs on the concentrations and allocation proportions of leaf P fractions in forest woody plants remains elusive.We conducted a metaanalysis of data about the concentrations and allocation proportions of leaf P fractions,specifically associated with individual and combined additions of N and P in evergreen forests,the dominant vegetation type in southern China where the primary productivity is usually considered limited by P.This assessment allowed us to quantitatively evaluate the effects of N and P additions alone and interactively on leaf P allocation and use strategies.Nitrogen addition(exacerbating P limitation)reduced the concentrations of leaf total P and different leaf P fractions.Nitrogen addition reduced the allocation to leaf metabolic P but increased the allocation to other fractions,while P addition showed opposite trends.The simultaneous additions of N and P showed an antagonistic(mutual suppression)effect on the concentrations of leaf P fractions,but an additive(summary)effect on the allocation proportions of leaf P fractions.These results highlight the importance of strategies of leaf P fraction allocation in forest plants under changes in environmental nutrient availability.Importantly,our study identified critical interactions associated with combined N and P inputs that affect leaf P fractions,thus aiding in predicting plant acclimation strategies in the context of intensifying and imbalanced anthropogenic nutrient inputs.
基金the National Natural Science Foundation of China(No.22071035)the Natural Science Foundation of Guangxi(Nos.2023GXNSFDA026025,2022GXNSFBA035494)+2 种基金Guangxi Minzu University Scientific Research Funds for Talent Introduction(2022KJQD14)the Student Innovation Training Program(No.202310602014)are greatly appreciated.
文摘The development of general and practical strategies toward the construction of medium-sized rings is still challenging in organic synthesis,especially for the multiple stereocenters control of substituted groups on the ring owing to the long distance between groups.Thus,stereoselective synthesis of multi-substituted ten-membered rings is attractive.Herein,a rapid assembly of various highly substituted ten-membered nitrogen heterocycles between two 1,3-dipoles through a tandem[3+3]cycloaddition/aza-Claisen rearrangement of N-vinyl-α,β-unsaturated nitrones and aza-oxyallyl or oxyallyl cations are disclosed.Products containing two or multiple stereocenters could be obtained in up to 96%yield with high regioselectivity and diastereoselectivity.Selective N-O bond cleavages of ten-membered nitrogen heterocycles lead to various novel 5,6,6-perifused benzofurans,bicyclo[4.4.0]or bicyclo[5.3.0]skeletons containing three or multiple continuous stereocenters in good yields and high diastereoselectivity.Biological tests show that the obtained ten-membered N-heterocycles and bicyclo[4.4.0]skeletons inhibited nitric oxide generation in LPS-stimulated RAW264.7 cells and might serve as good anti-inflammatory agents.
基金the National Natural Science Foundation of China(No.52300084)China Postdoctoral Science Foundation(No.2023M741151)the Fundamental Research Funds for the Central Universities(No.2024MS063)。
文摘Electrocatalysis for nitrate(NO_(3^(–)))removal from wastewater faces the challenge of merging efficient reduction and high selectivity to nitrogen(N2)with economic viability in a durable catalyst.In this study,bimetallic PdCu/TiO_(x)composite catalysts were synthesized with varying Pd and Cu ratios through electrochemical deposition on defective TiOxnanotube arrays.Denitrification experiments demonstrated that the Pd_(1)Cu_(1)/TiO_(x)catalyst exhibited the highest(NO_(3^(–)))removal rate(81.2%)and N_(2)selectivity(67.2%)among all tested catalysts.Leveraging the exceptional light-responsive property of TiO_(x),the introduction of light energy as an assisting factor in electrocatalysis further augmented the(NO_(3^(–)))treatment rate,resulting in a higher(NO_(3^(–)))removal rate of 95.1%and N_(2)selectivity of approximately 90%.Compared to individual electrocatalysis and photocatalysis systems,the overpotential for the catalytic interface active*H formation in the photo-assisted electrocatalysis system was remarkably reduced,thus accelerating electron migration and promoting(NO_(3^(–)))reduction kinetics.Economic analysis revealed an energy consumption of 2.74 k Wh/mol and a corresponding energy consumption per order(EEO)of 0.79 k Wh/m^(3)for the Pd_(1)Cu_(1)/TiOxcatalyst to reduce 25.2 mg/L of(NO_(3^(–)))-N in water to N_(2),showcasing remarkable competitiveness and economic advantages over other water treatment technologies.This study developed the PdCu/TiOxelectrocatalysts with high(NO_(3^(–)))removal rates and N_(2)selectivity,particularly when combined with light energy,the efficiency and selectivity were significantly enhanced,offering a competitive and economically viable solution for wastewater treatment.
基金Supported by the Chongqing Health Commission and Science and Technology Bureau,No.2023MSXM060.
文摘Hepatocellular carcinoma(HCC)is a major global health challenge,particularly in regions with high aflatoxin B1(AFB1)exposure.This editorial explores the mechanistic interplay between AFB1 and tissue inhibitor of metalloproteinase-3(TIMP-3)in AFB1-related HCC.TIMP-3,frequently downregulated in HCC due to promoter methylation,is linked to increased tumor aggressiveness and poor prognosis.We propose that AFB1 induces epigenetic silencing of TIMP-3,potentially via DNA adducts and oxidative stress,exacerbating AFB1-related HCC progression.This AFB1-TIMP-3 axis highlights TIMP-3’s potential as a prognostic biomarker and therapeutic target.Future research should focus on elucidating these molecular pathways and integrating TIMP-3 into clinical practice for early detection and targeted therapies in AFB1-prevalent regions.
基金Supported by the Chongqing Health Commission and Science and Technology Bureau,No.2023MSXM060.
文摘Li et al’s recent work on the risk factors for autoimmune gastritis provides clinical context for the vast majority of gastric neuroendocrine tumors(G-NETs).However,a deeper understanding of the underlying pathology is needed for precise clinical management.Our letter details the predictable stepwise progression of type 1 G-NETs from autoimmune-driven corporal atrophy and hypergastrinemia to a clear microscopic sequence of enterochromaffin-like cell precursor lesions,including linear hyperplasia,micronodular hyperplasia,and dysplasia.We highlight the definitive diagnostic thresholds that separate these precursors from overt neoplasia:The 0.5 mm size rule and the presence of submucosal invasion.We advocate for a“prognostic biopsy protocol”in which pathologists actively report these precursor lesions and use Ki-67 to grade G-NETs,providing a quantitative risk assessment.This pathology-centric approach transforms surveillance,allowing clinicians to act on objective microscopic milestones rather than waiting for macroscopically visible tumors.
基金Supported by Natural Science Foundation of Sichuan Province,No.2023NSFSC0682.
文摘BACKGROUND The interplay between abnormal glucose metabolism and the progression of liver fibrosis in patients with both chronic hepatitis B(CHB)and type 2 diabetes mellitus(T2DM)remains unclear.Previous studies have suggested that the coexistence of these conditions may exacerbate liver inflammation and fibrosis;however,the impacts of dynamic changes in glucose metabolism indicators,hypoglycemic medication regimens,and glycemic control status on liver fibrosis require further elucidation.AIM To explore the effect of glycemic control on hepatic fibrosis in patients with CHB and T2DM.METHODS A total of 420 patients with CHB and T2DM admitted to the Public Health Clinical Center of Chengdu between October 2018 and January 2022 were retrospectively included and classified according to liver stiffness measurement and glycemic control for between-group comparisons.RESULTS Significant differences were observed in the alanine aminotransferase(ALT),aspartate aminotransferase(AST),alkaline phosphatase,AST/ALT ratio,total bilirubin,direct bilirubin,diabetes treatment program,and thrombin time values among the liver fibrosis groups(adjusted P<0.05).Significant differences in albumin and gamma-glutamyl transferase levels were observed among the groups categorized by glucose status at admission(adjusted P<0.05).A positive correlation between fasting plasma glucose(FPG)and liver stiffness measurement was found to be mediated by ALT and AST.Fibrinogen and the international normalized ratio were positively correlated with glycated hemoglobin A1c,while the fibrosis-4 score,ALT,AST/ALT ratio,type III procollagen N-terminal peptide,ferritin,and activated partial thromboplastin time were correlated with FPG at admission.Additionally,AST was positively correlated with FPG at discharge(P<0.05).CONCLUSION Specific glucose metabolic parameters,hypoglycemic agents,and glycemic control status markers are associated with hepatic fibrosis in patients with both CHB and T2DM.Close blood glucose monitoring,optimized use of hypoglycemic agents,and continuous maintenance of good glycemic control may slow the progression of liver fibrosis in patients with CHB and T2DM.
基金support from Strategic Project of Precision Surgery,Tsinghua UniversityInitiative Scientific Research Program,Institute for Intelligent Healthcare,Tsinghua University+5 种基金Tsinghua-Foshan Institute of Advanced ManufacturingNational Natural Science Foundation of China(61735016)Beijing Nova Program(20230484308)Young Elite Scientists Sponsorship Program by CAST(2023QNRC001)Youth Elite Program of Beijing Friendship Hospital(YYQCJH2022-9)Science and Technology Program of Beijing Tongzhou District(KJ2023CX012).
文摘Foundation models(FMs)have rapidly evolved and have achieved signicant accomplishments in computer vision tasks.Specically,the prompt mechanism conveniently allows users to integrate image prior information into the model,making it possible to apply models without any training.Therefore,we proposed a workflow based on foundation models and zero training to solve the tasks of photoacoustic(PA)image processing.We employed the Segment Anything Model(SAM)by setting simple prompts and integrating the model's outputs with prior knowledge of the imaged objects to accomplish various tasks,including:(1)removing the skin signal in three-dimensional PA image rendering;(2)dual speed-of-sound reconstruction,and(3)segmentation ofnger blood vessels.Through these demonstrations,we have concluded that FMs can be directly applied in PA imaging without the requirement for network design and training.This potentially allows for a hands-on,convenient approach to achieving efficient and accurate segmentation of PA images.This paper serves as a comprehensive tutorial,facilitating the mastery of the technique through the provision of code and sample datasets.
文摘Animal husbandry is an essential pillar sector in China.However,the wastewater including a mixture of feces,urine,and flushing water from livestock and poultry farming poses serious environmental risks if not properly managed or over-applied.This paper analyzes the existing challenges in the utilization of livestock manure,focusing on source control,process management,and end-use treatment.To address these issues,it proposes establishing a sustainable long-term mechanism.Key recommendations include enhancing source control,strengthening policy support to alleviate the financial burden on enterprises,aligning with market demands,intensifying the promotion of technologies and equipment development,and improving manure quality.In addition,advocating for grain-efficient animal husbandry and promoting diversified utilization through bio-chain approaches are essential.
基金supported by the Innovation Fund for Medical Sciences of the Chinese Academy of Medical Sciences(2021-I2M-1-033)the National Key Research and Development Program of China(2022YFF0711900).
文摘Recent advancements in large language models(LLMs)have driven remarkable progress in text process-ing,opening new avenues for medical knowledge discovery.In this study,we present ERQA,a mEdical knowledge Retrieval and Question-Answering framework powered by an enhanced LLM that integrates a semantic vector database and a curated literature repository.The ERQA framework leverages domain-specific incremental pretraining and conducts supervised fine-tuning on medical literature,enabling retrieval and question-answering(QA)tasks to be completed with high precision.Performance evaluations implemented on the coronavirus disease 2019(COVID-19)and TripClick data-sets demonstrate the robust capabilities of ERQA across multiple tasks.On the COVID-19 dataset,ERQA-13B achieves state-of-the-art retrieval metrics,with normalized discounted cumulative gain at top 10(NDCG@10)0.297,recall values at top 10(Recall@10)0.347,and mean reciprocal rank(MRR)=0.370;it also attains strong abstract summarization performance,with a recall-oriented understudy for gisting evaluation(ROUGE)-1 score of 0.434,and QA performance,with a bilingual evaluation understudy(BLEU)-1 score of 7.851.The comparable performance achieved on the TripClick dataset further under-scores the adaptability of ERQA across diverse medical topics.These findings suggest that ERQA repre-sents a significant step toward efficient biomedical knowledge retrieval and QA.
基金supported by the National Natural Science Foundation of China(81770971).
文摘Bilateral diffuse uveal melanocytic proliferation(BDUMP)is a rare paraneoplastic ocular syndrome,often associated with significant vision loss and poor prognosis.BDUMP is typically linked to systemic malignancies,including ovarian,lung,pancreatic,and colorectal cancers.Here,we reported a case of BDUMP in a 59-year-old male patient who had been misdiagnosed with a nonfunctional adrenal adenoma.This man,with a history of diabetes mellitus and high blood pressure,complained of progressive visual loss in both eyes.He was diagnosed with BDUMP after undergoing comprehensive ophthalmic assessments at our eye center.After being referred to the urology department,he was initially diagnosed with a right nonfunctional adrenal adenoma because his renin-aldosterone levels and serum potassium levels were normal.However,three months later,the adrenal mass rapidly increased in size,and liver metastasis was confirmed.Despite normal tumor marker levels,a histopathological diagnosis ultimately confirmed adrenocortical carcinoma.This case underscores the importance of considering underlying malignancies in patients with BDUMP and highlights the necessity for early systemic evaluation,including imaging studies and multidisciplinary consultations.Timely diagnosis of underlying cancers may improve patient outcomes.It is worth noting that normal hormone levels and a tumor small-sized cannot be used as conclusive evidence that the tumor is a nonfunctional adrenal adenoma;patients with BDUMP should be closely followed up to identify the primary malignancy.
文摘With the development of virtual reality (VR) technology, more and more industries are beginning to integrate with VR technology. In response to the problem of not being able to directly render the lighting effect of Caideng in digital Caideng scenes, this article analyzes the lighting model. It combines it with the lighting effect of Caideng scenes to design an optimized lighting model algorithm that fuses the bidirectional transmission distribution function (BTDF) model. This algorithm can efficiently render the lighting effect of Caideng models in a virtual environment. And using image optimization processing methods, the immersive experience effect on the VR is enhanced. Finally, a Caideng roaming interactive system was designed based on this method. The results show that the frame rate of the system is stable during operation, maintained above 60 fps, and has a good immersive experience.
