Coulomb drag refers to the phenomenon in which a current driven through one conducting layer induces a voltage nearby,electrically isolated layer sorely through interlayer Coulomb interactions between charge carriers....Coulomb drag refers to the phenomenon in which a current driven through one conducting layer induces a voltage nearby,electrically isolated layer sorely through interlayer Coulomb interactions between charge carriers.It has been extensively studied in various systems,including parallel nanowires,double quantum wells,and double-layer graphene.Here,we report the observation of Coulomb drag in a novel system consisting of two graphene layers separated laterally by a 30 nm gap within the material plane,exhibiting behavior distinct from that in vertical graphene heterostructures.Our experiments reveal pronounced negative drag resistances under an out-of-plane magnetic field at the quantum Hall edges,reaching a maximum when the carrier densities in both graphene layers are tuned to the charge neutrality point via gate voltages.Our work establish two separate and spatially closed quantum Hall edge modes as a new platform to explore electronic interaction physics between one dimensional systems.展开更多
The negative Poisson’s ratio(NPR)bolt is an innovative support element distinguished by its high strength,elongation,and a slightly negative Poisson’s ratio.Unlike conventional prestressed(PR)bolts with a positive P...The negative Poisson’s ratio(NPR)bolt is an innovative support element distinguished by its high strength,elongation,and a slightly negative Poisson’s ratio.Unlike conventional prestressed(PR)bolts with a positive Poisson’s ratio,the NPR bolt exhibits a quasi-ideal plastic response without a prominent yield platform,enabling it to sustain high prestress with a substantial safety margin,which is particularly advantageous for jointed rock masses.However,investigations into the shear resistance mechanisms of NPR bolts under varying prestress levels remain limited.This study conducted full-scale double shear tests to assess the shear strength,deformation behavior,energy absorption,and failure mechanisms of NPR bolts under different prestress conditions.To ensure a fair comparison with PR bolts,a prestress utilization coefficient(PUC)was introduced.The results reveal that at a PUC of 0.25,the NPR bolt achieved peak axial force,shear displacement,and peak shear force values that are 2.41,1.88,and 2.13 times greater than those of the PR bolt,respectively.Shear performance was optimized at a prestress level of 100 kN,with energy absorption reaching 47.1 kJ,which is 2.8 times that of the PR bolt.Furthermore,the necking ratio was significantly reduced,indicating more distributed plastic deformation and delayed failure.Field applications verified the superior performance,resulting in a 27.4%reduction in roof settlement and enhanced structural integrity.These findings confirm that NPR bolts possess excellent shear resistance,energy absorption,and deformation adaptability,and optimizing prestress significantly enhances their support performance,providing a strong basis for geotechnical engineering applications.展开更多
In recent years,the rapid advancement of artificial intelligence(AI)technology has enabled AI-assisted negative screening to significantly enhance physicians'efficiency through image feature analysis and multimoda...In recent years,the rapid advancement of artificial intelligence(AI)technology has enabled AI-assisted negative screening to significantly enhance physicians'efficiency through image feature analysis and multimodal data modeling,allowing them to focus more on diagnosing positive cases.Meanwhile,multispectral imaging(MSI)integrates spectral and spatial resolution to capture subtle tissue features invisible to the human eye,providing high-resolution data support for pathological analysis.Combining AI technology with MSI and employing quantitative methods to analyze multiband biomarkers(such as absorbance differences in keratin pearls)can effectively improve diagnostic specificity and reduce subjective errors in manual slide interpretation.To address the challenge of identifying negative tissue sections,we developed a discrimination algorithm powered by MSI.We demonstrated its efficacy using cutaneous squamous cell carcinoma(cSCC)as a representative case study.The algorithm achieved 100%accuracy in excluding negative cases and effectively mitigated the false-positive problem caused by cSCC heterogeneity.We constructed a multispectral image(MSI)dataset acquired at 520 nm,600 nm,and 630 nm wavelengths.Subsequently,we employed an optimized MobileViT model for tissue classification and performed comparative analyses against other models.The experimental results showed that our optimized MobileViT model achieved superior performance in identifying negative tissue sections,with a perfect accuracy rate of 100%.Thus,our results confirm the feasibility of integrating MSI with AI to exclude negative cases with perfect accuracy,offering a novel solution to alleviate the workload of pathologists.展开更多
BACKGROUND Anxiety,depression,and other negative emotions are common among patients with chronic renal failure(CRF).Analyzing the factors related to negative emotions is necessary to provide targeted nursing care.AIM ...BACKGROUND Anxiety,depression,and other negative emotions are common among patients with chronic renal failure(CRF).Analyzing the factors related to negative emotions is necessary to provide targeted nursing care.AIM To explore the correlations among life satisfaction,pleasure levels,and negative emotions in patients with CRF.METHODS One hundred patients with CRF who received therapy at the First Affiliated Hospital of Jinzhou Medical University between December 2022 and February 2025 were included.The Depression,Anxiety,and Stress Scale(DASS-21),Satisfaction with Life Scale(SWLS),and Temporal Experience of Pleasure Scale(TEPS)were used to evaluate negative emotions,life satisfaction,and pleasure level,respectively.Pearson’s correlation coefficient analyzed the correlation between life satisfaction,pleasure level,and negative emotions.Linear regression analysis identified the factors affecting negative emotions.RESULTS The average DASS-21 score among patients with CRF was 51.90±2.30,with subscale scores of 17.90±1.50 for depression,18.53±1.18 for anxiety,and 15.47±2.36 for stress,all significantly higher than the domestic norm(P<0.05).The average SWLS score was 22.17±4.90.Correlation analysis revealed a negative correlation between the SWLS and total DASS-21 scores(P<0.05),but not with the individual depression,anxiety,or stress dimensions.The average TEPS score was 67.80±8.34.TEPS scores were negatively correlated with the DASS-21 score and the stress dimension(P<0.05),but not with depression or anxiety.Linear regression analysis showed that TEPS scores significantly influenced DASS-21 scores(P<0.05).CONCLUSION Patients with CRF experience high levels of negative emotions,which are negatively correlated with life satisfaction and pleasure.Furthermore,pleasure level had an impact on negative emotions.展开更多
Negative Poisson’s ratio materials and structures exhibit lateral expansion under tensile loading,demonstrating significant mechanical advantages over conventional materials.This study systematically investigated thr...Negative Poisson’s ratio materials and structures exhibit lateral expansion under tensile loading,demonstrating significant mechanical advantages over conventional materials.This study systematically investigated three typical two-dimensional negative Poisson’s ratio metamaterial structures(Concave honeycomb,Anti-chiral,and Anti-chiral concave honeycomb hybrid structures)through both experimental tests and numerical analysis.The test specimens were fabricated using selective laser melting(SLM)additive manufacturing technology,and the experimental test was conducted with the use of a DIC strain measurement system.The numerical studies were performed considering both static tensile loading and dynamic impact loading with different strain rates.The deformation behaviors,failure process,negative Poisson’s ratio effects,and energy absorption capacity of the three different metamaterial structures are systematically investigated,and the associated mechanical mechanisms are thoroughly revealed.Results and findings of this work could provide valuable guidance for the engineering design and application of negative Poisson’s ratio metamaterials and structures.展开更多
Materials with a negative Poisson’s ratio effect perform significantly better than traditional materials for rock mass impact resistance,shear resistance,and energy absorption.Based on these advantages,a negative Poi...Materials with a negative Poisson’s ratio effect perform significantly better than traditional materials for rock mass impact resistance,shear resistance,and energy absorption.Based on these advantages,a negative Poisson’s ratio anchor cable(NPR anchor cable)with high elongation and constant resistance was developed and successfully applied in the field of mine disaster control.However,theoretical and experimental research on the negative Poisson’s ratio effect and peripheral strain characteristics of NPR anchor cables is currently incomplete.This study used several theories and methods,such as static tensile,peripheral strain measurement,and static negative Poisson’s ratio measurement,to investigate the radial deformation law of an NPR anchor cable and the negative Poisson’s ratio characteristics.Experimental results elucidated constant resistance changes in an NPR anchor cable during operation,the motion of the constant resistance body in the constant resistance sleeve,and the deformation law of the constant resistance sleeve.Negative Poisson’s ratio characteristics of the NPR anchor cable and its superior energy absorption characteristics were verified and it provided a theoretical and experimental basis for energy absorption mechanisms of an NPR anchor cable.展开更多
Beishan Rock Carvings in Chongqing,a renowned cultural heritage site in China,flourished during the Tang and Song dynasties and are often referred to as the“Stone Carving Art Museum of the Tang and Song Dynasties.”C...Beishan Rock Carvings in Chongqing,a renowned cultural heritage site in China,flourished during the Tang and Song dynasties and are often referred to as the“Stone Carving Art Museum of the Tang and Song Dynasties.”Cave 168 is a key component of the Beishan Rock Carvings.At present,several through-going cracks have developed in the roof of Cave 168,severely compromising the structural stability of the grotto.The early internal steel plate supports have suffered severe corrosion and can no longer provide effective reinforcement.In addition,the presence of steel columns obstructs visitor access and negatively affects the viewing experience.A new reinforcement method is urgently needed.Therefore,studying the deformation patterns of the structure is of critical importance.This study analyzes the stratigraphic parameters and fracture distribution of Cave 168,considering key influencing factors such as rainfall,self-weight,and the overlying Quaternary soil.On-site monitoring and physical model experiments were conducted to evaluate the changes in roof crack width and displacement before and after reinforcement with negative Poisson's ratio(NPR)anchor cables.The results reveal that the roof of Cave 168 contains several through-going cracks and numerous microcracks,which serve as infiltration channels for surface water.These accelerate the softening of the mudstone and pose a significant threat to the cave's structural safety.During the experiment,the main change in the crack exhibited a“semi-archshaped”propagation pattern.In the first ten minutes,as the rock transitioned from dry to moist conditions,a slight crack closure was observed.As rainfall continued,crack propagation accelerated.After rainfall ceased,crack width remained stable over a short period.Under NPR anchor support,the influence of rainfall on roof settlement was effectively mitigated,ensuring the safety and stability of the roof.The NPR anchors successfully limited the roof settlement to within 0.3 mm and provided effective control over both total and differential settlement.These findings offer valuable insights into the application of NPR anchor cables in the conservation of grotto heritage structures.展开更多
BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negati...BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negative emotions.AIM To analyze the elderly care needs of first-generation only child parents in China and identify factors that influence negative emotions.METHODS This study used a cross-sectional design.Convenience sampling was used to select 1580 elderly individuals who met the inclusion criteria in a Chinese city between June and September 2022.A questionnaire was administered to collect general information about participants.Depression and anxiety were assessed using the patient health questionnaire-9 and generalized anxiety disorder-7 scale,respectively.A logistic regression analysis was performed to evaluate the relevant correlations.RESULTS Among 1580 first-generation only child parents,1120(70.89%)preferred family based care,324(20.51%)opted for community care,and 136(8.61%)chose institutional care,with 460(29.11%)reporting negative emotions.Significant differences in the distribution of negative emotions among only child parents were observed based on age,marital status,living conditions,disability,type of chronic disease,frailty status,and family support(P<0.05).The regression analysis indicated that disability,type of chronic disease,living environment,frailty status,and level of family support were independent risk factors for negative emotions among parents with only children(P<0.05).CONCLUSION Elderly care for parents of only children is primarily family-based.Independent risk factors for negative emotions in this group include disability,chronic disease type,and living environment.展开更多
BACKGROUND The number of tumor deposits(TDs)does not play a part in the current tumor node metastasis staging.Negative lymph node(NLN)status is associated with the prognosis of colorectal cancer(CRC),but its clear rol...BACKGROUND The number of tumor deposits(TDs)does not play a part in the current tumor node metastasis staging.Negative lymph node(NLN)status is associated with the prognosis of colorectal cancer(CRC),but its clear role in N1c stage remains to be defined.AIM To evaluate the combination of TDs and NLNs as potential prognostic indicators in N1c CRC.METHODS We retrospectively identified 107 consecutive patients who had N1c CRC radically resected at China-Japan Friendship Hospital.The combination of TDs and NLNs was calculated by the formula NLNTD=NLN/(TD+1).Cutoff values of NLNs and NLNTD were determined using the R package“survminer”.Disease-free survival(DFS),overall survival(OS)and cancer-specific survival(CSS)were determined using the Kaplan-Meier method to assess the impact of NLNTD on prognosis.Results were compared using the log-rank test.RESULTS The median follow-up time was 63.17(45.33-81.37)months for DFS,with 33.64%(36/107)of patients experiencing recurrence during follow-up.Five-year DFS was 66.0%(57.3%-76.0%).There was no significant difference in prognosis between patients with>12 and≤12 NLNs(P=0.058)for DFS.Similar results were seen according to the number of TDs.The definition of NLNTD=NLN/(TD+1)with a cutoff value of 6 divided patients into two groups with different DFS(P=0.005).Five-year DFS for patients with NLNTD>6 was 73.5%(63.6%-85.0%),compared with 50.0%(35.7%-70.0%)for those with NLNTD≤6.These two groups had different prognosis without perineural invasion(P=0.012)or lymphovascular invasion(P=0.002)even neither(P=0.053).Similar results were seen for OS and CSS.CONCLUSION NLNTD could serve as important prognostic factor for outcomes in N1c CRC patients.These patients could be stratified for prognosis through NLNTD and the high-risk should be given more attention during treatment.展开更多
基金support from the National Key Projects for Research and Development of China(Grant Nos.2022YFA1204700,2021YFA1400400)National Natural Science Foundation of China(Grant No.12525403)+3 种基金Natural Science Foundation of Jiangsu Province(Grant Nos.BK20220066,BK20233001)Program for Innovative Talents and Entrepreneur in Jiangsu(Grant No.JSSCTD202101)support from the JSPS KAKENHI(Grant Numbers 21H05233 and 23H02052)World Premier International Research Center Initiative(WPI),MEXT,Japan.
文摘Coulomb drag refers to the phenomenon in which a current driven through one conducting layer induces a voltage nearby,electrically isolated layer sorely through interlayer Coulomb interactions between charge carriers.It has been extensively studied in various systems,including parallel nanowires,double quantum wells,and double-layer graphene.Here,we report the observation of Coulomb drag in a novel system consisting of two graphene layers separated laterally by a 30 nm gap within the material plane,exhibiting behavior distinct from that in vertical graphene heterostructures.Our experiments reveal pronounced negative drag resistances under an out-of-plane magnetic field at the quantum Hall edges,reaching a maximum when the carrier densities in both graphene layers are tuned to the charge neutrality point via gate voltages.Our work establish two separate and spatially closed quantum Hall edge modes as a new platform to explore electronic interaction physics between one dimensional systems.
基金supported by the State Key Laboratory of Intelligent Construction and Healthy Operation and Maintenance of Deep Underground Engineering(Grant No.SDGZ2505)the Postdoctoral Fellowship Program of the China Postdoctoral Science Foundation(Grant No.GZB20250742)the General Program of the China Postdoctoral Science Foundation(Grant No.2025M773213).
文摘The negative Poisson’s ratio(NPR)bolt is an innovative support element distinguished by its high strength,elongation,and a slightly negative Poisson’s ratio.Unlike conventional prestressed(PR)bolts with a positive Poisson’s ratio,the NPR bolt exhibits a quasi-ideal plastic response without a prominent yield platform,enabling it to sustain high prestress with a substantial safety margin,which is particularly advantageous for jointed rock masses.However,investigations into the shear resistance mechanisms of NPR bolts under varying prestress levels remain limited.This study conducted full-scale double shear tests to assess the shear strength,deformation behavior,energy absorption,and failure mechanisms of NPR bolts under different prestress conditions.To ensure a fair comparison with PR bolts,a prestress utilization coefficient(PUC)was introduced.The results reveal that at a PUC of 0.25,the NPR bolt achieved peak axial force,shear displacement,and peak shear force values that are 2.41,1.88,and 2.13 times greater than those of the PR bolt,respectively.Shear performance was optimized at a prestress level of 100 kN,with energy absorption reaching 47.1 kJ,which is 2.8 times that of the PR bolt.Furthermore,the necking ratio was significantly reduced,indicating more distributed plastic deformation and delayed failure.Field applications verified the superior performance,resulting in a 27.4%reduction in roof settlement and enhanced structural integrity.These findings confirm that NPR bolts possess excellent shear resistance,energy absorption,and deformation adaptability,and optimizing prestress significantly enhances their support performance,providing a strong basis for geotechnical engineering applications.
基金funded by the Natural Science Foundation of Shanghai Municipality(No.21ZR1440500)the Shanghai Science and Technology Commission(Grant No.21S31902700).
文摘In recent years,the rapid advancement of artificial intelligence(AI)technology has enabled AI-assisted negative screening to significantly enhance physicians'efficiency through image feature analysis and multimodal data modeling,allowing them to focus more on diagnosing positive cases.Meanwhile,multispectral imaging(MSI)integrates spectral and spatial resolution to capture subtle tissue features invisible to the human eye,providing high-resolution data support for pathological analysis.Combining AI technology with MSI and employing quantitative methods to analyze multiband biomarkers(such as absorbance differences in keratin pearls)can effectively improve diagnostic specificity and reduce subjective errors in manual slide interpretation.To address the challenge of identifying negative tissue sections,we developed a discrimination algorithm powered by MSI.We demonstrated its efficacy using cutaneous squamous cell carcinoma(cSCC)as a representative case study.The algorithm achieved 100%accuracy in excluding negative cases and effectively mitigated the false-positive problem caused by cSCC heterogeneity.We constructed a multispectral image(MSI)dataset acquired at 520 nm,600 nm,and 630 nm wavelengths.Subsequently,we employed an optimized MobileViT model for tissue classification and performed comparative analyses against other models.The experimental results showed that our optimized MobileViT model achieved superior performance in identifying negative tissue sections,with a perfect accuracy rate of 100%.Thus,our results confirm the feasibility of integrating MSI with AI to exclude negative cases with perfect accuracy,offering a novel solution to alleviate the workload of pathologists.
文摘BACKGROUND Anxiety,depression,and other negative emotions are common among patients with chronic renal failure(CRF).Analyzing the factors related to negative emotions is necessary to provide targeted nursing care.AIM To explore the correlations among life satisfaction,pleasure levels,and negative emotions in patients with CRF.METHODS One hundred patients with CRF who received therapy at the First Affiliated Hospital of Jinzhou Medical University between December 2022 and February 2025 were included.The Depression,Anxiety,and Stress Scale(DASS-21),Satisfaction with Life Scale(SWLS),and Temporal Experience of Pleasure Scale(TEPS)were used to evaluate negative emotions,life satisfaction,and pleasure level,respectively.Pearson’s correlation coefficient analyzed the correlation between life satisfaction,pleasure level,and negative emotions.Linear regression analysis identified the factors affecting negative emotions.RESULTS The average DASS-21 score among patients with CRF was 51.90±2.30,with subscale scores of 17.90±1.50 for depression,18.53±1.18 for anxiety,and 15.47±2.36 for stress,all significantly higher than the domestic norm(P<0.05).The average SWLS score was 22.17±4.90.Correlation analysis revealed a negative correlation between the SWLS and total DASS-21 scores(P<0.05),but not with the individual depression,anxiety,or stress dimensions.The average TEPS score was 67.80±8.34.TEPS scores were negatively correlated with the DASS-21 score and the stress dimension(P<0.05),but not with depression or anxiety.Linear regression analysis showed that TEPS scores significantly influenced DASS-21 scores(P<0.05).CONCLUSION Patients with CRF experience high levels of negative emotions,which are negatively correlated with life satisfaction and pleasure.Furthermore,pleasure level had an impact on negative emotions.
基金supported by the National Natural Science Foundation of China(No.12472136)Innovation Fund of Marine Defense Technology Innovation Center(No.25GFC-JJ16-3608).
文摘Negative Poisson’s ratio materials and structures exhibit lateral expansion under tensile loading,demonstrating significant mechanical advantages over conventional materials.This study systematically investigated three typical two-dimensional negative Poisson’s ratio metamaterial structures(Concave honeycomb,Anti-chiral,and Anti-chiral concave honeycomb hybrid structures)through both experimental tests and numerical analysis.The test specimens were fabricated using selective laser melting(SLM)additive manufacturing technology,and the experimental test was conducted with the use of a DIC strain measurement system.The numerical studies were performed considering both static tensile loading and dynamic impact loading with different strain rates.The deformation behaviors,failure process,negative Poisson’s ratio effects,and energy absorption capacity of the three different metamaterial structures are systematically investigated,and the associated mechanical mechanisms are thoroughly revealed.Results and findings of this work could provide valuable guidance for the engineering design and application of negative Poisson’s ratio metamaterials and structures.
基金supported by the National Natural Science Foundation of China(NSFC)(41941018)the Second Tibetan Plateau Scientific Expedition and Research Grant 2019QZKK0708。
文摘Materials with a negative Poisson’s ratio effect perform significantly better than traditional materials for rock mass impact resistance,shear resistance,and energy absorption.Based on these advantages,a negative Poisson’s ratio anchor cable(NPR anchor cable)with high elongation and constant resistance was developed and successfully applied in the field of mine disaster control.However,theoretical and experimental research on the negative Poisson’s ratio effect and peripheral strain characteristics of NPR anchor cables is currently incomplete.This study used several theories and methods,such as static tensile,peripheral strain measurement,and static negative Poisson’s ratio measurement,to investigate the radial deformation law of an NPR anchor cable and the negative Poisson’s ratio characteristics.Experimental results elucidated constant resistance changes in an NPR anchor cable during operation,the motion of the constant resistance body in the constant resistance sleeve,and the deformation law of the constant resistance sleeve.Negative Poisson’s ratio characteristics of the NPR anchor cable and its superior energy absorption characteristics were verified and it provided a theoretical and experimental basis for energy absorption mechanisms of an NPR anchor cable.
文摘Beishan Rock Carvings in Chongqing,a renowned cultural heritage site in China,flourished during the Tang and Song dynasties and are often referred to as the“Stone Carving Art Museum of the Tang and Song Dynasties.”Cave 168 is a key component of the Beishan Rock Carvings.At present,several through-going cracks have developed in the roof of Cave 168,severely compromising the structural stability of the grotto.The early internal steel plate supports have suffered severe corrosion and can no longer provide effective reinforcement.In addition,the presence of steel columns obstructs visitor access and negatively affects the viewing experience.A new reinforcement method is urgently needed.Therefore,studying the deformation patterns of the structure is of critical importance.This study analyzes the stratigraphic parameters and fracture distribution of Cave 168,considering key influencing factors such as rainfall,self-weight,and the overlying Quaternary soil.On-site monitoring and physical model experiments were conducted to evaluate the changes in roof crack width and displacement before and after reinforcement with negative Poisson's ratio(NPR)anchor cables.The results reveal that the roof of Cave 168 contains several through-going cracks and numerous microcracks,which serve as infiltration channels for surface water.These accelerate the softening of the mudstone and pose a significant threat to the cave's structural safety.During the experiment,the main change in the crack exhibited a“semi-archshaped”propagation pattern.In the first ten minutes,as the rock transitioned from dry to moist conditions,a slight crack closure was observed.As rainfall continued,crack propagation accelerated.After rainfall ceased,crack width remained stable over a short period.Under NPR anchor support,the influence of rainfall on roof settlement was effectively mitigated,ensuring the safety and stability of the roof.The NPR anchors successfully limited the roof settlement to within 0.3 mm and provided effective control over both total and differential settlement.These findings offer valuable insights into the application of NPR anchor cables in the conservation of grotto heritage structures.
基金Supported by General Projects of Henan Province Universities Humanities and Social Sciences Research in 2023,No.2023-ZDJH-533.
文摘BACKGROUND China has recently encountered severe challenges associated with population aging.Parents of first-generation only children face significant challenges regarding elderly care needs and the associated negative emotions.AIM To analyze the elderly care needs of first-generation only child parents in China and identify factors that influence negative emotions.METHODS This study used a cross-sectional design.Convenience sampling was used to select 1580 elderly individuals who met the inclusion criteria in a Chinese city between June and September 2022.A questionnaire was administered to collect general information about participants.Depression and anxiety were assessed using the patient health questionnaire-9 and generalized anxiety disorder-7 scale,respectively.A logistic regression analysis was performed to evaluate the relevant correlations.RESULTS Among 1580 first-generation only child parents,1120(70.89%)preferred family based care,324(20.51%)opted for community care,and 136(8.61%)chose institutional care,with 460(29.11%)reporting negative emotions.Significant differences in the distribution of negative emotions among only child parents were observed based on age,marital status,living conditions,disability,type of chronic disease,frailty status,and family support(P<0.05).The regression analysis indicated that disability,type of chronic disease,living environment,frailty status,and level of family support were independent risk factors for negative emotions among parents with only children(P<0.05).CONCLUSION Elderly care for parents of only children is primarily family-based.Independent risk factors for negative emotions in this group include disability,chronic disease type,and living environment.
基金Supported by the National High Level Hospital Clinical Research Funding,No.2023-NHLHCRF-BQ-32 and No.2023-NHLHCRFYYPPLC-ZR-13National Key Research and Development Program of China,No.2024YFE0198300Beijing Municipal Natural Science Foundation,No.7222316.
文摘BACKGROUND The number of tumor deposits(TDs)does not play a part in the current tumor node metastasis staging.Negative lymph node(NLN)status is associated with the prognosis of colorectal cancer(CRC),but its clear role in N1c stage remains to be defined.AIM To evaluate the combination of TDs and NLNs as potential prognostic indicators in N1c CRC.METHODS We retrospectively identified 107 consecutive patients who had N1c CRC radically resected at China-Japan Friendship Hospital.The combination of TDs and NLNs was calculated by the formula NLNTD=NLN/(TD+1).Cutoff values of NLNs and NLNTD were determined using the R package“survminer”.Disease-free survival(DFS),overall survival(OS)and cancer-specific survival(CSS)were determined using the Kaplan-Meier method to assess the impact of NLNTD on prognosis.Results were compared using the log-rank test.RESULTS The median follow-up time was 63.17(45.33-81.37)months for DFS,with 33.64%(36/107)of patients experiencing recurrence during follow-up.Five-year DFS was 66.0%(57.3%-76.0%).There was no significant difference in prognosis between patients with>12 and≤12 NLNs(P=0.058)for DFS.Similar results were seen according to the number of TDs.The definition of NLNTD=NLN/(TD+1)with a cutoff value of 6 divided patients into two groups with different DFS(P=0.005).Five-year DFS for patients with NLNTD>6 was 73.5%(63.6%-85.0%),compared with 50.0%(35.7%-70.0%)for those with NLNTD≤6.These two groups had different prognosis without perineural invasion(P=0.012)or lymphovascular invasion(P=0.002)even neither(P=0.053).Similar results were seen for OS and CSS.CONCLUSION NLNTD could serve as important prognostic factor for outcomes in N1c CRC patients.These patients could be stratified for prognosis through NLNTD and the high-risk should be given more attention during treatment.
