In this paper, we derive the analytical expression for the multipole expansion coefficients of scattering and interior fields of a graphene-coated dielectric particle under the illumination of an arbitrary optical bea...In this paper, we derive the analytical expression for the multipole expansion coefficients of scattering and interior fields of a graphene-coated dielectric particle under the illumination of an arbitrary optical beam. By using this arbitrary beam theory, we systematically investigate the optical forces exerted on the graphene-coated particle by a focused Gaussian beam. Via tuning the chemical potential of the graphene, the optical force spectra could be modulated accordingly at resonant excitation. The hybridized whispering gallery mode of the electromagnetic field inside the graphene-coated polystyrene particle is more intensively localized than the pure polystyrene particle, which leads to a weakened morphology-dependent resonance in the optical forces. These investigations could open new perspectives for dynamic engineering of optical manipulations in optical tweezers applications.展开更多
Bone has long been acknowledged as a fundamental structural entity that provides support and protection to the body’s organs.However,emerging research indicates that bone plays a crucial role in the regulation of sys...Bone has long been acknowledged as a fundamental structural entity that provides support and protection to the body’s organs.However,emerging research indicates that bone plays a crucial role in the regulation of systemic metabolism.This is achieved through the secretion of a variety of hormones,cytokines,metal ions,extracellular vesicles,and other proteins/peptides,collectively referred to as bone-derived factors(BDFs).BDFs act as a medium through which bones can exert targeted regulatory functions upon various organs,thereby underscoring the profound and concrete implications of bone in human physiology.Nevertheless,there remains a pressing need for further investigations to elucidate the underlying mechanisms that inform the effects of bone on other body systems.This review aims to summarize the current findings related to the roles of these significant modulators across different organs and metabolic contexts by regulating critical genes and signaling pathways in vivo.It also addresses their involvement in the pathogenesis of various diseases affecting the musculoskeletal system,circulatory system,glucose and lipid metabolism,central nervous system,urinary system,and reproductive system.The insights gained from this review may contribute to the development of innovative therapeutic strategies through a focused approach to bone secretomes.Continued research into BDFs is expected to enhance our understanding of bone as a multifunctional organ with diverse regulatory roles in human health.展开更多
Dear Editor,The most serious heat related injury is exertional heat stroke(EHS).EHS occurs when healthy individuals perform physical activity in a hot and humid environment[1].A disrupted balance between heat producti...Dear Editor,The most serious heat related injury is exertional heat stroke(EHS).EHS occurs when healthy individuals perform physical activity in a hot and humid environment[1].A disrupted balance between heat production and dissipation in the human body results in excessive body heat storage in cases.It occurs frequently in the military population because of work characteristics such as the requirements to perform essential duties under prolonged heat stress,the need to achieve mission objectives during deployment operations,or the opportunities for training and selection for elite units[2].The pathophysiology of EHS is complex,which often results in thermoregulation failure,hemodynamic disturbance,and endotoxin release,and further causes multiple organ failure,probably increasing myocardial enzymes and N-terminal pro-brain natriuretic peptide(NT-proBNP)levels.Rhabdomyolysis caused by EHS often results from mechanical and metabolic injury to the striated muscle fibers accompanied with the release of muscle contents into the circulation[3].Liu et al.展开更多
Exertional heat stroke (EHS) is a life-threatening condition characterized by profound central nervous system (CNS)dysfunction and core temperature typically>40°C.^([1])This condition involves complex pathophy...Exertional heat stroke (EHS) is a life-threatening condition characterized by profound central nervous system (CNS)dysfunction and core temperature typically>40°C.^([1])This condition involves complex pathophysiological processes in which heat triggers a cascade of dysregulated inflammatory responses,endothelial dysfunction,coagulation abnormalities,and muscle damage.These processes can lead to multiorgan failure,significantly increasing the risk of mortality.^([2])Given the severity of EHS,early identification and timely intervention are crucial.However,there are no specific diagnostic markers for EHS,^([1])highlighting the need to identify reliable clinical parameters that can assist early decision-making.展开更多
The treatment of severe diabetic foot remains a clinical challenge.While it is established that bone can exert systemic effects through the secretion of osteokines on other organs,whether this endocrine function can b...The treatment of severe diabetic foot remains a clinical challenge.While it is established that bone can exert systemic effects through the secretion of osteokines on other organs,whether this endocrine function can be harnessed to promote diabetic wound healing remains unexplored.Here,we investigate the impact of a bone injury strategy on diabetic wound healing,leveraging the body’s innate regenerative capacity to stimulate osteokine release and influence remote skin wound repair.This study demonstrates that the tibial defect significantly accelerates ipsilateral diabetic foot skin wound healing.Mechanistically,we identify osteokines,platelet-derived growth factor-BB(PDGF-BB),as the key to initiating this process.Bone defect triggers a substantial release of PDGF-BB,which reaches the skin wound site via peripheral circulation.At the skin wound site,PDGF-BB mediates the secretion of keratinocyte growth factor(KGF)from fibroblasts via the PDGFRβsignaling pathway,thereby promoting the rapid re-epithelialization of epidermal cells through a paracrine pathway.Additionally,elevated PDGF-BB levels enhance the regeneration of CD31hi Emcnhi blood vessels within the wound.展开更多
Prodrugs need to be converted to active drugs to exert their pharmacological activities.Identifying the direct targets of active drugs is essential to elucidate the pharmacological mechanisms of prodrugs,but remains c...Prodrugs need to be converted to active drugs to exert their pharmacological activities.Identifying the direct targets of active drugs is essential to elucidate the pharmacological mechanisms of prodrugs,but remains challenging,especially for active drugs with low stability.展开更多
Agricultural machinery typically requires lower limb actuation forces for operations such as treadling,pedaling and tractor based.However,limited systems exist for assessment of such forces that have ergonomic influen...Agricultural machinery typically requires lower limb actuation forces for operations such as treadling,pedaling and tractor based.However,limited systems exist for assessment of such forces that have ergonomic influence.This study,therefore developed and evaluated a single board computer integrated foot transducer(IFT)and autonomous data logging and visualization systemtomonitor dynamic lower limb exerted forces.The systemconsists of custom developed load sensors sandwiched into foot shaped units that fit operator's both feet.Stamped forces at crank angles for operations typical to pedaling while at height(above ground level)for operation representing typical treadling operations were recorded on-board amemory card and displayed on a liquid crystal display.Evaluations were conducted by imposing external loads that significantly increased(p b 0.05)the foot exerted forces.Force trends were periodic with peaks of 73,85,110.5 and 145.4 N for left foot and 41,50,131.7 and 145.4 N for right foot at loads of 10,30,50 and 70 N,respectively during pedaling operations.Similarly,the left lower actuation limb exerted forces of 139,249 and 255 N at 5,10 and 15 N of imposed loads,respectively during treadling operation.System was also evaluated for tractor operations and exerted forces ranged from 92 to 164 and 107–176 N for clutch pedal engagement at lower to higher tractor speeds on farm and tarmacadam roads,respectively.Similarly,for brake pedal engagement,such forces ranged from106 to 173 and 120–204 N on farm and tarmacadamroads.These forces varied significantly at different forward speeds.Results suggest potential of such system for foot exerted force assessments typical to agricultural machinery systems in real field.Designsmay be evaluated or reconsidered tominimizemusculoskeletal disorder risks during prolonged operations.Work-rest schedules protocols can be developed by ergonomists for safe,efficient and comfortable operations.展开更多
Equating the Rest Mass Energy of a free electron to its Rest Charge Energy we prove that the electron cannot be a dimensionless point particle because if it were dimensionless, it would contain an infinite amount of R...Equating the Rest Mass Energy of a free electron to its Rest Charge Energy we prove that the electron cannot be a dimensionless point particle because if it were dimensionless, it would contain an infinite amount of Rest Charge Energy at the location of its charge since r = 0 gives , which is clearly not possible. Since the electron has no internal structure, equating its Rest Mass Energy to its Rest Charge Energy, we calculate the electron to be a sphere of radius 4.68 × 10<sup>-</sup><sup>16</sup> meters. We calculate the Electric Field at the surface of the electron due to its charge and the Repulsive Force two electrons in proximity exert on each other.展开更多
BACKGROUND:Heatstroke has become a common emergency event in hospitals.Procalcitonin(PCT)is used as a biomarker of infection in the emergency department(ED),but its role in rhabdomyolysis(RM)following exertional heats...BACKGROUND:Heatstroke has become a common emergency event in hospitals.Procalcitonin(PCT)is used as a biomarker of infection in the emergency department(ED),but its role in rhabdomyolysis(RM)following exertional heatstroke(EHS)remains unclear.METHODS:A retrospective cohort study enrolled patients with EHS from the intensive care unit(ICU).We collected RM biomarkers,inflammation markers,critical disease scores at admission,24 h,48 h,and discharge,and 90-day mortality.Correlation analysis,linear regression and curve fi tting were used to identify the relationship between PCT and RM.RESULTS:A total of 162 patients were recruited and divided into RM(n=56)and non-RM(n=106)groups.PCT was positively correlated with myoglobin(Mb),acute hepatic injury,disseminated intravascular coagulation(DIC),Sequential Organ Failure Assessment(SOFA)score,and Acute Physiology and Chronic Health Evaluation II(APACHE II)score,with correlation coefficients of 0.214,0.237,0.285,0.454,and 0.368,respectively(all P<0.05).Interestingly,the results of curve fi tting revealed a nonlinear relationship between PCT and RM,and a two-piecewise linear regression model showed that PCT was related to RM with an odds ratio of 1.3 and a cut-off of<4.6 ng/mL.Survival analysis revealed that RM was associated with higher mortality compared to non-RM cases(P=0.0093).CONCLUSION:High serum PCT concentrations are associated with RM after EHS in critically ill patients.Elevated PCT concentrations should be interpreted cautiously in patients with EHS in the ED.展开更多
BACKGROUND Exertional heat stroke(EHS)is a critical condition arising from prolonged physical exertion in high temperatures that typically presents with normal hemoglobin levels.However,atypical presentations can also...BACKGROUND Exertional heat stroke(EHS)is a critical condition arising from prolonged physical exertion in high temperatures that typically presents with normal hemoglobin levels.However,atypical presentations can also occur,leading to significant complications such as hemolytic anemia and organ dysfunction.CASE SUMMARY This case report describes a male patient who experienced moderate-to-severe anemia that was difficult to correct,with a confirmed diagnosis of microangiopathic hemolytic anemia accompanying multiple organ dysfunction syndrome,indicative of critical EHS.Despite intensive resuscitation efforts,the patient’s condition deteriorated,necessitating admission to the intensive care unit for advanced management.CONCLUSION This case highlights the importance of recognizing atypical presentations of EHS,particularly that with significant hemolytic anemia and concurrent organ failure.Clinicians should maintain a high level of suspicion for these complications in patients displaying symptoms of heat-related illness,especially when caused by strenuous activity,as early diagnosis and intervention are crucial to improve patient outcomes.展开更多
[Objectives]To explore the effects of Shentong Zhuyu decoction combined with massage therapy in the treatment of exertional chronic lumbar muscle strain.[Methods]Sixty-four cases of exertional chronic lumbar muscle st...[Objectives]To explore the effects of Shentong Zhuyu decoction combined with massage therapy in the treatment of exertional chronic lumbar muscle strain.[Methods]Sixty-four cases of exertional chronic lumbar muscle strain were randomly divided into two groups(32 cases each group).The patients in the control group only took celecoxib capsules,and those in the treatment group additionally took Shentong Zhuyu decoction combined with massage therapy.TCM syndrome score,lumbar function,hemorrheology index and clinical effect were compared between the two groups before and after treatment.[Results]After treatment,the TCM syndrome scores of lumbar distension/dull pain,tingling-like lumbago,adverse lateral turn,body weight loss,dark purple tongue,slow or astringent pulse,and Oswestry disability index(ODI)score in the treatment group were lower than those in the control group,and the levels of plasma viscosity,red blood cell aggregation index,platelet aggregation rate(PAG)and fibrinogen(Fib)were lower than those in the control group,showing statistical significance(P<0.05).The overall clinical effect distribution of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).[Conclusions]Shentong Zhuyu decoction combined with massage therapy can effectively relieve the symptoms of patients with lumbago and improve the lumbar mobility function and hemorrheology,with obvious therapeutic effects in the treatment of exertional chronic lumbar muscle strain.展开更多
Background: The exRML (exertional rhabdomyolysis) is a pathophysiologic condition of skeletal muscle cell damage and breakdown associated with high intensity or prolonged exercise, normal exercise under extreme circum...Background: The exRML (exertional rhabdomyolysis) is a pathophysiologic condition of skeletal muscle cell damage and breakdown associated with high intensity or prolonged exercise, normal exercise under extreme circumstances, or sudden and excessive skeletal muscle contraction. It may manifest from the increase in CK (creatine kinase) or MYO (myoglobin), a protein that can cause life-threatening injury to the kidney (AKI, acute kidney injury), and may or may not be associated with myoglobinuria. Here, we presented a case of exRML with AKI, and then reviewed the related reports. Vigorous hydration, sodium bicarbonate and furosemide are key treatments. Aim: To examine an elderly patient with exRML induced AKI and the key treatment process. Case summary: A 61-year-old man left our hospital without permission after his admission and has been walking for almost 30 kms with no water and food intake, then was diagnosed exRML and exRML induced AKI with an obvious elevation of CK, MYO and decrease of eGFR (estimated glomerular filtration rate) after coming back, and was treated with vigorous hydration, loop diuresis, sodium bicarbonate, prostaglandin and Shenkang injection. After vigorous resuscitation, the patient’s renal function, CK and MYO returned normal. Conclusions: The exRML can cause serious complications such as AKI and death. Delayed diagnosis can be critical;therefore, manner of time should be taken to achieve a favorable prognosis.展开更多
A 54-year-old woman presented to our clinic for the first time in February 2024,reporting exertional dyspnea.Cardiological examination,electrocardiography,and transthoracic echocardiography(TTE)were performed.During t...A 54-year-old woman presented to our clinic for the first time in February 2024,reporting exertional dyspnea.Cardiological examination,electrocardiography,and transthoracic echocardiography(TTE)were performed.During the cardiological examination,the patient reported no comorbidities,denied medication use,and stated that she was a non-smoker.The electrocardiogram revealed left ventricular hypertrophy.展开更多
Dissolved organic carbon(DOC) is an important component of the terrestrial carbon cycle.However,the sources and controlling factors of DOC in soils remain uncertain.In this study,the effects of nitrogen(N) amendment a...Dissolved organic carbon(DOC) is an important component of the terrestrial carbon cycle.However,the sources and controlling factors of DOC in soils remain uncertain.In this study,the effects of nitrogen(N) amendment and crop growth on DOC in soil solution were examined at a maize-wheat rotated field located in the central Sichuan Basin in southwestern China.Nitrogen treatments in this study included 150 kg N ha-1 season-1,200 kg N ha-1 season-1 and the control without any fertilizer application.During the whole experimental period,we observed significant decreases(p<0.05) in DOC concentrations in the sampled soil solutions associated with increase in N inputs at the bare soil plots,but no change in DOC at the plots with crop growth.The estimated average contributions of plantderived DOC were 16%,24% and 32% of total DOC in the summer maize season and 21%,32% and 38% in the winter wheat season along with the gradient of N fertilizer application rates.The results implied thatthe crop growth could play a key role in the soil DOC production,and the N input enhanced DOC production by increasing crop growth.The relationship between the DOC concentrations and the crop root biomass was statistically significant for both the maize and winter wheat seasons.Our observations indicated that crop growth exerted greater influence on the seasonal variability of DOC concentration in soil solutions at the experimental site,which overwhelmed the effect of soil native organic matter decomposition on DOC concentrations in soil solutions.展开更多
There are still controversies about the roles of microRNA-26a（miR-26a）in human malignancies,as it is a tumor suppressor in breast cancer,gastric cancer,and hepatocellular carcinoma,but is an oncogene in glioma and c...There are still controversies about the roles of microRNA-26a（miR-26a）in human malignancies,as it is a tumor suppressor in breast cancer,gastric cancer,and hepatocellular carcinoma,but is an oncogene in glioma and cholangiocarcinoma.Until now,the function of miR-26a in osteosarcoma remains largely elusive.Here,we found that miR-26a was downregualted in osteosarcoma tissues.Using in vitro and in vivo assays,we confirmed that miR-26a could inhibit the abilities of in vitro proliferation and suppress in vivo tumor growth in mouse model.Furthermore,we identified insulin-like growth factor 1（IGF-1）as a novel and direct target of miR-26a and revealed that miR-26a exerted its tumor-suppressor function,at least in part,by inhibiting IGF-1expression.These findings contribute to our understanding of the functions of miR-26a in osteosarcoma.展开更多
Stigma exertion is one of the key factors for improving the outcrossing ability of wheat thermo-photo sensitive genic male sterile（TPSGMS） line. A DH population derived from K239S/K92 S was constructed to investigat...Stigma exertion is one of the key factors for improving the outcrossing ability of wheat thermo-photo sensitive genic male sterile（TPSGMS） line. A DH population derived from K239S/K92 S was constructed to investigate the inheritance of stigma exertion. K239 S and K92 S are TPSGMS lines with higher and lower stigma exertion rates（SER）, respectively. The SERs of parents, reciprocal crosses and the DH population were evaluated for two consecutive years. The results showed that no significant difference was observed in SER between F1 s of K239S/K92 S and K92S/K239 S,implying that stigma exertion was a trait controlled by nuclear gene（s）. In the DH population, the segregation of low and high SERs fitted to a ratio of 3 ∶1 by Chisquare test, suggesting that the stigma exertion of K239 S was controlled by one pair of recessive genes. In addition, the effects of temperature and humidity on the expression of stigma exertion were also discussed.展开更多
Treatment of Acute Lumbar Sprain withAcupuncture on Houxi(SI 3)through toHegu(LI 4)Acute lumbar sprain usually follows vig-orous torsion of the body when the lumbarmuscles are improperly exerted.The site ofinjury is a...Treatment of Acute Lumbar Sprain withAcupuncture on Houxi(SI 3)through toHegu(LI 4)Acute lumbar sprain usually follows vig-orous torsion of the body when the lumbarmuscles are improperly exerted.The site ofinjury is at the insertion of sacrospinous mus-cles and the lumbar fascia.The characteris-tic symptoms are severe lumbar pain and lim-展开更多
Pretective effect of cabbage (Brassica oleracea Var capitata) tocyclophosphoramide (CP) was measured with mice bone marrow cellsmicronucleus test,liver cytochrome P450 content,glutathione-s-transferase(GST) activity a...Pretective effect of cabbage (Brassica oleracea Var capitata) tocyclophosphoramide (CP) was measured with mice bone marrow cellsmicronucleus test,liver cytochrome P450 content,glutathione-s-transferase(GST) activity and glutathione (GSH)content.In mice bone marrow micronucleus test,NIH mice were divided into4 groups at ramdom,namely,control guoup,CP group,CP+Cabbagejuice group and cabbage juice group,cabbage juice was adminis-tered add libitum for 5 days.The results revealed that展开更多
In 2020,the“black swan”of the COVID-19 virus has exerted a heavy impact on the world.The Chinese economy almost came to halt due to the virus in the last two months.China is also faced with the tasks of building a m...In 2020,the“black swan”of the COVID-19 virus has exerted a heavy impact on the world.The Chinese economy almost came to halt due to the virus in the last two months.China is also faced with the tasks of building a moderately well-off society in all aspects and poverty alleviation.How will the Chinese economy get out of this predicament?Will it achieve its plan?What policies should it make to stimulate the economy?展开更多
基金supported by the National 973 Program of China(Nos.2013CB632704 and 2013CB922404)the National Natural Science Foundation of China(Nos.11374357,61475186,and 11434017)
文摘In this paper, we derive the analytical expression for the multipole expansion coefficients of scattering and interior fields of a graphene-coated dielectric particle under the illumination of an arbitrary optical beam. By using this arbitrary beam theory, we systematically investigate the optical forces exerted on the graphene-coated particle by a focused Gaussian beam. Via tuning the chemical potential of the graphene, the optical force spectra could be modulated accordingly at resonant excitation. The hybridized whispering gallery mode of the electromagnetic field inside the graphene-coated polystyrene particle is more intensively localized than the pure polystyrene particle, which leads to a weakened morphology-dependent resonance in the optical forces. These investigations could open new perspectives for dynamic engineering of optical manipulations in optical tweezers applications.
基金supported, in part, by the National Natural Science Foundation of China Grants (82430078, 82261160395, 82230081, 82004395, 82302767)the Shenzhen Medical Research Funds (B2402033, C2401029)+5 种基金the Shenzhen Fundamental Research Program (JCYJ20220818100617036)the National Key Research and Development Program of China Grants (2019YFA0906004)the Guangdong Provincial Science and Technology Innovation Council Grant (2017B030301018)the Shenzhen Key Laboratory of Cell Microenvironment Grant (ZDSYS20140509142721429)the Hubei Provincial Natural Science Foundation of China (2024AFB610)the Science Foundation of Wuhan Union Hospital (2022xhyn032)
文摘Bone has long been acknowledged as a fundamental structural entity that provides support and protection to the body’s organs.However,emerging research indicates that bone plays a crucial role in the regulation of systemic metabolism.This is achieved through the secretion of a variety of hormones,cytokines,metal ions,extracellular vesicles,and other proteins/peptides,collectively referred to as bone-derived factors(BDFs).BDFs act as a medium through which bones can exert targeted regulatory functions upon various organs,thereby underscoring the profound and concrete implications of bone in human physiology.Nevertheless,there remains a pressing need for further investigations to elucidate the underlying mechanisms that inform the effects of bone on other body systems.This review aims to summarize the current findings related to the roles of these significant modulators across different organs and metabolic contexts by regulating critical genes and signaling pathways in vivo.It also addresses their involvement in the pathogenesis of various diseases affecting the musculoskeletal system,circulatory system,glucose and lipid metabolism,central nervous system,urinary system,and reproductive system.The insights gained from this review may contribute to the development of innovative therapeutic strategies through a focused approach to bone secretomes.Continued research into BDFs is expected to enhance our understanding of bone as a multifunctional organ with diverse regulatory roles in human health.
基金supported by the Natural Science Foundation of Hainan Province(821QN389,821MS112,822MS198,820MS126,820QN383)the Military Medical Science and Technology Youth Incubation Program(20QNPY110,19QNP060)+6 种基金the Excellent Youth Incubation Program of Chinese PLA General Hospital(2020-YQPY-007)the Heatstroke Treatment and Research Center of Chinese PLA(413EGZ1D10)the Simulation Training for Treatment of Heatstroke,the Major Science and Technology Programme of Hainan Province(ZDKJ2019012)the National Key Research and Development Program of China(2018YFC2000400)the National S&T Resource Sharing Service Platform Project of China(YCZYPT[2018]07)the Specific Research Fund of Innovation Platform for Academicians of Hainan Province(YSPTZX202216)the Medical Big Data Research and Development Project of Chinese PLA General Hospital(MBD2018030).
文摘Dear Editor,The most serious heat related injury is exertional heat stroke(EHS).EHS occurs when healthy individuals perform physical activity in a hot and humid environment[1].A disrupted balance between heat production and dissipation in the human body results in excessive body heat storage in cases.It occurs frequently in the military population because of work characteristics such as the requirements to perform essential duties under prolonged heat stress,the need to achieve mission objectives during deployment operations,or the opportunities for training and selection for elite units[2].The pathophysiology of EHS is complex,which often results in thermoregulation failure,hemodynamic disturbance,and endotoxin release,and further causes multiple organ failure,probably increasing myocardial enzymes and N-terminal pro-brain natriuretic peptide(NT-proBNP)levels.Rhabdomyolysis caused by EHS often results from mechanical and metabolic injury to the striated muscle fibers accompanied with the release of muscle contents into the circulation[3].Liu et al.
基金funded by Research Fund of Zhejiang Provincial Health Commission (2025KY8662025)。
文摘Exertional heat stroke (EHS) is a life-threatening condition characterized by profound central nervous system (CNS)dysfunction and core temperature typically>40°C.^([1])This condition involves complex pathophysiological processes in which heat triggers a cascade of dysregulated inflammatory responses,endothelial dysfunction,coagulation abnormalities,and muscle damage.These processes can lead to multiorgan failure,significantly increasing the risk of mortality.^([2])Given the severity of EHS,early identification and timely intervention are crucial.However,there are no specific diagnostic markers for EHS,^([1])highlighting the need to identify reliable clinical parameters that can assist early decision-making.
基金supported by the Key Program of the National Natural Science Foundation of China grants 32230059the Basic Science Center Program T2288102+1 种基金the National Natural Science Foundation of China grants 32301123the Foundation of Frontiers Science Center for Materiobiology and Dynamic Chemistry JKVD1211002.
文摘The treatment of severe diabetic foot remains a clinical challenge.While it is established that bone can exert systemic effects through the secretion of osteokines on other organs,whether this endocrine function can be harnessed to promote diabetic wound healing remains unexplored.Here,we investigate the impact of a bone injury strategy on diabetic wound healing,leveraging the body’s innate regenerative capacity to stimulate osteokine release and influence remote skin wound repair.This study demonstrates that the tibial defect significantly accelerates ipsilateral diabetic foot skin wound healing.Mechanistically,we identify osteokines,platelet-derived growth factor-BB(PDGF-BB),as the key to initiating this process.Bone defect triggers a substantial release of PDGF-BB,which reaches the skin wound site via peripheral circulation.At the skin wound site,PDGF-BB mediates the secretion of keratinocyte growth factor(KGF)from fibroblasts via the PDGFRβsignaling pathway,thereby promoting the rapid re-epithelialization of epidermal cells through a paracrine pathway.Additionally,elevated PDGF-BB levels enhance the regeneration of CD31hi Emcnhi blood vessels within the wound.
基金support from the National Natural Science Foundation of China(Grant Nos.:U21A20407 and 81973467).
文摘Prodrugs need to be converted to active drugs to exert their pharmacological activities.Identifying the direct targets of active drugs is essential to elucidate the pharmacological mechanisms of prodrugs,but remains challenging,especially for active drugs with low stability.
文摘Agricultural machinery typically requires lower limb actuation forces for operations such as treadling,pedaling and tractor based.However,limited systems exist for assessment of such forces that have ergonomic influence.This study,therefore developed and evaluated a single board computer integrated foot transducer(IFT)and autonomous data logging and visualization systemtomonitor dynamic lower limb exerted forces.The systemconsists of custom developed load sensors sandwiched into foot shaped units that fit operator's both feet.Stamped forces at crank angles for operations typical to pedaling while at height(above ground level)for operation representing typical treadling operations were recorded on-board amemory card and displayed on a liquid crystal display.Evaluations were conducted by imposing external loads that significantly increased(p b 0.05)the foot exerted forces.Force trends were periodic with peaks of 73,85,110.5 and 145.4 N for left foot and 41,50,131.7 and 145.4 N for right foot at loads of 10,30,50 and 70 N,respectively during pedaling operations.Similarly,the left lower actuation limb exerted forces of 139,249 and 255 N at 5,10 and 15 N of imposed loads,respectively during treadling operation.System was also evaluated for tractor operations and exerted forces ranged from 92 to 164 and 107–176 N for clutch pedal engagement at lower to higher tractor speeds on farm and tarmacadam roads,respectively.Similarly,for brake pedal engagement,such forces ranged from106 to 173 and 120–204 N on farm and tarmacadamroads.These forces varied significantly at different forward speeds.Results suggest potential of such system for foot exerted force assessments typical to agricultural machinery systems in real field.Designsmay be evaluated or reconsidered tominimizemusculoskeletal disorder risks during prolonged operations.Work-rest schedules protocols can be developed by ergonomists for safe,efficient and comfortable operations.
文摘Equating the Rest Mass Energy of a free electron to its Rest Charge Energy we prove that the electron cannot be a dimensionless point particle because if it were dimensionless, it would contain an infinite amount of Rest Charge Energy at the location of its charge since r = 0 gives , which is clearly not possible. Since the electron has no internal structure, equating its Rest Mass Energy to its Rest Charge Energy, we calculate the electron to be a sphere of radius 4.68 × 10<sup>-</sup><sup>16</sup> meters. We calculate the Electric Field at the surface of the electron due to its charge and the Repulsive Force two electrons in proximity exert on each other.
基金funded by the National Natural Science Foundation of China(82072143,81873943,82360903)Sanming Project of Medicine in Shenzhen(SZSM20162011)+3 种基金Shenzhen Science and Technology Innovation Commission(JCYJ20190806163603504)Shenzhen Second People’s Hospital Clinical Research Fund of Guangdong Province High-level Hospital Construction Project(20203357014,2023xgyj3357001,2023yjlcyj022)Guizhou Science and Technology Planning Project(Guizhou Science and Technology Cooperation Support[2021]General 413)and PhD Start-up Fund(GYZYYFY-BS-2023[09]).
文摘BACKGROUND:Heatstroke has become a common emergency event in hospitals.Procalcitonin(PCT)is used as a biomarker of infection in the emergency department(ED),but its role in rhabdomyolysis(RM)following exertional heatstroke(EHS)remains unclear.METHODS:A retrospective cohort study enrolled patients with EHS from the intensive care unit(ICU).We collected RM biomarkers,inflammation markers,critical disease scores at admission,24 h,48 h,and discharge,and 90-day mortality.Correlation analysis,linear regression and curve fi tting were used to identify the relationship between PCT and RM.RESULTS:A total of 162 patients were recruited and divided into RM(n=56)and non-RM(n=106)groups.PCT was positively correlated with myoglobin(Mb),acute hepatic injury,disseminated intravascular coagulation(DIC),Sequential Organ Failure Assessment(SOFA)score,and Acute Physiology and Chronic Health Evaluation II(APACHE II)score,with correlation coefficients of 0.214,0.237,0.285,0.454,and 0.368,respectively(all P<0.05).Interestingly,the results of curve fi tting revealed a nonlinear relationship between PCT and RM,and a two-piecewise linear regression model showed that PCT was related to RM with an odds ratio of 1.3 and a cut-off of<4.6 ng/mL.Survival analysis revealed that RM was associated with higher mortality compared to non-RM cases(P=0.0093).CONCLUSION:High serum PCT concentrations are associated with RM after EHS in critically ill patients.Elevated PCT concentrations should be interpreted cautiously in patients with EHS in the ED.
文摘BACKGROUND Exertional heat stroke(EHS)is a critical condition arising from prolonged physical exertion in high temperatures that typically presents with normal hemoglobin levels.However,atypical presentations can also occur,leading to significant complications such as hemolytic anemia and organ dysfunction.CASE SUMMARY This case report describes a male patient who experienced moderate-to-severe anemia that was difficult to correct,with a confirmed diagnosis of microangiopathic hemolytic anemia accompanying multiple organ dysfunction syndrome,indicative of critical EHS.Despite intensive resuscitation efforts,the patient’s condition deteriorated,necessitating admission to the intensive care unit for advanced management.CONCLUSION This case highlights the importance of recognizing atypical presentations of EHS,particularly that with significant hemolytic anemia and concurrent organ failure.Clinicians should maintain a high level of suspicion for these complications in patients displaying symptoms of heat-related illness,especially when caused by strenuous activity,as early diagnosis and intervention are crucial to improve patient outcomes.
基金Supported by General Program of National Natural Science Foundation of China(31470075).
文摘[Objectives]To explore the effects of Shentong Zhuyu decoction combined with massage therapy in the treatment of exertional chronic lumbar muscle strain.[Methods]Sixty-four cases of exertional chronic lumbar muscle strain were randomly divided into two groups(32 cases each group).The patients in the control group only took celecoxib capsules,and those in the treatment group additionally took Shentong Zhuyu decoction combined with massage therapy.TCM syndrome score,lumbar function,hemorrheology index and clinical effect were compared between the two groups before and after treatment.[Results]After treatment,the TCM syndrome scores of lumbar distension/dull pain,tingling-like lumbago,adverse lateral turn,body weight loss,dark purple tongue,slow or astringent pulse,and Oswestry disability index(ODI)score in the treatment group were lower than those in the control group,and the levels of plasma viscosity,red blood cell aggregation index,platelet aggregation rate(PAG)and fibrinogen(Fib)were lower than those in the control group,showing statistical significance(P<0.05).The overall clinical effect distribution of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).[Conclusions]Shentong Zhuyu decoction combined with massage therapy can effectively relieve the symptoms of patients with lumbago and improve the lumbar mobility function and hemorrheology,with obvious therapeutic effects in the treatment of exertional chronic lumbar muscle strain.
文摘Background: The exRML (exertional rhabdomyolysis) is a pathophysiologic condition of skeletal muscle cell damage and breakdown associated with high intensity or prolonged exercise, normal exercise under extreme circumstances, or sudden and excessive skeletal muscle contraction. It may manifest from the increase in CK (creatine kinase) or MYO (myoglobin), a protein that can cause life-threatening injury to the kidney (AKI, acute kidney injury), and may or may not be associated with myoglobinuria. Here, we presented a case of exRML with AKI, and then reviewed the related reports. Vigorous hydration, sodium bicarbonate and furosemide are key treatments. Aim: To examine an elderly patient with exRML induced AKI and the key treatment process. Case summary: A 61-year-old man left our hospital without permission after his admission and has been walking for almost 30 kms with no water and food intake, then was diagnosed exRML and exRML induced AKI with an obvious elevation of CK, MYO and decrease of eGFR (estimated glomerular filtration rate) after coming back, and was treated with vigorous hydration, loop diuresis, sodium bicarbonate, prostaglandin and Shenkang injection. After vigorous resuscitation, the patient’s renal function, CK and MYO returned normal. Conclusions: The exRML can cause serious complications such as AKI and death. Delayed diagnosis can be critical;therefore, manner of time should be taken to achieve a favorable prognosis.
文摘A 54-year-old woman presented to our clinic for the first time in February 2024,reporting exertional dyspnea.Cardiological examination,electrocardiography,and transthoracic echocardiography(TTE)were performed.During the cardiological examination,the patient reported no comorbidities,denied medication use,and stated that she was a non-smoker.The electrocardiogram revealed left ventricular hypertrophy.
基金the Natural Science Foundation of China (Grant No.41371302)Innovative Team Program of Chinese Academy of Sciences (Grant No.KZZDEW-TZ-06)the West Light Foundation of the Chinese Academy of Sciences
文摘Dissolved organic carbon(DOC) is an important component of the terrestrial carbon cycle.However,the sources and controlling factors of DOC in soils remain uncertain.In this study,the effects of nitrogen(N) amendment and crop growth on DOC in soil solution were examined at a maize-wheat rotated field located in the central Sichuan Basin in southwestern China.Nitrogen treatments in this study included 150 kg N ha-1 season-1,200 kg N ha-1 season-1 and the control without any fertilizer application.During the whole experimental period,we observed significant decreases(p<0.05) in DOC concentrations in the sampled soil solutions associated with increase in N inputs at the bare soil plots,but no change in DOC at the plots with crop growth.The estimated average contributions of plantderived DOC were 16%,24% and 32% of total DOC in the summer maize season and 21%,32% and 38% in the winter wheat season along with the gradient of N fertilizer application rates.The results implied thatthe crop growth could play a key role in the soil DOC production,and the N input enhanced DOC production by increasing crop growth.The relationship between the DOC concentrations and the crop root biomass was statistically significant for both the maize and winter wheat seasons.Our observations indicated that crop growth exerted greater influence on the seasonal variability of DOC concentration in soil solutions at the experimental site,which overwhelmed the effect of soil native organic matter decomposition on DOC concentrations in soil solutions.
文摘There are still controversies about the roles of microRNA-26a（miR-26a）in human malignancies,as it is a tumor suppressor in breast cancer,gastric cancer,and hepatocellular carcinoma,but is an oncogene in glioma and cholangiocarcinoma.Until now,the function of miR-26a in osteosarcoma remains largely elusive.Here,we found that miR-26a was downregualted in osteosarcoma tissues.Using in vitro and in vivo assays,we confirmed that miR-26a could inhibit the abilities of in vitro proliferation and suppress in vivo tumor growth in mouse model.Furthermore,we identified insulin-like growth factor 1（IGF-1）as a novel and direct target of miR-26a and revealed that miR-26a exerted its tumor-suppressor function,at least in part,by inhibiting IGF-1expression.These findings contribute to our understanding of the functions of miR-26a in osteosarcoma.
基金Supported by Applied Basic Research Program of Yunnan Province(2010CD096)National High-tech Research and Development Program of China(863 Program)(2011AA10A106)Key New Products Development Program of Department of Science and Technology,Yunnan Province(2012BB015)~~
文摘Stigma exertion is one of the key factors for improving the outcrossing ability of wheat thermo-photo sensitive genic male sterile（TPSGMS） line. A DH population derived from K239S/K92 S was constructed to investigate the inheritance of stigma exertion. K239 S and K92 S are TPSGMS lines with higher and lower stigma exertion rates（SER）, respectively. The SERs of parents, reciprocal crosses and the DH population were evaluated for two consecutive years. The results showed that no significant difference was observed in SER between F1 s of K239S/K92 S and K92S/K239 S,implying that stigma exertion was a trait controlled by nuclear gene（s）. In the DH population, the segregation of low and high SERs fitted to a ratio of 3 ∶1 by Chisquare test, suggesting that the stigma exertion of K239 S was controlled by one pair of recessive genes. In addition, the effects of temperature and humidity on the expression of stigma exertion were also discussed.
文摘Treatment of Acute Lumbar Sprain withAcupuncture on Houxi(SI 3)through toHegu(LI 4)Acute lumbar sprain usually follows vig-orous torsion of the body when the lumbarmuscles are improperly exerted.The site ofinjury is at the insertion of sacrospinous mus-cles and the lumbar fascia.The characteris-tic symptoms are severe lumbar pain and lim-
文摘Pretective effect of cabbage (Brassica oleracea Var capitata) tocyclophosphoramide (CP) was measured with mice bone marrow cellsmicronucleus test,liver cytochrome P450 content,glutathione-s-transferase(GST) activity and glutathione (GSH)content.In mice bone marrow micronucleus test,NIH mice were divided into4 groups at ramdom,namely,control guoup,CP group,CP+Cabbagejuice group and cabbage juice group,cabbage juice was adminis-tered add libitum for 5 days.The results revealed that
文摘In 2020,the“black swan”of the COVID-19 virus has exerted a heavy impact on the world.The Chinese economy almost came to halt due to the virus in the last two months.China is also faced with the tasks of building a moderately well-off society in all aspects and poverty alleviation.How will the Chinese economy get out of this predicament?Will it achieve its plan?What policies should it make to stimulate the economy?
