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A Retrospective Real-World Study:The Efficacy and Safety of Immune Checkpoint Inhibitors Combined with Chemoradiotherapy in Limited-Stage Small Cell Lung Cancer
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作者 Ruoxue Cai Shuyi Hu +3 位作者 Feiyang Li Huanhuan Sha Guoren Zhou Ying Fang 《Oncology Research》 2026年第2期473-485,共13页
Objective:To determine whether immunotherapy can bring new hope for patients with limited-stage small-cell lung cancer(LS-SCLC).We conducted this retrospective study to evaluate whether immunotherapy can achieve bette... Objective:To determine whether immunotherapy can bring new hope for patients with limited-stage small-cell lung cancer(LS-SCLC).We conducted this retrospective study to evaluate whether immunotherapy can achieve better efficacy in LS-SCLC patients.Methods:We evaluated 122 LS-SCLC patients who received concurrent chemoradiotherapy(CCRT)or sequential chemoradiotherapy(SCRT)(Group A)and immunotherapy combined with CCRT/SCRT followed by immunotherapy(Group B),to assess the objective response rate(ORR),disease control rate(DCR),and progression-free survival(PFS).Factors affecting prognosis were also explored using Cox analysis.The prognosis of patients with type 2 diabetes and patients with different TNM stages was compared to guide the selection of clinical regimens.Results:The overall ORR was 55.93%.The overall DCR was 98.31%.The DCR was 100%in Group A and 96.61%in Group B.There was no statistical difference in ORR and DCR.The overall median PFS was 9.86 months(95%CI,8.62-11.10),and the difference in median PFS between the two groups was statistically significant(8.94 vs.11.89 months,p=0.03).The Cox regression analysis showed type 2 diabetes was associated with the survival prognosis.Patients with type 2 diabetes tended to choose immunotherapy combined with CCRT/SCRT.Patients in TNM stage IIIB had a significantly worse prognosis than those in stage I+II+IIIA.Conclusion:We suggest that LS-SCLC patients who receive immunotherapy combined with CCRT/SCRT can achieve longer PFS than those with CCRT/SCRT.Type 2 diabetes and TNM stage affect the survival prognosis.Patients with type 2 diabetes may benefit from immunotherapy combination treatments. 展开更多
关键词 Limited-stage small cell lung cancer immunotherapy CHEMORADIOTHERAPY TNM stage type 2 diabetes
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Strategies of allocating root-shoot biomass in plantations and natural forests at various community stages and moisture levels
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作者 Wenjing Chen Lei Liu +3 位作者 Josep Penuelas Guoyi Zhou Langqin Hua Zhurong Wu 《Journal of Forestry Research》 2026年第2期85-99,共15页
The root-to-shoot(R/S)ratio is a critical indicator of the balance between root biomass and shoot biomass,representing the ecological strategies and adaptive responses of plants to environmental conditions.However,the... The root-to-shoot(R/S)ratio is a critical indicator of the balance between root biomass and shoot biomass,representing the ecological strategies and adaptive responses of plants to environmental conditions.However,the patterns of change in community R/S ratios during forest succession and their response to moisture levels across broad geographic gradients remains unclear.Based on forest biomass data from a national field inventory of 5,825 plots conducted across China between 2011 and 2015,this study looked into allocating biomass shoots and roots at the early,middle,and late stages of growth in plantations and succession in natural forests,and evaluated how moisture availability influences this allocation.The results revealed a significant decline in R/S ratios from early to late stages for both plantations and natural forests.Shoot and root biomass in plantations grew isometrically during the early and middle succession stages but shifted to allometric growth in the late stage,with the slope of the log-transformed shoot-root biomass relationship differing significantly across growth stages.Natural forests,in contrast,maintained isometric growth across successional stages,showing no significant variation in the slope of the log-transformed shoot-root biomass relationship.Environmental factors,particularly moisture levels,strongly influenced R/S ratios.Moisture levels significantly affected size-corrected R/S ratios,particularly in the middle stage of plantations and the early and middle stages of natural forests,supporting the hypothesis of optimal allocation.These findings suggest that in water-limited regions,forest management should prioritize drought-tolerant,deep-rooted native species,encourage mixed-species planting in the early stage,and reduce logging intensity in mature plantations.Conserving natural forests to maintain successional dynamics is essential for long-term ecological resilience.These findings emphasize the importance of balancing productivity with ecological sustainability by adapting practices to specific environments and forest types under climate change. 展开更多
关键词 Root-to-shoot ratios Biomass allocation Forest type Community stage Moisture levels Allometric scaling
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Influence of Phenological Stage on the Volatile Content and Biological Properties of Origanum elongatum Essential Oil
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作者 Amine Batbat Khaoula Habbadi +6 位作者 Mohamed Jeddi Samiah Hamad Al-Mijalli Hanae Naceiri Mrabti Fahad M.Alshabrmi Naif Hesham Moursi Hassane Greche Naoufal El Hachlafi 《Phyton-International Journal of Experimental Botany》 2026年第1期203-217,共15页
Origanum elongatum(OE)is an aromatic,medicinal plant endemic to Morocco that is widely used in traditional medicine due to its biological properties.This study aimed to elucidate the chemical composition of the essent... Origanum elongatum(OE)is an aromatic,medicinal plant endemic to Morocco that is widely used in traditional medicine due to its biological properties.This study aimed to elucidate the chemical composition of the essential oil(EO)obtained from O.elongatum(OEEO)at three stages of its life cycle,including vegetative stage(OEEO-VS),flowering stage(OEEO-FS),and post-flowering(OEEO-PFS),as well as to evaluate its biological and antiradical characteristics.The chemical analysis of the essential oil was conducted using gas chromatography-mass spectrometry(GC-MS).The antibacterial activity was evaluated in vitro through distinct methodologies,namely,disc diffusion and microatmosphere assay;subsequently,the minimum inhibitory concentration(MIC)was then determined.The antioxidant potential was also measured by using the DPPH and FRAP assays.The GC-MS revealed the predominant of p-cymene(26.83%_31.45%),γ-terpinene(8.46%_26.95%),thymol(13%_29.54%),and carvacrol(20.25%_37.26%),in all three samples,with notable variations according to the phenological stage of the samples.The EOs extracted at three phenological stages demonstrated notable antibacterial efficacy against all the phytopathogen tested.The MICs for Erwinia amylovora exhibited a range of 6.25 and 250μg/mL.However,for Agrobacterium tumefaciens C58 and Allorhizobium vitis S4,the MICs spanned 125 and 250μg/mL.In the DPPH test,the IC50 values were 168.25±1.14,147.01±0.78,and 132.01±2.06μg/mL for EOs derived from the vegetative,flowering,and post-flowering period,respectively.In the FRAP test,the EC50 values were 164.22±1.04,215.73±1.48,and 184.06±0.95μg/mL for the same stages.The findings offer promising prospects for the phytochemical development,demonstrating how the phenological stage significantly influences the therapeutic and biotechnological potential of O.elongatum.This has the potential to open up new avenues of research in the pharmaceutical,agronomic,and environmental fields. 展开更多
关键词 Origanum elongatum phenological stage chemical composition antioxidant activity antibacterial activity bioactive compounds plant development chemotype variation
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Shifting focus to preclinical stages:Locus coeruleus tau pathology as a driver and therapeutic target in Alzheimer’s disease
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作者 Qi Yuan Tamunotonye Omoluabi Brandon F.Hannam 《Neural Regeneration Research》 2026年第6期2335-2336,共2页
Alzheimer’s disease(AD)remains an incurable neurodegenerative disorder with devastating societal and personal impacts.Despite decades of intensive research,therapeutic efforts targeting the clinical stages of AD have... Alzheimer’s disease(AD)remains an incurable neurodegenerative disorder with devastating societal and personal impacts.Despite decades of intensive research,therapeutic efforts targeting the clinical stages of AD have largely failed to halt or reverse disease progression.This has prompted a critical shift in focus toward the earlier,preclinical stages of AD,where interventions may hold greater promise for altering the disease trajectory. 展开更多
关键词 alzheimer s disease ad remains therapeutic target Alzheimers disease neurodegenerative disorder preclinical stages locus coeruleus tau pathology
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Laparoscopic liver resection is superior to open liver resection for hepatocellular carcinoma patients with BCLC stage 0-A hepatocellular carcinoma and portal hypertension
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作者 Wu-Gui Yang Bin Liang +5 位作者 Yu-Fu Peng Yu-Bo Yang Ya-Ni Liu Bo Li Yong-Gang Wei Fei Liu 《Hepatobiliary & Pancreatic Diseases International》 2026年第1期32-41,共10页
Background:According to the 2022 update of the BCLC strategy,laparoscopic liver resection(LLR)is considered feasible for BCLC stage 0-A hepatocellular carcinoma(HCC)patients with clinically significant portal hyperten... Background:According to the 2022 update of the BCLC strategy,laparoscopic liver resection(LLR)is considered feasible for BCLC stage 0-A hepatocellular carcinoma(HCC)patients with clinically significant portal hypertension(CSPH).However,there is still no research to explore the outcomes of laparoscopic versus open liver resection(OLR)in the specific patients with BCLC stage 0-A HCC and CSPH.Methods:Patients diagnosed with BCLC stage 0-A HCC and CSPH who underwent liver resection at West China Hospital of Sichuan University from February 2018 to December 2022 were analyzed.Demographic characteristics,pathological findings and postoperative outcomes were compared using propensity score matching(PSM).Long-term outcomes after surgery were analyzed using Kaplan-Meier analysis both before and after PSM.Results:A total of 409 patients,including 261 LLRs and 148 OLRs,were enrolled in this study.There were imbalances between the groups in baseline information.After 1:1 PSM,118 patients were included in each group with comparable baseline characteristics.Patients in the LLR group had significantly less intraoperative blood loss compared to those in the OLR group(median 223 vs.318 mL,P<0.001),and fewer postoperative complications(33.9%vs.57.6%,P<0.001),including lower rates of postoperative liver decompensation(16.9%vs.28.0%,P=0.043),postoperative ascites(18.6%vs.31.4%,P=0.024)and pulmonary infections(12.7%vs.29.7%,P=0.001).The long-term follow-up showed that overall survival(P=0.154)and recurrence-free survival(P=0.376)were comparable between the two groups.In subgroup analysis,patients with PLT≤75×10^(9)/L suffered more postoperative liver decompensation(PLD)and ascites than patiens with PLT>75×10^(9)/L.Conclusions:Compared with OLR,LLR had less intraoperative blood loss,fewer postoperative complications and comparable oncological outcomes for patients with BCLC stage 0/A HCC and CSPH. 展开更多
关键词 Laparoscopic liver resection Hepatocellular carcinoma Clinically significant portal hypertension BCLC stage
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Mismatch between Reality and the NCFSE 2023:Focusing on the Pedagogical Challenges Faced by the Foundational and Preparatory Stage Teachers
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作者 Prasanna S K Chellamani 《Journal of Contemporary Educational Research》 2025年第5期201-207,共7页
Teacher education at the foundational and preparatory stages plays a crucial role in shaping early childhood learning experiences.The National Curriculum Framework for School Education(NCFSE)2023 provides a structured... Teacher education at the foundational and preparatory stages plays a crucial role in shaping early childhood learning experiences.The National Curriculum Framework for School Education(NCFSE)2023 provides a structured pedagogical approach to address challenges in these stages.However,despite these policy frameworks,teachers in Kendriya Vidyalayas(KVs)continue to face numerous pedagogical challenges.This paper aims to explore and analyze the pedagogical challenges encountered by KV teachers in foundational and preparatory stage classrooms and compare them with the challenges addressed in NCFSE 2023.Using qualitative research methods,data were collected through structured online interviews with 10 KV teachers from different campuses.This paper investigated various challenges,including classroom management,language barriers,a lack of inclusive education strategies,insufficient infrastructure,limited parental involvement,and difficulties in integrating technology into teaching practices.The findings highlight the gap between policy recommendations and ground-level implementation.Based on these insights,the study suggests recommendations such as specialized teacher training,recruitment of special educators,improved infrastructure,enhanced parental engagement,and policy-driven interventions to bridge the gap between policy frameworks and real-world classroom experiences.The study concludes that addressing these challenges through targeted reforms can create a more inclusive and effective learning environment,fostering holistic student development at the foundational and preparatory stages. 展开更多
关键词 Foundational stage teachers NCFSE 2023 NEP 2020 Pedagogical challenges Preparatory stage teachers
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Staged dendrite suppression for high safe and stable lithium-sulfur batteries 被引量:1
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作者 Jun Jiang Zhenjie Lu +12 位作者 Yanwen Ding Shujun Liu Zhijie Qi Tian Tang Yunfan Zhang Zhiyuan Ma Jingwen Sun Liang Xue Wenyao Zhang Pan Xiong Xin Wang Junwu Zhu Yongsheng Fu 《Journal of Energy Chemistry》 2025年第1期674-683,共10页
The unavoidable dendrite growth and shuttle effect have long been stranglehold challenges limiting the safety and practicality of lithium-sulfur batteries.Herein,we propose a dual-action strategy to address the lithiu... The unavoidable dendrite growth and shuttle effect have long been stranglehold challenges limiting the safety and practicality of lithium-sulfur batteries.Herein,we propose a dual-action strategy to address the lithium dendrite issue in stages by constructing a multifunctional surface-negatively-charged nanodiamond layer with high ductility and robust puncture resistance on polypropylene (PP) separator.The uniformly loaded compact negative layer can not only significantly enhance electron transmission efficiency and promote uniform lithium deposition,but also reduce the formation of dendrite during early deposition stage.Most importantly,under the strong puncture stress encountered during the deterioration of lithium dendrite growth under limiting current,the high ductility and robust puncture resistance(145.88 MPa) of as-obtained nanodiamond layer can effectively prevent short circuits caused by unavoidable lithium dendrite.The Li||Li symmetrical cells assembled with nanodiamond layer modified PP demonstrated a stable cycle of over 1000 h at 2 mA cm^(-2)with a polarization voltage of only 29.3 mV.Additionally,the negative charged layer serves as a physical barrier blocking lithium polysulfide ions,effectively mitigating capacity attenuation.The improved cells achieved a capacity decay of only 0.042%per cycle after 700 cycles at 3 C,demonstrating effective suppression of dendrite growth and capacity attenuation,showing promising prospect. 展开更多
关键词 Lithium-sulfur batteries staged dendrite suppression Shuttle effect Surface-negatively-charged nanodiamond
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Expert consensus on peri-implant keratinized mucosa augmentation at second-stage surgery 被引量:1
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作者 Shiwen Zhang Rui Sheng +26 位作者 Zhen Fan Fang Wang Ping Di Junyu Shi Duohong Zou Dehua Li Yufeng Zhang Zhuofan Chen Guoli Yang Wei Geng Lin Wang Jian Zhang Yuanding Huang Baohong Zhao Chunbo Tang Dong Wu Shulan Xu Cheng Yang Yongbin Mou Jiacai He Xingmei Yang Zhen Tan Xiaoxiao Cai Jiang Chen Hongchang Lai Zuolin Wang Quan Yuan 《International Journal of Oral Science》 2025年第5期608-616,共9页
Peri-implant keratinized mucosa(PIKM)augmentation refers to surgical procedures aimed at increasing the width of PIKM.Consensus reports emphasize the necessity of maintaining a minimum width of PIKM to ensure long-ter... Peri-implant keratinized mucosa(PIKM)augmentation refers to surgical procedures aimed at increasing the width of PIKM.Consensus reports emphasize the necessity of maintaining a minimum width of PIKM to ensure long-term peri-implant health.Currently,several surgical techniques have been validated for their effectiveness in increasing PIKM.However,the selection and application of PIKM augmentation methods may present challenges for dental practitioners due to heterogeneity in surgical techniques,variations in clinical scenarios,and anatomical differences.Therefore,clear guidelines and considerations for PIKM augmentation are needed.This expert consensus focuses on the commonly employed surgical techniques for PIKM augmentation and the factors influencing their selection at second-stage surgery.It aims to establish a standardized framework for assessing,planning,and executing PIKM augmentation procedures,with the goal of offering evidence-based guidance to enhance the predictability and success of PIKM augmentation. 展开更多
关键词 surgical procedures second stage surgery surgical techniques heterogeneity dental practitioners peri implant keratinized mucosa augmentation surgical techniquesvariations
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LATS1-modulated ZBTB20 perturbing cartilage matrix homeostasis contributes to early-stage osteoarthritis 被引量:1
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作者 Xue Hao Jing Zhao +9 位作者 Liyuan Jia Guangyu Ding Xiaoju Liang Fei Su Shuai Yang Yating Yang Jing Fan Weiping J.Zhang Liu Yang Qiang Jie 《Bone Research》 2025年第3期702-715,共14页
Osteoarthritis(OA)is one of the most common degenerative joint diseases in the elderly,increasing in prevalence and posing a substantial socioeconomic challenge,while no disease-modifying treatments available.Better u... Osteoarthritis(OA)is one of the most common degenerative joint diseases in the elderly,increasing in prevalence and posing a substantial socioeconomic challenge,while no disease-modifying treatments available.Better understanding of the early molecular events will benefit the early-stage diagnosis and clinical therapy.Here,we observed the nucleus accumulation of ZBTB20,a member of ZBTB-protein family,in the chondrocytes of early-stage OA.Chondrocytes-specific depletion of Zbtb20 in adult mice attenuated DMM-induced OA progress,restored the balance of extracellular matrix anabolism and catabolism.The NF-κB signaling mediated disturbance of ECM maintenance by ZBTB20 requires its suppression of Pten and consequent PI3K-Akt signaling activation.Furthermore,the subcellular localization of ZBTB20 was modulated by the kinase LATS1.Independent approaches to modulating ZBTB20 via utilizing TRULI and DAPA can restore ECM homeostasis,improving the abnormal behavior and moderating cartilage degeneration.The compounds TRULI and DAPA modulating ZBTB20 may serve as anti-OA drugs. 展开更多
关键词 LATS ZBTB PI K AKT signaling early molecular events NF B signaling degenerative joint diseases PTEN early stage osteoarthritis
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叶尖小翼对Stage 37压气机级稳定裕度的影响
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作者 钟兢军 王缘 +1 位作者 赵傲 吴宛洋 《航空动力学报》 北大核心 2025年第3期369-379,共11页
为了进一步研究叶尖小翼对跨声速压气机级稳定工作裕度的影响,采用数值方法对NASA Stage 37压气机级加装不同叶尖小翼的效果进行了研究。通过对比原型压气机级与加装叶尖小翼压气机级的流场特性,揭示了压力面叶尖小翼的扩稳机理。研究... 为了进一步研究叶尖小翼对跨声速压气机级稳定工作裕度的影响,采用数值方法对NASA Stage 37压气机级加装不同叶尖小翼的效果进行了研究。通过对比原型压气机级与加装叶尖小翼压气机级的流场特性,揭示了压力面叶尖小翼的扩稳机理。研究结果表明:随着压力面小翼宽度增加,压气机级的稳定工作裕度分别提高了7.35%、12.27%、19.49%、12.34%。压力面小翼的扩稳机理在于有效减弱了泄漏涡与激波的干涉程度,改善了转子区域的通流情况,同时减弱了下游静子的吸力面分离,使得静子区域低能流体减少,降低了流动损失。 展开更多
关键词 叶尖小翼 stage 37压气机级 叶顶泄漏 稳定工作裕度 扩稳机理
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The prognostic value of the 8th American Joint Committee on cancer anatomic and prognostic stage groups for penile cancer:A multicenter collaboration study
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作者 Xueying Li Yepeng Guo +8 位作者 Antonio Augusto Ornellas Jiun-Hung Geng Yonghong Li Wayne Lam Yabing Cao Zhuowei Liu Hui Han Fangjian Zhou Zaishang Li 《Asian Journal of Urology》 2025年第1期100-105,共6页
Objective The aim of this study was to investigate the value of the 8th American Joint Committee on Cancer(AJCC)anatomic and prognostic stage groups for penile cancer patients and explore whether there is room for imp... Objective The aim of this study was to investigate the value of the 8th American Joint Committee on Cancer(AJCC)anatomic and prognostic stage groups for penile cancer patients and explore whether there is room for improvement.Methods The clinical and histopathologic data from 16 centers between January 2000 and December 2021 were assessed according to the 8th AJCC anatomic and prognostic stage groups.Kaplan–Meier plots were used to estimate the disease-specific survival(DSS)of the patients.The accuracy of the staging systems was investigated using the Harrell's concordance index(C-index).Results According to the 8th AJCC anatomic and prognostic stage groups,the 5-year DSS rates for patients with stages 0is/a,I,IIA,IIB,IIIA,IIIB,and IV disease were 100%,99%,86%,81%,66%,34%,and 23%,respectively(p_(0is/a–I)=0.8,p_(I–IIA)<0.001,p_(IIA–IIB)=0.5,p_(IIB–IIIA)<0.001,p_(IIIA–IIIB)<0.001,p_(IIIB–IV)=0.004,and p_(Total)<0.001).According to the modified model 1 system,the 5-year DSS rates without survivorship overlap for patients with stages 0is/a,I,II,IIIA,IIIB,and IV disease were 100%,99%,88%,66%,34%,and 23%,respectively(p_(0is/a–I)=0.8,p_(I–II)<0.001,p_(II–IIIA)=0.002,p_(IIIA–IIIB)<0.001,p_(IIIB–IV)=0.004,and p_(Total)<0.001).Similarly,according to the modified model 2 system,the 5-year DSS rates without survivorship overlap for patients with stages 0is/a,I,II,IIIA,IIIB,and IV disease were 100%,99%,86%,66%,34%,and 23%,respectively(p_(0is/a–I)=0.8,p_(I–II)<0.001,p_(II–IIIA)=0.008,p_(IIIA–IIIB)<0.001,p_(IIIB–IV)=0.004,and p_(Total)<0.001).The C-index scores of the simple modified staging systems were not inferior to those of the AJCC anatomic and prognostic stage groups.These results were confirmed by the bootstrap internal validation.Conclusion There is still room for improvement about the 8th AJCC anatomic and prognostic stage groups.The improved models,which are more concise and convenient,have similar prediction accuracy. 展开更多
关键词 Penile cancer Prognosis Tumor-nodemetastasis Survival stage
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The Growing Stages of Peanuts
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作者 赵鑫阳 《疯狂英语(双语世界)》 2025年第3期60-62,共3页
Peanuts are widely produced and commonly eaten in China.They grow well in warm climates with moderate rainfall and sandy soil,and they have a relatively long growing season.In China,the main peanut-producing areas are... Peanuts are widely produced and commonly eaten in China.They grow well in warm climates with moderate rainfall and sandy soil,and they have a relatively long growing season.In China,the main peanut-producing areas are Henan,Shandong,and Hebei provinces.From planting to harvest,peanuts go through five main stages. 展开更多
关键词 hebei provinces china SHANDONG HENAN growing stages peanuts
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Growth Performance of Phoebe bournei Generations in Seedling Stage 被引量:3
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作者 吴际友 陈明皋 +5 位作者 唐爱民 董春英 黄明军 刘球 程勇 王旭军 《Agricultural Science & Technology》 CAS 2014年第7期1188-1190,1199,共4页
[Objective] The aim was to explore growth performance of Phoebe bournei in seedling stage.[Method] Based on 17 superior plus trees of Phoebe bournei,a seedling cultivation test was conducted in Jindong Forest Farm in ... [Objective] The aim was to explore growth performance of Phoebe bournei in seedling stage.[Method] Based on 17 superior plus trees of Phoebe bournei,a seedling cultivation test was conducted in Jindong Forest Farm in Yongzhou,Hunan Province,exploring growth indices and analyzing seedling height and ground diameter.[Result] As per the selection rate at 20%,PB17,PB9 and PB12 were selected from the 17 species.Specifically,the seedling height averaged 36.52 cm of the selected three seedlings,which was higher by 16.1% compared with average of 17 species (31.45%).As for ground diameter,the selected species averaged 2.6 mm,which was higher (13.0%) compared with the average level (2.3 mm).[Conclusion]Both of seedling height and ground diameter reached extremely significant differences,which indicated that half-sib families of Phoebe bournei have rich variations,with selection and breeding potential. 展开更多
关键词 Phoebe bournei Superior plus tree Characteristics in seedling stage Line selection FAST-GROWING Selection in early stagen
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Application of the modified Byars staged procedure for severe hypospadias repair
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作者 Qi-Gen Xie Ting-Ting Xue +4 位作者 Xu-Ren Chen Zhao-Ying Li Zhe Xu Zuo-Qing Li Peng Luo 《Asian Journal of Andrology》 2025年第1期65-71,共7页
This study aimed to introduce a modified Byars staged procedure and investigate its application value in patients with severe hypospadias.We retrospectively analyzed the clinical data of patients with severe hypospadi... This study aimed to introduce a modified Byars staged procedure and investigate its application value in patients with severe hypospadias.We retrospectively analyzed the clinical data of patients with severe hypospadias admitted to the First Affiliated Hospital of Sun Yat-sen University(Guangzhou,China)between October 2012 and October 2022.In total,31 patients underwent the conventional Byars procedure(conventional group),and 45 patients underwent the modified Byars staged procedure(modified group).Our modified strategy was built upon the standard Byars procedure by incorporating glansplasty during the first stage and employing a Y-shaped flap in conjunction with a glandular tunnel for urethroplasty during the second stage.Notably,there were no statistically significant differences in the preoperative baseline characteristics,duration of surgery,amount of blood loss,or occurrence of postoperative complications,including urethral fistula,stricture and diverticulum,or penile curvature,between the conventional and modified groups.However,there was a significantly lower incidence of coronal sulcus fistula(0 vs 16.1%,P=0.02)and glans dehiscence(0 vs 12.9%,P=0.02)in the surgical group than that in the conventional group.In addition,the modified group exhibited a notably greater rate of normotopic urethral opening(100.0%vs 83.9%,P=0.01)and a higher mean score on the Hypospadias Objective Penile Evaluation(HOPE;mean±standard error of mean:8.6±0.2 vs 7.9±0.3,P=0.02)than did the conventional group.In conclusion,the modified Byars staged procedure significantly reduced the risks of glans dehiscence and coronal sulcus fistula.Consequently,it offers a promising approach for achieving favorable penile esthetics,thereby providing a reliable therapeutic option for severe hypospadias. 展开更多
关键词 byars glans dehiscence severe hypospadias staged procedure TUNNEL URETHROPLASTY
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Sexually differentiated decision-making involves faster recruitment in the early stages for the Tibetan antelopes Pantholops hodgsonii
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作者 Qin Zhu Jian Guan +6 位作者 Tianya Lei Kun Xuan Sile Guo Yumeng Zhao Changjian Fu Le Yang Zhongqiu Li 《Current Zoology》 2025年第1期124-135,共12页
Group living is widespread across diverse taxa,and the mechanisms underlying collective decision-making in contexts of variable role division are critical for understanding the dynamics of group stability.While studie... Group living is widespread across diverse taxa,and the mechanisms underlying collective decision-making in contexts of variable role division are critical for understanding the dynamics of group stability.While studies on collective behavior in small animals such as fish and insects are well-established,similar research on large wild animals remains challenging due to the limited availability of sufficient and systematic field data.Here,we aimed to explore the collective decision-making pattern and its sexual difference for the dimorphic Tibetan antelopes Pantholops hodgsonii(chiru)in Xizang Autonomous Region,China,by analyzing individual leadership distribution,as well as the joining process,considering factors such as calving stages and joining ranks.The distinct correlations of decision participants’ratio with group size and decision duration underscore the trade-off between accuracy and speed in decision-making.Male antelopes display a more democratic decision-making pattern,while females exhibit more prompt responses after calving at an early stage.This study uncovers a partially shared decision-making strategy among Tibetan antelopes,suggesting flexible self-organization in group decision processes aligned with animal life cycle progression. 展开更多
关键词 calving stage DECISION-MAKING LEADERSHIP sexual differences Tibetan antelopes
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Efficacy of adjuvant chemotherapy in stage II colon cancer patients with twelve or more lymph nodes retrieve
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作者 Yu Huo Yue-Yang Zhang +4 位作者 Shuai Jiao Zhong-Yuan Bai Wen-Qi Bai Hai-Tao Zhou Xu Guan 《World Journal of Gastrointestinal Oncology》 2025年第9期110-120,共11页
BACKGROUND The National Comprehensive Cancer Network guidelines recommend adjuvant chemotherapy(ACT)for patients with stage II colon cancer who have undergone curative surgery when fewer than 12 lymph nodes(LNs)are re... BACKGROUND The National Comprehensive Cancer Network guidelines recommend adjuvant chemotherapy(ACT)for patients with stage II colon cancer who have undergone curative surgery when fewer than 12 lymph nodes(LNs)are retrieved.This study seeks to further examine the requirement for ACT in individuals who had 12 or more LNs harvested.AIM To investigate if stage II colon cancer patients with 12 or more LNs retrieved benefit from ACT.METHODS This retrospective cohort study included individuals diagnosed with stage II colon cancer who underwent surgery between 2008 and 2017 from the Surveillance,Epidemiology,and End Results(SEER)registry and a Chinese multicenter database.All patients had at least 12 LNs retrieved.The key endpoint was overall survival(OS).Cox regression analysis was performed to assess independent OS predictors.Propensity score matching controlled for confounders,and Kaplan-Meier analysis evaluated the impact of ACT on survival.RESULTS A total of 32742 patients with stage II colon cancer from the SEER cohort and 3153 patients from the Chinese cohort were included.The average number of LNs retrieved was 20.0(15.0,26.0)in the SEER cohort and 18.0(15.0,22.0)in the Chinese cohort.No-ACT remained an independent risk factor in both cohorts(hazard ratio=1.589,95%confidence interval:1.485-1.700 and hazard ratio=1.865,95%confidence interval:1.465-2.375,respectively).In the SEER cohort,patients in the ACT group consistently demonstrated better 5-year OS rates both before and after propensity score matching(79.4%vs 66.1%and 79.4%vs 69.4%,both P<0.0001).Similarly,these findings were further validated in the Chinese cohort(91.2%vs 82.1%and 90.0%vs 82.8%,both P<0.0001).ACT improved prognosis even in T3 and grade 1/2 patients.CONCLUSION This research,based on two large population-based cohorts,demonstrates that stage II colon cancer patients with 12 or more LNs retrieved can still benefit from ACT. 展开更多
关键词 stage II Colon cancer Lymph nodes CHEMOTHERAPY PROGNOSIS
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Design,Analysis,and Testing of a Novel 5-DOF Flexure-Based Alignment Stage
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作者 Shang Yang Yuxia Li +3 位作者 Weihai Chen Shasha Chen Lei Wang Xiantao Sun 《Chinese Journal of Mechanical Engineering》 2025年第4期1-15,共15页
A high pattern resolution is critical for fabricating roll-to-roll printed electronics(R2RPE)products.For enhanced overlay alignment accuracy,position errors between the printer and the substrate web must be eliminate... A high pattern resolution is critical for fabricating roll-to-roll printed electronics(R2RPE)products.For enhanced overlay alignment accuracy,position errors between the printer and the substrate web must be eliminated,particularly in inkjet printing applications.This paper proposes a novel five-degree-of-freedom(5-DOF)flexure-based alignment stage to adjust the posture of an inkjet printer head.The stage effectively compensates for positioning errors between the actuation mechanism and manipulated objects through a series-parallel combination of compliant substructures.Voice coil motors(VCMs)and linear motors serve as actuators to achieve the required motion.Theoretical models were established using a pseudo-rigid-body model(PRBM)methodology and were validated through finite element analysis(FEA).Finally,an alignment stage prototype was fabricated for an experiment.The prototype test results showed that the developed positioning platform attains 5-DOF motion capabilities with 335.1μm×418.9μm×408.1μm×3.4 mrad×3.29 mrad,with cross-axis coupling errors below 0.11%along y-and z-axes.This paper pro-poses a novel 5-DOF flexure-based alignment stage that can be used for error compensation in R2RPE and effectively improves the interlayer alignment accuracy of multi-layer printing. 展开更多
关键词 Flexible mechanism Micro-positioning Multi-DOF Alignment stage
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Research on Risk Management in the Decision- Making Stage of a Project Based on DPSIR
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作者 Yujie Zhang 《Proceedings of Business and Economic Studies》 2025年第1期28-37,共10页
With the growth of the construction industry,risk management in construction projects has garnered significant attention from the academic community.Effective risk management during the decision-making stage can great... With the growth of the construction industry,risk management in construction projects has garnered significant attention from the academic community.Effective risk management during the decision-making stage can greatly enhance project management efficiency.This paper integrates the AHP-entropy value method and constructs a risk management model based on the DPSIR framework for construction projects.The model is applied to evaluate and analyze the risk level of the decision-making stage in a navigation and electricity hub project in Chongqing Municipality.The results demonstrate the scientific validity and effectiveness of the proposed model. 展开更多
关键词 DPSIR Construction projects Decision stage Risk management AHP-entropy method
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Research on the estimation of wheat AGB at the entire growth stage based on improved convolutional features
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作者 Tao Liu Jianliang Wang +7 位作者 Jiayi Wang Yuanyuan Zhao Hui Wang Weijun Zhang Zhaosheng Yao Shengping Liu Xiaochun Zhong Chengming Sun 《Journal of Integrative Agriculture》 2025年第4期1403-1423,共21页
The wheat above-ground biomass(AGB)is an important index that shows the life activity of vegetation,which is of great significance for wheat growth monitoring and yield prediction.Traditional biomass estimation method... The wheat above-ground biomass(AGB)is an important index that shows the life activity of vegetation,which is of great significance for wheat growth monitoring and yield prediction.Traditional biomass estimation methods specifically include sample surveys and harvesting statistics.Although these methods have high estimation accuracy,they are time-consuming,destructive,and difficult to implement to monitor the biomass at a large scale.The main objective of this study is to optimize the traditional remote sensing methods to estimate the wheat AGBbased on improved convolutional features(CFs).Low-cost unmanned aerial vehicles(UAV)were used as the main data acquisition equipment.This study acquired image data acquired by RGB camera(RGB)and multi-spectral(MS)image data of the wheat population canopy for two wheat varieties and five key growth stages.Then,field measurements were conducted to obtain the actual wheat biomass data for validation.Based on the remote sensing indices(RSIs),structural features(SFs),and CFs,this study proposed a new feature named AUR-50(multi-source combination based on convolutional feature optimization)to estimate the wheat AGB.The results show that AUR-50 could estimate the wheat AGB more accurately than RSIs and SFs,and the average R^(2) exceeded 0.77.In the overwintering period,AUR-50_(MS)(multi-source combination with convolutional feature optimization using multispectral imagery)had the highest estimation accuracy(R^(2) of 0.88).In addition,AUR-50 reduced the effect of the vegetation index saturation on the biomass estimation accuracy by adding CFs,where the highest R^(2) was 0.69 at the flowering stage.The results of this study provide an effective method to evaluate the AGB in wheat with high throughput and a research reference for the phenotypic parameters of other crops. 展开更多
关键词 WHEAT above-ground biomass UAV entire growth stage convolutional feature
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Rhizosphere bacterial communities of Agriophyllum squarrosum(L.)Moq.during different developmental stages
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作者 ZHANG Shengnan GAO Haiyan +7 位作者 YANG Shanshan ZHANG Lei YAN Deren HUANG Haiguang YANG Zhiguo LI Junwen TANG Yuekun XU Hongbin 《Journal of Arid Land》 2025年第9期1282-1296,共15页
The rhizosphere bacteria play crucial roles in plant health and growth as they are involved in assimilating nutrients and resisting adverse conditions such as nutrient stress,drought,and wind erosion.Agriophyllum squa... The rhizosphere bacteria play crucial roles in plant health and growth as they are involved in assimilating nutrients and resisting adverse conditions such as nutrient stress,drought,and wind erosion.Agriophyllum squarrosum(L.)Moq.is a pioneer plant used in sand fixation due to its strong resistance to drought and wind erosion.However,the bacterial community characteristics and ecological function in the rhizosphere of A.squarrosum are poorly understood.In this study,soil samples were collected from different developmental stages(seedling stage,vegetative stage,reproductive stage,and withering stage)of A.squarrosum.Illumina Miseq sequencing was used to detect differences in soil bacterial abundance.The Phylogenetic Investigation of Communities by Reconstruction of Unobserved States(PICRUSt)program was used to predict bacterial functions,and the relationships among bacteria,functional populations,and soil nutrients were examined using a heatmap analysis.The results showed that the Shannon and Sobs indices of rhizosphere bacteria were significantly higher during the reproductive stage than during the other stages.Pantoea sp.(7.03%)was the dominant genus during the seedling stage;Arthrobacter sp.was the dominant genus during the vegetative(13.94%),reproductive(7.57%),and withering(12.30%)stages.The relative abundances of Chloroflexi,Acidobacteria,and Gemmatimonadetes were significantly high during the reproductive stage.According to the PICRUSt analysis,membrane transport,signal transduction,and environmental adaptation of the bacterial functional population occurred during the seedling stage.Carbohydrate metabolism increased during the vegetative stage,while energy metabolism,lipid metabolism,and biosynthesis of other secondary metabolites of the bacterial functional population significantly increased during the reproductive stage.The abundances of bacterial communities,functional genes,and soil nutrients were synergistically altered during various developmental stages.Our findings suggest that the developmental stages of A.squarrosum play a significant role in defining the composition and structure of bacterial communities in the rhizosphere.The results will provide a basis for better prediction and understanding of soil bacterial metabolic potential and functions of A.squarrosum rhizosphere in sandy areas. 展开更多
关键词 bacterial diversity developmental stage DROUGHT functional prediction soil nutrient wind erosion
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