This paper tries to explore Wordsworth＇s poetics through a discussion of his important poetic conception of＂poetic spontaneity＂ or ＂All good poetry is the spontaneous overflow of powerful feelings＂. Wordsworth＇s...This paper tries to explore Wordsworth＇s poetics through a discussion of his important poetic conception of＂poetic spontaneity＂ or ＂All good poetry is the spontaneous overflow of powerful feelings＂. Wordsworth＇s poetic point ＂All good poetry is the spontaneous overflow of powerful feelings＂ is stated in his important work The Preface to Lyrical Ballads （1801）, and this theoretical point is actually validated by many good poems of his own. This paper demonstrates the significance of the theoretical point by a close examination of The Preface and its textual meanings. And then it presents an understanding of the theory through a detailed analysis of his masterpiece Tintern Abbey （1798） and I Wandered lonely as a cloud （1804）. It also demonstrates the importance and influence of his ＂poetic spontaneity＂ by comparing it with the Neo-classicalism in the 18th century and the Modernism in the 20th century.展开更多
BACKGROUND Major depressive disorder(MDD)and obesity(OB)are bidirectionally comorbid conditions with common neurobiological underpinnings.However,the neurocognitive mechanisms of their comorbidity remain poorly unders...BACKGROUND Major depressive disorder(MDD)and obesity(OB)are bidirectionally comorbid conditions with common neurobiological underpinnings.However,the neurocognitive mechanisms of their comorbidity remain poorly understood.AIM To examine regional abnormalities in spontaneous brain activity among patients with MDD-OB comorbidity.METHODS This study adopted a regional homogeneity(ReHo)analysis of resting-state functional magnetic resonance imaging.The study included 149 hospital patients divided into four groups:Patients experiencing their first episode of drug-naive MDD with OB,patients with MDD without OB,and age-and sex-matched healthy individuals with and without OB.Whole-brain ReHo analysis was conducted using SPM12 software and RESTplus toolkits,with group comparisons via ANOVA and post-hoc tests.Correlations between ReHo values and behavioral measures were examined.RESULTS ANOVA revealed significant whole-brain ReHo differences among the four groups in four key regions:The left middle temporal gyrus(MTG.L),right cuneus,left precuneus,and left thalamus.Post-hoc analyses confirmed pairwise differences between all groups across these regions(P<0.05).OB was associated with ReHo alterations in the MTG.L,right cuneus,and left thalamus,whereas abnormalities in the precuneus suggested synergistic pathological mechanisms between MDD and OB.Statistically significant correlations were found between the drive and fun-seeking dimensions of the behavioral activation system,as well as behavioral inhibition and the corresponding ReHo values.CONCLUSION Our findings provide novel evidence for the neuroadaptive mechanisms underlying the MDD-OB comorbidity.Further validation could lead to personalized interventions targeting MTG.L hyperactivity and targeting healthy food cues.展开更多
BACKGROUND Edwardsiella tarda(E.tarda)belongs to the family Enterobacteriaceae and is generally seen to cause infections mainly in fish,but is also capable of infecting humans.Extraintestinal infections occur in patie...BACKGROUND Edwardsiella tarda(E.tarda)belongs to the family Enterobacteriaceae and is generally seen to cause infections mainly in fish,but is also capable of infecting humans.Extraintestinal infections occur in patients with certain risk factors,including immunocompromised status.We recently diagnosed a case of spontaneous bacterial peritonitis(SBP)due to E.tarda in an immuno-compromised dialysis patient.CASE SUMMARY Patient was a 55-year-old male,with a history of diabetic nephropathy being treated with hemodialysis three times a week.He was referred to our hospital due to an increased volume of ascites,and blood examination revealed increased inflammatory reaction.At our emergency department,he developed fever,disturbance of consciousness,abdominal distension,and abdomen-wide pain.In addition,a dialysis shunt was confirmed in his right forearm,and the shunt site showed no signs of inflammation.No wounds were confirmed on or in his body.A blood examination revealed increased values of white blood cells,C-reactive protein,and creatinine.Plain chest and abdominal computed tomography scanning revealed increased ascites volume.Abdominal paracentesis was performed and a Gram stain revealed Gramnegative bacillus.These findings prompted diagnosis of SBP.The patient was admitted and treated with cefmetazole,causing fever resolution and symptom improvements.Later,E.tarda was identified in ascites culture.The patient improved with decreased inflammatory response and was discharged on the 12th day of hospitalization.The antibiotic was terminated after 14 days of treatment.SBP in this case may have developed from chronic renal failure and diabetes mellitus.CONCLUSION We report the first known case of SBP due to E.tarda in an immuno-compromised dialysis patient.展开更多
To fully utilize the resources provided by optical fiber networks,a cross-band quantum light source generating photon pairs,where one photon in a pair is at C band and the other is at O band,is proposed in this work.T...To fully utilize the resources provided by optical fiber networks,a cross-band quantum light source generating photon pairs,where one photon in a pair is at C band and the other is at O band,is proposed in this work.This source is based on spontaneous four-wave mixing(SFWM)in a piece of shallow-ridge silicon waveguide.Theoretical analysis shows that the waveguide dispersion could be tailored by adjusting the ridge width,enabling broadband photon pair generation by SFWM across C band and O band.The spontaneous Raman scattering(SpRS)in silicon waveguides is also investigated experimentally.It shows that there are two regions in the spectrum of generated photons from SpRS,which could be used to achieve cross-band photon pair generation.A chip of shallow-ridge silicon waveguide samples with different ridge widths has been fabricated,through which cross-band photon pair generation is demonstrated experimentally.The experimental results show that the source can be achieved using dispersion-optimized shallow-ridge silicon waveguides.This cross-band quantum light source provides a way to develop new fiber-based quantum communication functions utilizing both C band and O band and extends applications of quantum networks.展开更多
This paper investigated the use of magnesium phosphate cement (MPC) for solidifying sludge with different humic acid (HA) content (ranging from 0 to 4.5%) and explored the solidification mechanism. Fluidity, setting t...This paper investigated the use of magnesium phosphate cement (MPC) for solidifying sludge with different humic acid (HA) content (ranging from 0 to 4.5%) and explored the solidification mechanism. Fluidity, setting time, unconfined compressive strength (UCS), the strength formation mechanism, and the spontaneous imbibition process of solidified sludge (SS) were studied. The results indicate that MPC can be used as a low-alkalinity curing agent. As the HA content increases, fluidity and setting time also increase, while hydration temperature and strength decrease. Additionally, the failure mode of SS transitions from brittleness to ductility. The strength of SS is composed of the cementation strength provided by MPC hydration products, matric suction, osmotic suction, and the structural strength of the sludge. MPC reduces the structural strength caused by the shrinkage of pure sludge under the action of matric suction, but the incorporation of MPC significantly improved the strength when the sludge is eroded by water. X-ray diffraction (XRD) and scanning electron microscopy (SEM) show that the sludge and MPC can form a dense solid body, forming various hydration products, and synergistically improve the mechanical properties of the sludge.展开更多
This study presents a novel method to fabricate metal-decorated,sulfur-doped layered double hydroxides(M/SLDH)through spontaneous redox and sulfurization processes.The developed Ag/SLDH and Pt/SLDH catalysts with abun...This study presents a novel method to fabricate metal-decorated,sulfur-doped layered double hydroxides(M/SLDH)through spontaneous redox and sulfurization processes.The developed Ag/SLDH and Pt/SLDH catalysts with abundant heterogeneous interfaces and hierarchical nanostructures demonstrated outstanding oxygen evolution reaction(OER)and hydrogen evolution reaction(HER)performance,achieving low overpotentials of 212 and 35 mV at 10 mA cm^(-2)in 1 M KOH,respectively.As both anode and cathode in water splitting,they required only 1.47 V to reach 10 mA cm^(-2)and exhibited high structural robustness,maintaining stability at 1000 mA cm^(-2)for 300 h.In-situ Raman analysis revealed that the synergistic effects of metal nanoparticles and S doping significantly promote the transformation into the S-Co1-xFexOOH layer,which serves as the active phase for water oxidation.Additionally,ultraviolet photoelectron spectroscopy(UPS)and density functional theory(DFT)analyses indicated that incorporating metal nanoparticles and S doping increase electron density near the Fermi level and reduce reaction energy barriers,thus enhancing intrinsic OER and HER activities.This study provides a scalable strategy for synthesizing high-performance electrocatalysts for water splitting,with promising potential for broader applications.展开更多
BACKGROUND Complicated crown–root fracture (CRF) involves severe injury to the crown, root,and pulp, and may be accompanied by multiple root fractures. The loss of a toothhas lifelong consequences for children and te...BACKGROUND Complicated crown–root fracture (CRF) involves severe injury to the crown, root,and pulp, and may be accompanied by multiple root fractures. The loss of a toothhas lifelong consequences for children and teenagers, but the maintenance of pulphealth and the calcific healing of multiple root fractures are rarely reported in theliterature.CASE SUMMARY This case reports healing of a permanent tooth with complicated crown–root andadditional root fractures, in which pulp health was maintained. A 10-year-old girlfell and fractured the root of her maxillary left central incisor at the cervical level.After the coronal fragment was repositioned, the tooth was splinted until thetooth was no longer mobile, 2 years later. Eight years after treatment, the toothhas remained asymptomatic with vital pulp and localized gingival overgrowth.Cone-beam computed tomography revealed not only calcified healing of the CRFbut also spontaneous healing in an additional undiagnosed root fracture. Thefracture line on the enamel could not be healed by hard tissue and formed agroove in the cervical crown. It was speculated that the groove was related to thelocalized gingival overgrowth.CONCLUSION This case provides a clinical perspective of the treatment of a tooth with acomplicated CRF and an additional root fracture.展开更多
Acute spontaneous urticaria has a high incidence,with sudden and severe symptoms that can significantly impact daily life and work.If not properly managed,it may lead to severe reactions such as angioedema,gastrointes...Acute spontaneous urticaria has a high incidence,with sudden and severe symptoms that can significantly impact daily life and work.If not properly managed,it may lead to severe reactions such as angioedema,gastrointestinal symptoms,or even anaphylactic shock.Research on acute spontaneous urticaria is limited,with unclear etiology,and treatment largely relies on antihistamines and corticosteroids,which may not prevent progression to chronic urticaria.In this study,three patients with acute spontaneous urticaria,unresponsive to conventional treatments,chose a single 300mg subcutaneous injection of Omalizumab after evaluating the risks and benefits.Within 1-3 days,all patients showed significant symptom improvement,with near-complete resolution of lesions.Within a week,they resumed normal daily activities,and no recurrence was observed during 12 months of follow-up,with no adverse reactions.This study demonstrates the efficacy and safety of Omalizumab for acute spontaneous urticaria,particularly in cases resistant to antihistamines and corticosteroids.Early administration of Omalizumab can effectively control disease progression,reduce impact on daily life,and may lower the risk of developing chronic urticaria.These findings suggest that Omalizumab should be considered a valuable option in treating acute spontaneous urticaria,especially when conventional therapies fail,offering rapid symptom relief and long-term disease control.展开更多
Introduction Neurosurgical emergencies such as spontaneous intracerebral hemorrhage(ICH),traumatic brain injury(TBI),and acute brain herniation are among the most time-sensitive and high-stakes conditions in modern me...Introduction Neurosurgical emergencies such as spontaneous intracerebral hemorrhage(ICH),traumatic brain injury(TBI),and acute brain herniation are among the most time-sensitive and high-stakes conditions in modern medicine.Clinical decisions often must be made within minutes,yet these decisions are traditionally guided by limited information,heuristic reasoning,and past experience.In this context,the rise of medical data mining and real-time analytics offers a transformative opportunity:to extract actionable intelligence from the flood of clinical,imaging,and physiological data already being collected,and to use this intelligence to guide care in real time[1–3](Figure 1).展开更多
Perovskite ferroelectrics play an essential role in modern science and technology.The excellent properties of perovskites are closely related to their lattice dynamics.Potassium tantalate niobate(KTa_(1-x)Nb_(x)O_(3),...Perovskite ferroelectrics play an essential role in modern science and technology.The excellent properties of perovskites are closely related to their lattice dynamics.Potassium tantalate niobate(KTa_(1-x)Nb_(x)O_(3),abbreviated as KTN)is a typical solid-solution perovskite with superior properties.Although the optical and electrical performances of KTN crystals have been widely explored,information on their lattice dynamics is still scarce,which partially limits the research and performance optimization of KTN.As a solid-solution,spontaneous polarization of KTN exhibits strong tunability,and there is stress within KTN.Here,we performed first-principles calculations in conjunction with experiments to investigate the polarization-and stress-related lattice dynamics in KTN.We assigned the vibration modes of observed Raman peaks,and established the relationship between spontaneous polarization and vibration.Especially,the lattice dynamics evolution of KTN crystal under stress was investigated.And the results provide insights into the regulatory effect of stress on dielectric property from the perspective of lattice dynamics.Finally,the variation trends of phonons under stress,as well as the mechanism of stress effect in tetragonal perovskites were explained.The conclusions drawn for KTN crystal were generalized to tetragonal ferroelectric systems.Our results help to reflect spontaneous polarization and structural characteristics distribution through non-destructive Raman spectra,and give a reference for improving performance by regulating lattice dynamics.The findings will hopefully guide research on performance origin and refined design of perovskite functional materials.展开更多
BACKGROUND Individuals with liver cirrhosis(LC)are likely to experience multiple infectious processes due to the immune dysfunction caused by the disease.Our hypothesis is that this group of patients is predisposed to...BACKGROUND Individuals with liver cirrhosis(LC)are likely to experience multiple infectious processes due to the immune dysfunction caused by the disease.Our hypothesis is that this group of patients is predisposed to fungal infections.To date,the incidence of spontaneous fungal peritonitis(SFP)has not been determined in Mexico;this endeavor is of great importance because many patients may be suffering from this condition without receiving targeted treatment,which may increase mortality.AIM To report the incidence of SFP in patients presenting with decompensated LC with ascites.METHODS This was a prospective,single-center,descriptive,observational and crosssectional study where patients presenting with decompensated LC with ascites were evaluated from November 2023 to May 2024 in Mexico City.Fungal cultures of ascites were performed and the samples kept in an incubator for 10 days to 14 days,and molecular tests(the API 20 C AUX test)were used for molecular characterization.RESULTS Of the 48 patients included,54.2%were women,77.1%had a comorbidity,47.9%had LC secondary to metabolic dysfunction,43.8%were classified as Child-Pugh C with a model for end-stage liver disease 3.0 median score of 22,and 10.4%were in secondary prophylaxis for spontaneous bacterial peritonitis(SBP).Only four patients had positive cultures where Candida parapsilosis and Candida albicans were isolated,with two of the four patients being positive for Rhodotorula minuta;an SBP incidence of 8.3%was thus calculated.Chronic kidney disease[P=0.012 and relative risk(RR)=15]and secondary prophylaxis for SBP(P=0.049 with RR=8.6)were statistically significant and associated with a high mortality risk(P=0.001 with RR=33).CONCLUSION The presence of infection of fungal origin in ascites in patients presenting with cirrhosis increases short-and medium-term mortality;therefore,it is recommended that fungal culture tests are performed in those patients who visit the emergency room or experience continuous admission with acute decompensation and no bacteria identified in ascites cultures,and even more so in patients with chronic kidney disease and a history of antibiotic use as prophylaxis for SBP.Further studies are needed for the identification of clinical and biochemical data that can help to define SFP so that its presence may be assessed without the need to wait for a positive fungal culture.Thus,treatment may be initiated early in the hope of having a positive impact on the prognosis in this group of patients.展开更多
BACKGROUND Boerhaave syndrome,or spontaneous esophageal rupture,is a rare and lifethreatening emergency,typically caused by a sudden increase in esophageal pressure due to violent coughing or vomiting.Early diagnosis ...BACKGROUND Boerhaave syndrome,or spontaneous esophageal rupture,is a rare and lifethreatening emergency,typically caused by a sudden increase in esophageal pressure due to violent coughing or vomiting.Early diagnosis is challenging as its symptoms often resemble those of other diseases.Understanding its pathological features and treatment strategies is therefore critical for clinical practice.CASE SUMMARY This report describes a case of spontaneous esophageal rupture triggered by violent coughing in a 55-year-old male with a history of smoking and hypertension.Following severe coughing,the patient developed chest pain,vomiting,and respiratory distress.Initial clinical evaluation was inconclusive,with a suspected diagnosis of cardiovascular or gastrointestinal conditions.After further examination,the diagnosis of spontaneous esophageal rupture was confirmed.Chest X-ray,computed tomography,and endoscopy revealed a rupture in the lower esophagus,along with mediastinal abscess and pleural effusion.Laboratory tests showed mild infection markers.The patient underwent surgical repair of the esophageal rupture(approximately 3 cm in length)with mediastinal drainage.Postoperatively,the patient’s temperature normalized within 3 days,respiratory function improved,and pleural effusion significantly decreased.After two weeks of treatment,the patient was discharged without complications and had a favorable prognosis.The study suggests that while violent coughing is a rare trigger,it can lead to severe damage,and imaging techniques play a crucial role in diagnosis.CONCLUSION Spontaneous esophageal rupture presents significant diagnostic and therapeutic challenges.Early recognition and timely intervention are crucial for improving prognosis.This case highlights the importance of imaging and surgical treatment,offering new insights for managing similar cases and providing valuable clinical guidance.展开更多
Young women’s physical and mental health is seriously impacted by recurrent spontaneous abortion(RSA),a prevalent obstetric complication that is becoming more commonplace worldwide.Therefore,a thorough investigation ...Young women’s physical and mental health is seriously impacted by recurrent spontaneous abortion(RSA),a prevalent obstetric complication that is becoming more commonplace worldwide.Therefore,a thorough investigation into the pathophysiology of RSA and the development of novel therapeutic strategies are imperative.Recent developments suggest that mesenchymal stem cell(MSC)-based therapies may be viable for addressing RSA.Through a variety of mechanisms,the immunological circumstances at the maternal-fetal contact can be altered,including regulating immune cell homeostasis,enhancing immune tolerance,alleviating inflammatory responses,promoting angiogenic processes,and promoting tissue regeneration.MSCs exhibit a remarkable capacity for multidifferentiation that could enhance pregnancy outcomes.This article provides compelling studies supporting the efficacy of MSC-based therapies in improving pregnancy outcomes in women with RSA.展开更多
Hypertension is one of the most prevalent cardiovascular diseases,and autophagy is known to play a significant role in the pathogenesis and progression of cardiovascular conditions.This study aimed to evaluate the eff...Hypertension is one of the most prevalent cardiovascular diseases,and autophagy is known to play a significant role in the pathogenesis and progression of cardiovascular conditions.This study aimed to evaluate the effects of Huanglian Jiedu decoction(HLJDD)on myocardial mitochondrial autophagy in spontaneously hypertensive rats(SHRs)and to further explore the relationship between autophagy,myocardial remodeling,and injury.The SHRs were randomly assigned to five groups:the model group,the HLJDD low-dose group,the HLJDD medium-dose group,the HLJDD high-dose group,and a positive control group treated with captopril.Additionally,a blank control group was established using Wistar Kyoto(WKY)rats,with 10 rats in each group.The model and blank control groups were administered an equivalent volume of physiological saline via oral gavage,while the treatment groups received their respective doses of HLJDD or captopril by oral gavage.Following the treatments,various parameters were assessed,including blood pressure(systolic,diastolic,and mean arterial pressure),mitochondrial swelling and membrane potential,free ATPase activity,as well as the mRNA and protein levels of autophagy-related factors.The results showed that HLJDD significantly reduced blood pressure(systolic,diastolic,and mean arterial pressure)in SHR rats.Moreover,it enhanced mitochondrial swelling and membrane potential,increased mitochondrial ATPase activity,and decreased the mRNA and protein expression levels of autophagy-related genes(AKT,mTOR,Beclin-1,and LC3-II)in SHRs.The findings of this study suggested that HLJDD could effectively ameliorate myocardial tissue injury in SHRs,and its protective effects on the heart might be attributed to the reduction of autophagy in cardiomyocyte mitochondria.This provided insights into the potential therapeutic use of HLJDD in managing hypertension-induced myocardial injury and remodeling.展开更多
Tetracycline hydrochloride(TCH)exists in various forms in aqueous solution due to pH changes,which not only alters the reactivity of TCH,but also affects the process of reactive oxygen species(ROS)attacking the molecu...Tetracycline hydrochloride(TCH)exists in various forms in aqueous solution due to pH changes,which not only alters the reactivity of TCH,but also affects the process of reactive oxygen species(ROS)attacking the molecule.Therefore,the rational design of piezo-photocatalytic materials coupled with a comprehensive understanding of the degradation mechanisms of various TCH species constitutes a critical approach to addressing tetracycline antibiotic contamination.In the design and preparation of piezo-photocatalysts,controlling the oxygen vacancy concentration is crucial as it governs the coupling efficiency between piezoelectric response and photocatalytic activity,as well as the strength of spontaneous polarization.Meanwhile,the morphology of the material is a key factor influencing the migration pathways of charge carriers.In this work,hollow spherical Bi_(4)Ti_(3)O_(12) was synthesized using an inorganic titanium source,demonstrating exceptional piezo-photocatalytic activity.The degradation rate was 1.57 and 5.29 times higher than that of traditional spherical and plate-like morphologies,with a rate constant of k=0.127.In an innovative approach,density functional theory calculations of local softness and hyper-softness were employed to analyze the reactivity changes of TCH in its different deprotonated states toward reactive oxygen species.Combined with molecular electronegativity analysis,the factors influencing the degradation efficiency were identified.This study provides a solid foundation for developing efficient and environmentally friendly piezo-photocatalysts and offers new insights into the degradation mechanism of TCH.展开更多
Background:The incidence of spontaneously ruptured hepatocellular carcinoma(srHCC)has been shown to significantly elevate mortality rates.However,the precise mechanisms underlying srHCC remain poorly understood.Method...Background:The incidence of spontaneously ruptured hepatocellular carcinoma(srHCC)has been shown to significantly elevate mortality rates.However,the precise mechanisms underlying srHCC remain poorly understood.Methods:Analysis was conducted on the data of 198 hepatocellular carcinoma(HCC)patients to inves-tigate the factors contributing to srHCC.The clinical data of 33 transcriptome HCC patients were served for verification.An in-depth transcriptome analysis was conducted to investigate the distinctions between 26 cases of srHCC and 35 cases of non-ruptured hepatocellular carcinoma(nrHCC).Weighted Gene Co-expression Network Analysis(WGCNA)tool was utilized to develop a gene co-expression network.Gene ontology(GO)and Kyoto encyclopedia of genes and genomes(KEGG)pathways enrichment,and protein-protein interaction(PPI)network were carried out.The corresponding samples for spontaneously rup-tured hepatocellular carcinoma tissue(srHCC-T)and ruptured hepatocellular carcinoma paracancerous tissue(srHCC-P)were selected for verification.Transcriptional data were validated through reverse tran-scription quantitative polymerase chain reaction(RT-qPCR).Immunofluorescence(IF),immunohistochem-istry(IHC)and Western blot were used to detect the protein expression.Results:Our results showed that white blood cell(WBC)and monocyte levels were significant inde-pendent risk factors for srHCC(P<0.05).There was a strong association between the srHCC-T and the expression of cell cycle-related genes BUB1B and macrophage function-related gene MACRO.Furthermore,chemokines and the PI3K/AKT signaling pathway play a crucial role in regulating the cell cycle process through a complex network of interactions,ultimately impacting the occurrence of srHCC.Conclusions:Our study confirms that chemokines and the PI3K/AKT signaling pathway mediate the occur-rence of HCC rupture by regulating the cell cycle.We provide a theoretical basis for the clinical treatment of srHCC.展开更多
Objective Heat wave exposure significantly impacts human health.Nevertheless,studies on the long-term effects of heat wave exposure during adolescence on adverse pregnancy outcomes(APOs)are rare.This study aimed to in...Objective Heat wave exposure significantly impacts human health.Nevertheless,studies on the long-term effects of heat wave exposure during adolescence on adverse pregnancy outcomes(APOs)are rare.This study aimed to investigate the relationship between the long-term effects of heat wave exposure during adolescence and APOs.Methods We analyzed data from 3,376 female and 3,013 male participants across 31 provinces in China.All adolescents(10–19 years old),early adolescents(10–14),and late adolescents(15–19)were chosen as exposure windows.Heat waves were defined as periods lasting 2‒4 consecutive days with the daily temperature exceeding the 75th,90th,and 92.5th percentiles.We employed multivariate logistic regression models to assess the associations between exposure to heat waves during adolescence and APOs.Results The results revealed significant associations between male exposure to heat wave events during late adolescence and spontaneous abortion(P<0.05),which was more pronounced in South China.In contrast,no statistically significant associations were detected between males’exposure to heat wave events during adolescence and their partners’preterm birth(P>0.05 for all comparisons).The exposure of females to heat waves during adolescence was not significantly associated with subsequent spontaneous abortion or preterm birth(P>0.05 for all comparisons).Conclusions This study demonstrates that spontaneous abortion in females is associated with heat wave exposure in their male partner during adolescence.展开更多
Background:Spontaneous intracerebral hemorrhage(ICH)is a severe neurological emergency with high morbidity and mortality.The effectiveness of surgical intervention remains controversial,partly due to significant heter...Background:Spontaneous intracerebral hemorrhage(ICH)is a severe neurological emergency with high morbidity and mortality.The effectiveness of surgical intervention remains controversial,partly due to significant heterogeneity among patients.Traditional clinical criteria often fail to identify those most likely to benefit from surgery.Methods:This nationwide retrospective study in China included 2,167 ICH patients from 31 hospitals.Using machine learning techniques,we integrated clinical and radiomic data to perform unsupervised clustering and identify distinct phenogroups.Dimensionality reduction and cross-validation were applied to minimize overfitting.External validation was conducted using data from the INTERACT3 trial,and a prospective cohort was used to assess real-world applicability.Results:Three phenogroups were identified.Among them,only Phenogroup 1-characterized by older age,moderate hematoma volume,and intermediate Glasgow Coma Scale scores-showed significant benefit from early surgical intervention,with a 42%reduction in 3-month mortality and improved functional outcomes.In contrast,surgery did not significantly affect outcomes in Phenogroups 0 and 2.These findings were consistent across multiple machine learning models and validated externally.Conclusion:Machine learning-driven phenotypic stratification can effectively identify ICH patients who are most likely to benefit from surgical treatment.This approach supports personalized treatment strategies and may improve clinical decision-making in ICH management.Further validation in diverse populations is warranted.展开更多
Fluid imbibition from hydraulic fractures into shale formations is mainly affected by a combination of capillary forces and viscous resistance,both of which are closely related to the pore geometry.This study establis...Fluid imbibition from hydraulic fractures into shale formations is mainly affected by a combination of capillary forces and viscous resistance,both of which are closely related to the pore geometry.This study established five self-imbibition models with idealized pore structures and conducted a comparative analysis of these models.These models include circular,square,and equilateral triangular capillaries;a triangular star-shaped cross-section formed by three tangent spherical particles;and a traditional porous medium representation method.All these models are derived based on Newton’s second law,where capillary pressure is described by the Young-Laplace equation and viscous resistance is characterized by the Hagen-Poiret equation and Darcy’s law.All derived models predict that the fluid imbibition distance is proportional to the square root of time,in accordance with the classical Lucas-Washburn law.However,different pore structures exhibit significantly different characteristic imbibition rates.Compared to the single pore model,the conventional Darcy’s law-based model for porous media predicts significantly lower imbibition rates,which is consistent with the relatively slower uptake rates in actual shale nanoscale pore networks.These findings emphasize the important role played by pore geometry in fluid imbibition dynamics and further point to the need for optimizing pore structure to extend fluid imbibition duration in shale reservoirs in practical operations.展开更多
The high mortality and disability rates associated with spontaneous intracerebral hemorrhage(sICH)are primarily attributed to secondary injuries caused by hematoma expansion from continuous bleeding or rehemorrhage.Ra...The high mortality and disability rates associated with spontaneous intracerebral hemorrhage(sICH)are primarily attributed to secondary injuries caused by hematoma expansion from continuous bleeding or rehemorrhage.Rapid hemostasis to prevent hematoma progression is critical in clinical emergencies for improving surgical outcomes and patient prognosis.For internal hemorrhages inaccessible to external interventions,especially for sICH,intravenous hemostatic strategies are essential regardless of ultimate surgical eligibility.This study reported a stealth hemostatic anchor system based on peptide-drug conjugates.Tranexamic acid(TXA),a clinically approved antifibrinolytic agent,served as the hemostatic component,while a von Willebrand factor(vMF)-binding peptide(VBP)enabled targeted delivery by specifically binding to(vMF)exposed at vascular injury sites.A plasmin-cleavable linker was incorporated to control TXA release,ensuring site-specific drug activation.The plasmin-responsive peptide-drug conjugate(RPDC)was synthesized by covalently linking TXA to VBP via the plasmin-cleavable linker.In vitro and in vivo experiments verified the targeted hemostatic efficacy of RPDC,especially demonstrating 42%reduction in hematoma volume(P<0.001 vs.saline;P<0.05 vs.free TXA)with mitigated peri-hematomal pathology in the collagenase-induced ICR mouse ICH model.These results highlight the potential of the stealth hemostatic anchor as a precision therapeutic strategy for managing sICH,particularly in cases of internal hemorrhages inaccessible to surgical intervention or visual inspection.The plasmin-dependent targeting mechanism enables precise drug localization at cryptic hemorrhage sites,but further studies in larger animal models are needed to confirm its efficacy.This design offers a theoretical framework for advancing emergency interventions in cerebral hemorrhage and addressing challenges related to inaccessible bleeding sites.展开更多
文摘This paper tries to explore Wordsworth＇s poetics through a discussion of his important poetic conception of＂poetic spontaneity＂ or ＂All good poetry is the spontaneous overflow of powerful feelings＂. Wordsworth＇s poetic point ＂All good poetry is the spontaneous overflow of powerful feelings＂ is stated in his important work The Preface to Lyrical Ballads （1801）, and this theoretical point is actually validated by many good poems of his own. This paper demonstrates the significance of the theoretical point by a close examination of The Preface and its textual meanings. And then it presents an understanding of the theory through a detailed analysis of his masterpiece Tintern Abbey （1798） and I Wandered lonely as a cloud （1804）. It also demonstrates the importance and influence of his ＂poetic spontaneity＂ by comparing it with the Neo-classicalism in the 18th century and the Modernism in the 20th century.
基金Supported by Provincial Key Research Project of Henan Province,No.232102310081.
文摘BACKGROUND Major depressive disorder(MDD)and obesity(OB)are bidirectionally comorbid conditions with common neurobiological underpinnings.However,the neurocognitive mechanisms of their comorbidity remain poorly understood.AIM To examine regional abnormalities in spontaneous brain activity among patients with MDD-OB comorbidity.METHODS This study adopted a regional homogeneity(ReHo)analysis of resting-state functional magnetic resonance imaging.The study included 149 hospital patients divided into four groups:Patients experiencing their first episode of drug-naive MDD with OB,patients with MDD without OB,and age-and sex-matched healthy individuals with and without OB.Whole-brain ReHo analysis was conducted using SPM12 software and RESTplus toolkits,with group comparisons via ANOVA and post-hoc tests.Correlations between ReHo values and behavioral measures were examined.RESULTS ANOVA revealed significant whole-brain ReHo differences among the four groups in four key regions:The left middle temporal gyrus(MTG.L),right cuneus,left precuneus,and left thalamus.Post-hoc analyses confirmed pairwise differences between all groups across these regions(P<0.05).OB was associated with ReHo alterations in the MTG.L,right cuneus,and left thalamus,whereas abnormalities in the precuneus suggested synergistic pathological mechanisms between MDD and OB.Statistically significant correlations were found between the drive and fun-seeking dimensions of the behavioral activation system,as well as behavioral inhibition and the corresponding ReHo values.CONCLUSION Our findings provide novel evidence for the neuroadaptive mechanisms underlying the MDD-OB comorbidity.Further validation could lead to personalized interventions targeting MTG.L hyperactivity and targeting healthy food cues.
文摘BACKGROUND Edwardsiella tarda(E.tarda)belongs to the family Enterobacteriaceae and is generally seen to cause infections mainly in fish,but is also capable of infecting humans.Extraintestinal infections occur in patients with certain risk factors,including immunocompromised status.We recently diagnosed a case of spontaneous bacterial peritonitis(SBP)due to E.tarda in an immuno-compromised dialysis patient.CASE SUMMARY Patient was a 55-year-old male,with a history of diabetic nephropathy being treated with hemodialysis three times a week.He was referred to our hospital due to an increased volume of ascites,and blood examination revealed increased inflammatory reaction.At our emergency department,he developed fever,disturbance of consciousness,abdominal distension,and abdomen-wide pain.In addition,a dialysis shunt was confirmed in his right forearm,and the shunt site showed no signs of inflammation.No wounds were confirmed on or in his body.A blood examination revealed increased values of white blood cells,C-reactive protein,and creatinine.Plain chest and abdominal computed tomography scanning revealed increased ascites volume.Abdominal paracentesis was performed and a Gram stain revealed Gramnegative bacillus.These findings prompted diagnosis of SBP.The patient was admitted and treated with cefmetazole,causing fever resolution and symptom improvements.Later,E.tarda was identified in ascites culture.The patient improved with decreased inflammatory response and was discharged on the 12th day of hospitalization.The antibiotic was terminated after 14 days of treatment.SBP in this case may have developed from chronic renal failure and diabetes mellitus.CONCLUSION We report the first known case of SBP due to E.tarda in an immuno-compromised dialysis patient.
基金supported by the Quantum Science and Technology-National Science and Technology Major Project (Grant No.2024ZD0302502 for WZ)the National Natural Science Foundation of China(Grant No.92365210 for WZ)+1 种基金Tsinghua Initiative Scientific Research Program (for WZ)the project of Tsinghua University-Zhuhai Huafa Industrial Share Company Joint Institute for Architecture Optoelectronic Technologies (JIAOT,for YH)。
文摘To fully utilize the resources provided by optical fiber networks,a cross-band quantum light source generating photon pairs,where one photon in a pair is at C band and the other is at O band,is proposed in this work.This source is based on spontaneous four-wave mixing(SFWM)in a piece of shallow-ridge silicon waveguide.Theoretical analysis shows that the waveguide dispersion could be tailored by adjusting the ridge width,enabling broadband photon pair generation by SFWM across C band and O band.The spontaneous Raman scattering(SpRS)in silicon waveguides is also investigated experimentally.It shows that there are two regions in the spectrum of generated photons from SpRS,which could be used to achieve cross-band photon pair generation.A chip of shallow-ridge silicon waveguide samples with different ridge widths has been fabricated,through which cross-band photon pair generation is demonstrated experimentally.The experimental results show that the source can be achieved using dispersion-optimized shallow-ridge silicon waveguides.This cross-band quantum light source provides a way to develop new fiber-based quantum communication functions utilizing both C band and O band and extends applications of quantum networks.
基金This research work was financially supported by the National Natural Science Foundation of China(Grant No.51972209).
文摘This paper investigated the use of magnesium phosphate cement (MPC) for solidifying sludge with different humic acid (HA) content (ranging from 0 to 4.5%) and explored the solidification mechanism. Fluidity, setting time, unconfined compressive strength (UCS), the strength formation mechanism, and the spontaneous imbibition process of solidified sludge (SS) were studied. The results indicate that MPC can be used as a low-alkalinity curing agent. As the HA content increases, fluidity and setting time also increase, while hydration temperature and strength decrease. Additionally, the failure mode of SS transitions from brittleness to ductility. The strength of SS is composed of the cementation strength provided by MPC hydration products, matric suction, osmotic suction, and the structural strength of the sludge. MPC reduces the structural strength caused by the shrinkage of pure sludge under the action of matric suction, but the incorporation of MPC significantly improved the strength when the sludge is eroded by water. X-ray diffraction (XRD) and scanning electron microscopy (SEM) show that the sludge and MPC can form a dense solid body, forming various hydration products, and synergistically improve the mechanical properties of the sludge.
基金National Programs for NanoKey Project(2022YFA1504002)National Natural Science Foundation of China(22078233)。
文摘This study presents a novel method to fabricate metal-decorated,sulfur-doped layered double hydroxides(M/SLDH)through spontaneous redox and sulfurization processes.The developed Ag/SLDH and Pt/SLDH catalysts with abundant heterogeneous interfaces and hierarchical nanostructures demonstrated outstanding oxygen evolution reaction(OER)and hydrogen evolution reaction(HER)performance,achieving low overpotentials of 212 and 35 mV at 10 mA cm^(-2)in 1 M KOH,respectively.As both anode and cathode in water splitting,they required only 1.47 V to reach 10 mA cm^(-2)and exhibited high structural robustness,maintaining stability at 1000 mA cm^(-2)for 300 h.In-situ Raman analysis revealed that the synergistic effects of metal nanoparticles and S doping significantly promote the transformation into the S-Co1-xFexOOH layer,which serves as the active phase for water oxidation.Additionally,ultraviolet photoelectron spectroscopy(UPS)and density functional theory(DFT)analyses indicated that incorporating metal nanoparticles and S doping increase electron density near the Fermi level and reduce reaction energy barriers,thus enhancing intrinsic OER and HER activities.This study provides a scalable strategy for synthesizing high-performance electrocatalysts for water splitting,with promising potential for broader applications.
基金Supported by 2021 Disciplinary Construction Project in School of Dentistry,Anhui Medical University,No.2021kqxkFY05.
文摘BACKGROUND Complicated crown–root fracture (CRF) involves severe injury to the crown, root,and pulp, and may be accompanied by multiple root fractures. The loss of a toothhas lifelong consequences for children and teenagers, but the maintenance of pulphealth and the calcific healing of multiple root fractures are rarely reported in theliterature.CASE SUMMARY This case reports healing of a permanent tooth with complicated crown–root andadditional root fractures, in which pulp health was maintained. A 10-year-old girlfell and fractured the root of her maxillary left central incisor at the cervical level.After the coronal fragment was repositioned, the tooth was splinted until thetooth was no longer mobile, 2 years later. Eight years after treatment, the toothhas remained asymptomatic with vital pulp and localized gingival overgrowth.Cone-beam computed tomography revealed not only calcified healing of the CRFbut also spontaneous healing in an additional undiagnosed root fracture. Thefracture line on the enamel could not be healed by hard tissue and formed agroove in the cervical crown. It was speculated that the groove was related to thelocalized gingival overgrowth.CONCLUSION This case provides a clinical perspective of the treatment of a tooth with acomplicated CRF and an additional root fracture.
文摘Acute spontaneous urticaria has a high incidence,with sudden and severe symptoms that can significantly impact daily life and work.If not properly managed,it may lead to severe reactions such as angioedema,gastrointestinal symptoms,or even anaphylactic shock.Research on acute spontaneous urticaria is limited,with unclear etiology,and treatment largely relies on antihistamines and corticosteroids,which may not prevent progression to chronic urticaria.In this study,three patients with acute spontaneous urticaria,unresponsive to conventional treatments,chose a single 300mg subcutaneous injection of Omalizumab after evaluating the risks and benefits.Within 1-3 days,all patients showed significant symptom improvement,with near-complete resolution of lesions.Within a week,they resumed normal daily activities,and no recurrence was observed during 12 months of follow-up,with no adverse reactions.This study demonstrates the efficacy and safety of Omalizumab for acute spontaneous urticaria,particularly in cases resistant to antihistamines and corticosteroids.Early administration of Omalizumab can effectively control disease progression,reduce impact on daily life,and may lower the risk of developing chronic urticaria.These findings suggest that Omalizumab should be considered a valuable option in treating acute spontaneous urticaria,especially when conventional therapies fail,offering rapid symptom relief and long-term disease control.
文摘Introduction Neurosurgical emergencies such as spontaneous intracerebral hemorrhage(ICH),traumatic brain injury(TBI),and acute brain herniation are among the most time-sensitive and high-stakes conditions in modern medicine.Clinical decisions often must be made within minutes,yet these decisions are traditionally guided by limited information,heuristic reasoning,and past experience.In this context,the rise of medical data mining and real-time analytics offers a transformative opportunity:to extract actionable intelligence from the flood of clinical,imaging,and physiological data already being collected,and to use this intelligence to guide care in real time[1–3](Figure 1).
基金financially supported by the National Natural Science Foundation of China(Nos.12004085 and 12074092)the Fundamental Research Funds for the Central Universities(No.2023FRFK06004)+2 种基金the Natural Science Foundation of Heilongjiang Province of China(Nos.YQ2022A010 and ZD2022E003)the fellow-ship of China National Postdoctoral Program for Innovative Talents(No.BX20200111)the Heilongjiang Postdoctoral Funds(Nos.LBH-Z20065 and LBH-Z22121).
文摘Perovskite ferroelectrics play an essential role in modern science and technology.The excellent properties of perovskites are closely related to their lattice dynamics.Potassium tantalate niobate(KTa_(1-x)Nb_(x)O_(3),abbreviated as KTN)is a typical solid-solution perovskite with superior properties.Although the optical and electrical performances of KTN crystals have been widely explored,information on their lattice dynamics is still scarce,which partially limits the research and performance optimization of KTN.As a solid-solution,spontaneous polarization of KTN exhibits strong tunability,and there is stress within KTN.Here,we performed first-principles calculations in conjunction with experiments to investigate the polarization-and stress-related lattice dynamics in KTN.We assigned the vibration modes of observed Raman peaks,and established the relationship between spontaneous polarization and vibration.Especially,the lattice dynamics evolution of KTN crystal under stress was investigated.And the results provide insights into the regulatory effect of stress on dielectric property from the perspective of lattice dynamics.Finally,the variation trends of phonons under stress,as well as the mechanism of stress effect in tetragonal perovskites were explained.The conclusions drawn for KTN crystal were generalized to tetragonal ferroelectric systems.Our results help to reflect spontaneous polarization and structural characteristics distribution through non-destructive Raman spectra,and give a reference for improving performance by regulating lattice dynamics.The findings will hopefully guide research on performance origin and refined design of perovskite functional materials.
文摘BACKGROUND Individuals with liver cirrhosis(LC)are likely to experience multiple infectious processes due to the immune dysfunction caused by the disease.Our hypothesis is that this group of patients is predisposed to fungal infections.To date,the incidence of spontaneous fungal peritonitis(SFP)has not been determined in Mexico;this endeavor is of great importance because many patients may be suffering from this condition without receiving targeted treatment,which may increase mortality.AIM To report the incidence of SFP in patients presenting with decompensated LC with ascites.METHODS This was a prospective,single-center,descriptive,observational and crosssectional study where patients presenting with decompensated LC with ascites were evaluated from November 2023 to May 2024 in Mexico City.Fungal cultures of ascites were performed and the samples kept in an incubator for 10 days to 14 days,and molecular tests(the API 20 C AUX test)were used for molecular characterization.RESULTS Of the 48 patients included,54.2%were women,77.1%had a comorbidity,47.9%had LC secondary to metabolic dysfunction,43.8%were classified as Child-Pugh C with a model for end-stage liver disease 3.0 median score of 22,and 10.4%were in secondary prophylaxis for spontaneous bacterial peritonitis(SBP).Only four patients had positive cultures where Candida parapsilosis and Candida albicans were isolated,with two of the four patients being positive for Rhodotorula minuta;an SBP incidence of 8.3%was thus calculated.Chronic kidney disease[P=0.012 and relative risk(RR)=15]and secondary prophylaxis for SBP(P=0.049 with RR=8.6)were statistically significant and associated with a high mortality risk(P=0.001 with RR=33).CONCLUSION The presence of infection of fungal origin in ascites in patients presenting with cirrhosis increases short-and medium-term mortality;therefore,it is recommended that fungal culture tests are performed in those patients who visit the emergency room or experience continuous admission with acute decompensation and no bacteria identified in ascites cultures,and even more so in patients with chronic kidney disease and a history of antibiotic use as prophylaxis for SBP.Further studies are needed for the identification of clinical and biochemical data that can help to define SFP so that its presence may be assessed without the need to wait for a positive fungal culture.Thus,treatment may be initiated early in the hope of having a positive impact on the prognosis in this group of patients.
基金Supported by Guangzhou Municipal Science and Technology Bureau,No.SL2024AD3JD0112.
文摘BACKGROUND Boerhaave syndrome,or spontaneous esophageal rupture,is a rare and lifethreatening emergency,typically caused by a sudden increase in esophageal pressure due to violent coughing or vomiting.Early diagnosis is challenging as its symptoms often resemble those of other diseases.Understanding its pathological features and treatment strategies is therefore critical for clinical practice.CASE SUMMARY This report describes a case of spontaneous esophageal rupture triggered by violent coughing in a 55-year-old male with a history of smoking and hypertension.Following severe coughing,the patient developed chest pain,vomiting,and respiratory distress.Initial clinical evaluation was inconclusive,with a suspected diagnosis of cardiovascular or gastrointestinal conditions.After further examination,the diagnosis of spontaneous esophageal rupture was confirmed.Chest X-ray,computed tomography,and endoscopy revealed a rupture in the lower esophagus,along with mediastinal abscess and pleural effusion.Laboratory tests showed mild infection markers.The patient underwent surgical repair of the esophageal rupture(approximately 3 cm in length)with mediastinal drainage.Postoperatively,the patient’s temperature normalized within 3 days,respiratory function improved,and pleural effusion significantly decreased.After two weeks of treatment,the patient was discharged without complications and had a favorable prognosis.The study suggests that while violent coughing is a rare trigger,it can lead to severe damage,and imaging techniques play a crucial role in diagnosis.CONCLUSION Spontaneous esophageal rupture presents significant diagnostic and therapeutic challenges.Early recognition and timely intervention are crucial for improving prognosis.This case highlights the importance of imaging and surgical treatment,offering new insights for managing similar cases and providing valuable clinical guidance.
基金Supported by the Natural Science Foundation of Liaoning Province,No.2024-MSLH-525.
文摘Young women’s physical and mental health is seriously impacted by recurrent spontaneous abortion(RSA),a prevalent obstetric complication that is becoming more commonplace worldwide.Therefore,a thorough investigation into the pathophysiology of RSA and the development of novel therapeutic strategies are imperative.Recent developments suggest that mesenchymal stem cell(MSC)-based therapies may be viable for addressing RSA.Through a variety of mechanisms,the immunological circumstances at the maternal-fetal contact can be altered,including regulating immune cell homeostasis,enhancing immune tolerance,alleviating inflammatory responses,promoting angiogenic processes,and promoting tissue regeneration.MSCs exhibit a remarkable capacity for multidifferentiation that could enhance pregnancy outcomes.This article provides compelling studies supporting the efficacy of MSC-based therapies in improving pregnancy outcomes in women with RSA.
基金The Shandong Provincial Key Project of TCM Science and Technology(Grant Nos.M-2023170,M-2022233)the Binzhou Medical College Student Innovation and Entrepreneurship Training Program(Grant Nos.X202410440414,X2024225030120)。
文摘Hypertension is one of the most prevalent cardiovascular diseases,and autophagy is known to play a significant role in the pathogenesis and progression of cardiovascular conditions.This study aimed to evaluate the effects of Huanglian Jiedu decoction(HLJDD)on myocardial mitochondrial autophagy in spontaneously hypertensive rats(SHRs)and to further explore the relationship between autophagy,myocardial remodeling,and injury.The SHRs were randomly assigned to five groups:the model group,the HLJDD low-dose group,the HLJDD medium-dose group,the HLJDD high-dose group,and a positive control group treated with captopril.Additionally,a blank control group was established using Wistar Kyoto(WKY)rats,with 10 rats in each group.The model and blank control groups were administered an equivalent volume of physiological saline via oral gavage,while the treatment groups received their respective doses of HLJDD or captopril by oral gavage.Following the treatments,various parameters were assessed,including blood pressure(systolic,diastolic,and mean arterial pressure),mitochondrial swelling and membrane potential,free ATPase activity,as well as the mRNA and protein levels of autophagy-related factors.The results showed that HLJDD significantly reduced blood pressure(systolic,diastolic,and mean arterial pressure)in SHR rats.Moreover,it enhanced mitochondrial swelling and membrane potential,increased mitochondrial ATPase activity,and decreased the mRNA and protein expression levels of autophagy-related genes(AKT,mTOR,Beclin-1,and LC3-II)in SHRs.The findings of this study suggested that HLJDD could effectively ameliorate myocardial tissue injury in SHRs,and its protective effects on the heart might be attributed to the reduction of autophagy in cardiomyocyte mitochondria.This provided insights into the potential therapeutic use of HLJDD in managing hypertension-induced myocardial injury and remodeling.
文摘Tetracycline hydrochloride(TCH)exists in various forms in aqueous solution due to pH changes,which not only alters the reactivity of TCH,but also affects the process of reactive oxygen species(ROS)attacking the molecule.Therefore,the rational design of piezo-photocatalytic materials coupled with a comprehensive understanding of the degradation mechanisms of various TCH species constitutes a critical approach to addressing tetracycline antibiotic contamination.In the design and preparation of piezo-photocatalysts,controlling the oxygen vacancy concentration is crucial as it governs the coupling efficiency between piezoelectric response and photocatalytic activity,as well as the strength of spontaneous polarization.Meanwhile,the morphology of the material is a key factor influencing the migration pathways of charge carriers.In this work,hollow spherical Bi_(4)Ti_(3)O_(12) was synthesized using an inorganic titanium source,demonstrating exceptional piezo-photocatalytic activity.The degradation rate was 1.57 and 5.29 times higher than that of traditional spherical and plate-like morphologies,with a rate constant of k=0.127.In an innovative approach,density functional theory calculations of local softness and hyper-softness were employed to analyze the reactivity changes of TCH in its different deprotonated states toward reactive oxygen species.Combined with molecular electronegativity analysis,the factors influencing the degradation efficiency were identified.This study provides a solid foundation for developing efficient and environmentally friendly piezo-photocatalysts and offers new insights into the degradation mechanism of TCH.
基金supported by grants from the National Natu-ral Science Foundation of China(52072005 and 51872279).
文摘Background:The incidence of spontaneously ruptured hepatocellular carcinoma(srHCC)has been shown to significantly elevate mortality rates.However,the precise mechanisms underlying srHCC remain poorly understood.Methods:Analysis was conducted on the data of 198 hepatocellular carcinoma(HCC)patients to inves-tigate the factors contributing to srHCC.The clinical data of 33 transcriptome HCC patients were served for verification.An in-depth transcriptome analysis was conducted to investigate the distinctions between 26 cases of srHCC and 35 cases of non-ruptured hepatocellular carcinoma(nrHCC).Weighted Gene Co-expression Network Analysis(WGCNA)tool was utilized to develop a gene co-expression network.Gene ontology(GO)and Kyoto encyclopedia of genes and genomes(KEGG)pathways enrichment,and protein-protein interaction(PPI)network were carried out.The corresponding samples for spontaneously rup-tured hepatocellular carcinoma tissue(srHCC-T)and ruptured hepatocellular carcinoma paracancerous tissue(srHCC-P)were selected for verification.Transcriptional data were validated through reverse tran-scription quantitative polymerase chain reaction(RT-qPCR).Immunofluorescence(IF),immunohistochem-istry(IHC)and Western blot were used to detect the protein expression.Results:Our results showed that white blood cell(WBC)and monocyte levels were significant inde-pendent risk factors for srHCC(P<0.05).There was a strong association between the srHCC-T and the expression of cell cycle-related genes BUB1B and macrophage function-related gene MACRO.Furthermore,chemokines and the PI3K/AKT signaling pathway play a crucial role in regulating the cell cycle process through a complex network of interactions,ultimately impacting the occurrence of srHCC.Conclusions:Our study confirms that chemokines and the PI3K/AKT signaling pathway mediate the occur-rence of HCC rupture by regulating the cell cycle.We provide a theoretical basis for the clinical treatment of srHCC.
基金funded by the Key Project of the University Outstanding Youth Backbone Talented Person Foreign Visits Study Does Research of Anhui Province(No.gxgwfx2020025).
文摘Objective Heat wave exposure significantly impacts human health.Nevertheless,studies on the long-term effects of heat wave exposure during adolescence on adverse pregnancy outcomes(APOs)are rare.This study aimed to investigate the relationship between the long-term effects of heat wave exposure during adolescence and APOs.Methods We analyzed data from 3,376 female and 3,013 male participants across 31 provinces in China.All adolescents(10–19 years old),early adolescents(10–14),and late adolescents(15–19)were chosen as exposure windows.Heat waves were defined as periods lasting 2‒4 consecutive days with the daily temperature exceeding the 75th,90th,and 92.5th percentiles.We employed multivariate logistic regression models to assess the associations between exposure to heat waves during adolescence and APOs.Results The results revealed significant associations between male exposure to heat wave events during late adolescence and spontaneous abortion(P<0.05),which was more pronounced in South China.In contrast,no statistically significant associations were detected between males’exposure to heat wave events during adolescence and their partners’preterm birth(P>0.05 for all comparisons).The exposure of females to heat waves during adolescence was not significantly associated with subsequent spontaneous abortion or preterm birth(P>0.05 for all comparisons).Conclusions This study demonstrates that spontaneous abortion in females is associated with heat wave exposure in their male partner during adolescence.
基金supported by the Shanghai Municipal Health Commission(201840063,201801075)the Science and Technology Commission of Shanghai Municipality(18441903300).
文摘Background:Spontaneous intracerebral hemorrhage(ICH)is a severe neurological emergency with high morbidity and mortality.The effectiveness of surgical intervention remains controversial,partly due to significant heterogeneity among patients.Traditional clinical criteria often fail to identify those most likely to benefit from surgery.Methods:This nationwide retrospective study in China included 2,167 ICH patients from 31 hospitals.Using machine learning techniques,we integrated clinical and radiomic data to perform unsupervised clustering and identify distinct phenogroups.Dimensionality reduction and cross-validation were applied to minimize overfitting.External validation was conducted using data from the INTERACT3 trial,and a prospective cohort was used to assess real-world applicability.Results:Three phenogroups were identified.Among them,only Phenogroup 1-characterized by older age,moderate hematoma volume,and intermediate Glasgow Coma Scale scores-showed significant benefit from early surgical intervention,with a 42%reduction in 3-month mortality and improved functional outcomes.In contrast,surgery did not significantly affect outcomes in Phenogroups 0 and 2.These findings were consistent across multiple machine learning models and validated externally.Conclusion:Machine learning-driven phenotypic stratification can effectively identify ICH patients who are most likely to benefit from surgical treatment.This approach supports personalized treatment strategies and may improve clinical decision-making in ICH management.Further validation in diverse populations is warranted.
文摘Fluid imbibition from hydraulic fractures into shale formations is mainly affected by a combination of capillary forces and viscous resistance,both of which are closely related to the pore geometry.This study established five self-imbibition models with idealized pore structures and conducted a comparative analysis of these models.These models include circular,square,and equilateral triangular capillaries;a triangular star-shaped cross-section formed by three tangent spherical particles;and a traditional porous medium representation method.All these models are derived based on Newton’s second law,where capillary pressure is described by the Young-Laplace equation and viscous resistance is characterized by the Hagen-Poiret equation and Darcy’s law.All derived models predict that the fluid imbibition distance is proportional to the square root of time,in accordance with the classical Lucas-Washburn law.However,different pore structures exhibit significantly different characteristic imbibition rates.Compared to the single pore model,the conventional Darcy’s law-based model for porous media predicts significantly lower imbibition rates,which is consistent with the relatively slower uptake rates in actual shale nanoscale pore networks.These findings emphasize the important role played by pore geometry in fluid imbibition dynamics and further point to the need for optimizing pore structure to extend fluid imbibition duration in shale reservoirs in practical operations.
基金support of the Guizhou Provincial Postdoctoral Research Initiation Fund (BSH-Q-2023-10)Startup Fund for High-Level Talent Research at Guizhou Medical University (26232020159)+4 种基金the High-level Innovation Talents (No. GCC[2023]048)the Guizhou Provincial Scientific and Technologic Innovation Base ([2023]003)National Natural Science Foundation Cultivation Project of Guizhou Medical University Affiliated Hospital (gyfynsfc[2022]-1)Key lab of acute brain injury and function repair in Guizhou Medical University ([2024]fy007)the support from the Laboratory Animal Engineering Technology Center of Guizhou Province。
文摘The high mortality and disability rates associated with spontaneous intracerebral hemorrhage(sICH)are primarily attributed to secondary injuries caused by hematoma expansion from continuous bleeding or rehemorrhage.Rapid hemostasis to prevent hematoma progression is critical in clinical emergencies for improving surgical outcomes and patient prognosis.For internal hemorrhages inaccessible to external interventions,especially for sICH,intravenous hemostatic strategies are essential regardless of ultimate surgical eligibility.This study reported a stealth hemostatic anchor system based on peptide-drug conjugates.Tranexamic acid(TXA),a clinically approved antifibrinolytic agent,served as the hemostatic component,while a von Willebrand factor(vMF)-binding peptide(VBP)enabled targeted delivery by specifically binding to(vMF)exposed at vascular injury sites.A plasmin-cleavable linker was incorporated to control TXA release,ensuring site-specific drug activation.The plasmin-responsive peptide-drug conjugate(RPDC)was synthesized by covalently linking TXA to VBP via the plasmin-cleavable linker.In vitro and in vivo experiments verified the targeted hemostatic efficacy of RPDC,especially demonstrating 42%reduction in hematoma volume(P<0.001 vs.saline;P<0.05 vs.free TXA)with mitigated peri-hematomal pathology in the collagenase-induced ICR mouse ICH model.These results highlight the potential of the stealth hemostatic anchor as a precision therapeutic strategy for managing sICH,particularly in cases of internal hemorrhages inaccessible to surgical intervention or visual inspection.The plasmin-dependent targeting mechanism enables precise drug localization at cryptic hemorrhage sites,but further studies in larger animal models are needed to confirm its efficacy.This design offers a theoretical framework for advancing emergency interventions in cerebral hemorrhage and addressing challenges related to inaccessible bleeding sites.
