Persistent left superior vena cava(PLSVC)is a congenital anomaly where the left-sided vena cava,which usually regresses during fetal development,persists.Double superior vena cava resulting from a PLSVC is indeed a ra...Persistent left superior vena cava(PLSVC)is a congenital anomaly where the left-sided vena cava,which usually regresses during fetal development,persists.Double superior vena cava resulting from a PLSVC is indeed a rare phenomenon.In the general population,the incidence of this condition is reported to be between 0.3%and 2.1%.[1]While this anatomical variation is often asymptomatic and discovered incidentally,it becomes relevant in certain clinical scenarios.Indeed,the presence of a PLSVC and double superior vena cava can pose challenges as incorrect positioning and result in failure.展开更多
To the editor:The superior semicircular canal dehiscence was first described by Minor et all in 1998 as a condition in which the superior semicircular canal lacks a bony covering and has gained constantly increasing i...To the editor:The superior semicircular canal dehiscence was first described by Minor et all in 1998 as a condition in which the superior semicircular canal lacks a bony covering and has gained constantly increasing interest since its discovery.2 The symptoms are varied but specific what is known as Minor syndrome or‘third mobile window’syndrome,'as patients may experience autophony with abnormally loud sounds like footsteps,chewing,breathing,eye movement,echoing voice,distortion of environmental sounds and pulsatile tinnitus.展开更多
BACKGROUND Four-dimensional(4D)flow magnetic resonance imaging(MRI)is used as a noninvasive modality for assessing hemodynamic information with neurovascular and body applications.The application of 4D flow MRI for as...BACKGROUND Four-dimensional(4D)flow magnetic resonance imaging(MRI)is used as a noninvasive modality for assessing hemodynamic information with neurovascular and body applications.The application of 4D flow MRI for assessment of bowel disease in children has not been previously described.AIM To determine feasibility of superior mesenteric venous and arterial flow quantitation in pediatric patients using 4D flow MRI.METHODS Nine pediatric patients(7-14 years old,5 male and 4 female)with history or suspicion of bowel pathology,who underwent magnetic resonance(MR)enterography with 4D flow MR protocol from November 2022 to October 2023.Field strength/sequence:3T MRI using 4D flow MR protocol.Flow velocity and peak speed measurements were performed by two diagnostic radiologists placing the region of interest in perpendicular plane to blood flow on each cross section of superior mesenteric artery(SMA)and superior mesenteric vein(SMV)at three predetermined levels.Bland-Altman analysis,showed good agreement of flow velocity and peak speed measurements of SMV and SMA between two readers.RESULTS Mean SMV flow velocity increased from proximal to mid to distal(0.14 L/minute,0.17 L/minute,0.22 L/minute respectively).Mean SMA flow velocity decreased from proximal to mid to distal(0.35 L/minute,0.27 L/minute,0.21 L/minute respectively).Observed agreement was good for flow velocity measurements of SMV(mean bias-0.01 L/minute and 95%limits of agreement,-0.09 to 0.08 L/minute)and SMA(mean bias-0.03 L/minute and 95%limits of agreement,-0.23 to 0.17 L/minute)between two readers.Good agreement for peak speed measurements of SMV(mean bias-1.2 cm/second and 95%limits of agreement,-9.4 to 7.0 cm/second)and SMA(mean bias-3.2 cm/second and 95%limits of agreement,-31.4 to 24.9 cm/second).CONCLUSION Flow quantitation using 4D Flow is feasible to provide hemodynamic information for SMV and SMA in children.展开更多
BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of ...BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic resections.Globally recognized superior mesenteric artery(SMA)first approaches are invariably performed.The mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this study.AIM To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment modalities.METHODS This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the Department of Gastrointestinal and General Surgery of Kathmandu Medical College and Teaching Hospital from January 1,2021 to February 28,2024.Intraop-erative findings and postoperative outcomes were analyzed.RESULTS In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach pancreatoduodenectomy.The mean age was 67.6 years with a male-to-female ratio of 4:5.CL was seen in four patients.With virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four patients.Two patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition requirement.The mean operative time was 330 minutes.Curative resection was achieved in 100%of the patients.The mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,respectively.CONCLUSION Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of CL.After complete curative resection,these were managed with total parenteral nutrition without adversely impacting outcome.展开更多
BACKGROUND Sleeve fracture of the patella is an unusual fracture,almost unique to children.The majority of sleeve fractures involve the inferior patellar pole.However,sleeve fractures of the superior pole of the patel...BACKGROUND Sleeve fracture of the patella is an unusual fracture,almost unique to children.The majority of sleeve fractures involve the inferior patellar pole.However,sleeve fractures of the superior pole of the patella are extremely rare in adults.CASE SUMMARY An 18-year-old male patient fell while running in the morning.The patient had tenderness to palpation at the superior pole of the patella,with a palpable gap over the upper part of the patella in both knees.We applied two 4.5-mm suture anchors with the Krackow stitch to repair the sleeve fracture,augmented by autogenous gracilis through performing the figure-of-eight technique.The patient regained approximately the full range of motion of the knee joint without any quadriceps weakness and a normal gait 6 weeks after surgery.CONCLUSION Sleeve fractures of the superior pole of the patella are extremely rare in adults,especially bilateral sleeve fractures.Suture anchors,augmented by autogenous gracilis,provided secure fixation and achieved excellent results in this rare injury.展开更多
Layered ammonium vanadate has become a promising cathode material for aqueous zinc ion batteries(ZIBs)due to its small mass and large ionic radius of ammonium ions as well as the consequent large layer spacing and hig...Layered ammonium vanadate has become a promising cathode material for aqueous zinc ion batteries(ZIBs)due to its small mass and large ionic radius of ammonium ions as well as the consequent large layer spacing and high specific capacity.However,the irreversible de-ammoniation caused by N·H···O bonds damaged would impair cycle life of ZIBs and the strong electrostatic interaction between Zn^(2+)and V-O frame could slower the mobility of Zn^(2+).Furthermore,the thermal instability of ammonium vanadate also limits the use of common carbon coating modification method to solve the problem.Herein,V_(2)CT_(X)MXene was innovatively selected as a bifunctional source to in-situ derivatized(NH_(4))_(2)V_(8)O_(20)·x H_(2)O with amorphous carbon-coated(NHVO@C)via one-step hydrothermal method in relatively moderate temperature.The amorphous carbon shell derived from the V_(2)CT_(X)MXene as a conductive framework to effectively improve the diffusion kinetics of Zn^(2+)and the robust carbon skeleton could alleviate the ammonium dissolution during long-term cycling.As a result,zinc ion batteries using NHVO@C as cathode exhibit superior electrochemical performance.Moreover,the assembled foldable or high loading(10.2 mg/cm^(2))soft-packed ZIBs further demonstrates its practical application.This study provided new insights into the development of the carbon cladding process for thermally unstable materials in moderate temperatures.展开更多
Throughout the lifespan,an animal can encounter predators frequently,thus the ability to avoid attacks from predators is crucial for its survival.The chances of evading danger can be greatly improved if the animal can...Throughout the lifespan,an animal can encounter predators frequently,thus the ability to avoid attacks from predators is crucial for its survival.The chances of evading danger can be greatly improved if the animal can respond immediately to the threat.Therefore,when an animal detects a threat through its visual system,it must quickly direct its gaze and attention toward the source of danger,assess the threat level,and take appropriate action.展开更多
Barley(Hordeum vulgare L.)ranks as the fourth most cultivated cereal crop globally by planting area.Kernel characteristics,including grain length,grain width,and thousand-grain weight(TGW),are essential determinants o...Barley(Hordeum vulgare L.)ranks as the fourth most cultivated cereal crop globally by planting area.Kernel characteristics,including grain length,grain width,and thousand-grain weight(TGW),are essential determinants of barley yield and quality.The identification and cloning of genes related to kernel traits,along with the detection of superior alleles,are fundamental for marker-assisted selection in barley breeding.This study presents the cloning of HvGL7-2H from barley,based on the known rice GL7 gene.The functional significance of HvGL7-2H in grain length was confirmed through ethyl methane sulfonate(EMS)mutants of the barley landrace“Hatiexi”.A candidate gene-based association analysis was conducted using a panel of 363 barley accessions to identify superior haplotypes for HvGL7-2H.The analysis revealed that Hap3 represented the superior haplotype for both grain length and TGW,while Hap4 emerged as the superior haplotype for TGW.These findings indicate that genotypes carrying the superior allele serve as valuable genetic resources,and the molecular markers identified herein will facilitate grain size and yield improvement in barley breeding programs.展开更多
Objective:Strabismus is associated with a higher prevalence of idiopathic thoracic scoliosis(ITS)in children.This study aims to investigate whether superior oblique palsy(SOP)poses a higher risk for developing ITS amo...Objective:Strabismus is associated with a higher prevalence of idiopathic thoracic scoliosis(ITS)in children.This study aims to investigate whether superior oblique palsy(SOP)poses a higher risk for developing ITS among children and adolescents.Methods:A cross-sectional study.The study group comprised 347 consecutive candidates for SOP surgery aged 4 to 18 years;Patients within the same age range with ocular trauma were enrolled as the control group.Preoperative chest plain radiographs were used to measure the Cobb angle.Demographic information and clinical data,including diopter,best corrected visual acuity,deviation degree,and binocular function,were analyzed.Results:A significantly higher prevalence of ITS was found in study group compared with control group(12.68%vs 4.18%,P<0.001).Additionally,the mean Cobb angle was lagger in SOP group than that in control group(5.02°±3.87°vs 3.84°±3.09°,P<0.001).Males in SOP group showed a higher prevalence of ITS(12.9%vs 2.87%,P=0.007),but there was no significant difference in females between two groups(12.3%vs 7.69%,P=0.295).Good near stereopsis acuity was significantly associated with high prevalence of thoracic scoliosis(P<0.001).Multivariate logistic regression analysis revealed that a large distant magnitude of deviation(>20 PD)and near stereoacuity were significantly associated with ITS.Conclusions:Patients with SOP have a significantly higher risk of developing idiopathic thoracic scoliosis,especially those with good near stereoscopic and large distant magnitude of deviation.展开更多
Dear Editor,Brown syndrome is an ocular motility disorder characterized by restriction of elevation in adduction combined with a positive forced duction test and minimal or no superior oblique(SO)overaction[1].Other f...Dear Editor,Brown syndrome is an ocular motility disorder characterized by restriction of elevation in adduction combined with a positive forced duction test and minimal or no superior oblique(SO)overaction[1].Other features include V-pattern horizontal deviation and palpebral fissure widening while adduction[1].展开更多
Persistent left superior vena cava(PLSVC)is a rare congenital anomaly that may complicate cardiac procedures when associated with a dilated coronary sinus(CS)and conduction disturbances.We report the case of a 27-year...Persistent left superior vena cava(PLSVC)is a rare congenital anomaly that may complicate cardiac procedures when associated with a dilated coronary sinus(CS)and conduction disturbances.We report the case of a 27-year-old male with Wilson’s disease who presented with complete heart block.Echocardiography showed biatrial enlargement and severe CS dilation,while contrast-enhanced computed tomography(CT)confirmed PLSVC draining into the CS without a bridging vein.Anatomical constraints prevented cardiac resynchronization therapy,and dual-chamber pacemaker implantation proved technically challenging due to lead placement difficulties.This case highlights the importance of thorough preoperative assessment and individualized pacing strategies in patients with PLSVC,in order to anticipate anatomical challenges and optimize outcomes.展开更多
AIM:To determine whether the levator palpebrae superioris(LPS)/superior rectus(SR)muscle complex,can influence the position of the upper lid and fornix in acquired anophthalmic sockets.METHODS:This comparative non-ran...AIM:To determine whether the levator palpebrae superioris(LPS)/superior rectus(SR)muscle complex,can influence the position of the upper lid and fornix in acquired anophthalmic sockets.METHODS:This comparative non-randomized and non-interventional study included retrospective data of 21 patients with unilateral acquired anophthalmic sockets repaired with spheric implants.High-resolution computed tomography(CT)measurements of the LPM/SR muscle complex and clinical topographic position of the upper lid,superior and inferior fornix depth in primary gaze position were evaluated.Demographic data were presented as frequency and percentage proportions and quantitative variables comparing the socket measurements with the normal contralateral orbit was statistically analyzed using non-parametric tests considering P<0.05.RESULTS:The anophthalmic orbits had a significantly shorter LPS length(P=0.01)and significantly thicker SR(P=0.02)than the normal orbit.Lagophthalmos was present in anophthalmic sockets but not in normal orbits(P=0.002),while levator function was normal in both(P>0.05,all comparisons).The superior fornix depth was similar in the anophthalmic socket and the contralateral normal orbit(P=0.192)as well the inferior fornix depth(P=0.351).CONCLUSION:Acquired anophthalmic sockets repaired with spheric implants have shorter LPS,thicker SR,and more lagophthalmos than normal orbits.The relationship of the LPS and SR with other orbital structures,associated with passive or active forces acting in the final position of the lids and external ocular prosthesis should be further investigated.展开更多
BACKGROUND Unroofed coronary sinus(UCS)is a rare subtype of atrial septal defect.It is frequently associated with a persistent left superior vena cava and is often part of a more intricate cardiac malformation.CASE SU...BACKGROUND Unroofed coronary sinus(UCS)is a rare subtype of atrial septal defect.It is frequently associated with a persistent left superior vena cava and is often part of a more intricate cardiac malformation.CASE SUMMARY This report describes a rare case of an adolescent patient with UCS featuring atrial situs solitus,absence of the right superior vena cava and a persistent left superior vena cava draining into the left atrium consistent with total unroofing of the coronary sinus.This was associated with concurrent severe mitral insufficiency secondary to redundant and prolapsing leaflets,and a substantial left-to-right shunt across the coronary sinus orifice.A comprehensive examination of the existing literature is included,shedding light on the diagnostic challenges of UCS and describing the available surgical options within the context of mitral valve surgery.CONCLUSION UCS is a complex condition requiring careful consideration of associated anomalies and a tailored surgical approach.展开更多
OBJECTIVE:To evaluate the efficacy and safety of Zhumian Tang formula granules(助眠汤配方颗粒)combined with eszopiclone for treating poor sleep quality.METHODS:This multi-center,dynamic blockrandomized,parallel-group ...OBJECTIVE:To evaluate the efficacy and safety of Zhumian Tang formula granules(助眠汤配方颗粒)combined with eszopiclone for treating poor sleep quality.METHODS:This multi-center,dynamic blockrandomized,parallel-group superiority clinical trial included 130 patients.The combined treatment group received Zhumian Tang formula granules combined with eszopiclone treatment,and the control group received eszopiclone treatment only.The group allocation ratio was 1∶1.The duration of treatment was 2 weeks.Participants were asked to complete questionnaires before treatment,after 1 week of the intervention,after 2 weeks of the intervention,and at the follow-up on week 3.The primary outcomes were the Pittsburgh Sleep Quality Index(PSQI)score and the total effective rate of treatment.The secondary outcome was the rate of adverse effects.RESULTS:Compared with the eszopiclone treatment group,the PSQI score of the combined treatment group was significantly lower after 2 weeks of the intervention(6.98 vs 8.26,P<0.05).However,there was no significant difference in the mean PSQI score after 1 week of the intervention(9.89 vs 9.15,P=0.124).After the follow-up on week 3,the PSQI score of the combined treatment group remained significantly lower than that of the eszopiclone treatment group(6.12 vs 8.31,P<0.001).The total effective rates of treatment of the combined group and the eszopiclone group were 36.92%vs 35.38%(Z=0.033,P=0.855)after 1 week of the intervention,83.08%vs 58.46%(Z=9.519,P<0.05)after 2 weeks of the intervention,and 83.08%vs 61.54%(Z=7.530,P<0.05)and after the follow-up on week 3,respectively.There was no significant difference in the overall rate of adverse reactions between the combined and eszopiclone treatment groups(21.53%vs 31.8%,P=0.318).CONCLUSION:The combination of Zhumian Tang formula granules with eszopiclone was found to be safe and more effective in improving sleep quality than eszopiclone alone.Traditional Chinese medicine can enhance the effectiveness of Western medicine in the treatment of insomnia.展开更多
Solid-state electrolytes with high oxidation stability are crucial for achieving high power density allsolid-state lithium batteries.Halide electrolytes are promising candidates due to their outstanding compatibility ...Solid-state electrolytes with high oxidation stability are crucial for achieving high power density allsolid-state lithium batteries.Halide electrolytes are promising candidates due to their outstanding compatibility with cathode materials and high Li^(+)conductivity.However,the electrochemical stability of chloride electrolytes is still limited,leaving them unsuitable for ultrahigh voltage operation.Besides,chemical compatibility issue between sulfide and halide electrolytes affects the electrochemical performance of all-solid-state batteries.Herein,Li-ion conductor Li_(3+x)InCl_(6-x)O_(x) is designed to address these challenges.Li_(3.25)InCl_(5.75)O_(0.25)shows a Li-ion conductivity of 0.90 mS cm^(-1)at room temperature,a high onset oxidation voltage of 3.84 V,fewer by-products at ultrahigh operation voltage,and good chemical compatibility with Li_(5.5)PS_(4.5)Cl_(1.5).The Li_(3.25)InCl_(5.75)O_(0.25)@LiNi_(0.7)Co_(0.1)Mn_(0.2)O_(2)-Li_(3.25)InCl_(5.75)O_(0.25)-VGCF/Li_(3.25)InCl_(5.75)O_(0.25)/Li_(5.5)PS_(4.5)Cl_(1.5)/Li-In battery delivers good electrochemical performances at high operating voltage.This work provides a simple,economical,and effective strategy for designing high-voltage all-solid-state electrolytes.展开更多
An analytic hierarchy process(AHP)was employed to assess the applicability of 18 new and superior varieties of flowers in Hefei City flower border applications.A total of 12 indicators were selected from three distinc...An analytic hierarchy process(AHP)was employed to assess the applicability of 18 new and superior varieties of flowers in Hefei City flower border applications.A total of 12 indicators were selected from three distinct aspects of adaptability,ornamental characteristics and use traits,in order to establish a comprehensive evaluation model.The results demonstrate that grade I(J≥2.685)exhibits excellent application value,encompassing six species of plants,such asHydrangeamacrophylla‘Endless Summer’;grade II(2.684≤J≤2.420)is also of notable application value,encompassing five species of plants,such asCallistemonrigidus;grade III(2.419≤J≤2.615)is of average application value,including five species of plants,such asCrocosmiacrocosmiflora;grade IV(J≤2.16)is of relatively poor application value.The evaluation results may be utilized as a theoretical reference for the promotion of new and superior varieties in the flower border of Hefei.展开更多
Objective To explore surgical treatment strategies for thymic tumors invading the superior vena cava(SVC).Methods Fifty-seven patients were identified to have undergone surgery at our institution for thymic tumors inv...Objective To explore surgical treatment strategies for thymic tumors invading the superior vena cava(SVC).Methods Fifty-seven patients were identified to have undergone surgery at our institution for thymic tumors invading the SVC from January 2016 to June 2021.The tumors were classified based on the involvement of the SVC as follows:type I,only the left or right innominate vein involved,so the patient underwent resection only without revascularization(n=25);type II,less than 30%of the SVC circumference involved,so the patient underwent direct resection followed by repair of the SVC defect(n=2);and type III,more than 30%of the SVC circumference involved,so the patient underwent single conduit reconstruction between the innominate vein and right atrial appendage first followed by extended resection of the tumor and the invaded portion of the SVC(n=30).Results Complete resection was achieved in all patients.Most patients(54/57)had high-risk thymoma or thymic carcinoma.No serious complications occurred in patients with type I or type II tumors.Three of the 30 patients with type III tumors died,two required repeat surgery,one experienced a myasthenia gravis crisis,and one developed a surgical site infection.The median follow-up duration was 22 months.The 5-year progression-free survival and overall survival rates were 59.6%and 81.2%,respectively.Conclusion This typing method can be used to guide selection of the surgical strategy for a thymic tumor involving the SVC.A strategy of single-vessel reconstruction before extensive resection is appropriate for patients with a type III tumor.展开更多
Geological maps encode vast amounts of data about rock types,ages,chemistry,orogenic architecture and deep-time history or different tectonic units,yet these are often difficult to extract because of the way different...Geological maps encode vast amounts of data about rock types,ages,chemistry,orogenic architecture and deep-time history or different tectonic units,yet these are often difficult to extract because of the way different geologists portray their results at various scales.To understand orogenesis in 4D,it is essential to uniformly integrate map data,together with geophysical data and deep geochemical mapping(Wang et al.,2023).展开更多
Developing advanced battery-type materials with abundant active sites,high conductivity,versatile morphologies,and hierarchically porous structures is crucial for realizing high-quality hybrid supercapacitors.Herein,h...Developing advanced battery-type materials with abundant active sites,high conductivity,versatile morphologies,and hierarchically porous structures is crucial for realizing high-quality hybrid supercapacitors.Herein,heterogeneous FeS@NiS is synthesized by cationic Co doping via surface-structure engineering.The density functional theory(DFT)theoretical calculations are firstly performed to predict the advantages of Co dopant by improving the OH^(−)adsorption properties and adjusting electronic structure,benefiting ions/electron transfer.The dynamic surface evolution is further explored which demonstrates that CoFeS@CoNiS could be quickly reconstructed to Ni(Co)Fe_(2)O_(4)during the charging process,while the unstable structure of the amorphous Ni(Co)Fe_(2)O_(4)results in partial conversion to Ni/Co/FeOOH at high potentials,which contributes to the more reactive active site and good structural stability.Thus,the free-standing electrode reveals excellent electrochemical performance with a superior capacity(335.6 mA h g^(−1),2684 F g^(−1))at 3 A g^(−1).Furthermore,the as-fabricated device shows a quality energy density of 78.1 W h kg^(−1)at a power density of 750 W kg^(−1)and excellent cycle life of 92.1%capacitance retention after 5000 cycles.This work offers a facile strategy to construct versatile morphological structures using electrochemical activation and holds promising applications in energy-related fields.展开更多
Naturally optimized successful synovial joints with lightweight,high load-carrying,ultra-low friction and wear have attracted tribological communities to constantly imitate and replicate.Despite impressive advances in...Naturally optimized successful synovial joints with lightweight,high load-carrying,ultra-low friction and wear have attracted tribological communities to constantly imitate and replicate.Despite impressive advances in cartilage lubrication,extending such extraordinary performance advantages to macroscale solid lubrication remains a challenge.Herein,inspired by the fascinating interplay of synovial joints,a novel kind of trans-scale hierarchical structured ceramic-based composite was developed.Intro-ducing microscale Ag microspheres(AgMs)“cartilage”layer and nanoscale Ag quantum dots/MXene(AgQDs/MXene)“synovial fluid”into the interior and exterior of printed macroscale SiOC“hard bone”realistically restores the gradient structure of synovial joint prototype.The resulted composite with ideal compressive strength(70.44 MPa)can achieve a 60.53%friction reduction and a low wear rate(2.05×10^(−6)mm 3 N^(−1)m^(−1))in dry tribo-contact for 3600 sliding cycles,while also maintaining considerable low friction(∼0.11)over 10,000 sliding cycles and long-term stable lubrication(∼0.13)for up to 50,000 re-ciprocating cycles.Such extraordinary performance can be explained by the division of macro contacts,full loading of AgMs and AgQDs/MXene,abrasive debris capture and removal,as well as the shear rolling effect induced by friction process.This work opens a new avenue to develop structural lubricating mate-rials for complex engineering applications.展开更多
文摘Persistent left superior vena cava(PLSVC)is a congenital anomaly where the left-sided vena cava,which usually regresses during fetal development,persists.Double superior vena cava resulting from a PLSVC is indeed a rare phenomenon.In the general population,the incidence of this condition is reported to be between 0.3%and 2.1%.[1]While this anatomical variation is often asymptomatic and discovered incidentally,it becomes relevant in certain clinical scenarios.Indeed,the presence of a PLSVC and double superior vena cava can pose challenges as incorrect positioning and result in failure.
文摘To the editor:The superior semicircular canal dehiscence was first described by Minor et all in 1998 as a condition in which the superior semicircular canal lacks a bony covering and has gained constantly increasing interest since its discovery.2 The symptoms are varied but specific what is known as Minor syndrome or‘third mobile window’syndrome,'as patients may experience autophony with abnormally loud sounds like footsteps,chewing,breathing,eye movement,echoing voice,distortion of environmental sounds and pulsatile tinnitus.
文摘BACKGROUND Four-dimensional(4D)flow magnetic resonance imaging(MRI)is used as a noninvasive modality for assessing hemodynamic information with neurovascular and body applications.The application of 4D flow MRI for assessment of bowel disease in children has not been previously described.AIM To determine feasibility of superior mesenteric venous and arterial flow quantitation in pediatric patients using 4D flow MRI.METHODS Nine pediatric patients(7-14 years old,5 male and 4 female)with history or suspicion of bowel pathology,who underwent magnetic resonance(MR)enterography with 4D flow MR protocol from November 2022 to October 2023.Field strength/sequence:3T MRI using 4D flow MR protocol.Flow velocity and peak speed measurements were performed by two diagnostic radiologists placing the region of interest in perpendicular plane to blood flow on each cross section of superior mesenteric artery(SMA)and superior mesenteric vein(SMV)at three predetermined levels.Bland-Altman analysis,showed good agreement of flow velocity and peak speed measurements of SMV and SMA between two readers.RESULTS Mean SMV flow velocity increased from proximal to mid to distal(0.14 L/minute,0.17 L/minute,0.22 L/minute respectively).Mean SMA flow velocity decreased from proximal to mid to distal(0.35 L/minute,0.27 L/minute,0.21 L/minute respectively).Observed agreement was good for flow velocity measurements of SMV(mean bias-0.01 L/minute and 95%limits of agreement,-0.09 to 0.08 L/minute)and SMA(mean bias-0.03 L/minute and 95%limits of agreement,-0.23 to 0.17 L/minute)between two readers.Good agreement for peak speed measurements of SMV(mean bias-1.2 cm/second and 95%limits of agreement,-9.4 to 7.0 cm/second)and SMA(mean bias-3.2 cm/second and 95%limits of agreement,-31.4 to 24.9 cm/second).CONCLUSION Flow quantitation using 4D Flow is feasible to provide hemodynamic information for SMV and SMA in children.
文摘BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic resections.Globally recognized superior mesenteric artery(SMA)first approaches are invariably performed.The mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this study.AIM To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment modalities.METHODS This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the Department of Gastrointestinal and General Surgery of Kathmandu Medical College and Teaching Hospital from January 1,2021 to February 28,2024.Intraop-erative findings and postoperative outcomes were analyzed.RESULTS In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach pancreatoduodenectomy.The mean age was 67.6 years with a male-to-female ratio of 4:5.CL was seen in four patients.With virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four patients.Two patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition requirement.The mean operative time was 330 minutes.Curative resection was achieved in 100%of the patients.The mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,respectively.CONCLUSION Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of CL.After complete curative resection,these were managed with total parenteral nutrition without adversely impacting outcome.
文摘BACKGROUND Sleeve fracture of the patella is an unusual fracture,almost unique to children.The majority of sleeve fractures involve the inferior patellar pole.However,sleeve fractures of the superior pole of the patella are extremely rare in adults.CASE SUMMARY An 18-year-old male patient fell while running in the morning.The patient had tenderness to palpation at the superior pole of the patella,with a palpable gap over the upper part of the patella in both knees.We applied two 4.5-mm suture anchors with the Krackow stitch to repair the sleeve fracture,augmented by autogenous gracilis through performing the figure-of-eight technique.The patient regained approximately the full range of motion of the knee joint without any quadriceps weakness and a normal gait 6 weeks after surgery.CONCLUSION Sleeve fractures of the superior pole of the patella are extremely rare in adults,especially bilateral sleeve fractures.Suture anchors,augmented by autogenous gracilis,provided secure fixation and achieved excellent results in this rare injury.
基金financially supported by the National Natural Science Foundation of China(Nos.52402271,22005167 and52302273)the Youth Innovation Team Project for Talent Introduction and Cultivation in Universities of Shandong Province(No.2024KJH129)+2 种基金the Taishan Scholar Project of Shandong Provinceof China(Nos.tsqn202211160,tsqn202312199)Shandong Provincial Natural Science Foundation of China(Nos.ZR2022QE003 and ZR2023QE176)China Postdoctoral Science Foundation(No.2023M741810)。
文摘Layered ammonium vanadate has become a promising cathode material for aqueous zinc ion batteries(ZIBs)due to its small mass and large ionic radius of ammonium ions as well as the consequent large layer spacing and high specific capacity.However,the irreversible de-ammoniation caused by N·H···O bonds damaged would impair cycle life of ZIBs and the strong electrostatic interaction between Zn^(2+)and V-O frame could slower the mobility of Zn^(2+).Furthermore,the thermal instability of ammonium vanadate also limits the use of common carbon coating modification method to solve the problem.Herein,V_(2)CT_(X)MXene was innovatively selected as a bifunctional source to in-situ derivatized(NH_(4))_(2)V_(8)O_(20)·x H_(2)O with amorphous carbon-coated(NHVO@C)via one-step hydrothermal method in relatively moderate temperature.The amorphous carbon shell derived from the V_(2)CT_(X)MXene as a conductive framework to effectively improve the diffusion kinetics of Zn^(2+)and the robust carbon skeleton could alleviate the ammonium dissolution during long-term cycling.As a result,zinc ion batteries using NHVO@C as cathode exhibit superior electrochemical performance.Moreover,the assembled foldable or high loading(10.2 mg/cm^(2))soft-packed ZIBs further demonstrates its practical application.This study provided new insights into the development of the carbon cladding process for thermally unstable materials in moderate temperatures.
基金supported by the National Natural Science Foundation of China(32471055 and 82171090)Shanghai Municipal Science and Technology Major Project(2018SHZDZX01)ZJLab,Shanghai Center for Brain Science and Brain-Inspired Technology,the Lingang Laboratory(LG-QS-202203-12).
文摘Throughout the lifespan,an animal can encounter predators frequently,thus the ability to avoid attacks from predators is crucial for its survival.The chances of evading danger can be greatly improved if the animal can respond immediately to the threat.Therefore,when an animal detects a threat through its visual system,it must quickly direct its gaze and attention toward the source of danger,assess the threat level,and take appropriate action.
基金financially supported by the National Natural Science Foundation of China(31771774)the National Key Research and Development Program of China(2018YFD1000700 and 2018YFD1000706)+1 种基金the Young Top-notch Talent Cultivation Program of Hubei Province,Hubei Hongshan Laboratory,Chinathe China Agriculture Research System of Ministry of Agriculture and Rural Affairs(CARS-05).
文摘Barley(Hordeum vulgare L.)ranks as the fourth most cultivated cereal crop globally by planting area.Kernel characteristics,including grain length,grain width,and thousand-grain weight(TGW),are essential determinants of barley yield and quality.The identification and cloning of genes related to kernel traits,along with the detection of superior alleles,are fundamental for marker-assisted selection in barley breeding.This study presents the cloning of HvGL7-2H from barley,based on the known rice GL7 gene.The functional significance of HvGL7-2H in grain length was confirmed through ethyl methane sulfonate(EMS)mutants of the barley landrace“Hatiexi”.A candidate gene-based association analysis was conducted using a panel of 363 barley accessions to identify superior haplotypes for HvGL7-2H.The analysis revealed that Hap3 represented the superior haplotype for both grain length and TGW,while Hap4 emerged as the superior haplotype for TGW.These findings indicate that genotypes carrying the superior allele serve as valuable genetic resources,and the molecular markers identified herein will facilitate grain size and yield improvement in barley breeding programs.
基金the National Natural Science Foundation of China grant NSFC(82070995).
文摘Objective:Strabismus is associated with a higher prevalence of idiopathic thoracic scoliosis(ITS)in children.This study aims to investigate whether superior oblique palsy(SOP)poses a higher risk for developing ITS among children and adolescents.Methods:A cross-sectional study.The study group comprised 347 consecutive candidates for SOP surgery aged 4 to 18 years;Patients within the same age range with ocular trauma were enrolled as the control group.Preoperative chest plain radiographs were used to measure the Cobb angle.Demographic information and clinical data,including diopter,best corrected visual acuity,deviation degree,and binocular function,were analyzed.Results:A significantly higher prevalence of ITS was found in study group compared with control group(12.68%vs 4.18%,P<0.001).Additionally,the mean Cobb angle was lagger in SOP group than that in control group(5.02°±3.87°vs 3.84°±3.09°,P<0.001).Males in SOP group showed a higher prevalence of ITS(12.9%vs 2.87%,P=0.007),but there was no significant difference in females between two groups(12.3%vs 7.69%,P=0.295).Good near stereopsis acuity was significantly associated with high prevalence of thoracic scoliosis(P<0.001).Multivariate logistic regression analysis revealed that a large distant magnitude of deviation(>20 PD)and near stereoacuity were significantly associated with ITS.Conclusions:Patients with SOP have a significantly higher risk of developing idiopathic thoracic scoliosis,especially those with good near stereoscopic and large distant magnitude of deviation.
文摘Dear Editor,Brown syndrome is an ocular motility disorder characterized by restriction of elevation in adduction combined with a positive forced duction test and minimal or no superior oblique(SO)overaction[1].Other features include V-pattern horizontal deviation and palpebral fissure widening while adduction[1].
文摘Persistent left superior vena cava(PLSVC)is a rare congenital anomaly that may complicate cardiac procedures when associated with a dilated coronary sinus(CS)and conduction disturbances.We report the case of a 27-year-old male with Wilson’s disease who presented with complete heart block.Echocardiography showed biatrial enlargement and severe CS dilation,while contrast-enhanced computed tomography(CT)confirmed PLSVC draining into the CS without a bridging vein.Anatomical constraints prevented cardiac resynchronization therapy,and dual-chamber pacemaker implantation proved technically challenging due to lead placement difficulties.This case highlights the importance of thorough preoperative assessment and individualized pacing strategies in patients with PLSVC,in order to anticipate anatomical challenges and optimize outcomes.
文摘AIM:To determine whether the levator palpebrae superioris(LPS)/superior rectus(SR)muscle complex,can influence the position of the upper lid and fornix in acquired anophthalmic sockets.METHODS:This comparative non-randomized and non-interventional study included retrospective data of 21 patients with unilateral acquired anophthalmic sockets repaired with spheric implants.High-resolution computed tomography(CT)measurements of the LPM/SR muscle complex and clinical topographic position of the upper lid,superior and inferior fornix depth in primary gaze position were evaluated.Demographic data were presented as frequency and percentage proportions and quantitative variables comparing the socket measurements with the normal contralateral orbit was statistically analyzed using non-parametric tests considering P<0.05.RESULTS:The anophthalmic orbits had a significantly shorter LPS length(P=0.01)and significantly thicker SR(P=0.02)than the normal orbit.Lagophthalmos was present in anophthalmic sockets but not in normal orbits(P=0.002),while levator function was normal in both(P>0.05,all comparisons).The superior fornix depth was similar in the anophthalmic socket and the contralateral normal orbit(P=0.192)as well the inferior fornix depth(P=0.351).CONCLUSION:Acquired anophthalmic sockets repaired with spheric implants have shorter LPS,thicker SR,and more lagophthalmos than normal orbits.The relationship of the LPS and SR with other orbital structures,associated with passive or active forces acting in the final position of the lids and external ocular prosthesis should be further investigated.
文摘BACKGROUND Unroofed coronary sinus(UCS)is a rare subtype of atrial septal defect.It is frequently associated with a persistent left superior vena cava and is often part of a more intricate cardiac malformation.CASE SUMMARY This report describes a rare case of an adolescent patient with UCS featuring atrial situs solitus,absence of the right superior vena cava and a persistent left superior vena cava draining into the left atrium consistent with total unroofing of the coronary sinus.This was associated with concurrent severe mitral insufficiency secondary to redundant and prolapsing leaflets,and a substantial left-to-right shunt across the coronary sinus orifice.A comprehensive examination of the existing literature is included,shedding light on the diagnostic challenges of UCS and describing the available surgical options within the context of mitral valve surgery.CONCLUSION UCS is a complex condition requiring careful consideration of associated anomalies and a tailored surgical approach.
基金Supported by Sichuan Province Central Guided Local Science and Technology Development Special Project:a Study of the Chinese and Western Medicine Clinical Consensus Program for People with Poor Sleep Quality(No.2021ZYD0109)Natural Science Foundation of Sichuan Province:Study on the Efficacy and Mechanism of Acupuncture in Treating Drug-dependent Insomnia from the Liver based on Multi-modal f MRI Technology(No.2022NSFSC0858)。
文摘OBJECTIVE:To evaluate the efficacy and safety of Zhumian Tang formula granules(助眠汤配方颗粒)combined with eszopiclone for treating poor sleep quality.METHODS:This multi-center,dynamic blockrandomized,parallel-group superiority clinical trial included 130 patients.The combined treatment group received Zhumian Tang formula granules combined with eszopiclone treatment,and the control group received eszopiclone treatment only.The group allocation ratio was 1∶1.The duration of treatment was 2 weeks.Participants were asked to complete questionnaires before treatment,after 1 week of the intervention,after 2 weeks of the intervention,and at the follow-up on week 3.The primary outcomes were the Pittsburgh Sleep Quality Index(PSQI)score and the total effective rate of treatment.The secondary outcome was the rate of adverse effects.RESULTS:Compared with the eszopiclone treatment group,the PSQI score of the combined treatment group was significantly lower after 2 weeks of the intervention(6.98 vs 8.26,P<0.05).However,there was no significant difference in the mean PSQI score after 1 week of the intervention(9.89 vs 9.15,P=0.124).After the follow-up on week 3,the PSQI score of the combined treatment group remained significantly lower than that of the eszopiclone treatment group(6.12 vs 8.31,P<0.001).The total effective rates of treatment of the combined group and the eszopiclone group were 36.92%vs 35.38%(Z=0.033,P=0.855)after 1 week of the intervention,83.08%vs 58.46%(Z=9.519,P<0.05)after 2 weeks of the intervention,and 83.08%vs 61.54%(Z=7.530,P<0.05)and after the follow-up on week 3,respectively.There was no significant difference in the overall rate of adverse reactions between the combined and eszopiclone treatment groups(21.53%vs 31.8%,P=0.318).CONCLUSION:The combination of Zhumian Tang formula granules with eszopiclone was found to be safe and more effective in improving sleep quality than eszopiclone alone.Traditional Chinese medicine can enhance the effectiveness of Western medicine in the treatment of insomnia.
基金supported by the National Key Research and Development Program of China(2021YFB2500200)the National Natural Science Foundation of China(52177214,52222703)for supporting our workJiangsu Funding Program for Excellent Postdoctoral Talent for the support。
文摘Solid-state electrolytes with high oxidation stability are crucial for achieving high power density allsolid-state lithium batteries.Halide electrolytes are promising candidates due to their outstanding compatibility with cathode materials and high Li^(+)conductivity.However,the electrochemical stability of chloride electrolytes is still limited,leaving them unsuitable for ultrahigh voltage operation.Besides,chemical compatibility issue between sulfide and halide electrolytes affects the electrochemical performance of all-solid-state batteries.Herein,Li-ion conductor Li_(3+x)InCl_(6-x)O_(x) is designed to address these challenges.Li_(3.25)InCl_(5.75)O_(0.25)shows a Li-ion conductivity of 0.90 mS cm^(-1)at room temperature,a high onset oxidation voltage of 3.84 V,fewer by-products at ultrahigh operation voltage,and good chemical compatibility with Li_(5.5)PS_(4.5)Cl_(1.5).The Li_(3.25)InCl_(5.75)O_(0.25)@LiNi_(0.7)Co_(0.1)Mn_(0.2)O_(2)-Li_(3.25)InCl_(5.75)O_(0.25)-VGCF/Li_(3.25)InCl_(5.75)O_(0.25)/Li_(5.5)PS_(4.5)Cl_(1.5)/Li-In battery delivers good electrochemical performances at high operating voltage.This work provides a simple,economical,and effective strategy for designing high-voltage all-solid-state electrolytes.
基金by Undergraduate Innovation and Entrepreneurship Training Program of Anhui Province(S202312216042)Natural Science Key Research Project of Colleges and Universities in Anhui Province(2023AH051816)General Teaching Research Project of Anhui Province(2022jyxm665).
文摘An analytic hierarchy process(AHP)was employed to assess the applicability of 18 new and superior varieties of flowers in Hefei City flower border applications.A total of 12 indicators were selected from three distinct aspects of adaptability,ornamental characteristics and use traits,in order to establish a comprehensive evaluation model.The results demonstrate that grade I(J≥2.685)exhibits excellent application value,encompassing six species of plants,such asHydrangeamacrophylla‘Endless Summer’;grade II(2.684≤J≤2.420)is also of notable application value,encompassing five species of plants,such asCallistemonrigidus;grade III(2.419≤J≤2.615)is of average application value,including five species of plants,such asCrocosmiacrocosmiflora;grade IV(J≤2.16)is of relatively poor application value.The evaluation results may be utilized as a theoretical reference for the promotion of new and superior varieties in the flower border of Hefei.
文摘Objective To explore surgical treatment strategies for thymic tumors invading the superior vena cava(SVC).Methods Fifty-seven patients were identified to have undergone surgery at our institution for thymic tumors invading the SVC from January 2016 to June 2021.The tumors were classified based on the involvement of the SVC as follows:type I,only the left or right innominate vein involved,so the patient underwent resection only without revascularization(n=25);type II,less than 30%of the SVC circumference involved,so the patient underwent direct resection followed by repair of the SVC defect(n=2);and type III,more than 30%of the SVC circumference involved,so the patient underwent single conduit reconstruction between the innominate vein and right atrial appendage first followed by extended resection of the tumor and the invaded portion of the SVC(n=30).Results Complete resection was achieved in all patients.Most patients(54/57)had high-risk thymoma or thymic carcinoma.No serious complications occurred in patients with type I or type II tumors.Three of the 30 patients with type III tumors died,two required repeat surgery,one experienced a myasthenia gravis crisis,and one developed a surgical site infection.The median follow-up duration was 22 months.The 5-year progression-free survival and overall survival rates were 59.6%and 81.2%,respectively.Conclusion This typing method can be used to guide selection of the surgical strategy for a thymic tumor involving the SVC.A strategy of single-vessel reconstruction before extensive resection is appropriate for patients with a type III tumor.
基金supported by the National Natural Science Foundation of China(Grant Nos.41888101,41890834,91755213)the Most Special Fund(MSFGPMR02-3)from the State Key Laboratory of Geological Processes and Mineral Resources,China University of Geosciences,Wuhana contribution to the IUGS International Lithosphere Program(2023-TF1)“Formation,Character,History and Behavior of Earth’s Oldest Lithospheres”。
文摘Geological maps encode vast amounts of data about rock types,ages,chemistry,orogenic architecture and deep-time history or different tectonic units,yet these are often difficult to extract because of the way different geologists portray their results at various scales.To understand orogenesis in 4D,it is essential to uniformly integrate map data,together with geophysical data and deep geochemical mapping(Wang et al.,2023).
基金financial support from the Chang Jiang Scholars Program (51073047)the National Natural Science Foundation of China (51773049)+5 种基金the China Aerospace Science and Technology Corporation-Harbin Institute of Technology Joint Center for Technology Innovation Fund (HIT15-1A01)the Harbin City Science and Technology Projects (2013DB4BP031 and RC2014QN017035)the Natural Science Foundation of Shandong Province of China (ZR2023QE071)the College Students’ Innovation and Entrepreneurship Training Program Projects of Shandong Province (S202211065048)the Scientific Research Foundation of Qingdao University (DC1900009425)the China Postdoctoral Science Foundation (2022TQ0282)
文摘Developing advanced battery-type materials with abundant active sites,high conductivity,versatile morphologies,and hierarchically porous structures is crucial for realizing high-quality hybrid supercapacitors.Herein,heterogeneous FeS@NiS is synthesized by cationic Co doping via surface-structure engineering.The density functional theory(DFT)theoretical calculations are firstly performed to predict the advantages of Co dopant by improving the OH^(−)adsorption properties and adjusting electronic structure,benefiting ions/electron transfer.The dynamic surface evolution is further explored which demonstrates that CoFeS@CoNiS could be quickly reconstructed to Ni(Co)Fe_(2)O_(4)during the charging process,while the unstable structure of the amorphous Ni(Co)Fe_(2)O_(4)results in partial conversion to Ni/Co/FeOOH at high potentials,which contributes to the more reactive active site and good structural stability.Thus,the free-standing electrode reveals excellent electrochemical performance with a superior capacity(335.6 mA h g^(−1),2684 F g^(−1))at 3 A g^(−1).Furthermore,the as-fabricated device shows a quality energy density of 78.1 W h kg^(−1)at a power density of 750 W kg^(−1)and excellent cycle life of 92.1%capacitance retention after 5000 cycles.This work offers a facile strategy to construct versatile morphological structures using electrochemical activation and holds promising applications in energy-related fields.
基金supported by the National Key R&D Program of China(No.2021YFB3701500)the National Natural Science Founda-tion of China(No.52072306)+2 种基金the National Defense Basic Scientific Research Program of China(No.JCKYS2019607001)the Fundamen-tal Research Funds for the Central Universities(Nos.3102019PJ008 and 3102018JCC002)the National Program for Support of Top-notch Young Professionals(No.W02070161).
文摘Naturally optimized successful synovial joints with lightweight,high load-carrying,ultra-low friction and wear have attracted tribological communities to constantly imitate and replicate.Despite impressive advances in cartilage lubrication,extending such extraordinary performance advantages to macroscale solid lubrication remains a challenge.Herein,inspired by the fascinating interplay of synovial joints,a novel kind of trans-scale hierarchical structured ceramic-based composite was developed.Intro-ducing microscale Ag microspheres(AgMs)“cartilage”layer and nanoscale Ag quantum dots/MXene(AgQDs/MXene)“synovial fluid”into the interior and exterior of printed macroscale SiOC“hard bone”realistically restores the gradient structure of synovial joint prototype.The resulted composite with ideal compressive strength(70.44 MPa)can achieve a 60.53%friction reduction and a low wear rate(2.05×10^(−6)mm 3 N^(−1)m^(−1))in dry tribo-contact for 3600 sliding cycles,while also maintaining considerable low friction(∼0.11)over 10,000 sliding cycles and long-term stable lubrication(∼0.13)for up to 50,000 re-ciprocating cycles.Such extraordinary performance can be explained by the division of macro contacts,full loading of AgMs and AgQDs/MXene,abrasive debris capture and removal,as well as the shear rolling effect induced by friction process.This work opens a new avenue to develop structural lubricating mate-rials for complex engineering applications.
