BACKGROUND Esophageal cancer is a significant global health concern,characterized by high mortality rates and diverse histological types,primarily adenocarcinoma and squamous cell carcinoma.AIM To analyze trends in es...BACKGROUND Esophageal cancer is a significant global health concern,characterized by high mortality rates and diverse histological types,primarily adenocarcinoma and squamous cell carcinoma.AIM To analyze trends in esophageal cancer using Surveillance,Epidemiology,and End Results(SEER)data,focusing on patient characteristics,stage at diagnosis,treatment modalities,and survival outcomes,to provide insights that may guide clinical practice and public health initiatives.METHODS Age-adjusted incidence and mortality rates for esophageal cancer,2004-2021,were obtained from SEER rate sessions using SEER*Stat version 8.4.4.Average percent changes(APC)over time in age-adjusted incidence and mortality rates relative to gender,race/ethnicity,and stage at diagnosis were assessed using Joinpoint’s loglinear regression.Finally,Poisson regression was used to ascertain incidence and mortality rate ratios to ascertain associations between age,gender,race/ethnicity,and staging with incidence and mortality rates.All analyses were further stratified by gender to assess interactions between gender and the other demographic and clinical characteristics.RESULTS Overall,the data reveals significant trends in both the incidence and mortality rates of esophageal cancer,with notable variations across gender,race,and stage at diagnosis.Age-adjusted incidence and mortality rates were higher in males compared to females(incidence:4.1 per 100000 vs 0.9 per 100000,mortality:3.4 per 100000 vs 0.7 per 100000),P<0.001.Furthermore,the APC among males decreased more significantly over time[APC(95%CI):-1.14(-1.52 to-0.78);P<0.001].Both non-Hispanic(NH)Blacks and NH Whites showed significant decreases in cancer incidence,with NH Blacks observing a 3.27%decline and NH Whites a 0.51%decline.Patients with distant staging had a 5%APC increase in mortality rates over time(P=0.003).Additionally,mortality rates increased with age,and all minority groups showed declines in incidence and mortality compared to NH Whites.Cancer diagnosed at a distant stage had a mortality rate 4.16 times higher than in situ cases.CONCLUSION The analysis reveals clear disparities in both the incidence and mortality of esophageal cancer,with males,particularly NH Whites,experiencing significantly higher rates than females.Despite a general decline in incidence rates over time,the upward trend in mortality for certain subgroups warrants further investigation into potential contributing factors such as healthcare access,treatment efficacy,and underlying socio-economic disparities.展开更多
In this work we report that after single-walled carbon nanotubes(SWNTs) are sheared with a pair of titanium scissors,the magnetization becomes larger than that of the corresponding pristine ones. The magnetization inc...In this work we report that after single-walled carbon nanotubes(SWNTs) are sheared with a pair of titanium scissors,the magnetization becomes larger than that of the corresponding pristine ones. The magnetization increases proportionally with the number of SWNTs with sheared ends, suggesting that there exist magnetic moments at the sheared ends of SWNTs.By using the coefficient of this linear relation, the average magnetic moment is estimated to be 41.5 ± 9.8 μB(Bohr magneton) per carbon atom in the edge state at temperature of 300.0 K, suggesting that ultrahigh magnetic fields can be produced. The dangling sigma and pi bonds of the carbon atoms at sheared ends play important roles in determining the unexpectedly high magnetic moments, which may have great potential applications.展开更多
The attractions of cantilevers made of multiwalled carbon nanotubes（MWNTs） and secured on one end are studied in the non-uniform magnetic field of a permanent magnet. Under an optical microscope, the positions and t...The attractions of cantilevers made of multiwalled carbon nanotubes（MWNTs） and secured on one end are studied in the non-uniform magnetic field of a permanent magnet. Under an optical microscope, the positions and the corresponding deflections of the original cantilevers（with iron catalytic nanoparticles at the free end） and corresponding cut-off cantilevers（the free ends consisting of open ends of MWNTs） are studied. Both kinds of CNT cantilevers are found to be attracted by the magnet, and the point of application of force is proven to be at the tip of the cantilever. By measuring and comparing deflections between these two kinds of cantilevers, the magnetic moment at the open ends of the CNTs can be quantified.Due to the unexpectedly high value of the magnetic moment at the open ends of carbon nanotubes, it is called giant magnetic moment, and its possible mechanisms are proposed and discussed.展开更多
The analytical solutions of the stresses and displacements were obtained for fixed-fixed anisotropic beams subjected to uniform load. A stress function involving unknown coefficients was constructed, and the general e...The analytical solutions of the stresses and displacements were obtained for fixed-fixed anisotropic beams subjected to uniform load. A stress function involving unknown coefficients was constructed, and the general expressions of stress and displacement were obtained by means of Airy stress function method. Two types of the description for the fixed end boundary condition were considered. The introduced unknown coefficients in stress function were determined by using the boundary conditions. The analytical solutions for stresses and displacements were finally obtained. Numerical tests show that the analytical solutions agree with the FEM results. The analytical solution supplies a classical example for the elasticity theory.展开更多
The grating ends bonding fiber Bragg grating(FBG)sensor has been widely used in sensor packages such as substrate type and clamp type for health monitoring of large structures.However,owing to the shear deformation of...The grating ends bonding fiber Bragg grating(FBG)sensor has been widely used in sensor packages such as substrate type and clamp type for health monitoring of large structures.However,owing to the shear deformation of the adhesive layer of FBG,the strain measured by FBG is often different from the strain of actual matrix,which causes strain measurement errors.This investigation aims at improving the measurement accuracy of strain for the grating ends surface-bonded FBG.To fulfill this objective,a strain transfer equation of the grating ends bonding FBG is derived,and a theoretical model of the average strain transfer from the matrix to the optical fiber is developed.Moreover,parameters that influence the average strain transfer rate from the matrix to the optical fiber are analyzed.A selection scheme of bonding parameters by numerical simulation is provided,which is significantly advantageous over that of the grating bonding FBG.The theoretical equation is verified by finite element method(FEM).Compared with the existing model,the proposed model has higher measurement accuracy.Experimental tests are performed to validate the effectiveness of the proposed model on the equalintensity cantilever beam,whose surface is attached to the bare FBG with grating ends bonding and strain gauge by using epoxy glue.The results show that there is a great agreement between the outcome of the bare FBG and that of the strain gauge,and the corrected strain is closer to the true strain.The proposed model provides a theoretical basis for the design of the grating ends surface-bonded FBG strain sensor for health monitoring of large structures.展开更多
Objectives: To obtain very end full-length cDNA ofhepatitis C virus (HCV) 5’ untranslated region(5’UTR) and analyze its primary and secondarystructure.Methods: A patient infected genotype 2a HCV wasidentified by rev...Objectives: To obtain very end full-length cDNA ofhepatitis C virus (HCV) 5’ untranslated region(5’UTR) and analyze its primary and secondarystructure.Methods: A patient infected genotype 2a HCV wasidentified by reverse transcription-nested polymerasechain reaction (RT-PCR) and restriction fragmentlength polymorphism (RFLP). Total RNA isolatedfrom the serum was used as template, and the cDNAof the 5’ untranslated region was amplified using rap-id amplification of cDNA ends (RACE). The frag-ments were recombinated by A-T clone strategy, andthe recombinants were confirmed by RFLP andPCR, and sequenced subsequently. Secondary struc-tures were analysed by RNAdraw.Results: Very end full-length cDNA of genotype 2aHCV 5’ UTR was obtained by RACE. In five clonesobtained, three contained full-length 5’UTR cDNA;A21G, G170A, T222C, T247C, C339T substitutionswere found as compared to HC-J6. Homological re-sults of HCV-1, HC-J6, HC-C2, HC-J8 were 93.6%-94.4%, 92.1%-93%, 98.8%-99.7%, 96.2%-96.5%, respectively; however, the substitutions didnot alter secondary structure. Two of 5 clones weredeletions of 53bp and 135bp at the 5’terminal ofHCV 5’UTR, respectively.Conclusions: RACE can be used to obtain the full-length cDNA of 2a genotype HCV 5’UTR. Genes de-leted at the 5’ terminal of HCV circulate in hepatitisC patients.展开更多
Gateways at faces of great mining heights are mostly driven along the roof of coal seams.For gateway height restrictions,a 1-3 m floor coal is retained,leaving a triangular floor coal at the face ends,causing a loss o...Gateways at faces of great mining heights are mostly driven along the roof of coal seams.For gateway height restrictions,a 1-3 m floor coal is retained,leaving a triangular floor coal at the face ends,causing a loss of coal.In order to improve coal recovery rates and to ensure efficiency of equipment at coal mining faces,we investigated suitable retention methods and recovery technology of floor coal at face ends.The upper floor coal can directly be recovered by a shearer with floor dinting.The lower floor coal is recovered by shearer with floor dinting after advanced floor dinting and retaining a step for protecting coal sides in a haulage gateway.Field practice shows that this method can improve the coal recovery rates at fully mechanized working faces with great mining heights.展开更多
AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvem...AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal pancreatectomy.Utilization of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology codes.In SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure codes.We analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative resection.RESULTS:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,respectively.Overall,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the study.Resection was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open groups.Overall complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was utilized.One and two year survival after resection for malignancy were unchanged over the course of the study(ductal adenocarinoma 1-year 63.6% and 2-year 35.1%,P = 0.53;intraductal papillary mucinous neoplasm and nueroendocrine 1-year 90% and 2-year 84%,P = 0.25).The majority of resections were performed in teaching hospitals(77% NIS and 85% NSQIP),but minimally invasive surgery(MIS) was not more likely to be used in teaching hospitals(15% vs 14%,P = 0.26).Hospitals in the top decile for volume were more likely to be teaching hospitals than lower volume deciles(88% vs 43%,P < 0.001),but were no more likely to utilize MIS at resection.Complication rate in teaching and the top decile hospitals was not significantly decreased when compared to non-teaching(15% vs 14%,P = 0.72) and lower volume hospitals(14% vs 15%,P = 0.99).No difference was seen in the median number of lymph nodes and lymph node ratio in N1 disease when compared by year(P = 0.17 and P = 0.96,respectively).CONCLUSION:There appears to be an overall underutilization of laparoscopy for DP.Centralization does not appear to be occurring.Survival and lymph node harvest have not changed.展开更多
The Korea peninsula extends southward from the eastern end of the Asian continent. It is divided just slightly north of the 38th parallel. The peninsula is roughly 1020 km(612 miles) long and 175 km( 105 miles) wide a...The Korea peninsula extends southward from the eastern end of the Asian continent. It is divided just slightly north of the 38th parallel. The peninsula is roughly 1020 km(612 miles) long and 175 km( 105 miles) wide at its narrowest point.展开更多
The present study aims to analyze the shift in shoreline due to coastal processes and formulate available for best estimate of future shoreline positions based on precedent shorelines. Information on rates and trends ...The present study aims to analyze the shift in shoreline due to coastal processes and formulate available for best estimate of future shoreline positions based on precedent shorelines. Information on rates and trends of shoreline change can be used to improve the understanding of the underlying causes and potential effects of coastal erosion which can support informed coastal management decisions. In this paper, researchers go over the changes in the recent positions of the shoreline of the Balasore coast for the 38 years from 1975 through 2013. The study area includes the Balasore coastal region from Rasalpur to Udaypur together with Chandipur, Choumukh, Chandrabali as well as Bichitrapur. Transects wise shoreline data base were developed for approximately 67 kilometers of shoreline and erosional/accretional scenario has also been analysed by delineating the shoreline from Landsat imageries of 1975, 1980, 1990, 1995, 2000, 2005, 2010 and 2013. A simple Linear Regression Model and End Point Rate (EPR) have been adopted to take out the rate of change of shoreline and its future positions, based on empirical observations at 67 transects along the Balasore coast. It is found that the north eastern part of Balasore coast in the vicinity of Subarnarekha estuary and Chandrabali beach undergo high rates of shore line shift. The shoreline data were integrated for long- (about 17 years) and short-term (about 7 years) shift rates analysis to comprehend the shoreline change and prediction. For the prediction of future shoreline, the model has been validated with the present shoreline position (2013). The rate of shoreline movement calculated from the fixed base line to shoreline position of 1975, 1980, 1990, 1995, 2000, 2005 and 2010 and based on this, the estimated shoreline of 2013 was calculated. The estimated shoreline was compared with the actual shoreline delineated from satellite imagery of 2013. The model error or positional shift at each sample point is observed. The positional error varies from??4.82 m to 212.41 m. It has been found that model prediction error is higher in the left hand side of river Subarnarekha. The overall error for the entire predicted shoreline was found to be 41.88 m by Root Mean Square Error (RMSE). In addition, it was tested by means difference between actual and predicted shoreline positions using “t” test and it has been found that predicted shore line is not significantly different from actual shoreline position at (t132 = 0.278) p < 0.01.展开更多
After the North China grid and the Central China grid get into connection with the UHVAC demonstration, a new phenomenon is discovered according to some simulations. That is, the faults at the remote end of the UHV in...After the North China grid and the Central China grid get into connection with the UHVAC demonstration, a new phenomenon is discovered according to some simulations. That is, the faults at the remote end of the UHV interconnected grid will result in significant power fluctuation and voltage drop on the UHV transmission line and even system splitting. But the faults near the UHV line only have marginal effects. Further, the simulation results also indicate that the short-circuit current of the buses near the UHV line is larger than that of the buses far away from the UHV line. This phenomenon is divergent from the traditional view. In this paper, the detail will be introduced, and the factors influencing the system stability after faults are presented and analyzed. The results indicate that transmission power of the UHV line and of the lines between the remote end and the major grid influence the fluctuation on UHV line. The load model and the grid structure of the remote end also have effect on it. Finally, corresponding control scheme is presented to improve the operation conditions of the UHV interconnected grid and ensure its security and stability.展开更多
High resolution carbon isotope analyses of carbonate and organic carbon from Meishan, South China showed that the variation of δ13Ccarb is marked by three large positive excursions during the Changhsingian (end-Permi...High resolution carbon isotope analyses of carbonate and organic carbon from Meishan, South China showed that the variation of δ13Ccarb is marked by three large positive excursions during the Changhsingian (end-Permian). Carbon isotope stratigraphy during this stage shows three cyclic intervals in δ13Ccarb, with two cycles corresponding to the lower (Paleofusulinid minima Zone) and one corresponding to the upper Changhsingian (P. sinensis Zone). The large positive δ13Ccarb excursions indicate episodes of enhanced burial of isotopically light or-ganic carbon, presumably in response to deep-water anoxia episodically extending into shallow water with the rise of sea level. The organic carbon during the Changhsingian is distinguished into two groups, and the δ13Corg of each group parallels (separately) the more detailed profile of δ13Ccarb, strongly showing that the values of fractionation Δ13Ccab-org remain relatively constant, with only two intervals with anomaly. The enhanced fractionation Δ13Ccab-org with large negative δ13Corg excursions apparently indicates significant inputs from sulfide-oxidizing bacteria and green sulfur bacteria, notably at bed 24 just predating mass extinction. Our evidence appears to support that the ex-tended euxinic water is possible for the main pulse of mass extinction at the end-Permian.展开更多
This paper analyzes the power markets both in northwest sending end and, east receiving ends, points out the favorable and unfavorable conditions for power development In, the northwest area, brings forward,the develo...This paper analyzes the power markets both in northwest sending end and, east receiving ends, points out the favorable and unfavorable conditions for power development In, the northwest area, brings forward,the development planning of power sources and power network constructions, and presents the benefit estimation of sending power from northwest to east.展开更多
Based on the 1951-2007 thunderstorms in Jiangsu,a study is conducted for their climate trends,periodicity,spatiotemporal patterns,and the distributions of the first and last days of the thunderstorms at different guar...Based on the 1951-2007 thunderstorms in Jiangsu,a study is conducted for their climate trends,periodicity,spatiotemporal patterns,and the distributions of the first and last days of the thunderstorms at different guarantee rates (GRs) using climate tendency rate,wavelet analysis,and GR for diagnosis.Results suggest that the inter-annual number of thunderstorm days (TSDs) exhibits a decreasing trend in this province.The trend is displayed mainly in the decreasing TSD number in summer and autumn except in spring,when the variation is not significant in the study period.In this province,the TSD number declines by ～2 days per 10 years.On an inter-annual basis,the pronounced positive departures of the number take place chiefly in the early 1960s,the late 1960s to the early-mid-1970s,the late 1980s,and the late 1990s compared with the negative anomalies dominant in the late 1970s to the mid-1980s,the mid-to-late-1990s,and the late 1990s to 2007.There are vast differences in the initial and ending days at diverse GRs in different areas of the province.At 50% GR,the earliest (last) days occur from mid-March to early April (early to late September) while at 80% GR,the initial (last) days are from late March to early May (early to late October).For the distribution of periods,the periods >8-10 years are relatively stable for the entire province.Based on 1951-2007 period analysis,the region north (south) of the Huaihe River experiences TSDs less (more) than normal days in recent years.展开更多
OBJECTIVE:To evaluate the therapeutic effects of Xiahuo Pingwei San(夏藿平胃散,XHPWS)on ulcerative colitis(UC)in mice and to explore the underlying mechanisms through a network pharmacology approach.METHODS:Ultra-perf...OBJECTIVE:To evaluate the therapeutic effects of Xiahuo Pingwei San(夏藿平胃散,XHPWS)on ulcerative colitis(UC)in mice and to explore the underlying mechanisms through a network pharmacology approach.METHODS:Ultra-performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry(UPLC-Q-TOF/MS)was utilized to identify the chemical composition and authenticate the active constituents of XHPWS,ensuring rigorous quality control across batches.A dextran sulfate sodium(DSS)-induced UC model was established in C57BL/6 mice,which were treated with XHPWS in vivo.The efficacy against UC was assessed by measuring parameters such as body weight,disease activity index(DAI)scores,and colon length.Levels of inflammatory cytokines,including interleukin-6(IL-6),interleukin-1β(IL-1β),and tumor necrosis factor-alpha(TNF-α),in colonic tissue were evaluated using enzymelinked immunosorbent assay(ELISA).Histological analysis of colon sections was conducted using hematoxylin and eosin staining.A network pharmacology approach was employed to explore the mechanisms of XHPWS and to predict its potential targets in UC treatment.Predicted protein expressions in colonic tissue were validated using immune-ohistochemistry(IHC)and Western blotting techniques.RESULTS:XHPWS effectively alle via ted DSS-induced UC symptoms in mice,as evidenced by restored body weight,reduced colon shortening,and decreased DAI scores.Histopathological examination revealed that XHPWS significantly reduced intestinal inflammatory infiltration,restored intestinal epithelial permeability,and increased goblet cell count.Network pharmacology analysis identified 63 active compounds in XHPWS and suggested that it might target 35 potential proteins associated with UC treatment.Functional enrichment analysis indicated that the protective mechanism of XHPWS could be related to the advanced glycation end products-receptor for advanced glycation end products(AGE-RAGE)signaling pathway.Notably,quercetin,kaempferol,wogonin,and nobiletin,the main components of XHPWS,showed strong correlations with the core targets.Additionally,experimental validation demonstrated that XHPWS significantly decreased levels of inflammatory cytokines interleukin 6(IL-6),interleukin 1 beta(IL-1β),and tumor necrosis factor alpha(TNF-α)in UC mice,while downregulating the expression of proteins related to the AGE-RAGE pathway.CONCLUSION:Our study demonstrated that XHPWS effectively alle via tes colitis symptoms and inflammation in UC mice,potentially through the regulation of the AGE-RAGE pathway.These findings provide strong evidence for the therapeutic potential of XHPWS in UC treatment,thereby broadening its clinical applications.展开更多
AIM To investigate beta-blocker(BB) use in patients with cirrhosis and determine their effects on physical frailty and overall survival.METHODS Adult outpatients with cirrhosis listed for liver transplantation underwe...AIM To investigate beta-blocker(BB) use in patients with cirrhosis and determine their effects on physical frailty and overall survival.METHODS Adult outpatients with cirrhosis listed for liver transplantation underwent testing of physical frailty using the performance-based Liver Frailty Index, comprised of chair stands, grip strength, and balance testing, as well as self-reported assessments of exhaustion and physical activity. BB use was assessed from medical chart review. Univariable and multivariable logistic regression were performed to determine BB use and their association with measures of physical frailty. Competing risk analyses were performed to determine the effect of BB use on wait-list mortality, as defined by death or delisting for being too sick for transplant.RESULTS Of 344 patients, 35% were female, median age was 60, median model for end stage liver disease was 15, and 53% were prescribed a BB. Compared to those not on BB, patients on BB were similar except for percentage female(25% vs 46%; P < 0.001) and BMI(29 vs 28; P = 0.008). With respect to tests of physical frailty, BB use was not associated with increased odds of frailty(by the Liver Frailty Index), exhaustion, or low physical activity. BB use was, however, significantly associated with a decreased adjusted risk of mortality(SHR 0.55; P = 0.005).CONCLUSION In patients with cirrhosis awaiting liver transplantation, BB use is not associated with physical frailty. We confirmed the known survival benefits with BB use, and concerns about adverse effects should not deter their utilization when indicated.展开更多
Acceptor-donor-acceptor(A-D-A)type molecules,of which the novel non-fused azacyclic end-group pyrazoli-nones were modified with chlorine substitution on the phenyl ring,were synthesized.The non-fused azacyclic end-gro...Acceptor-donor-acceptor(A-D-A)type molecules,of which the novel non-fused azacyclic end-group pyrazoli-nones were modified with chlorine substitution on the phenyl ring,were synthesized.The non-fused azacyclic end-group py-razolinones have the advantages of simple synthesis steps,low cost and environmental friendliness,compared to the classical end-group dicyanomethyleneindianone.The properties of the synthesized A-D-A type molecules with non-fused azacyclic end groups were characterized by theoretical calculation,UV-vis absorption,cyclic voltammetry,X-ray diffraction and space charge limited current.It is shown that the strong UV-vis absorptions of the synthesized A-D-A type molecules are located in the wavelength range of 500~700 nm,with a moderate band gap of nearly 1.7 eV.At the same time,the influence of end-group chlorination on the properties of A-D-A type molecules was compared and explored.It is proven that this kind of A-D-A type molecule with non-fused azacyclic end groups has the potential to be applied as interfacial modified layer of the active layer in perovskite solar cell devices.展开更多
文摘BACKGROUND Esophageal cancer is a significant global health concern,characterized by high mortality rates and diverse histological types,primarily adenocarcinoma and squamous cell carcinoma.AIM To analyze trends in esophageal cancer using Surveillance,Epidemiology,and End Results(SEER)data,focusing on patient characteristics,stage at diagnosis,treatment modalities,and survival outcomes,to provide insights that may guide clinical practice and public health initiatives.METHODS Age-adjusted incidence and mortality rates for esophageal cancer,2004-2021,were obtained from SEER rate sessions using SEER*Stat version 8.4.4.Average percent changes(APC)over time in age-adjusted incidence and mortality rates relative to gender,race/ethnicity,and stage at diagnosis were assessed using Joinpoint’s loglinear regression.Finally,Poisson regression was used to ascertain incidence and mortality rate ratios to ascertain associations between age,gender,race/ethnicity,and staging with incidence and mortality rates.All analyses were further stratified by gender to assess interactions between gender and the other demographic and clinical characteristics.RESULTS Overall,the data reveals significant trends in both the incidence and mortality rates of esophageal cancer,with notable variations across gender,race,and stage at diagnosis.Age-adjusted incidence and mortality rates were higher in males compared to females(incidence:4.1 per 100000 vs 0.9 per 100000,mortality:3.4 per 100000 vs 0.7 per 100000),P<0.001.Furthermore,the APC among males decreased more significantly over time[APC(95%CI):-1.14(-1.52 to-0.78);P<0.001].Both non-Hispanic(NH)Blacks and NH Whites showed significant decreases in cancer incidence,with NH Blacks observing a 3.27%decline and NH Whites a 0.51%decline.Patients with distant staging had a 5%APC increase in mortality rates over time(P=0.003).Additionally,mortality rates increased with age,and all minority groups showed declines in incidence and mortality compared to NH Whites.Cancer diagnosed at a distant stage had a mortality rate 4.16 times higher than in situ cases.CONCLUSION The analysis reveals clear disparities in both the incidence and mortality of esophageal cancer,with males,particularly NH Whites,experiencing significantly higher rates than females.Despite a general decline in incidence rates over time,the upward trend in mortality for certain subgroups warrants further investigation into potential contributing factors such as healthcare access,treatment efficacy,and underlying socio-economic disparities.
基金Project supported by the National Key Research and Development Program of China(Grant Nos.2018YFA0208403 and 2016YFA0200403)the National Natural Science Foundation of China(Grant Nos.51472057,11874129,91323304,and 11674387)+1 种基金the Strategic Priority Research Program of the Chinese Academy of Sciences(Grant No.XDA09040101)the Baotou Rare Earth Research and Development Centre,Chinese Academy of Sciences(Grant No.GZR 2018001)
文摘In this work we report that after single-walled carbon nanotubes(SWNTs) are sheared with a pair of titanium scissors,the magnetization becomes larger than that of the corresponding pristine ones. The magnetization increases proportionally with the number of SWNTs with sheared ends, suggesting that there exist magnetic moments at the sheared ends of SWNTs.By using the coefficient of this linear relation, the average magnetic moment is estimated to be 41.5 ± 9.8 μB(Bohr magneton) per carbon atom in the edge state at temperature of 300.0 K, suggesting that ultrahigh magnetic fields can be produced. The dangling sigma and pi bonds of the carbon atoms at sheared ends play important roles in determining the unexpectedly high magnetic moments, which may have great potential applications.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.10774032 and 51472057)the Instrument Developing Project of the Chinese Academy of Sciences(Grant No.Y2010031)
文摘The attractions of cantilevers made of multiwalled carbon nanotubes（MWNTs） and secured on one end are studied in the non-uniform magnetic field of a permanent magnet. Under an optical microscope, the positions and the corresponding deflections of the original cantilevers（with iron catalytic nanoparticles at the free end） and corresponding cut-off cantilevers（the free ends consisting of open ends of MWNTs） are studied. Both kinds of CNT cantilevers are found to be attracted by the magnet, and the point of application of force is proven to be at the tip of the cantilever. By measuring and comparing deflections between these two kinds of cantilevers, the magnetic moment at the open ends of the CNTs can be quantified.Due to the unexpectedly high value of the magnetic moment at the open ends of carbon nanotubes, it is called giant magnetic moment, and its possible mechanisms are proposed and discussed.
基金Project supported by the National Natural Science Foundation of China (Nos. 10472102 and 10432030)
文摘The analytical solutions of the stresses and displacements were obtained for fixed-fixed anisotropic beams subjected to uniform load. A stress function involving unknown coefficients was constructed, and the general expressions of stress and displacement were obtained by means of Airy stress function method. Two types of the description for the fixed end boundary condition were considered. The introduced unknown coefficients in stress function were determined by using the boundary conditions. The analytical solutions for stresses and displacements were finally obtained. Numerical tests show that the analytical solutions agree with the FEM results. The analytical solution supplies a classical example for the elasticity theory.
文摘The grating ends bonding fiber Bragg grating(FBG)sensor has been widely used in sensor packages such as substrate type and clamp type for health monitoring of large structures.However,owing to the shear deformation of the adhesive layer of FBG,the strain measured by FBG is often different from the strain of actual matrix,which causes strain measurement errors.This investigation aims at improving the measurement accuracy of strain for the grating ends surface-bonded FBG.To fulfill this objective,a strain transfer equation of the grating ends bonding FBG is derived,and a theoretical model of the average strain transfer from the matrix to the optical fiber is developed.Moreover,parameters that influence the average strain transfer rate from the matrix to the optical fiber are analyzed.A selection scheme of bonding parameters by numerical simulation is provided,which is significantly advantageous over that of the grating bonding FBG.The theoretical equation is verified by finite element method(FEM).Compared with the existing model,the proposed model has higher measurement accuracy.Experimental tests are performed to validate the effectiveness of the proposed model on the equalintensity cantilever beam,whose surface is attached to the bare FBG with grating ends bonding and strain gauge by using epoxy glue.The results show that there is a great agreement between the outcome of the bare FBG and that of the strain gauge,and the corrected strain is closer to the true strain.The proposed model provides a theoretical basis for the design of the grating ends surface-bonded FBG strain sensor for health monitoring of large structures.
基金This work was supported by two grants from National Science Foundation of China (No: 39770684, 30170844).
文摘Objectives: To obtain very end full-length cDNA ofhepatitis C virus (HCV) 5’ untranslated region(5’UTR) and analyze its primary and secondarystructure.Methods: A patient infected genotype 2a HCV wasidentified by reverse transcription-nested polymerasechain reaction (RT-PCR) and restriction fragmentlength polymorphism (RFLP). Total RNA isolatedfrom the serum was used as template, and the cDNAof the 5’ untranslated region was amplified using rap-id amplification of cDNA ends (RACE). The frag-ments were recombinated by A-T clone strategy, andthe recombinants were confirmed by RFLP andPCR, and sequenced subsequently. Secondary struc-tures were analysed by RNAdraw.Results: Very end full-length cDNA of genotype 2aHCV 5’ UTR was obtained by RACE. In five clonesobtained, three contained full-length 5’UTR cDNA;A21G, G170A, T222C, T247C, C339T substitutionswere found as compared to HC-J6. Homological re-sults of HCV-1, HC-J6, HC-C2, HC-J8 were 93.6%-94.4%, 92.1%-93%, 98.8%-99.7%, 96.2%-96.5%, respectively; however, the substitutions didnot alter secondary structure. Two of 5 clones weredeletions of 53bp and 135bp at the 5’terminal ofHCV 5’UTR, respectively.Conclusions: RACE can be used to obtain the full-length cDNA of 2a genotype HCV 5’UTR. Genes de-leted at the 5’ terminal of HCV circulate in hepatitisC patients.
基金the Independent Research of the State Key Laboratory of Coal Resources and Mine Safety(No. SKLCRSM09X02)the Open Research Fund of the State Key Laboratory of Coal Resources and Mine Safety(No.08KF12)the Graduate Students of Jiangsu Province Innovation Program Funded Projects(No.CX09B_120Z) for their financial support
文摘Gateways at faces of great mining heights are mostly driven along the roof of coal seams.For gateway height restrictions,a 1-3 m floor coal is retained,leaving a triangular floor coal at the face ends,causing a loss of coal.In order to improve coal recovery rates and to ensure efficiency of equipment at coal mining faces,we investigated suitable retention methods and recovery technology of floor coal at face ends.The upper floor coal can directly be recovered by a shearer with floor dinting.The lower floor coal is recovered by shearer with floor dinting after advanced floor dinting and retaining a step for protecting coal sides in a haulage gateway.Field practice shows that this method can improve the coal recovery rates at fully mechanized working faces with great mining heights.
文摘AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal pancreatectomy.Utilization of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology codes.In SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure codes.We analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative resection.RESULTS:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,respectively.Overall,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the study.Resection was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open groups.Overall complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was utilized.One and two year survival after resection for malignancy were unchanged over the course of the study(ductal adenocarinoma 1-year 63.6% and 2-year 35.1%,P = 0.53;intraductal papillary mucinous neoplasm and nueroendocrine 1-year 90% and 2-year 84%,P = 0.25).The majority of resections were performed in teaching hospitals(77% NIS and 85% NSQIP),but minimally invasive surgery(MIS) was not more likely to be used in teaching hospitals(15% vs 14%,P = 0.26).Hospitals in the top decile for volume were more likely to be teaching hospitals than lower volume deciles(88% vs 43%,P < 0.001),but were no more likely to utilize MIS at resection.Complication rate in teaching and the top decile hospitals was not significantly decreased when compared to non-teaching(15% vs 14%,P = 0.72) and lower volume hospitals(14% vs 15%,P = 0.99).No difference was seen in the median number of lymph nodes and lymph node ratio in N1 disease when compared by year(P = 0.17 and P = 0.96,respectively).CONCLUSION:There appears to be an overall underutilization of laparoscopy for DP.Centralization does not appear to be occurring.Survival and lymph node harvest have not changed.
文摘The Korea peninsula extends southward from the eastern end of the Asian continent. It is divided just slightly north of the 38th parallel. The peninsula is roughly 1020 km(612 miles) long and 175 km( 105 miles) wide at its narrowest point.
文摘The present study aims to analyze the shift in shoreline due to coastal processes and formulate available for best estimate of future shoreline positions based on precedent shorelines. Information on rates and trends of shoreline change can be used to improve the understanding of the underlying causes and potential effects of coastal erosion which can support informed coastal management decisions. In this paper, researchers go over the changes in the recent positions of the shoreline of the Balasore coast for the 38 years from 1975 through 2013. The study area includes the Balasore coastal region from Rasalpur to Udaypur together with Chandipur, Choumukh, Chandrabali as well as Bichitrapur. Transects wise shoreline data base were developed for approximately 67 kilometers of shoreline and erosional/accretional scenario has also been analysed by delineating the shoreline from Landsat imageries of 1975, 1980, 1990, 1995, 2000, 2005, 2010 and 2013. A simple Linear Regression Model and End Point Rate (EPR) have been adopted to take out the rate of change of shoreline and its future positions, based on empirical observations at 67 transects along the Balasore coast. It is found that the north eastern part of Balasore coast in the vicinity of Subarnarekha estuary and Chandrabali beach undergo high rates of shore line shift. The shoreline data were integrated for long- (about 17 years) and short-term (about 7 years) shift rates analysis to comprehend the shoreline change and prediction. For the prediction of future shoreline, the model has been validated with the present shoreline position (2013). The rate of shoreline movement calculated from the fixed base line to shoreline position of 1975, 1980, 1990, 1995, 2000, 2005 and 2010 and based on this, the estimated shoreline of 2013 was calculated. The estimated shoreline was compared with the actual shoreline delineated from satellite imagery of 2013. The model error or positional shift at each sample point is observed. The positional error varies from??4.82 m to 212.41 m. It has been found that model prediction error is higher in the left hand side of river Subarnarekha. The overall error for the entire predicted shoreline was found to be 41.88 m by Root Mean Square Error (RMSE). In addition, it was tested by means difference between actual and predicted shoreline positions using “t” test and it has been found that predicted shore line is not significantly different from actual shoreline position at (t132 = 0.278) p < 0.01.
文摘After the North China grid and the Central China grid get into connection with the UHVAC demonstration, a new phenomenon is discovered according to some simulations. That is, the faults at the remote end of the UHV interconnected grid will result in significant power fluctuation and voltage drop on the UHV transmission line and even system splitting. But the faults near the UHV line only have marginal effects. Further, the simulation results also indicate that the short-circuit current of the buses near the UHV line is larger than that of the buses far away from the UHV line. This phenomenon is divergent from the traditional view. In this paper, the detail will be introduced, and the factors influencing the system stability after faults are presented and analyzed. The results indicate that transmission power of the UHV line and of the lines between the remote end and the major grid influence the fluctuation on UHV line. The load model and the grid structure of the remote end also have effect on it. Finally, corresponding control scheme is presented to improve the operation conditions of the UHV interconnected grid and ensure its security and stability.
基金supported jointly by the National Natural Science Foundation of China (40972092)the Special Program for National Science and Technology (2008ZX05005-01-08)the United Foundation of NSFC and China's Petroleum Chemical Industry (40739902)
文摘High resolution carbon isotope analyses of carbonate and organic carbon from Meishan, South China showed that the variation of δ13Ccarb is marked by three large positive excursions during the Changhsingian (end-Permian). Carbon isotope stratigraphy during this stage shows three cyclic intervals in δ13Ccarb, with two cycles corresponding to the lower (Paleofusulinid minima Zone) and one corresponding to the upper Changhsingian (P. sinensis Zone). The large positive δ13Ccarb excursions indicate episodes of enhanced burial of isotopically light or-ganic carbon, presumably in response to deep-water anoxia episodically extending into shallow water with the rise of sea level. The organic carbon during the Changhsingian is distinguished into two groups, and the δ13Corg of each group parallels (separately) the more detailed profile of δ13Ccarb, strongly showing that the values of fractionation Δ13Ccab-org remain relatively constant, with only two intervals with anomaly. The enhanced fractionation Δ13Ccab-org with large negative δ13Corg excursions apparently indicates significant inputs from sulfide-oxidizing bacteria and green sulfur bacteria, notably at bed 24 just predating mass extinction. Our evidence appears to support that the ex-tended euxinic water is possible for the main pulse of mass extinction at the end-Permian.
文摘This paper analyzes the power markets both in northwest sending end and, east receiving ends, points out the favorable and unfavorable conditions for power development In, the northwest area, brings forward,the development planning of power sources and power network constructions, and presents the benefit estimation of sending power from northwest to east.
基金Social Development Program of Jiangsu Science and Technology (BS2007088)
文摘Based on the 1951-2007 thunderstorms in Jiangsu,a study is conducted for their climate trends,periodicity,spatiotemporal patterns,and the distributions of the first and last days of the thunderstorms at different guarantee rates (GRs) using climate tendency rate,wavelet analysis,and GR for diagnosis.Results suggest that the inter-annual number of thunderstorm days (TSDs) exhibits a decreasing trend in this province.The trend is displayed mainly in the decreasing TSD number in summer and autumn except in spring,when the variation is not significant in the study period.In this province,the TSD number declines by ～2 days per 10 years.On an inter-annual basis,the pronounced positive departures of the number take place chiefly in the early 1960s,the late 1960s to the early-mid-1970s,the late 1980s,and the late 1990s compared with the negative anomalies dominant in the late 1970s to the mid-1980s,the mid-to-late-1990s,and the late 1990s to 2007.There are vast differences in the initial and ending days at diverse GRs in different areas of the province.At 50% GR,the earliest (last) days occur from mid-March to early April (early to late September) while at 80% GR,the initial (last) days are from late March to early May (early to late October).For the distribution of periods,the periods >8-10 years are relatively stable for the entire province.Based on 1951-2007 period analysis,the region north (south) of the Huaihe River experiences TSDs less (more) than normal days in recent years.
基金the Guangdong Provincial Basic and Applied Basic Research Project:Mechanistic Study on the Regulation of Inflammatory Microenvironment and Improvement of Ulcerative Colitis by Lingnan Traditional Medicine Ficus Pandurata Hance through Wilms'Tumor 1-associating Protein-Mediated RNA Methyltransferase Promoting Toll Like Receptor 4 m6A Modification(2023A1515011699)the Zhongshan Medical Research Project:Mechanistic Study on the Action of Xiahuo Pingwei San in the Treatment of Ulcerative Colitis(2022A020446)。
文摘OBJECTIVE:To evaluate the therapeutic effects of Xiahuo Pingwei San(夏藿平胃散,XHPWS)on ulcerative colitis(UC)in mice and to explore the underlying mechanisms through a network pharmacology approach.METHODS:Ultra-performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry(UPLC-Q-TOF/MS)was utilized to identify the chemical composition and authenticate the active constituents of XHPWS,ensuring rigorous quality control across batches.A dextran sulfate sodium(DSS)-induced UC model was established in C57BL/6 mice,which were treated with XHPWS in vivo.The efficacy against UC was assessed by measuring parameters such as body weight,disease activity index(DAI)scores,and colon length.Levels of inflammatory cytokines,including interleukin-6(IL-6),interleukin-1β(IL-1β),and tumor necrosis factor-alpha(TNF-α),in colonic tissue were evaluated using enzymelinked immunosorbent assay(ELISA).Histological analysis of colon sections was conducted using hematoxylin and eosin staining.A network pharmacology approach was employed to explore the mechanisms of XHPWS and to predict its potential targets in UC treatment.Predicted protein expressions in colonic tissue were validated using immune-ohistochemistry(IHC)and Western blotting techniques.RESULTS:XHPWS effectively alle via ted DSS-induced UC symptoms in mice,as evidenced by restored body weight,reduced colon shortening,and decreased DAI scores.Histopathological examination revealed that XHPWS significantly reduced intestinal inflammatory infiltration,restored intestinal epithelial permeability,and increased goblet cell count.Network pharmacology analysis identified 63 active compounds in XHPWS and suggested that it might target 35 potential proteins associated with UC treatment.Functional enrichment analysis indicated that the protective mechanism of XHPWS could be related to the advanced glycation end products-receptor for advanced glycation end products(AGE-RAGE)signaling pathway.Notably,quercetin,kaempferol,wogonin,and nobiletin,the main components of XHPWS,showed strong correlations with the core targets.Additionally,experimental validation demonstrated that XHPWS significantly decreased levels of inflammatory cytokines interleukin 6(IL-6),interleukin 1 beta(IL-1β),and tumor necrosis factor alpha(TNF-α)in UC mice,while downregulating the expression of proteins related to the AGE-RAGE pathway.CONCLUSION:Our study demonstrated that XHPWS effectively alle via tes colitis symptoms and inflammation in UC mice,potentially through the regulation of the AGE-RAGE pathway.These findings provide strong evidence for the therapeutic potential of XHPWS in UC treatment,thereby broadening its clinical applications.
基金Supported by the Paul B.Beeson Career Development Award in Aging Research,No.K23AG048337
文摘AIM To investigate beta-blocker(BB) use in patients with cirrhosis and determine their effects on physical frailty and overall survival.METHODS Adult outpatients with cirrhosis listed for liver transplantation underwent testing of physical frailty using the performance-based Liver Frailty Index, comprised of chair stands, grip strength, and balance testing, as well as self-reported assessments of exhaustion and physical activity. BB use was assessed from medical chart review. Univariable and multivariable logistic regression were performed to determine BB use and their association with measures of physical frailty. Competing risk analyses were performed to determine the effect of BB use on wait-list mortality, as defined by death or delisting for being too sick for transplant.RESULTS Of 344 patients, 35% were female, median age was 60, median model for end stage liver disease was 15, and 53% were prescribed a BB. Compared to those not on BB, patients on BB were similar except for percentage female(25% vs 46%; P < 0.001) and BMI(29 vs 28; P = 0.008). With respect to tests of physical frailty, BB use was not associated with increased odds of frailty(by the Liver Frailty Index), exhaustion, or low physical activity. BB use was, however, significantly associated with a decreased adjusted risk of mortality(SHR 0.55; P = 0.005).CONCLUSION In patients with cirrhosis awaiting liver transplantation, BB use is not associated with physical frailty. We confirmed the known survival benefits with BB use, and concerns about adverse effects should not deter their utilization when indicated.
文摘Acceptor-donor-acceptor(A-D-A)type molecules,of which the novel non-fused azacyclic end-group pyrazoli-nones were modified with chlorine substitution on the phenyl ring,were synthesized.The non-fused azacyclic end-group py-razolinones have the advantages of simple synthesis steps,low cost and environmental friendliness,compared to the classical end-group dicyanomethyleneindianone.The properties of the synthesized A-D-A type molecules with non-fused azacyclic end groups were characterized by theoretical calculation,UV-vis absorption,cyclic voltammetry,X-ray diffraction and space charge limited current.It is shown that the strong UV-vis absorptions of the synthesized A-D-A type molecules are located in the wavelength range of 500~700 nm,with a moderate band gap of nearly 1.7 eV.At the same time,the influence of end-group chlorination on the properties of A-D-A type molecules was compared and explored.It is proven that this kind of A-D-A type molecule with non-fused azacyclic end groups has the potential to be applied as interfacial modified layer of the active layer in perovskite solar cell devices.
