As-forged WSTi6421 titanium alloy billet afterβannealing was investigated.Abnormally coarse grains larger than adjacent grains could be observed in the microstructures,forming abnormal grain structures with uneven si...As-forged WSTi6421 titanium alloy billet afterβannealing was investigated.Abnormally coarse grains larger than adjacent grains could be observed in the microstructures,forming abnormal grain structures with uneven size distribution.Through electron backscattered diffraction(EBSD),the forged microstructure at various locations of as-forged WSTi6421 titanium alloy billet was analyzed,revealing that the strength of theβphase cubic texture generated by forging significantly influences the grain size afterβannealing.Heat treatment experiments were conducted within the temperature range from T_(β)−50°C to T_(β)+10°C to observe the macro-and micro-morphologies.Results show that the cubic texture ofβphase caused by forging impacts the texture of the secondaryαphase,which subsequently influences theβphase formed during the post-βannealing process.Moreover,the pinning effect of the residual primaryαphase plays a crucial role in the growth ofβgrains during theβannealing process.EBSD analysis results suggest that the strength ofβphase with cubic texture formed during forging process impacts the orientation distribution differences ofβgrains afterβannealing.Additionally,the development of grains with large orientations within the cubic texture shows a certain degree of selectivity duringβannealing,which is affected by various factors,including the pinning effect of the primaryαphase,the strength of the matrix cubic texture,and the orientation relationship betweenβgrain and matrix.Comprehensively,the stronger the texture in a certain region,the less likely the large misoriented grains suffering secondary growth,thereby aggregating the difference in microstructure and grain orientation distribution across different regions afterβannealing.展开更多
-Mainly on the basis of the data obtained during PRC/US bilateral TOGA cruises, abnormal variation occurred during the 1986/1987 El Nino is shown in this paper about the thermal structure and circulation of the upper ...-Mainly on the basis of the data obtained during PRC/US bilateral TOGA cruises, abnormal variation occurred during the 1986/1987 El Nino is shown in this paper about the thermal structure and circulation of the upper western tropical Pacific Ocean. The effects of the abmormal variation on the subtropical high over the Northwest Pacific Ocean are discussed. During the El Nino: (1) In the east part of the western tropical Pacific Ocean (the subsurface temperature data on the 165° E section are taken as an example), the water wanner than 29 C in the upper layer spread on the longitudinal section and positive temperature anormalies appeared in a large area of the sea surface. (2) In the west part of the western tropical Pacific Ocean (the subsurface temperature data on the 137°E section are representative ), the cross section occupied by the upper layer warmer water ( T >28 ℃ ) became shrunk, and the sea surface temperature showed negative amomalies. (3) The eastward flows in the upper layer of the 165°E section strengthened. (4)The northward flow volume of warm water from the origin area of Kuroshio, i. e. , the tropical oceanic area south of 18?0' N and from the west of 130?E to the Philippine coast, decreased. When those kinds of abnomal variation occurred, air divergence on the low level (1 000 hPa) over the Northwest Pacific Ocean was intensified, favourable to the strengthening of subtropical high over the Northwest Pacific Ocean.展开更多
Schizophrenia is a multifaceted neurodevelopmental disorder characterized by hallucinations,delusions,cognitive deficits,and emotional dysregulation.The prefrontal cortex(PFC),essential for executive functions,working...Schizophrenia is a multifaceted neurodevelopmental disorder characterized by hallucinations,delusions,cognitive deficits,and emotional dysregulation.The prefrontal cortex(PFC),essential for executive functions,working memory,and emotional regulation,is notably impaired in this condition.This review consolidates current insights into the role of PFC dysfunction in schizophrenia,with a focus on its implications for therapeutic strategies.The neuroanatomical and neurobiological foundations of PFC dysfunction are explored,emphasizing structural abnormalities,functional dysconnectivity,and microcircuit disruptions that contribute to cognitive deficits and impaired decision-making.Clinical implications are discussed,particularly the correlation between PFC dysfunction and the severity and progression of schizophrenia symptoms.Additionally,pharmacological and non-pharmacological approaches aimed at modulating PFC activity are reviewed as potential therapeutic options.In conclusion,a deeper understanding of PFC dysfunction is pivotal for developing targeted treatments,and ongoing research offers promising avenues for enhancing outcomes for individuals affected by this debilitating disorder.展开更多
Objective To investigate the etiology,clinical characteristics,diagnosis,and treatment strategies and efficacy of pulsatile tinnitus(PT)caused by vascular anatomy abnormality.Methods The clinical data of 45 patients w...Objective To investigate the etiology,clinical characteristics,diagnosis,and treatment strategies and efficacy of pulsatile tinnitus(PT)caused by vascular anatomy abnormality.Methods The clinical data of 45 patients with PT in our hospital from 2012 to 2019 were collected and retrospectively analyzed.Results All 45 patients had vascular anatomical abnormalities.The patients were divided into 10 categories according to the different locations of vascular abnormalities:sigmoid sinus diverticulum(SSD),sigmoid sinus wall dehiscence(SSWD),SSWD with high jugular bulb,pure dilated mastoid emissary vein,aberrant internal carotid artery(ICA)in the middle ear,transverse-sigmoid sinus(TSS)transition stenosis,TSS transition stenosis with SSD,persistent occipital sinus stenosis,petrous segment stenosis of ICA,and dural arteriovenous fistula.All patients complained of PT synchronous with heartbeat rhythm.Endovascular interventional therapy and extravascular open surgery were used according to the location of the vascular lesions.Tinnitus disappeared in 41 patients,was significantly relieved in 3 patients,and was unchanged in 1 patient postoperatively.Except for one patient with transient headache postoperatively,no obvious complications occurred.Conclusion PT caused by vascular anatomy abnormalities can be identified by detailed medical history and physical and imaging examination.PT can be relieved or even completely alleviated after appropriate surgical treatments.展开更多
Our previous study used regional homogeneity analysis and found that activity in some brain areas of patients with ischemic stroke changed significantly. In the current study, we examined structural changes in these b...Our previous study used regional homogeneity analysis and found that activity in some brain areas of patients with ischemic stroke changed significantly. In the current study, we examined structural changes in these brain regions by taking structural magnetic resonance imaging scans of 11 ischemic stroke patients and 15 healthy participants, and analyzing the data using voxel-based morphometry. Compared with healthy participants, patients exhibited higher gray matter density in the left inferior occipital gyrus and right anterior white matter tract. In contrast, gray matter density in the right cerebellum, left precentral gyrus, right middle frontal gyrus, and left middle temporal gyrus was less in ischemic stroke patients. The changes of gray matter density in the middle frontal gyrus were negatively associated with the clin- ical rating scales of the Fugl-Meyer Motor Assessment （r = -0.609, P = 0.047） and the left middle temporal gyrus was negatively correlated with the clinical rating scales of the nervous functional deficiency scale （r = -0.737, P = 0.010）. Our findings call objectively identify the functional abnormality in some brain regions of ischemic stroke patients.展开更多
Objective: to analyze the abnormal CT findings in schizophrenia. Methods: the selected study subjects were 60 schizophrenia patients treated in our hospital from May to December 2021. All the selected subjects were co...Objective: to analyze the abnormal CT findings in schizophrenia. Methods: the selected study subjects were 60 schizophrenia patients treated in our hospital from May to December 2021. All the selected subjects were confirmed according to the relevant diagnostic criteria of schizophrenia and underwent CT examination including the CT detection rate, CT typing, age distribution and disease course distribution of the patients. Results: after the 60 schizophrenia patients were selected for a CT scan, forty-one patients were found to have structural brain abnormalities. The CT classification was: 5 cases of diffuse cerebral atrophy, 12.19%), 25 (60.97%) and 11 (26.83%) respectively;at the same time, Schizophrenic patients with structural brain abnormalities are mainly 21-55 years old;for 85.36% (35 / 41), the disease duration is mainly 10 years, accounting for 53.66% (22 / 41);the CT value of the left frontal CT was lower than that of the healthy group. Statistical significance was observed (P 0.05). Conclusion: using CT examination can evaluate the brain structure of schizophrenia patients. This study found that the most common clinical symptoms of schizophrenia is brain atrophy in the elderly compared with age. CT can provide more reliable information for clinical diagnosis and treatment of schizophrenia. But because of abnormal brain structure, there is no high specificity, so patients with schizophrenia will not have significant performance, clinical to do further research in this aspect.展开更多
To the Editor:Pathogenic copy number variants(CNVs)have been associated with congenital anomalies and neurodevelopmental disorders.[1]However,some fetuses with pathogenic CNVs have structural abnormalities,whereas oth...To the Editor:Pathogenic copy number variants(CNVs)have been associated with congenital anomalies and neurodevelopmental disorders.[1]However,some fetuses with pathogenic CNVs have structural abnormalities,whereas others appear phenotypically normal.Prenatal assessment of CNVs in fetuses with structural abnormalities currently relies on invasive prenatal diagnosis(IPD).However,the absence of routine screening for CNVs in pregnant women whose fetuses do not have structural abnormalities restricts the ability to identify clinically significant fetal CNVs.展开更多
BACKGROUND Chronic kidney disease is a progressive disease that evolves towards the deve-lopment of end-stage renal disease.The superimposition of renal impairment on a complex disease,namely human immunodeficiency vi...BACKGROUND Chronic kidney disease is a progressive disease that evolves towards the deve-lopment of end-stage renal disease.The superimposition of renal impairment on a complex disease,namely human immunodeficiency virus(HIV)infection,will raise the burden of comorbidities and,predict worse outcomes in this group of the population.AIM To evaluate the structural and functional defects of kidney in patients with HIV infection.METHODS This cross-sectional study involved 227 patients with HIV infection.Participants were selected by simple random sampling method.Eligible participants included HIV infection-positive adults aged 18 years and above.Exclusion criteria en-compassed individuals with preexisting hypertension,diabetes mellitus,chronic kidney disease,chronic liver disease,and those receiving nephrotoxic drugs.Informed consent was obtained.Data collection involved recording medical histories,conducting clinical examinations,and performing baseline blood investigations and ultrasono-graphy to assess renal function and structural abnormalities.RESULTS The mean age of participants was 41 years.Females constituted 66.5%;78% were on Tenofovir-based regimen.The mean duration of HIV infection was 5 years;mean duration of antiretroviral therapy was 4 years.67.4% had a body mass index over 25.World Health Organization staging of HIV infection revealed that 41.9%were in stage 3,30%in stage 2.35.7% had cluster differentiation 4 counts<200.The mean creatinine was 1 mg/dL and mean urea was 25.1 mg/dL.54.6%had estimated glomerular filtration rate of<60.Enlarged kidneys in 39.2%and increased echogenicity in 82.8%of participants.A decline in estimated glomerular filtration rate and an increase in kidney size was significantly associated with advancing HIV stages.CONCLUSION Both structural and functional kidney abnormalities are common in patients with HIV infection.These abnor-malities increase with disease progression,underscoring the need for regular and consistent renal monitoring.展开更多
Clinical cases have reported pulmonary arterial structural and functional abnormalities in patients with Kawasaki disease(KD);however,the underlying mechanisms are unclear.In this study,a KD rat model was established ...Clinical cases have reported pulmonary arterial structural and functional abnormalities in patients with Kawasaki disease(KD);however,the underlying mechanisms are unclear.In this study,a KD rat model was established via the intraperitoneal injection of Lactobacillus casei cell wall extract(LCWE).The results showed that pulmonary arterial functional and structural abnormalities were observed in KD rats.Furthermore,proliferative endoplasmic reticulum stress(ER stress)was observed in the pulmonary arteries of KD rats.Notably,the level of lipocalin-2(Lcn 2),a trigger factor of inflammation,was remarkably elevated in the plasma and lung tissues of KD rats;increased Lcn 2 levels following LCWE stimulation may result from polymorphonuclear neutrophils(PMNs).Correspondingly,in cultured pulmonary artery smooth muscle cells(PASMCs),Lcn 2 markedly augmented the cleavage and nuclear localization of activating transcription factor-6(ATF6),upregulated the transcription of glucose regulated protein 78(GRP78)and neurite outgrowth inhibitor(NOGO),and promoted PASMCs proliferation.However,proapoptotic C/EBP homologous protein(CHOP)and caspase 12 levels were not elevated.Treatment with 4-phenyl butyric acid(4-PBA,a specific inhibitor of ER stress)inhibited PASMCs proliferation induced by Lcn 2 and attenuated pulmonary arterial abnormalities and right ventricular hypertrophy and reduced right ventricular systolic pressure in KD rats.In conclusion,Lcn 2 remarkably facilitates proliferative ER stress in PASMCs,which probably accounts for KD-related pulmonary arterial abnormalities.展开更多
基金Key Research and Development Plan of Shaanxi Province(2023-YBGY-493)。
文摘As-forged WSTi6421 titanium alloy billet afterβannealing was investigated.Abnormally coarse grains larger than adjacent grains could be observed in the microstructures,forming abnormal grain structures with uneven size distribution.Through electron backscattered diffraction(EBSD),the forged microstructure at various locations of as-forged WSTi6421 titanium alloy billet was analyzed,revealing that the strength of theβphase cubic texture generated by forging significantly influences the grain size afterβannealing.Heat treatment experiments were conducted within the temperature range from T_(β)−50°C to T_(β)+10°C to observe the macro-and micro-morphologies.Results show that the cubic texture ofβphase caused by forging impacts the texture of the secondaryαphase,which subsequently influences theβphase formed during the post-βannealing process.Moreover,the pinning effect of the residual primaryαphase plays a crucial role in the growth ofβgrains during theβannealing process.EBSD analysis results suggest that the strength ofβphase with cubic texture formed during forging process impacts the orientation distribution differences ofβgrains afterβannealing.Additionally,the development of grains with large orientations within the cubic texture shows a certain degree of selectivity duringβannealing,which is affected by various factors,including the pinning effect of the primaryαphase,the strength of the matrix cubic texture,and the orientation relationship betweenβgrain and matrix.Comprehensively,the stronger the texture in a certain region,the less likely the large misoriented grains suffering secondary growth,thereby aggregating the difference in microstructure and grain orientation distribution across different regions afterβannealing.
文摘-Mainly on the basis of the data obtained during PRC/US bilateral TOGA cruises, abnormal variation occurred during the 1986/1987 El Nino is shown in this paper about the thermal structure and circulation of the upper western tropical Pacific Ocean. The effects of the abmormal variation on the subtropical high over the Northwest Pacific Ocean are discussed. During the El Nino: (1) In the east part of the western tropical Pacific Ocean (the subsurface temperature data on the 165° E section are taken as an example), the water wanner than 29 C in the upper layer spread on the longitudinal section and positive temperature anormalies appeared in a large area of the sea surface. (2) In the west part of the western tropical Pacific Ocean (the subsurface temperature data on the 137°E section are representative ), the cross section occupied by the upper layer warmer water ( T >28 ℃ ) became shrunk, and the sea surface temperature showed negative amomalies. (3) The eastward flows in the upper layer of the 165°E section strengthened. (4)The northward flow volume of warm water from the origin area of Kuroshio, i. e. , the tropical oceanic area south of 18?0' N and from the west of 130?E to the Philippine coast, decreased. When those kinds of abnomal variation occurred, air divergence on the low level (1 000 hPa) over the Northwest Pacific Ocean was intensified, favourable to the strengthening of subtropical high over the Northwest Pacific Ocean.
文摘Schizophrenia is a multifaceted neurodevelopmental disorder characterized by hallucinations,delusions,cognitive deficits,and emotional dysregulation.The prefrontal cortex(PFC),essential for executive functions,working memory,and emotional regulation,is notably impaired in this condition.This review consolidates current insights into the role of PFC dysfunction in schizophrenia,with a focus on its implications for therapeutic strategies.The neuroanatomical and neurobiological foundations of PFC dysfunction are explored,emphasizing structural abnormalities,functional dysconnectivity,and microcircuit disruptions that contribute to cognitive deficits and impaired decision-making.Clinical implications are discussed,particularly the correlation between PFC dysfunction and the severity and progression of schizophrenia symptoms.Additionally,pharmacological and non-pharmacological approaches aimed at modulating PFC activity are reviewed as potential therapeutic options.In conclusion,a deeper understanding of PFC dysfunction is pivotal for developing targeted treatments,and ongoing research offers promising avenues for enhancing outcomes for individuals affected by this debilitating disorder.
基金supported by the Medical Science and Technology Project of Zhejiang Province(No.2019KY584)Traditional Chinese Medicine Science and Technology Project of Zhejiang Province(No.2023ZL648).
文摘Objective To investigate the etiology,clinical characteristics,diagnosis,and treatment strategies and efficacy of pulsatile tinnitus(PT)caused by vascular anatomy abnormality.Methods The clinical data of 45 patients with PT in our hospital from 2012 to 2019 were collected and retrospectively analyzed.Results All 45 patients had vascular anatomical abnormalities.The patients were divided into 10 categories according to the different locations of vascular abnormalities:sigmoid sinus diverticulum(SSD),sigmoid sinus wall dehiscence(SSWD),SSWD with high jugular bulb,pure dilated mastoid emissary vein,aberrant internal carotid artery(ICA)in the middle ear,transverse-sigmoid sinus(TSS)transition stenosis,TSS transition stenosis with SSD,persistent occipital sinus stenosis,petrous segment stenosis of ICA,and dural arteriovenous fistula.All patients complained of PT synchronous with heartbeat rhythm.Endovascular interventional therapy and extravascular open surgery were used according to the location of the vascular lesions.Tinnitus disappeared in 41 patients,was significantly relieved in 3 patients,and was unchanged in 1 patient postoperatively.Except for one patient with transient headache postoperatively,no obvious complications occurred.Conclusion PT caused by vascular anatomy abnormalities can be identified by detailed medical history and physical and imaging examination.PT can be relieved or even completely alleviated after appropriate surgical treatments.
基金financially supported by the National Program on Key Basic Research Project of China(973 Program)No.2012CB518501the National Natural Science Foundation of China,No.81072864
文摘Our previous study used regional homogeneity analysis and found that activity in some brain areas of patients with ischemic stroke changed significantly. In the current study, we examined structural changes in these brain regions by taking structural magnetic resonance imaging scans of 11 ischemic stroke patients and 15 healthy participants, and analyzing the data using voxel-based morphometry. Compared with healthy participants, patients exhibited higher gray matter density in the left inferior occipital gyrus and right anterior white matter tract. In contrast, gray matter density in the right cerebellum, left precentral gyrus, right middle frontal gyrus, and left middle temporal gyrus was less in ischemic stroke patients. The changes of gray matter density in the middle frontal gyrus were negatively associated with the clin- ical rating scales of the Fugl-Meyer Motor Assessment （r = -0.609, P = 0.047） and the left middle temporal gyrus was negatively correlated with the clinical rating scales of the nervous functional deficiency scale （r = -0.737, P = 0.010）. Our findings call objectively identify the functional abnormality in some brain regions of ischemic stroke patients.
文摘Objective: to analyze the abnormal CT findings in schizophrenia. Methods: the selected study subjects were 60 schizophrenia patients treated in our hospital from May to December 2021. All the selected subjects were confirmed according to the relevant diagnostic criteria of schizophrenia and underwent CT examination including the CT detection rate, CT typing, age distribution and disease course distribution of the patients. Results: after the 60 schizophrenia patients were selected for a CT scan, forty-one patients were found to have structural brain abnormalities. The CT classification was: 5 cases of diffuse cerebral atrophy, 12.19%), 25 (60.97%) and 11 (26.83%) respectively;at the same time, Schizophrenic patients with structural brain abnormalities are mainly 21-55 years old;for 85.36% (35 / 41), the disease duration is mainly 10 years, accounting for 53.66% (22 / 41);the CT value of the left frontal CT was lower than that of the healthy group. Statistical significance was observed (P 0.05). Conclusion: using CT examination can evaluate the brain structure of schizophrenia patients. This study found that the most common clinical symptoms of schizophrenia is brain atrophy in the elderly compared with age. CT can provide more reliable information for clinical diagnosis and treatment of schizophrenia. But because of abnormal brain structure, there is no high specificity, so patients with schizophrenia will not have significant performance, clinical to do further research in this aspect.
基金supported by grants from the National Key R&D Program of China(Nos.2022YFC2703400 and 2023YFC2705605)the Key R&D Program of Sichuan Province(No.2024YFFK0266).
文摘To the Editor:Pathogenic copy number variants(CNVs)have been associated with congenital anomalies and neurodevelopmental disorders.[1]However,some fetuses with pathogenic CNVs have structural abnormalities,whereas others appear phenotypically normal.Prenatal assessment of CNVs in fetuses with structural abnormalities currently relies on invasive prenatal diagnosis(IPD).However,the absence of routine screening for CNVs in pregnant women whose fetuses do not have structural abnormalities restricts the ability to identify clinically significant fetal CNVs.
文摘BACKGROUND Chronic kidney disease is a progressive disease that evolves towards the deve-lopment of end-stage renal disease.The superimposition of renal impairment on a complex disease,namely human immunodeficiency virus(HIV)infection,will raise the burden of comorbidities and,predict worse outcomes in this group of the population.AIM To evaluate the structural and functional defects of kidney in patients with HIV infection.METHODS This cross-sectional study involved 227 patients with HIV infection.Participants were selected by simple random sampling method.Eligible participants included HIV infection-positive adults aged 18 years and above.Exclusion criteria en-compassed individuals with preexisting hypertension,diabetes mellitus,chronic kidney disease,chronic liver disease,and those receiving nephrotoxic drugs.Informed consent was obtained.Data collection involved recording medical histories,conducting clinical examinations,and performing baseline blood investigations and ultrasono-graphy to assess renal function and structural abnormalities.RESULTS The mean age of participants was 41 years.Females constituted 66.5%;78% were on Tenofovir-based regimen.The mean duration of HIV infection was 5 years;mean duration of antiretroviral therapy was 4 years.67.4% had a body mass index over 25.World Health Organization staging of HIV infection revealed that 41.9%were in stage 3,30%in stage 2.35.7% had cluster differentiation 4 counts<200.The mean creatinine was 1 mg/dL and mean urea was 25.1 mg/dL.54.6%had estimated glomerular filtration rate of<60.Enlarged kidneys in 39.2%and increased echogenicity in 82.8%of participants.A decline in estimated glomerular filtration rate and an increase in kidney size was significantly associated with advancing HIV stages.CONCLUSION Both structural and functional kidney abnormalities are common in patients with HIV infection.These abnor-malities increase with disease progression,underscoring the need for regular and consistent renal monitoring.
基金supported by the following grants:the National Natural Science Foundation of China(91749108,31671424,and 81322004 to H.M.,81200036 to M.L.,and 81102006 to J.Z.)the Science and Technology Research and Development Program of Shaanxi Province,China(2018SF-101 to N.M.and 2019SF-008 to M.L.)the Youth Innovation Team of Shaanxi Universities,China(to H.M.,Y.Y.,N.M.,Y.W.,and J.Z.)。
文摘Clinical cases have reported pulmonary arterial structural and functional abnormalities in patients with Kawasaki disease(KD);however,the underlying mechanisms are unclear.In this study,a KD rat model was established via the intraperitoneal injection of Lactobacillus casei cell wall extract(LCWE).The results showed that pulmonary arterial functional and structural abnormalities were observed in KD rats.Furthermore,proliferative endoplasmic reticulum stress(ER stress)was observed in the pulmonary arteries of KD rats.Notably,the level of lipocalin-2(Lcn 2),a trigger factor of inflammation,was remarkably elevated in the plasma and lung tissues of KD rats;increased Lcn 2 levels following LCWE stimulation may result from polymorphonuclear neutrophils(PMNs).Correspondingly,in cultured pulmonary artery smooth muscle cells(PASMCs),Lcn 2 markedly augmented the cleavage and nuclear localization of activating transcription factor-6(ATF6),upregulated the transcription of glucose regulated protein 78(GRP78)and neurite outgrowth inhibitor(NOGO),and promoted PASMCs proliferation.However,proapoptotic C/EBP homologous protein(CHOP)and caspase 12 levels were not elevated.Treatment with 4-phenyl butyric acid(4-PBA,a specific inhibitor of ER stress)inhibited PASMCs proliferation induced by Lcn 2 and attenuated pulmonary arterial abnormalities and right ventricular hypertrophy and reduced right ventricular systolic pressure in KD rats.In conclusion,Lcn 2 remarkably facilitates proliferative ER stress in PASMCs,which probably accounts for KD-related pulmonary arterial abnormalities.
