In deep underground resources mining engineering,rock mass exists in a three-dimensional environment of high stress,high fluid pressure,and high temperature.With the stress disturbance of mining engineering,it is easy...In deep underground resources mining engineering,rock mass exists in a three-dimensional environment of high stress,high fluid pressure,and high temperature.With the stress disturbance of mining engineering,it is easy to trigger high-energy coal-rock dynamic disasters,which severely restricts the safe and efficient development of deep resources.To investigate the non-linear fracture evolution process and key precursor laws of the coal-rock mass in the process of deep mining,an experimental study was conducted based on the true three-dimensional disturbance stress simulation experiment system.Results showed that the disturbance disaster process of the coal-rock mass has significant stages,and the corresponding acoustic emission(AE)signals also show regular changes.The necessary condition for the occurrence of coal-rock dynamic disasters is that the coupling of the maximum static stress and disturbance stress amplitude should exceed the damage threshold value,the increase ofσ_(2)can reduce the occurrence probability of disaster,and the influence of disturbance frequency on disaster intensity is transition.There are obvious stages in the damage accumulation process of stress-disturbed rock mass,including:damage weakening stage,no damage stage,and accelerated damage stage.The brief AE event calm period and the rapid decline of high average frequency value accompanied with the surge in the low-rise time/amplitude value before the disaster can be regarded as the key precursors of the rock dynamic disaster.The research results are crucial for understanding the disaster evolution of rock mass rupture disturbed by three-dimensional stress in deep engineering,and for the early warning and prevention of coal-rock dynamic disasters.展开更多
The urgent demand for clean energy solutions has intensified the search for advanced storage materials,with rechargeable alkali-ion batteries(AIBs)playing a pivotal role in electrochemical energy storage.Enhancing ele...The urgent demand for clean energy solutions has intensified the search for advanced storage materials,with rechargeable alkali-ion batteries(AIBs)playing a pivotal role in electrochemical energy storage.Enhancing electrode performance is critical to addressing the increasing need for high-energy and high-power AIBs.Next-generation anode materials face significant challenges,including limited energy storage capacities and complex reaction mechanisms that complicate structural modeling.Sn-based materials have emerged as promising candidates for AIBs due to their inherent advantages.Recent research has increasingly focused on the development of heterojunctions as a strategy to enhance the performance of Sn-based anode materials.Despite significant advances in this field,comprehensive reviews summarizing the latest developments are still sparse.This review provides a detailed overview of recent progress in Sn-based heterojunction-type anode materials.It begins with an explanation of the concept of heterojunctions,including their fabrication,characterization,and classification.Cutting-edge research on Sn-based heterojunction-type anodes for AIBs is highlighted.Finally,the review summarizes the latest advancements in heterojunction technology and discusses future directions for research and development in this area.展开更多
During a routine inspection in a petroleum product terminal, hydrocarbon staining was found in soil along the perimeter of a diesel fuel tank. As the observation was made a few days after a magnitude 5.1 earthquake in...During a routine inspection in a petroleum product terminal, hydrocarbon staining was found in soil along the perimeter of a diesel fuel tank. As the observation was made a few days after a magnitude 5.1 earthquake in the general area of the terminal, the hydrocarbon staining in the soil was suspected to be a result of a leak from the tank. The observation triggered an immediate tank inspection, which included examination of tank exterior, piping and connections;pressure testing;wall thickness gauging;and an inventory check. Results of the initial inspection suggested that there were no integrity issues with the tank. Before more vigorous and more disruptive inspections were conducted, chemical fingerprinting was conducted to assess the nature of soil staining and potential connection with the “suspected” tank leak. Samples were collected from the site, including a diesel fuel sample from the tank, a light non-aqueous phase liquid (LNAPL) sample from the monitoring well in the immediate vicinity, and representative soil samples from the perimeter of, and beneath, the tank. A tiered laboratory analytical approach was taken, which included initial gas chromatography-flame ionization detector carbon chain analysis and final gas chromatography-mass spectrometry or detailed fingerprint analyses. Based on the results of initial inspection, knowledge of LNAPL mobility in response to earthquake seismic waves, and chemical fingerprints of representative samples, it was determined that the soil staining was not a result of suspected tank release but remobilization of hydrocarbons from the historically impacted soil beneath the tank to the soil along the perimeter of the tank.展开更多
Dolomites and eruptive rocks are well-developed in the Permian Fengcheng Formation in Junggar Basin in China, in which oil and gas are accumulated extensively. Until now, high-yield industrial oil and gas flows have b...Dolomites and eruptive rocks are well-developed in the Permian Fengcheng Formation in Junggar Basin in China, in which oil and gas are accumulated extensively. Until now, high-yield industrial oil and gas flows have been obtained in the dolomitic tuff of the second unit of the Fengcheng Formation, which demonstrates the huge exploration potential of the thick layer of massive dolomitic tuff. The lithology of the second unit of the Fengcheng Formation in this area has gradually transformed from the dolomite, dolomitic tuff to siltstone from east to west. Moreover, the well testing shows that the reservoir is oil-saturated, and the production rate mainly depends on the reservoir’s physical properties and fracture development. In this study, different types of data including core data, well log and seismic data are used cooperatively to characterize the sedimentary, structure and fracture features of the Fengcheng Formation, and then characterize the promising target zone in the study area. The result indicates that hydrocarbons are most accumulated along the deep fault in the Wu-Xia fault zone, which will be the favorable zone for the next progressive exploration.展开更多
It has become an inevitable trend of human development to seek resources from the deep underground.However,rock encountered in deep underground engineering is usually in an anisotropic stress state(σ_(1)>σ>σ_...It has become an inevitable trend of human development to seek resources from the deep underground.However,rock encountered in deep underground engineering is usually in an anisotropic stress state(σ_(1)>σ>σ_(3))due to the influences of geological structures and engineering disturbances.It is therefore essential to study the mechanical,seepage,and dynamic disaster behaviors of deep rock under true triaxial stress to ensure the safe operation of deep rock engineering and the efficient exploitation of deep resources.In recent years,experimental techniques and research on true triaxial rock mechanics have achieved fruitful results that have promoted the rapid development of deep rock mechanics;thus,it is necessary to systematically review and summarize these developments.This work first introduced several typical true triaxial testing apparatus and then reviewed the corresponding research progress on rock deformation,strength,failure mode,brittleness,and energy as well as the 3D volumetric fracturing(dynamic disaster)properties of deep rocks under true triaxial stress.Then,several commonly used true triaxial rock strength criteria and their applicability,the permeability characteristics and mathematical models of deep reservoir rocks,and the disaster-causing processes and mechanisms of disturbed volumetric fracturing(rockburst,compound dynamic disasters)in deep rock engineering were described.This work may provide an essential reference for addressing the true triaxial rock mechanics issues involved in deep rock engineering,especially regarding the stability of surrounding rock at depth,disaster prevention and control,and oil and gas exploitation.展开更多
AIM To evaluate the short-term outcomes and quality of life(Qo L) in gastric cancer patients undergoing digestive tract construction using the isoperistaltic jejunum-latercut overlap method(IJOM) after totally laparos...AIM To evaluate the short-term outcomes and quality of life(Qo L) in gastric cancer patients undergoing digestive tract construction using the isoperistaltic jejunum-latercut overlap method(IJOM) after totally laparoscopic total gastrectomy(TLTG).METHODS A total of 507 patients who underwent laparoscopic gastrectomy(D2) from January 2014 to March 2016 were originally included in the study. The patients were divided into two groups to undergo digestive tract construction using either IJOM after TLTG(group T, n = 51) or Roux-en-Y anastomosis after laparoscopic-assisted total gastrectomy(LATG)(group A, n = 456). The short-term outcomes and Qo L were compared between the two groups after 1:2 propensity-score matching(PSM). We used a questionnaire to assess Qo L.RESULTS Before matching, age, sex, tumor size, tumor location, preoperative albumin and blood loss were significantly different between the two groups(P < 0.05). After PSM, the patients were well balanced in terms of their clinicopathological characteristics, although both blood loss and in-hospital postoperative days in group T were significantly lower than those in group A(P < 0.05). After matching, group T reported better Qo L in the domains of pain and dysphagia. Among the items evaluating pain and dysphagia, group T tended to report better Qo L("Have you felt pain" and "Have you had difficulty eating solid food")(P < 0.05).CONCLUSION The IJOM for digestive tract reconstruction after TLTG is associated with reduced blood loss and less pain and dysphagia, thus improving Qo L after laparoscopic gastrectomy.展开更多
AIM: To investigate the splenic hilar vascular anatomy and the influence of splenic artery(Sp A) type in laparoscopic total gastrectomy with spleen-preserving splenic lymphadenectomy(LTGSPL).METHODS:The clinical anato...AIM: To investigate the splenic hilar vascular anatomy and the influence of splenic artery(Sp A) type in laparoscopic total gastrectomy with spleen-preserving splenic lymphadenectomy(LTGSPL).METHODS:The clinical anatomy data of 317 patients with upper- or middle-third gastric cancer who underwent LTGSPL in our hospital from January 2011 to December 2013 were collected. The patients were divided into two groups(concentrated group vs distributed group) according to the distance between the splenic artery's furcation and the splenic hilar region. Then, the anatomical layout, clinicopathologic characteristics, intraoperative variables, and postoperative variables were compared between the two groups.RESULTS: There were 205 patients with a concentrated type(64.7%) and 112 patients with a distributed type(35.3%) Sp A. There were 22 patients(6.9%) with a single branch of the splenic lobar vessels, 250(78.9%) with 2 branches, 43(13.6%) with 3 branches, and 2 patients(0.6%) with multiple branches. Eighty sevenpatients(27.4%) had type?Ⅰ?splenic artery trunk, 211(66.6%) had type Ⅱ, 13(4.1%) had type Ⅲ, and 6(1.9%) had type Ⅳ. The mean splenic hilar lymphadenectomy time(23.15 ± 8.02 vs 26.21 ± 8.84 min; P = 0.002), mean blood loss resulting from splenic hilar lymphadenectomy(14.78 ± 11.09 vs 17.37 ± 10.62 m L; P = 0.044), and number of vascular clamps used at the splenic hilum(9.64 ± 2.88 vs 10.40 ± 3.57; P = 0.040) were significantly lower in the concentrated group than in the distributed group. However, the mean total surgical time, mean total blood loss, and the mean number of harvested splenic hilar lymph nodes were similar in both groups(P > 0.05 for each comparison). There were also no significant differences in clinicopathological and postoperative characteristics between the groups(P > 0.05).CONCLUSION: It is of value for surgeons to know the splenic hilar vascular anatomy when performing LTGSPL. Patients with concentrated type Sp A may be optimal patients for training new surgeons.展开更多
Two bacterial stains were isolated from the activated sludge and identified as Leucobacter sp. and Alcaligenesfaecalis by 16S rDNA sequencing. Pure cultures of these two strains, representing well or poorly settled ba...Two bacterial stains were isolated from the activated sludge and identified as Leucobacter sp. and Alcaligenesfaecalis by 16S rDNA sequencing. Pure cultures of these two strains, representing well or poorly settled bacteria, were used to investigate the mechanism of bioflocculation in activated sludge. Based on the analyses of the characteristics of cells hydrophobicity, ζ-potential, flocculation ability and extracellular polymeric substance （EPS） composition under different growth stages, it was found that the ratio of cell EPS protein had the highly influence on ζ-potential and hydrophobicity, which were important factors to bioflocculation. Cellulase and Proteinase K could destroy the extracellular biopolymer and resulted in a decrease in the hydrophobicity and ζ-potential. However, in our study, the flocculation characteristics exhibited differently in relation to cellulase and Proteinase K. Flocculation of cells treated with cellulase and Proteinase K decreased sharply, and then recovered quickly in cellulase treatment, while cells treated with Proteinase K showed no sign of recovery. This reveals that the presence of protein in extracellular biopolymer plays an important role to the bioflocculation of cells.展开更多
AIM:To report the incidence and potential risk factors of small-volume chylous ascites(SVCA)following laparoscopic radical gastrectomy(LAG).METHODS:A total of 1366 consecutive gastric cancer patients who underwent LAG...AIM:To report the incidence and potential risk factors of small-volume chylous ascites(SVCA)following laparoscopic radical gastrectomy(LAG).METHODS:A total of 1366 consecutive gastric cancer patients who underwent LAG from January 2008 to June 2011 were enrolled in this study.We analyzed the patients based on the presence or absence of SVCA.RESULTS:SVCA was detected in 57(4.17%)patients,as determined by the small-volume drainage(range,30-100 m L/24 h)of triglyceride-rich fluid.Both univariate and multivariate analyses revealed that the total number of resected lymph nodes(LNs),No.8 or No.9 LN metastasis and N stage were independent risk factors for SVCA following LAG(P<0.05).Regarding hospital stay,there was a significant difference between the groups with and without SVCA(P<0.001).The 3-year disease-free and overall survival rates of the patients with SVCA were 47.4%and 56.1%,respectively,which were similar to those of the patients without SVCA(P>0.05).CONCLUSION:SVCA following LAG developed significantly more frequently in the patients with≥32harvested LNs,≥3 metastatic LNs,or No.8 or No.9LN metastasis.SVCA,which was successfully treated with conservative management,was associated with a prolonged hospital stay but was not associated with the prognosis.展开更多
Objective:This phase 3 study aimed to test equivalence in efficacy and safety for QL1101,a bevacizumab analogue in Chinese patients with untreated locally advanced non-squamous non-small cell lung cancer(NSCLC).Method...Objective:This phase 3 study aimed to test equivalence in efficacy and safety for QL1101,a bevacizumab analogue in Chinese patients with untreated locally advanced non-squamous non-small cell lung cancer(NSCLC).Methods:Eligible patients were randomly assigned 1:1 to receive carboplatin and paclitaxel in combination with either QL1101 or bevacizumab,15 mg/kg every 3-week for 6 cycles.This was followed by maintenance treatment with single agent QL1101 every 3-week.The primary end-point was objective response rate(ORR),with secondary end-points being progression-free survival(PFS),overall survival(OS),disease control rate(DCR),and adverse events(AEs).Results:Of 675 patients,535 eligible patients were randomized to the QL1101 group(n=269)and bevacizumab group(n=266).ORRs were 52.8%and 56.8%,respectively,for the QL1101 and bevacizumab groups,with an ORR hazard ratio 0.93(95%confidence interval:0.8-0131.1).The PFS,OS,DCR,and AEs were comparable between the 2 groups,which remained the same after stratification according to epidermal growth factor receptor mutation or smoking history.Conclusions:QL1101 showed similar efficacy and safety profiles as compared to bevacizumab among Chinese patients with untreated locally advanced non-squamous NSCLC.展开更多
The DNA nuclease-like activity of a water soluble manganese corrole 5, 10, 15-tris（N-methyl-4-pyridyl）- corrolatomanga- nese（III） （MnⅢTMPyC） has been investigated. MnⅢMPyC may bind strongly to DNA via outside ...The DNA nuclease-like activity of a water soluble manganese corrole 5, 10, 15-tris（N-methyl-4-pyridyl）- corrolatomanga- nese（III） （MnⅢTMPyC） has been investigated. MnⅢMPyC may bind strongly to DNA via outside groove binding mode as indicated by absorption spectra, viscosity measurements and CD spectra. MnInTMPyC exhibited excellent catalytic activity in the DNA oxidative cleavage in the presence of hydroperoxide.展开更多
Background:The Black-necked Crane (Grus nigricollis)is an internationally threatened crane living on the plateau, mainly in winter, in the Yarlung Tsangpo River basin in Tibet,western China. In the past five years,som...Background:The Black-necked Crane (Grus nigricollis)is an internationally threatened crane living on the plateau, mainly in winter, in the Yarlung Tsangpo River basin in Tibet,western China. In the past five years,some economic development projects have been conducted in this area,posing potential threats to the wintering populations of the cranes and their habitats. Therefore, the current population dynamics of wintering Black-necked Cranes and habitat suitability in the Yarlung Tsangpo River basin were investigated. Methods: Twenty counties were surveyed using the line transect method in December 2017 and January 2018, and we recorded the location,flock size,number of individuals,habitat types and presence of human disturbance in which they occurred.We compared the results from the middle wintering period in this survey with those from 2014. Results: The highest number of cranes recorded was 8291,and the results showed that the cranes were mainly distributed in Lhaze, Namling, Samzhubze, and Lhunzub.A total of 577 and 495 flocks were recorded in the early and middle wintering periods, respectively. In the early wintering period,there were signi ficant differences in the number of individuals across the di fferent habitats,with crop stubble land and plowed land representing more than 30% of the total habitat utilization.In the middle wintering period, there were also signi ficant differences in the number of individuals, and the utilization of crop stubble land represented over 60% of the total. Conclusions: Wintering Black-necked Cranes mainly fed on spilled grains in stubble habitat after harvest. In the middle wintering period, some of the farmlands were plowed and irrigated,which resulted in food shortages in these areas,and the cranes tended to gather in mixed flocks of large size instead of as a single family.There were still considerable regional wintering populations decreases in Quxu,Nedong,and Sakya in 2018 compared with 2014,and these decreases were mainly due to some recently emerging threats,including farmlands being converted into areas of greenhouse cultivation,highway and railway construction, river dredging,the rapid development of the manufacturing and mining industries,and the lack of protection of important wintering sites.展开更多
Fibers degradation and matrix cracks are very common during fabrication of composites,which seriously reduces the reliability and properties of the composites.In this work,2 D-C_(f)/Zr B_(2)-Si C composites were fabri...Fibers degradation and matrix cracks are very common during fabrication of composites,which seriously reduces the reliability and properties of the composites.In this work,2 D-C_(f)/Zr B_(2)-Si C composites were fabricated by a joint processing of slurry infiltration and hot pressing.Based on thermal kinetics calculation,finite element simulation and detailed microstructure characterization,fibers degradation and matrix cracks formation mechanisms of the composites are discussed and revealed.Oxide impurities including SiO_(2)and ZrO_(2)react with carbon fibers,resulting in formation of Zr C,Si C particles and etching pits on the fibers,which also leads to a strong bonding between the fibers and matrix.On the other hand,thermal expansion mismatch between the fibers and matrix gives rise to serious thermal stress in the composites.The thermal stress distribution and development are analyzed by finite element simulation,which is in good agreement with the cracks’formation in the composites.Based on the revealed microstructure evolution mechanisms,a potential solution to mitigate fibers degradation and matrix cracks is put forward.展开更多
Objective: Anti-vascular endothelial growth factor(VEGF) monoclonal antibodies are an effective means of treating non-small cell lung cancer(NSCLC). Here, we aim to update the equivalent efficacy assessment between QL...Objective: Anti-vascular endothelial growth factor(VEGF) monoclonal antibodies are an effective means of treating non-small cell lung cancer(NSCLC). Here, we aim to update the equivalent efficacy assessment between QL1101 and bevacizumab based on two-year follow-up data.Methods: In total, 535 eligible NSCLC patients were enrolled in this randomized controlled trial. Patients were randomly assigned 1:1 to the QL1101 group and the bevacizumab group. The full end time of this study was defined as 24 months after the last enrolled patient was randomized. The primary endpoint was the objective response rate(ORR);equivalence was confirmed if the two-sided 90% confidence interval(90% CI) of the relative risk was within the range of 0.75-1.33. The secondary endpoints were progression-free survival(PFS) and overall survival(OS).Results: The two-year updated data showed similar ORR(QL1101 vs. bevacizumab: 53.1% vs. 54.3%;relative risk=0.977;90% CI: 0.838-1.144), PFS(235 d vs. 254 d, log-rank P=0.311), and OS(577 d vs. 641 d, log-rank P=0.099) results between the QL1101 group and the bevacizumab group. The mean shrinkage ratio of targeted lesions was also similar between the QL1101 group and the bevacizumab group(22.5% vs. 23.5%). For patients who received QL1101 maintenance therapy, similar results were shown between the QL1101 group(n=157) and the bevacizumab group(n=148)(PFS: 253 d vs. 272 d, log-rank P=0.387;OS: 673 d vs. 790 d, log-rank P=0.101;mean tumor shrinkage rate: 26.6% vs. 27.5%).Conclusions: This study reported that QL1101 had similar efficacy in treating nonsquamous NSCLC in terms of ORR, PFS and OS based on two-year updated data, providing a basis for the clinical application of QL1101.展开更多
That phosphorus has been removed more from water in purification process can result in higher grade of biological stability of the effluent tap water, especially for the water plant when using surface water source. Th...That phosphorus has been removed more from water in purification process can result in higher grade of biological stability of the effluent tap water, especially for the water plant when using surface water source. This study conducted the experiments of phosphorus removal by three coagulants including aluminum chloride, aluminum sulfate and poly aluminum chloride. The results indicated that the poly aluminum chloride is the preferred one that could remove phosphorus up to 80%, followed by aluminum chloride and aluminum sulfate. The lowest proportion of aluminum quality to phosphorus quality is 63 as using poly aluminum chloride, followed by aluminum chloride and aluminum sulfate. It is suggested that the poly aluminum chloride should be the best option to remove phosphorus in water plant.展开更多
Recent studies have shown that varied stress stimuli activate c-Jun N-terminal kinase （JNK）, protein kinase B （Akt）, and p38 mitogen-activated protein kinase （p38） signal transduction pathway, and also regulate ...Recent studies have shown that varied stress stimuli activate c-Jun N-terminal kinase （JNK）, protein kinase B （Akt）, and p38 mitogen-activated protein kinase （p38） signal transduction pathway, and also regulate various apoptotic cascades. JNK and p38 promote apoptosis, but Akt protects against apoptosis, in hippocampal neurons. However, changes in the transduction pathway in different regions of brain tissues in a chronic stress rat model of depression remain poorly understood. Results from this study showed that JNK phosphorylation levels were significantly greater in the stress group hippocampus compared with the control group （P 〈 0.05）. No significant difference in JNK phosphorylation levels was detected in the rat cerebral cortex between stress and control groups, and no significant difference in Akt and p38 phosphorylation levels was detected in the rat hippocampus and cerebral cortex between stress and control groups （P 〉 0.05）. These results suggested that the JNK signal pathway is activated by JNK phosphorylation and participates in pathophysiological changes in rat models of depression.展开更多
The global green hydrogen industry is experiencing rapid growth,but the high production costs are hindering its widespread adoption.To address this challenge,it is particularly important to rationally configure a rene...The global green hydrogen industry is experiencing rapid growth,but the high production costs are hindering its widespread adoption.To address this challenge,it is particularly important to rationally configure a renewable energy hydrogen production system.For this purpose,the study proposes a model for capacity optimization configuration of a renewable energy hydrogen production system,which integrates wind power,photovoltaic(PV)power,and concentrating solar power(CSP)with alkaline electrolyzer.It conducts capacity optimization configuration and comprehensive evaluations of the hydrogen production system across various scenarios.To minimize the total daily consumption cost,the CPLEX solver is utilized to solve the objective function and determine the capacity configuration of the renewable energy electrolysis of water hydrogen production system generator set under various scenarios.This approach achieves a utilization rate of over 99%for renewable energy.Through comprehensive evaluation,research has found that renewable energy-coupled hydrogen production significantly reduces generator capacity and electricity generation costs compared to separate hydrogen production,enhancing the economic efficiency of the system.The Wind-PV-CSP coupling hydrogen production system has the smallest generator assembly capacity and the lowest hydrogen production cost,which is 18.84 CNY·kg^(-1),significantly lower than the cost of PV-CSP coupling hydrogen production(25.78 CNY·kg^(-1))and wind-PV coupling hydrogen production(25.86 CNY·kg^(-1)).It has good development prospects and plays an important role in exploring the development path of large-scale on-site consumption of new energy.展开更多
A 34-year-old female with stiff-person syndrome(SPS)is reported in this paper.She experienced short-term memory impairment and was diagnosed with anti-glutamic add decarboxylase(GAD)autoimmune encephalitis(AE)at the l...A 34-year-old female with stiff-person syndrome(SPS)is reported in this paper.She experienced short-term memory impairment and was diagnosed with anti-glutamic add decarboxylase(GAD)autoimmune encephalitis(AE)at the local hospital.However,after the treatment with intravenous immunoglobulin and highdose glucocorticoids,her symptoms unchanged.Two months later,she was admitted to our hospital due to an unstable gait and persistent leg stiffness,at which point she was diagnosed as anti-GAD AE concomitant with SPS.Her clinical symptoms improved with an increased dose of y-aminobutyric acid(GABA)-enhancing drug and plasma exchange.Anti-GAD antibody-associated AE combined with SPS is extremely rare.Treatment with GABA-enhancing drugs and appropriate immunotherapy can improve the neurological function of patients suffering from the combination of SPS and limbic encephalitis.展开更多
BACKGROUND An increasing number of studies have begun to discuss the relationship between gut microbiota and diseases,yet there is currently a lack of corresponding articles describing the association between gut micr...BACKGROUND An increasing number of studies have begun to discuss the relationship between gut microbiota and diseases,yet there is currently a lack of corresponding articles describing the association between gut microbiota and hepatocellular carcinoma(HCC)and biliary tract cancer(BTC).This study aims to explore the relationship between them using Mendelian randomization(MR)analysis method.AIM To assess the relationship between gut microbiota and HCC and BTC.METHODS We obtained Genome-wide association study(GWAS)data for the gut microbiome from the intestinal microbiota genomic library(MiBioGen,https://mibiogen.gcc.rug.nl/).Additionally,we accessed data pertaining to HCC and BTC from the IEU open GWAS platform(https://gwas.mrcieu.ac.uk/).Our analysis employed fundamental instrumental variable analysis methods,including inverse-variance weighted,MR and Egger.To ensure the dependability of the results,we subjected the results to tests for multiple biases and heterogeneity.RESULTS During our investigation,we discovered 11 gut microbiota linked to an increased risk to BTC and HCC.The former included the genus Eubacterium hallii group(P=0.017),Candidatus Soleaferrea(P=0.034),Flavonifractor(P=0.021),Lachnospiraceae FCS020(P=0.034),the order Victivallales(P=0.018),and the class Lentisphaeria(P=0.0.18).The latter included the genus Desulfovibrio(P=0.042),Oscillibacter(P=0.023),the family Coriobacteriaceae(P=0.048),the order Coriobacteriales(P=0.048),and the class Coriobacteriia(P=0.048).Furthermore,in BTC,we observed 2 protective gut microbiota namely the genus Dorea(P=0.041)and Lachnospiraceae ND3007 group(P=0.045).All results showed no evidence of multiplicity or heterogeneity.CONCLUSION This study explores a causal link between gut microbiota and HCC and BTC.These insights may enhance the mechanistic knowledge of microbiota-related HCC and BTC pathways,potentially informing therapeutic strategies.展开更多
Posterior malleolus fractures are quite common and usually result from rotational ankle injuries. For the management of posterior malleolus fractures, more studies are still required, though it is already well-recogni...Posterior malleolus fractures are quite common and usually result from rotational ankle injuries. For the management of posterior malleolus fractures, more studies are still required, though it is already well-recognized for medial and lateral structure. Therefore, fracture of posterior malleolus is striking subject of study among orthopedic surgeons. Most orthopedic surgeons recommend fixing the posterior malleolus fracture if it is larger than 25% to 33% of the distal articular surface. Further attention is required for the reduction and fixation of fractures involving posterior malleolus. Several approaches and methods for fixation of posterior malleolus have been defined in the literature. Previously, the most common method of fixation of the posterior malleolus is by indirect reduction and antero-posterior screws, it is minimally invasive, the anterior incision does not allow satisfactory visualization of the fragment, so good anatomical reduction is difficult to achieve thorough this approach. Operative management goals to reach a stable ankle with maximal function, decrease the risk of post-traumatic degenerative changes, and diminish the risk of complication. Nowadays, posterolateral approach is gaining the popularity due to adequate visualization and accurate anatomic reduction.展开更多
基金financially supported by the National Natural Science Foundation of China(Grant Nos.52374222 and 52104209)Basic and applied basic research project of Guangdong Province(Grant No.2024A1515010992).
文摘In deep underground resources mining engineering,rock mass exists in a three-dimensional environment of high stress,high fluid pressure,and high temperature.With the stress disturbance of mining engineering,it is easy to trigger high-energy coal-rock dynamic disasters,which severely restricts the safe and efficient development of deep resources.To investigate the non-linear fracture evolution process and key precursor laws of the coal-rock mass in the process of deep mining,an experimental study was conducted based on the true three-dimensional disturbance stress simulation experiment system.Results showed that the disturbance disaster process of the coal-rock mass has significant stages,and the corresponding acoustic emission(AE)signals also show regular changes.The necessary condition for the occurrence of coal-rock dynamic disasters is that the coupling of the maximum static stress and disturbance stress amplitude should exceed the damage threshold value,the increase ofσ_(2)can reduce the occurrence probability of disaster,and the influence of disturbance frequency on disaster intensity is transition.There are obvious stages in the damage accumulation process of stress-disturbed rock mass,including:damage weakening stage,no damage stage,and accelerated damage stage.The brief AE event calm period and the rapid decline of high average frequency value accompanied with the surge in the low-rise time/amplitude value before the disaster can be regarded as the key precursors of the rock dynamic disaster.The research results are crucial for understanding the disaster evolution of rock mass rupture disturbed by three-dimensional stress in deep engineering,and for the early warning and prevention of coal-rock dynamic disasters.
文摘The urgent demand for clean energy solutions has intensified the search for advanced storage materials,with rechargeable alkali-ion batteries(AIBs)playing a pivotal role in electrochemical energy storage.Enhancing electrode performance is critical to addressing the increasing need for high-energy and high-power AIBs.Next-generation anode materials face significant challenges,including limited energy storage capacities and complex reaction mechanisms that complicate structural modeling.Sn-based materials have emerged as promising candidates for AIBs due to their inherent advantages.Recent research has increasingly focused on the development of heterojunctions as a strategy to enhance the performance of Sn-based anode materials.Despite significant advances in this field,comprehensive reviews summarizing the latest developments are still sparse.This review provides a detailed overview of recent progress in Sn-based heterojunction-type anode materials.It begins with an explanation of the concept of heterojunctions,including their fabrication,characterization,and classification.Cutting-edge research on Sn-based heterojunction-type anodes for AIBs is highlighted.Finally,the review summarizes the latest advancements in heterojunction technology and discusses future directions for research and development in this area.
文摘During a routine inspection in a petroleum product terminal, hydrocarbon staining was found in soil along the perimeter of a diesel fuel tank. As the observation was made a few days after a magnitude 5.1 earthquake in the general area of the terminal, the hydrocarbon staining in the soil was suspected to be a result of a leak from the tank. The observation triggered an immediate tank inspection, which included examination of tank exterior, piping and connections;pressure testing;wall thickness gauging;and an inventory check. Results of the initial inspection suggested that there were no integrity issues with the tank. Before more vigorous and more disruptive inspections were conducted, chemical fingerprinting was conducted to assess the nature of soil staining and potential connection with the “suspected” tank leak. Samples were collected from the site, including a diesel fuel sample from the tank, a light non-aqueous phase liquid (LNAPL) sample from the monitoring well in the immediate vicinity, and representative soil samples from the perimeter of, and beneath, the tank. A tiered laboratory analytical approach was taken, which included initial gas chromatography-flame ionization detector carbon chain analysis and final gas chromatography-mass spectrometry or detailed fingerprint analyses. Based on the results of initial inspection, knowledge of LNAPL mobility in response to earthquake seismic waves, and chemical fingerprints of representative samples, it was determined that the soil staining was not a result of suspected tank release but remobilization of hydrocarbons from the historically impacted soil beneath the tank to the soil along the perimeter of the tank.
文摘Dolomites and eruptive rocks are well-developed in the Permian Fengcheng Formation in Junggar Basin in China, in which oil and gas are accumulated extensively. Until now, high-yield industrial oil and gas flows have been obtained in the dolomitic tuff of the second unit of the Fengcheng Formation, which demonstrates the huge exploration potential of the thick layer of massive dolomitic tuff. The lithology of the second unit of the Fengcheng Formation in this area has gradually transformed from the dolomite, dolomitic tuff to siltstone from east to west. Moreover, the well testing shows that the reservoir is oil-saturated, and the production rate mainly depends on the reservoir’s physical properties and fracture development. In this study, different types of data including core data, well log and seismic data are used cooperatively to characterize the sedimentary, structure and fracture features of the Fengcheng Formation, and then characterize the promising target zone in the study area. The result indicates that hydrocarbons are most accumulated along the deep fault in the Wu-Xia fault zone, which will be the favorable zone for the next progressive exploration.
基金supported by the National Natural Science Foundation of China(No.52104209)the Postdoctoral Research Foundation of China(No.2021M692192)+1 种基金the National Natural Science Foundation of China(Nos.51827901 and 52174082)the Program for Guangdong Introducing Innovative and Entrepre-neurial Teams(No.2019ZT08G315).
文摘It has become an inevitable trend of human development to seek resources from the deep underground.However,rock encountered in deep underground engineering is usually in an anisotropic stress state(σ_(1)>σ>σ_(3))due to the influences of geological structures and engineering disturbances.It is therefore essential to study the mechanical,seepage,and dynamic disaster behaviors of deep rock under true triaxial stress to ensure the safe operation of deep rock engineering and the efficient exploitation of deep resources.In recent years,experimental techniques and research on true triaxial rock mechanics have achieved fruitful results that have promoted the rapid development of deep rock mechanics;thus,it is necessary to systematically review and summarize these developments.This work first introduced several typical true triaxial testing apparatus and then reviewed the corresponding research progress on rock deformation,strength,failure mode,brittleness,and energy as well as the 3D volumetric fracturing(dynamic disaster)properties of deep rocks under true triaxial stress.Then,several commonly used true triaxial rock strength criteria and their applicability,the permeability characteristics and mathematical models of deep reservoir rocks,and the disaster-causing processes and mechanisms of disturbed volumetric fracturing(rockburst,compound dynamic disasters)in deep rock engineering were described.This work may provide an essential reference for addressing the true triaxial rock mechanics issues involved in deep rock engineering,especially regarding the stability of surrounding rock at depth,disaster prevention and control,and oil and gas exploitation.
基金Supported by National Key Clinical Specialty Discipline Construction program of China,No.[2012]649Key Project of Science and Technology Plan of Fujian Province,No.2014Y0025
文摘AIM To evaluate the short-term outcomes and quality of life(Qo L) in gastric cancer patients undergoing digestive tract construction using the isoperistaltic jejunum-latercut overlap method(IJOM) after totally laparoscopic total gastrectomy(TLTG).METHODS A total of 507 patients who underwent laparoscopic gastrectomy(D2) from January 2014 to March 2016 were originally included in the study. The patients were divided into two groups to undergo digestive tract construction using either IJOM after TLTG(group T, n = 51) or Roux-en-Y anastomosis after laparoscopic-assisted total gastrectomy(LATG)(group A, n = 456). The short-term outcomes and Qo L were compared between the two groups after 1:2 propensity-score matching(PSM). We used a questionnaire to assess Qo L.RESULTS Before matching, age, sex, tumor size, tumor location, preoperative albumin and blood loss were significantly different between the two groups(P < 0.05). After PSM, the patients were well balanced in terms of their clinicopathological characteristics, although both blood loss and in-hospital postoperative days in group T were significantly lower than those in group A(P < 0.05). After matching, group T reported better Qo L in the domains of pain and dysphagia. Among the items evaluating pain and dysphagia, group T tended to report better Qo L("Have you felt pain" and "Have you had difficulty eating solid food")(P < 0.05).CONCLUSION The IJOM for digestive tract reconstruction after TLTG is associated with reduced blood loss and less pain and dysphagia, thus improving Qo L after laparoscopic gastrectomy.
基金Supported by National Key Clinical Specialty Discipline Construction Program of China,No.[2012]649Key Project of Science and Technology Plan of Fujian Province,China,No.2014Y0025
文摘AIM: To investigate the splenic hilar vascular anatomy and the influence of splenic artery(Sp A) type in laparoscopic total gastrectomy with spleen-preserving splenic lymphadenectomy(LTGSPL).METHODS:The clinical anatomy data of 317 patients with upper- or middle-third gastric cancer who underwent LTGSPL in our hospital from January 2011 to December 2013 were collected. The patients were divided into two groups(concentrated group vs distributed group) according to the distance between the splenic artery's furcation and the splenic hilar region. Then, the anatomical layout, clinicopathologic characteristics, intraoperative variables, and postoperative variables were compared between the two groups.RESULTS: There were 205 patients with a concentrated type(64.7%) and 112 patients with a distributed type(35.3%) Sp A. There were 22 patients(6.9%) with a single branch of the splenic lobar vessels, 250(78.9%) with 2 branches, 43(13.6%) with 3 branches, and 2 patients(0.6%) with multiple branches. Eighty sevenpatients(27.4%) had type?Ⅰ?splenic artery trunk, 211(66.6%) had type Ⅱ, 13(4.1%) had type Ⅲ, and 6(1.9%) had type Ⅳ. The mean splenic hilar lymphadenectomy time(23.15 ± 8.02 vs 26.21 ± 8.84 min; P = 0.002), mean blood loss resulting from splenic hilar lymphadenectomy(14.78 ± 11.09 vs 17.37 ± 10.62 m L; P = 0.044), and number of vascular clamps used at the splenic hilum(9.64 ± 2.88 vs 10.40 ± 3.57; P = 0.040) were significantly lower in the concentrated group than in the distributed group. However, the mean total surgical time, mean total blood loss, and the mean number of harvested splenic hilar lymph nodes were similar in both groups(P > 0.05 for each comparison). There were also no significant differences in clinicopathological and postoperative characteristics between the groups(P > 0.05).CONCLUSION: It is of value for surgeons to know the splenic hilar vascular anatomy when performing LTGSPL. Patients with concentrated type Sp A may be optimal patients for training new surgeons.
基金supported by the National Natural Science Foundation of China(No. 20977031)the Natural Science Foundation of Shanghai(No. 09zr1409000)+2 种基金the Research Initiatives of the University of Hong Kong(2006)the Royal Society of New Zealand(ISAT B09-33)Faculty of Health & Environmental Sciences,Auckland University of Technology
文摘Two bacterial stains were isolated from the activated sludge and identified as Leucobacter sp. and Alcaligenesfaecalis by 16S rDNA sequencing. Pure cultures of these two strains, representing well or poorly settled bacteria, were used to investigate the mechanism of bioflocculation in activated sludge. Based on the analyses of the characteristics of cells hydrophobicity, ζ-potential, flocculation ability and extracellular polymeric substance （EPS） composition under different growth stages, it was found that the ratio of cell EPS protein had the highly influence on ζ-potential and hydrophobicity, which were important factors to bioflocculation. Cellulase and Proteinase K could destroy the extracellular biopolymer and resulted in a decrease in the hydrophobicity and ζ-potential. However, in our study, the flocculation characteristics exhibited differently in relation to cellulase and Proteinase K. Flocculation of cells treated with cellulase and Proteinase K decreased sharply, and then recovered quickly in cellulase treatment, while cells treated with Proteinase K showed no sign of recovery. This reveals that the presence of protein in extracellular biopolymer plays an important role to the bioflocculation of cells.
基金Supported by Grants from National Key Clinical Specialty Discipline Construction Program of China,No.[2012]649
文摘AIM:To report the incidence and potential risk factors of small-volume chylous ascites(SVCA)following laparoscopic radical gastrectomy(LAG).METHODS:A total of 1366 consecutive gastric cancer patients who underwent LAG from January 2008 to June 2011 were enrolled in this study.We analyzed the patients based on the presence or absence of SVCA.RESULTS:SVCA was detected in 57(4.17%)patients,as determined by the small-volume drainage(range,30-100 m L/24 h)of triglyceride-rich fluid.Both univariate and multivariate analyses revealed that the total number of resected lymph nodes(LNs),No.8 or No.9 LN metastasis and N stage were independent risk factors for SVCA following LAG(P<0.05).Regarding hospital stay,there was a significant difference between the groups with and without SVCA(P<0.001).The 3-year disease-free and overall survival rates of the patients with SVCA were 47.4%and 56.1%,respectively,which were similar to those of the patients without SVCA(P>0.05).CONCLUSION:SVCA following LAG developed significantly more frequently in the patients with≥32harvested LNs,≥3 metastatic LNs,or No.8 or No.9LN metastasis.SVCA,which was successfully treated with conservative management,was associated with a prolonged hospital stay but was not associated with the prognosis.
文摘Objective:This phase 3 study aimed to test equivalence in efficacy and safety for QL1101,a bevacizumab analogue in Chinese patients with untreated locally advanced non-squamous non-small cell lung cancer(NSCLC).Methods:Eligible patients were randomly assigned 1:1 to receive carboplatin and paclitaxel in combination with either QL1101 or bevacizumab,15 mg/kg every 3-week for 6 cycles.This was followed by maintenance treatment with single agent QL1101 every 3-week.The primary end-point was objective response rate(ORR),with secondary end-points being progression-free survival(PFS),overall survival(OS),disease control rate(DCR),and adverse events(AEs).Results:Of 675 patients,535 eligible patients were randomized to the QL1101 group(n=269)and bevacizumab group(n=266).ORRs were 52.8%and 56.8%,respectively,for the QL1101 and bevacizumab groups,with an ORR hazard ratio 0.93(95%confidence interval:0.8-0131.1).The PFS,OS,DCR,and AEs were comparable between the 2 groups,which remained the same after stratification according to epidermal growth factor receptor mutation or smoking history.Conclusions:QL1101 showed similar efficacy and safety profiles as compared to bevacizumab among Chinese patients with untreated locally advanced non-squamous NSCLC.
基金supported by the National Natural Science Foundation of China(Nos.20771039,20871122, 20971046)National Key Foundation Research Development Project(973)Item of China(No.2007CB815306)
文摘The DNA nuclease-like activity of a water soluble manganese corrole 5, 10, 15-tris（N-methyl-4-pyridyl）- corrolatomanga- nese（III） （MnⅢTMPyC） has been investigated. MnⅢMPyC may bind strongly to DNA via outside groove binding mode as indicated by absorption spectra, viscosity measurements and CD spectra. MnInTMPyC exhibited excellent catalytic activity in the DNA oxidative cleavage in the presence of hydroperoxide.
基金supported by the program from Forestry and Grassland Department of Tibet Autonomous Region
文摘Background:The Black-necked Crane (Grus nigricollis)is an internationally threatened crane living on the plateau, mainly in winter, in the Yarlung Tsangpo River basin in Tibet,western China. In the past five years,some economic development projects have been conducted in this area,posing potential threats to the wintering populations of the cranes and their habitats. Therefore, the current population dynamics of wintering Black-necked Cranes and habitat suitability in the Yarlung Tsangpo River basin were investigated. Methods: Twenty counties were surveyed using the line transect method in December 2017 and January 2018, and we recorded the location,flock size,number of individuals,habitat types and presence of human disturbance in which they occurred.We compared the results from the middle wintering period in this survey with those from 2014. Results: The highest number of cranes recorded was 8291,and the results showed that the cranes were mainly distributed in Lhaze, Namling, Samzhubze, and Lhunzub.A total of 577 and 495 flocks were recorded in the early and middle wintering periods, respectively. In the early wintering period,there were signi ficant differences in the number of individuals across the di fferent habitats,with crop stubble land and plowed land representing more than 30% of the total habitat utilization.In the middle wintering period, there were also signi ficant differences in the number of individuals, and the utilization of crop stubble land represented over 60% of the total. Conclusions: Wintering Black-necked Cranes mainly fed on spilled grains in stubble habitat after harvest. In the middle wintering period, some of the farmlands were plowed and irrigated,which resulted in food shortages in these areas,and the cranes tended to gather in mixed flocks of large size instead of as a single family.There were still considerable regional wintering populations decreases in Quxu,Nedong,and Sakya in 2018 compared with 2014,and these decreases were mainly due to some recently emerging threats,including farmlands being converted into areas of greenhouse cultivation,highway and railway construction, river dredging,the rapid development of the manufacturing and mining industries,and the lack of protection of important wintering sites.
基金The financial support from“National Natural Science Foundation of China”[No.51702341]“Key Research Program of Frontier Sciences,CAS”[QYZDY-SSW-JSC031]“CAS Pioneer Hundred Talents Program”are greatly acknowledged。
文摘Fibers degradation and matrix cracks are very common during fabrication of composites,which seriously reduces the reliability and properties of the composites.In this work,2 D-C_(f)/Zr B_(2)-Si C composites were fabricated by a joint processing of slurry infiltration and hot pressing.Based on thermal kinetics calculation,finite element simulation and detailed microstructure characterization,fibers degradation and matrix cracks formation mechanisms of the composites are discussed and revealed.Oxide impurities including SiO_(2)and ZrO_(2)react with carbon fibers,resulting in formation of Zr C,Si C particles and etching pits on the fibers,which also leads to a strong bonding between the fibers and matrix.On the other hand,thermal expansion mismatch between the fibers and matrix gives rise to serious thermal stress in the composites.The thermal stress distribution and development are analyzed by finite element simulation,which is in good agreement with the cracks’formation in the composites.Based on the revealed microstructure evolution mechanisms,a potential solution to mitigate fibers degradation and matrix cracks is put forward.
基金supported by the foundation of Chinese Society of Clinical Oncology (No. Y-2019AZZD-0355 & Y-QL2019-0125)the foundation of Shanghai Chest Hospital (No. 2019YNJCM11)the program of system biomedicine innovation center from Shanghai Jiao Tong University (No. YG2021QN121)
文摘Objective: Anti-vascular endothelial growth factor(VEGF) monoclonal antibodies are an effective means of treating non-small cell lung cancer(NSCLC). Here, we aim to update the equivalent efficacy assessment between QL1101 and bevacizumab based on two-year follow-up data.Methods: In total, 535 eligible NSCLC patients were enrolled in this randomized controlled trial. Patients were randomly assigned 1:1 to the QL1101 group and the bevacizumab group. The full end time of this study was defined as 24 months after the last enrolled patient was randomized. The primary endpoint was the objective response rate(ORR);equivalence was confirmed if the two-sided 90% confidence interval(90% CI) of the relative risk was within the range of 0.75-1.33. The secondary endpoints were progression-free survival(PFS) and overall survival(OS).Results: The two-year updated data showed similar ORR(QL1101 vs. bevacizumab: 53.1% vs. 54.3%;relative risk=0.977;90% CI: 0.838-1.144), PFS(235 d vs. 254 d, log-rank P=0.311), and OS(577 d vs. 641 d, log-rank P=0.099) results between the QL1101 group and the bevacizumab group. The mean shrinkage ratio of targeted lesions was also similar between the QL1101 group and the bevacizumab group(22.5% vs. 23.5%). For patients who received QL1101 maintenance therapy, similar results were shown between the QL1101 group(n=157) and the bevacizumab group(n=148)(PFS: 253 d vs. 272 d, log-rank P=0.387;OS: 673 d vs. 790 d, log-rank P=0.101;mean tumor shrinkage rate: 26.6% vs. 27.5%).Conclusions: This study reported that QL1101 had similar efficacy in treating nonsquamous NSCLC in terms of ORR, PFS and OS based on two-year updated data, providing a basis for the clinical application of QL1101.
文摘That phosphorus has been removed more from water in purification process can result in higher grade of biological stability of the effluent tap water, especially for the water plant when using surface water source. This study conducted the experiments of phosphorus removal by three coagulants including aluminum chloride, aluminum sulfate and poly aluminum chloride. The results indicated that the poly aluminum chloride is the preferred one that could remove phosphorus up to 80%, followed by aluminum chloride and aluminum sulfate. The lowest proportion of aluminum quality to phosphorus quality is 63 as using poly aluminum chloride, followed by aluminum chloride and aluminum sulfate. It is suggested that the poly aluminum chloride should be the best option to remove phosphorus in water plant.
基金the General Program of National Natural Science Foundation of China, No.90709034
文摘Recent studies have shown that varied stress stimuli activate c-Jun N-terminal kinase （JNK）, protein kinase B （Akt）, and p38 mitogen-activated protein kinase （p38） signal transduction pathway, and also regulate various apoptotic cascades. JNK and p38 promote apoptosis, but Akt protects against apoptosis, in hippocampal neurons. However, changes in the transduction pathway in different regions of brain tissues in a chronic stress rat model of depression remain poorly understood. Results from this study showed that JNK phosphorylation levels were significantly greater in the stress group hippocampus compared with the control group （P 〈 0.05）. No significant difference in JNK phosphorylation levels was detected in the rat cerebral cortex between stress and control groups, and no significant difference in Akt and p38 phosphorylation levels was detected in the rat hippocampus and cerebral cortex between stress and control groups （P 〉 0.05）. These results suggested that the JNK signal pathway is activated by JNK phosphorylation and participates in pathophysiological changes in rat models of depression.
基金funded by Major Science and Technology Projects of Gansu Province(23ZDGF002)Hongliu Outstanding Youth Support Program of Lanzhou University of Technology(02-062212)the Joint Funds of the National Natural Science Foundation of China(U22A20415).
文摘The global green hydrogen industry is experiencing rapid growth,but the high production costs are hindering its widespread adoption.To address this challenge,it is particularly important to rationally configure a renewable energy hydrogen production system.For this purpose,the study proposes a model for capacity optimization configuration of a renewable energy hydrogen production system,which integrates wind power,photovoltaic(PV)power,and concentrating solar power(CSP)with alkaline electrolyzer.It conducts capacity optimization configuration and comprehensive evaluations of the hydrogen production system across various scenarios.To minimize the total daily consumption cost,the CPLEX solver is utilized to solve the objective function and determine the capacity configuration of the renewable energy electrolysis of water hydrogen production system generator set under various scenarios.This approach achieves a utilization rate of over 99%for renewable energy.Through comprehensive evaluation,research has found that renewable energy-coupled hydrogen production significantly reduces generator capacity and electricity generation costs compared to separate hydrogen production,enhancing the economic efficiency of the system.The Wind-PV-CSP coupling hydrogen production system has the smallest generator assembly capacity and the lowest hydrogen production cost,which is 18.84 CNY·kg^(-1),significantly lower than the cost of PV-CSP coupling hydrogen production(25.78 CNY·kg^(-1))and wind-PV coupling hydrogen production(25.86 CNY·kg^(-1)).It has good development prospects and plays an important role in exploring the development path of large-scale on-site consumption of new energy.
文摘A 34-year-old female with stiff-person syndrome(SPS)is reported in this paper.She experienced short-term memory impairment and was diagnosed with anti-glutamic add decarboxylase(GAD)autoimmune encephalitis(AE)at the local hospital.However,after the treatment with intravenous immunoglobulin and highdose glucocorticoids,her symptoms unchanged.Two months later,she was admitted to our hospital due to an unstable gait and persistent leg stiffness,at which point she was diagnosed as anti-GAD AE concomitant with SPS.Her clinical symptoms improved with an increased dose of y-aminobutyric acid(GABA)-enhancing drug and plasma exchange.Anti-GAD antibody-associated AE combined with SPS is extremely rare.Treatment with GABA-enhancing drugs and appropriate immunotherapy can improve the neurological function of patients suffering from the combination of SPS and limbic encephalitis.
基金Supported by Natural Science Foundation of China,No.82200706。
文摘BACKGROUND An increasing number of studies have begun to discuss the relationship between gut microbiota and diseases,yet there is currently a lack of corresponding articles describing the association between gut microbiota and hepatocellular carcinoma(HCC)and biliary tract cancer(BTC).This study aims to explore the relationship between them using Mendelian randomization(MR)analysis method.AIM To assess the relationship between gut microbiota and HCC and BTC.METHODS We obtained Genome-wide association study(GWAS)data for the gut microbiome from the intestinal microbiota genomic library(MiBioGen,https://mibiogen.gcc.rug.nl/).Additionally,we accessed data pertaining to HCC and BTC from the IEU open GWAS platform(https://gwas.mrcieu.ac.uk/).Our analysis employed fundamental instrumental variable analysis methods,including inverse-variance weighted,MR and Egger.To ensure the dependability of the results,we subjected the results to tests for multiple biases and heterogeneity.RESULTS During our investigation,we discovered 11 gut microbiota linked to an increased risk to BTC and HCC.The former included the genus Eubacterium hallii group(P=0.017),Candidatus Soleaferrea(P=0.034),Flavonifractor(P=0.021),Lachnospiraceae FCS020(P=0.034),the order Victivallales(P=0.018),and the class Lentisphaeria(P=0.0.18).The latter included the genus Desulfovibrio(P=0.042),Oscillibacter(P=0.023),the family Coriobacteriaceae(P=0.048),the order Coriobacteriales(P=0.048),and the class Coriobacteriia(P=0.048).Furthermore,in BTC,we observed 2 protective gut microbiota namely the genus Dorea(P=0.041)and Lachnospiraceae ND3007 group(P=0.045).All results showed no evidence of multiplicity or heterogeneity.CONCLUSION This study explores a causal link between gut microbiota and HCC and BTC.These insights may enhance the mechanistic knowledge of microbiota-related HCC and BTC pathways,potentially informing therapeutic strategies.
文摘Posterior malleolus fractures are quite common and usually result from rotational ankle injuries. For the management of posterior malleolus fractures, more studies are still required, though it is already well-recognized for medial and lateral structure. Therefore, fracture of posterior malleolus is striking subject of study among orthopedic surgeons. Most orthopedic surgeons recommend fixing the posterior malleolus fracture if it is larger than 25% to 33% of the distal articular surface. Further attention is required for the reduction and fixation of fractures involving posterior malleolus. Several approaches and methods for fixation of posterior malleolus have been defined in the literature. Previously, the most common method of fixation of the posterior malleolus is by indirect reduction and antero-posterior screws, it is minimally invasive, the anterior incision does not allow satisfactory visualization of the fragment, so good anatomical reduction is difficult to achieve thorough this approach. Operative management goals to reach a stable ankle with maximal function, decrease the risk of post-traumatic degenerative changes, and diminish the risk of complication. Nowadays, posterolateral approach is gaining the popularity due to adequate visualization and accurate anatomic reduction.
