In the past 6 years, significant breakthroughs have been achieved in the treatment of heart failure(HF), especially in drug therapy. The classification of chronic HF and the treatment methods for HF and its complicati...In the past 6 years, significant breakthroughs have been achieved in the treatment of heart failure(HF), especially in drug therapy. The classification of chronic HF and the treatment methods for HF and its complications are also constantly being updated. In order to apply these results to the diagnosis and treatment of patients with HF in China and further improve the level of diagnosis and treatment of HF in China, the HF Group of Chinese Society of Cardiology, Chinese Medical Association, Chinese College of Cardiovascular Physician, Chinese HF Association of Chinese Medical Doctor Association, and Editorial Board of Chinese Journal of Cardiology have organized an expert group and update the consensus and evidence-based treatment methods in the field of HF based on the latest clinical research findings at home and abroad, combined with the national conditions and clinical practice in China, and referring to the latest foreign HF guidelines while maintaining the basic framework of the 2018 Chinese Guidelines for Diagnosis and Treatment of HF.展开更多
Cotton,a crucial commercial fibre crop,depends heavily on seed-associated characteristics like germination rate,vigour,and resistance to post-harvest deterioration for both production and lint quality.Serious cellular...Cotton,a crucial commercial fibre crop,depends heavily on seed-associated characteristics like germination rate,vigour,and resistance to post-harvest deterioration for both production and lint quality.Serious cellular damage dur-ing post-harvest processes such as delinting,prolonged seedling emergence periods,decreased viability,increased susceptibility to infections,and lipid peroxidation during storage pose serious problems to seed quality.The perfor-mance of seeds and total crop productivity are adversely affected by these problems.Traditional methods of seed improvement,like physical scarification and seed priming,have demonstrated promise in raising cotton seed vigour and germination rates.Furthermore,modern approaches including plasma therapies,magnetic water treatments,and nanotechnology-based treatments have shown promise in improving seed quality and reducing environmen-tal stresses.By offering sustainable substitutes for conventional approaches,these cutting-edge procedures lessen the need for fungicides and other agrochemicals that pollute the environment.This review explores various con-ventional and emerging strategies to address the detrimental factors impacting cotton seed quality.It emphasizes the importance of integrating classical and advanced approaches to enhance germination,ensure robust crop estab-lishment,and achieve higher yields.In addition to promoting sustainable cotton production,this kind of integration helps preserve the ecosystem and create resilient farming methods.展开更多
Discharge from sewage treatment plants can deteriorate river water quality due to improper management or insufficient levels of treatment.To address these challenges,constructed wetland systems(CWSs)have been widely u...Discharge from sewage treatment plants can deteriorate river water quality due to improper management or insufficient levels of treatment.To address these challenges,constructed wetland systems(CWSs)have been widely used as a sustainable and effective solution for wastewater management.This study provides an overview of the conceptual design for a CWS to treat the discharge from the Papan Regional Sewage Treatment Plant(RSTP).The design influent for the CWS was determined,and the proposed sizing was based on simulation results to achieve the targeted concentrations consistent with Water Quality Index(WQI)Class II.The MUSIC-X software was used in this study to simulate pollutant removal performance,hydraulic behavior,and effluent quality under various flow conditions.The model was set up using site-specific inflow parameters,targeted effluent concentrations,and wetland configuration inputs,including surface area,depth,vegetation zones,and retention times.This study introduces an innovative approach by adopting the paddy field concept as the geometrical design of a multi-cell CWS,covering a total surface area of 1,250,000m^(2)and divided into two sections(Wetland 1 and Wetland 2),with different planting plots separated by a gabion wall.The innovation lies in reimagining abandoned mining ponds as functional wetland zones,while using a paddy field-inspired grid layout to enhance hydraulic control,pollutant removal,and land efficiency.This approach transforms degraded land into an eco-engineered,cost-effective,and scalable wastewater treatment system-a novel model for tropical developing regions.展开更多
Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and...Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and treatment efficiencies,presenting new clinical challenges.Therefore,a comprehensive and systematic description of the key clinical aspects of clear aligner treatment is essential to enhance treatment efficacy and facilitate the advancement and wide adoption of this new technique.This expert consensus discusses case selection and grading of treatment difficulty,principle of clear aligner therapy,clinical procedures and potential complications,which are crucial to the clinical success of clear aligner treatment.展开更多
Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality worldwide,necessitating innovative treatment strategies.Surgical resection and liver transplantation continue to be the gold standards f...Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality worldwide,necessitating innovative treatment strategies.Surgical resection and liver transplantation continue to be the gold standards for early-stage HCC;however,advances in imaging and minimally invasive techniques have improved patient selection and outcomes.Additionally,the emergence of targeted therapies and immunotherapy has transformed the treatment landscape for advanced HCC.This review highlights the efficacy of agents such as tyrosine kinase inhibitors,alongside emerging options like immune checkpoint inhibitors,which have shown promise in clinical trials.Furthermore,the role of locoregional therapies,including ablation in the setting of combined treatment,transar-terial chemoembolization and transarterial radioembolization with flow catheters,cone-beam computed tomo-graphy and 4D navigation guidance,is examined in the context of bridging therapies for patients awaiting surgical intervention.The integration of multidisciplinary care approaches and personalized treatment plans is crucial for optimizing outcomes.Future directions for HCC treatment are discussed,including the potential of novel biomarkers in prognosis and treatment response.This comprehensive overview aims to equip clinicians with the latest insights and foster collaborative efforts to improve HCC patient management and survival rates.展开更多
The prevalence of Class Ⅲ malocclusion varies among different countries and regions. The populations from Southeast Asian countries (Chinese and Malaysian) showed the highest prevalence rate of 15.8%, which can serio...The prevalence of Class Ⅲ malocclusion varies among different countries and regions. The populations from Southeast Asian countries (Chinese and Malaysian) showed the highest prevalence rate of 15.8%, which can seriously affect oral function, facial appearance, and mental health. As anterior crossbite tends to worsen with growth, early orthodontic treatment can harness growth potential to normalize maxillofacial development or reduce skeletal malformation severity, thereby reducing the difficulty and shortening the treatment cycle of later-stage treatment. This is beneficial for the physical and mental growth of children. Therefore,early orthodontic treatment for Class Ⅲ malocclusion is particularly important. Determining the optimal timing for early orthodontic treatment requires a comprehensive assessment of clinical manifestations, dental age, and skeletal age, and can lead to better results with less effort. Currently, standardized treatment guidelines for early orthodontic treatment of Class Ⅲ malocclusion are lacking. This review provides a comprehensive summary of the etiology, clinical manifestations, classification, and early orthodontic techniques for Class Ⅲ malocclusion, along with systematic discussions on selecting early treatment plans. The purpose of this expert consensus is to standardize clinical practices and improve the treatment outcomes of Class Ⅲ malocclusion through early orthodontic treatment.展开更多
BACKGROUND Hook of hamate fractures occur either due to repetitive stress from gripping sports(e.g.,golf,tennis,and baseball),leading to fatigue fracture,or as a result of trauma from falls or other injuries.The recom...BACKGROUND Hook of hamate fractures occur either due to repetitive stress from gripping sports(e.g.,golf,tennis,and baseball),leading to fatigue fracture,or as a result of trauma from falls or other injuries.The recommended treatment involves the excision of bone fragments to facilitate athletes’early return to sports;excision surgery is also performed in trauma cases.However,some patients prefer nonsurgical treatment options,and conservative treatment should be considered.AIM To present a case series of 16 patients conservatively treated for hook of hamate fractures.METHODS This study included 16(11 males and 5 females;right side,6 cases;left side,10)patients who desired conservative treatment and could be followed-up until bone union was achieved.The average age of the patients was 49.6(range:24-72)years.The average time from injury to consultation was 4.3(range:0.2-21.4)weeks.The treatment involved 4 weeks of casting from the forearm to the metacarpophalangeal joint,followed by 8 weeks of splint fixation of the wrist.Follow-up computed tomography scans were performed every 4 weeks.RESULTS Bone union was achieved in all patients.The average duration of casting was 3.7(range:0-5)weeks and that of splint fixation thereafter was 8.6(range:0-28)weeks.The patients did not exhibit joint contractures or range of motion restrictions due to prolonged immobilization.CONCLUSION Conservative treatment with external fixation may be an option for hook of hamate fractures.展开更多
The pronounced anisotropy in mechanical properties presents a major obstacle to the extensive application of aluminum-lithium(Al-Li)alloys,primarily attributed to heterogeneous precipitate distribution,grain structure...The pronounced anisotropy in mechanical properties presents a major obstacle to the extensive application of aluminum-lithium(Al-Li)alloys,primarily attributed to heterogeneous precipitate distribution,grain structure variations,and crystallographic texture.This study investigates the impact of pre-thermal treatment prior to hot rolling and aging treatment on the anisotropy of mechanical properties of 2195 alloy sheet fabricated by gas atomization,hot pressing and hot rolling.The results demonstrate that pre-treatment at 450℃for 4 h promotes finer and more uniform distribution of precipitates,effectively mitigating mechanical anisotropy of the alloy sheet.Additionally,this treatment facilitates recrystallization during hot rolling,further reducing mechanical anisotropy.The in-plane anisotropy(IPA)factors for ultimate tensile strength(UTS)and yield strength(YS)are 1.15%and 0.77%,respectively.Subsequent aging treatment enhances grain refinement and the uniformity of the T_(1) phase,suppresses the formation of precipitation-free zones(PFZs),significantly improving the strength and toughness of the alloy sheet.After peak aging at 165℃for 48 h,the alloy sheet exhibits YS of 547 MPa,UTS of 590 MPa,and elongation(EL)of 7.7%.展开更多
The abundance of microplastics(MPs)in wastewater from three wastewater treatment plants(WWTPs)were determined in Hangzhou,Zhejiang Province,China.The MPs abundance was 140-350 particles per litre in the influent and 1...The abundance of microplastics(MPs)in wastewater from three wastewater treatment plants(WWTPs)were determined in Hangzhou,Zhejiang Province,China.The MPs abundance was 140-350 particles per litre in the influent and 10-30 particles per litre in the effluent.Four shapes of MPs in the influent were observed,while mainly only debris was left in the effluent.The percentage of small(<100μm),medium(100-500μm),and large-sized(≥500μm)plastics in the raw leachate of the three WWTPs were 54.3%,8.6%,and 37.1%,28.6%,64.3%,and 7.1%,and 41.4%,24.1%,and 34.5%,respectively.Mainly only the size of≤100μm was left in the effluent of all.The removal efficiencies of MPs in a range of 78.6%to 96.6%were achieved.Polypropylene,polystyrene,polyethylene,polyethylene terephthalate and polyvinyl chloride were the main types and detected in all wastewater samples,accounting for over 75%of all types.The plastic components contained in different industrial wastewater were more complex.The distribution of MPs was significantly positively correlated with most conventional indicators such as chemical oxygen demead,ammonia nitrogen,and total phosphorus,but not with heavy metals.Similar wastewater,different treatment processes,or similar processes but different wastewater(industrial wastewater proportion varied)could all lead to differences in MPs removal.The MPs abundance measured in this experiment was similar to some previous studies,but relatively high.The three WWTPs can discharge up to 6.0×10^(-8)-1.8×10^(-9) plastics of MPs per day,which poses potential ecological risks.This study indicates that the source control of MPs and optimizing the process design of existing WWTPs are crucial for preventing and controlling MPs pollution.展开更多
Colorectal cancer(CRC)is the third most prevalent malignancy worldwide and the second leading cause of cancer-related mortality.Its global incidence increases annually,with most patients diagnosed at advanced stages.D...Colorectal cancer(CRC)is the third most prevalent malignancy worldwide and the second leading cause of cancer-related mortality.Its global incidence increases annually,with most patients diagnosed at advanced stages.Despite substantial advancements in chemotherapy,radiotherapy,immune therapy,and targeted therapy,surgical treatment remains the mainstay for CRC management.Particularly,surgery is most effective for managing early-stage and locally advanced cancers.CRC surgery has evolved from conventional subtractive surgery to modern minimally invasive and precision-based techniques.Additionally,CRC treatment strategies have expanded from a single surgical therapy to a multimodal integrated system encompassing endoscopic therapy,perioperative therapy,molecular targeted therapy,and immunotherapy.This review elucidates the evolution of CRC surgical treatment,describing its transition from early palliative surgery to radical surgery,and,finally,to functional surgery,minimally invasive surgical techniques,and personalized treatment.It reflects the transformation in CRC treatment from simplistic to complex,from generalized to precise,and from singular to comprehensive techniques,providing a holistic perspective on advancements in CRC surgical treatment.展开更多
To advance the precise regulation and high-value utilization of halloysite nanotubes(HNTs),this work systematically investigated five treatment strategies,including calcination,acid treatment,alkali treatment,acid tre...To advance the precise regulation and high-value utilization of halloysite nanotubes(HNTs),this work systematically investigated five treatment strategies,including calcination,acid treatment,alkali treatment,acid treatment of calcined HNTs,and alkali treatment of calcined HNTs,to modulate their structural and application properties.The structural characteristics,surface properties,and methylene blue(MB)adsorption capacity of HNTs under multiple treatments were systematically analyzed.Calcination at varying temperatures modified the crystal structure,morphology,and surface properties of HNTs,with higher calcination temperatures reducing their reactivity towards MB.Moderate acid treatment expanded the lumen and decreased the surface potential of HNTs,significantly enhancing MB adsorption capacity.In contrast,alkali treatment dispersed the multilayered walls of HNTs and raised surface potential,reducing MB affinity.Acid treatment of calcined HNTs effectively increased their specific surface areas by leaching most of Al while maintaining the tubular structure,thereby maximizing MB adsorption.Alkali treatment of calcined HNTs destroyed the tubular structure and resulted in poor MB adsorption.HNTs pre-calcined at 600℃ for 3 h and acid-treated at 60℃ for 8 h exhibited an optimal specific surface area of443 m^(2)·g^(-1)and an MB adsorption capacity of 190 mg·g^(-1).Kinetic and Arrhenius equation fittings indicated that chemical reactions control interactions of acids and alkalis with HNTs.This study provides a comprehensive comparison and analysis of five treatment methods,offering insights into regulating the structures and surface properties of HNTs by controlling the treatment condition,thereby laying a foundation for their efficient utilization in practical applications.展开更多
Pulmonary embolism(PE)represents the third leading cause of cardiovascular death,despite the implementation of European Society of Cardiology guidelines,the establishment of PE response teams and advances in diagnosis...Pulmonary embolism(PE)represents the third leading cause of cardiovascular death,despite the implementation of European Society of Cardiology guidelines,the establishment of PE response teams and advances in diagnosis and treatment modalities.Unfavorable prognosis may be attributed to the increasing incidence of the disease and pitfalls in risk stratification using the established risk stratification tools that fail to recognize patients with intermediate-high risk PE at normotensive shock in order to prevent further deterioration.In this light,research has been focused to identify novel risk stratification tools,based on the hemodynamic impact of PE on right ventricular function.Furthermore,a growing body of evidence has demonstrated that novel interventional treatments for PE,including catheter directed thrombolysis,mechanical thrombectomy and computer-assisted aspiration,are promising solutions in terms of efficacy and safety,when targeted at specific populations of the intermediate-high-and high-risk spectrum.Various therapeutic protocols have been suggested worldwide,regarding the indications and proper timing for interventional strategies.A STelevation myocardial infarction-like timing approach has been suggested in highrisk PE with contraindications for fibrinolysis,while optimal timing of the procedure in intermediate-high risk patients is still a matter of debate;however,early interventions,within 24-48 hours of presentation,are associated with more favorable outcomes.展开更多
An estimated 3%-4%of people are living with the hepatitis B virus(HBV),and without treatment,the risk of developing cirrhosis and hepatocellular cancer(HCC)is an omnipresent threat.Prevention of HCC is a major challen...An estimated 3%-4%of people are living with the hepatitis B virus(HBV),and without treatment,the risk of developing cirrhosis and hepatocellular cancer(HCC)is an omnipresent threat.Prevention of HCC is a major challenge,as the association between viral suppression and HCC risk reduction is multifactorial,involving the progressive depletion of hepatocytes through covalently closed circular DNA integration,as well as the prevention of liver fibrosis and cirrhosis.Despite effective and cheap antiviral treatment capable of suppressing HBV replication and thereby cirrhosis and HCC,the current indications for therapy need revision and more research to expand the gamut and treat more infected people.In this review,we discuss the possible expansion of antiviral treatment in chronic hepatitis B to prevent cirrhosis and,importantly,HCC.展开更多
Diabetic foot(DF)has emerged as one of the most common chronic consequences of diabetes mellitus,characterized by prolonged disease duration,high treatment costs,a poor prognosis,and a high disability rate.Diabetic hi...Diabetic foot(DF)has emerged as one of the most common chronic consequences of diabetes mellitus,characterized by prolonged disease duration,high treatment costs,a poor prognosis,and a high disability rate.Diabetic high-risk foot is the early stage of diabetic foot,the“disease prevention”of“treating no disease”,which provides a critical window for clinical prevention and treatment.Traditional Chinese medicine(TCM)has emphasized the importance of preventive health care since ancient times.External therapies such as acupuncture,massage,acupoint injection,foot bath fumigation,and moxibustion have the advantages of simplicity,low cost,precise efficacy,and fewer side effects in preventing and treating diabetic high-risk foot.The multidisciplinary synergistic model formed by TCM complementary therapies and modern medical treatments,such as nutritional,peripheral nerve,and blood glucose regulation,provides new ideas for establishing standardized prevention and treatment protocols.In this paper,studies related to TCM-related complementary therapies for diabetic high-risk feet are systematically reviewed.Current advances in external application in TCM were described to better understand its effectiveness and safety in elderly patients.展开更多
Alcohol use has contributed to large disease burdens,and alcohol-related problems are prevalent among patients in general hospitals and primary care settings.This review aims to deepen the understanding of screening,i...Alcohol use has contributed to large disease burdens,and alcohol-related problems are prevalent among patients in general hospitals and primary care settings.This review aims to deepen the understanding of screening,intervention,and treatment referral for alcohol-related problems in these settings.We searched the literature published in English from PubMed,ScienceDirect,and the World Health Organization website.We found that while a series of screening tools can be used,screening rates were low.The awareness of screening should be strengthened.Brief interventions and pharmacotherapy are the two main methods used in general hospitals and primary care settings,with complementary and alternative medicine considered under the framework of integrative medicine.Individuals with severe alcohol-related problems or alcohol use disorders should be referred to specialty treatment for alcohol abuse,but referral is sometimes ignored.A gap exists between general hospitals/primary care facilities and specialized alcohol-related treatment providers.In conclusion,screening,intervention,and referral to treatment comprise a continuum for patients with alcohol-related problems.Opportunities to prevent and manage these problems in general hospitals and primary care settings are abundant,and taking action will promote the addressing of this public health issue.展开更多
In order to mitigate the harm of alumina,calcium aluminate,and magnesium aluminum spinel inclusions on the fatigue performance of bearing steel,the effect of Ce-Mg composite treatment on the cleanliness of silicon-kil...In order to mitigate the harm of alumina,calcium aluminate,and magnesium aluminum spinel inclusions on the fatigue performance of bearing steel,the effect of Ce-Mg composite treatment on the cleanliness of silicon-killed GCr15 bearing steel and the evolution of Ce-Mg-Mn-O-S composite inclusions during heat treatment of the steels at 1523 K were investigated in this present work.The results indicate that the cleanliness of S2 with 0.0045 wt%Ce and 0.0016 wt%Mg is better than that in S1 with0.0020 wt%Ce and 0.0011 wt%Mg,which is attributed to the more effective removal of Ce-Mg-Mn-O-S composite inclusions,with help of good aggregation capacity of Ce-containing inclusions and small volume density of Mg-containing inclusions,due to the increase of rare earth and magnesium content.The aspect ratio and area fraction of the Ce-Mg-Mn-O-S composite inclusions in as-cast steel decrease significantly with isothermal treatment at 1523 K for 150 min,due to the effect of(ⅰ)Ostwald aging mechanism of inclusions and(ⅱ)sulfide solid solution during isothermal treatment.With the increase of isothermal treatment time from 150 to 550 min,the aspect ratio and area fraction of the inclusions in SO(untreated steel)and S1 decrease slightly,because spheroidization and solid solution of inclusions reach their basic equilibrium at 1523 K.However,the aspect ratio and area fraction of the Ce-Mg-Mn-O-S composite inclusions in S2 actually increase,and the inclusions evolve into three-phase(two-phase)inclusions,which is attributed to(ⅲ)transformation of phase compositions in inclusions and interfacial reaction between inclusions and steel matrix during isothermal heating.Therefore,the control of inclusions in silicon-killed bearing steel with Ce and Mg composite treatment should be combined with specific heat treatment processes and appropriate rare earth and magnesium contents,to minimize the damage of inclusions on the fatigue performance of bearing steel products.展开更多
Epilepsy is a severe,relapsing,and multifactorial neurological disorder.Studies regarding the accurate diagnosis,prognosis,and in-depth pathogenesis are crucial for the precise and effective treatment of epilepsy.The ...Epilepsy is a severe,relapsing,and multifactorial neurological disorder.Studies regarding the accurate diagnosis,prognosis,and in-depth pathogenesis are crucial for the precise and effective treatment of epilepsy.The pathogenesis of epilepsy is complex and involves alterations in variables such as gene expression,protein expression,ion channel activity,energy metabolites,and gut microbiota composition.Satisfactory results are lacking for conventional treatments for epilepsy.Surgical resection of lesions,drug therapy,and non-drug interventions are mainly used in clinical practice to treat pain associated with epilepsy.Non-pharmacological treatments,such as a ketogenic diet,gene therapy for nerve regeneration,and neural regulation,are currently areas of research focus.This review provides a comprehensive overview of the pathogenesis,diagnostic methods,and treatments of epilepsy.It also elaborates on the theoretical basis,treatment modes,and effects of invasive nerve stimulation in neurotherapy,including percutaneous vagus nerve stimulation,deep brain electrical stimulation,repetitive nerve electrical stimulation,in addition to non-invasive transcranial magnetic stimulation and transcranial direct current stimulation.Numerous studies have shown that electromagnetic stimulation-mediated neuromodulation therapy can markedly improve neurological function and reduce the frequency of epileptic seizures.Additionally,many new technologies for the diagnosis and treatment of epilepsy are being explored.However,current research is mainly focused on analyzing patients’clinical manifestations and exploring relevant diagnostic and treatment methods to study the pathogenesis at a molecular level,which has led to a lack of consensus regarding the mechanisms related to the disease.展开更多
BACKGROUND There is a lack of clinical evidence on the efficacy and safety of transitioning from a thrice-daily pre-mixed insulin or basal-prandial regimen to insulin degludec/aspart(IDegAsp)therapy,with insufficient ...BACKGROUND There is a lack of clinical evidence on the efficacy and safety of transitioning from a thrice-daily pre-mixed insulin or basal-prandial regimen to insulin degludec/aspart(IDegAsp)therapy,with insufficient data from the Chinese population.AIM To demonstrate the efficacy,safety,and treatment satisfaction associated with the transition to IDegAsp in type 2 diabetes mellitus(T2DM).METHODS In this 12-week open-label,non-randomized,single-center,pilot study,patients with T2DM receiving thrice-daily insulin or intensive insulin treatment were transitioned to twice-daily injections of insulin IDegAsp.Insulin doses,hemoglobin A1c(HbA1c)levels,fasting blood glucose(FBG),hypoglycemic events,a Diabetes Treatment Satisfaction Questionnaire,and other parameters were assessed at baseline and 12-weeks.RESULTS This study included 21 participants.A marked enhancement was observed in the FBG level(P=0.02),daily total insulin dose(P=0.03),and overall diabetes treatment satisfaction(P<0.01)in the participants who switched to IDegAsp.There was a decrease in HbA1c levels(7.6±1.1 vs 7.4±0.9,P=0.31)and the frequency of hypoglycemic events of those who switched to IDegAsp decreased,however,there was no statistically significant difference.CONCLUSION The present findings suggest that treatment with IDegAsp enhances clinical outcomes,particularly FBG levels,daily cumulative insulin dose,and overall satisfaction with diabetes treatment.展开更多
BACKGROUND There are few clinicopathologic characteristics and clinical results for oesophageal gastrointestinal stromal tumours(GISTs).Thus,the objective of this study was to identify the clinicopathologic characteri...BACKGROUND There are few clinicopathologic characteristics and clinical results for oesophageal gastrointestinal stromal tumours(GISTs).Thus,the objective of this study was to identify the clinicopathologic characteristics and clinical results of oesophageal GISTs.AIM To investigate endoscopic treatment effective of oesophageal GISTs.METHODS It was retrospective research that collected 32 patients with oesophageal GISTs treated by endoscopic resection(ER)between January 2012 and January 2023 in two Hospital.Clinicopathologic,endoscopic records,and follow-up data were collected and analysed.RESULTS Thirty-one patients underwent en bloc resection and 24(75.0%)lesions underwent R0 resection.The size of GISTs was 2.12±1.88 cm.The overall complication rate was 25.0%,including hydrothorax and post-endoscopic submucosal dissection electrocoagulation syndrome.The mean mitotic index was 3.34±5.04(median,1.50;range,1.00-4.00).Eighteen(56.3%),6(18.8%),2(6.3%),and 6(18.8%)patients were identified as very low,low,intermediate,and high risk,respectively.Three patients developed recurrence after a median follow-up of 64.69±33.13 months.The 5-year overall survival rate was 100%,and the disease-free survival rate was 90.6%.CONCLUSION ER is safe and effective for patients with low-risk oesophageal GISTs.Early detection of oesophageal GISTs is essential to achieve a favourable prognosis.展开更多
INTRODUCTION.Depressive disorders are mental illnesses that seriously affect public health.There are approximately 320 million patients with depression worldwide,accounting for 4.4% of the total disease burden.1Depres...INTRODUCTION.Depressive disorders are mental illnesses that seriously affect public health.There are approximately 320 million patients with depression worldwide,accounting for 4.4% of the total disease burden.1Depression leads to social and occupational impairment,diminished quality of life and an elevated risk of death by suicide.展开更多
基金National High Level Hospital Clinical Research Funding(2022-PUMCH-B-098)CAMS Innovation Fund for Medical Sciences (2021-I2M-1-003)。
文摘In the past 6 years, significant breakthroughs have been achieved in the treatment of heart failure(HF), especially in drug therapy. The classification of chronic HF and the treatment methods for HF and its complications are also constantly being updated. In order to apply these results to the diagnosis and treatment of patients with HF in China and further improve the level of diagnosis and treatment of HF in China, the HF Group of Chinese Society of Cardiology, Chinese Medical Association, Chinese College of Cardiovascular Physician, Chinese HF Association of Chinese Medical Doctor Association, and Editorial Board of Chinese Journal of Cardiology have organized an expert group and update the consensus and evidence-based treatment methods in the field of HF based on the latest clinical research findings at home and abroad, combined with the national conditions and clinical practice in China, and referring to the latest foreign HF guidelines while maintaining the basic framework of the 2018 Chinese Guidelines for Diagnosis and Treatment of HF.
基金the Indian Council of Agriculture Research-National Agriculture Higher Education Program(No.A4/003026/2023)to carry out this work during the international faculty training program at Nanyang Technological University,Singapore,under the Institution Development Plan.
文摘Cotton,a crucial commercial fibre crop,depends heavily on seed-associated characteristics like germination rate,vigour,and resistance to post-harvest deterioration for both production and lint quality.Serious cellular damage dur-ing post-harvest processes such as delinting,prolonged seedling emergence periods,decreased viability,increased susceptibility to infections,and lipid peroxidation during storage pose serious problems to seed quality.The perfor-mance of seeds and total crop productivity are adversely affected by these problems.Traditional methods of seed improvement,like physical scarification and seed priming,have demonstrated promise in raising cotton seed vigour and germination rates.Furthermore,modern approaches including plasma therapies,magnetic water treatments,and nanotechnology-based treatments have shown promise in improving seed quality and reducing environmen-tal stresses.By offering sustainable substitutes for conventional approaches,these cutting-edge procedures lessen the need for fungicides and other agrochemicals that pollute the environment.This review explores various con-ventional and emerging strategies to address the detrimental factors impacting cotton seed quality.It emphasizes the importance of integrating classical and advanced approaches to enhance germination,ensure robust crop estab-lishment,and achieve higher yields.In addition to promoting sustainable cotton production,this kind of integration helps preserve the ecosystem and create resilient farming methods.
基金Higher Institution Centre of Excellence Program(HICoE),Grant/Award Number:A305-LRAKH001-0004403901-0000。
文摘Discharge from sewage treatment plants can deteriorate river water quality due to improper management or insufficient levels of treatment.To address these challenges,constructed wetland systems(CWSs)have been widely used as a sustainable and effective solution for wastewater management.This study provides an overview of the conceptual design for a CWS to treat the discharge from the Papan Regional Sewage Treatment Plant(RSTP).The design influent for the CWS was determined,and the proposed sizing was based on simulation results to achieve the targeted concentrations consistent with Water Quality Index(WQI)Class II.The MUSIC-X software was used in this study to simulate pollutant removal performance,hydraulic behavior,and effluent quality under various flow conditions.The model was set up using site-specific inflow parameters,targeted effluent concentrations,and wetland configuration inputs,including surface area,depth,vegetation zones,and retention times.This study introduces an innovative approach by adopting the paddy field concept as the geometrical design of a multi-cell CWS,covering a total surface area of 1,250,000m^(2)and divided into two sections(Wetland 1 and Wetland 2),with different planting plots separated by a gabion wall.The innovation lies in reimagining abandoned mining ponds as functional wetland zones,while using a paddy field-inspired grid layout to enhance hydraulic control,pollutant removal,and land efficiency.This approach transforms degraded land into an eco-engineered,cost-effective,and scalable wastewater treatment system-a novel model for tropical developing regions.
文摘Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and treatment efficiencies,presenting new clinical challenges.Therefore,a comprehensive and systematic description of the key clinical aspects of clear aligner treatment is essential to enhance treatment efficacy and facilitate the advancement and wide adoption of this new technique.This expert consensus discusses case selection and grading of treatment difficulty,principle of clear aligner therapy,clinical procedures and potential complications,which are crucial to the clinical success of clear aligner treatment.
文摘Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality worldwide,necessitating innovative treatment strategies.Surgical resection and liver transplantation continue to be the gold standards for early-stage HCC;however,advances in imaging and minimally invasive techniques have improved patient selection and outcomes.Additionally,the emergence of targeted therapies and immunotherapy has transformed the treatment landscape for advanced HCC.This review highlights the efficacy of agents such as tyrosine kinase inhibitors,alongside emerging options like immune checkpoint inhibitors,which have shown promise in clinical trials.Furthermore,the role of locoregional therapies,including ablation in the setting of combined treatment,transar-terial chemoembolization and transarterial radioembolization with flow catheters,cone-beam computed tomo-graphy and 4D navigation guidance,is examined in the context of bridging therapies for patients awaiting surgical intervention.The integration of multidisciplinary care approaches and personalized treatment plans is crucial for optimizing outcomes.Future directions for HCC treatment are discussed,including the potential of novel biomarkers in prognosis and treatment response.This comprehensive overview aims to equip clinicians with the latest insights and foster collaborative efforts to improve HCC patient management and survival rates.
文摘The prevalence of Class Ⅲ malocclusion varies among different countries and regions. The populations from Southeast Asian countries (Chinese and Malaysian) showed the highest prevalence rate of 15.8%, which can seriously affect oral function, facial appearance, and mental health. As anterior crossbite tends to worsen with growth, early orthodontic treatment can harness growth potential to normalize maxillofacial development or reduce skeletal malformation severity, thereby reducing the difficulty and shortening the treatment cycle of later-stage treatment. This is beneficial for the physical and mental growth of children. Therefore,early orthodontic treatment for Class Ⅲ malocclusion is particularly important. Determining the optimal timing for early orthodontic treatment requires a comprehensive assessment of clinical manifestations, dental age, and skeletal age, and can lead to better results with less effort. Currently, standardized treatment guidelines for early orthodontic treatment of Class Ⅲ malocclusion are lacking. This review provides a comprehensive summary of the etiology, clinical manifestations, classification, and early orthodontic techniques for Class Ⅲ malocclusion, along with systematic discussions on selecting early treatment plans. The purpose of this expert consensus is to standardize clinical practices and improve the treatment outcomes of Class Ⅲ malocclusion through early orthodontic treatment.
文摘BACKGROUND Hook of hamate fractures occur either due to repetitive stress from gripping sports(e.g.,golf,tennis,and baseball),leading to fatigue fracture,or as a result of trauma from falls or other injuries.The recommended treatment involves the excision of bone fragments to facilitate athletes’early return to sports;excision surgery is also performed in trauma cases.However,some patients prefer nonsurgical treatment options,and conservative treatment should be considered.AIM To present a case series of 16 patients conservatively treated for hook of hamate fractures.METHODS This study included 16(11 males and 5 females;right side,6 cases;left side,10)patients who desired conservative treatment and could be followed-up until bone union was achieved.The average age of the patients was 49.6(range:24-72)years.The average time from injury to consultation was 4.3(range:0.2-21.4)weeks.The treatment involved 4 weeks of casting from the forearm to the metacarpophalangeal joint,followed by 8 weeks of splint fixation of the wrist.Follow-up computed tomography scans were performed every 4 weeks.RESULTS Bone union was achieved in all patients.The average duration of casting was 3.7(range:0-5)weeks and that of splint fixation thereafter was 8.6(range:0-28)weeks.The patients did not exhibit joint contractures or range of motion restrictions due to prolonged immobilization.CONCLUSION Conservative treatment with external fixation may be an option for hook of hamate fractures.
基金Project(52274369)supported by the National Natural Science Foundation of ChinaProject(623020034)supported by the National Key Laboratory of Science and Technology on High-strength Structural Materials,China。
文摘The pronounced anisotropy in mechanical properties presents a major obstacle to the extensive application of aluminum-lithium(Al-Li)alloys,primarily attributed to heterogeneous precipitate distribution,grain structure variations,and crystallographic texture.This study investigates the impact of pre-thermal treatment prior to hot rolling and aging treatment on the anisotropy of mechanical properties of 2195 alloy sheet fabricated by gas atomization,hot pressing and hot rolling.The results demonstrate that pre-treatment at 450℃for 4 h promotes finer and more uniform distribution of precipitates,effectively mitigating mechanical anisotropy of the alloy sheet.Additionally,this treatment facilitates recrystallization during hot rolling,further reducing mechanical anisotropy.The in-plane anisotropy(IPA)factors for ultimate tensile strength(UTS)and yield strength(YS)are 1.15%and 0.77%,respectively.Subsequent aging treatment enhances grain refinement and the uniformity of the T_(1) phase,suppresses the formation of precipitation-free zones(PFZs),significantly improving the strength and toughness of the alloy sheet.After peak aging at 165℃for 48 h,the alloy sheet exhibits YS of 547 MPa,UTS of 590 MPa,and elongation(EL)of 7.7%.
基金funded by the National Natural Science Foundation of China(42477406,51878617)the horizontal scientific research project(KYY-HX-20220803)the Engineering Research Center of Ministry of Education for Renewable Energy Infrastructure Construction Technology。
文摘The abundance of microplastics(MPs)in wastewater from three wastewater treatment plants(WWTPs)were determined in Hangzhou,Zhejiang Province,China.The MPs abundance was 140-350 particles per litre in the influent and 10-30 particles per litre in the effluent.Four shapes of MPs in the influent were observed,while mainly only debris was left in the effluent.The percentage of small(<100μm),medium(100-500μm),and large-sized(≥500μm)plastics in the raw leachate of the three WWTPs were 54.3%,8.6%,and 37.1%,28.6%,64.3%,and 7.1%,and 41.4%,24.1%,and 34.5%,respectively.Mainly only the size of≤100μm was left in the effluent of all.The removal efficiencies of MPs in a range of 78.6%to 96.6%were achieved.Polypropylene,polystyrene,polyethylene,polyethylene terephthalate and polyvinyl chloride were the main types and detected in all wastewater samples,accounting for over 75%of all types.The plastic components contained in different industrial wastewater were more complex.The distribution of MPs was significantly positively correlated with most conventional indicators such as chemical oxygen demead,ammonia nitrogen,and total phosphorus,but not with heavy metals.Similar wastewater,different treatment processes,or similar processes but different wastewater(industrial wastewater proportion varied)could all lead to differences in MPs removal.The MPs abundance measured in this experiment was similar to some previous studies,but relatively high.The three WWTPs can discharge up to 6.0×10^(-8)-1.8×10^(-9) plastics of MPs per day,which poses potential ecological risks.This study indicates that the source control of MPs and optimizing the process design of existing WWTPs are crucial for preventing and controlling MPs pollution.
基金Supported by Postgraduate Practice Innovation Program of Jiangsu Province,No.KYCX23_3621.
文摘Colorectal cancer(CRC)is the third most prevalent malignancy worldwide and the second leading cause of cancer-related mortality.Its global incidence increases annually,with most patients diagnosed at advanced stages.Despite substantial advancements in chemotherapy,radiotherapy,immune therapy,and targeted therapy,surgical treatment remains the mainstay for CRC management.Particularly,surgery is most effective for managing early-stage and locally advanced cancers.CRC surgery has evolved from conventional subtractive surgery to modern minimally invasive and precision-based techniques.Additionally,CRC treatment strategies have expanded from a single surgical therapy to a multimodal integrated system encompassing endoscopic therapy,perioperative therapy,molecular targeted therapy,and immunotherapy.This review elucidates the evolution of CRC surgical treatment,describing its transition from early palliative surgery to radical surgery,and,finally,to functional surgery,minimally invasive surgical techniques,and personalized treatment.It reflects the transformation in CRC treatment from simplistic to complex,from generalized to precise,and from singular to comprehensive techniques,providing a holistic perspective on advancements in CRC surgical treatment.
基金Tural Science Foundation of China(No.52274255)the Young Scientists Fund of the National Natural ScienceFoundation of China(No.52404276)+3 种基金Fundamental Re-search Funds for the Central Universities,China(Nos.N2301003,N2201008,N2201004,and N2301025)Liaon-ingRevitalizationTalentsProgram,China(No.XLYC2202028)Postdoctoral Foundation of NortheasternUniversity,Young Elite Scientists Sponsorship Program byChina Association for Science and Technology(No.2022QNRC001)and China Postdoctoral Science Founda-tion(No.2022M720025)。
文摘To advance the precise regulation and high-value utilization of halloysite nanotubes(HNTs),this work systematically investigated five treatment strategies,including calcination,acid treatment,alkali treatment,acid treatment of calcined HNTs,and alkali treatment of calcined HNTs,to modulate their structural and application properties.The structural characteristics,surface properties,and methylene blue(MB)adsorption capacity of HNTs under multiple treatments were systematically analyzed.Calcination at varying temperatures modified the crystal structure,morphology,and surface properties of HNTs,with higher calcination temperatures reducing their reactivity towards MB.Moderate acid treatment expanded the lumen and decreased the surface potential of HNTs,significantly enhancing MB adsorption capacity.In contrast,alkali treatment dispersed the multilayered walls of HNTs and raised surface potential,reducing MB affinity.Acid treatment of calcined HNTs effectively increased their specific surface areas by leaching most of Al while maintaining the tubular structure,thereby maximizing MB adsorption.Alkali treatment of calcined HNTs destroyed the tubular structure and resulted in poor MB adsorption.HNTs pre-calcined at 600℃ for 3 h and acid-treated at 60℃ for 8 h exhibited an optimal specific surface area of443 m^(2)·g^(-1)and an MB adsorption capacity of 190 mg·g^(-1).Kinetic and Arrhenius equation fittings indicated that chemical reactions control interactions of acids and alkalis with HNTs.This study provides a comprehensive comparison and analysis of five treatment methods,offering insights into regulating the structures and surface properties of HNTs by controlling the treatment condition,thereby laying a foundation for their efficient utilization in practical applications.
文摘Pulmonary embolism(PE)represents the third leading cause of cardiovascular death,despite the implementation of European Society of Cardiology guidelines,the establishment of PE response teams and advances in diagnosis and treatment modalities.Unfavorable prognosis may be attributed to the increasing incidence of the disease and pitfalls in risk stratification using the established risk stratification tools that fail to recognize patients with intermediate-high risk PE at normotensive shock in order to prevent further deterioration.In this light,research has been focused to identify novel risk stratification tools,based on the hemodynamic impact of PE on right ventricular function.Furthermore,a growing body of evidence has demonstrated that novel interventional treatments for PE,including catheter directed thrombolysis,mechanical thrombectomy and computer-assisted aspiration,are promising solutions in terms of efficacy and safety,when targeted at specific populations of the intermediate-high-and high-risk spectrum.Various therapeutic protocols have been suggested worldwide,regarding the indications and proper timing for interventional strategies.A STelevation myocardial infarction-like timing approach has been suggested in highrisk PE with contraindications for fibrinolysis,while optimal timing of the procedure in intermediate-high risk patients is still a matter of debate;however,early interventions,within 24-48 hours of presentation,are associated with more favorable outcomes.
文摘An estimated 3%-4%of people are living with the hepatitis B virus(HBV),and without treatment,the risk of developing cirrhosis and hepatocellular cancer(HCC)is an omnipresent threat.Prevention of HCC is a major challenge,as the association between viral suppression and HCC risk reduction is multifactorial,involving the progressive depletion of hepatocytes through covalently closed circular DNA integration,as well as the prevention of liver fibrosis and cirrhosis.Despite effective and cheap antiviral treatment capable of suppressing HBV replication and thereby cirrhosis and HCC,the current indications for therapy need revision and more research to expand the gamut and treat more infected people.In this review,we discuss the possible expansion of antiviral treatment in chronic hepatitis B to prevent cirrhosis and,importantly,HCC.
文摘Diabetic foot(DF)has emerged as one of the most common chronic consequences of diabetes mellitus,characterized by prolonged disease duration,high treatment costs,a poor prognosis,and a high disability rate.Diabetic high-risk foot is the early stage of diabetic foot,the“disease prevention”of“treating no disease”,which provides a critical window for clinical prevention and treatment.Traditional Chinese medicine(TCM)has emphasized the importance of preventive health care since ancient times.External therapies such as acupuncture,massage,acupoint injection,foot bath fumigation,and moxibustion have the advantages of simplicity,low cost,precise efficacy,and fewer side effects in preventing and treating diabetic high-risk foot.The multidisciplinary synergistic model formed by TCM complementary therapies and modern medical treatments,such as nutritional,peripheral nerve,and blood glucose regulation,provides new ideas for establishing standardized prevention and treatment protocols.In this paper,studies related to TCM-related complementary therapies for diabetic high-risk feet are systematically reviewed.Current advances in external application in TCM were described to better understand its effectiveness and safety in elderly patients.
基金Supported by Shandong Province Medical and Health Technology Development Plan Project,No.202203090753.
文摘Alcohol use has contributed to large disease burdens,and alcohol-related problems are prevalent among patients in general hospitals and primary care settings.This review aims to deepen the understanding of screening,intervention,and treatment referral for alcohol-related problems in these settings.We searched the literature published in English from PubMed,ScienceDirect,and the World Health Organization website.We found that while a series of screening tools can be used,screening rates were low.The awareness of screening should be strengthened.Brief interventions and pharmacotherapy are the two main methods used in general hospitals and primary care settings,with complementary and alternative medicine considered under the framework of integrative medicine.Individuals with severe alcohol-related problems or alcohol use disorders should be referred to specialty treatment for alcohol abuse,but referral is sometimes ignored.A gap exists between general hospitals/primary care facilities and specialized alcohol-related treatment providers.In conclusion,screening,intervention,and referral to treatment comprise a continuum for patients with alcohol-related problems.Opportunities to prevent and manage these problems in general hospitals and primary care settings are abundant,and taking action will promote the addressing of this public health issue.
基金Project supported by the National Natural Science Foundation of China(52174323,52231003)。
文摘In order to mitigate the harm of alumina,calcium aluminate,and magnesium aluminum spinel inclusions on the fatigue performance of bearing steel,the effect of Ce-Mg composite treatment on the cleanliness of silicon-killed GCr15 bearing steel and the evolution of Ce-Mg-Mn-O-S composite inclusions during heat treatment of the steels at 1523 K were investigated in this present work.The results indicate that the cleanliness of S2 with 0.0045 wt%Ce and 0.0016 wt%Mg is better than that in S1 with0.0020 wt%Ce and 0.0011 wt%Mg,which is attributed to the more effective removal of Ce-Mg-Mn-O-S composite inclusions,with help of good aggregation capacity of Ce-containing inclusions and small volume density of Mg-containing inclusions,due to the increase of rare earth and magnesium content.The aspect ratio and area fraction of the Ce-Mg-Mn-O-S composite inclusions in as-cast steel decrease significantly with isothermal treatment at 1523 K for 150 min,due to the effect of(ⅰ)Ostwald aging mechanism of inclusions and(ⅱ)sulfide solid solution during isothermal treatment.With the increase of isothermal treatment time from 150 to 550 min,the aspect ratio and area fraction of the inclusions in SO(untreated steel)and S1 decrease slightly,because spheroidization and solid solution of inclusions reach their basic equilibrium at 1523 K.However,the aspect ratio and area fraction of the Ce-Mg-Mn-O-S composite inclusions in S2 actually increase,and the inclusions evolve into three-phase(two-phase)inclusions,which is attributed to(ⅲ)transformation of phase compositions in inclusions and interfacial reaction between inclusions and steel matrix during isothermal heating.Therefore,the control of inclusions in silicon-killed bearing steel with Ce and Mg composite treatment should be combined with specific heat treatment processes and appropriate rare earth and magnesium contents,to minimize the damage of inclusions on the fatigue performance of bearing steel products.
基金supported by the National Natural Science Foundation of China,No.32130060(to XG).
文摘Epilepsy is a severe,relapsing,and multifactorial neurological disorder.Studies regarding the accurate diagnosis,prognosis,and in-depth pathogenesis are crucial for the precise and effective treatment of epilepsy.The pathogenesis of epilepsy is complex and involves alterations in variables such as gene expression,protein expression,ion channel activity,energy metabolites,and gut microbiota composition.Satisfactory results are lacking for conventional treatments for epilepsy.Surgical resection of lesions,drug therapy,and non-drug interventions are mainly used in clinical practice to treat pain associated with epilepsy.Non-pharmacological treatments,such as a ketogenic diet,gene therapy for nerve regeneration,and neural regulation,are currently areas of research focus.This review provides a comprehensive overview of the pathogenesis,diagnostic methods,and treatments of epilepsy.It also elaborates on the theoretical basis,treatment modes,and effects of invasive nerve stimulation in neurotherapy,including percutaneous vagus nerve stimulation,deep brain electrical stimulation,repetitive nerve electrical stimulation,in addition to non-invasive transcranial magnetic stimulation and transcranial direct current stimulation.Numerous studies have shown that electromagnetic stimulation-mediated neuromodulation therapy can markedly improve neurological function and reduce the frequency of epileptic seizures.Additionally,many new technologies for the diagnosis and treatment of epilepsy are being explored.However,current research is mainly focused on analyzing patients’clinical manifestations and exploring relevant diagnostic and treatment methods to study the pathogenesis at a molecular level,which has led to a lack of consensus regarding the mechanisms related to the disease.
基金Supported by CAMS Innovation Fund for Medical Sciences,No.2023-I2M-C&T-B-043National High Level Hospital Clinical Research Funding,No.2022-PUMCH-B-015+1 种基金CAMS Innovation Fund for Medical Sciences,No.2021-1-12M-002Beijing Municipal Natural Science Foundation,No.M22014.
文摘BACKGROUND There is a lack of clinical evidence on the efficacy and safety of transitioning from a thrice-daily pre-mixed insulin or basal-prandial regimen to insulin degludec/aspart(IDegAsp)therapy,with insufficient data from the Chinese population.AIM To demonstrate the efficacy,safety,and treatment satisfaction associated with the transition to IDegAsp in type 2 diabetes mellitus(T2DM).METHODS In this 12-week open-label,non-randomized,single-center,pilot study,patients with T2DM receiving thrice-daily insulin or intensive insulin treatment were transitioned to twice-daily injections of insulin IDegAsp.Insulin doses,hemoglobin A1c(HbA1c)levels,fasting blood glucose(FBG),hypoglycemic events,a Diabetes Treatment Satisfaction Questionnaire,and other parameters were assessed at baseline and 12-weeks.RESULTS This study included 21 participants.A marked enhancement was observed in the FBG level(P=0.02),daily total insulin dose(P=0.03),and overall diabetes treatment satisfaction(P<0.01)in the participants who switched to IDegAsp.There was a decrease in HbA1c levels(7.6±1.1 vs 7.4±0.9,P=0.31)and the frequency of hypoglycemic events of those who switched to IDegAsp decreased,however,there was no statistically significant difference.CONCLUSION The present findings suggest that treatment with IDegAsp enhances clinical outcomes,particularly FBG levels,daily cumulative insulin dose,and overall satisfaction with diabetes treatment.
基金Supported by National Natural Science Foundation of China,No.82002515,No.82273025 and No.82203460China Postdoctoral Science Foundation,No.2022TQ0070 and No.2022M710759Shanghai Municipal Commission of Science and Technology,No.22JC1403003,No.22XD1402200,No.19140901902 and No.22S31903800.
文摘BACKGROUND There are few clinicopathologic characteristics and clinical results for oesophageal gastrointestinal stromal tumours(GISTs).Thus,the objective of this study was to identify the clinicopathologic characteristics and clinical results of oesophageal GISTs.AIM To investigate endoscopic treatment effective of oesophageal GISTs.METHODS It was retrospective research that collected 32 patients with oesophageal GISTs treated by endoscopic resection(ER)between January 2012 and January 2023 in two Hospital.Clinicopathologic,endoscopic records,and follow-up data were collected and analysed.RESULTS Thirty-one patients underwent en bloc resection and 24(75.0%)lesions underwent R0 resection.The size of GISTs was 2.12±1.88 cm.The overall complication rate was 25.0%,including hydrothorax and post-endoscopic submucosal dissection electrocoagulation syndrome.The mean mitotic index was 3.34±5.04(median,1.50;range,1.00-4.00).Eighteen(56.3%),6(18.8%),2(6.3%),and 6(18.8%)patients were identified as very low,low,intermediate,and high risk,respectively.Three patients developed recurrence after a median follow-up of 64.69±33.13 months.The 5-year overall survival rate was 100%,and the disease-free survival rate was 90.6%.CONCLUSION ER is safe and effective for patients with low-risk oesophageal GISTs.Early detection of oesophageal GISTs is essential to achieve a favourable prognosis.
基金funded by the Construction Project of the"Flagship"Department of Chinese and Western Medicine Coordination(LiuL/2024-221)the 2024 Medical Service and Security Capacity Improvement Project(National Clinical Key Specialty Construction)(LiuL/Huwei Medical/2024-65)+5 种基金the Shanghai Traditional Chinese Medicine Standardization Project(LiuL/No.2023JSP03)the Shanghai Key Discipline Construction Project of Traditional Chinese Medicine(Clinical)(LiuL/2024-No.3)the Shanghai Technical Standardization Management and Promotion Project(LiuL/No.SHDC22023212)the Shanghai Municipal Health Commission Traditional Chinese Medicine Research Project(2022)(LiuL/No.2022Cx004)Clinical research project of Shanghai Health Commission-Youth Project(LW/No.20214Y0056)Shanghai Institute of Traditional Chinese Medicine for Mental Health(LW/No.SZB2023201).
文摘INTRODUCTION.Depressive disorders are mental illnesses that seriously affect public health.There are approximately 320 million patients with depression worldwide,accounting for 4.4% of the total disease burden.1Depression leads to social and occupational impairment,diminished quality of life and an elevated risk of death by suicide.
