Learning to read is a vital,complex task which can be made easier if we expand the conventional conceptualizations of reading.Many have wisely advised educators about expanding beyond understanding reading primarily a...Learning to read is a vital,complex task which can be made easier if we expand the conventional conceptualizations of reading.Many have wisely advised educators about expanding beyond understanding reading primarily as an act of decoding visual,printed symbols into words,phrases。展开更多
By leveraging the unique qualities of microorganisms,engineered living materials(ELMs)offer functional and economic advantages in everyday applications along with notable ecological benefits.This study contributes to ...By leveraging the unique qualities of microorganisms,engineered living materials(ELMs)offer functional and economic advantages in everyday applications along with notable ecological benefits.This study contributes to the growing field of biodesign by examining the potential of Flavobacteria for thermochromic ELMs.Many Flavobacteria,commonly found in marine environments,produce iridescent structural colorations as their colonies expand on semi-solid surfaces through gliding motility.In this study,we analyzed the effects of temperature variations on flavobacterium Cellulophaga lytica PLY A 2,characterizing distinct changes in colony growth and iridescent colorations at a macroscopic and microscopic scale.Using scanning electron microscopy,we investigated the relationship between iridescent color and the underlying cell-based optical structures.By providing insights into the temperature-responsive behavior of Flavobacteria,our findings highlight their potential for future thermochromic ELMs-with applications ranging from sustainable food packaging to smart textiles-while encouraging further characterization studies within biodesign research.展开更多
Over the past few years,video live streaming has gained immense popularity as a leading internet application.In current solutions offered by cloud service providers,the Group of Pictures(GOP)length of the video source...Over the past few years,video live streaming has gained immense popularity as a leading internet application.In current solutions offered by cloud service providers,the Group of Pictures(GOP)length of the video source often significantly impacts end-to-end(E2E)latency.However,designing an optimized GOP structure to reduce this effect remains a significant challenge.This paper presents two key contributions.First,it explores how the GOP length at the video source influences E2E latency in mainstream cloud streaming services.Experimental results reveal that the mean E2E latency increases linearly with longer GOP lengths.Second,this paper proposes EGOP(an Enhanced GOP structure)that can be implemented in streaming media servers.Experiments demonstrate that EGOP maintains a consistent E2E latency,unaffected by the GOP length of the video source.Specifically,even with a GOP length of 10 s,the E2E latency remains at 1.35 s,achieving a reduction of 6.98 s compared to Volcano-Engine(the live streaming service provider for TikTok).This makes EGOP a promising solution for low-latency live streaming.展开更多
Three-dimensional supramolecular organic frameworks with precisely tunable pore sizes are highly demanded for a wide range of applications,e.g.,encapsulating enzymes to enhance their stability,activity,and reusability...Three-dimensional supramolecular organic frameworks with precisely tunable pore sizes are highly demanded for a wide range of applications,e.g.,encapsulating enzymes to enhance their stability,activity,and reusability.However,precise control and tune the pore size of such frameworks still remains a significant challenge to date.In this study,we constructed supramolecular polymer frameworks using rigid tetrahedral star polyisocyanides with tunable length and sufficiently narrow distribution as building block.First,a series of tetrahedral four-arm star polyisocyanides with controlled chain lengths and narrow molecular weight distributions was prepared via the Pd(Ⅱ)-catalyzed living isocyanide polymerization.Then 2-ureido-4[1H]-pyrimidinone(Upy) unit was installed onto each chain-end of polyisocyanide arms via post-polymerization functionalization.Leveraging the supramolecular hydrogen bonding interactions between the terminal Upy units,well-ordered supramolecular polymer frameworks were readily obtained.Notably,the pore size was dependent on the chain length of the polyisocyanide arms.Precisely control the chain length of polyisocyanide arms,supramolecular polymer frameworks with pore sizes ranging from 5.06 nm to 9.72 nm were achieved.These frameworks,with tunable and large pore apertures,demonstrated exceptional capabilities in encapsulating enzymes of different sizes,such as lipase(TL),horseradish peroxidase(HRP),and glucose oxidase(GOx).The encapsulated enzymes exhibited significantly enhanced catalytic activity and durability.Moreover,the frameworks' tunable and large pore apertures facilitated the co-encapsulation of multiple enzymes,enabling efficient dual-enzyme cascade reactions.展开更多
Live imaging enables direct observation of dynamic biological processes,capturing their progression from molecular to organismal scales in space and time.Through high-resolution observation,it provides a powerful mean...Live imaging enables direct observation of dynamic biological processes,capturing their progression from molecular to organismal scales in space and time.Through high-resolution observation,it provides a powerful means to decode biological complexity by revealing dynamic behaviors,spatial patterns,and regulatory changes.This review illustrates the application of live imaging in investigating complex biological processes with spatiotemporal resolution and mechanistic insight.We first highlight the analytical power and integrative strategies of live imaging,and then summarize recent advances that further extend its capacities.We then focus on four complex processes―cell proliferation,lineage regulation,morphogenesis,and atlas construction―to elucidate how live imaging contributes to their decoding through representative studies.We also discuss the conceptual and practical limitations that currently constrain the full interpretive potential of live imaging,underscoring the need for deeper integration between observation,perturbation,and modeling.Looking ahead,live imaging will benefit from both technical refinement and advances in data standardization and visualization,functional quantification,multiscale integration,and the discovery of generalizable principles.Together,these directions advance a more integrative and mechanistic understanding of complex biological processes.展开更多
Objective:To identify predictors of pregnancy and live birth outcomes in assisted reproductive technology(ART)cycles based on patient characteristics,hormonal profile,and embryo transfer variables.Methods:This retrosp...Objective:To identify predictors of pregnancy and live birth outcomes in assisted reproductive technology(ART)cycles based on patient characteristics,hormonal profile,and embryo transfer variables.Methods:This retrospective cohort study included 50 fresh in vitro fertilization(IVF)/intracytoplasmic sperm injection(ICSI)cycles selected from ART participants at a single tertiary ART center.Controlled ovarian stimulation was performed using recombinant follicle stimulating hormone(rFSH),gonadotropin-releasing hormone(GnRH)antagonist,and menotropins;oocyte retrieval occurred 36 h after trigger and embryo transfer was performed on day 3 or 5.Outcomes(chemical pregnancy,ongoing pregnancy,abortion,live birth)were compared across groups stratified by maternal age,antral follicle count(AFC),anti-Müllerian hormone(AMH),baseline luteinizing hormone(LH),estradiol(E2)at trigger,and endometrial thickness.Multivariate regression was used to identify independent predictors of live birth.Results:A total of 124 ART patients were screened during the study period,of whom 50 participants meeting the eligibility criteria were included in the final analysis.The median age of the participants was 35.8 years[interquartile range(IQR)32.5–39.6].The median AFC was 8(IQR 4–14),AMH level was 1.4 ng/mL(IQR 0.7–2.9),and the median endometrial thickness at embryo transfer was 10.2 mm(IQR 9.0–11.3).Chemical,ongoing,abortion,and live birth rates were 62%,32%,12%,and 16%,respectively.Younger maternal age(<35 years),higher AFC(>12),AMH 1–4 ng/mL,and endometrial thickness≥10 mm were associated with more favorable pregnancy outcomes.In multivariate analysis,higher baseline LH(β=0.089;95%CI 0.017–0.162;P=0.02)and greater endometrial thickness(β=0.145;95%CI 0.011–0.278;P=0.04)independently predicted live birth,whereas age,AFC,AMH,and E2 did not.Conclusions:Maternal age,ovarian reserve markers,LH levels,and endometrial thickness collectively influence ART outcomes.Baseline LH and endometrial receptivity are key independent predictors of live birth and may guide individualized treatment strategies.展开更多
Objective:Heart failure(HF)is a complex clinical syndrome that affects nearly 64 million individuals globally.Frequent hospital readmissions lead to poor health outcomes,impact quality of life(QoL),and are associated ...Objective:Heart failure(HF)is a complex clinical syndrome that affects nearly 64 million individuals globally.Frequent hospital readmissions lead to poor health outcomes,impact quality of life(QoL),and are associated with high mortality rates.This study assessed readmissions,mortality,and QoL outcomes in patients with HF in a tertiary care hospital setting.Methods:Patients aged≥18 years with HF,who visited the tertiary care hospital in Karad,India were included in the study(November2019 to October 2021).Demographics,disease characteristics,and condition at discharge were recorded using the medical records of patients.The quantitative data included readmission rates and mortality rates.The qualitative aspects describing patients'QoL were assessed using a patient-reported 21-question QoL questionnaire.Results:A total of 98 patients,predominantly male(63.3%),with a mean age of 62.9 years were included.The majority of the patients(80.6%)required<15 days of hospitalization.The 2-year readmission rate was 24.4%,while the mortality rate was 43.9%.Self-care pattern showed that patients seemed to be taking mild to average care while taking good care was rare.The QoL data showed that 22.4% were living a good quality life,44.9% average,while 32.7% were living a low-quality life.Better education and better self-care were associated with a low rate of readmission.Conclusions:We were able to assess the incidence of readmission,mortality,and QoL in patients with HF in a tertiary care hospital setting.The study showed that HF impacts patients'physical,emotional,and psychological wellbeing.展开更多
Fig.3.(a)α-particle energy spectra,and(b)decay-time distributions on a logarithmic scale for the observed 288Mc and its descendant nuclei.In the panel(a),the red histograms show the observed full-energy events,while ...Fig.3.(a)α-particle energy spectra,and(b)decay-time distributions on a logarithmic scale for the observed 288Mc and its descendant nuclei.In the panel(a),the red histograms show the observed full-energy events,while the corresponding blue histograms show the reconstructed events.The red smooth curves in panel(b)are the expected time distributions according to the corresponding half-lives extracted from this work.展开更多
Understanding the impacts of human activities on the plateau’s living environment is essential for advancing modernization pathways that promote harmony between humanity and nature.However,studies on the dynamic inte...Understanding the impacts of human activities on the plateau’s living environment is essential for advancing modernization pathways that promote harmony between humanity and nature.However,studies on the dynamic interactions between human activities and the living environment on the Qinghai-Xizang Plateau(QXP)remain limited,with a paucity of quantitative relationship analyses.This study established an assessment framework to evaluate human influences on the living environment in QXP,using data on typical human activities,ecological conditions,and human settlements.Within this framework,the spatial analysis methods and the coupling coordination model were used to examine the spatio-temporal characteristics and relationship of human activities and living environment on the QXP from 2000 to 2020.The geographical detector model was then applied to identify the key factors influencing the plateau’s human living environment.Subsequently,the four-quadrant analysis model was adopted to assess human influences on the living environment.The results indicate that the human activity intensity(HAI)on the QXP remained relatively low yet increased by 15.41%from 2000 to 2020.Spatially,the human living environment quality(LEQ)improved from northwest to southeast,with 61.14%of the areas remaining stable and 18.47%experiencing slight improvement.The analysis of coupling coordination revealed a continuous improvement between the HAI and LEQ,with the areas of high and relatively high coordinated types increasing by more than 9%.Precipitation and urban-rural construction were identified as the primary factors influencing changes in the LEQ.The interaction between the HAI and LEQ was strengthening,with 40.44%classified as coordinated development type and 38.35%as development-environment conflict type.These findings provide valuable insights for enhancing the resilience of human settlements and promoting green development across the plateau.展开更多
BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical perf...BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical performance,and economic effects of robotic-assisted donor and recipient hepatectomy in the transplant pathway.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 and a priori registration,systematic reviews were included with or without meta-analysis.Four databases were searched through July 2025.Methodological quality was appraised with a measurement tool to assess systematic reviews(AMSTAR 2),and certainty was graded with grading of recommendations assessment,development and evaluation(GRADE).Evidence overlap was calculated via a citation-matrix-based corrected covered area(CCA).Effect sizes were prespecified as risk ratios(RR)for dichotomous outcomes and mean differences for continuous outcomes.RESULTS Five reviews met the inclusion criteria,four with meta-analyses and one consensus review used only for context.Donor(direct)findings were more favorable for robotics in terms of estimated blood loss(≈-117 mL)and length of stay(≈-0.6 days),although with longer operative time(≈+105 minutes).Absolute risks for donor complications were not estimable from ratio-only data.Recipient(indirect)meta-analysis indicated robotics to be favorable in terms of conversion(RR≈0.41)and severe morbidity(RR≈0.81),with a trend toward lower overall morbidity(RR≈0.92)and no difference in 30-day mortality.Differences in length of stay and operative time were small and heterogeneous.Economic evidence(indirect,network meta-analysis)suggested higher procedural costs for robotic vs laparoscopic intervention,but lower hospitalization costs vs open intervention,with laparoscopy the least expensive overall.AMSTAR 2 ratings were moderate-to-high across the reviews,GRADE certainty was low for key donor continuous outcomes,and low-to-moderate for recipient and economic outcomes.Overlap was slight(graded-corpus CCA=0.0%;including a contextual non-transplant review increased CCA to≈1.25%).CONCLUSION Robotic donor hepatectomy confers perioperative advantages at the cost of longer operative time.Recipient and economic findings are indirect and considered hypothesis-generating.Transplant-specific,prospective comparisons using a minimum standardized dataset and uniform outcome definitions are needed to resolve remaining uncertainties and to clarify the cost-utility correlation.展开更多
Editor's Note:As a unique system of succession in Tibetan Buddhism,the reincarnation of Living Buddhas is governed by standardized religious rituals,historical conventions,and established principles.Since the Karm...Editor's Note:As a unique system of succession in Tibetan Buddhism,the reincarnation of Living Buddhas is governed by standardized religious rituals,historical conventions,and established principles.Since the Karma Kagyu sect pioneered the reincarnation system of Living Buddhas in the 13th century,this tradition has continued for more than 700 years.Since the Gelug sect adopted the reincarnation practice in the 16th century,resulting in major lineages such as the Dalai Lama and Panchen Erdeni reincarnations,the system has now held a history of over 400 years.Since the Yuan Dynasty(1271-1368),successive central governments of China have,without exception,strengthened administration over reincarnation matters.In the 57th year of the reign of Emperor Qianlong(1792)of the Qing Dynasty,the Golden Urn Lot-Drawing System was formally established.This system has remained in place up to the present day.Demonstrating national sovereignty,governmental authority,as well as the sacredness and impartiality of Buddhism,it has effectively prevented corruption and malpractice during the reincarnation process.展开更多
Objective:Robotic-assisted living donor nephrectomy(RALDN)has been shown to be a safe and feasible option,offering enhanced visualization and improved surgical dexterity,allowing for a potential increase in the living...Objective:Robotic-assisted living donor nephrectomy(RALDN)has been shown to be a safe and feasible option,offering enhanced visualization and improved surgical dexterity,allowing for a potential increase in the living donor pool to perform pediatric and adult kidney transplants,even in cases of grafts with anatomical variants.We report our recent experience in using RALDN for open kidney transplantation(OKT).Methods:Between August 2021 and July 2025,122 kidney transplant recipients underwent OKT using RALDN grafts obtained at the Miami Transplant Institute.Clinical outcomes,during the first12 months post-transplant,including the incidence of delayed graft function(DGF),surgical complications,estimated glomerular filtrationrate(eGFR),and graft loss,were evaluated.Results:Sixteen pediatric and 106 adult recipients were included.The median recipient and donor ages were 42.2 yr and 39.5 yr,respectively.Male recipients comprised 63.1%(77/122);female donors comprised 56.6%(69/122).Among the donors,no conversion to open surgery was needed,and no postoperative complications attributed to the RALDN procedure were observed.Thirty-one kidney grafts required back table reconstruction.The median cold and warm ischemia times were 55.5 min and 27.0 min,respectively.One case(0.8%)of DGF was observed.One recipient(0.8%)developed a postoperative vascular complication;five(4.1%)developed a urologic complication.The median eGFRs at 1 mo,3 mo,6 mo,and 12 mo post-transplant were 71.9,77.1,75.1,and 72.1 mL/min/1.73 m2,respectively.No cases of graft failure during the first12 months post-transplant were observed,and one patient died with a functioning graft.Conclusion:RALDN is a safe and effective technique that provides favorable outcomes among both donors and recipients.This minimally invasive approach should be offered as a safe alternative to living donor patients.展开更多
BACKGROUND Early renal artery thrombosis after kidney transplantation is rare but often leads to graft loss.Prompt diagnosis and intervention are essential,particularly in patients with inherited thrombophilias such a...BACKGROUND Early renal artery thrombosis after kidney transplantation is rare but often leads to graft loss.Prompt diagnosis and intervention are essential,particularly in patients with inherited thrombophilias such as factor V Leiden(FVL)mutation.CASE SUMMARY A kidney transplant recipient with FVL mutation developed an acute transplant renal artery thrombosis.The immediate post-operative Doppler ultrasonography revealed thrombosis of the main and inferior polar renal arteries.Emergent thrombectomy and separate arterial re-anastomoses were performed after cold perfusion with heparinized saline and vasodilator solution.Reperfusion was successful with immediate urine output and gradual improvement in renal function.The patient was discharged on direct oral anticoagulation therapy.CONCLUSION Early detection and surgical intervention can preserve graft function in posttransplant renal artery thrombosis even in patients at high risk.展开更多
Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursi...Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursing allowances provided by the Chinese government for people with disabilities who are unable to work are not only important components of China’s social security system which provide for the needs of its disabled,but also show China’s ability to guarantee the basic living standard and social fairness and justice for this group of people.展开更多
Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the...Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.展开更多
Cell engineering is transitioning from“making cells express products”to“directly manufacturing functional structures inside cells.”This perspective outlines two-photon polymerization(TPP)-based direct writing of p...Cell engineering is transitioning from“making cells express products”to“directly manufacturing functional structures inside cells.”This perspective outlines two-photon polymerization(TPP)-based direct writing of polymerizable biocompatible materials to enable programmable micron-scale three-dimensional(3 D)functional architectures within living cells,thereby overcoming the limitations of simple endocytosis or phagocytosis.We highlight scalable workflows that couple bulk intracellular loading of biocompatible photoresists with automated TPP writing,and discuss how end ogenous proteins,biocompatible monomers,or biomate rials can be incorporated into these platforms as crosslinking elements to mitigate immune rejection and toxicity.This paradigm elevates the cell from a mere reaction vessel to an active factory,with direct implications for in vivo sensing,tracking,and precision drug delivery.However,key challenges remain,including establishing standardized material libraries,implementing autofocus and pose-adaptive control,and co-designing device architectures together with cellular functions.We anticipate that“intracellular 3 D printing”will provide a novel interface between synthetic biology and micro/nano-fabrication.展开更多
文摘Learning to read is a vital,complex task which can be made easier if we expand the conventional conceptualizations of reading.Many have wisely advised educators about expanding beyond understanding reading primarily as an act of decoding visual,printed symbols into words,phrases。
基金partial support from the Living Circular Labels project,funded by the Taskforce for Applied Research SIA’s KIEM programme(No.CIE.06.007)in the Netherlands。
文摘By leveraging the unique qualities of microorganisms,engineered living materials(ELMs)offer functional and economic advantages in everyday applications along with notable ecological benefits.This study contributes to the growing field of biodesign by examining the potential of Flavobacteria for thermochromic ELMs.Many Flavobacteria,commonly found in marine environments,produce iridescent structural colorations as their colonies expand on semi-solid surfaces through gliding motility.In this study,we analyzed the effects of temperature variations on flavobacterium Cellulophaga lytica PLY A 2,characterizing distinct changes in colony growth and iridescent colorations at a macroscopic and microscopic scale.Using scanning electron microscopy,we investigated the relationship between iridescent color and the underlying cell-based optical structures.By providing insights into the temperature-responsive behavior of Flavobacteria,our findings highlight their potential for future thermochromic ELMs-with applications ranging from sustainable food packaging to smart textiles-while encouraging further characterization studies within biodesign research.
基金supported by Henan Province Major Science and Technology Project(241100210100).
文摘Over the past few years,video live streaming has gained immense popularity as a leading internet application.In current solutions offered by cloud service providers,the Group of Pictures(GOP)length of the video source often significantly impacts end-to-end(E2E)latency.However,designing an optimized GOP structure to reduce this effect remains a significant challenge.This paper presents two key contributions.First,it explores how the GOP length at the video source influences E2E latency in mainstream cloud streaming services.Experimental results reveal that the mean E2E latency increases linearly with longer GOP lengths.Second,this paper proposes EGOP(an Enhanced GOP structure)that can be implemented in streaming media servers.Experiments demonstrate that EGOP maintains a consistent E2E latency,unaffected by the GOP length of the video source.Specifically,even with a GOP length of 10 s,the E2E latency remains at 1.35 s,achieving a reduction of 6.98 s compared to Volcano-Engine(the live streaming service provider for TikTok).This makes EGOP a promising solution for low-latency live streaming.
基金The National Natural Science Foundation of China (NSFC,Nos.92256201,52273006,22071041,92356302,and 21971052)Natural Science Foundation of Jilin Province (No.20240101181JC) are gratefully appreciated for financial the supportssupported by the User Experiment Assist System of Shanghai Synchrotron Radiation Facility (SSRF)。
文摘Three-dimensional supramolecular organic frameworks with precisely tunable pore sizes are highly demanded for a wide range of applications,e.g.,encapsulating enzymes to enhance their stability,activity,and reusability.However,precise control and tune the pore size of such frameworks still remains a significant challenge to date.In this study,we constructed supramolecular polymer frameworks using rigid tetrahedral star polyisocyanides with tunable length and sufficiently narrow distribution as building block.First,a series of tetrahedral four-arm star polyisocyanides with controlled chain lengths and narrow molecular weight distributions was prepared via the Pd(Ⅱ)-catalyzed living isocyanide polymerization.Then 2-ureido-4[1H]-pyrimidinone(Upy) unit was installed onto each chain-end of polyisocyanide arms via post-polymerization functionalization.Leveraging the supramolecular hydrogen bonding interactions between the terminal Upy units,well-ordered supramolecular polymer frameworks were readily obtained.Notably,the pore size was dependent on the chain length of the polyisocyanide arms.Precisely control the chain length of polyisocyanide arms,supramolecular polymer frameworks with pore sizes ranging from 5.06 nm to 9.72 nm were achieved.These frameworks,with tunable and large pore apertures,demonstrated exceptional capabilities in encapsulating enzymes of different sizes,such as lipase(TL),horseradish peroxidase(HRP),and glucose oxidase(GOx).The encapsulated enzymes exhibited significantly enhanced catalytic activity and durability.Moreover,the frameworks' tunable and large pore apertures facilitated the co-encapsulation of multiple enzymes,enabling efficient dual-enzyme cascade reactions.
基金supported by the National Key Research and Development Program of China(2022YFA1303000 and 2021YFA0805800)the National Natural Science Foundation of China(32325032)the Chinese Academy of Sciences Project for Young Scientists in Basic Research(YSBR-073).
文摘Live imaging enables direct observation of dynamic biological processes,capturing their progression from molecular to organismal scales in space and time.Through high-resolution observation,it provides a powerful means to decode biological complexity by revealing dynamic behaviors,spatial patterns,and regulatory changes.This review illustrates the application of live imaging in investigating complex biological processes with spatiotemporal resolution and mechanistic insight.We first highlight the analytical power and integrative strategies of live imaging,and then summarize recent advances that further extend its capacities.We then focus on four complex processes―cell proliferation,lineage regulation,morphogenesis,and atlas construction―to elucidate how live imaging contributes to their decoding through representative studies.We also discuss the conceptual and practical limitations that currently constrain the full interpretive potential of live imaging,underscoring the need for deeper integration between observation,perturbation,and modeling.Looking ahead,live imaging will benefit from both technical refinement and advances in data standardization and visualization,functional quantification,multiscale integration,and the discovery of generalizable principles.Together,these directions advance a more integrative and mechanistic understanding of complex biological processes.
文摘Objective:To identify predictors of pregnancy and live birth outcomes in assisted reproductive technology(ART)cycles based on patient characteristics,hormonal profile,and embryo transfer variables.Methods:This retrospective cohort study included 50 fresh in vitro fertilization(IVF)/intracytoplasmic sperm injection(ICSI)cycles selected from ART participants at a single tertiary ART center.Controlled ovarian stimulation was performed using recombinant follicle stimulating hormone(rFSH),gonadotropin-releasing hormone(GnRH)antagonist,and menotropins;oocyte retrieval occurred 36 h after trigger and embryo transfer was performed on day 3 or 5.Outcomes(chemical pregnancy,ongoing pregnancy,abortion,live birth)were compared across groups stratified by maternal age,antral follicle count(AFC),anti-Müllerian hormone(AMH),baseline luteinizing hormone(LH),estradiol(E2)at trigger,and endometrial thickness.Multivariate regression was used to identify independent predictors of live birth.Results:A total of 124 ART patients were screened during the study period,of whom 50 participants meeting the eligibility criteria were included in the final analysis.The median age of the participants was 35.8 years[interquartile range(IQR)32.5–39.6].The median AFC was 8(IQR 4–14),AMH level was 1.4 ng/mL(IQR 0.7–2.9),and the median endometrial thickness at embryo transfer was 10.2 mm(IQR 9.0–11.3).Chemical,ongoing,abortion,and live birth rates were 62%,32%,12%,and 16%,respectively.Younger maternal age(<35 years),higher AFC(>12),AMH 1–4 ng/mL,and endometrial thickness≥10 mm were associated with more favorable pregnancy outcomes.In multivariate analysis,higher baseline LH(β=0.089;95%CI 0.017–0.162;P=0.02)and greater endometrial thickness(β=0.145;95%CI 0.011–0.278;P=0.04)independently predicted live birth,whereas age,AFC,AMH,and E2 did not.Conclusions:Maternal age,ovarian reserve markers,LH levels,and endometrial thickness collectively influence ART outcomes.Baseline LH and endometrial receptivity are key independent predictors of live birth and may guide individualized treatment strategies.
文摘Objective:Heart failure(HF)is a complex clinical syndrome that affects nearly 64 million individuals globally.Frequent hospital readmissions lead to poor health outcomes,impact quality of life(QoL),and are associated with high mortality rates.This study assessed readmissions,mortality,and QoL outcomes in patients with HF in a tertiary care hospital setting.Methods:Patients aged≥18 years with HF,who visited the tertiary care hospital in Karad,India were included in the study(November2019 to October 2021).Demographics,disease characteristics,and condition at discharge were recorded using the medical records of patients.The quantitative data included readmission rates and mortality rates.The qualitative aspects describing patients'QoL were assessed using a patient-reported 21-question QoL questionnaire.Results:A total of 98 patients,predominantly male(63.3%),with a mean age of 62.9 years were included.The majority of the patients(80.6%)required<15 days of hospitalization.The 2-year readmission rate was 24.4%,while the mortality rate was 43.9%.Self-care pattern showed that patients seemed to be taking mild to average care while taking good care was rare.The QoL data showed that 22.4% were living a good quality life,44.9% average,while 32.7% were living a low-quality life.Better education and better self-care were associated with a low rate of readmission.Conclusions:We were able to assess the incidence of readmission,mortality,and QoL in patients with HF in a tertiary care hospital setting.The study showed that HF impacts patients'physical,emotional,and psychological wellbeing.
文摘Fig.3.(a)α-particle energy spectra,and(b)decay-time distributions on a logarithmic scale for the observed 288Mc and its descendant nuclei.In the panel(a),the red histograms show the observed full-energy events,while the corresponding blue histograms show the reconstructed events.The red smooth curves in panel(b)are the expected time distributions according to the corresponding half-lives extracted from this work.
基金The Second Tibetan Plateau Scientific Expedition and Research Program,No.2019QZKK0608。
文摘Understanding the impacts of human activities on the plateau’s living environment is essential for advancing modernization pathways that promote harmony between humanity and nature.However,studies on the dynamic interactions between human activities and the living environment on the Qinghai-Xizang Plateau(QXP)remain limited,with a paucity of quantitative relationship analyses.This study established an assessment framework to evaluate human influences on the living environment in QXP,using data on typical human activities,ecological conditions,and human settlements.Within this framework,the spatial analysis methods and the coupling coordination model were used to examine the spatio-temporal characteristics and relationship of human activities and living environment on the QXP from 2000 to 2020.The geographical detector model was then applied to identify the key factors influencing the plateau’s human living environment.Subsequently,the four-quadrant analysis model was adopted to assess human influences on the living environment.The results indicate that the human activity intensity(HAI)on the QXP remained relatively low yet increased by 15.41%from 2000 to 2020.Spatially,the human living environment quality(LEQ)improved from northwest to southeast,with 61.14%of the areas remaining stable and 18.47%experiencing slight improvement.The analysis of coupling coordination revealed a continuous improvement between the HAI and LEQ,with the areas of high and relatively high coordinated types increasing by more than 9%.Precipitation and urban-rural construction were identified as the primary factors influencing changes in the LEQ.The interaction between the HAI and LEQ was strengthening,with 40.44%classified as coordinated development type and 38.35%as development-environment conflict type.These findings provide valuable insights for enhancing the resilience of human settlements and promoting green development across the plateau.
文摘BACKGROUND Robotic assistance is increasingly used for donor and recipient hepatectomy in liver transplantation,yet existing evidence is fragmented and variably indirect.AIM To evaluate clinical outcomes,surgical performance,and economic effects of robotic-assisted donor and recipient hepatectomy in the transplant pathway.METHODS Following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 and a priori registration,systematic reviews were included with or without meta-analysis.Four databases were searched through July 2025.Methodological quality was appraised with a measurement tool to assess systematic reviews(AMSTAR 2),and certainty was graded with grading of recommendations assessment,development and evaluation(GRADE).Evidence overlap was calculated via a citation-matrix-based corrected covered area(CCA).Effect sizes were prespecified as risk ratios(RR)for dichotomous outcomes and mean differences for continuous outcomes.RESULTS Five reviews met the inclusion criteria,four with meta-analyses and one consensus review used only for context.Donor(direct)findings were more favorable for robotics in terms of estimated blood loss(≈-117 mL)and length of stay(≈-0.6 days),although with longer operative time(≈+105 minutes).Absolute risks for donor complications were not estimable from ratio-only data.Recipient(indirect)meta-analysis indicated robotics to be favorable in terms of conversion(RR≈0.41)and severe morbidity(RR≈0.81),with a trend toward lower overall morbidity(RR≈0.92)and no difference in 30-day mortality.Differences in length of stay and operative time were small and heterogeneous.Economic evidence(indirect,network meta-analysis)suggested higher procedural costs for robotic vs laparoscopic intervention,but lower hospitalization costs vs open intervention,with laparoscopy the least expensive overall.AMSTAR 2 ratings were moderate-to-high across the reviews,GRADE certainty was low for key donor continuous outcomes,and low-to-moderate for recipient and economic outcomes.Overlap was slight(graded-corpus CCA=0.0%;including a contextual non-transplant review increased CCA to≈1.25%).CONCLUSION Robotic donor hepatectomy confers perioperative advantages at the cost of longer operative time.Recipient and economic findings are indirect and considered hypothesis-generating.Transplant-specific,prospective comparisons using a minimum standardized dataset and uniform outcome definitions are needed to resolve remaining uncertainties and to clarify the cost-utility correlation.
文摘Editor's Note:As a unique system of succession in Tibetan Buddhism,the reincarnation of Living Buddhas is governed by standardized religious rituals,historical conventions,and established principles.Since the Karma Kagyu sect pioneered the reincarnation system of Living Buddhas in the 13th century,this tradition has continued for more than 700 years.Since the Gelug sect adopted the reincarnation practice in the 16th century,resulting in major lineages such as the Dalai Lama and Panchen Erdeni reincarnations,the system has now held a history of over 400 years.Since the Yuan Dynasty(1271-1368),successive central governments of China have,without exception,strengthened administration over reincarnation matters.In the 57th year of the reign of Emperor Qianlong(1792)of the Qing Dynasty,the Golden Urn Lot-Drawing System was formally established.This system has remained in place up to the present day.Demonstrating national sovereignty,governmental authority,as well as the sacredness and impartiality of Buddhism,it has effectively prevented corruption and malpractice during the reincarnation process.
文摘Objective:Robotic-assisted living donor nephrectomy(RALDN)has been shown to be a safe and feasible option,offering enhanced visualization and improved surgical dexterity,allowing for a potential increase in the living donor pool to perform pediatric and adult kidney transplants,even in cases of grafts with anatomical variants.We report our recent experience in using RALDN for open kidney transplantation(OKT).Methods:Between August 2021 and July 2025,122 kidney transplant recipients underwent OKT using RALDN grafts obtained at the Miami Transplant Institute.Clinical outcomes,during the first12 months post-transplant,including the incidence of delayed graft function(DGF),surgical complications,estimated glomerular filtrationrate(eGFR),and graft loss,were evaluated.Results:Sixteen pediatric and 106 adult recipients were included.The median recipient and donor ages were 42.2 yr and 39.5 yr,respectively.Male recipients comprised 63.1%(77/122);female donors comprised 56.6%(69/122).Among the donors,no conversion to open surgery was needed,and no postoperative complications attributed to the RALDN procedure were observed.Thirty-one kidney grafts required back table reconstruction.The median cold and warm ischemia times were 55.5 min and 27.0 min,respectively.One case(0.8%)of DGF was observed.One recipient(0.8%)developed a postoperative vascular complication;five(4.1%)developed a urologic complication.The median eGFRs at 1 mo,3 mo,6 mo,and 12 mo post-transplant were 71.9,77.1,75.1,and 72.1 mL/min/1.73 m2,respectively.No cases of graft failure during the first12 months post-transplant were observed,and one patient died with a functioning graft.Conclusion:RALDN is a safe and effective technique that provides favorable outcomes among both donors and recipients.This minimally invasive approach should be offered as a safe alternative to living donor patients.
文摘BACKGROUND Early renal artery thrombosis after kidney transplantation is rare but often leads to graft loss.Prompt diagnosis and intervention are essential,particularly in patients with inherited thrombophilias such as factor V Leiden(FVL)mutation.CASE SUMMARY A kidney transplant recipient with FVL mutation developed an acute transplant renal artery thrombosis.The immediate post-operative Doppler ultrasonography revealed thrombosis of the main and inferior polar renal arteries.Emergent thrombectomy and separate arterial re-anastomoses were performed after cold perfusion with heparinized saline and vasodilator solution.Reperfusion was successful with immediate urine output and gradual improvement in renal function.The patient was discharged on direct oral anticoagulation therapy.CONCLUSION Early detection and surgical intervention can preserve graft function in posttransplant renal artery thrombosis even in patients at high risk.
文摘Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursing allowances provided by the Chinese government for people with disabilities who are unable to work are not only important components of China’s social security system which provide for the needs of its disabled,but also show China’s ability to guarantee the basic living standard and social fairness and justice for this group of people.
文摘Healthy life expectancy is a pivotal measure of population health by integrating both life expectancy and the quality of years lived.A significant increase in life expectancy was evident in most populations during the past decades worldwide[1],but the growth in healthy life expectancy has generally lagged behind[2].China has made substantial strides in enhancing both life expectancy and healthy life expectancy.
基金the funding from the National Key Research and Development Program of China(No.2024YFB4607701)the Zhejiang Provincial Natural Science Foundation of China(No.LZ25E050001)+2 种基金the National Natural Science Foundation of China(No.52275294)State Key Laboratory of High-performance Precision Manufacturing(No.HPMKF202412)Zhejiang Province’s 2025‘Pioneer Leading Swan+X’Science and Technology Program(No.2025C02122).
文摘Cell engineering is transitioning from“making cells express products”to“directly manufacturing functional structures inside cells.”This perspective outlines two-photon polymerization(TPP)-based direct writing of polymerizable biocompatible materials to enable programmable micron-scale three-dimensional(3 D)functional architectures within living cells,thereby overcoming the limitations of simple endocytosis or phagocytosis.We highlight scalable workflows that couple bulk intracellular loading of biocompatible photoresists with automated TPP writing,and discuss how end ogenous proteins,biocompatible monomers,or biomate rials can be incorporated into these platforms as crosslinking elements to mitigate immune rejection and toxicity.This paradigm elevates the cell from a mere reaction vessel to an active factory,with direct implications for in vivo sensing,tracking,and precision drug delivery.However,key challenges remain,including establishing standardized material libraries,implementing autofocus and pose-adaptive control,and co-designing device architectures together with cellular functions.We anticipate that“intracellular 3 D printing”will provide a novel interface between synthetic biology and micro/nano-fabrication.
