Russia on November 10 cleared the last major obstacle in its 18-year effort to join the World Trade Organization in what the head of the institution called a milestone for global trade. "It’s a victory for Russi...Russia on November 10 cleared the last major obstacle in its 18-year effort to join the World Trade Organization in what the head of the institution called a milestone for global trade. "It’s a victory for Russia, a victory for W.T.O. members, and a victory展开更多
The comprehensive pilot of China Telecom transformation was unveiled in Pudong of Shanghai a few days ago, which indicates comprehensive pilot projects starting formally. Huang WenLin, Vice President of China Telecom,...The comprehensive pilot of China Telecom transformation was unveiled in Pudong of Shanghai a few days ago, which indicates comprehensive pilot projects starting formally. Huang WenLin, Vice President of China Telecom, attends the unveiling ceremony and proposes four requirements.展开更多
Anchovies are key forage species in coastal and pelagic food webs,playing crucial ecological and commercial roles in marine ecosystems.Encrasicholina punctifer is a commercially and ecologically important species,yet ...Anchovies are key forage species in coastal and pelagic food webs,playing crucial ecological and commercial roles in marine ecosystems.Encrasicholina punctifer is a commercially and ecologically important species,yet little is known about its osteological development characteristics.Understanding these ontogenetic patterns is essential for explaining phylogenetic relationships within Clupeiformes,informing larval identification in ichthyoplankton surveys,and enhancing aquaculture practices.This study describes the ontogenetic characteristics of the appendicular and median skeletons and fin supports in E.punctifer larvae and juveniles,providing quantitative ontogenetic timelines to address gaps in engraulid developmental biology and contribute to teleost ontogeny research.Larval and juvenile specimens of E.punctifer;size range:3.00-34.56 mm standard length(SL)and notochord length(NL)collected from the Philippine Sea were processed using the standard Alizarin red and Alcian blue clearing-and-staining technique to differentiate ossified and cartilaginous elements.Specimens were examined under a stereo microscope and imaged with an HTC1600ISP digital camera for detailed morphological analysis of skeletal structures.Caudal complex development was evident by 5.55 mm NL,with the initial appearance of cartilaginous hypurals 1–2 and parhypural,followed by Hy3–5 at 6.08 mm NL.Cartilaginous Hy6 was visible by 9.58 mm SL in postflexion larvae.Six hypural bones were present from the postflexion to juvenile stage.Principal fin rays formed via intramembranous ossification at 6.32 mm NL,and segmentation was evident by 10.24 mm SL.Neural arch 1 appeared at 7.38 mm NL,preceding full haemal arch development.Uroneurals 1–2 and ural centra ossified by 9.58 mm SL,with Hy5 detached from U1 at 10.24 mm SL.Preural centra ossified before the arches.Epurals 1 and 2 were evident by 10.24 mm SL.Dorsal fin proximal radials developed anteriorly and distal radials posteriorly.Pectoral fin development initiated with an ossified cleithrum and the coracoscapular cartilage at 5.25 mm NL.By 10.24 mm SL,cartilaginous neural and haemal arches and spines were distinct.Uroneural 1 initially develops as cartilage.The formation of a pleurostyle aligns with clupeoid fish skeletal ontogeny.Dorsal and anal fin development follows a distinctive pattern,with variability in fin support development.Our results reveal accelerated caudal complex formation in E.punctifer and contribute new knowledge on the osteological characteristics of the genus Encrasicholina,and aid in understanding larval and juvenile ontogeny of marine teleosts.展开更多
Reuse/recycling of expensive components in next-generation optoelectronic systems(e.g.,flexible electronics and foldable displays)for sustainability purposes impose stringent requirements on optically clear adhesive(O...Reuse/recycling of expensive components in next-generation optoelectronic systems(e.g.,flexible electronics and foldable displays)for sustainability purposes impose stringent requirements on optically clear adhesive(OCA)with on-demand adhesion/deadhesion capability.Although some hot-melt OCAs have been developed,there still remain great challenges in balancing the mechanical property,adhesion/detachment and recyclability/reusability of the OCAs.Herein,we developed a debondable and robust polyurethane(PU)-based optically clear adhesive with both mechanical and chemical recyclability,overcoming the critical bottlenecks in sustainable advanced manufacturing.The ductile yet strong PU-based OCAs not only can adhere to various optically transparent glass and polymeric substrates(with a bonding strength high up to 5.0 MPa),but also exhibit deadhesion capability at high temperature owing to the thermally sensitive H-bonding interaction within the polymer network.The ondemand adhesion/deadhesion facilitates non-destructive detachment of functional assemblies and materials recycling/repair.The mechanical and chemical recyclability of PU-based OCAs can also effectively reduce the cost and address the endof-life issues.Moreover,the PU-based OCAs outperformed some commercial optical adhesives.In view of the straightforward synthesis,easy industrial scale-up and exceptional comprehensive properties,the PU-based OCAs will provide promising transformative solutions for advancing the circular economy and sustainability in next-generation optoelectronic devices.展开更多
The increasing complexity of China’s electricity market creates substantial challenges for settlement automation,data consistency,and operational scalability.Existing provincial settlement systems are fragmented,lack...The increasing complexity of China’s electricity market creates substantial challenges for settlement automation,data consistency,and operational scalability.Existing provincial settlement systems are fragmented,lack a unified data structure,and depend heavily on manual intervention to process high-frequency and retroactive transactions.To address these limitations,a graph-based unified settlement framework is proposed to enhance automation,flexibility,and adaptability in electricity market settlements.A flexible attribute-graph model is employed to represent heterogeneousmulti-market data,enabling standardized integration,rapid querying,and seamless adaptation to evolving business requirements.An extensible operator library is designed to support configurable settlement rules,and a suite of modular tools—including dataset generation,formula configuration,billing templates,and task scheduling—facilitates end-to-end automated settlement processing.A robust refund-clearing mechanism is further incorporated,utilizing sandbox execution,data-version snapshots,dynamic lineage tracing,and real-time changecapture technologies to enable rapid and accurate recalculations under dynamic policy and data revisions.Case studies based on real-world data from regional Chinese markets validate the effectiveness of the proposed approach,demonstrating marked improvements in computational efficiency,system robustness,and automation.Moreover,enhanced settlement accuracy and high temporal granularity improve price-signal fidelity,promote cost-reflective tariffs,and incentivize energy-efficient and demand-responsive behavior among market participants.The method not only supports equitable and transparent market operations but also provides a generalizable,scalable foundation for modern electricity settlement platforms in increasingly complex and dynamic market environments.展开更多
The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt ...The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt a single-system architecture,with research focusing primarily on accelerating solution algorithms through techniques such as high-efficiency parallel solvers and staggered decomposition of mixed-integer programming models.Notably absent are systematic studies evaluating the adaptability of primary-backup clearing systems incontingency scenarios—a critical gap given redundant systems’expanding applications in operational environments.This paper proposes a comprehensive evaluation framework for analyzing dual-system adaptability,demonstrated through an in-depth case study of the Inner Mongolia power market.First,we establish the innovative“Dual-Active Heterogeneous”architecture that enables independent parallelized operation and fault-isolated redundancy.Subsequently,key performance indices are quantitatively evaluated across four critical dimensions:unit commitment decisions,generator output constraints,transmission section congestion patterns,and clearing price formation mechanisms.An integrated fuzzy evaluation methodology incorporating grey relational analysis is employed for objective indicator weighting,enabling systematic quantification of system superiority under specific grid operating states.Empirical results based on actual operational data from 200 generation units demonstrate the framework’s efficacy in guiding optimal system selection,with particularly strong performance observed during peak load periods.The proposed approach shows high generalization potential for other regional markets employing redundant clearing mechanisms—particularly those with increasing renewable penetration and associated uncertainty.展开更多
Background:Clear cell sarcoma of the kidney(CCSK)is a rare and highly aggressive pediatric renal malignancy with a marked propensity for metastatic spread.Cases of CCSK associated with inferior vena cava(IVC)tumor thr...Background:Clear cell sarcoma of the kidney(CCSK)is a rare and highly aggressive pediatric renal malignancy with a marked propensity for metastatic spread.Cases of CCSK associated with inferior vena cava(IVC)tumor thrombus(IVCTT)are exceptionally uncommon in the literature.We report a case of CCSK with IVCTT in a 15-month-old male infant.Case Description:We reported a case admitted in May 2020 for a 3-day history of fever and hematuria.Abdominal CT revealed an unevenly enhanced mass and low-density shadows within the IVC.The diagnosis of CCSK was confirmed via needle biopsy.The patient received 4 cycles of adjuvant chemotherapy.The initial surgery lasted 10 h with 600 mL blood loss,and primary closure was achieved.Postoperative management included 6 cycles of radiotherapy and 5 cycles of chemotherapy.In March 2022,CT detected IVCTT recurrence,requiring surgical intervention involving thrombus removal and partial IVC resection.This procedure lasted 8 h with 300 mL blood loss,followed by 5 additional chemotherapy cycles.The patient showed no sign of IVC obstruction,including varicose veins or lower limb edema,and maintained renal function throughout follow-up.However,Intracranial metastases were detected 15 months postoperatively.After the family opted against additional treatment,the patient succumbed to the disease.Conclusions:The management of CCSK associated with IVCTT should include consideration of IVC thrombectomy.In case of recurrent IVCTT with preserved collateral circulation,combined thrombus excision and partial IVC resection may be warranted.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
Have you ever heard of a "refuge for stars"?Located at an average elevation of over 4,500 meters,Ngari Prefecture boasts world-class night-sky conditions due to minimal atmospheric pollution,abundant clear d...Have you ever heard of a "refuge for stars"?Located at an average elevation of over 4,500 meters,Ngari Prefecture boasts world-class night-sky conditions due to minimal atmospheric pollution,abundant clear days,high transparency,low humidity.展开更多
Types of paper Research Article A complete report on original research.A clear structure is required,including introduction,material and methods,results and discussion,conclusions generally.
Purpose–As an important part of the management of railway passenger transport,the rationality and effectiveness of the clearing method of railway passenger transport are directly related to the operating efficiency a...Purpose–As an important part of the management of railway passenger transport,the rationality and effectiveness of the clearing method of railway passenger transport are directly related to the operating efficiency and service quality of railway passenger transport enterprises.This paper aims to comprehensively and deeply discuss the evolution and development process of China’s railway passenger transport clearing method,analyze its characteristics and influences in each stage,identify the main factors affecting its evolution and development and then put forward thoughts on improving the future development of the clearing method.Design/methodology/approach–Through a detailed review of the railway passenger transport clearing methods from the planned economy period to the reform and opening up period and into the new century,the basis,mode,subject and object of clearing in different development stages are systematically compared.Findings–It comprehensively reveals the evolution of the clearing method,sorted out the characteristics and changes of the clearing method at each stage and the adaptability to the development of railway passenger transport at that time.The characteristics of the development of clearing measures for railway passenger transport in different stages and their far-reaching influence on railway passenger transport business are deeply analyzed.Originality/value–This paper summarized the factors influencing the development of China’s railway passenger transportation clearing approach evolution,including the simplified rules of clearing,enhanced the market adaptability,establishing and perfecting the incentive mechanism,strengthening the construction of informatization,etc.This paper puts forward the ways to improve the railway passenger transportation clearing future development thinking.展开更多
In late May,the city of Dunhuang,a key historical hub of Eastern and Western cultures in Northwest China's Gansu Province,basked in clear and refreshing weather under a brilliant blue sky.The rugged Mingsha Mounta...In late May,the city of Dunhuang,a key historical hub of Eastern and Western cultures in Northwest China's Gansu Province,basked in clear and refreshing weather under a brilliant blue sky.The rugged Mingsha Mountain,renowned for the musical sounds produced by wind-blown sands when the wind blows,stood in silent majesty.To the close north of the mountain's massive golden dunes stood the city's international convention centre,where some 400 vips from 60 countries host cultural exchanges and mutual learning.展开更多
Learning a foreign language like English needs patience and right methods.Grammar,which helps us form correct and clear sentences,is a basic part we can't ignore.We can review grammar rules through textbook exerci...Learning a foreign language like English needs patience and right methods.Grammar,which helps us form correct and clear sentences,is a basic part we can't ignore.We can review grammar rules through textbook exercises.To improve pronunciation,listening to native speakers'conversations on English podcasts and repeating after them works well.展开更多
Background:This research aims to investigate potential gene targets and mechanisms through which the traditional Chinese medicine(TCM)Bupleuri Radix(Chaihu)may impact on clear cell renal cell carcinoma(ccRCC)treatment...Background:This research aims to investigate potential gene targets and mechanisms through which the traditional Chinese medicine(TCM)Bupleuri Radix(Chaihu)may impact on clear cell renal cell carcinoma(ccRCC)treatment.Methods:Public databases were employed to identify Cedrenol,an active component of Bupleuri Radix,and its associated gene targets.Among these,the gene RORC(also known as RORγ)was selected for detailed analysis due to its high expression correlation.Expression levels of RORC across various cancers were assessed using the TCGA pan-cancer dataset.Further analyses,including differential expression,prognostic relevance,immune infiltration,single-gene,and functional enrichment analyses,were conducted using the TCGA ccRCC dataset.Additionally,potential drug sensitivities and molecular docking interactions with RORC were explored using the GSCALite and CellMiner databases.The effects of RORC on ccRCC were also validated through cellular experiments.Results:RORC exhibited elevated expression in clear cell renal carcinoma tissue in contrast to normal tissues,and lower RORC expression was related to better prognosis.Immune cell infiltration analysis suggested that RORC may influence the penetration of cells that inhibit immune responses,such as regulatory T cells,thereby affecting ccRCC progression.Furthermore,molecular docking studies revealed that several drugs,including Axitinib,Docetaxel,Methotrexate,and Temsirolimus,have a high affinity for RORC and exhibit strong molecular binding.In cellular experiment experiments confirmed that RORC knockdown led to reduced proliferation,metastasis,and ccRCC cell invasion.Conclusion:The study implies that RORC may be a potential gene target for Bupleuri Radix in the management of ccRCC.展开更多
BACKGROUND Metastasis of renal cell carcinoma(RCC)to the skeletal muscle and small bowel is an exceedingly rare occurrence.Both of these sites are unusual sites for RCC to metastasize to and to occur simultaneously is...BACKGROUND Metastasis of renal cell carcinoma(RCC)to the skeletal muscle and small bowel is an exceedingly rare occurrence.Both of these sites are unusual sites for RCC to metastasize to and to occur simultaneously is even less common.CASE SUMMARY A 58-year-old male with known history of RCC presented with a recurrence that was diagnosed through imaging and biopsies.Mucosa abnormalities of small bowel noted during endoscopy were biopsied as well as lesion in the psoas muscle that was noted.CONCLUSION This case report emphasizes that RCC can not only recur but can do so even decades later and present as metastatic foci at atypical sites.展开更多
Dear Editor,The mammalian brain exhibits cross-scale complexity in neuronal morphology and connectivity,the study of which demands high-resolution morphological reconstruction of individual neurons across the entire b...Dear Editor,The mammalian brain exhibits cross-scale complexity in neuronal morphology and connectivity,the study of which demands high-resolution morphological reconstruction of individual neurons across the entire brain[1-4].Current commonly used approaches for such mesoscale brain mapping include two main types of three-dimensional fluorescence microscopy:the block-face methods,and the lightsheet-based methods[5,6].In general,the high imaging speed and light efficiency of light-sheet microscopy make it a suitable tool for high-throughput volumetric imaging,especially when combined with tissue-clearing techniques.However,large brain samples pose major challenges to this approach.展开更多
Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organ...Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organization(WHO)HPV Vaccine Introduction Clearing House reported that 147 countries(of 194 reporting)had fully introduced the HPV vaccine into their national schedules as of 20242.After COVID-19 pandemic disruptions,global coverage is again increasing.展开更多
文摘Russia on November 10 cleared the last major obstacle in its 18-year effort to join the World Trade Organization in what the head of the institution called a milestone for global trade. "It’s a victory for Russia, a victory for W.T.O. members, and a victory
文摘The comprehensive pilot of China Telecom transformation was unveiled in Pudong of Shanghai a few days ago, which indicates comprehensive pilot projects starting formally. Huang WenLin, Vice President of China Telecom, attends the unveiling ceremony and proposes four requirements.
文摘Anchovies are key forage species in coastal and pelagic food webs,playing crucial ecological and commercial roles in marine ecosystems.Encrasicholina punctifer is a commercially and ecologically important species,yet little is known about its osteological development characteristics.Understanding these ontogenetic patterns is essential for explaining phylogenetic relationships within Clupeiformes,informing larval identification in ichthyoplankton surveys,and enhancing aquaculture practices.This study describes the ontogenetic characteristics of the appendicular and median skeletons and fin supports in E.punctifer larvae and juveniles,providing quantitative ontogenetic timelines to address gaps in engraulid developmental biology and contribute to teleost ontogeny research.Larval and juvenile specimens of E.punctifer;size range:3.00-34.56 mm standard length(SL)and notochord length(NL)collected from the Philippine Sea were processed using the standard Alizarin red and Alcian blue clearing-and-staining technique to differentiate ossified and cartilaginous elements.Specimens were examined under a stereo microscope and imaged with an HTC1600ISP digital camera for detailed morphological analysis of skeletal structures.Caudal complex development was evident by 5.55 mm NL,with the initial appearance of cartilaginous hypurals 1–2 and parhypural,followed by Hy3–5 at 6.08 mm NL.Cartilaginous Hy6 was visible by 9.58 mm SL in postflexion larvae.Six hypural bones were present from the postflexion to juvenile stage.Principal fin rays formed via intramembranous ossification at 6.32 mm NL,and segmentation was evident by 10.24 mm SL.Neural arch 1 appeared at 7.38 mm NL,preceding full haemal arch development.Uroneurals 1–2 and ural centra ossified by 9.58 mm SL,with Hy5 detached from U1 at 10.24 mm SL.Preural centra ossified before the arches.Epurals 1 and 2 were evident by 10.24 mm SL.Dorsal fin proximal radials developed anteriorly and distal radials posteriorly.Pectoral fin development initiated with an ossified cleithrum and the coracoscapular cartilage at 5.25 mm NL.By 10.24 mm SL,cartilaginous neural and haemal arches and spines were distinct.Uroneural 1 initially develops as cartilage.The formation of a pleurostyle aligns with clupeoid fish skeletal ontogeny.Dorsal and anal fin development follows a distinctive pattern,with variability in fin support development.Our results reveal accelerated caudal complex formation in E.punctifer and contribute new knowledge on the osteological characteristics of the genus Encrasicholina,and aid in understanding larval and juvenile ontogeny of marine teleosts.
基金supported by the National Natural Science Foundation of China(52222302)。
文摘Reuse/recycling of expensive components in next-generation optoelectronic systems(e.g.,flexible electronics and foldable displays)for sustainability purposes impose stringent requirements on optically clear adhesive(OCA)with on-demand adhesion/deadhesion capability.Although some hot-melt OCAs have been developed,there still remain great challenges in balancing the mechanical property,adhesion/detachment and recyclability/reusability of the OCAs.Herein,we developed a debondable and robust polyurethane(PU)-based optically clear adhesive with both mechanical and chemical recyclability,overcoming the critical bottlenecks in sustainable advanced manufacturing.The ductile yet strong PU-based OCAs not only can adhere to various optically transparent glass and polymeric substrates(with a bonding strength high up to 5.0 MPa),but also exhibit deadhesion capability at high temperature owing to the thermally sensitive H-bonding interaction within the polymer network.The ondemand adhesion/deadhesion facilitates non-destructive detachment of functional assemblies and materials recycling/repair.The mechanical and chemical recyclability of PU-based OCAs can also effectively reduce the cost and address the endof-life issues.Moreover,the PU-based OCAs outperformed some commercial optical adhesives.In view of the straightforward synthesis,easy industrial scale-up and exceptional comprehensive properties,the PU-based OCAs will provide promising transformative solutions for advancing the circular economy and sustainability in next-generation optoelectronic devices.
基金funded by the Science and Technology Project of State Grid Corporation of China(5108-202355437A-3-2-ZN).
文摘The increasing complexity of China’s electricity market creates substantial challenges for settlement automation,data consistency,and operational scalability.Existing provincial settlement systems are fragmented,lack a unified data structure,and depend heavily on manual intervention to process high-frequency and retroactive transactions.To address these limitations,a graph-based unified settlement framework is proposed to enhance automation,flexibility,and adaptability in electricity market settlements.A flexible attribute-graph model is employed to represent heterogeneousmulti-market data,enabling standardized integration,rapid querying,and seamless adaptation to evolving business requirements.An extensible operator library is designed to support configurable settlement rules,and a suite of modular tools—including dataset generation,formula configuration,billing templates,and task scheduling—facilitates end-to-end automated settlement processing.A robust refund-clearing mechanism is further incorporated,utilizing sandbox execution,data-version snapshots,dynamic lineage tracing,and real-time changecapture technologies to enable rapid and accurate recalculations under dynamic policy and data revisions.Case studies based on real-world data from regional Chinese markets validate the effectiveness of the proposed approach,demonstrating marked improvements in computational efficiency,system robustness,and automation.Moreover,enhanced settlement accuracy and high temporal granularity improve price-signal fidelity,promote cost-reflective tariffs,and incentivize energy-efficient and demand-responsive behavior among market participants.The method not only supports equitable and transparent market operations but also provides a generalizable,scalable foundation for modern electricity settlement platforms in increasingly complex and dynamic market environments.
基金supported by NARI Relays Electric Co.,Ltd.under the Project“Research on Evaluation of Clearing Results and Switching Criteria for Primary-Backup Systems in Electricity SpotMarkets”(Project No.CGSQ240800443).
文摘The construction of spot electricity markets plays a pivotal role in power system reforms,where market clearing systems profoundly influence market efficiency and security.Current clearing systems predominantly adopt a single-system architecture,with research focusing primarily on accelerating solution algorithms through techniques such as high-efficiency parallel solvers and staggered decomposition of mixed-integer programming models.Notably absent are systematic studies evaluating the adaptability of primary-backup clearing systems incontingency scenarios—a critical gap given redundant systems’expanding applications in operational environments.This paper proposes a comprehensive evaluation framework for analyzing dual-system adaptability,demonstrated through an in-depth case study of the Inner Mongolia power market.First,we establish the innovative“Dual-Active Heterogeneous”architecture that enables independent parallelized operation and fault-isolated redundancy.Subsequently,key performance indices are quantitatively evaluated across four critical dimensions:unit commitment decisions,generator output constraints,transmission section congestion patterns,and clearing price formation mechanisms.An integrated fuzzy evaluation methodology incorporating grey relational analysis is employed for objective indicator weighting,enabling systematic quantification of system superiority under specific grid operating states.Empirical results based on actual operational data from 200 generation units demonstrate the framework’s efficacy in guiding optimal system selection,with particularly strong performance observed during peak load periods.The proposed approach shows high generalization potential for other regional markets employing redundant clearing mechanisms—particularly those with increasing renewable penetration and associated uncertainty.
基金Research Project of Hunan Health Commission in 2023(D202304058618)Innovation Project of Hunan Science and Technology Department(2018SK504)National Nature Science Foundation of China(No.82203414).
文摘Background:Clear cell sarcoma of the kidney(CCSK)is a rare and highly aggressive pediatric renal malignancy with a marked propensity for metastatic spread.Cases of CCSK associated with inferior vena cava(IVC)tumor thrombus(IVCTT)are exceptionally uncommon in the literature.We report a case of CCSK with IVCTT in a 15-month-old male infant.Case Description:We reported a case admitted in May 2020 for a 3-day history of fever and hematuria.Abdominal CT revealed an unevenly enhanced mass and low-density shadows within the IVC.The diagnosis of CCSK was confirmed via needle biopsy.The patient received 4 cycles of adjuvant chemotherapy.The initial surgery lasted 10 h with 600 mL blood loss,and primary closure was achieved.Postoperative management included 6 cycles of radiotherapy and 5 cycles of chemotherapy.In March 2022,CT detected IVCTT recurrence,requiring surgical intervention involving thrombus removal and partial IVC resection.This procedure lasted 8 h with 300 mL blood loss,followed by 5 additional chemotherapy cycles.The patient showed no sign of IVC obstruction,including varicose veins or lower limb edema,and maintained renal function throughout follow-up.However,Intracranial metastases were detected 15 months postoperatively.After the family opted against additional treatment,the patient succumbed to the disease.Conclusions:The management of CCSK associated with IVCTT should include consideration of IVC thrombectomy.In case of recurrent IVCTT with preserved collateral circulation,combined thrombus excision and partial IVC resection may be warranted.
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Have you ever heard of a "refuge for stars"?Located at an average elevation of over 4,500 meters,Ngari Prefecture boasts world-class night-sky conditions due to minimal atmospheric pollution,abundant clear days,high transparency,low humidity.
文摘Types of paper Research Article A complete report on original research.A clear structure is required,including introduction,material and methods,results and discussion,conclusions generally.
基金supported by the Research and Development Plan Project of China State Railway Group Co.,Ltd.(Project No.P2023X029).
文摘Purpose–As an important part of the management of railway passenger transport,the rationality and effectiveness of the clearing method of railway passenger transport are directly related to the operating efficiency and service quality of railway passenger transport enterprises.This paper aims to comprehensively and deeply discuss the evolution and development process of China’s railway passenger transport clearing method,analyze its characteristics and influences in each stage,identify the main factors affecting its evolution and development and then put forward thoughts on improving the future development of the clearing method.Design/methodology/approach–Through a detailed review of the railway passenger transport clearing methods from the planned economy period to the reform and opening up period and into the new century,the basis,mode,subject and object of clearing in different development stages are systematically compared.Findings–It comprehensively reveals the evolution of the clearing method,sorted out the characteristics and changes of the clearing method at each stage and the adaptability to the development of railway passenger transport at that time.The characteristics of the development of clearing measures for railway passenger transport in different stages and their far-reaching influence on railway passenger transport business are deeply analyzed.Originality/value–This paper summarized the factors influencing the development of China’s railway passenger transportation clearing approach evolution,including the simplified rules of clearing,enhanced the market adaptability,establishing and perfecting the incentive mechanism,strengthening the construction of informatization,etc.This paper puts forward the ways to improve the railway passenger transportation clearing future development thinking.
文摘In late May,the city of Dunhuang,a key historical hub of Eastern and Western cultures in Northwest China's Gansu Province,basked in clear and refreshing weather under a brilliant blue sky.The rugged Mingsha Mountain,renowned for the musical sounds produced by wind-blown sands when the wind blows,stood in silent majesty.To the close north of the mountain's massive golden dunes stood the city's international convention centre,where some 400 vips from 60 countries host cultural exchanges and mutual learning.
文摘Learning a foreign language like English needs patience and right methods.Grammar,which helps us form correct and clear sentences,is a basic part we can't ignore.We can review grammar rules through textbook exercises.To improve pronunciation,listening to native speakers'conversations on English podcasts and repeating after them works well.
基金supported by Hubei Provincial Department of Science and Technology,Innovation and Development Joint Fund(No.2022CFD145)Young Talents Project of Hubei Provincial Administration of Traditional Chinese Medicine(No.ZY2023Q002).
文摘Background:This research aims to investigate potential gene targets and mechanisms through which the traditional Chinese medicine(TCM)Bupleuri Radix(Chaihu)may impact on clear cell renal cell carcinoma(ccRCC)treatment.Methods:Public databases were employed to identify Cedrenol,an active component of Bupleuri Radix,and its associated gene targets.Among these,the gene RORC(also known as RORγ)was selected for detailed analysis due to its high expression correlation.Expression levels of RORC across various cancers were assessed using the TCGA pan-cancer dataset.Further analyses,including differential expression,prognostic relevance,immune infiltration,single-gene,and functional enrichment analyses,were conducted using the TCGA ccRCC dataset.Additionally,potential drug sensitivities and molecular docking interactions with RORC were explored using the GSCALite and CellMiner databases.The effects of RORC on ccRCC were also validated through cellular experiments.Results:RORC exhibited elevated expression in clear cell renal carcinoma tissue in contrast to normal tissues,and lower RORC expression was related to better prognosis.Immune cell infiltration analysis suggested that RORC may influence the penetration of cells that inhibit immune responses,such as regulatory T cells,thereby affecting ccRCC progression.Furthermore,molecular docking studies revealed that several drugs,including Axitinib,Docetaxel,Methotrexate,and Temsirolimus,have a high affinity for RORC and exhibit strong molecular binding.In cellular experiment experiments confirmed that RORC knockdown led to reduced proliferation,metastasis,and ccRCC cell invasion.Conclusion:The study implies that RORC may be a potential gene target for Bupleuri Radix in the management of ccRCC.
文摘BACKGROUND Metastasis of renal cell carcinoma(RCC)to the skeletal muscle and small bowel is an exceedingly rare occurrence.Both of these sites are unusual sites for RCC to metastasize to and to occur simultaneously is even less common.CASE SUMMARY A 58-year-old male with known history of RCC presented with a recurrence that was diagnosed through imaging and biopsies.Mucosa abnormalities of small bowel noted during endoscopy were biopsied as well as lesion in the psoas muscle that was noted.CONCLUSION This case report emphasizes that RCC can not only recur but can do so even decades later and present as metastatic foci at atypical sites.
基金supported by the STI 2030-Major Project(2021ZD0204400,2022ZD0205203,2021ZD0200104,2022ZD0211900)the Shenzhen Science and Technology Program(RCYX20210706092100003,RCBS20221008093311027)+3 种基金the Shenzhen Medical Research Funds(A2303005)the Youth Innovation Promotion Association CAS(2022367)the National Natural Science Foundation of China(32100896)NSFC-Guangdong Joint Fund(U20A6005).
文摘Dear Editor,The mammalian brain exhibits cross-scale complexity in neuronal morphology and connectivity,the study of which demands high-resolution morphological reconstruction of individual neurons across the entire brain[1-4].Current commonly used approaches for such mesoscale brain mapping include two main types of three-dimensional fluorescence microscopy:the block-face methods,and the lightsheet-based methods[5,6].In general,the high imaging speed and light efficiency of light-sheet microscopy make it a suitable tool for high-throughput volumetric imaging,especially when combined with tissue-clearing techniques.However,large brain samples pose major challenges to this approach.
文摘Introduction Human papillomavirus(HPV)vaccination is a cornerstone of cervical cancer prevention,particularly in low-and middle-income countries(LMICs),where the burden of disease remains high~1.The World Health Organization(WHO)HPV Vaccine Introduction Clearing House reported that 147 countries(of 194 reporting)had fully introduced the HPV vaccine into their national schedules as of 20242.After COVID-19 pandemic disruptions,global coverage is again increasing.
