Human epidermal growth factor receptor 2(HER2) overexpression is increasingly recognized as a frequent molecular abnormality in gastric and gastroesophageal cancer. With the recent introduction of HER2 molecular targe...Human epidermal growth factor receptor 2(HER2) overexpression is increasingly recognized as a frequent molecular abnormality in gastric and gastroesophageal cancer. With the recent introduction of HER2 molecular targeted therapy for patients with advanced gastric cancer, determination of HER2 status is crucial in order to select patients who may benefit from this treatment. This paper provides an update on our knowledge of HER2 in gastric and gastroesophageal cancer, including the prognostic relevance of HER2, the key differences between HER2 protein expression interpretation in breast and gastric cancer, the detection methods and the immunohistochemistry scoring system.展开更多
The bulge test is a widely utilized method for assessing the mechanical properties of thin films,including metals,polymers,and semiconductors.However,as film thickness diminishes to nanometer scales,boundary condition...The bulge test is a widely utilized method for assessing the mechanical properties of thin films,including metals,polymers,and semiconductors.However,as film thickness diminishes to nanometer scales,boundary conditions dominated by weak van der Waals forces significantly impact mechanical responses.Instead of sample fracture,interfacial shear deformation and delamination become the primary deformation modes,thereby challenging the applicability of conventional bulge models.To accommodate the interfacial effect,a modified mechanical model based on the bulge test has been proposed.This review summarizes recent advancements in the bulge test to highlight the potential challenges and opportunities for future research.展开更多
Microstructural heterogeneity of low-permeability sandstone roofs of deep unmineable coal seams due to diagenesis significantly affects rock mechanical behavior,greatly impacting the sealing potential of in situ CO_(2...Microstructural heterogeneity of low-permeability sandstone roofs of deep unmineable coal seams due to diagenesis significantly affects rock mechanical behavior,greatly impacting the sealing potential of in situ CO_(2) sequestration and the structural stability of the geological formation.However,little is known about how the microstructure of different mineral groups influences the multiscale mechanical behavior of deep sandstone.This study proposes a new method for quantitatively characterizing the multiscale mechanical properties of low-permeability sandstone and shows the mechanisms responsible for mechanical failure at the micro-,meso-,and macroscale.Triaxial compression tests and targeted nanoindentation tests were conducted to assess the micro-and macroscale mechanical properties of different types of sandstone.The micro-and macroscale experiments were coupled with numerical simulations of compression using a unified cohesive model based on Voronoi polygons to clarify the multiscale mechanical behavior.The results indicate that quartz,the primary mineral component of the sandstones examined,exhibits the strongest micromechanical properties,followed by feldspar,calcite,and clay minerals.Compared to polycrystalline quartz,monocrystalline quartz has a more stable microstructure and is mechanically stronger.The macro-mechanical properties of tight sandstone samples are weakened by increased microstructural inhomogeneity and larger grain size.This leads to a higher likelihood of splitting damage,characterized by a high degree of discrete and weak stress sensitivity.The major conclusion is that the positive rhythm lithofacies of medium-grained sandstone to siltstone are the most favorable for efficient CO_(2) sequestration in deep unmineable coal seams.展开更多
China has pledged to peak carbon dioxide(CO_(2))emissions by 2030 and achieve carbon neutrality by 2060.Carbon capture and storage(CCS)will play a key role in these efforts.Over the past several years,the China Geolog...China has pledged to peak carbon dioxide(CO_(2))emissions by 2030 and achieve carbon neutrality by 2060.Carbon capture and storage(CCS)will play a key role in these efforts.Over the past several years,the China Geological Survey(CGS)has completed the Suitability Evaluation Map of CO_(2)Geological Storage in Main Sedimentary Basins in China and Adjacent Sea Regions in 2017.This map reflects the suitability of the first-and secondary-order tectonic units within sedimentary basins for cO_(2)geological storage for CCS planning.The Junggar Basin is recognized as an important region for future CCS projects.Results from a mesoscale evaluation using the volume method indicate that deep saline aquifers represent the most significant resources for CO_(2)storage,with potential ranging from 48×10^(9)to 164×10^(9)t(with a P50 value of 96×10^(9)t).The highest storage potential is identified in the central and northern parts of the basin,reaching up to 9.5×10^(6)t/km^(2)at the P50 probability level.In contrast,the hinterland,eastern,and western parts of the basin generally exhibit storage potential of below 1.0×10^(6)t/km^(2)at the same probability level.The CGs has also characterized historical CO_(2)plume migration in reservoirs at the storage site of the Shenhua CCS demonstration project and conducted numerical simulations of CO_(2)plume migration for periods of 10 and 20 years following the shutdown of the injection well.The CGS implemented a kiloton-scale pilot test on CO_(2)-enhanced water recovery(CO_(2)-EWR)in eastern Junggar,revealing that CO_(2)flooding can improve the pressure for fluid production,with the highest ratio of CO_(2)to produced fluids estimated at approximately 1.2.Besides,an observation field for natural CO_(2)leakage,covering about 930 m^(2),was built in Qinghai Province.In natural CO_(2)fields or at artificial CO_(2)injection research sites,cO_(2)leakage points are primarily related to the distribution of faults(especially fault crossing),which can serve as pathways for CO_(2)leakage.The observation field provides a natural analog to wellbore failure and offers an opportunity to further monitor CO_(2)geological storage sites.However,it has been inferred that borehole ZK10 at the observation field has become a leakage pathway due to the drilling activities,inadequate well-plugging,and abandonment procedures without considering CO_(2)corrosion.展开更多
To address the controversial issue of the toxicity of dental alloys and silver nanoparticles in medical ap- plications, an in vivo-like LO2 3-D model was constructed within polyvinylidene fluoride hollow fiber materia...To address the controversial issue of the toxicity of dental alloys and silver nanoparticles in medical ap- plications, an in vivo-like LO2 3-D model was constructed within polyvinylidene fluoride hollow fiber materials to mimic the microenvironment of liver tissue. The use of microscopy methods and the measurement of liver-specific functions optimized the model for best cell performances and also proved the superiority of the 3-D LO2 model when compared with the traditional monolayer model. Toxicity tests were conducted using the newly constructed model, finding that four dental castings coated with silver nanoparticles were toxic to human hepatocytes after cell viability assays. In general, the toxicity of both the castings and the coated silver nanoparticles aggravated as time increased, yet the nanoparticles attenuated the general toxicity by preventing metal ion release, especially at high concentrations.展开更多
Dihydronicotinamide adenine dinucleotide(NADH)is an important enzyme in all living cells,which is found to be abnormally expressed in cancer cells.Since it is redox-active,an electrochemical detection method would be ...Dihydronicotinamide adenine dinucleotide(NADH)is an important enzyme in all living cells,which is found to be abnormally expressed in cancer cells.Since it is redox-active,an electrochemical detection method would be suitable for monitoring its concentration in biological fluids.Here we present a strategy for specific determination of NADH in real human serum by using RhIr@MoS2 nanohybrids based microsensor.To implement the protocol,RhIr nanocrysrals are in-situ grown onto MoS2 interlayers forming a nanohybrid structure(RhIr@MoS2).After being locally deposited on an electrochemical microsensor,it could be used for the analysis of NADH.The developed RhIr@MoS2 nanohybrids based microsensor possesses the ability for analyzing NADH at the applied potential of 0.07 V(much lower than most reported values).The detection limit is evaluated as low as 1 nmol/L even in bovine serum albumin(BSA)media.In addition,the sampling analysis of human serum from cancer patients and health controls shows that the microsensor displays good diagnostic sensitivity and specificity,illustrating that this developed detection technique is a relatively accurate method for measuring NADH in biological fluids.The proposed electrochemical microsensor assay also owns the benefits of convenience,disposable and easy processing,which make it a great possibility for future point-of-care cancer diagnosis.展开更多
Numerical simulation and experimental study of the Vickers indentation testing of the Al2O3 ceramic coated by diamond-like carbon(DLC) layer were conducted.The numerical analysis was implemented by a two-dimensional f...Numerical simulation and experimental study of the Vickers indentation testing of the Al2O3 ceramic coated by diamond-like carbon(DLC) layer were conducted.The numerical analysis was implemented by a two-dimensional finite element(FE) axis symmetry model.FE analysis results gave insight into the fracture mechanism of DLC films coated on brittle ceramic(Al2O3) substrates.The maximum principal stress field was used to locate the most expected area for crack formation and propagation during the Vickers indentation testing.The results show that the median crack initiates in the interface under indenter,before ring crack occurs as the indenter presses down.Finally,the plastic deformation appears when the indenter penetrates into the substrate.The thicker DLC coating increases the Vickers hardness and fracture toughness.展开更多
BACKGROUND CYP21A2 gene mutations may all cause reduction or loss of 21-hydroxylase activity,leading to development of congenital adrenal hyperplasia(CAH)with different clinical phenotypes.For families with CAH childr...BACKGROUND CYP21A2 gene mutations may all cause reduction or loss of 21-hydroxylase activity,leading to development of congenital adrenal hyperplasia(CAH)with different clinical phenotypes.For families with CAH children,genetic testing of the parents and genetic counseling are recommended to assess the risk of recurrence.CASE SUMMARY We report a case of CAH with a high suspicion before delivery.The risk of the child suffering from CAH during the pregnancy had been underestimated due to the deviation of genetic counseling and genetic testing results.Our report confirmed a CYP21A2 homozygous deletion in this case,CYP21A2 heterozygous deletion in the mother,and a rare 2+0 CYP21A2 deletion in the father.CONCLUSION It is important to analyze the distribution of CYP21A2 gene in the two alleles of parents of children with CAH.展开更多
目的评估Latex Test BL-2 P-FDP纤维蛋白(原)降解产物试剂盒分别在Sysmex CA7000和CS5100全自动凝血仪上的性能。方法根据美国临床实验室标准化研究所(CLSI)系列文件和其他相关文献的实验方案,对两套系统的不精密度、准确度、线性范围...目的评估Latex Test BL-2 P-FDP纤维蛋白(原)降解产物试剂盒分别在Sysmex CA7000和CS5100全自动凝血仪上的性能。方法根据美国临床实验室标准化研究所(CLSI)系列文件和其他相关文献的实验方案,对两套系统的不精密度、准确度、线性范围、携带污染率、参考范围、检测下限和抗干扰试验、方法学比对等性能进行验证分析。结果不精密度与准确度均在允许范围内,表明验证通过。线性验证实测均值与预测值偏离均<15%,符合要求。CA7000和CS5100 2台仪器检测FDP的携带污染率均为0%,符合要求。CA7000和CS5100分析FDP的检测下限结果分别为(2.63±0.28)μg/ml、(2.64±0.07)μg/ml,均在2μg/ml^3μg/ml,符合要求。对Latex Test BL-2 P-FDP试剂盒在CA7000和CS5100 2套检测系统的检测结果进行相关回归分析,y=0.881x+1.811,r=0.987(P>0.05),2个检测系统间结果一致性较好。结论 Latex Test BL-2 P-FDP试剂盒应用在Sysmex CA7000和CS5100全自动凝血仪测定时的主要性能指标,已达到临床检测需求。展开更多
The robust stability test of time-delay systems with interval parameters can be concluded into the robust stability of the interval quasipolynomials. It has been revealed that the robust stability of the quasipolynomi...The robust stability test of time-delay systems with interval parameters can be concluded into the robust stability of the interval quasipolynomials. It has been revealed that the robust stability of the quasipolynomials depends on that of their edge polynomials. This paper transforms the interval quasipolynomials into two-dimensional （2-D） interval polynomials （2-D s-z hybrid polynomials）, proves that the robust stability of interval 2-D polynomials are sufficient for the stability of given quasipolynomials. Thus, the stability test of interval quasipolynomials can be completed in 2-D s-z domain instead of classical 1-D s domain. The 2-D s-z hybrid polynomials should have different forms under the time delay properties of given quasipolynomials. The stability test proposed by the paper constructs an edge test set from Kharitonov vertex polynomials to reduce the number of testing edge polynomials. The 2-D algebraic tests are provided for the stability test of vertex 2-D polynomials and edge 2-D polynomials family. To verify the results of the paper to be correct and valid, the simulations based on proposed results and comparison with other presented results are given.展开更多
AIM： To evaluate the use of the trypsinogen-2 dipstick （Actim Pancreatitis） test for early diagnosis and prediction of severity in acute pancreatitis （AP）. METHODS： Ninety-two patients with AP were included in t...AIM： To evaluate the use of the trypsinogen-2 dipstick （Actim Pancreatitis） test for early diagnosis and prediction of severity in acute pancreatitis （AP）. METHODS： Ninety-two patients with AP were included in this study. The control group was 25 patients who had acute abdominal pain from non-pancreatic causes. Urine trypsinogen-2 dipstick test （UTDT） and conventional diagnostic tests were performed in all patients. Patients were divided by the Atlanta classification into two groups as having mild or severe pancreatitis. RESULTS： UTDT was positive in 87 （94.6%） of the AP patients and in two （8%） controls （P 〈 0.05）. Positive UTDT was found in 61 （92.4%） of 66 （71.7%） patients with mild pancreatitis and in all （100%） of the 26 （28.3%） with severe pancreatitis （P 〉 0.05）. UTDT positivity lasted longer in severe pancreatitis compared with that in mild pancreatitis （6.2 ＋ 2.5 d vs 2.0 ＋ 1.43 d, P 〈 0.05）. The sensitivity, specificity, positive predictive value, negative predictive value （NPV）, positive likelihood ratio （PLR） and negative likelihood ratio （NLR） of UTDT were 91%, 72%, 96.6%, 70.4%, 3.4 and 0.1, respectively. CONCLUSION： UTDT is a simple, rapid and reliable method for use on admission. It has high specificity and low NLR for early diagnosis and prediction of severity in AP. However, its relatively low NPV does not allow trypsinogen-2 dipstick test to be a stand-alone tool for diagnosis of acute pancreatitis; the use of other conventional diagnostic tools remains a requirement.展开更多
Twelve healthy rats were divided into the T-2 toxin group receiving gavage of 1 mg/kg T-2 toxin and the control group receiving gavage of normal saline. Total relative concentrations of T-2 toxin and HT-2 toxin in the...Twelve healthy rats were divided into the T-2 toxin group receiving gavage of 1 mg/kg T-2 toxin and the control group receiving gavage of normal saline. Total relative concentrations of T-2 toxin and HT-2 toxin in the skeletal system（thighbone, knee joints, and costal cartilage） were significantly higher than those in the heart, liver, and kidneys（P 〈 0.05）. The relative concentrations of T-2 toxin and HT-2 toxin in the skeletal system（thighbone and costal cartilage） were also significantly higher than those in the heart, liver, and kidneys. The rats administered T-2 toxin showed rapid metabolism compared with that in rats administered HT-2 toxin, and the metabolic conversion rates in the different tissues were 68.20%-90.70%.展开更多
Active faults are a common adverse geological phenomenon that can occur during tunnel excavation and has a very negative impact on the construction and operation of the tunnel.In this paper,the grade IV rock surroundi...Active faults are a common adverse geological phenomenon that can occur during tunnel excavation and has a very negative impact on the construction and operation of the tunnel.In this paper,the grade IV rock surrounding the cross-fault tunnel with poor geological conditions has been chosen for the study.The support capacity of 2^(nd) Generation-Negative Poisson’s Ratio(2G-NPR)bolt in an active fault tunnel has been carried out on the basis of relevant results obtained from the geomechanical model test and numerical investigations of failure model for existing unsupported fault tunnel.The investigation shows that surrounding rock of the tunnel is prone to shear deformation and crack formation along the fault,as a result,the rock mass on the upper part of the fault slips as a whole.Furthermore,small-scale deformation and loss of blocks are observed around the tunnel;however,the 2G-NPR bolt support is found to be helpful in keeping the overall tunnel intact without any damage and instability.Due to the blocking effect of fault,the stress of the surrounding rock on the upper and lower parts of the fault is significantly different,and the stress at the left shoulder of the tunnel is greater than that at the right shoulder.The asymmetrical arrangement of 2G-NPR bolts can effectively control the asymmetric deformation and instability of the surrounding rock.The present numerical scheme is in good agreement with the model test results,and can reasonably reflect the stress and displacement characteristics of the surrounding rock of the tunnel.In comparison to unsupported and ordinary PR(Poisson’s Ratio)bolt support,2G-NPR bolt can effectively limit the fault slip and control the stability of the surrounding rock of the fault tunnel.The research findings may serve as a guideline for the use of 2G-NPR bolts in fault tunnel support engineering.展开更多
文摘Human epidermal growth factor receptor 2(HER2) overexpression is increasingly recognized as a frequent molecular abnormality in gastric and gastroesophageal cancer. With the recent introduction of HER2 molecular targeted therapy for patients with advanced gastric cancer, determination of HER2 status is crucial in order to select patients who may benefit from this treatment. This paper provides an update on our knowledge of HER2 in gastric and gastroesophageal cancer, including the prognostic relevance of HER2, the key differences between HER2 protein expression interpretation in breast and gastric cancer, the detection methods and the immunohistochemistry scoring system.
基金supported by the National Natural Science Foundation of China(Grant Nos.22072031,12372107,11832010,and 11890682)the Strategic Priority Research Program of Chinese Academy of Sciences(Grant No.XDB36000000).
文摘The bulge test is a widely utilized method for assessing the mechanical properties of thin films,including metals,polymers,and semiconductors.However,as film thickness diminishes to nanometer scales,boundary conditions dominated by weak van der Waals forces significantly impact mechanical responses.Instead of sample fracture,interfacial shear deformation and delamination become the primary deformation modes,thereby challenging the applicability of conventional bulge models.To accommodate the interfacial effect,a modified mechanical model based on the bulge test has been proposed.This review summarizes recent advancements in the bulge test to highlight the potential challenges and opportunities for future research.
基金supported by the project from the Exploration and Development Research Institute of PetroChina Daqing Oilfield Companyfinancial support from the research by the National Natural Science Foundation of China(42402148)+1 种基金Sichuan Provincial Fund(24NSFSC4997)Guizhou Outstanding Young Science and Technology Talent Program(YQK[2023]012).
文摘Microstructural heterogeneity of low-permeability sandstone roofs of deep unmineable coal seams due to diagenesis significantly affects rock mechanical behavior,greatly impacting the sealing potential of in situ CO_(2) sequestration and the structural stability of the geological formation.However,little is known about how the microstructure of different mineral groups influences the multiscale mechanical behavior of deep sandstone.This study proposes a new method for quantitatively characterizing the multiscale mechanical properties of low-permeability sandstone and shows the mechanisms responsible for mechanical failure at the micro-,meso-,and macroscale.Triaxial compression tests and targeted nanoindentation tests were conducted to assess the micro-and macroscale mechanical properties of different types of sandstone.The micro-and macroscale experiments were coupled with numerical simulations of compression using a unified cohesive model based on Voronoi polygons to clarify the multiscale mechanical behavior.The results indicate that quartz,the primary mineral component of the sandstones examined,exhibits the strongest micromechanical properties,followed by feldspar,calcite,and clay minerals.Compared to polycrystalline quartz,monocrystalline quartz has a more stable microstructure and is mechanically stronger.The macro-mechanical properties of tight sandstone samples are weakened by increased microstructural inhomogeneity and larger grain size.This leads to a higher likelihood of splitting damage,characterized by a high degree of discrete and weak stress sensitivity.The major conclusion is that the positive rhythm lithofacies of medium-grained sandstone to siltstone are the most favorable for efficient CO_(2) sequestration in deep unmineable coal seams.
基金funded by the National Natural Science Foundation of China(No.42141013)China Geological Survey(DD20221818,DD20242513).
文摘China has pledged to peak carbon dioxide(CO_(2))emissions by 2030 and achieve carbon neutrality by 2060.Carbon capture and storage(CCS)will play a key role in these efforts.Over the past several years,the China Geological Survey(CGS)has completed the Suitability Evaluation Map of CO_(2)Geological Storage in Main Sedimentary Basins in China and Adjacent Sea Regions in 2017.This map reflects the suitability of the first-and secondary-order tectonic units within sedimentary basins for cO_(2)geological storage for CCS planning.The Junggar Basin is recognized as an important region for future CCS projects.Results from a mesoscale evaluation using the volume method indicate that deep saline aquifers represent the most significant resources for CO_(2)storage,with potential ranging from 48×10^(9)to 164×10^(9)t(with a P50 value of 96×10^(9)t).The highest storage potential is identified in the central and northern parts of the basin,reaching up to 9.5×10^(6)t/km^(2)at the P50 probability level.In contrast,the hinterland,eastern,and western parts of the basin generally exhibit storage potential of below 1.0×10^(6)t/km^(2)at the same probability level.The CGs has also characterized historical CO_(2)plume migration in reservoirs at the storage site of the Shenhua CCS demonstration project and conducted numerical simulations of CO_(2)plume migration for periods of 10 and 20 years following the shutdown of the injection well.The CGS implemented a kiloton-scale pilot test on CO_(2)-enhanced water recovery(CO_(2)-EWR)in eastern Junggar,revealing that CO_(2)flooding can improve the pressure for fluid production,with the highest ratio of CO_(2)to produced fluids estimated at approximately 1.2.Besides,an observation field for natural CO_(2)leakage,covering about 930 m^(2),was built in Qinghai Province.In natural CO_(2)fields or at artificial CO_(2)injection research sites,cO_(2)leakage points are primarily related to the distribution of faults(especially fault crossing),which can serve as pathways for CO_(2)leakage.The observation field provides a natural analog to wellbore failure and offers an opportunity to further monitor CO_(2)geological storage sites.However,it has been inferred that borehole ZK10 at the observation field has become a leakage pathway due to the drilling activities,inadequate well-plugging,and abandonment procedures without considering CO_(2)corrosion.
基金Project supported by the Zhejiang Provincial Natural Science Foundation of China(No.LZ14C200001)the Public Welfare Project of Science Technology Department of Zhejiang Province(No.2013c33139),China
文摘To address the controversial issue of the toxicity of dental alloys and silver nanoparticles in medical ap- plications, an in vivo-like LO2 3-D model was constructed within polyvinylidene fluoride hollow fiber materials to mimic the microenvironment of liver tissue. The use of microscopy methods and the measurement of liver-specific functions optimized the model for best cell performances and also proved the superiority of the 3-D LO2 model when compared with the traditional monolayer model. Toxicity tests were conducted using the newly constructed model, finding that four dental castings coated with silver nanoparticles were toxic to human hepatocytes after cell viability assays. In general, the toxicity of both the castings and the coated silver nanoparticles aggravated as time increased, yet the nanoparticles attenuated the general toxicity by preventing metal ion release, especially at high concentrations.
基金supported by National Key R&D Program of China(No.2016YFA0200800)Shanghai Science and Technology Innovation Action Plan(No.19520744200)+1 种基金Natural Science Foundation of Shanghai(Nos.17ZR1410000,18ZR1415400)the financial support of State Key Laboratory of Transducer Technology of China(No.SKT1806)。
文摘Dihydronicotinamide adenine dinucleotide(NADH)is an important enzyme in all living cells,which is found to be abnormally expressed in cancer cells.Since it is redox-active,an electrochemical detection method would be suitable for monitoring its concentration in biological fluids.Here we present a strategy for specific determination of NADH in real human serum by using RhIr@MoS2 nanohybrids based microsensor.To implement the protocol,RhIr nanocrysrals are in-situ grown onto MoS2 interlayers forming a nanohybrid structure(RhIr@MoS2).After being locally deposited on an electrochemical microsensor,it could be used for the analysis of NADH.The developed RhIr@MoS2 nanohybrids based microsensor possesses the ability for analyzing NADH at the applied potential of 0.07 V(much lower than most reported values).The detection limit is evaluated as low as 1 nmol/L even in bovine serum albumin(BSA)media.In addition,the sampling analysis of human serum from cancer patients and health controls shows that the microsensor displays good diagnostic sensitivity and specificity,illustrating that this developed detection technique is a relatively accurate method for measuring NADH in biological fluids.The proposed electrochemical microsensor assay also owns the benefits of convenience,disposable and easy processing,which make it a great possibility for future point-of-care cancer diagnosis.
文摘Numerical simulation and experimental study of the Vickers indentation testing of the Al2O3 ceramic coated by diamond-like carbon(DLC) layer were conducted.The numerical analysis was implemented by a two-dimensional finite element(FE) axis symmetry model.FE analysis results gave insight into the fracture mechanism of DLC films coated on brittle ceramic(Al2O3) substrates.The maximum principal stress field was used to locate the most expected area for crack formation and propagation during the Vickers indentation testing.The results show that the median crack initiates in the interface under indenter,before ring crack occurs as the indenter presses down.Finally,the plastic deformation appears when the indenter penetrates into the substrate.The thicker DLC coating increases the Vickers hardness and fracture toughness.
基金Supported by the Fundamental Research Funds of Health Commission of Sichuan Province,No.17ZD035.
文摘BACKGROUND CYP21A2 gene mutations may all cause reduction or loss of 21-hydroxylase activity,leading to development of congenital adrenal hyperplasia(CAH)with different clinical phenotypes.For families with CAH children,genetic testing of the parents and genetic counseling are recommended to assess the risk of recurrence.CASE SUMMARY We report a case of CAH with a high suspicion before delivery.The risk of the child suffering from CAH during the pregnancy had been underestimated due to the deviation of genetic counseling and genetic testing results.Our report confirmed a CYP21A2 homozygous deletion in this case,CYP21A2 heterozygous deletion in the mother,and a rare 2+0 CYP21A2 deletion in the father.CONCLUSION It is important to analyze the distribution of CYP21A2 gene in the two alleles of parents of children with CAH.
文摘目的评估Latex Test BL-2 P-FDP纤维蛋白(原)降解产物试剂盒分别在Sysmex CA7000和CS5100全自动凝血仪上的性能。方法根据美国临床实验室标准化研究所(CLSI)系列文件和其他相关文献的实验方案,对两套系统的不精密度、准确度、线性范围、携带污染率、参考范围、检测下限和抗干扰试验、方法学比对等性能进行验证分析。结果不精密度与准确度均在允许范围内,表明验证通过。线性验证实测均值与预测值偏离均<15%,符合要求。CA7000和CS5100 2台仪器检测FDP的携带污染率均为0%,符合要求。CA7000和CS5100分析FDP的检测下限结果分别为(2.63±0.28)μg/ml、(2.64±0.07)μg/ml,均在2μg/ml^3μg/ml,符合要求。对Latex Test BL-2 P-FDP试剂盒在CA7000和CS5100 2套检测系统的检测结果进行相关回归分析,y=0.881x+1.811,r=0.987(P>0.05),2个检测系统间结果一致性较好。结论 Latex Test BL-2 P-FDP试剂盒应用在Sysmex CA7000和CS5100全自动凝血仪测定时的主要性能指标,已达到临床检测需求。
基金This project was supported by the National Science Foundation of China (60572093).
文摘The robust stability test of time-delay systems with interval parameters can be concluded into the robust stability of the interval quasipolynomials. It has been revealed that the robust stability of the quasipolynomials depends on that of their edge polynomials. This paper transforms the interval quasipolynomials into two-dimensional （2-D） interval polynomials （2-D s-z hybrid polynomials）, proves that the robust stability of interval 2-D polynomials are sufficient for the stability of given quasipolynomials. Thus, the stability test of interval quasipolynomials can be completed in 2-D s-z domain instead of classical 1-D s domain. The 2-D s-z hybrid polynomials should have different forms under the time delay properties of given quasipolynomials. The stability test proposed by the paper constructs an edge test set from Kharitonov vertex polynomials to reduce the number of testing edge polynomials. The 2-D algebraic tests are provided for the stability test of vertex 2-D polynomials and edge 2-D polynomials family. To verify the results of the paper to be correct and valid, the simulations based on proposed results and comparison with other presented results are given.
文摘AIM： To evaluate the use of the trypsinogen-2 dipstick （Actim Pancreatitis） test for early diagnosis and prediction of severity in acute pancreatitis （AP）. METHODS： Ninety-two patients with AP were included in this study. The control group was 25 patients who had acute abdominal pain from non-pancreatic causes. Urine trypsinogen-2 dipstick test （UTDT） and conventional diagnostic tests were performed in all patients. Patients were divided by the Atlanta classification into two groups as having mild or severe pancreatitis. RESULTS： UTDT was positive in 87 （94.6%） of the AP patients and in two （8%） controls （P 〈 0.05）. Positive UTDT was found in 61 （92.4%） of 66 （71.7%） patients with mild pancreatitis and in all （100%） of the 26 （28.3%） with severe pancreatitis （P 〉 0.05）. UTDT positivity lasted longer in severe pancreatitis compared with that in mild pancreatitis （6.2 ＋ 2.5 d vs 2.0 ＋ 1.43 d, P 〈 0.05）. The sensitivity, specificity, positive predictive value, negative predictive value （NPV）, positive likelihood ratio （PLR） and negative likelihood ratio （NLR） of UTDT were 91%, 72%, 96.6%, 70.4%, 3.4 and 0.1, respectively. CONCLUSION： UTDT is a simple, rapid and reliable method for use on admission. It has high specificity and low NLR for early diagnosis and prediction of severity in AP. However, its relatively low NPV does not allow trypsinogen-2 dipstick test to be a stand-alone tool for diagnosis of acute pancreatitis; the use of other conventional diagnostic tools remains a requirement.
基金partially supported by National Natural Scientific Foundation of China[81620108026,81302393]
文摘Twelve healthy rats were divided into the T-2 toxin group receiving gavage of 1 mg/kg T-2 toxin and the control group receiving gavage of normal saline. Total relative concentrations of T-2 toxin and HT-2 toxin in the skeletal system（thighbone, knee joints, and costal cartilage） were significantly higher than those in the heart, liver, and kidneys（P 〈 0.05）. The relative concentrations of T-2 toxin and HT-2 toxin in the skeletal system（thighbone and costal cartilage） were also significantly higher than those in the heart, liver, and kidneys. The rats administered T-2 toxin showed rapid metabolism compared with that in rats administered HT-2 toxin, and the metabolic conversion rates in the different tissues were 68.20%-90.70%.
基金supported by the National Natural Science Foundation of China(NSFC)(41941018)the Program of China Scholarship Council(202106430031)。
文摘Active faults are a common adverse geological phenomenon that can occur during tunnel excavation and has a very negative impact on the construction and operation of the tunnel.In this paper,the grade IV rock surrounding the cross-fault tunnel with poor geological conditions has been chosen for the study.The support capacity of 2^(nd) Generation-Negative Poisson’s Ratio(2G-NPR)bolt in an active fault tunnel has been carried out on the basis of relevant results obtained from the geomechanical model test and numerical investigations of failure model for existing unsupported fault tunnel.The investigation shows that surrounding rock of the tunnel is prone to shear deformation and crack formation along the fault,as a result,the rock mass on the upper part of the fault slips as a whole.Furthermore,small-scale deformation and loss of blocks are observed around the tunnel;however,the 2G-NPR bolt support is found to be helpful in keeping the overall tunnel intact without any damage and instability.Due to the blocking effect of fault,the stress of the surrounding rock on the upper and lower parts of the fault is significantly different,and the stress at the left shoulder of the tunnel is greater than that at the right shoulder.The asymmetrical arrangement of 2G-NPR bolts can effectively control the asymmetric deformation and instability of the surrounding rock.The present numerical scheme is in good agreement with the model test results,and can reasonably reflect the stress and displacement characteristics of the surrounding rock of the tunnel.In comparison to unsupported and ordinary PR(Poisson’s Ratio)bolt support,2G-NPR bolt can effectively limit the fault slip and control the stability of the surrounding rock of the fault tunnel.The research findings may serve as a guideline for the use of 2G-NPR bolts in fault tunnel support engineering.
