Traditional approaches to teaching the power system analysis course face challenges such as abstract and difficult-to-understand content,single teaching method,and limited practical links.In response,this paper explor...Traditional approaches to teaching the power system analysis course face challenges such as abstract and difficult-to-understand content,single teaching method,and limited practical links.In response,this paper explores in depth the significance and strategies of applying AI technology in the teaching of the course.The aim is to enhance students’ability to understand and apply knowledge,and to cultivate well-qualified technical professionals who can adapt to the intelligent development needs of the power industry.The proposed strategies include building an intelligent learning diagnosis platform,providing personalized learning guidance,developing an AI-integrated curriculum system,fostering a“dual-qualified and interdisciplinary”teaching team,and establishing a diversified assessment and evaluation system.展开更多
The seismic data of the Laoshan Uplift in the South Yellow Sea Basin reveal a low signal-tonoise ratio and low refl ection signal energy in the deep Mesozoic–Paleozoic strata.The main reason is that the Mesozoic-Pale...The seismic data of the Laoshan Uplift in the South Yellow Sea Basin reveal a low signal-tonoise ratio and low refl ection signal energy in the deep Mesozoic–Paleozoic strata.The main reason is that the Mesozoic-Paleozoic marine carbonate rock strata are directly covered by the Cenozoic terrestrial clastic rock strata,which form a strong shielding layer.To obtain the reflection signals of the strata below the strong shielding layer,a one-way wave equation bidirectional illumination analysis of the main observation system parameters was conducted by analyzing the mechanism of the strong shielding layer.Low-frequency seismic sources are assumed to have a high illumination intensity on the reflection layer below the strong shielding layer.Accordingly,optimized acquisition parameter suggestions were proposed,and reacquisition was performed at the existing survey line locations in the Laoshan Uplift area.The imaging of the newly acquired data in the middle and deep layers was drastically improved.It revealed the unconformity between the Sinian and Cambrian under the strong shielding layer.The study yielded new insights into the tectonic and sedimentary evolution of the Lower Paleozoic in the South Yellow Sea.展开更多
Maintaining the integrity and longevity of structures is essential in many industries,such as aerospace,nuclear,and petroleum.To achieve the cost-effectiveness of large-scale systems in petroleum drilling,a strong emp...Maintaining the integrity and longevity of structures is essential in many industries,such as aerospace,nuclear,and petroleum.To achieve the cost-effectiveness of large-scale systems in petroleum drilling,a strong emphasis on structural durability and monitoring is required.This study focuses on the mechanical vibrations that occur in rotary drilling systems,which have a substantial impact on the structural integrity of drilling equipment.The study specifically investigates axial,torsional,and lateral vibrations,which might lead to negative consequences such as bit-bounce,chaotic whirling,and high-frequency stick-slip.These events not only hinder the efficiency of drilling but also lead to exhaustion and harm to the system’s components since they are difficult to be detected and controlled in real time.The study investigates the dynamic interactions of these vibrations,specifically in their high-frequency modes,usingfield data obtained from measurement while drilling.Thefindings have demonstrated the effect of strong coupling between the high-frequency modes of these vibrations on drilling sys-tem performance.The obtained results highlight the importance of considering the interconnected impacts of these vibrations when designing and implementing robust control systems.Therefore,integrating these compo-nents can increase the durability of drill bits and drill strings,as well as improve the ability to monitor and detect damage.Moreover,by exploiting thesefindings,the assessment of structural resilience in rotary drilling systems can be enhanced.Furthermore,the study demonstrates the capacity of structural health monitoring to improve the quality,dependability,and efficiency of rotary drilling systems in the petroleum industry.展开更多
Dear Editor,We read with a great interest the recently published systematic review by Shamsikhani and Hosseini titled,“Foot reflexology on nausea and vomiting:A systematic review.”[1]While the authors provided a com...Dear Editor,We read with a great interest the recently published systematic review by Shamsikhani and Hosseini titled,“Foot reflexology on nausea and vomiting:A systematic review.”[1]While the authors provided a comprehensive qualitative synthesis of six studies meeting their inclusion criteria,we believe that additional quantitative analysis would strengthen the evidence base for foot reflexology in managing nausea and vomiting.We conducted a complementary meta-analysis to provide quantitative evidence supporting the qualitative findings presented in the systematic review.展开更多
The ballistic impact identification method for the helicopter Tail Drive Shaft System(TDSS)isn't yet comprehensive,which affects helicopter flight safety.This paper proposes a ballistic impact identification metho...The ballistic impact identification method for the helicopter Tail Drive Shaft System(TDSS)isn't yet comprehensive,which affects helicopter flight safety.This paper proposes a ballistic impact identification method for the TDSS based on vibration response analysis.Based on the Johnson-Cook constitutive model and failure criteria,the ballistic impact finite element simulation model is established,which is verified by the ballistic impact experiment of the Tail Drive Shaft(TDS).Considering the ballistic impact excitation force,the dynamic model of the TDSS with ballistic impact is established,which is verified by finite element commercial software.If a bullet hits the TDS,the bending vibration displacement increases sharply at a certain moment and then significantly increases but remains stable.Meanwhile,the critical speed component appears in the frequency-domain response of bending vibration,and then the speed component significantly increases but remains stable.What's more,the axis trajectory exhibits a sudden,large-scale,and irregular whirling motion at a certain moment,followed by a significant increase but remains stable.Furthermore,if the axial vibration response is small,the bullet core shooting should be considered vertically or at a small incident angle,otherwise,it should be considered at a large incident angle.展开更多
Chinese hamster with Chinese characteristics is used in experiments,and it is of great value in the field of medical biology research.However,at present,there is no high-efficiency method for evaluating the genetic qu...Chinese hamster with Chinese characteristics is used in experiments,and it is of great value in the field of medical biology research.However,at present,there is no high-efficiency method for evaluating the genetic quality of Chinese hamsters.Here,we developed a novel Chinese hamster genetic quality detection system using single-nucleotide polymorphism(SNP)markers.To find SNP loci,we conducted whole genome sequencing on 24 Chinese hamsters.Then,we employed an SNP locus screening criterion that we set up previously and initially screened 214 SNP loci with wide genome distribution and high polymorphism level.Subsequently,we developed the SNP detection system using a multitarget region capture technique based on second-generation sequencing,and a 55 SNP panel for genetic evaluation of Chinese hamster populations was developed.PopGen.32.analysis results showed that the average effective allele number,Shannon index,observed heterozygosity,expected heterozygosity,average heterozygosity,polymorphism information,and other genetic parameters of Chinese hamster population A were higher than those in population B.Using scientific screening and optimization,we successfully developed a novel Chinese hamster SNP genetic detection system that can efficiently and accurately analyze the genetic quality of the Chinese hamster population.展开更多
This research examines the optimal combination of solar panel and battery capacity in hybrid systems in 11 cities on the island of Borneo,utilizing the region’s significant solar energy potential and high irradiation...This research examines the optimal combination of solar panel and battery capacity in hybrid systems in 11 cities on the island of Borneo,utilizing the region’s significant solar energy potential and high irradiation levels.This research analyses the optimal combination of solar panels and battery capacity in 11 cities in Kalimantan using particle swarm optimization(PSO)and grey wolf optimization(GWO)algorithms to maximize energy output,reduce levelised energy costs,and maximally reduce carbon emissions.Results show Tara-kan as the most optimal location,generating 215,804.88 kWh for IDR 916.9/kWh and lowering emissions by 435,884.29 kgCO_(2)e,while Samarinda is the least optimal location.Economically,electricity tariffs of IDR 2,466.78/kWh and IDR 2,000/kWh generate a positive Net Present Value(NPV)with a payback period(PP)of 9-12 years,while a tariffof IDR 1,500/kWh is considered unfavorable.Thefindings demonstrate the effectiveness of PSO and GWO in optimizing the renewable energy system and confirm the project’sfinancial viability,with a positive NPV and reasonable PP.Implementing renewable energy systems in Kalimantan Island can improve energy effi-ciency and significantly reduce carbon emissions,supporting environmental sustainability goals.展开更多
Optimization and simplification of optical systems represent a milestone in advancing the development of handheld and portable laser-induced breakdown spectroscopy(LIBS)systems towards smaller,more integrated forms.Th...Optimization and simplification of optical systems represent a milestone in advancing the development of handheld and portable laser-induced breakdown spectroscopy(LIBS)systems towards smaller,more integrated forms.This research,for the first time,conducted a comprehensive optimization design and comparative analysis of three compact LIBS system optical paths:the paraxial optical path(OP),the off-axis OP,and the reflective OP.The differences in spectral intensity and stability among these paths were revealed,providing a scientific basis for selecting the optimal OP for LIBS systems.The research found that the paraxial OP excels in spectral performance and quantitative analysis accuracy,making it the preferred choice for compact LIBS systems.Specifically,the paraxial OP significantly enhances spectral intensity,achieving a 6 times improvement over the off-axis OP and an even more remarkable 150 times increase compared to the reflective OP,greatly enhancing detection sensitivity.Additionally,the relative standard deviation,spectral stability index,maintains a consistently low level,ranging from 10.9%to 13.4%,significantly outperforming the other two OPs and ensuring the reliability of analytical results.In the field of quantitative analysis,the paraxial OP also demonstrates higher accuracy,precision,and sensitivity,comparing to other OPs.The quantitative analysis models for Si,Cu,and Ti elements exhibit excellent fitting,providing users with high-quality quantitative analysis results that are of great significance for applications in material science,environmental monitoring,industrial inspection,and other fields.In summary,this study not only confirms the enormous application potential of the paraxial OP in compact LIBS systems but also provides valuable practical experience and theoretical support for the miniaturization and integration of LIBS systems.Looking ahead,with continuous technological advancements,the design of the paraxial OP is expected to further propel the widespread adoption of LIBS technology in portable,on-site detection applications.展开更多
[Objectives]To investigate the clinical efficacy of acupoint injection of nerve growth factors combined with task-oriented training for patients with post-stroke hemiplegic gait,and quantitatively evaluate the outcome...[Objectives]To investigate the clinical efficacy of acupoint injection of nerve growth factors combined with task-oriented training for patients with post-stroke hemiplegic gait,and quantitatively evaluate the outcomes using the Gait Watch analysis system.[Methods]A total of 90 patients with post-stroke hemiplegia,who were hospitalized at the Rehabilitation Center of Taihe Hospital between January 2023 and December 2023,were selected for this study.The participants were randomly assigned to three groups:the task-oriented rehabilitation training group(control group I,n=30),the ordinary acupuncture combined with task-oriented training group(control group II,n=30),and the acupoint injection combined with task-oriented training group(observation group,n=30).Each group underwent treatment for 4 weeks.The Gait Watch analysis system was employed to assess the spatiotemporal gait parameters of the patients prior to treatment,as well as 2 weeks post treatment and 4 weeks post treatment.The efficacy of the treatment was subsequently analyzed.[Results]After 4 weeks of treatment,the spatiotemporal gait parameters,specifically step length,step speed,step frequency,percentage of the standing phase,and percentage of the swinging phase,exhibited significant improvement in the observation group compared to those before treatment(P<0.05).Furthermore,the degree of improvement in the observation group was superior to that observed in both control group I and control group II,with the differences reaching statistical significance(P<0.05).[Conclusions]Acupoint injection combined with task-oriented training has been shown to significantly enhance gait function in patients with post-stroke hemiplegia.The Gait Watch analysis system offers an accurate and objective quantitative assessment,making it a valuable tool for clinical application and promotion.展开更多
BACKGROUND Ectonucleoside triphosphate diphosphohydrolase 6(ENTPD6),a member of the ENTPD family,has been implicated in certain cancers,yet a comprehensive analysis across multiple cancer types remains lacking.AIM To ...BACKGROUND Ectonucleoside triphosphate diphosphohydrolase 6(ENTPD6),a member of the ENTPD family,has been implicated in certain cancers,yet a comprehensive analysis across multiple cancer types remains lacking.AIM To systematically evaluate ENTPD6’s expression,prognostic significance,and functions across multiple cancer types.METHODS In this study,we performed a pan-cancer analysis to investigate the correlation between ENTPD6 expression and various factors,including prognosis,genetic alterations,epigenetic modification,immune infiltration,immunotherapy responses,functional enrichment,and drug sensitivity.A tissue microarray of gastrointestinal tumors was used to validate differential ENTPD6 protein expression.RESULTS Pan-cancer analysis revealed that ENTPD6 expression was significantly elevated in many cancers.Immunohistochemistry staining analysis revealed that ENTPD6 expression was significantly higher in esophageal carcinoma,stomach adenocarcinoma,colon adenocarcinoma,rectal adenocarcinoma,and pancreatic adenocarcinoma compared to normal tissues.Furthermore,ENTPD6 expression was strongly associated with immune-infiltrating cells,particularly clusters of differentiation 8+T cells and natural killer cells,and correlated with immune-related genomic features including tumor mutational burden and microsatellite instability.Pathway analysis indicated that ENTPD6 expression was primarily linked to purine and pyrimidine metabolism pathways.Drug sensitivity analysis revealed that high ENTPD6 expression was sensitive to RDEA119,selumetinib,and PD-0325901.CONCLUSION This pan-cancer study elucidates the pivotal role of ENTPD6 in tumor progression and establishes its potential as a therapeutic target for immunotherapeutic approaches in specific malignancies.展开更多
The Palu segment,situated in the northeastern part of the East Anatolian Fault System(EAFS),is a crucial structural feature with notable seismic potential.This study examines the paleoseismic activity of the Palu segm...The Palu segment,situated in the northeastern part of the East Anatolian Fault System(EAFS),is a crucial structural feature with notable seismic potential.This study examines the paleoseismic activity of the Palu segment through trench excavations and geochronological analyses utilizing Optically Stimulated Luminescence(OSL)and radiocarbon(14C)dating methods.Two trenches,located near Karşıbahçeler,exposed evidence of multiple surface-rupturing seismic events spanning the Holocene and Pleistocene epochs.Chronological analyses identified five distinct seismic events in trench 1(P1),dated between 94.09±6.07 ka and 0.84±0.45 ka,and three events in trench 2(P2),dated between 28.83±1.61 ka and 351±21 BP.Bayesian analysis using Oxcal distribution suggested event timings between 90.52±25.99 ka and 1.25±0.55 ka.Comparative analysis with historical earthquake records correlates the most recent event with the 1789 or 1874 AD earthquakes,while the penultimate event matches the 995 AD earthquake.Earlier events reflect prehistoric tectonic activity.The recurrence intervals for these events range from 710 to 5,370 years during the Holocene,with evidence of seismic activity extending into the Pleistocene.Stress inversion analyses and geodetic data indicate a predominantly strike-slip stress regime,consistent with geometry of the fault.These findings provide critical insights into the long-term seismic behavior and recurrence patterns of the Palu segment,enhancing seismic hazard assessments for the region.展开更多
BACKGROUND The rising global burden of liver diseases,such as non-alcoholic fatty liver disease and liver fibrosis,has necessitated innovative therapeutic approaches.Plant-based therapies,recognized for their anti-inf...BACKGROUND The rising global burden of liver diseases,such as non-alcoholic fatty liver disease and liver fibrosis,has necessitated innovative therapeutic approaches.Plant-based therapies,recognized for their anti-inflammatory and antioxidant properties,have shown promising effects.However,poor bioavailability limits their clinical application.AIM To map global research trends,key contributors,and emerging themes in plant-based therapies combined with advanced drug delivery systems for liver health.METHODS Using the Scopus database,645 documents were retrieved and analyzed using bibliometric tools Biblioshiny and VOSviewer.Analysis focused on publication trends,geographical contributions,and advancements in drug delivery technologies,including nanoparticles,liposomes,and polymeric micelles.Metrics such as publication growth rate,authorship collaboration,and thematic clustering were assessed.RESULTS The dataset spans 43 years(1981-2024),with an annual growth rate of 11.09%in the number of publications.Research output is dominated by China(33%),followed by the United States(24%)and India(18%).Collaborative studies accounted for 24.34%of publications,with an average of 5.81 co-authors per document.Key innovations include nanoparticle encapsulation of curcumin and silymarin,improving bioavailability by up to 85%.Highly cited studies demonstrated the antioxidant,anti-inflammatory,and anti-fibrotic properties of these compounds.For instance,curcumin nanoparticles showed a 70%improvement in solubility,and silymarin liposomal formulations enhanced therapeutic efficiency by 62%.Thematic analysis revealed a transition from basic clinical observations to molecular and pharmacokinetic research,with a focus on oxidative stress mitigation and hepatoprotection.CONCLUSION This study highlights the growing synergy between plant-based therapies and advanced drug delivery systems,with significant contributions from Asian and Western countries.Future efforts should prioritize clinical trials,standardization of plant extract formulations,and interdisciplinary approaches to maximize therapeutic outcomes.The findings provide a foundation for integrating plant-derived compounds into evidence-based hepatological therapies,addressing critical challenges in bioavailability and safety.展开更多
Purpose–This paper investigates how high-speed rail(HSR)influences socioeconomic inequality by providing the first systematic bibliometric review of research trends,methodological approaches and thematic structures.I...Purpose–This paper investigates how high-speed rail(HSR)influences socioeconomic inequality by providing the first systematic bibliometric review of research trends,methodological approaches and thematic structures.It examines whether HSR fosters balanced regional development or reinforces spatial disparities.Design/methodology/approach–Using the Bibliometrix R package,237 records were retrieved from the Web of Science(1985–2024).Citation indicators,keyword co-occurrence and collaboration networks were combined with natural language processing(NLP)to classify studies by territorial scale,methodology,economic variables and inequality outcomes.Findings–The paper offers the first structured overview of how the literature conceptualizes the link between HSR and inequality.It highlights persistent gaps–scarcity of city-level analyses,limited socioeconomic indicators and reliance on Chinese case studies–providing a foundation for more comparative and interdisciplinary research.Originality/value–This paper contributes by offering a structured overview of how the literature has conceptualized and measured the relationship between HSR and inequality.By identifying persistent research gaps–such as the scarcity of city-level analyses,limited use of socioeconomic indicators,and overreliance on Chinese case studies–it provides a foundation for more comparative and interdisciplinary approaches.The study informs policymakers and researchers on how to design future infrastructure projects that balance efficiency with equity.展开更多
The current system of Chinese medicine education is centered on institutional education,teacher-training education,and continuing education,and it has realized the dynamic match between the supply of talents and the d...The current system of Chinese medicine education is centered on institutional education,teacher-training education,and continuing education,and it has realized the dynamic match between the supply of talents and the demand of the industry through large-scale cultivation,innovative teacher-training integration,and multi-dimensional continuing education.However,there are still problems such as the disconnection between the theory and practice of institutional education,the limited development of teacher-training education on a large scale,the uneven quality of continuing education,the conflict of combined education of traditional Chinese medicine and Western medicine,and the obstruction of internationalized education.This paper proposes to reconstruct the institutional curriculum system,innovate the stratified classification system of teacher training,strengthen the practice orientation of continuing education,promote the in-depth integration of Chinese and Western medicine,and improve the policy guarantee mechanism,and other improvement paths,aiming to build a new type of Chinese medicine personnel training system that emphasizes both classical inheritance and modern innovation,and the complementarity between institutional education and teacher training,so as to provide a decision-making reference for the sustainable development of Chinese medicine education.展开更多
The construction of“park cities”requires a systematic thinking to coordinate the networked development of park system and break through the limitation of emphasizing scale and grade and neglecting dynamic correlatio...The construction of“park cities”requires a systematic thinking to coordinate the networked development of park system and break through the limitation of emphasizing scale and grade and neglecting dynamic correlation in traditional planning.Taking Haidian District of Beijing as an example,the social network analysis method is introduced to construct the network model of park green spaces.Through indicators such as clustering coefficient,network density and node centrality,the characteristics of its spatial structure and hierarchical relationship are analyzed.It is found that the network integrity presents the characteristics of“highly local concentration and global fragmentation”,fragmented park green space network and missing spatial connection,isolated clusters and collaborative failure,as well as the spatial mismatch between population and resource supply and demand.Hierarchical issues include“structural imbalance and functional disorder”,disorder between network hierarchy and park level,misalignment of functional hierarchy leading to weakened network risk resistance capacity,and a relatively dense distribution of core nodes,etc.In response to the above problems,a multi-level spatial intervention strategy should be adopted to solve the overall problem of the network.Meanwhile,it is needed to clarify the positioning of a park itself and improve the hierarchical system,so as to construct a multi-level and multi-scale park green space network,contribute to the construction of a park city,and provide residents with more diverse activity venues.展开更多
Electric Vehicle Charging Systems(EVCS)are increasingly vulnerable to cybersecurity threats as they integrate deeply into smart grids and Internet ofThings(IoT)environments,raising significant security challenges.Most...Electric Vehicle Charging Systems(EVCS)are increasingly vulnerable to cybersecurity threats as they integrate deeply into smart grids and Internet ofThings(IoT)environments,raising significant security challenges.Most existing research primarily emphasizes network-level anomaly detection,leaving critical vulnerabilities at the host level underexplored.This study introduces a novel forensic analysis framework leveraging host-level data,including system logs,kernel events,and Hardware Performance Counters(HPC),to detect and analyze sophisticated cyberattacks such as cryptojacking,Denial-of-Service(DoS),and reconnaissance activities targeting EVCS.Using comprehensive forensic analysis and machine learning models,the proposed framework significantly outperforms existing methods,achieving an accuracy of 98.81%.The findings offer insights into distinct behavioral signatures associated with specific cyber threats,enabling improved cybersecurity strategies and actionable recommendations for robust EVCS infrastructure protection.展开更多
Compared to other energy sources,nuclear reactors offer several advantages as a spacecraft power source,including compact size,high power density,and long operating life.These qualities make nuclear power an ideal ene...Compared to other energy sources,nuclear reactors offer several advantages as a spacecraft power source,including compact size,high power density,and long operating life.These qualities make nuclear power an ideal energy source for future deep space exploration.A whole system model of the space nuclear reactor consisting of the reactor neutron kinetics,reactivity control,reactor heat transfer,heat exchanger,and thermoelectric converter was developed.In addition,an electrical power control system was designed based on the developed dynamic model.The GRS method was used to quantitatively calculate the uncertainty of coupling parameters of the neutronics,thermal-hydraulics,and control system for the space reactor.The Spearman correlation coefficient was applied in the sensitivity analysis of system input parameters to output parameters.The calculation results showed that the uncertainty of the output parameters caused by coupling parameters had the most considerable variation,with a relative standard deviation<2.01%.Effective delayed neutron fraction was most sensitive to electrical power.To obtain optimal control performance,the non-dominated sorting genetic algorithm method was employed to optimize the controller parameters based on the uncertainty quantification calculation.Two typical transient simulations were conducted to test the adaptive ability of the optimized controller in the uncertainty dynamic system,including 100%full power(FP)to 90%FP step load reduction transient and 5%FP/min linear variable load transient.The results showed that,considering the influence of system uncertainty,the optimized controller could improve the response speed and load following accuracy of electrical power control,in which the effectiveness and superiority have been verified.展开更多
This research presents an advanced study on the modeling and stability analysis of electro-hydraulic control modules used in intelligent chassis systems.Firstly,a comprehensive nonlinear mathematical model of the elec...This research presents an advanced study on the modeling and stability analysis of electro-hydraulic control modules used in intelligent chassis systems.Firstly,a comprehensive nonlinear mathematical model of the electro-hydraulic power-shift system is developed,incorporating pipeline characteristics through impedance analysis and examining coupling effects between the pilot solenoid valve,main valve,and pipeline.Then,the model’s accuracy is validated through experimental testing,demonstrating high precision and minimal model errors.A comparative analysis between simulation data(both with and without pipeline characteristics)and experimental results reveals that the model considering pipeline parameters aligns more closely with experimental data,highlighting its superior accuracy.The research further explores the influence of key factors on system stability,including damping coefficient,feedback cavity orifice diameter,spring stiffness,pipeline length,and pipeline diameter.Significant findings include the critical impact of damping coefficient,orifice diameter,and pipeline length on stability,while spring stiffness has a minimal effect.These findings provide valuable insights for optimizing electro-hydraulic control modules in intelligent chassis systems,with practical implications for automotive and construction machinery applications.展开更多
Background:Numerous systematic reviews and meta-analyses have been published that evaluate the association between periodontal disease and systemic diseases,many of which address similar topics.Moreover,their quality ...Background:Numerous systematic reviews and meta-analyses have been published that evaluate the association between periodontal disease and systemic diseases,many of which address similar topics.Moreover,their quality requires assessment.Therefore,we performed a cross-sectional analysis to examine the evidence on the relationship between periodontal disease and systemic diseases.Methods:The PubMed,Embase,Web of Science,and the Cochrane Library databases were systematically searched to identify relevant systematic reviews and meta-analyses.Only studies that considered periodontal disease as the exposure factor and various systemic diseases as the outcome were included.The basic characteristics and pertinent data from the selected studies were extracted.The modified version of A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2)was employed for quality assessment,while R software was used for statistical analysis.Results:Among the 212 relevant systematic reviews and meta-analyses,57 were finally included in our analysis.These studies involved 75 diseases and 81 disease-related outcomes,with cancer(19/81)being the most frequently addressed topic.Of the 81 outcomes,67 demonstrated a significant association.Notably,the highest risk estimate was found for head and neck cancer[odds ratio(OR)=3.17,95%confidence interval(CI)1.78-5.64],while the lowest was observed for premature rupture of the amniotic sac[relative risk(RR)=1.10,95%CI 1.08-1.12].The methodological quality ratings indicated that approximately 71.93%of included studies were classified as“Critically low”,with another 17.54%rated as“Low”,and only about 10.53%categorized as“Moderate”.Conclusions:Periodontal disease significantly elevates the risks associated with 15 cancer-related,8 cardiovascular-related,8 metabolic-related,and 5 neurological-related outcomes.However,the overall methodological quality of existing systematic reviews and meta-analyses is generally suboptimal and requires enhancement to generate higher-quality evidence in the future.展开更多
文摘Traditional approaches to teaching the power system analysis course face challenges such as abstract and difficult-to-understand content,single teaching method,and limited practical links.In response,this paper explores in depth the significance and strategies of applying AI technology in the teaching of the course.The aim is to enhance students’ability to understand and apply knowledge,and to cultivate well-qualified technical professionals who can adapt to the intelligent development needs of the power industry.The proposed strategies include building an intelligent learning diagnosis platform,providing personalized learning guidance,developing an AI-integrated curriculum system,fostering a“dual-qualified and interdisciplinary”teaching team,and establishing a diversified assessment and evaluation system.
基金“High precision prestack reverse time depth migration imaging of long array seismic data in the East China Sea Shelf Basin”of the National Natural Science Foundation of China(No.42106207)“Seismic acquisition technology for deep strata under strong shielding layers in the sea and rugged seabed”of Laoshan Laboratory Science and Technology Innovation Project(No.LSKJ202203404)“Research on the compensation methods of the middledeep weak seismic reflections in the South Yellow Sea based on multi-resolution HHT time-frequency analysis”of the National Natural Science Foundation of China(No.42106208).
文摘The seismic data of the Laoshan Uplift in the South Yellow Sea Basin reveal a low signal-tonoise ratio and low refl ection signal energy in the deep Mesozoic–Paleozoic strata.The main reason is that the Mesozoic-Paleozoic marine carbonate rock strata are directly covered by the Cenozoic terrestrial clastic rock strata,which form a strong shielding layer.To obtain the reflection signals of the strata below the strong shielding layer,a one-way wave equation bidirectional illumination analysis of the main observation system parameters was conducted by analyzing the mechanism of the strong shielding layer.Low-frequency seismic sources are assumed to have a high illumination intensity on the reflection layer below the strong shielding layer.Accordingly,optimized acquisition parameter suggestions were proposed,and reacquisition was performed at the existing survey line locations in the Laoshan Uplift area.The imaging of the newly acquired data in the middle and deep layers was drastically improved.It revealed the unconformity between the Sinian and Cambrian under the strong shielding layer.The study yielded new insights into the tectonic and sedimentary evolution of the Lower Paleozoic in the South Yellow Sea.
文摘Maintaining the integrity and longevity of structures is essential in many industries,such as aerospace,nuclear,and petroleum.To achieve the cost-effectiveness of large-scale systems in petroleum drilling,a strong emphasis on structural durability and monitoring is required.This study focuses on the mechanical vibrations that occur in rotary drilling systems,which have a substantial impact on the structural integrity of drilling equipment.The study specifically investigates axial,torsional,and lateral vibrations,which might lead to negative consequences such as bit-bounce,chaotic whirling,and high-frequency stick-slip.These events not only hinder the efficiency of drilling but also lead to exhaustion and harm to the system’s components since they are difficult to be detected and controlled in real time.The study investigates the dynamic interactions of these vibrations,specifically in their high-frequency modes,usingfield data obtained from measurement while drilling.Thefindings have demonstrated the effect of strong coupling between the high-frequency modes of these vibrations on drilling sys-tem performance.The obtained results highlight the importance of considering the interconnected impacts of these vibrations when designing and implementing robust control systems.Therefore,integrating these compo-nents can increase the durability of drill bits and drill strings,as well as improve the ability to monitor and detect damage.Moreover,by exploiting thesefindings,the assessment of structural resilience in rotary drilling systems can be enhanced.Furthermore,the study demonstrates the capacity of structural health monitoring to improve the quality,dependability,and efficiency of rotary drilling systems in the petroleum industry.
文摘Dear Editor,We read with a great interest the recently published systematic review by Shamsikhani and Hosseini titled,“Foot reflexology on nausea and vomiting:A systematic review.”[1]While the authors provided a comprehensive qualitative synthesis of six studies meeting their inclusion criteria,we believe that additional quantitative analysis would strengthen the evidence base for foot reflexology in managing nausea and vomiting.We conducted a complementary meta-analysis to provide quantitative evidence supporting the qualitative findings presented in the systematic review.
基金co-supported by the National Natural Science Foundation of China(No.52275061)the Postgraduate Research&Practice Innovation Program of Jiangsu Province,China(No.KYCX24_0562)。
文摘The ballistic impact identification method for the helicopter Tail Drive Shaft System(TDSS)isn't yet comprehensive,which affects helicopter flight safety.This paper proposes a ballistic impact identification method for the TDSS based on vibration response analysis.Based on the Johnson-Cook constitutive model and failure criteria,the ballistic impact finite element simulation model is established,which is verified by the ballistic impact experiment of the Tail Drive Shaft(TDS).Considering the ballistic impact excitation force,the dynamic model of the TDSS with ballistic impact is established,which is verified by finite element commercial software.If a bullet hits the TDS,the bending vibration displacement increases sharply at a certain moment and then significantly increases but remains stable.Meanwhile,the critical speed component appears in the frequency-domain response of bending vibration,and then the speed component significantly increases but remains stable.What's more,the axis trajectory exhibits a sudden,large-scale,and irregular whirling motion at a certain moment,followed by a significant increase but remains stable.Furthermore,if the axial vibration response is small,the bullet core shooting should be considered vertically or at a small incident angle,otherwise,it should be considered at a large incident angle.
基金National Key Research and Development Program for Young scientists,Grant/Award Number:2021YFF0703200National Natural Foundation Joint Fund for Regional Innovation and Development,Grant/Award Number:U21A20194+1 种基金National Natural Science Foundation of China,Grant/Award Number:32170540National Key Research and Development Program,Grant/Award Number:2022YFF0711005。
文摘Chinese hamster with Chinese characteristics is used in experiments,and it is of great value in the field of medical biology research.However,at present,there is no high-efficiency method for evaluating the genetic quality of Chinese hamsters.Here,we developed a novel Chinese hamster genetic quality detection system using single-nucleotide polymorphism(SNP)markers.To find SNP loci,we conducted whole genome sequencing on 24 Chinese hamsters.Then,we employed an SNP locus screening criterion that we set up previously and initially screened 214 SNP loci with wide genome distribution and high polymorphism level.Subsequently,we developed the SNP detection system using a multitarget region capture technique based on second-generation sequencing,and a 55 SNP panel for genetic evaluation of Chinese hamster populations was developed.PopGen.32.analysis results showed that the average effective allele number,Shannon index,observed heterozygosity,expected heterozygosity,average heterozygosity,polymorphism information,and other genetic parameters of Chinese hamster population A were higher than those in population B.Using scientific screening and optimization,we successfully developed a novel Chinese hamster SNP genetic detection system that can efficiently and accurately analyze the genetic quality of the Chinese hamster population.
基金supported by non-APBN UM 2024,Indonesia,with contract number 5.4.111/UN32.14.1/LT/2024.
文摘This research examines the optimal combination of solar panel and battery capacity in hybrid systems in 11 cities on the island of Borneo,utilizing the region’s significant solar energy potential and high irradiation levels.This research analyses the optimal combination of solar panels and battery capacity in 11 cities in Kalimantan using particle swarm optimization(PSO)and grey wolf optimization(GWO)algorithms to maximize energy output,reduce levelised energy costs,and maximally reduce carbon emissions.Results show Tara-kan as the most optimal location,generating 215,804.88 kWh for IDR 916.9/kWh and lowering emissions by 435,884.29 kgCO_(2)e,while Samarinda is the least optimal location.Economically,electricity tariffs of IDR 2,466.78/kWh and IDR 2,000/kWh generate a positive Net Present Value(NPV)with a payback period(PP)of 9-12 years,while a tariffof IDR 1,500/kWh is considered unfavorable.Thefindings demonstrate the effectiveness of PSO and GWO in optimizing the renewable energy system and confirm the project’sfinancial viability,with a positive NPV and reasonable PP.Implementing renewable energy systems in Kalimantan Island can improve energy effi-ciency and significantly reduce carbon emissions,supporting environmental sustainability goals.
基金financially supported by National Natural Science Foundation of China (Nos.62305392 and 62305123)Independent Research and Development Project of Naval Engineering University (No.2023504050)the Nursery Plan Project of Navel University of Engineering (2022)。
文摘Optimization and simplification of optical systems represent a milestone in advancing the development of handheld and portable laser-induced breakdown spectroscopy(LIBS)systems towards smaller,more integrated forms.This research,for the first time,conducted a comprehensive optimization design and comparative analysis of three compact LIBS system optical paths:the paraxial optical path(OP),the off-axis OP,and the reflective OP.The differences in spectral intensity and stability among these paths were revealed,providing a scientific basis for selecting the optimal OP for LIBS systems.The research found that the paraxial OP excels in spectral performance and quantitative analysis accuracy,making it the preferred choice for compact LIBS systems.Specifically,the paraxial OP significantly enhances spectral intensity,achieving a 6 times improvement over the off-axis OP and an even more remarkable 150 times increase compared to the reflective OP,greatly enhancing detection sensitivity.Additionally,the relative standard deviation,spectral stability index,maintains a consistently low level,ranging from 10.9%to 13.4%,significantly outperforming the other two OPs and ensuring the reliability of analytical results.In the field of quantitative analysis,the paraxial OP also demonstrates higher accuracy,precision,and sensitivity,comparing to other OPs.The quantitative analysis models for Si,Cu,and Ti elements exhibit excellent fitting,providing users with high-quality quantitative analysis results that are of great significance for applications in material science,environmental monitoring,industrial inspection,and other fields.In summary,this study not only confirms the enormous application potential of the paraxial OP in compact LIBS systems but also provides valuable practical experience and theoretical support for the miniaturization and integration of LIBS systems.Looking ahead,with continuous technological advancements,the design of the paraxial OP is expected to further propel the widespread adoption of LIBS technology in portable,on-site detection applications.
基金Supported by Hospital-level Project of Shiyan Taihe Hospital(2019JJXM117).
文摘[Objectives]To investigate the clinical efficacy of acupoint injection of nerve growth factors combined with task-oriented training for patients with post-stroke hemiplegic gait,and quantitatively evaluate the outcomes using the Gait Watch analysis system.[Methods]A total of 90 patients with post-stroke hemiplegia,who were hospitalized at the Rehabilitation Center of Taihe Hospital between January 2023 and December 2023,were selected for this study.The participants were randomly assigned to three groups:the task-oriented rehabilitation training group(control group I,n=30),the ordinary acupuncture combined with task-oriented training group(control group II,n=30),and the acupoint injection combined with task-oriented training group(observation group,n=30).Each group underwent treatment for 4 weeks.The Gait Watch analysis system was employed to assess the spatiotemporal gait parameters of the patients prior to treatment,as well as 2 weeks post treatment and 4 weeks post treatment.The efficacy of the treatment was subsequently analyzed.[Results]After 4 weeks of treatment,the spatiotemporal gait parameters,specifically step length,step speed,step frequency,percentage of the standing phase,and percentage of the swinging phase,exhibited significant improvement in the observation group compared to those before treatment(P<0.05).Furthermore,the degree of improvement in the observation group was superior to that observed in both control group I and control group II,with the differences reaching statistical significance(P<0.05).[Conclusions]Acupoint injection combined with task-oriented training has been shown to significantly enhance gait function in patients with post-stroke hemiplegia.The Gait Watch analysis system offers an accurate and objective quantitative assessment,making it a valuable tool for clinical application and promotion.
基金Supported by the Science and Technology Program of Gansu Province,No.23JRRA1015the International Science and Technology Cooperation Project of Gansu Provincial Science and Technology Department,No.2023YFWA0009the Innovation and Entrepreneurship Project for Young Talents of Lanzhou Science and Technology Bureau,No.2023-4-18.
文摘BACKGROUND Ectonucleoside triphosphate diphosphohydrolase 6(ENTPD6),a member of the ENTPD family,has been implicated in certain cancers,yet a comprehensive analysis across multiple cancer types remains lacking.AIM To systematically evaluate ENTPD6’s expression,prognostic significance,and functions across multiple cancer types.METHODS In this study,we performed a pan-cancer analysis to investigate the correlation between ENTPD6 expression and various factors,including prognosis,genetic alterations,epigenetic modification,immune infiltration,immunotherapy responses,functional enrichment,and drug sensitivity.A tissue microarray of gastrointestinal tumors was used to validate differential ENTPD6 protein expression.RESULTS Pan-cancer analysis revealed that ENTPD6 expression was significantly elevated in many cancers.Immunohistochemistry staining analysis revealed that ENTPD6 expression was significantly higher in esophageal carcinoma,stomach adenocarcinoma,colon adenocarcinoma,rectal adenocarcinoma,and pancreatic adenocarcinoma compared to normal tissues.Furthermore,ENTPD6 expression was strongly associated with immune-infiltrating cells,particularly clusters of differentiation 8+T cells and natural killer cells,and correlated with immune-related genomic features including tumor mutational burden and microsatellite instability.Pathway analysis indicated that ENTPD6 expression was primarily linked to purine and pyrimidine metabolism pathways.Drug sensitivity analysis revealed that high ENTPD6 expression was sensitive to RDEA119,selumetinib,and PD-0325901.CONCLUSION This pan-cancer study elucidates the pivotal role of ENTPD6 in tumor progression and establishes its potential as a therapeutic target for immunotherapeutic approaches in specific malignancies.
基金partially supported by the Fırat University Scientific Research Project in Elazığ,Türkiye,under Project Number ADEP.23.12.
文摘The Palu segment,situated in the northeastern part of the East Anatolian Fault System(EAFS),is a crucial structural feature with notable seismic potential.This study examines the paleoseismic activity of the Palu segment through trench excavations and geochronological analyses utilizing Optically Stimulated Luminescence(OSL)and radiocarbon(14C)dating methods.Two trenches,located near Karşıbahçeler,exposed evidence of multiple surface-rupturing seismic events spanning the Holocene and Pleistocene epochs.Chronological analyses identified five distinct seismic events in trench 1(P1),dated between 94.09±6.07 ka and 0.84±0.45 ka,and three events in trench 2(P2),dated between 28.83±1.61 ka and 351±21 BP.Bayesian analysis using Oxcal distribution suggested event timings between 90.52±25.99 ka and 1.25±0.55 ka.Comparative analysis with historical earthquake records correlates the most recent event with the 1789 or 1874 AD earthquakes,while the penultimate event matches the 995 AD earthquake.Earlier events reflect prehistoric tectonic activity.The recurrence intervals for these events range from 710 to 5,370 years during the Holocene,with evidence of seismic activity extending into the Pleistocene.Stress inversion analyses and geodetic data indicate a predominantly strike-slip stress regime,consistent with geometry of the fault.These findings provide critical insights into the long-term seismic behavior and recurrence patterns of the Palu segment,enhancing seismic hazard assessments for the region.
文摘BACKGROUND The rising global burden of liver diseases,such as non-alcoholic fatty liver disease and liver fibrosis,has necessitated innovative therapeutic approaches.Plant-based therapies,recognized for their anti-inflammatory and antioxidant properties,have shown promising effects.However,poor bioavailability limits their clinical application.AIM To map global research trends,key contributors,and emerging themes in plant-based therapies combined with advanced drug delivery systems for liver health.METHODS Using the Scopus database,645 documents were retrieved and analyzed using bibliometric tools Biblioshiny and VOSviewer.Analysis focused on publication trends,geographical contributions,and advancements in drug delivery technologies,including nanoparticles,liposomes,and polymeric micelles.Metrics such as publication growth rate,authorship collaboration,and thematic clustering were assessed.RESULTS The dataset spans 43 years(1981-2024),with an annual growth rate of 11.09%in the number of publications.Research output is dominated by China(33%),followed by the United States(24%)and India(18%).Collaborative studies accounted for 24.34%of publications,with an average of 5.81 co-authors per document.Key innovations include nanoparticle encapsulation of curcumin and silymarin,improving bioavailability by up to 85%.Highly cited studies demonstrated the antioxidant,anti-inflammatory,and anti-fibrotic properties of these compounds.For instance,curcumin nanoparticles showed a 70%improvement in solubility,and silymarin liposomal formulations enhanced therapeutic efficiency by 62%.Thematic analysis revealed a transition from basic clinical observations to molecular and pharmacokinetic research,with a focus on oxidative stress mitigation and hepatoprotection.CONCLUSION This study highlights the growing synergy between plant-based therapies and advanced drug delivery systems,with significant contributions from Asian and Western countries.Future efforts should prioritize clinical trials,standardization of plant extract formulations,and interdisciplinary approaches to maximize therapeutic outcomes.The findings provide a foundation for integrating plant-derived compounds into evidence-based hepatological therapies,addressing critical challenges in bioavailability and safety.
文摘Purpose–This paper investigates how high-speed rail(HSR)influences socioeconomic inequality by providing the first systematic bibliometric review of research trends,methodological approaches and thematic structures.It examines whether HSR fosters balanced regional development or reinforces spatial disparities.Design/methodology/approach–Using the Bibliometrix R package,237 records were retrieved from the Web of Science(1985–2024).Citation indicators,keyword co-occurrence and collaboration networks were combined with natural language processing(NLP)to classify studies by territorial scale,methodology,economic variables and inequality outcomes.Findings–The paper offers the first structured overview of how the literature conceptualizes the link between HSR and inequality.It highlights persistent gaps–scarcity of city-level analyses,limited socioeconomic indicators and reliance on Chinese case studies–providing a foundation for more comparative and interdisciplinary research.Originality/value–This paper contributes by offering a structured overview of how the literature has conceptualized and measured the relationship between HSR and inequality.By identifying persistent research gaps–such as the scarcity of city-level analyses,limited use of socioeconomic indicators,and overreliance on Chinese case studies–it provides a foundation for more comparative and interdisciplinary approaches.The study informs policymakers and researchers on how to design future infrastructure projects that balance efficiency with equity.
基金Yunnan 046 Key Laboratory of Yi Dai Medicine and Yi Medicine(2024SS24046)。
文摘The current system of Chinese medicine education is centered on institutional education,teacher-training education,and continuing education,and it has realized the dynamic match between the supply of talents and the demand of the industry through large-scale cultivation,innovative teacher-training integration,and multi-dimensional continuing education.However,there are still problems such as the disconnection between the theory and practice of institutional education,the limited development of teacher-training education on a large scale,the uneven quality of continuing education,the conflict of combined education of traditional Chinese medicine and Western medicine,and the obstruction of internationalized education.This paper proposes to reconstruct the institutional curriculum system,innovate the stratified classification system of teacher training,strengthen the practice orientation of continuing education,promote the in-depth integration of Chinese and Western medicine,and improve the policy guarantee mechanism,and other improvement paths,aiming to build a new type of Chinese medicine personnel training system that emphasizes both classical inheritance and modern innovation,and the complementarity between institutional education and teacher training,so as to provide a decision-making reference for the sustainable development of Chinese medicine education.
文摘The construction of“park cities”requires a systematic thinking to coordinate the networked development of park system and break through the limitation of emphasizing scale and grade and neglecting dynamic correlation in traditional planning.Taking Haidian District of Beijing as an example,the social network analysis method is introduced to construct the network model of park green spaces.Through indicators such as clustering coefficient,network density and node centrality,the characteristics of its spatial structure and hierarchical relationship are analyzed.It is found that the network integrity presents the characteristics of“highly local concentration and global fragmentation”,fragmented park green space network and missing spatial connection,isolated clusters and collaborative failure,as well as the spatial mismatch between population and resource supply and demand.Hierarchical issues include“structural imbalance and functional disorder”,disorder between network hierarchy and park level,misalignment of functional hierarchy leading to weakened network risk resistance capacity,and a relatively dense distribution of core nodes,etc.In response to the above problems,a multi-level spatial intervention strategy should be adopted to solve the overall problem of the network.Meanwhile,it is needed to clarify the positioning of a park itself and improve the hierarchical system,so as to construct a multi-level and multi-scale park green space network,contribute to the construction of a park city,and provide residents with more diverse activity venues.
文摘Electric Vehicle Charging Systems(EVCS)are increasingly vulnerable to cybersecurity threats as they integrate deeply into smart grids and Internet ofThings(IoT)environments,raising significant security challenges.Most existing research primarily emphasizes network-level anomaly detection,leaving critical vulnerabilities at the host level underexplored.This study introduces a novel forensic analysis framework leveraging host-level data,including system logs,kernel events,and Hardware Performance Counters(HPC),to detect and analyze sophisticated cyberattacks such as cryptojacking,Denial-of-Service(DoS),and reconnaissance activities targeting EVCS.Using comprehensive forensic analysis and machine learning models,the proposed framework significantly outperforms existing methods,achieving an accuracy of 98.81%.The findings offer insights into distinct behavioral signatures associated with specific cyber threats,enabling improved cybersecurity strategies and actionable recommendations for robust EVCS infrastructure protection.
基金supported by the National Natural Science Foundation of China(12305185)Natural Science Foundation of Hunan Province,China(No.2023JJ50122)+1 种基金International Cooperative Research Project of the Ministry of Education,China(No.HZKY20220355)Scientific Research Foundation of the Education Department of Hunan Province,China(No.22A0307).
文摘Compared to other energy sources,nuclear reactors offer several advantages as a spacecraft power source,including compact size,high power density,and long operating life.These qualities make nuclear power an ideal energy source for future deep space exploration.A whole system model of the space nuclear reactor consisting of the reactor neutron kinetics,reactivity control,reactor heat transfer,heat exchanger,and thermoelectric converter was developed.In addition,an electrical power control system was designed based on the developed dynamic model.The GRS method was used to quantitatively calculate the uncertainty of coupling parameters of the neutronics,thermal-hydraulics,and control system for the space reactor.The Spearman correlation coefficient was applied in the sensitivity analysis of system input parameters to output parameters.The calculation results showed that the uncertainty of the output parameters caused by coupling parameters had the most considerable variation,with a relative standard deviation<2.01%.Effective delayed neutron fraction was most sensitive to electrical power.To obtain optimal control performance,the non-dominated sorting genetic algorithm method was employed to optimize the controller parameters based on the uncertainty quantification calculation.Two typical transient simulations were conducted to test the adaptive ability of the optimized controller in the uncertainty dynamic system,including 100%full power(FP)to 90%FP step load reduction transient and 5%FP/min linear variable load transient.The results showed that,considering the influence of system uncertainty,the optimized controller could improve the response speed and load following accuracy of electrical power control,in which the effectiveness and superiority have been verified.
基金Supported by the Basic Product Innovation Plan for Vehicle Power Scientific Research Project(Grant No.JCCPCX201704).
文摘This research presents an advanced study on the modeling and stability analysis of electro-hydraulic control modules used in intelligent chassis systems.Firstly,a comprehensive nonlinear mathematical model of the electro-hydraulic power-shift system is developed,incorporating pipeline characteristics through impedance analysis and examining coupling effects between the pilot solenoid valve,main valve,and pipeline.Then,the model’s accuracy is validated through experimental testing,demonstrating high precision and minimal model errors.A comparative analysis between simulation data(both with and without pipeline characteristics)and experimental results reveals that the model considering pipeline parameters aligns more closely with experimental data,highlighting its superior accuracy.The research further explores the influence of key factors on system stability,including damping coefficient,feedback cavity orifice diameter,spring stiffness,pipeline length,and pipeline diameter.Significant findings include the critical impact of damping coefficient,orifice diameter,and pipeline length on stability,while spring stiffness has a minimal effect.These findings provide valuable insights for optimizing electro-hydraulic control modules in intelligent chassis systems,with practical implications for automotive and construction machinery applications.
基金supported by the Lanzhou Science and Technology Project(2022-3-8)the Natural Science Foundation of Chongqing(CSTB2024NSCQMSX0043 and cstc2020jcyj-msxmX0079)the Key Scientific Research Project of Education Department of Henan Province(22A320038).
文摘Background:Numerous systematic reviews and meta-analyses have been published that evaluate the association between periodontal disease and systemic diseases,many of which address similar topics.Moreover,their quality requires assessment.Therefore,we performed a cross-sectional analysis to examine the evidence on the relationship between periodontal disease and systemic diseases.Methods:The PubMed,Embase,Web of Science,and the Cochrane Library databases were systematically searched to identify relevant systematic reviews and meta-analyses.Only studies that considered periodontal disease as the exposure factor and various systemic diseases as the outcome were included.The basic characteristics and pertinent data from the selected studies were extracted.The modified version of A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2)was employed for quality assessment,while R software was used for statistical analysis.Results:Among the 212 relevant systematic reviews and meta-analyses,57 were finally included in our analysis.These studies involved 75 diseases and 81 disease-related outcomes,with cancer(19/81)being the most frequently addressed topic.Of the 81 outcomes,67 demonstrated a significant association.Notably,the highest risk estimate was found for head and neck cancer[odds ratio(OR)=3.17,95%confidence interval(CI)1.78-5.64],while the lowest was observed for premature rupture of the amniotic sac[relative risk(RR)=1.10,95%CI 1.08-1.12].The methodological quality ratings indicated that approximately 71.93%of included studies were classified as“Critically low”,with another 17.54%rated as“Low”,and only about 10.53%categorized as“Moderate”.Conclusions:Periodontal disease significantly elevates the risks associated with 15 cancer-related,8 cardiovascular-related,8 metabolic-related,and 5 neurological-related outcomes.However,the overall methodological quality of existing systematic reviews and meta-analyses is generally suboptimal and requires enhancement to generate higher-quality evidence in the future.
