To address the challenge of achieving stable in-phase coherent optical field in high-power laser arrays,we propose a novel dual Talbot diffraction coupling method that combines the on-chip self-injection effect with a...To address the challenge of achieving stable in-phase coherent optical field in high-power laser arrays,we propose a novel dual Talbot diffraction coupling method that combines the on-chip self-injection effect with a mixed-resonant cavity diode laser array(MDLA).The designed MDLA incorporates two types of resonant cavities and an integrated external fractional Talbot cavity to compensate for in-phase mode phase delays.Numerical simulations demonstrate that the nearfield optical pattern can be self-imaged via self-organized phase-locking,while the far-field optical pattern of in-phase mode can be coherently enhanced and modulated to exhibit a single-lobe pattern successfully.Furthermore,this method could inherently provide strong optical coupling and overcome the limited scalability of the weakly-coupled laser arrays.Ultimately,by leveraging self-organized phase-locking and Talbot-induced mode discrimination,our approach offers a robust platform for realizing high-power coherent laser sources with scalable integration potential.展开更多
[Objectives]To investigate the effects of Zuogui Pill on peripheral blood cells,sex hormone levels,interleukin 1β(IL-1β)levels,ovarian follicle number and spleen index in SD rats damaged by ^(60)Coγrays.[Methods]Fi...[Objectives]To investigate the effects of Zuogui Pill on peripheral blood cells,sex hormone levels,interleukin 1β(IL-1β)levels,ovarian follicle number and spleen index in SD rats damaged by ^(60)Coγrays.[Methods]Fifty 8-week-old female SPF SD rats were selected,10 of which were in the normal group and were fed routinely without irradiation;the other 40 rats were irradiated with ^(60)Coγrays(6.0 Gy,LD 40)for 24 h,and then divided into radiation model group,Progynova group,high and low dose of Zuogui Pill groups.Progynova group was treated with 0.09 mg Progynova;high dose Zuogui Pill group was treated with 4.725 g Zuogui Pill crude drug and low dose Zuogui Pill group was treated with 0.945 g Zuogui Pill crude drug;radiation group was treated with 2 mL normal saline by gavage once a day for 21 d.The changes of peripheral blood cells in different time periods were detected;the follicle stimulating hormone(FSH)and estradiol(E 2)in peripheral blood serum were detected by enzyme linked immunosorbent assay(ELISA).The expression levels of E 2,luteinizing hormone(LH)and interleukin 1β(IL-1β)were detected,and the ovarian follicle number and spleen index were measured.[Results]After irradiation,the number of peripheral blood cells decreased,especially the number of white blood cells(P<0.05),the content of hemoglobin increased(P<0.05),the level of E 2 decreased,the number of mature follicles decreased,the spleen index decreased,and the expression level of IL-1βincreased.After the intervention of Zuogui Pill,the serum E 2 level,number of mature follicles and spleen index increased,while the serum IL-1β,FSH and LH levels decreased,especially in the high dose Zuogui Pill group(P<0.05).[Conclusions]Zuogui Pill can promote the repair of ovarian function in rats with radiation injury,which may be related to the promotion of bone marrow hematopoiesis and the improvement of immune function,reflecting the theory of"kidney governing blood vessels".展开更多
Low-frequency signals have been proven valuable in the fields of target detection and geological exploration.Nevertheless,the practical implementation of these signals is hindered by large antenna diameters,limiting t...Low-frequency signals have been proven valuable in the fields of target detection and geological exploration.Nevertheless,the practical implementation of these signals is hindered by large antenna diameters,limiting their potential applications.Therefore,it is imperative to study the creation of lowfrequency signals using antennas with suitable dimensions.In contrast to conventional mechanical antenna techniques,our study generates low-frequency signals in the spatial domain utilizing the principle of the Doppler effect.We also defines the antenna array architecture,the timing sequency,and the radiating element signal waveform,and provides experimental prototypes including 8/64 antennas based on earlier research.In the conducted experiments,121 MHz,40 MHz,and 10 kHz composite signals are generated by 156 MHz radiating element signals.The composite signal spectrum matches the simulations,proving our low-frequency signal generating method works.This holds significant implications for research on generating low-frequency signals with small-sized antennas.展开更多
We investigate the relationship between the magnitudes of Forbush decreases(FDs)and solar-geomagnetic characteristics using daily-averaged galactic cosmic ray(GCR)data from Inuvick(INVK)and Magadan(MGDN)neutron monito...We investigate the relationship between the magnitudes of Forbush decreases(FDs)and solar-geomagnetic characteristics using daily-averaged galactic cosmic ray(GCR)data from Inuvick(INVK)and Magadan(MGDN)neutron monitor(NM)stations to aid in counting the case of GCR flux intensity modulation.The FDs,obtained with an automated new computer software algorithm from daily-averaged GCR data from the IZMIRAN common website:http://cr0.izmiran.ru/common,at INVK(224)and MGDN(229)NM stations,from 1998 to 2002,were used in the present work.The associated solar-geomagnetic parameters of the same time range were obtained from the OMNI website.A statistical analytical method was employed to test the link between FD amplitudes and solargeomagnetic variables.We observed negative trends in FD-IMF,FD-SWS,FD-Kp,FD-SSN and FD-SI,while a positive relation was indicated in FD-Dst at both stations.All are statistically significant at a 95%confidence level.The results obtained here imply that solar emission characteristics impact the GCR flux intensity modulation.展开更多
This study compared the control effect of 110 g/L etoxazole SC,15%abamectin·etoxazole SC,30%cyetpyrafen SC,43%bifenazate SC and 1.8%abamectin EC five acaricides sprayed by unmanned aerial vehicle(UAV)on Panonychu...This study compared the control effect of 110 g/L etoxazole SC,15%abamectin·etoxazole SC,30%cyetpyrafen SC,43%bifenazate SC and 1.8%abamectin EC five acaricides sprayed by unmanned aerial vehicle(UAV)on Panonychus citri,aiming to screen out the appropriate acaricide for the control of this pest by UAV spraying.The results showed that 15%abamectin·etoxazole SC and 30%cyetpyrafen SC had the highest control efficacy,which remained above 90%14 d after application.Secondary performance was observed in 43%bifenazate SC and 110 g/L etoxazole SC,which demonstrated enhancing control effect.However,1.8%abamectin EC showed slower effect.Considering the control effect and population reduction rate of P.citri,15%abamectin·etoxazole SC and 30%cyetpyrafen SC were suggested as the effective acaricides for the control of this pest.展开更多
The development of low-cost,abundant,and efficient non-metal catalysts has always been a research focus on photocatalytic hydrogen evolution reactions.Boron nitride nanosheet(BNNS),which is a promising non-metallic tw...The development of low-cost,abundant,and efficient non-metal catalysts has always been a research focus on photocatalytic hydrogen evolution reactions.Boron nitride nanosheet(BNNS),which is a promising non-metallic two-dimensional material,possesses remarkable properties.However,its inherently wide bandgap significantly limits their potential for visible-light-responsive catalysis,and conventional chemical methods struggle to overcome this limitation.In this study,we employed high-energy ionizing radiation to precisely regulate defect formation in BNNS at ambient temperature and pressure.The results showed that gamma-ray radiation markedly enhanced the efficiency of photocatalytic hydrogen production of the irradiated BNNS with increasing absorbed dose.The maximum hydrogen production rate of the samples reached 1033.7μmol/(g·h),which represents an increase of almost two orders of magnitude compared to commercial BNNS.The structural characterization also confirmed that the introduction of three-boron-center defects results in forming intermediate energy levels and improving the charge carrier separation efficiency of BNNS.This transformation converts BNNS from a wide bandgap semiconductor to a visible-light-responsive catalyst.This work not only provides a novel approach for the application of BNNS in visible-light photocatalysis,but also demonstrates the unique role of radiation technology in quantitatively regulating defects and improving catalytic activity.展开更多
Imaging observations of solar X-ray bursts can reveal details of the energy release process and particle acceleration in flares.Most hard X-ray imagers make use of the modulation-based Fourier transform imaging method...Imaging observations of solar X-ray bursts can reveal details of the energy release process and particle acceleration in flares.Most hard X-ray imagers make use of the modulation-based Fourier transform imaging method,an indirect imaging technique that requires algorithms to reconstruct and optimize images.During the last decade,a variety of algorithms have been developed and improved.However,it is difficult to quantitatively evaluate the image quality of different solutions without a true,reference image of observation.How to choose the values of imaging parameters for these algorithms to get the best performance is also an open question.In this study,we present a detailed test of the characteristics of these algorithms,imaging dynamic range and a crucial parameter for the CLEAN method,clean beam width factor(CBWF).We first used SDO/AIA EUV images to compute DEM maps and calculate thermal X-ray maps.Then these realistic sources and several types of simulated sources are used as the ground truth in the imaging simulations for both RHESSI and ASO-S/HXI.The different solutions are evaluated quantitatively by a number of means.The overall results suggest that EM,PIXON,and CLEAN are exceptional methods for sidelobe elimination,producing images with clear source details.Although MEM_GE,MEM_NJIT,VIS_WV and VIS_CS possess fast imaging processes and generate good images,they too possess associated imperfections unique to each method.The two forward fit algorithms,VF and FF,perform differently,and VF appears to be more robust and useful.We also demonstrated the imaging capability of HXI and available HXI algorithms.Furthermore,the effect of CBWF on image quality was investigated,and the optimal settings for both RHESSI and HXI were proposed.展开更多
The flexoelectric effect refers to the electromechanical coupling between electric polarization and mechanical strain gradient.It universally exists in a variety of materials in any space group,such as liquid crystals...The flexoelectric effect refers to the electromechanical coupling between electric polarization and mechanical strain gradient.It universally exists in a variety of materials in any space group,such as liquid crystals,dielectrics,biological materials,and semiconductors.Because of its unique size effect,nanoscale flexoelectricity has shown novel phenomena and promising applications in electronics,optronics,mechatronics,and photovoltaics.In this review,we provide a succinct report on the discovery and development of the flexoelectric effect,focusing on flexoelectric materials and related applications.Finally,we discuss recent flexoelectric research progress and still‐unsolved problems.展开更多
The rail transit in sulfate-rich areas faces the combined effects of stray current and salt corrosion;however,the sulfate ion transport and concrete degradation mechanisms under such conditions are still unclear.To ad...The rail transit in sulfate-rich areas faces the combined effects of stray current and salt corrosion;however,the sulfate ion transport and concrete degradation mechanisms under such conditions are still unclear.To address this issue,novel sulfate transport and mesoscale splitting tests were designed,with a focus on considering the differences between the interfacial transition zone(ITZ)and cement matrix.Under the influence of stray current,the ITZ played a pivotal role in regulating the transport and mechanical failure processes of sulfate attack,while the tortuous and blocking effects of aggregates almost disappeared.This phenomenon was termed the“stray current-induced ITZ effect.”The experimental data revealed that the difference in sulfate ion transport attributed to the ITZ ranged from 1.90 to 2.31 times,while the difference in splitting strength ranged from 1.56 to 1.64 times.Through the real-time synchronization of splitting experiments and microsecond-responsive particle image velocimetry(PIV)technology,the mechanical properties were exposed to the consequences of the stray currentinduced ITZ effect.The number of splitting cracks in the concrete increased,rather than along the central axis,which was significantly different from the conditions without stray current and the ideal Brazilian disk test.Furthermore,a sulfate ion mass transfer model that incorporates reactivity and electrodiffusion was meticulously constructed.The embedded finite element calculation exhibited excellent agreement with the experimental results,indicating its reliability and accuracy.Additionally,the stress field was determined utilizing analytical methods,and the mechanism underlying crack propagation was successfully obtained.Compared to the cement matrix,a stray current led to more sulfates,more microstructure degradation,and greater increases in thickness and porosity in the ITZ,which was considered to be the essence of the stray current-induced ITZ effect.展开更多
Agricultural intensification has led to an increase in monoculture and the use of chemical pesticides,resulting in a decline in biodiversity and a reduction in ecosystem services,particularly biological pest managemen...Agricultural intensification has led to an increase in monoculture and the use of chemical pesticides,resulting in a decline in biodiversity and a reduction in ecosystem services,particularly biological pest management.However,studies have shown that agroforestry can not only improve land productivity and biodiversity but also regulate some ecosystem services.This study reviews the impacts of physical and biological factors on herbivorous pests,parasites,and predatory natural enemies in fruit-crop agroforestry systems.Fruit-crop agroforestry systems provide high spatial heterogeneity by altering crop layouts,regulating the microclimate and soil quality,and offering food resources and shelter for natural enemies,thus promoting biological pest control.This enhances biological control and makes the agrocomplex system an effective tool for sustainable agriculture.Our research shows that volatile plant substances attract or repel pests and natural enemies based on the characteristics of the insects themselves.When scientifically designed,fruit-crop agroforestry systems provide high spatial heterogeneity and favorable microclimatic conditions,which enhance biological pest control and make the agroforestry system an effective tool for sustainable agriculture.Our research shows that fruit-crop agroforestry systems can provide richer food resources and habitat,enhancing biological pest control and improving pest management.展开更多
Liver cancer is the fourth cause of cancer-related deaths and the primary cause of death in patients with compensated cirrhosis.In recent years,the role of traditional Chinese medicine in the treatment of liver cancer...Liver cancer is the fourth cause of cancer-related deaths and the primary cause of death in patients with compensated cirrhosis.In recent years,the role of traditional Chinese medicine in the treatment of liver cancer has attracted more and more attention and recognition.Luteolin(LUT)and glycyrrhetinic(GA)are natural compounds extracted from Chinese herbal medicine.LUT exhibits various biological activity including anti-inflammatory,antibacterial,antiviral,anti-tumor,and neuroprotective effects.GA significantly inhibits the growth and metastasis of cancer cells.However,the low water solubility of both compounds hinders their clinical applications.In this study,rod-shaped nanoparticles(NPs)self-assembled from LUT and GA were designed to enhance drug solubility and tumor-targeting capability.We verified that the assembly mechanism of the NPs was π-π stacking.These NPs significantly inhibited the proliferation of liver cancer cells while had no significant effect on normal liver cells.In a mouse model of liver cancer,these NPs demonstrated superior tumor-targeting ability due to the enhanced permeability and retention effect,and the affinity of GA for liver cancer cells,resulting in better therapeutic efficacy with lower systemic toxicity.Results of network pharmacology analysis showed that LUT and GA respectively targeted estrogen receptor 1(ESR1)protein and cyclin-dependent kinase 1(CDK1)protein to corporately induce tumor cell cycle arrest,which induced the inhibition of tumor cell proliferation.In conclusion,this study provides a novel reference for the treatment of liver cancer.展开更多
Fertilization or atmospheric deposition of nitrogen(N)and phosphorus(P)to terrestrial ecosystems can alter soil N(P)availability and the nature of nutrient limitation for plant growth.Changing the allocation of leaf P...Fertilization or atmospheric deposition of nitrogen(N)and phosphorus(P)to terrestrial ecosystems can alter soil N(P)availability and the nature of nutrient limitation for plant growth.Changing the allocation of leaf P fractions is potentially an adaptive strategy for plants to cope with soil N(P)availability and nutrient-limiting conditions.However,the impact of the interactions between imbalanced anthropogenic N and P inputs on the concentrations and allocation proportions of leaf P fractions in forest woody plants remains elusive.We conducted a metaanalysis of data about the concentrations and allocation proportions of leaf P fractions,specifically associated with individual and combined additions of N and P in evergreen forests,the dominant vegetation type in southern China where the primary productivity is usually considered limited by P.This assessment allowed us to quantitatively evaluate the effects of N and P additions alone and interactively on leaf P allocation and use strategies.Nitrogen addition(exacerbating P limitation)reduced the concentrations of leaf total P and different leaf P fractions.Nitrogen addition reduced the allocation to leaf metabolic P but increased the allocation to other fractions,while P addition showed opposite trends.The simultaneous additions of N and P showed an antagonistic(mutual suppression)effect on the concentrations of leaf P fractions,but an additive(summary)effect on the allocation proportions of leaf P fractions.These results highlight the importance of strategies of leaf P fraction allocation in forest plants under changes in environmental nutrient availability.Importantly,our study identified critical interactions associated with combined N and P inputs that affect leaf P fractions,thus aiding in predicting plant acclimation strategies in the context of intensifying and imbalanced anthropogenic nutrient inputs.展开更多
In the practice of healthcare,patient-reported outcomes(PROs)and PRO measures(PROMs)are used as an attempt to observe the changes in complex clinical situations.They guide us in making decisions based on the evidence ...In the practice of healthcare,patient-reported outcomes(PROs)and PRO measures(PROMs)are used as an attempt to observe the changes in complex clinical situations.They guide us in making decisions based on the evidence regarding patient care by recording the change in outcomes for a particular treatment to a given condition and finally to understand whether a patient will benefit from a particular treatment and to quantify the treatment effect.For any PROM to be usable in health care,we need it to be reliable,encapsulating the points of interest with the potential to detect any real change.Using structured outcome measures routinely in clinical practice helps the physician to understand the functional limitation of a patient that would otherwise not be clear in an office interview,and this allows the physician and patient to have a meaningful conver-sation as well as a customized plan for each patient.Having mentioned the rationale and the benefits of PROMs,understanding the quantification process is crucial before embarking on management decisions.A better interpretation of change needs to identify the treatment effect based on clinical relevance for a given condition.There are a multiple set of measurement indices to serve this effect and most of them are used interchangeably without clear demarcation on their differences.This article details the various quantification metrics used to evaluate the treatment effect using PROMs,their limitations and the scope of usage and implementation in clinical practice.展开更多
The fifth generation (5G) wireless communication requires the massive multiple input multiple output (MIMO) technique. The massive MIMO antenna array of the millimeter wave (mm-wave) is recognized as a key enabler bec...The fifth generation (5G) wireless communication requires the massive multiple input multiple output (MIMO) technique. The massive MIMO antenna array of the millimeter wave (mm-wave) is recognized as a key enabler because of its high spectral efficiency. The higher the frequencies of the RF signal, the lower the distance it travels in free space caused by path loss, and it is more easily absorbed by obstacles, which are needed for high-gain transmitters. The advantage of the physical properties of higher New Radio (NR) frequencies is that 5G can utilize more spectrum, more antennas, and higher-order modulation schemes. The massive antennas and radio frequency chains improve the implementation of the cost of 5G wireless communication systems and result in an intense mutual coupling effect among antennas because of the limited space for deploying antennas. The upper bound of the effective capacity is derived for 5G multimedia massive MIMO communication systems. Two antennas that receive diversity gain models, the mutual coupling matrix, and the spacing antenna distance are built and analyzed. The impacts and affections of the antenna spacing the number of antennas, the quality-of-service (QoS) statistical exponent, and the number of independent incident directions on the upper effective capacity of 5G multimedia massive MIMO communication systems are analyzed. It is shown that for MIMO systems with compact transmit antenna arrays, the mutual coupling seriously degrades system capacity to mitigate the capacity degradation. In case of improvement in the mutual coupling by 99%, the system performance is kept stationary and enhances system capacity. However, the improvement of the mutual coupling is still about 87.5% today, which means the mutual coupling should be considered in 5G massive MIMO networks.展开更多
Structural regulation of Pd-based electrocatalytic hydrodechlorination(EHDC)catalyst for constructing high-efficient cathode materials with low noble metal content and high atom utilization is crucial but still challe...Structural regulation of Pd-based electrocatalytic hydrodechlorination(EHDC)catalyst for constructing high-efficient cathode materials with low noble metal content and high atom utilization is crucial but still challenging.Herein,a support electron inductive effect of Pd-Mn/Ni foam catalyst was proposed via in-situ Mn doping to optimize the electronic structure of the Ni foam(NF),which can inductive regulation of Pd for improving the EHDC performance.The mass activity and current efficiency of Pd-Mn/NF catalyst are 2.91 and 1.34 times superior to that of Pd/NF with 2,4-dichlorophenol as model compound,respectively.The Mn-doped interlayer optimized the electronic structure of Pd by bringing the d-state closer to the Fermi level than Pd on the NF surface,which optimizied the binding of EHDC intermediates.Additionally,the Mn-doped interlayer acted as a promoter for generating H∗and accelerating the EHDC reaction.This work presents a simple and effective regulation strategy for constructing high-efficient cathode catalyst for the EHDC of chlorinated organic compounds.展开更多
Low-electrode capacitive deionization(FCDI)is an emerging desalination technology with great potential for removal and/or recycling ions from a range of waters.However,it still suffers from inefficient charge transfer...Low-electrode capacitive deionization(FCDI)is an emerging desalination technology with great potential for removal and/or recycling ions from a range of waters.However,it still suffers from inefficient charge transfer and ion transport kinetics due to weak turbulence and low electric intensity in flow electrodes,both restricted by the current collectors.Herein,a new tip-array current collector(designated as T-CC)was developed to replace the conventional planar current collectors,which intensifies both the charge transfer and ion transport significantly.The effects of tip arrays on flow and electric fields were studied by both computational simulations and electrochemical impedance spectroscopy,which revealed the reduction of ion transport barrier,charge transport barrier and internal resistance.With the voltage increased from 1.0 to 1.5 and 2.0 V,the T-CC-based FCDI system(T-FCDI)exhibited average salt removal rates(ASRR)of 0.18,0.50,and 0.89μmol cm^(-2) min^(-1),respectively,which are 1.82,2.65,and 2.48 folds higher than that of the conventional serpentine current collectors,and 1.48,1.67,and 1.49 folds higher than that of the planar current collectors.Meanwhile,with the solid content in flow electrodes increased from 1 to 5 wt%,the ASRR for T-FCDI increased from 0.29 to 0.50μmol cm^(-2) min^(-1),which are 1.70 and 1.67 folds higher than that of the planar current collectors.Additionally,a salt removal efficiency of 99.89%was achieved with T-FCDI and the charge efficiency remained above 95%after 24 h of operation,thus showing its superior long-term stability.展开更多
Objective The use of lasers has been an important part of urology in the treatment of stone and prostate disease.The thermal effects of lasers in lithotripsy have been a subject of debate over the years.The objective ...Objective The use of lasers has been an important part of urology in the treatment of stone and prostate disease.The thermal effects of lasers in lithotripsy have been a subject of debate over the years.The objective of this review was to assess the current state of knowledge available on the thermal effects of lasers in lithotripsy,as well as explore any new areas where studies are needed.Methods In August 2022,a keyword search on Google Scholar,PubMed,and Scopus for all papers containing the phrases“thermal effects”AND“laser”AND“lithotripsy”AND“urology”was done followed by citation jumping to other studies pertaining to the topic and 35 relevant papers were included in our study.The data from relevant papers were segregated into five groups according to the factor studied and type of study,and tables were created for a comparison of data.Results Temperature above the threshold of 43℃ was reached only when the power was>40 W and when there was adequate irrigation(at least 15–30 mL/min).Shorter lasing time divided by lithotripsy time or operator duty cycles less than 70%also resulted in a smaller temperature rise.Conclusion At least eight factors modify the thermal effects of lasers,and most importantly,the use of chilled irrigation at higher perfusion rates,lower power settings of<40 W,and with a shorter operator duty cycle will help to prevent thermal injuries from occurring.Stones impacted in the ureter or pelvi-ureteric junction further increase the probability of thermal injuries during laser firing.展开更多
Exosomes(Exos)are extracellular vesicles secreted by cells and serve as crucial mediators of intercellular communication.They play a pivotal role in the pathogenesis and progression of various diseases and offer promi...Exosomes(Exos)are extracellular vesicles secreted by cells and serve as crucial mediators of intercellular communication.They play a pivotal role in the pathogenesis and progression of various diseases and offer promising avenues for therapeutic interventions.Exos derived from mesenchymal stem cells(MSCs)have significant immunomodulatory properties.They effectively regulate immune responses by modulating both innate and adaptive immunity.These Exos can inhibit excessive inflammatory responses and promote tissue repair.Moreover,they participate in antigen presentation,which is essential for activating immune responses.The cargo of these Exos,including ligands,proteins,and microRNAs,can suppress T cell activity or enhance the population of immunosuppressive cells to dampen the immune response.By inhibiting lymphocyte proliferation,acting on macrophages,and increasing the population of regulatory T cells,these Exos contribute to maintaining immune and metabolic homeostasis.Furthermore,they can activate immune-related signaling pathways or serve as vehicles to deliver microRNAs and other bioactive substances to target tumor cells,which holds potential for immunotherapy applications.Given the immense therapeutic potential of MSC-derived Exos,this review comprehensively explores their mechanisms of immune regulation and therapeutic applications in areas such as infection control,tumor suppression,and autoimmune disease management.This article aims to provide valuable insights into the mechanisms behind the actions of MSC-derived Exos,offering theoretical references for their future clinical utilization as cell-free drug preparations.展开更多
Excellent progress has been made in the last few decades in the cure rates of pediatric malignancies,with more than 80%of children with cancer who have access to contemporary treatment being cured.However,the therapie...Excellent progress has been made in the last few decades in the cure rates of pediatric malignancies,with more than 80%of children with cancer who have access to contemporary treatment being cured.However,the therapies responsible for this survival can also produce adverse physical and psychological long-term outcomes,referred to as late effects,which appear months to years after the completion of cancer treatment.Research has shown that 60%to 90%of childhood cancer survivors(CCSs)develop one or more chronic health conditions,and 20%to 80%of survivors experience severe or life-threatening complications during adulthood.Therefore,understanding the late side effects of such treatments is important to improve the health and quality of life of the growing population of CCSs.展开更多
基金funded by the Science and Technology Commission Foundation of the Central Military Commission(Grant No.2023-JCJQ-JJ-1008)。
文摘To address the challenge of achieving stable in-phase coherent optical field in high-power laser arrays,we propose a novel dual Talbot diffraction coupling method that combines the on-chip self-injection effect with a mixed-resonant cavity diode laser array(MDLA).The designed MDLA incorporates two types of resonant cavities and an integrated external fractional Talbot cavity to compensate for in-phase mode phase delays.Numerical simulations demonstrate that the nearfield optical pattern can be self-imaged via self-organized phase-locking,while the far-field optical pattern of in-phase mode can be coherently enhanced and modulated to exhibit a single-lobe pattern successfully.Furthermore,this method could inherently provide strong optical coupling and overcome the limited scalability of the weakly-coupled laser arrays.Ultimately,by leveraging self-organized phase-locking and Talbot-induced mode discrimination,our approach offers a robust platform for realizing high-power coherent laser sources with scalable integration potential.
基金Supported by National Natural Science Foundation of China(81760806&82360877)Natural Science Foundation of Gansu Province(24JRRA1027)Gansu Provincial Higher Education Innovation Ability Improvement Project of Gansu Provincial Department of Education(2022A-076).
文摘[Objectives]To investigate the effects of Zuogui Pill on peripheral blood cells,sex hormone levels,interleukin 1β(IL-1β)levels,ovarian follicle number and spleen index in SD rats damaged by ^(60)Coγrays.[Methods]Fifty 8-week-old female SPF SD rats were selected,10 of which were in the normal group and were fed routinely without irradiation;the other 40 rats were irradiated with ^(60)Coγrays(6.0 Gy,LD 40)for 24 h,and then divided into radiation model group,Progynova group,high and low dose of Zuogui Pill groups.Progynova group was treated with 0.09 mg Progynova;high dose Zuogui Pill group was treated with 4.725 g Zuogui Pill crude drug and low dose Zuogui Pill group was treated with 0.945 g Zuogui Pill crude drug;radiation group was treated with 2 mL normal saline by gavage once a day for 21 d.The changes of peripheral blood cells in different time periods were detected;the follicle stimulating hormone(FSH)and estradiol(E 2)in peripheral blood serum were detected by enzyme linked immunosorbent assay(ELISA).The expression levels of E 2,luteinizing hormone(LH)and interleukin 1β(IL-1β)were detected,and the ovarian follicle number and spleen index were measured.[Results]After irradiation,the number of peripheral blood cells decreased,especially the number of white blood cells(P<0.05),the content of hemoglobin increased(P<0.05),the level of E 2 decreased,the number of mature follicles decreased,the spleen index decreased,and the expression level of IL-1βincreased.After the intervention of Zuogui Pill,the serum E 2 level,number of mature follicles and spleen index increased,while the serum IL-1β,FSH and LH levels decreased,especially in the high dose Zuogui Pill group(P<0.05).[Conclusions]Zuogui Pill can promote the repair of ovarian function in rats with radiation injury,which may be related to the promotion of bone marrow hematopoiesis and the improvement of immune function,reflecting the theory of"kidney governing blood vessels".
基金Science and Technology Project of Aerospace Information Research Institute,Chinese Academy of Sciences(Y910340Z2F)Science and Technology Project of BBEF(E3E2010201)。
文摘Low-frequency signals have been proven valuable in the fields of target detection and geological exploration.Nevertheless,the practical implementation of these signals is hindered by large antenna diameters,limiting their potential applications.Therefore,it is imperative to study the creation of lowfrequency signals using antennas with suitable dimensions.In contrast to conventional mechanical antenna techniques,our study generates low-frequency signals in the spatial domain utilizing the principle of the Doppler effect.We also defines the antenna array architecture,the timing sequency,and the radiating element signal waveform,and provides experimental prototypes including 8/64 antennas based on earlier research.In the conducted experiments,121 MHz,40 MHz,and 10 kHz composite signals are generated by 156 MHz radiating element signals.The composite signal spectrum matches the simulations,proving our low-frequency signal generating method works.This holds significant implications for research on generating low-frequency signals with small-sized antennas.
文摘We investigate the relationship between the magnitudes of Forbush decreases(FDs)and solar-geomagnetic characteristics using daily-averaged galactic cosmic ray(GCR)data from Inuvick(INVK)and Magadan(MGDN)neutron monitor(NM)stations to aid in counting the case of GCR flux intensity modulation.The FDs,obtained with an automated new computer software algorithm from daily-averaged GCR data from the IZMIRAN common website:http://cr0.izmiran.ru/common,at INVK(224)and MGDN(229)NM stations,from 1998 to 2002,were used in the present work.The associated solar-geomagnetic parameters of the same time range were obtained from the OMNI website.A statistical analytical method was employed to test the link between FD amplitudes and solargeomagnetic variables.We observed negative trends in FD-IMF,FD-SWS,FD-Kp,FD-SSN and FD-SI,while a positive relation was indicated in FD-Dst at both stations.All are statistically significant at a 95%confidence level.The results obtained here imply that solar emission characteristics impact the GCR flux intensity modulation.
文摘This study compared the control effect of 110 g/L etoxazole SC,15%abamectin·etoxazole SC,30%cyetpyrafen SC,43%bifenazate SC and 1.8%abamectin EC five acaricides sprayed by unmanned aerial vehicle(UAV)on Panonychus citri,aiming to screen out the appropriate acaricide for the control of this pest by UAV spraying.The results showed that 15%abamectin·etoxazole SC and 30%cyetpyrafen SC had the highest control efficacy,which remained above 90%14 d after application.Secondary performance was observed in 43%bifenazate SC and 110 g/L etoxazole SC,which demonstrated enhancing control effect.However,1.8%abamectin EC showed slower effect.Considering the control effect and population reduction rate of P.citri,15%abamectin·etoxazole SC and 30%cyetpyrafen SC were suggested as the effective acaricides for the control of this pest.
文摘The development of low-cost,abundant,and efficient non-metal catalysts has always been a research focus on photocatalytic hydrogen evolution reactions.Boron nitride nanosheet(BNNS),which is a promising non-metallic two-dimensional material,possesses remarkable properties.However,its inherently wide bandgap significantly limits their potential for visible-light-responsive catalysis,and conventional chemical methods struggle to overcome this limitation.In this study,we employed high-energy ionizing radiation to precisely regulate defect formation in BNNS at ambient temperature and pressure.The results showed that gamma-ray radiation markedly enhanced the efficiency of photocatalytic hydrogen production of the irradiated BNNS with increasing absorbed dose.The maximum hydrogen production rate of the samples reached 1033.7μmol/(g·h),which represents an increase of almost two orders of magnitude compared to commercial BNNS.The structural characterization also confirmed that the introduction of three-boron-center defects results in forming intermediate energy levels and improving the charge carrier separation efficiency of BNNS.This transformation converts BNNS from a wide bandgap semiconductor to a visible-light-responsive catalyst.This work not only provides a novel approach for the application of BNNS in visible-light photocatalysis,but also demonstrates the unique role of radiation technology in quantitatively regulating defects and improving catalytic activity.
基金supported by the National Key R&D Program of China 2022YFF0503002the National Natural Science Foundation of China(NSFC,Grant Nos.12333010 and 12233012)+2 种基金the Strategic Priority Research Program of the Chinese Academy of Sciences(grant No.XDB0560000)supported by the Prominent Postdoctoral Project of Jiangsu Province(2023ZB304)supported by the Strategic Priority Research Program on Space Science,the Chinese Academy of Sciences,grant No.XDA15320000.
文摘Imaging observations of solar X-ray bursts can reveal details of the energy release process and particle acceleration in flares.Most hard X-ray imagers make use of the modulation-based Fourier transform imaging method,an indirect imaging technique that requires algorithms to reconstruct and optimize images.During the last decade,a variety of algorithms have been developed and improved.However,it is difficult to quantitatively evaluate the image quality of different solutions without a true,reference image of observation.How to choose the values of imaging parameters for these algorithms to get the best performance is also an open question.In this study,we present a detailed test of the characteristics of these algorithms,imaging dynamic range and a crucial parameter for the CLEAN method,clean beam width factor(CBWF).We first used SDO/AIA EUV images to compute DEM maps and calculate thermal X-ray maps.Then these realistic sources and several types of simulated sources are used as the ground truth in the imaging simulations for both RHESSI and ASO-S/HXI.The different solutions are evaluated quantitatively by a number of means.The overall results suggest that EM,PIXON,and CLEAN are exceptional methods for sidelobe elimination,producing images with clear source details.Although MEM_GE,MEM_NJIT,VIS_WV and VIS_CS possess fast imaging processes and generate good images,they too possess associated imperfections unique to each method.The two forward fit algorithms,VF and FF,perform differently,and VF appears to be more robust and useful.We also demonstrated the imaging capability of HXI and available HXI algorithms.Furthermore,the effect of CBWF on image quality was investigated,and the optimal settings for both RHESSI and HXI were proposed.
基金support of the National Natural Science Foundation of China(Grant Nos.52192611,51872031,61904013,and 62405157)China Postdoctoral Science Foundation(Nos.2023M741890 and GZC20231215)the Fundamental Research Funds for the Central Universities.
文摘The flexoelectric effect refers to the electromechanical coupling between electric polarization and mechanical strain gradient.It universally exists in a variety of materials in any space group,such as liquid crystals,dielectrics,biological materials,and semiconductors.Because of its unique size effect,nanoscale flexoelectricity has shown novel phenomena and promising applications in electronics,optronics,mechatronics,and photovoltaics.In this review,we provide a succinct report on the discovery and development of the flexoelectric effect,focusing on flexoelectric materials and related applications.Finally,we discuss recent flexoelectric research progress and still‐unsolved problems.
基金supported by the State Major Program of National Natural Science Foundation of China(52090082)the National Key Research and Development Program of China(2022YFB2602200)the National Natural Science Foundation of China(52178423 and 52378398).
文摘The rail transit in sulfate-rich areas faces the combined effects of stray current and salt corrosion;however,the sulfate ion transport and concrete degradation mechanisms under such conditions are still unclear.To address this issue,novel sulfate transport and mesoscale splitting tests were designed,with a focus on considering the differences between the interfacial transition zone(ITZ)and cement matrix.Under the influence of stray current,the ITZ played a pivotal role in regulating the transport and mechanical failure processes of sulfate attack,while the tortuous and blocking effects of aggregates almost disappeared.This phenomenon was termed the“stray current-induced ITZ effect.”The experimental data revealed that the difference in sulfate ion transport attributed to the ITZ ranged from 1.90 to 2.31 times,while the difference in splitting strength ranged from 1.56 to 1.64 times.Through the real-time synchronization of splitting experiments and microsecond-responsive particle image velocimetry(PIV)technology,the mechanical properties were exposed to the consequences of the stray currentinduced ITZ effect.The number of splitting cracks in the concrete increased,rather than along the central axis,which was significantly different from the conditions without stray current and the ideal Brazilian disk test.Furthermore,a sulfate ion mass transfer model that incorporates reactivity and electrodiffusion was meticulously constructed.The embedded finite element calculation exhibited excellent agreement with the experimental results,indicating its reliability and accuracy.Additionally,the stress field was determined utilizing analytical methods,and the mechanism underlying crack propagation was successfully obtained.Compared to the cement matrix,a stray current led to more sulfates,more microstructure degradation,and greater increases in thickness and porosity in the ITZ,which was considered to be the essence of the stray current-induced ITZ effect.
文摘Agricultural intensification has led to an increase in monoculture and the use of chemical pesticides,resulting in a decline in biodiversity and a reduction in ecosystem services,particularly biological pest management.However,studies have shown that agroforestry can not only improve land productivity and biodiversity but also regulate some ecosystem services.This study reviews the impacts of physical and biological factors on herbivorous pests,parasites,and predatory natural enemies in fruit-crop agroforestry systems.Fruit-crop agroforestry systems provide high spatial heterogeneity by altering crop layouts,regulating the microclimate and soil quality,and offering food resources and shelter for natural enemies,thus promoting biological pest control.This enhances biological control and makes the agrocomplex system an effective tool for sustainable agriculture.Our research shows that volatile plant substances attract or repel pests and natural enemies based on the characteristics of the insects themselves.When scientifically designed,fruit-crop agroforestry systems provide high spatial heterogeneity and favorable microclimatic conditions,which enhance biological pest control and make the agroforestry system an effective tool for sustainable agriculture.Our research shows that fruit-crop agroforestry systems can provide richer food resources and habitat,enhancing biological pest control and improving pest management.
基金the financial support from Henan Province Natural Science Foundation(No.252300420583)Henan Provincial Science and Technology Research Project(Nos.242102310455,242102310473,242102310517)the Key Project of Science and Technology Research funded by the Henan Provincial Department of Education(No.24A350002)。
文摘Liver cancer is the fourth cause of cancer-related deaths and the primary cause of death in patients with compensated cirrhosis.In recent years,the role of traditional Chinese medicine in the treatment of liver cancer has attracted more and more attention and recognition.Luteolin(LUT)and glycyrrhetinic(GA)are natural compounds extracted from Chinese herbal medicine.LUT exhibits various biological activity including anti-inflammatory,antibacterial,antiviral,anti-tumor,and neuroprotective effects.GA significantly inhibits the growth and metastasis of cancer cells.However,the low water solubility of both compounds hinders their clinical applications.In this study,rod-shaped nanoparticles(NPs)self-assembled from LUT and GA were designed to enhance drug solubility and tumor-targeting capability.We verified that the assembly mechanism of the NPs was π-π stacking.These NPs significantly inhibited the proliferation of liver cancer cells while had no significant effect on normal liver cells.In a mouse model of liver cancer,these NPs demonstrated superior tumor-targeting ability due to the enhanced permeability and retention effect,and the affinity of GA for liver cancer cells,resulting in better therapeutic efficacy with lower systemic toxicity.Results of network pharmacology analysis showed that LUT and GA respectively targeted estrogen receptor 1(ESR1)protein and cyclin-dependent kinase 1(CDK1)protein to corporately induce tumor cell cycle arrest,which induced the inhibition of tumor cell proliferation.In conclusion,this study provides a novel reference for the treatment of liver cancer.
基金supported by the National Natural Science Foundation of China(No.41473068)supported by China Postdoctoral Science Foundation(No.2022M722667)。
文摘Fertilization or atmospheric deposition of nitrogen(N)and phosphorus(P)to terrestrial ecosystems can alter soil N(P)availability and the nature of nutrient limitation for plant growth.Changing the allocation of leaf P fractions is potentially an adaptive strategy for plants to cope with soil N(P)availability and nutrient-limiting conditions.However,the impact of the interactions between imbalanced anthropogenic N and P inputs on the concentrations and allocation proportions of leaf P fractions in forest woody plants remains elusive.We conducted a metaanalysis of data about the concentrations and allocation proportions of leaf P fractions,specifically associated with individual and combined additions of N and P in evergreen forests,the dominant vegetation type in southern China where the primary productivity is usually considered limited by P.This assessment allowed us to quantitatively evaluate the effects of N and P additions alone and interactively on leaf P allocation and use strategies.Nitrogen addition(exacerbating P limitation)reduced the concentrations of leaf total P and different leaf P fractions.Nitrogen addition reduced the allocation to leaf metabolic P but increased the allocation to other fractions,while P addition showed opposite trends.The simultaneous additions of N and P showed an antagonistic(mutual suppression)effect on the concentrations of leaf P fractions,but an additive(summary)effect on the allocation proportions of leaf P fractions.These results highlight the importance of strategies of leaf P fraction allocation in forest plants under changes in environmental nutrient availability.Importantly,our study identified critical interactions associated with combined N and P inputs that affect leaf P fractions,thus aiding in predicting plant acclimation strategies in the context of intensifying and imbalanced anthropogenic nutrient inputs.
文摘In the practice of healthcare,patient-reported outcomes(PROs)and PRO measures(PROMs)are used as an attempt to observe the changes in complex clinical situations.They guide us in making decisions based on the evidence regarding patient care by recording the change in outcomes for a particular treatment to a given condition and finally to understand whether a patient will benefit from a particular treatment and to quantify the treatment effect.For any PROM to be usable in health care,we need it to be reliable,encapsulating the points of interest with the potential to detect any real change.Using structured outcome measures routinely in clinical practice helps the physician to understand the functional limitation of a patient that would otherwise not be clear in an office interview,and this allows the physician and patient to have a meaningful conver-sation as well as a customized plan for each patient.Having mentioned the rationale and the benefits of PROMs,understanding the quantification process is crucial before embarking on management decisions.A better interpretation of change needs to identify the treatment effect based on clinical relevance for a given condition.There are a multiple set of measurement indices to serve this effect and most of them are used interchangeably without clear demarcation on their differences.This article details the various quantification metrics used to evaluate the treatment effect using PROMs,their limitations and the scope of usage and implementation in clinical practice.
文摘The fifth generation (5G) wireless communication requires the massive multiple input multiple output (MIMO) technique. The massive MIMO antenna array of the millimeter wave (mm-wave) is recognized as a key enabler because of its high spectral efficiency. The higher the frequencies of the RF signal, the lower the distance it travels in free space caused by path loss, and it is more easily absorbed by obstacles, which are needed for high-gain transmitters. The advantage of the physical properties of higher New Radio (NR) frequencies is that 5G can utilize more spectrum, more antennas, and higher-order modulation schemes. The massive antennas and radio frequency chains improve the implementation of the cost of 5G wireless communication systems and result in an intense mutual coupling effect among antennas because of the limited space for deploying antennas. The upper bound of the effective capacity is derived for 5G multimedia massive MIMO communication systems. Two antennas that receive diversity gain models, the mutual coupling matrix, and the spacing antenna distance are built and analyzed. The impacts and affections of the antenna spacing the number of antennas, the quality-of-service (QoS) statistical exponent, and the number of independent incident directions on the upper effective capacity of 5G multimedia massive MIMO communication systems are analyzed. It is shown that for MIMO systems with compact transmit antenna arrays, the mutual coupling seriously degrades system capacity to mitigate the capacity degradation. In case of improvement in the mutual coupling by 99%, the system performance is kept stationary and enhances system capacity. However, the improvement of the mutual coupling is still about 87.5% today, which means the mutual coupling should be considered in 5G massive MIMO networks.
基金supported by the National Natural Science Foundation of China(Nos.22178388 and 22108306)Taishan Scholars Program of Shandong Province(No.tsqn201909065)Chongqing Science and Technology Bureau(No.cstc2019jscx-gksb X0032).
文摘Structural regulation of Pd-based electrocatalytic hydrodechlorination(EHDC)catalyst for constructing high-efficient cathode materials with low noble metal content and high atom utilization is crucial but still challenging.Herein,a support electron inductive effect of Pd-Mn/Ni foam catalyst was proposed via in-situ Mn doping to optimize the electronic structure of the Ni foam(NF),which can inductive regulation of Pd for improving the EHDC performance.The mass activity and current efficiency of Pd-Mn/NF catalyst are 2.91 and 1.34 times superior to that of Pd/NF with 2,4-dichlorophenol as model compound,respectively.The Mn-doped interlayer optimized the electronic structure of Pd by bringing the d-state closer to the Fermi level than Pd on the NF surface,which optimizied the binding of EHDC intermediates.Additionally,the Mn-doped interlayer acted as a promoter for generating H∗and accelerating the EHDC reaction.This work presents a simple and effective regulation strategy for constructing high-efficient cathode catalyst for the EHDC of chlorinated organic compounds.
基金supported by the Shenzhen Science and Technology Program(JCYJ20230808105111022,JCYJ20220818095806013)Natural Science Foundation of Guangdong(2023A1515012267)+1 种基金the National Natural Science Foundation of China(22178223)the Royal Society/NSFC cost share program(IEC\NSFC\223372).
文摘Low-electrode capacitive deionization(FCDI)is an emerging desalination technology with great potential for removal and/or recycling ions from a range of waters.However,it still suffers from inefficient charge transfer and ion transport kinetics due to weak turbulence and low electric intensity in flow electrodes,both restricted by the current collectors.Herein,a new tip-array current collector(designated as T-CC)was developed to replace the conventional planar current collectors,which intensifies both the charge transfer and ion transport significantly.The effects of tip arrays on flow and electric fields were studied by both computational simulations and electrochemical impedance spectroscopy,which revealed the reduction of ion transport barrier,charge transport barrier and internal resistance.With the voltage increased from 1.0 to 1.5 and 2.0 V,the T-CC-based FCDI system(T-FCDI)exhibited average salt removal rates(ASRR)of 0.18,0.50,and 0.89μmol cm^(-2) min^(-1),respectively,which are 1.82,2.65,and 2.48 folds higher than that of the conventional serpentine current collectors,and 1.48,1.67,and 1.49 folds higher than that of the planar current collectors.Meanwhile,with the solid content in flow electrodes increased from 1 to 5 wt%,the ASRR for T-FCDI increased from 0.29 to 0.50μmol cm^(-2) min^(-1),which are 1.70 and 1.67 folds higher than that of the planar current collectors.Additionally,a salt removal efficiency of 99.89%was achieved with T-FCDI and the charge efficiency remained above 95%after 24 h of operation,thus showing its superior long-term stability.
文摘Objective The use of lasers has been an important part of urology in the treatment of stone and prostate disease.The thermal effects of lasers in lithotripsy have been a subject of debate over the years.The objective of this review was to assess the current state of knowledge available on the thermal effects of lasers in lithotripsy,as well as explore any new areas where studies are needed.Methods In August 2022,a keyword search on Google Scholar,PubMed,and Scopus for all papers containing the phrases“thermal effects”AND“laser”AND“lithotripsy”AND“urology”was done followed by citation jumping to other studies pertaining to the topic and 35 relevant papers were included in our study.The data from relevant papers were segregated into five groups according to the factor studied and type of study,and tables were created for a comparison of data.Results Temperature above the threshold of 43℃ was reached only when the power was>40 W and when there was adequate irrigation(at least 15–30 mL/min).Shorter lasing time divided by lithotripsy time or operator duty cycles less than 70%also resulted in a smaller temperature rise.Conclusion At least eight factors modify the thermal effects of lasers,and most importantly,the use of chilled irrigation at higher perfusion rates,lower power settings of<40 W,and with a shorter operator duty cycle will help to prevent thermal injuries from occurring.Stones impacted in the ureter or pelvi-ureteric junction further increase the probability of thermal injuries during laser firing.
基金Supported by the National Natural Science Foundation of China,No.82072537the General Project of Hunan Natural Science Foundation,No.2022JJ30412 and No.2021JJ30464.
文摘Exosomes(Exos)are extracellular vesicles secreted by cells and serve as crucial mediators of intercellular communication.They play a pivotal role in the pathogenesis and progression of various diseases and offer promising avenues for therapeutic interventions.Exos derived from mesenchymal stem cells(MSCs)have significant immunomodulatory properties.They effectively regulate immune responses by modulating both innate and adaptive immunity.These Exos can inhibit excessive inflammatory responses and promote tissue repair.Moreover,they participate in antigen presentation,which is essential for activating immune responses.The cargo of these Exos,including ligands,proteins,and microRNAs,can suppress T cell activity or enhance the population of immunosuppressive cells to dampen the immune response.By inhibiting lymphocyte proliferation,acting on macrophages,and increasing the population of regulatory T cells,these Exos contribute to maintaining immune and metabolic homeostasis.Furthermore,they can activate immune-related signaling pathways or serve as vehicles to deliver microRNAs and other bioactive substances to target tumor cells,which holds potential for immunotherapy applications.Given the immense therapeutic potential of MSC-derived Exos,this review comprehensively explores their mechanisms of immune regulation and therapeutic applications in areas such as infection control,tumor suppression,and autoimmune disease management.This article aims to provide valuable insights into the mechanisms behind the actions of MSC-derived Exos,offering theoretical references for their future clinical utilization as cell-free drug preparations.
文摘Excellent progress has been made in the last few decades in the cure rates of pediatric malignancies,with more than 80%of children with cancer who have access to contemporary treatment being cured.However,the therapies responsible for this survival can also produce adverse physical and psychological long-term outcomes,referred to as late effects,which appear months to years after the completion of cancer treatment.Research has shown that 60%to 90%of childhood cancer survivors(CCSs)develop one or more chronic health conditions,and 20%to 80%of survivors experience severe or life-threatening complications during adulthood.Therefore,understanding the late side effects of such treatments is important to improve the health and quality of life of the growing population of CCSs.
