Spinal cord injury represents a severe form of central nervous system trauma for which effective treatments remain limited.Microglia is the resident immune cells of the central nervous system,play a critical role in s...Spinal cord injury represents a severe form of central nervous system trauma for which effective treatments remain limited.Microglia is the resident immune cells of the central nervous system,play a critical role in spinal cord injury.Previous studies have shown that microglia can promote neuronal survival by phagocytosing dead cells and debris and by releasing neuroprotective and anti-inflammatory factors.However,excessive activation of microglia can lead to persistent inflammation and contribute to the formation of glial scars,which hinder axonal regeneration.Despite this,the precise role and mechanisms of microglia during the acute phase of spinal cord injury remain controversial and poorly understood.To elucidate the role of microglia in spinal cord injury,we employed the colony-stimulating factor 1 receptor inhibitor PLX5622 to deplete microglia.We observed that sustained depletion of microglia resulted in an expansion of the lesion area,downregulation of brain-derived neurotrophic factor,and impaired functional recovery after spinal cord injury.Next,we generated a transgenic mouse line with conditional overexpression of brain-derived neurotrophic factor specifically in microglia.We found that brain-derived neurotrophic factor overexpression in microglia increased angiogenesis and blood flow following spinal cord injury and facilitated the recovery of hindlimb motor function.Additionally,brain-derived neurotrophic factor overexpression in microglia reduced inflammation and neuronal apoptosis during the acute phase of spinal cord injury.Furthermore,through using specific transgenic mouse lines,TMEM119,and the colony-stimulating factor 1 receptor inhibitor PLX73086,we demonstrated that the neuroprotective effects were predominantly due to brain-derived neurotrophic factor overexpression in microglia rather than macrophages.In conclusion,our findings suggest the critical role of microglia in the formation of protective glial scars.Depleting microglia is detrimental to recovery of spinal cord injury,whereas targeting brain-derived neurotrophic factor overexpression in microglia represents a promising and novel therapeutic strategy to enhance motor function recovery in patients with spinal cord injury.展开更多
Strokes include both ischemic stroke,which is mediated by a blockade or reduction in the blood supply to the brain,and hemorrhagic stroke,which comprises intracerebral hemorrhage and subarachnoid hemorrhage and is cha...Strokes include both ischemic stroke,which is mediated by a blockade or reduction in the blood supply to the brain,and hemorrhagic stroke,which comprises intracerebral hemorrhage and subarachnoid hemorrhage and is characterized by bleeding within the brain.Stroke is a lifethreatening cerebrovascular condition characterized by intricate pathophysiological mechanisms,including oxidative stress,inflammation,mitochondrial dysfunction,and neuronal injury.Critical transcription factors,such as nuclear factor erythroid 2-related factor 2 and nuclear factor kappa B,play central roles in the progression of stroke.Nuclear factor erythroid 2-related factor 2 is sensitive to changes in the cellular redox status and is crucial in protecting cells against oxidative damage,inflammatory responses,and cytotoxic agents.It plays a significant role in post-stroke neuroprotection and repair by influencing mitochondrial function,endoplasmic reticulum stress,and lysosomal activity and regulating metabolic pathways and cytokine expression.Conversely,nuclear factor-kappa B is closely associated with mitochondrial dysfunction,the generation of reactive oxygen species,oxidative stress exacerbation,and inflammation.Nuclear factor-kappa B contributes to neuronal injury,apoptosis,and immune responses following stroke by modulating cell adhesion molecules and inflammatory mediators.The interplay between these pathways,potentially involving crosstalk among various organelles,significantly influences stroke pathophysiology.Advancements in single-cell sequencing and spatial transcriptomics have greatly improved our understanding of stroke pathogenesis and offer new opportunities for the development of targeted,individualized,cell typespecific treatments.In this review,we discuss the mechanisms underlying the involvement of nuclear factor erythroid 2-related factor 2 and nuclear factor-kappa B in both ischemic and hemorrhagic stroke,with an emphasis on their roles in oxidative stress,inflammation,and neuroprotection.展开更多
This work deals with an inverse scattering problem for the Schrodinger operator on a star-shaped graph with one semi-infinite branch.Using the high-frequency asymptotic behaviour of the reflection coefficient,first we...This work deals with an inverse scattering problem for the Schrodinger operator on a star-shaped graph with one semi-infinite branch.Using the high-frequency asymptotic behaviour of the reflection coefficient,first we provide the identifiability of the geometry of this star-shaped graph:the number of edges and their lengths.Under some assumptions on the geometry of the graph,the main result states that the measurement of one reflection coefficient,together with the scattering data corresponding to the infinite branch,associated with Robin boundary conditions at the external nodes of the graph,can uniquely determine the parameters of the boundary conditions and the potentials on the whole interval which is already known in a half-interval.展开更多
By employing a full quantum theory of electron-photon scattering in intense laser fields,we calculate the angularresolved radiation rate of the fundamental wave in Thomson scattering.We investigate the dependence of r...By employing a full quantum theory of electron-photon scattering in intense laser fields,we calculate the angularresolved radiation rate of the fundamental wave in Thomson scattering.We investigate the dependence of radiation rate on Euler angles and elucidate the underlying physical mechanism.The figure-8 profile of the radiation rate within the polarization plane is validated,while its evolution with respect to laser intensity and electron momentum is illustrated.Our findings reveal that in lower-intensity laser fields and for slow electron motion,the angular-resolved radiation rate exhibits distinct dipole emission characteristics.However,significant changes are observed at high laser intensities and/or large electron momenta,leading to pronounced alterations in the angular-resolved radiation rate.Remarkably similar variation patterns can be achieved by proportionally adjusting both laser intensity and electron momentum.展开更多
This systematic review synthesizes empirical research on external risk factors for adolescent smartphone addiction.Scopus and Web of Science were searched for English peer-reviewed empirical articles from 2008 onward;...This systematic review synthesizes empirical research on external risk factors for adolescent smartphone addiction.Scopus and Web of Science were searched for English peer-reviewed empirical articles from 2008 onward;28 met inclusion criteria(excluding non-adolescents,generic internet addiction,non-empirical work,or non-English).Thematic synthesis organized findings into three external risk domains—family,school,and peers—considering cultural/contextual mechanisms.Family dynamics(parental phubbing,harsh parenting,dysfunction),school stressors,and adverse peer relationships were identified as accumulating,direct and indirect contributors to smartphone addiction.These operate within a techno-ecological framework,where digital technologies amplify vulnerabilities and create new pathways for maladaptive use.Evidence favors an ecological,multi-level perspective.Future research should use longitudinal designs,standardize measures across cultures,and examine understudied regions—especially Africa—to guide culturally sensitive interventions.展开更多
The significant variation in plant regeneration efficiency between indica and japonica rice poses a major challenge for crop improvement.However,the molecular basis for this divergence remains largely unclear.In this ...The significant variation in plant regeneration efficiency between indica and japonica rice poses a major challenge for crop improvement.However,the molecular basis for this divergence remains largely unclear.In this study,we investigated the role of Oryza sativa AUXIN RESPONSE FACTOR 13(OsARF13),a transcription factor involved in callus-related processes.We observed that OsARF13 expression is significantly higher in japonica rice callus than in indica rice callus.This differential expression might be associated with an allelic variation in the promoter region of OsARF13,where a deletion commonly found in indica rice corresponds to the loss of a conserved auxin-responsive element(AuxRE)motif.To functionally characterize OsARF13,we generated CRISPR/Cas9-mediated knockout mutants.These mutants exhibited a substantial reduction in callus fresh weight,demonstrating that OsARF13 is required for efficient callus induction.Transcriptome analysis of the osarf13 mutant further showed that OsARF13 influences the expression of genes involved in hormone signal transduction and stress responses.Our findings suggest that OsARF13 is a key component of the regulatory network governing callus induction and that natural variation in its promoter might provide a potential explanation for the differential regenerative capacity between japonica and indica rice subspecies.展开更多
Muon scattering tomography(MST) is a powerful noninvasive imaging technique with significant applications in nuclear material detection and security screening.Traditional MST usually relies on the point of closest app...Muon scattering tomography(MST) is a powerful noninvasive imaging technique with significant applications in nuclear material detection and security screening.Traditional MST usually relies on the point of closest approach(PoCA) algorithm to reconstruct images from muon scattering data;however,PoCA often suffers from suboptimal image clarity and resolution.To overcome these challenges,we propose a novel approach that leverages reinforcement learning(RL) to enhance MST reconstruction,termed the μRL-enhanced method.By framing the MST optimization task as an RL problem,we developed an intelligent agent capable of dynamically adjusting the key PoCA parameters.The agent is trained using a multi-objective reward function that guides the optimization toward higher-quality reconstructions.Our experimental results show that theμRL-enhanced method significantly outperforms the traditional PoCA baseline acros s multiple benchmark metrics.Specifically,the proposed approach on average attains a 307% improvement in the intersection over union(IoU),a 79% increase in the structural similarity index measure(SSIM),and a 8.4% enhancement in the peak signal-to-noise ratio(PSNR) across four experiments.Furthermore,when benchmarked against the maximum likelihood scattering and displacement(MLSD)algorithm,the μRL-enhanced method offers modest gains in PS NR and IoU,together with a one-third increase in SSIM.These improvements demonstrate the enhanced reconstruction accuracy and structural fidelity of the μRL-enhanced method,highlighting its potential to advance MST technologies and their applications.展开更多
In complex media scattering,multiple scattering severely degrades the optical wavefront and results in blurred images,while the spectral distortion caused by the scattering effect leads to severe color distortion.Achi...In complex media scattering,multiple scattering severely degrades the optical wavefront and results in blurred images,while the spectral distortion caused by the scattering effect leads to severe color distortion.Achieving color high-resolution imaging through scattering media remains a significant challenge.Here,we propose a broadband,polarization-based method for color high-resolution imaging through scattering media.This approach enables high-resolution reconstruction by effectively separating the speckle illumination pattern from the mixed-scattering field information,leveraging polarization common-mode characteristics.Concurrently,it incorporates chromatic balance compensation to correct spectral aliasing in the scattered light field,enabling color high-resolution imaging through complex scattering media.To further optimize color distortion caused by scattering,a compensation strategy combining color constancy and white balance theory is adopted.Experimental results demonstrate that the proposed method significantly enhances both spatial resolution and color fidelity across various scattering conditions and target materials,showcasing strong adaptability and robustness.This approach provides an effective solution for achieving high-resolution color optical imaging in complex scattering environments.展开更多
BACKGROUND Ischemic stroke is one of the leading global causes of disability and death.Despite advances in modern medical technology that improve acute treatment and rehabilitation measures,post-stroke anxiety and dep...BACKGROUND Ischemic stroke is one of the leading global causes of disability and death.Despite advances in modern medical technology that improve acute treatment and rehabilitation measures,post-stroke anxiety and depression(PSD)do not receive sufficient attention.AIM To systematically evaluate risk factors and early identification markers for PSD for more precise screening and intervention strategies in clinical practice.METHODS This retrospective study analyzed clinical data from 112 patients with ischemic stroke admitted between January 2022 and December 2024.Based on assessments using the Hamilton Rating Scale for Anxiety(HAMA)and Hamilton Rating Scale for Depression(HAMD)at 2 weeks(±3 days)post-stroke,patients were classified into the PSD group(HAMA≥7 and/or HAMD≥7)and the non-PSD group(HAMA<7 and HAMD<7).Observation indicators included psychological assessment,demographic and clinical characteristics,stroke-related clinical indicators,neuroimaging assessments,and laboratory biomarkers.Multivariate logistic regression analysis was used to identify independent risk factors for PSD,and receiver operating characteristic curve analysis was used to evaluate the diagnostic value of potential biomarkers.RESULTS Of the 112 patients,46(41.1%)were diagnosed with PSD.Multivariate analysis identified five independent risk factors:Female gender[Odds ratio(OR)=2.32,95%confidence interval(CI):1.56-3.45],history of mental disorders prior to stroke(OR=3.17,95%CI:1.89-5.32),infarct location in the frontal lobe or limbic system(OR=2.86,95%CI:1.73-4.71),stroke severity with National Institutes of Health Stroke Scale≥8 at admission(OR=2.54,95%CI:1.62-3.99),and low social support(Social Support Rating Scale<35,OR=2.18,95%CI:1.42-3.36).Subgroup analysis showed that depression patients more commonly had left hemisphere lesions(68.4%vs 45.2%),while anxiety patients more frequently presented with right hemisphere lesions(59.5%vs 39.5%).The PSD group exhibited larger infarct volumes(8.7 cm^(3) vs 5.3 cm^(3)),more severe white matter hyperintensities,and more pronounced frontal lobe atrophy.Analysis of inflammatory markers showed significantly elevated levels of interleukin-6(7.8 pg/mL vs 4.5 pg/mL)and tumor necrosis factor-alpha(15.6 pg/mL vs 9.8 pg/mL)in the PSD group,while hypothalamicpituitary-adrenal axis function assessment revealed higher cortisol levels(386.5±92.3 nmol/L vs 328.7±75.6 nmol/L)and flattened diurnal rhythm in the PSD group.CONCLUSION PSD is a complex neuropsychiatric consequence of stroke involving disruption of the frontal-limbic circuitry,neuroinflammatory responses,and dysfunction of the hypothalamic-pituitary-adrenal axis.展开更多
We propose a scheme to achieve nonreciprocal single-photon transmission in a system consisting of a spinning whispering-gallery-mode resonator and a stationary resonator containing a scatterer,both coupled to a one-di...We propose a scheme to achieve nonreciprocal single-photon transmission in a system consisting of a spinning whispering-gallery-mode resonator and a stationary resonator containing a scatterer,both coupled to a one-dimensional waveguide.By tuning the Sagnac-Fizeau shift induced by the spinning resonator,high-contrast nonreciprocal transmission in both forward and backward directions can be realized.Furthermore,we investigate the influences of system parameters including waveguide-resonator coupling strength,inter-mode coupling strengths within two resonators,and inter-cavity coupling strength on nonreciprocal transmissions.The results indicate that the synergistic regulation of these parameters can adjust the position of the nonreciprocal transmission peak and achieve high-contrast nonreciprocal transmission.展开更多
Deep learning methods have achieved significant progress in solving partial differential equations.However,when applied to the widely used anisotropic scattering neutron transport equations in reactor engineering,thes...Deep learning methods have achieved significant progress in solving partial differential equations.However,when applied to the widely used anisotropic scattering neutron transport equations in reactor engineering,these encounter significant challenges.To address this issue,this study introduces a multi-antiderivative transformation alternating iterative deep learning method(M-AIM).This method transforms the integral terms of the scattering and fission sources in the transport equation into multiple antiderivative functions corresponding to the integrand,converts the differential-integral form of the transport equation into an exact differential equation,and establishes the necessary constraints for a unique solution.The M-AIM uses multiple deep neural networks to map the unknown angular flux density of transport equations and represents various forms of antiderivative functions.It constructs the corresponding weighted loss functions.By alternating iterative training with deep learning methods applied to these neural networks,the loss is reduced gradually.When the loss decreases to a preset minimum,the neural network approaches a numerical solution for both angular flux density and antiderivative functions.This paper presents a numerical verification of geometries such as flat plates and spheres.It verifies the validity of the theoretical framework and associated methods.The study contributes to the development of novel technical approaches for applying deep learning to solve anisotropic scattering neutron transport equations in reactor engineering.展开更多
BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making ...BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making it a signifi cant public health concern.This study is to determine the prevalence and factors associated with acute pain among emergency trauma patients.METHODS:A multicenter cross-sectional study was conducted.Data were collected via interviewer-administered questionnaires and patient chart review.The data were analyzed via the statistical package for social science version 25.Bivariable and multivariable logistic regression analyses were used.Variables with a P-value<0.05 were considered statistically signifi cant.RESULTS:A total of 397 patients were included in the study,for a response rate of 96.8%.The prevalence of pain during admission was 91.9%(95%confi dence intervals[95%CIs]:88.8%-94.4%).Blunt trauma(adjusted odds ratio[aOR]=2.82;95%CI:1.23-6.45),analgesia before admission to the emergency department(aOR=2.71;95%CI:1.16-6.36),documentation of pain severity in the chart(aOR=2.71;95%CI:1.16-6.36),analgesia provided within two hours after admission(aOR=7.60;95%CI:2.79-20.68),use of non-pharmacological pain management methods(aOR=3.09;95%CI:1.35-7.08)and availability of analgesia(aOR=3.95;95%CI:1.36-11.43)were associated with acute pain experience.CONCLUSION:The prevalence of acute pain among emergency trauma patients was high in the study area.Analgesia should be administered prior to admission,and non-pharmacological pain management should be implemented.Moreover,training on pain assessment and management should be provided for healthcare providers in the emergency department.展开更多
The theoretical implementation aspects of scattered field prediction and angular glint calculation in near-field region are proposed in this work.First of all,a more refined expression of the Green function is develop...The theoretical implementation aspects of scattered field prediction and angular glint calculation in near-field region are proposed in this work.First of all,a more refined expression of the Green function is developed.In this representation,an expansion center is adopted within the neighborhood of the sources.Then a high-frequency electromagnetic scattering evaluation algorithm is formulated,combining the refined physical optics(PO)and equivalent edge current(EEC)algorithm.The modified method not only retains the conciseness and efficiency of the standard code but also can be directly used in the near field(NF)scattering estimation.Afterwards,two basic concepts of the angular glint are briefly introduced and formulated.The proposed procedure makes preparation for the computation of NF linear deviation.Numerical examples demonstrate the accuracy and efficiency of the NF scattering prediction algorithm.The angular glint characteristics in near-field scenarios are also presented and analyzed in the final section.展开更多
Nerve trauma commonly results in chronic neuropathic pain. This is by triggering the release of proinflammatory mediators from local and invading cells that induce inflammation and nociceptive neuron hyperexcitability...Nerve trauma commonly results in chronic neuropathic pain. This is by triggering the release of proinflammatory mediators from local and invading cells that induce inflammation and nociceptive neuron hyperexcitability. Even without apparent inflammation, injury sites are associated with increased inflammatory markers. This review focuses on how it might be possible to reduce neuropathic pain by reducing inflammation. Physiologically, pain is resolved by a combination of the out-migration of pro-inflammatory cells from the injury site, the down-regulation of the genes underlying the inflammation, up-regulating genes for anti-inflammatory mediators, and reducing nociceptive neuron hyperexcitability. While various techniques reduce chronic neuropathic pain, the best are effective on < 50% of patients, no technique reliably or permanently eliminates neuropathic pain. This is because most techniques are predominantly aimed at reducing pain, not inflammation. In addition, while single factors reduce pain, increasing evidence indicates significant and longer-lasting pain relief requires multiple factors acting simultaneously. Therefore, it is not surprising that extensive data indicate that the application of platelet-rich plasma provides more significant and longer-lasting pain suppression than other techniques, although its analgesia is neither complete nor permanent. However, several case reports indicate that platelet-rich plasma can induce permanent neuropathic pain elimination when the platelet concentration is significantly increased and is applied to longer nerve lengths. This review examines the primary triggers of the development and maintenance of neuropathic pain and techniques that reduce chronic neuropathic pain. The application of plateletrich plasma holds great promise for providing complete and permanent chronic neuropathic pain elimination.展开更多
Small angle x-ray scattering(SAXS)is an advanced technique for characterizing the particle size distribution(PSD)of nanoparticles.However,the ill-posed nature of inverse problems in SAXS data analysis often reduces th...Small angle x-ray scattering(SAXS)is an advanced technique for characterizing the particle size distribution(PSD)of nanoparticles.However,the ill-posed nature of inverse problems in SAXS data analysis often reduces the accuracy of conventional methods.This article proposes a user-friendly software for PSD analysis,GranuSAS,which employs an algorithm that integrates truncated singular value decomposition(TSVD)with the Chahine method.This approach employs TSVD for data preprocessing,generating a set of initial solutions with noise suppression.A high-quality initial solution is subsequently selected via the L-curve method.This selected candidate solution is then iteratively refined by the Chahine algorithm,enforcing constraints such as non-negativity and improving physical interpretability.Most importantly,GranuSAS employs a parallel architecture that simultaneously yields inversion results from multiple shape models and,by evaluating the accuracy of each model's reconstructed scattering curve,offers a suggestion for model selection in material systems.To systematically validate the accuracy and efficiency of the software,verification was performed using both simulated and experimental datasets.The results demonstrate that the proposed software delivers both satisfactory accuracy and reliable computational efficiency.It provides an easy-to-use and reliable tool for researchers in materials science,helping them fully exploit the potential of SAXS in nanoparticle characterization.展开更多
BACKGROUND Post-transplant tertiary hyperparathyroidism(PT-tHPT)is a well-recognized complication following kidney transplantation,characterized by persistent excessive secretion of parathyroid hormone(PTH)despite imp...BACKGROUND Post-transplant tertiary hyperparathyroidism(PT-tHPT)is a well-recognized complication following kidney transplantation,characterized by persistent excessive secretion of parathyroid hormone(PTH)despite improved renal function.It is potentially associated with an increased risk of cardiovascular events,renal osteodystrophy,pathologic fractures,graft loss,and mortality.AIM To evaluate the incidence,risk factors,and outcomes of PT-tHPT amongst kidney transplant recipients.METHODS A total of 887 transplant recipients who underwent transplantation between 2000 and 2020 were evaluated.Univariable and multivariable logistic regression was performed to determine the predictors of tertiary hyperparathyroidism.Graft and recipient outcomes were assessed using multivariable Cox regression.A separate multivariable Cox regression was performed to determine the effect of treatment strategies on outcomes.RESULTS PT-tHPT,defined as elevated PTH(>65 ng/L)and persistent hypercalcemia(>2.60 mmol/L),was diagnosed in 14%of recipients.Risk factors for PT-tHPT included older age[odds ratio(OR)=1.36,P<0.001],Asian ethnicity(OR=0.33,P=0.006),total ischemia time(OR=1.03,P=0.048 per hour),pre-transplant serum calcium(OR=1.38,P<0.001)per decile increase,pre-transplant PTH level(OR=1.31,P<0.001)per decile increase,longer dialysis duration(OR=1.12,P=0.002)per year,history of acute rejection(OR=2.37,P=0.012),and slope of estimated glomerular filtration rate change(OR=0.91,P=0.001).There were a 3.4-fold higher risk of death-censored graft loss and a 1.9-fold greater risk of recipient death with PT-tHPT.The three treatment strategies of conservative management,calcimimetic and parathyroidectomy did not significantly change the graft or patient outcome.CONCLUSION Pretransplant elevated calcium and PTH levels,older age and dialysis duration are associated with PT-tHPT.While PT-tHPT significantly affects graft and recipient survival,the treatment strategies did not affect survival.展开更多
In this study,we explore a spherically symmetric charged black hole(BH)with a negative cosmological constant under the influence of a Kalb-Ramond field background.We compute the photon sphere and shadow radii,validati...In this study,we explore a spherically symmetric charged black hole(BH)with a negative cosmological constant under the influence of a Kalb-Ramond field background.We compute the photon sphere and shadow radii,validating our findings using observational data from the Event Horizon Telescope,with a particular emphasis on the shadow images of Sagittarius A^(*).Furthermore,we investigate the greybody factors,emission rate,and partial absorption cross section.It is shown that the Lorentz-violating parameter l has an important effect on the absorption cross section.Our analysis also includes an examination of the topological charge,temperature-dependent topology,and generalized free energy.In particular,we regard the AdS charged BH with an antisymmetric tensor background as a topological defect in the thermodynamic space,then the system has the same topological classification to the charged Reissner-Nordström-AdS BH.展开更多
Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality...Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality of life,and mortality.Gaining an understanding of the trajectory of IC and the factors that influence it is of paramount importance for fostering healthy aging.This research is focused on exploring the trajectory of IC among older adults in China and examining the factors that influence it.Methods:This observational longitudinal cohort study leveraged data from the China Health and Retirement Longitudinal Study(CHARLS),which was conducted in the years 2011,2013,and 2015.For the purpose of this analysis,a total of 2,233 participants who were aged 60 and over were included.A Growth Mixture Model(GMM)was utilized to define trajectory categories for IC.Influential factors were ascertained based on the health ecology model,and binary logistic regression analysis was utilized to investigate the factors linked with the different trajectory categories.Results:Two distinct trajectory classes of IC were identified:Class 1,the normal-stable group,encompassed 90.4%of the elderly population,while Class 2,the declining group,made up 9.6%.Advanced age and a history of stroke were found to be significantly associated with Class 2.High scores in activities of daily living(ADL),employment status,receiving primary or junior high school education,and residence in the East or Central regions of China were significantly linked with Class 1.Conclusion:The trajectory of IC among older Chinese adults is marked by its heterogeneity.Advanced age and a history of stroke are significant risk factors for a declining IC trajectory,while higher ADL scores,being employed,receiving primary or junior high school education,and residing in the East or Central regions of China are protective factors associated with a stable IC trajectory.Healthcare institutions must closely monitor IC levels and understand these trajectory patterns to implement personalized and targeted interventions promptly to maintain IC at a healthy level and advocate for healthy aging.展开更多
Long-term exposure to ambient fine particulate matter(PM2.5)may increase the risk of neurotoxicity in human populations.However,research studies on the underlying mechanisms of chronic PM2.5-induced depression-like be...Long-term exposure to ambient fine particulate matter(PM2.5)may increase the risk of neurotoxicity in human populations.However,research studies on the underlying mechanisms of chronic PM2.5-induced depression-like behaviors,and potential therapeutical strategies,remain scarce.In the present study,after long-term exposure to real-world PM2.5 for 15 weeks,male mice displayed depression-like behaviors,which were revealed using the open field and sucrose preference tests.Mechanistically,chronic PM2.5 exposure promoted astrocytic A1 polarization and disrupted reduction-oxidation balance in the mouse hippocampus.Furthermore,PM2.5-exposed mice displayed pathological damage to hippocampal neurons as well as the inhibition of nuclear factor erythroid 2-related factor 2 signaling.Astrocytic ablation of nuclear factor erythroid 2-related factor 2 exacerbated PM2.5-induced hippocampal neuronal injury in mice via the disruption of astrocyte-to-microglia communication;this finding was confirmed in mice with bilateral and unilateral hippocampal astrocytic Nfe2l2 knockdown.Importantly,the upregulation of nuclear factor erythroid 2-related factor 2 activation by procyanidin significantly ameliorated PM2.5-induced depression-like behaviors through the remodeling of astrocyte-to-microglia communication.Together,our findings shed light on the important role of hippocampal astrocytic nuclear factor erythroid 2-related factor 2 activation for maintaining astrocyte-to-microglia communication,and indicate potential research avenues for therapeutic strategies against PM2.5-induced depresson-like behaviors.展开更多
基金supported by the National Natural Science Foundation of China,Nos.82072165 and 82272256(both to XM)the Key Project of Xiangyang Central Hospital,No.2023YZ03(to RM)。
文摘Spinal cord injury represents a severe form of central nervous system trauma for which effective treatments remain limited.Microglia is the resident immune cells of the central nervous system,play a critical role in spinal cord injury.Previous studies have shown that microglia can promote neuronal survival by phagocytosing dead cells and debris and by releasing neuroprotective and anti-inflammatory factors.However,excessive activation of microglia can lead to persistent inflammation and contribute to the formation of glial scars,which hinder axonal regeneration.Despite this,the precise role and mechanisms of microglia during the acute phase of spinal cord injury remain controversial and poorly understood.To elucidate the role of microglia in spinal cord injury,we employed the colony-stimulating factor 1 receptor inhibitor PLX5622 to deplete microglia.We observed that sustained depletion of microglia resulted in an expansion of the lesion area,downregulation of brain-derived neurotrophic factor,and impaired functional recovery after spinal cord injury.Next,we generated a transgenic mouse line with conditional overexpression of brain-derived neurotrophic factor specifically in microglia.We found that brain-derived neurotrophic factor overexpression in microglia increased angiogenesis and blood flow following spinal cord injury and facilitated the recovery of hindlimb motor function.Additionally,brain-derived neurotrophic factor overexpression in microglia reduced inflammation and neuronal apoptosis during the acute phase of spinal cord injury.Furthermore,through using specific transgenic mouse lines,TMEM119,and the colony-stimulating factor 1 receptor inhibitor PLX73086,we demonstrated that the neuroprotective effects were predominantly due to brain-derived neurotrophic factor overexpression in microglia rather than macrophages.In conclusion,our findings suggest the critical role of microglia in the formation of protective glial scars.Depleting microglia is detrimental to recovery of spinal cord injury,whereas targeting brain-derived neurotrophic factor overexpression in microglia represents a promising and novel therapeutic strategy to enhance motor function recovery in patients with spinal cord injury.
基金supported by grants from the Zhejiang Provincial TCM Science and Technology Plan Project,No.2023ZL156(to YH)Ningbo Top Medical and Health Research Program,No.2022020304(to XG)+1 种基金the Natural Science Foundation of Ningbo,No.2023J019(to YH)Key Laboratory of Precision Medicine for Atherosclerotic Diseases of Zhejiang Province,No.2022E10026(to YH)。
文摘Strokes include both ischemic stroke,which is mediated by a blockade or reduction in the blood supply to the brain,and hemorrhagic stroke,which comprises intracerebral hemorrhage and subarachnoid hemorrhage and is characterized by bleeding within the brain.Stroke is a lifethreatening cerebrovascular condition characterized by intricate pathophysiological mechanisms,including oxidative stress,inflammation,mitochondrial dysfunction,and neuronal injury.Critical transcription factors,such as nuclear factor erythroid 2-related factor 2 and nuclear factor kappa B,play central roles in the progression of stroke.Nuclear factor erythroid 2-related factor 2 is sensitive to changes in the cellular redox status and is crucial in protecting cells against oxidative damage,inflammatory responses,and cytotoxic agents.It plays a significant role in post-stroke neuroprotection and repair by influencing mitochondrial function,endoplasmic reticulum stress,and lysosomal activity and regulating metabolic pathways and cytokine expression.Conversely,nuclear factor-kappa B is closely associated with mitochondrial dysfunction,the generation of reactive oxygen species,oxidative stress exacerbation,and inflammation.Nuclear factor-kappa B contributes to neuronal injury,apoptosis,and immune responses following stroke by modulating cell adhesion molecules and inflammatory mediators.The interplay between these pathways,potentially involving crosstalk among various organelles,significantly influences stroke pathophysiology.Advancements in single-cell sequencing and spatial transcriptomics have greatly improved our understanding of stroke pathogenesis and offer new opportunities for the development of targeted,individualized,cell typespecific treatments.In this review,we discuss the mechanisms underlying the involvement of nuclear factor erythroid 2-related factor 2 and nuclear factor-kappa B in both ischemic and hemorrhagic stroke,with an emphasis on their roles in oxidative stress,inflammation,and neuroprotection.
文摘This work deals with an inverse scattering problem for the Schrodinger operator on a star-shaped graph with one semi-infinite branch.Using the high-frequency asymptotic behaviour of the reflection coefficient,first we provide the identifiability of the geometry of this star-shaped graph:the number of edges and their lengths.Under some assumptions on the geometry of the graph,the main result states that the measurement of one reflection coefficient,together with the scattering data corresponding to the infinite branch,associated with Robin boundary conditions at the external nodes of the graph,can uniquely determine the parameters of the boundary conditions and the potentials on the whole interval which is already known in a half-interval.
基金Project supported by the National Natural Science Foundation of China(Grant No.12074261)the Natural Science Foundation of Shanghai(Grant No.20ZR1441600)。
文摘By employing a full quantum theory of electron-photon scattering in intense laser fields,we calculate the angularresolved radiation rate of the fundamental wave in Thomson scattering.We investigate the dependence of radiation rate on Euler angles and elucidate the underlying physical mechanism.The figure-8 profile of the radiation rate within the polarization plane is validated,while its evolution with respect to laser intensity and electron momentum is illustrated.Our findings reveal that in lower-intensity laser fields and for slow electron motion,the angular-resolved radiation rate exhibits distinct dipole emission characteristics.However,significant changes are observed at high laser intensities and/or large electron momenta,leading to pronounced alterations in the angular-resolved radiation rate.Remarkably similar variation patterns can be achieved by proportionally adjusting both laser intensity and electron momentum.
基金supported by the 2025 Fujian Provincial Social Science Foundation Project(FJ2025C074).
文摘This systematic review synthesizes empirical research on external risk factors for adolescent smartphone addiction.Scopus and Web of Science were searched for English peer-reviewed empirical articles from 2008 onward;28 met inclusion criteria(excluding non-adolescents,generic internet addiction,non-empirical work,or non-English).Thematic synthesis organized findings into three external risk domains—family,school,and peers—considering cultural/contextual mechanisms.Family dynamics(parental phubbing,harsh parenting,dysfunction),school stressors,and adverse peer relationships were identified as accumulating,direct and indirect contributors to smartphone addiction.These operate within a techno-ecological framework,where digital technologies amplify vulnerabilities and create new pathways for maladaptive use.Evidence favors an ecological,multi-level perspective.Future research should use longitudinal designs,standardize measures across cultures,and examine understudied regions—especially Africa—to guide culturally sensitive interventions.
基金supported by the National Natural Science Foundation of China(Grant Nos.32201834 and 32201814)the Hainan Provincial Natural Science Foundation of China(Grant No.324RC530)+1 种基金the Hainan Provincial‘Nanhai NewStar’Science and Technology Innovation Platform Project,China(Grant No.NHXXRCXM-202362)the Research Startup Funding from Hainan Institute of Zhejiang University,China(Grant No.0201-6602-A12202).
文摘The significant variation in plant regeneration efficiency between indica and japonica rice poses a major challenge for crop improvement.However,the molecular basis for this divergence remains largely unclear.In this study,we investigated the role of Oryza sativa AUXIN RESPONSE FACTOR 13(OsARF13),a transcription factor involved in callus-related processes.We observed that OsARF13 expression is significantly higher in japonica rice callus than in indica rice callus.This differential expression might be associated with an allelic variation in the promoter region of OsARF13,where a deletion commonly found in indica rice corresponds to the loss of a conserved auxin-responsive element(AuxRE)motif.To functionally characterize OsARF13,we generated CRISPR/Cas9-mediated knockout mutants.These mutants exhibited a substantial reduction in callus fresh weight,demonstrating that OsARF13 is required for efficient callus induction.Transcriptome analysis of the osarf13 mutant further showed that OsARF13 influences the expression of genes involved in hormone signal transduction and stress responses.Our findings suggest that OsARF13 is a key component of the regulatory network governing callus induction and that natural variation in its promoter might provide a potential explanation for the differential regenerative capacity between japonica and indica rice subspecies.
基金supported by the National Natural Science Foundation of China (No.12222502)。
文摘Muon scattering tomography(MST) is a powerful noninvasive imaging technique with significant applications in nuclear material detection and security screening.Traditional MST usually relies on the point of closest approach(PoCA) algorithm to reconstruct images from muon scattering data;however,PoCA often suffers from suboptimal image clarity and resolution.To overcome these challenges,we propose a novel approach that leverages reinforcement learning(RL) to enhance MST reconstruction,termed the μRL-enhanced method.By framing the MST optimization task as an RL problem,we developed an intelligent agent capable of dynamically adjusting the key PoCA parameters.The agent is trained using a multi-objective reward function that guides the optimization toward higher-quality reconstructions.Our experimental results show that theμRL-enhanced method significantly outperforms the traditional PoCA baseline acros s multiple benchmark metrics.Specifically,the proposed approach on average attains a 307% improvement in the intersection over union(IoU),a 79% increase in the structural similarity index measure(SSIM),and a 8.4% enhancement in the peak signal-to-noise ratio(PSNR) across four experiments.Furthermore,when benchmarked against the maximum likelihood scattering and displacement(MLSD)algorithm,the μRL-enhanced method offers modest gains in PS NR and IoU,together with a one-third increase in SSIM.These improvements demonstrate the enhanced reconstruction accuracy and structural fidelity of the μRL-enhanced method,highlighting its potential to advance MST technologies and their applications.
基金supported by the National Natural Science Foundation of China (Grant Nos. 62405231, 62405235, and 62575229)the National Key Laboratory of Space Target Awareness (Grant Nos. STA2024KGL0203, STA2024ZCA0203, and STA-24-04-05)+3 种基金the Beijing Key Laboratory of Advanced Optical Remote Sensing Technology (Grant No. AORS202405)the China Postdoctoral Science Foundation (Grant No. 2024M762527)the Shaanxi Province High-level Innovation and Entrepreneurship Talent Program (Grant No. H02439005)the Natural Science Foundation of Shaanxi (Grant Nos. S2024-JC-JCQN-60, S2025-JCQYTS-0107, and 2025JC-QYCX-05)。
文摘In complex media scattering,multiple scattering severely degrades the optical wavefront and results in blurred images,while the spectral distortion caused by the scattering effect leads to severe color distortion.Achieving color high-resolution imaging through scattering media remains a significant challenge.Here,we propose a broadband,polarization-based method for color high-resolution imaging through scattering media.This approach enables high-resolution reconstruction by effectively separating the speckle illumination pattern from the mixed-scattering field information,leveraging polarization common-mode characteristics.Concurrently,it incorporates chromatic balance compensation to correct spectral aliasing in the scattered light field,enabling color high-resolution imaging through complex scattering media.To further optimize color distortion caused by scattering,a compensation strategy combining color constancy and white balance theory is adopted.Experimental results demonstrate that the proposed method significantly enhances both spatial resolution and color fidelity across various scattering conditions and target materials,showcasing strong adaptability and robustness.This approach provides an effective solution for achieving high-resolution color optical imaging in complex scattering environments.
文摘BACKGROUND Ischemic stroke is one of the leading global causes of disability and death.Despite advances in modern medical technology that improve acute treatment and rehabilitation measures,post-stroke anxiety and depression(PSD)do not receive sufficient attention.AIM To systematically evaluate risk factors and early identification markers for PSD for more precise screening and intervention strategies in clinical practice.METHODS This retrospective study analyzed clinical data from 112 patients with ischemic stroke admitted between January 2022 and December 2024.Based on assessments using the Hamilton Rating Scale for Anxiety(HAMA)and Hamilton Rating Scale for Depression(HAMD)at 2 weeks(±3 days)post-stroke,patients were classified into the PSD group(HAMA≥7 and/or HAMD≥7)and the non-PSD group(HAMA<7 and HAMD<7).Observation indicators included psychological assessment,demographic and clinical characteristics,stroke-related clinical indicators,neuroimaging assessments,and laboratory biomarkers.Multivariate logistic regression analysis was used to identify independent risk factors for PSD,and receiver operating characteristic curve analysis was used to evaluate the diagnostic value of potential biomarkers.RESULTS Of the 112 patients,46(41.1%)were diagnosed with PSD.Multivariate analysis identified five independent risk factors:Female gender[Odds ratio(OR)=2.32,95%confidence interval(CI):1.56-3.45],history of mental disorders prior to stroke(OR=3.17,95%CI:1.89-5.32),infarct location in the frontal lobe or limbic system(OR=2.86,95%CI:1.73-4.71),stroke severity with National Institutes of Health Stroke Scale≥8 at admission(OR=2.54,95%CI:1.62-3.99),and low social support(Social Support Rating Scale<35,OR=2.18,95%CI:1.42-3.36).Subgroup analysis showed that depression patients more commonly had left hemisphere lesions(68.4%vs 45.2%),while anxiety patients more frequently presented with right hemisphere lesions(59.5%vs 39.5%).The PSD group exhibited larger infarct volumes(8.7 cm^(3) vs 5.3 cm^(3)),more severe white matter hyperintensities,and more pronounced frontal lobe atrophy.Analysis of inflammatory markers showed significantly elevated levels of interleukin-6(7.8 pg/mL vs 4.5 pg/mL)and tumor necrosis factor-alpha(15.6 pg/mL vs 9.8 pg/mL)in the PSD group,while hypothalamicpituitary-adrenal axis function assessment revealed higher cortisol levels(386.5±92.3 nmol/L vs 328.7±75.6 nmol/L)and flattened diurnal rhythm in the PSD group.CONCLUSION PSD is a complex neuropsychiatric consequence of stroke involving disruption of the frontal-limbic circuitry,neuroinflammatory responses,and dysfunction of the hypothalamic-pituitary-adrenal axis.
基金financially supported by the National Natural Science Foundation of China(12064045)。
文摘We propose a scheme to achieve nonreciprocal single-photon transmission in a system consisting of a spinning whispering-gallery-mode resonator and a stationary resonator containing a scatterer,both coupled to a one-dimensional waveguide.By tuning the Sagnac-Fizeau shift induced by the spinning resonator,high-contrast nonreciprocal transmission in both forward and backward directions can be realized.Furthermore,we investigate the influences of system parameters including waveguide-resonator coupling strength,inter-mode coupling strengths within two resonators,and inter-cavity coupling strength on nonreciprocal transmissions.The results indicate that the synergistic regulation of these parameters can adjust the position of the nonreciprocal transmission peak and achieve high-contrast nonreciprocal transmission.
基金supported by the National Natural Science Foundation of China(No.12575189)。
文摘Deep learning methods have achieved significant progress in solving partial differential equations.However,when applied to the widely used anisotropic scattering neutron transport equations in reactor engineering,these encounter significant challenges.To address this issue,this study introduces a multi-antiderivative transformation alternating iterative deep learning method(M-AIM).This method transforms the integral terms of the scattering and fission sources in the transport equation into multiple antiderivative functions corresponding to the integrand,converts the differential-integral form of the transport equation into an exact differential equation,and establishes the necessary constraints for a unique solution.The M-AIM uses multiple deep neural networks to map the unknown angular flux density of transport equations and represents various forms of antiderivative functions.It constructs the corresponding weighted loss functions.By alternating iterative training with deep learning methods applied to these neural networks,the loss is reduced gradually.When the loss decreases to a preset minimum,the neural network approaches a numerical solution for both angular flux density and antiderivative functions.This paper presents a numerical verification of geometries such as flat plates and spheres.It verifies the validity of the theoretical framework and associated methods.The study contributes to the development of novel technical approaches for applying deep learning to solve anisotropic scattering neutron transport equations in reactor engineering.
文摘BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making it a signifi cant public health concern.This study is to determine the prevalence and factors associated with acute pain among emergency trauma patients.METHODS:A multicenter cross-sectional study was conducted.Data were collected via interviewer-administered questionnaires and patient chart review.The data were analyzed via the statistical package for social science version 25.Bivariable and multivariable logistic regression analyses were used.Variables with a P-value<0.05 were considered statistically signifi cant.RESULTS:A total of 397 patients were included in the study,for a response rate of 96.8%.The prevalence of pain during admission was 91.9%(95%confi dence intervals[95%CIs]:88.8%-94.4%).Blunt trauma(adjusted odds ratio[aOR]=2.82;95%CI:1.23-6.45),analgesia before admission to the emergency department(aOR=2.71;95%CI:1.16-6.36),documentation of pain severity in the chart(aOR=2.71;95%CI:1.16-6.36),analgesia provided within two hours after admission(aOR=7.60;95%CI:2.79-20.68),use of non-pharmacological pain management methods(aOR=3.09;95%CI:1.35-7.08)and availability of analgesia(aOR=3.95;95%CI:1.36-11.43)were associated with acute pain experience.CONCLUSION:The prevalence of acute pain among emergency trauma patients was high in the study area.Analgesia should be administered prior to admission,and non-pharmacological pain management should be implemented.Moreover,training on pain assessment and management should be provided for healthcare providers in the emergency department.
文摘The theoretical implementation aspects of scattered field prediction and angular glint calculation in near-field region are proposed in this work.First of all,a more refined expression of the Green function is developed.In this representation,an expansion center is adopted within the neighborhood of the sources.Then a high-frequency electromagnetic scattering evaluation algorithm is formulated,combining the refined physical optics(PO)and equivalent edge current(EEC)algorithm.The modified method not only retains the conciseness and efficiency of the standard code but also can be directly used in the near field(NF)scattering estimation.Afterwards,two basic concepts of the angular glint are briefly introduced and formulated.The proposed procedure makes preparation for the computation of NF linear deviation.Numerical examples demonstrate the accuracy and efficiency of the NF scattering prediction algorithm.The angular glint characteristics in near-field scenarios are also presented and analyzed in the final section.
文摘Nerve trauma commonly results in chronic neuropathic pain. This is by triggering the release of proinflammatory mediators from local and invading cells that induce inflammation and nociceptive neuron hyperexcitability. Even without apparent inflammation, injury sites are associated with increased inflammatory markers. This review focuses on how it might be possible to reduce neuropathic pain by reducing inflammation. Physiologically, pain is resolved by a combination of the out-migration of pro-inflammatory cells from the injury site, the down-regulation of the genes underlying the inflammation, up-regulating genes for anti-inflammatory mediators, and reducing nociceptive neuron hyperexcitability. While various techniques reduce chronic neuropathic pain, the best are effective on < 50% of patients, no technique reliably or permanently eliminates neuropathic pain. This is because most techniques are predominantly aimed at reducing pain, not inflammation. In addition, while single factors reduce pain, increasing evidence indicates significant and longer-lasting pain relief requires multiple factors acting simultaneously. Therefore, it is not surprising that extensive data indicate that the application of platelet-rich plasma provides more significant and longer-lasting pain suppression than other techniques, although its analgesia is neither complete nor permanent. However, several case reports indicate that platelet-rich plasma can induce permanent neuropathic pain elimination when the platelet concentration is significantly increased and is applied to longer nerve lengths. This review examines the primary triggers of the development and maintenance of neuropathic pain and techniques that reduce chronic neuropathic pain. The application of plateletrich plasma holds great promise for providing complete and permanent chronic neuropathic pain elimination.
基金Project supported by the Project of the Anhui Provincial Natural Science Foundation(Grant No.2308085MA19)Strategic Priority Research Program of the Chinese Academy of Sciences(Grant No.XDA0410401)+2 种基金the National Natural Science Foundation of China(Grant No.52202120)the National Key Research and Development Program of China(Grant No.2023YFA1609800)USTC Research Funds of the Double First-Class Initiative(Grant No.YD2310002013)。
文摘Small angle x-ray scattering(SAXS)is an advanced technique for characterizing the particle size distribution(PSD)of nanoparticles.However,the ill-posed nature of inverse problems in SAXS data analysis often reduces the accuracy of conventional methods.This article proposes a user-friendly software for PSD analysis,GranuSAS,which employs an algorithm that integrates truncated singular value decomposition(TSVD)with the Chahine method.This approach employs TSVD for data preprocessing,generating a set of initial solutions with noise suppression.A high-quality initial solution is subsequently selected via the L-curve method.This selected candidate solution is then iteratively refined by the Chahine algorithm,enforcing constraints such as non-negativity and improving physical interpretability.Most importantly,GranuSAS employs a parallel architecture that simultaneously yields inversion results from multiple shape models and,by evaluating the accuracy of each model's reconstructed scattering curve,offers a suggestion for model selection in material systems.To systematically validate the accuracy and efficiency of the software,verification was performed using both simulated and experimental datasets.The results demonstrate that the proposed software delivers both satisfactory accuracy and reliable computational efficiency.It provides an easy-to-use and reliable tool for researchers in materials science,helping them fully exploit the potential of SAXS in nanoparticle characterization.
文摘BACKGROUND Post-transplant tertiary hyperparathyroidism(PT-tHPT)is a well-recognized complication following kidney transplantation,characterized by persistent excessive secretion of parathyroid hormone(PTH)despite improved renal function.It is potentially associated with an increased risk of cardiovascular events,renal osteodystrophy,pathologic fractures,graft loss,and mortality.AIM To evaluate the incidence,risk factors,and outcomes of PT-tHPT amongst kidney transplant recipients.METHODS A total of 887 transplant recipients who underwent transplantation between 2000 and 2020 were evaluated.Univariable and multivariable logistic regression was performed to determine the predictors of tertiary hyperparathyroidism.Graft and recipient outcomes were assessed using multivariable Cox regression.A separate multivariable Cox regression was performed to determine the effect of treatment strategies on outcomes.RESULTS PT-tHPT,defined as elevated PTH(>65 ng/L)and persistent hypercalcemia(>2.60 mmol/L),was diagnosed in 14%of recipients.Risk factors for PT-tHPT included older age[odds ratio(OR)=1.36,P<0.001],Asian ethnicity(OR=0.33,P=0.006),total ischemia time(OR=1.03,P=0.048 per hour),pre-transplant serum calcium(OR=1.38,P<0.001)per decile increase,pre-transplant PTH level(OR=1.31,P<0.001)per decile increase,longer dialysis duration(OR=1.12,P=0.002)per year,history of acute rejection(OR=2.37,P=0.012),and slope of estimated glomerular filtration rate change(OR=0.91,P=0.001).There were a 3.4-fold higher risk of death-censored graft loss and a 1.9-fold greater risk of recipient death with PT-tHPT.The three treatment strategies of conservative management,calcimimetic and parathyroidectomy did not significantly change the graft or patient outcome.CONCLUSION Pretransplant elevated calcium and PTH levels,older age and dialysis duration are associated with PT-tHPT.While PT-tHPT significantly affects graft and recipient survival,the treatment strategies did not affect survival.
基金supported by the Doctoral Foundation of Zunyi Normal University of China (BS [2022] 07)Fundação de Apoio à Pesquisa do Estado da Paraíba (FAPESQ)+5 种基金Conselho Nacional de Desenvolvimento Cientíıfico e Tecnológico (CNPq)-[150891/2023-7] for the financial supportsupported by the Q-CAYLE project, funded by the European Union-Next Generation UE/MICIU/Plan de Recuperacion, Transformacion y Resiliencia/Junta de Castilla y Leon (PRTRC17.11)by project PID2023-148409NB-I00, funded by MICIU/AEI/10.13039/501100011033Financial support of the Department of Education of the Junta de Castilla y LeonFEDER FundsExcellence project Fo S UHK 2203/2025-2026 for the financial support
文摘In this study,we explore a spherically symmetric charged black hole(BH)with a negative cosmological constant under the influence of a Kalb-Ramond field background.We compute the photon sphere and shadow radii,validating our findings using observational data from the Event Horizon Telescope,with a particular emphasis on the shadow images of Sagittarius A^(*).Furthermore,we investigate the greybody factors,emission rate,and partial absorption cross section.It is shown that the Lorentz-violating parameter l has an important effect on the absorption cross section.Our analysis also includes an examination of the topological charge,temperature-dependent topology,and generalized free energy.In particular,we regard the AdS charged BH with an antisymmetric tensor background as a topological defect in the thermodynamic space,then the system has the same topological classification to the charged Reissner-Nordström-AdS BH.
基金China Health and Retirement Longitudinal Study(CHARLS)the 2022-2023 Nursing Research Project of Chinese Medical Association Publishing House(Grant No.CMAPH-NRD2022024)。
文摘Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality of life,and mortality.Gaining an understanding of the trajectory of IC and the factors that influence it is of paramount importance for fostering healthy aging.This research is focused on exploring the trajectory of IC among older adults in China and examining the factors that influence it.Methods:This observational longitudinal cohort study leveraged data from the China Health and Retirement Longitudinal Study(CHARLS),which was conducted in the years 2011,2013,and 2015.For the purpose of this analysis,a total of 2,233 participants who were aged 60 and over were included.A Growth Mixture Model(GMM)was utilized to define trajectory categories for IC.Influential factors were ascertained based on the health ecology model,and binary logistic regression analysis was utilized to investigate the factors linked with the different trajectory categories.Results:Two distinct trajectory classes of IC were identified:Class 1,the normal-stable group,encompassed 90.4%of the elderly population,while Class 2,the declining group,made up 9.6%.Advanced age and a history of stroke were found to be significantly associated with Class 2.High scores in activities of daily living(ADL),employment status,receiving primary or junior high school education,and residence in the East or Central regions of China were significantly linked with Class 1.Conclusion:The trajectory of IC among older Chinese adults is marked by its heterogeneity.Advanced age and a history of stroke are significant risk factors for a declining IC trajectory,while higher ADL scores,being employed,receiving primary or junior high school education,and residing in the East or Central regions of China are protective factors associated with a stable IC trajectory.Healthcare institutions must closely monitor IC levels and understand these trajectory patterns to implement personalized and targeted interventions promptly to maintain IC at a healthy level and advocate for healthy aging.
基金National Basic Research Plan Project of China,No.2023YFC3708303the National Natural Science Foundation of China,No.82241084the High-level Talent in Public Health of Beijing,No.Discipline Leaders-03-29(all to XL).
文摘Long-term exposure to ambient fine particulate matter(PM2.5)may increase the risk of neurotoxicity in human populations.However,research studies on the underlying mechanisms of chronic PM2.5-induced depression-like behaviors,and potential therapeutical strategies,remain scarce.In the present study,after long-term exposure to real-world PM2.5 for 15 weeks,male mice displayed depression-like behaviors,which were revealed using the open field and sucrose preference tests.Mechanistically,chronic PM2.5 exposure promoted astrocytic A1 polarization and disrupted reduction-oxidation balance in the mouse hippocampus.Furthermore,PM2.5-exposed mice displayed pathological damage to hippocampal neurons as well as the inhibition of nuclear factor erythroid 2-related factor 2 signaling.Astrocytic ablation of nuclear factor erythroid 2-related factor 2 exacerbated PM2.5-induced hippocampal neuronal injury in mice via the disruption of astrocyte-to-microglia communication;this finding was confirmed in mice with bilateral and unilateral hippocampal astrocytic Nfe2l2 knockdown.Importantly,the upregulation of nuclear factor erythroid 2-related factor 2 activation by procyanidin significantly ameliorated PM2.5-induced depression-like behaviors through the remodeling of astrocyte-to-microglia communication.Together,our findings shed light on the important role of hippocampal astrocytic nuclear factor erythroid 2-related factor 2 activation for maintaining astrocyte-to-microglia communication,and indicate potential research avenues for therapeutic strategies against PM2.5-induced depresson-like behaviors.
