In this paper,a new type of machinery which can enlarge the stroke of air cylinder is introduced. It is very useful when the original stroke of air cylinder cannot satisfy the work requirement.According to design requ...In this paper,a new type of machinery which can enlarge the stroke of air cylinder is introduced. It is very useful when the original stroke of air cylinder cannot satisfy the work requirement.According to design requirements,its multi-objective mathematic model with constrained conditions is built. In order to solve this model, some methods are discussed and used such as penalty function method,variable metric method,Newton tangent method and bisection method. Based on the optimal result,motion curves of enlarging stroke mechanism are obtained. Results show that the motion characteristic of enlarging stroke of air cylinder mechanism is satisfying. In addition,we also consider the influence of different initial values of link length to optimal results and two important laws are got in this paper on the basis of optimal results.展开更多
After expatiating the guiding ideology,contents,standards and principles of eco-environment restoration based on enlarging terrace and de-farming,this paper discussed the planning method and technical flow of enlargin...After expatiating the guiding ideology,contents,standards and principles of eco-environment restoration based on enlarging terrace and de-farming,this paper discussed the planning method and technical flow of enlarging terrace and garden plot in a small catchment of loess hilly region by means of GIS spatial analysis technology,and then the planning method was applied in Yangou catchment.The result showed that it is practicabl,and the areas of newly-built terrace and garden plot in Yangou catchment are at least 295.06 and 4.61 hm2,so that the areas of basic farmland and garden plot reach 359.23 and 622.69 hm2.After the land use structure is regulated,the forest coverage is 48.87%,and the permanent vegetation coverage is about 75% in Yangou catchment,while sediment reduction benefit is above 80% in slope land.In agricultural development,Yangou catchment can yield 1 645.13 tons of food supplies,above 9 340 tons of apples,and can feed 7 500 sheep every year.展开更多
Primula tibetica is an inconspicuous herb distributed in the Himalayas where lacks pollinators.The species may undergo severe pollen limitation in the field,and makes an ideal model system for studying whether pollen ...Primula tibetica is an inconspicuous herb distributed in the Himalayas where lacks pollinators.The species may undergo severe pollen limitation in the field,and makes an ideal model system for studying whether pollen limitation selects on the traits that increase the floral display in a case in which a small,inconspicuous plant undergoes展开更多
Increasing the energy density of supercapacitor without sacrificing its high power is an everlasting pursuit in energy storage.Using ionic liquid electrolyte with high operating voltage can increase the energy density...Increasing the energy density of supercapacitor without sacrificing its high power is an everlasting pursuit in energy storage.Using ionic liquid electrolyte with high operating voltage can increase the energy density but usually at the expense of power density due to the large ion size,low ionic conductivity and high viscosity.Herein we demonstrate a simultaneous increase of the energy and power densities with ionic liquid electrolyte(EMIMBF4)mainly by enlarging the ion-transfer micropore channels of the electrode material,i.e.,the unique hierarchical carbon nanocages(hCNC).Boudouard reaction is adopted to tune the micropore size while remaining the hierarchical framework of hCNC.Meanwhile,the specific surface area,pore volume and conductivity are also increased under optimal activation temperature.Such a unique modification boosts the large-sized ion transfer,leading to the obvious decrease of equivalent series resistance and the dramatic increase of supercapacitive performance thereof.The optimized product exhibits an energy density up to 153.8 W h kg^(-1) at the power density of 1.8 kW kg^(-1),and maintains 54.0 W h kg^(-1) even at an ultrahigh power density of 480.1 kW kg^(-1).This study demonstrates an effective way to explore advanced electrode materials by the fine regulation of micropores and related properties.展开更多
Alzheimer’s disease is a multi-amyloidosis disease characterized by amyloid-βdeposits in brain blood vessels,microaneurysms,and senile plaques.How amyloid-βdeposition affects axon pathology has not been examined ex...Alzheimer’s disease is a multi-amyloidosis disease characterized by amyloid-βdeposits in brain blood vessels,microaneurysms,and senile plaques.How amyloid-βdeposition affects axon pathology has not been examined extensively.We used immunohistochemistry and immunofluorescence staining to analyze the forebrain tissue slices of Alzheimer’s disease patients.Widespread axonal amyloidosis with distinctive axonal enlargement was observed in patients with Alzheimer’s disease.On average,amyloid-β-positive axon diameters in Alzheimer’s disease brains were 1.72 times those of control brain axons.Furthermore,axonal amyloidosis was associated with microtubule-associated protein 2 reduction,tau phosphorylation,lysosome destabilization,and several blood-related markers,such as apolipoprotein E,alpha-hemoglobin,glycosylated hemoglobin type A1C,and hemin.Lysosome destabilization in Alzheimer’s disease was also clearly identified in the neuronal soma,where it was associated with the co-expression of amyloid-β,Cathepsin D,alpha-hemoglobin,actin alpha 2,and collagen type IV.This suggests that exogenous hemorrhagic protein intake influences neural lysosome stability.Additionally,the data showed that amyloid-β-containing lysosomes were 2.23 times larger than control lysosomes.Furthermore,under rare conditions,axonal breakages were observed,which likely resulted in Wallerian degeneration.In summary,axonal enlargement associated with amyloidosis,micro-bleeding,and lysosome destabilization is a major defect in patients with Alzheimer’s disease.This finding suggests that,in addition to the well-documented neural soma and synaptic damage,axonal damage is a key component of neuronal defects in Alzheimer’s disease.展开更多
1T-MoS_(2)nanosheets,with metallic conductivity and high capacity,hold great potential for lithium-ion capacitors(LICs),but suffer from sluggish reaction kinetics due to dense stacking.Herein,1T-MoS_(2)nanosheets with...1T-MoS_(2)nanosheets,with metallic conductivity and high capacity,hold great potential for lithium-ion capacitors(LICs),but suffer from sluggish reaction kinetics due to dense stacking.Herein,1T-MoS_(2)nanosheets with enlarged interlayer spacing,vertically bonded to reduced graphene oxide(rGO)(1T-MoS_(2)/rGO),were designed using a hydrothermal-assisted dispersion and intercalation strategy.The active nitrogen species derived from N,N-dimethylformamide(DMF)not only bridge the rGO and MoS_(2)through strong Mo-N-C bonds to promote the formation of dispersed MoS_(2)nanosheets,but also intercalate into the MoS_(2)structure,further enlarging the interlayer spacing.This unique structure synergistically enhances meso-and microscale mass transfer outside and inside of the few-layered nanosheets,significantly improving electrochemical reaction kinetics and reducing the kinetic mismatch between the anode and cathode.Consequently,the resulting 1T-MoS_(2)/rGO achieves a capacity of 500 mAh g^(-1)after 500 cycles at 5 A g^(-1)and a high rate performance of 587 mAh g^(-1)at a high rate of 10 A g^(-1).Moreover,the assembled 3D vertical 1T-MoS_(2)/rGO//AC LIC delivers a high energy density of 100.3 Wh kg^(-1)at a power density of1.0 kW kg^(-1),and long cycle stability with capacity retention as high as 91.02%after 5000 cycles at 2 A g^(-1).This work provides a generalizable strategy for engineering two-dimensional material-based electrodes,offering new insights into high-performance energy storage systems.展开更多
Photothermal therapy(PTT),characterized by its minimally invasive nature and highly selective tumorkilling ability,holds great potential for tumor therapy.Due to the outstanding photothermal performance and tumor targ...Photothermal therapy(PTT),characterized by its minimally invasive nature and highly selective tumorkilling ability,holds great potential for tumor therapy.Due to the outstanding photothermal performance and tumor targeting ability,nanomaterial-based photothermal agents(nano-PTAs)have further expanded the therapeutic horizons of PTT.However,the dense and complicated network of the tumor extracellular matrix(ECM)severely restricts the penetration of nano-PTAs into deep tumor tissues.Since elevated temperatures are only generated in the vicinity of nano-PTAs upon laser irradiation,the uneven distribution of these agents leads to incomplete tumor coverage across the tumor.Consequently,overcoming ECM barriers and enhancing tumor permeability are critical for the success of tumor PTT.To address this challenge,researchers have explored strategies that combine tumor ECM regulation with PTT to facilitate the deep diffusion of nano-PTAs.This review summarizes the latest advancements in designing nanoPTAs with ECM-remodeling capabilities,aiming to enable their uniform penetration throughout tumors.Additionally,we discuss the remaining obstacles and challenges in elucidating the mechanisms of ECM manipulation and understanding the interactions between nano-PTAs and ECM components during the penetration process.展开更多
Hemoptysis is a severe complication of pulmonary hypertension (PH) with a low in- cidence of 6%-11%.^([1-4])Although occurring in all forms of PH,it is more commonly seen in pulmonary arterial hypertension (PAH),assoc...Hemoptysis is a severe complication of pulmonary hypertension (PH) with a low in- cidence of 6%-11%.^([1-4])Although occurring in all forms of PH,it is more commonly seen in pulmonary arterial hypertension (PAH),associated with congenital heart disease (PAH-CHD).^([5,6])Since enlarged bronchial arteries are a frequent source of pulmonary bleeding,the primary treatment focuses on bronchial artery embolization (BAE),especially for chronic thromboembolic pulmonary hypertension (CTEPH) patients^([7,8]).However,there is disagreement regarding medical therapy,which has received little attention in the recently published PH guidelines.^([5,6])展开更多
原著标题:Case of progressive atrophy of the muscles of the hands;enlargement of the ventricle of the cord in the cervical region,with atrophy of the gray matter.刊载杂志:Guy’s Hosp.Rep,1862,8:244-250.原著作者:Gull Wi...原著标题:Case of progressive atrophy of the muscles of the hands;enlargement of the ventricle of the cord in the cervical region,with atrophy of the gray matter.刊载杂志:Guy’s Hosp.Rep,1862,8:244-250.原著作者:Gull William Withey(1816-1890)本文报告一尸检时发现脊髓内空洞形成的病例。患者,男,44岁。病史中记载:开始时右手第4、5指出现乏力并屈曲挛缩,进行性手内肌萎缩,以后左手亦出现同样表现,右侧有麻木感但无感觉障碍体征。展开更多
Nowadays,more and more university students have Teacher’s Book for College English. They know answers of exercises from it before they do them. Some of them just copy down the right answers and wait for teacher’s pr...Nowadays,more and more university students have Teacher’s Book for College English. They know answers of exercises from it before they do them. Some of them just copy down the right answers and wait for teacher’s praise. In this situation, College English teachers should redesign the exercises after each unit so that students will be interested and involved in learning. This study thus suggests several ways to redesign the vocabulary exercises from “ College English". It expects, on the one hand, to raise College English teachers’ awareness of the necessity to change the exercises. On the other hand, it expects to give them an inspiration, and example of designing more appropriate exercises so as to reinforce students’ vocabulary and enhance their language awareness.展开更多
In an information society,the English knowledge in capacity for college students has gradually been improved and its range is alsoenlarged.If teachers overlook summing up the knowledge which the students have gained a...In an information society,the English knowledge in capacity for college students has gradually been improved and its range is alsoenlarged.If teachers overlook summing up the knowledge which the students have gained and improving their skills in English,it will behard for students to learn English well.In educational circles people often say"teaching method isn't fixed ",but it is of the same view togive students some basic regularity,let students have enough abilities and make knowledge which the students have gained assimilate and sys-tematize etc.Facing medical college students'tasks are arduous and the students often seem at a loss.In English lessons,it is necessary forteachers to help students find out some basic laws,give students enough skills and methods,let students sum up and classify knowledge whichis scattered,disorderly,bit by bit and even fragmented.展开更多
Recent advances in endoscopic technology allow detailed observation of the gastric mucosa.Today,endoscopy is used in the diagnosis of gastritis to determine the presence/absence of Helicobacter pylori(H.pylori)infecti...Recent advances in endoscopic technology allow detailed observation of the gastric mucosa.Today,endoscopy is used in the diagnosis of gastritis to determine the presence/absence of Helicobacter pylori(H.pylori)infection and evaluate gastric cancer risk.In 2013,the Japan Gastroenterological Endoscopy Society advocated the Kyoto classification,a new grading system for endoscopic gastritis.The Kyoto classification organized endoscopic findings related to H.pylori infection.The Kyoto classification score is the sum of scores for five endoscopic findings(atrophy,intestinal metaplasia,enlarged folds,nodularity,and diffuse redness with or without regular arrangement of collecting venules)and ranges from 0 to 8.Atrophy,intestinal metaplasia,enlarged folds,and nodularity contribute to gastric cancer risk.Diffuse redness and regular arrangement of collecting venules are related to H.pylori infection status.In subjects without a history of H.pylori eradication,the infection rates in those with Kyoto scores of 0,1,and≥2 were 1.5%,45%,and 82%,respectively.A Kyoto classification score of 0 indicates no H.pylori infection.A Kyoto classification score of 2 or more indicates H.pylori infection.Kyoto classification scores of patients with and without gastric cancer were 4.8 and 3.8,respectively.A Kyoto classification score of 4 or more might indicate gastric cancer risk.展开更多
The influence of enlarged section parameters on pressure transients of high-speed train passing through a tunnel was investigated by numerical simulation.The calculation results obtained by the structured and unstruct...The influence of enlarged section parameters on pressure transients of high-speed train passing through a tunnel was investigated by numerical simulation.The calculation results obtained by the structured and unstructured grid and the experimental results of smooth wall tunnel were verified.Numerical simulation studies were conducted on three tunnel enlarged section parameters,the enlarged section distribution along circumferential direction,the enlarged section area and the enlarged section distribution along tunnel length direction.The calculation results show that the influence of the different enlarged section distributions along tunnel circumferential direction on pressure transients in the tunnel is basically consistent.There is an optimal enlarged section area for the minimum value of the pressure variation amplitude and the average pressure variation in the tunnel.The law of the pressure variation amplitude and the average pressure variation of the enlarged section distribution along tunnel length direction are obtained.展开更多
Hypertension is a primary risk factor for the progression of cognitive impairment caused by cerebral small vessel disease,the most common cerebrovascular disease.Howeve r,the causal relationship between hypertension a...Hypertension is a primary risk factor for the progression of cognitive impairment caused by cerebral small vessel disease,the most common cerebrovascular disease.Howeve r,the causal relationship between hypertension and cerebral small vessel disease remains unclear.Hypertension has substantial negative impacts on brain health and is recognized as a risk factor for cerebrovascular disease.Chronic hypertension and lifestyle factors are associated with risks for stro ke and dementia,and cerebral small vessel disease can cause dementia and stroke.Hypertension is the main driver of cerebral small vessel disease,which changes the structure and function of cerebral vessels via various mechanisms and leads to lacunar infarction,leukoaraiosis,white matter lesions,and intracerebral hemorrhage,ultimately res ulting in cognitive decline and demonstrating that the brain is the to rget organ of hypertension.This review updates our understanding of the pathogenesis of hypertensioninduced cerebral small vessel disease and the res ulting changes in brain structure and function and declines in cognitive ability.We also discuss drugs to treat cerebral small vessel disease and cognitive impairment.展开更多
Objective:We sought to determine if urodynamic study(UDS)predicted voiding outcomes in men with detrusor underactivity(DU)and benign prostatic enlargement(BPE)who underwent photovaporization of the prostate(PVP).Metho...Objective:We sought to determine if urodynamic study(UDS)predicted voiding outcomes in men with detrusor underactivity(DU)and benign prostatic enlargement(BPE)who underwent photovaporization of the prostate(PVP).Methods:Between September 2010 and July 2015,106 male patients with BPE and DU were identified.All patients underwent PVP.Urinary retention was noted by the preoperative necessity for an indwelling or intermittent catheter.Data collection included comorbidities,quality of life(QoL)scores,prostate volume,prostate-specific antigen(PSA),UDS and perioperative outcomes.UDS parameters included volume at first desire to void,volume at first urge to void,volume of severe urge,volume at capacity,compliance,detrusor contractions,maximum urinary flow rate(Qmax),and postvoid residual(PVR).Results:A total of 106 men were included in this analysis,who had urinary retention with a Foley catheter or clean intermittent catheterization(CIC)at the time of surgery.At baseline we found patients who voided had a detrusor pressure at Qmax(Pdet@Qmax)of 10.05±6.45 cmH2O compared to 16.78±12.17 cmH2O in those who did not void(p=0.071).Postoperatively,96(90.6%,mean age 76.9±26.2 years)of patients voided successfully while 10(9.4%,mean age 80.52±9.61 years)of patients remained in urinary retention.Mean baseline Qmax was 4.895±5.452 mL/s and 2.900±3.356 mL/s(p=0.087)in those who voided and did not respectively.PVR was 319.23±330.62 mL in those who voided and 276.88263.27 mL(p=0.344)in those who did not void.No UDS parameter predicted who would void postoperatively or improvements in QoL.Conclusions:The patients with DU and BPE might be able to successfully void after undergoing PVP regardless of UDS findings.All men who voided had improved international prostate symptom score and QoL scores compared to baseline and these parameters were durable up to 12 months.展开更多
Background:Nasopharyngeal carcinoma(NPC) shows a high proportion of lymph node metastasis,and treatment guidelines have been developed for positive nodes.However,no irradiation guidelines have been proposed for patien...Background:Nasopharyngeal carcinoma(NPC) shows a high proportion of lymph node metastasis,and treatment guidelines have been developed for positive nodes.However,no irradiation guidelines have been proposed for patients with enlarged neck lymph nodes(ENLNs) that do not meet the radiological criteria of 10 mm in diameter for positive lymph nodes.This study aimed to determine the prognostic value and radiation dose for ENLNs in NO-category NPC patients treated with intensity-modulated radiotherapy(IMRT).Methods:We reviewed the medical data of 251 patients with non-metastatic,NO-category NPC treated with IMRT.Receiver operating characteristic curves were used to calculate the cut-off value of the ENLN diameter for the prediction of disease failure.The biological equivalent dose(BED) for ENLNs was calculated.Patient survival was compared between the small and large ENLN groups.Independent prognostic factors were identified using the Cox proportional hazards model.Results:The estimated 4-year regional relapse-free survival rate was higher in patients with ENLNs ≥5.5 mm than in those with ENLNs <5.5 mm(100%vs.98.8%,P=0.049),whereas disease-free,overall,and distant metastasis-free survival rates were similar between the two groups.After adjusting for various factors,ENLN diameter was not identified as an independent prognostic factor(P > 0.05 for all survival rates).In the subgroup analysis,patients receiving BED ≥72 Gy had a similar prognosis as patients receiving BED <72 Gy in both the small and large ENLN groups.The multivariate analysis also confirmed that BED≥72 Gy was not associated with significantly improved prognosis in patients with NO-category NPC.Conclusions:A BED of 72 Gy to ENLNs is considerably sufficient to provide a clinical benefit to patients with NO-category NPC.Prospective studies are warranted to validate the findings in the present study.展开更多
BACKGROUND：Continuous hemorrhage or hematoma enlargement often occurs following cerebral hemorrhage attacks. OBJECTIVE： To retrospectively analyze the influential factors for hematoma enlargement in patients with hy...BACKGROUND：Continuous hemorrhage or hematoma enlargement often occurs following cerebral hemorrhage attacks. OBJECTIVE： To retrospectively analyze the influential factors for hematoma enlargement in patients with hypertensive cerebral hemorrhage prior to minimally invasive surgery. DESIGN, TIME AND SETTING： A comparative analysis of 90 patients with cerebral hemorrhage undergoing minimally invasive surgery at the Department of Neurology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology between April 2005 and February 2007. PARTICIPANTS： Fifty-eight males and thirty-one females aged （52.7 ± 5.23） years （range, 28-73 years）. METHODS： Cranial CT was performed twice to objectively identify hematoma enlargement. Patients with hematoma enlargement prior to surgery were selected as the observation group （n = 30）, and those with no obvious hematoma changes served as the control group （n = 60）. Following cranial CT localization, the two groups underwent minimally invasive hematoma aspiration and drainage, according to Standardized Treatment Guidelines for Micro-invasive Aspiration and Drainage of Intracranial Hematoma. MAIN OUTCOME MEASURES： Hemorrhage site, coagulation function, diabetes history, and clinical symptoms. RESULTS： There were no significant differences in hemorrhage sites between the two groups （χ2 = 2.262, P 〉 0.05）. The percent of intemperance patients in the observation group was significantly larger than the control group （χ2 = 6.923, P 〈 0.01）. No significant differences in terms of percent of coagulation dysfunction or diabetes were determined between the two groups （χ2 = 0.03, 0.08, P 〉 0.05）. The percent of patients with clinical deterioration was significantly higher in the observation group, compared to the control group （χ2 = 25.57, P 〈 0.01）. CONCLUSION： Intemperance and preoperative clinical deterioration may increase incidence of hematoma enlargement prior to minimally invasive surgery in patients with hypertensive cerebral hemorrhage.展开更多
基金Program for Changjiang Scholars and Innovative Research Team in University,China(No.IRT1220)Donghua University Thesis Innovation Fund,China(No.EG2014028)
文摘In this paper,a new type of machinery which can enlarge the stroke of air cylinder is introduced. It is very useful when the original stroke of air cylinder cannot satisfy the work requirement.According to design requirements,its multi-objective mathematic model with constrained conditions is built. In order to solve this model, some methods are discussed and used such as penalty function method,variable metric method,Newton tangent method and bisection method. Based on the optimal result,motion curves of enlarging stroke mechanism are obtained. Results show that the motion characteristic of enlarging stroke of air cylinder mechanism is satisfying. In addition,we also consider the influence of different initial values of link length to optimal results and two important laws are got in this paper on the basis of optimal results.
基金Supported by National Natural Science Foundation of China(41171449)Key Project of Chinese Academy of Sciences(KZZD-EW-06-01)
文摘After expatiating the guiding ideology,contents,standards and principles of eco-environment restoration based on enlarging terrace and de-farming,this paper discussed the planning method and technical flow of enlarging terrace and garden plot in a small catchment of loess hilly region by means of GIS spatial analysis technology,and then the planning method was applied in Yangou catchment.The result showed that it is practicabl,and the areas of newly-built terrace and garden plot in Yangou catchment are at least 295.06 and 4.61 hm2,so that the areas of basic farmland and garden plot reach 359.23 and 622.69 hm2.After the land use structure is regulated,the forest coverage is 48.87%,and the permanent vegetation coverage is about 75% in Yangou catchment,while sediment reduction benefit is above 80% in slope land.In agricultural development,Yangou catchment can yield 1 645.13 tons of food supplies,above 9 340 tons of apples,and can feed 7 500 sheep every year.
基金funded by the National Natural Science Foundation of Chinathe Chinese Academy of SciencesYunnan provincial government
文摘Primula tibetica is an inconspicuous herb distributed in the Himalayas where lacks pollinators.The species may undergo severe pollen limitation in the field,and makes an ideal model system for studying whether pollen limitation selects on the traits that increase the floral display in a case in which a small,inconspicuous plant undergoes
基金supported by the National Key Research and Development Program of China (2017YFA0206500and 2018YFA0209103)the National Natural Science Foundation of China (21832003, 21773111, 21573107 and 21971061)the Fundamental Research Funds for the Central Universities (020514380126)
文摘Increasing the energy density of supercapacitor without sacrificing its high power is an everlasting pursuit in energy storage.Using ionic liquid electrolyte with high operating voltage can increase the energy density but usually at the expense of power density due to the large ion size,low ionic conductivity and high viscosity.Herein we demonstrate a simultaneous increase of the energy and power densities with ionic liquid electrolyte(EMIMBF4)mainly by enlarging the ion-transfer micropore channels of the electrode material,i.e.,the unique hierarchical carbon nanocages(hCNC).Boudouard reaction is adopted to tune the micropore size while remaining the hierarchical framework of hCNC.Meanwhile,the specific surface area,pore volume and conductivity are also increased under optimal activation temperature.Such a unique modification boosts the large-sized ion transfer,leading to the obvious decrease of equivalent series resistance and the dramatic increase of supercapacitive performance thereof.The optimized product exhibits an energy density up to 153.8 W h kg^(-1) at the power density of 1.8 kW kg^(-1),and maintains 54.0 W h kg^(-1) even at an ultrahigh power density of 480.1 kW kg^(-1).This study demonstrates an effective way to explore advanced electrode materials by the fine regulation of micropores and related properties.
基金supported by the National Natural Science Foundation of China,No.81472235(to HF)the Shanghai Jiao Tong University Medical and Engineering Project,Nos.YG2021QN53(to HF),YG2017MS71(to HF)+1 种基金the International Cooperation Project of the National Natural Science Foundation of China,No.82020108017(to DC)the Innovation Group Project of the National Natural Science Foundation of China,No.81921002(to DC).
文摘Alzheimer’s disease is a multi-amyloidosis disease characterized by amyloid-βdeposits in brain blood vessels,microaneurysms,and senile plaques.How amyloid-βdeposition affects axon pathology has not been examined extensively.We used immunohistochemistry and immunofluorescence staining to analyze the forebrain tissue slices of Alzheimer’s disease patients.Widespread axonal amyloidosis with distinctive axonal enlargement was observed in patients with Alzheimer’s disease.On average,amyloid-β-positive axon diameters in Alzheimer’s disease brains were 1.72 times those of control brain axons.Furthermore,axonal amyloidosis was associated with microtubule-associated protein 2 reduction,tau phosphorylation,lysosome destabilization,and several blood-related markers,such as apolipoprotein E,alpha-hemoglobin,glycosylated hemoglobin type A1C,and hemin.Lysosome destabilization in Alzheimer’s disease was also clearly identified in the neuronal soma,where it was associated with the co-expression of amyloid-β,Cathepsin D,alpha-hemoglobin,actin alpha 2,and collagen type IV.This suggests that exogenous hemorrhagic protein intake influences neural lysosome stability.Additionally,the data showed that amyloid-β-containing lysosomes were 2.23 times larger than control lysosomes.Furthermore,under rare conditions,axonal breakages were observed,which likely resulted in Wallerian degeneration.In summary,axonal enlargement associated with amyloidosis,micro-bleeding,and lysosome destabilization is a major defect in patients with Alzheimer’s disease.This finding suggests that,in addition to the well-documented neural soma and synaptic damage,axonal damage is a key component of neuronal defects in Alzheimer’s disease.
基金the financial support from the National Natural Science Foundation of China(No.52225208 and 51802131)the Training Program for academic and technical leaders in major disciplines of Jiangxi Province-Young Talents(No.20212BCJ23021)the Natural Science Foundation of Jiangxi Province,China(No.20232BAB204020).
文摘1T-MoS_(2)nanosheets,with metallic conductivity and high capacity,hold great potential for lithium-ion capacitors(LICs),but suffer from sluggish reaction kinetics due to dense stacking.Herein,1T-MoS_(2)nanosheets with enlarged interlayer spacing,vertically bonded to reduced graphene oxide(rGO)(1T-MoS_(2)/rGO),were designed using a hydrothermal-assisted dispersion and intercalation strategy.The active nitrogen species derived from N,N-dimethylformamide(DMF)not only bridge the rGO and MoS_(2)through strong Mo-N-C bonds to promote the formation of dispersed MoS_(2)nanosheets,but also intercalate into the MoS_(2)structure,further enlarging the interlayer spacing.This unique structure synergistically enhances meso-and microscale mass transfer outside and inside of the few-layered nanosheets,significantly improving electrochemical reaction kinetics and reducing the kinetic mismatch between the anode and cathode.Consequently,the resulting 1T-MoS_(2)/rGO achieves a capacity of 500 mAh g^(-1)after 500 cycles at 5 A g^(-1)and a high rate performance of 587 mAh g^(-1)at a high rate of 10 A g^(-1).Moreover,the assembled 3D vertical 1T-MoS_(2)/rGO//AC LIC delivers a high energy density of 100.3 Wh kg^(-1)at a power density of1.0 kW kg^(-1),and long cycle stability with capacity retention as high as 91.02%after 5000 cycles at 2 A g^(-1).This work provides a generalizable strategy for engineering two-dimensional material-based electrodes,offering new insights into high-performance energy storage systems.
基金financially supported by the National Natural Science Foundation of China(Nos.22074072,22274083,32171362)the Natural Science Foundation of Shandong Province(Nos.ZR2022LZY022,ZR2023LZY005,ZR2022YQ73,ZR2021MH087,ZR2024MH070)+1 种基金Special Funds of the Taishan Scholar Program of Shandong Province(No.tsqn202306168)Traditional Chinese Medicine Science and Technology Project of Shandong Province(No.M-2023124)。
文摘Photothermal therapy(PTT),characterized by its minimally invasive nature and highly selective tumorkilling ability,holds great potential for tumor therapy.Due to the outstanding photothermal performance and tumor targeting ability,nanomaterial-based photothermal agents(nano-PTAs)have further expanded the therapeutic horizons of PTT.However,the dense and complicated network of the tumor extracellular matrix(ECM)severely restricts the penetration of nano-PTAs into deep tumor tissues.Since elevated temperatures are only generated in the vicinity of nano-PTAs upon laser irradiation,the uneven distribution of these agents leads to incomplete tumor coverage across the tumor.Consequently,overcoming ECM barriers and enhancing tumor permeability are critical for the success of tumor PTT.To address this challenge,researchers have explored strategies that combine tumor ECM regulation with PTT to facilitate the deep diffusion of nano-PTAs.This review summarizes the latest advancements in designing nanoPTAs with ECM-remodeling capabilities,aiming to enable their uniform penetration throughout tumors.Additionally,we discuss the remaining obstacles and challenges in elucidating the mechanisms of ECM manipulation and understanding the interactions between nano-PTAs and ECM components during the penetration process.
基金supported by Liaoning Xingliao Talent Project (Grant No. XLYC2007020)。
文摘Hemoptysis is a severe complication of pulmonary hypertension (PH) with a low in- cidence of 6%-11%.^([1-4])Although occurring in all forms of PH,it is more commonly seen in pulmonary arterial hypertension (PAH),associated with congenital heart disease (PAH-CHD).^([5,6])Since enlarged bronchial arteries are a frequent source of pulmonary bleeding,the primary treatment focuses on bronchial artery embolization (BAE),especially for chronic thromboembolic pulmonary hypertension (CTEPH) patients^([7,8]).However,there is disagreement regarding medical therapy,which has received little attention in the recently published PH guidelines.^([5,6])
文摘原著标题:Case of progressive atrophy of the muscles of the hands;enlargement of the ventricle of the cord in the cervical region,with atrophy of the gray matter.刊载杂志:Guy’s Hosp.Rep,1862,8:244-250.原著作者:Gull William Withey(1816-1890)本文报告一尸检时发现脊髓内空洞形成的病例。患者,男,44岁。病史中记载:开始时右手第4、5指出现乏力并屈曲挛缩,进行性手内肌萎缩,以后左手亦出现同样表现,右侧有麻木感但无感觉障碍体征。
文摘Nowadays,more and more university students have Teacher’s Book for College English. They know answers of exercises from it before they do them. Some of them just copy down the right answers and wait for teacher’s praise. In this situation, College English teachers should redesign the exercises after each unit so that students will be interested and involved in learning. This study thus suggests several ways to redesign the vocabulary exercises from “ College English". It expects, on the one hand, to raise College English teachers’ awareness of the necessity to change the exercises. On the other hand, it expects to give them an inspiration, and example of designing more appropriate exercises so as to reinforce students’ vocabulary and enhance their language awareness.
文摘In an information society,the English knowledge in capacity for college students has gradually been improved and its range is alsoenlarged.If teachers overlook summing up the knowledge which the students have gained and improving their skills in English,it will behard for students to learn English well.In educational circles people often say"teaching method isn't fixed ",but it is of the same view togive students some basic regularity,let students have enough abilities and make knowledge which the students have gained assimilate and sys-tematize etc.Facing medical college students'tasks are arduous and the students often seem at a loss.In English lessons,it is necessary forteachers to help students find out some basic laws,give students enough skills and methods,let students sum up and classify knowledge whichis scattered,disorderly,bit by bit and even fragmented.
文摘Recent advances in endoscopic technology allow detailed observation of the gastric mucosa.Today,endoscopy is used in the diagnosis of gastritis to determine the presence/absence of Helicobacter pylori(H.pylori)infection and evaluate gastric cancer risk.In 2013,the Japan Gastroenterological Endoscopy Society advocated the Kyoto classification,a new grading system for endoscopic gastritis.The Kyoto classification organized endoscopic findings related to H.pylori infection.The Kyoto classification score is the sum of scores for five endoscopic findings(atrophy,intestinal metaplasia,enlarged folds,nodularity,and diffuse redness with or without regular arrangement of collecting venules)and ranges from 0 to 8.Atrophy,intestinal metaplasia,enlarged folds,and nodularity contribute to gastric cancer risk.Diffuse redness and regular arrangement of collecting venules are related to H.pylori infection status.In subjects without a history of H.pylori eradication,the infection rates in those with Kyoto scores of 0,1,and≥2 were 1.5%,45%,and 82%,respectively.A Kyoto classification score of 0 indicates no H.pylori infection.A Kyoto classification score of 2 or more indicates H.pylori infection.Kyoto classification scores of patients with and without gastric cancer were 4.8 and 3.8,respectively.A Kyoto classification score of 4 or more might indicate gastric cancer risk.
基金Project (2016YFB1200602-11) supported by National Key R&D Plan of China
文摘The influence of enlarged section parameters on pressure transients of high-speed train passing through a tunnel was investigated by numerical simulation.The calculation results obtained by the structured and unstructured grid and the experimental results of smooth wall tunnel were verified.Numerical simulation studies were conducted on three tunnel enlarged section parameters,the enlarged section distribution along circumferential direction,the enlarged section area and the enlarged section distribution along tunnel length direction.The calculation results show that the influence of the different enlarged section distributions along tunnel circumferential direction on pressure transients in the tunnel is basically consistent.There is an optimal enlarged section area for the minimum value of the pressure variation amplitude and the average pressure variation in the tunnel.The law of the pressure variation amplitude and the average pressure variation of the enlarged section distribution along tunnel length direction are obtained.
基金supported by the National Natural Science Foundation of China,Nos.82274611(to LZ),82104419(to DM)Capital Science and Technology Leading Talent Training Project,No.Z191100006119017(to LZ)+3 种基金Beijing Hospitals Authority Ascent Plan,No.DFL20190803(to LZ)Cultivation Fund of Hospital Management Center in Beijing,No.PZ2022006(to DM)R&D Program of Beijing Municipal Education Commission,No.KM202210025017(to DM)Beijing Gold-Bridge Project,No.ZZ20145(to DM)。
文摘Hypertension is a primary risk factor for the progression of cognitive impairment caused by cerebral small vessel disease,the most common cerebrovascular disease.Howeve r,the causal relationship between hypertension and cerebral small vessel disease remains unclear.Hypertension has substantial negative impacts on brain health and is recognized as a risk factor for cerebrovascular disease.Chronic hypertension and lifestyle factors are associated with risks for stro ke and dementia,and cerebral small vessel disease can cause dementia and stroke.Hypertension is the main driver of cerebral small vessel disease,which changes the structure and function of cerebral vessels via various mechanisms and leads to lacunar infarction,leukoaraiosis,white matter lesions,and intracerebral hemorrhage,ultimately res ulting in cognitive decline and demonstrating that the brain is the to rget organ of hypertension.This review updates our understanding of the pathogenesis of hypertensioninduced cerebral small vessel disease and the res ulting changes in brain structure and function and declines in cognitive ability.We also discuss drugs to treat cerebral small vessel disease and cognitive impairment.
文摘Objective:We sought to determine if urodynamic study(UDS)predicted voiding outcomes in men with detrusor underactivity(DU)and benign prostatic enlargement(BPE)who underwent photovaporization of the prostate(PVP).Methods:Between September 2010 and July 2015,106 male patients with BPE and DU were identified.All patients underwent PVP.Urinary retention was noted by the preoperative necessity for an indwelling or intermittent catheter.Data collection included comorbidities,quality of life(QoL)scores,prostate volume,prostate-specific antigen(PSA),UDS and perioperative outcomes.UDS parameters included volume at first desire to void,volume at first urge to void,volume of severe urge,volume at capacity,compliance,detrusor contractions,maximum urinary flow rate(Qmax),and postvoid residual(PVR).Results:A total of 106 men were included in this analysis,who had urinary retention with a Foley catheter or clean intermittent catheterization(CIC)at the time of surgery.At baseline we found patients who voided had a detrusor pressure at Qmax(Pdet@Qmax)of 10.05±6.45 cmH2O compared to 16.78±12.17 cmH2O in those who did not void(p=0.071).Postoperatively,96(90.6%,mean age 76.9±26.2 years)of patients voided successfully while 10(9.4%,mean age 80.52±9.61 years)of patients remained in urinary retention.Mean baseline Qmax was 4.895±5.452 mL/s and 2.900±3.356 mL/s(p=0.087)in those who voided and did not respectively.PVR was 319.23±330.62 mL in those who voided and 276.88263.27 mL(p=0.344)in those who did not void.No UDS parameter predicted who would void postoperatively or improvements in QoL.Conclusions:The patients with DU and BPE might be able to successfully void after undergoing PVP regardless of UDS findings.All men who voided had improved international prostate symptom score and QoL scores compared to baseline and these parameters were durable up to 12 months.
基金supported by grants from the Health & Medical Collaborative Innovation Project of Guangzhou City,China(No.201400000001)the Sun Yat-sen University Clinical Research 5010 Program(No.2012011)+1 种基金the Science and Technology Project of Guangzhou City,China(No.14570006)the Planned Science and Technology Project of Guangdong Province,China(No. 2013B020400004)
文摘Background:Nasopharyngeal carcinoma(NPC) shows a high proportion of lymph node metastasis,and treatment guidelines have been developed for positive nodes.However,no irradiation guidelines have been proposed for patients with enlarged neck lymph nodes(ENLNs) that do not meet the radiological criteria of 10 mm in diameter for positive lymph nodes.This study aimed to determine the prognostic value and radiation dose for ENLNs in NO-category NPC patients treated with intensity-modulated radiotherapy(IMRT).Methods:We reviewed the medical data of 251 patients with non-metastatic,NO-category NPC treated with IMRT.Receiver operating characteristic curves were used to calculate the cut-off value of the ENLN diameter for the prediction of disease failure.The biological equivalent dose(BED) for ENLNs was calculated.Patient survival was compared between the small and large ENLN groups.Independent prognostic factors were identified using the Cox proportional hazards model.Results:The estimated 4-year regional relapse-free survival rate was higher in patients with ENLNs ≥5.5 mm than in those with ENLNs <5.5 mm(100%vs.98.8%,P=0.049),whereas disease-free,overall,and distant metastasis-free survival rates were similar between the two groups.After adjusting for various factors,ENLN diameter was not identified as an independent prognostic factor(P > 0.05 for all survival rates).In the subgroup analysis,patients receiving BED ≥72 Gy had a similar prognosis as patients receiving BED <72 Gy in both the small and large ENLN groups.The multivariate analysis also confirmed that BED≥72 Gy was not associated with significantly improved prognosis in patients with NO-category NPC.Conclusions:A BED of 72 Gy to ENLNs is considerably sufficient to provide a clinical benefit to patients with NO-category NPC.Prospective studies are warranted to validate the findings in the present study.
文摘BACKGROUND：Continuous hemorrhage or hematoma enlargement often occurs following cerebral hemorrhage attacks. OBJECTIVE： To retrospectively analyze the influential factors for hematoma enlargement in patients with hypertensive cerebral hemorrhage prior to minimally invasive surgery. DESIGN, TIME AND SETTING： A comparative analysis of 90 patients with cerebral hemorrhage undergoing minimally invasive surgery at the Department of Neurology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology between April 2005 and February 2007. PARTICIPANTS： Fifty-eight males and thirty-one females aged （52.7 ± 5.23） years （range, 28-73 years）. METHODS： Cranial CT was performed twice to objectively identify hematoma enlargement. Patients with hematoma enlargement prior to surgery were selected as the observation group （n = 30）, and those with no obvious hematoma changes served as the control group （n = 60）. Following cranial CT localization, the two groups underwent minimally invasive hematoma aspiration and drainage, according to Standardized Treatment Guidelines for Micro-invasive Aspiration and Drainage of Intracranial Hematoma. MAIN OUTCOME MEASURES： Hemorrhage site, coagulation function, diabetes history, and clinical symptoms. RESULTS： There were no significant differences in hemorrhage sites between the two groups （χ2 = 2.262, P 〉 0.05）. The percent of intemperance patients in the observation group was significantly larger than the control group （χ2 = 6.923, P 〈 0.01）. No significant differences in terms of percent of coagulation dysfunction or diabetes were determined between the two groups （χ2 = 0.03, 0.08, P 〉 0.05）. The percent of patients with clinical deterioration was significantly higher in the observation group, compared to the control group （χ2 = 25.57, P 〈 0.01）. CONCLUSION： Intemperance and preoperative clinical deterioration may increase incidence of hematoma enlargement prior to minimally invasive surgery in patients with hypertensive cerebral hemorrhage.
