Matrix metalloproteinases（MMPs）are members of the metzincin superfamily named after the zinc ion and the conserved methionine residue at the active site.In addition to their role in extracellular matrix（ECM）remode...Matrix metalloproteinases（MMPs）are members of the metzincin superfamily named after the zinc ion and the conserved methionine residue at the active site.In addition to their role in extracellular matrix（ECM）remodeling,these proteinases（in）activate many signaling molecules such as growth factors.展开更多
Several complications of insertion and use of pulmonary artery catheter （PAC）, including catheter entrapment, are recognized during or after cardiac surgery. Early detection is very important. We report a case of PA...Several complications of insertion and use of pulmonary artery catheter （PAC）, including catheter entrapment, are recognized during or after cardiac surgery. Early detection is very important. We report a case of PAC entrapment because the the catheter was accidentally su- tured to the superior vena cava. Bleeding from the thermistor connector was initially detected after surgery because the needle punctured the lumen of thermistor connector. The PAC was removed through re-exploration. Therefore, bleeding from the thermistor connector could early indicate the PAC entrapment. We suggest that abnormal bleeding from the non-injectate lumen ports of PAC should be checked before sternal closure.展开更多
Wetland degradation is an escalating global challenge with profound impacts on animal diversity,particularly during successional processes.Birds,as highly mobile and environmentally sensitive organisms,serve as effect...Wetland degradation is an escalating global challenge with profound impacts on animal diversity,particularly during successional processes.Birds,as highly mobile and environmentally sensitive organisms,serve as effective indicators of ecological change.While previous studies have primarily focused on local community structures and species diversity during a specific season,there is a need to extend the research timeframe and explore broader spatial variations.Additionally,expanding from simple species diversity indices to more multidimensional diversity indices would provide a more comprehensive understanding of wetland health and resilience.To address these gaps,we investigated the effects of wetland degradation on bird diversity across taxonomic,phylogenetic,and functional dimensions in the Zoige Wetland,a plateau meadow wetland biodiversity hotspot.Surveys were conducted during both breeding(summer)and overwintering(winter)seasons across 20 transects in 5 sampling areas,representing 4 degradation levels(pristine,low,medium,and high).Our study recorded a total of 106 bird species from 32 families and 14 orders,revealing distinct seasonal patterns in bird community composition and diversity.Biodiversity indices were significantly higher in pristine and low-degraded wetlands,particularly benefiting waterfowl(Anseriformes,Ciconiiformes)and wading birds(Charadriiformes)in winter,when these areas provided superior food resources and habitat conditions.In contrast,medium and highly degraded wetlands supported increased numbers of terrestrial birds(Passeriformes)and raptors(Accipitriformes,Falconiformes).Seasonal differences in taxonomic,phylogenetic,and functional diversity indices highlighted the contrasting ecological roles of wetlands during breeding and overwintering periods.Furthermore,indicator species analysis revealed key species associated with specific degradation levels and seasons,providing valuable insights into wetland health.This study underscores the importance of spatiotemporal dynamics in understanding avian responses to wetland degradation.By linking seasonal patterns of bird diversity to habitat conditions,our findings contribute to conservation efforts and provide a framework for assessing wetland degradation and its ecological impacts.展开更多
Cardiovascular diseases(CVDs)remain the leading cause of morbidity and mortality worldwide,necessitating innovative diagnostic and prognostic strategies.Traditional biomarkers like C-reactive protein,uric acid,troponi...Cardiovascular diseases(CVDs)remain the leading cause of morbidity and mortality worldwide,necessitating innovative diagnostic and prognostic strategies.Traditional biomarkers like C-reactive protein,uric acid,troponin,and natriuretic peptides play crucial roles in CVD management,yet they are often limited by sensitivity and specificity constraints.This narrative review critically examines the emerging landscape of cardiac biomarkers and advocates for a multiple-marker approach to enhance early detection,prognosis,and risk stratification of CVD.In recent years,several novel biomarkers have shown promise in revolutionizing CVD diagnostics.Gamma-glutamyltransferase,microRNAs,endothelial microparticles,placental growth factor,trimethylamine N-oxide,retinol-binding protein 4,copeptin,heart-type fatty acid-binding protein,galectin-3,growth differentiation factor-15,soluble suppression of tumorigenicity 2,fibroblast growth factor 23,and adrenomedullin have emerged as significant indicators of CV health.These biomarkers provide insights into various pathophysiological processes,such as oxidative stress,endothelial dysfunction,inflammation,metabolic disturbances,and myocardial injury.The integration of these novel biomarkers with traditional ones offers a more comprehensive understanding of CVD mechanisms.This multiple-marker approach can improve diagnostic accuracy,allowing for better risk stratification and more personalized treatment strategies.This review underscores the need for continued research to validate the clinical utility of these biomarkers and their potential incorporation into routine clinical practice.By leveraging the strengths of both traditional and novel biomarkers,precise therapeutic plans can be developed,thereby improving the management and prognosis of patients with CVDs.The ongoing exploration and validation of these biomarkers are crucial for advancing CV care and addressing the limitations of current diagnostic tools.展开更多
BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU ad...BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU admissions are associated with increased morbidity and mortality and are an indicator of trauma service quality.Two different types of unplanned ICU admissions include upgrades(patients admitted to the floor then moved to the ICU)and bounce backs(patients admitted to the ICU,discharged to the floor,and then readmitted to the ICU).Previous studies have shown that geriatric trauma patients are at higher risk for unfavorable outcomes.AIM To analyze the characteristics,management and outcomes of trauma patients who had an unplanned ICU admission during their hospitalization.METHODS This institutional review board approved,retrospective cohort study examined 203 adult trauma patients with unplanned ICU admission at an urban level 1 trauma center over a six-year period(2017-2023).This included 134 upgrades and 69 bounce backs.Analyzed variables included:(1)Age;(2)Sex;(3)Comorbidities;(4)Mechanism of injury(MOI);(5)Injury severity score(ISS);(6)Glasgow Coma Scale(GCS);(7)Type of injury;(8)Transfusions;(9)Consultations;(10)Timing and reason for unplanned admission;(11)Intubations;(12)Surgical interventions;(13)ICU and hospital lengths of stay;and(14)Mortality.RESULTS Unplanned ICU admissions comprised 4.2%of total ICU admissions.Main MOI was falls.Mean age was 70.7 years,ISS was 12.8 and GCS was 13.9.Main injuries were traumatic brain injury(37.4%)and thoracic injury(21.7%),and main reason for unplanned ICU admission was respiratory complication(39.4%).The 47.3%underwent a surgical procedure and 46.8%were intubated.Average timing for unplanned ICU admission was 2.9 days.Bounce backs occurred half as often as upgrades,however had higher rates of transfusions(63.8%vs 40.3%,P=0.002),consultations(4.8 vs 3.0,P<0.001),intubations(63.8%vs 38.1%%,P=0.001),longer ICU lengths of stay(13.2 days vs 6.4 days,P<0.001)and hospital lengths of stay(26.7 days vs 13.0 days,P<0.001).Mortality was 25.6%among unplanned ICU admissions,31.9%among geriatric unplanned ICU admissions and 11.9%among all trauma ICU patients.CONCLUSION Unplanned ICU admissions constituted 4.2%of total ICU admissions.Respiratory complications were the main cause of unplanned ICU admissions.Bounce backs occurred half as often as upgrades,but were associated with worse outcomes.展开更多
Succinylcholine(SC)is a widely used depolarizing muscle relaxant,but improper use can lead to arrhythmias and,in severe cases,pose a life-threatening risk.Additionally,some criminals exploit SC for illicit activities....Succinylcholine(SC)is a widely used depolarizing muscle relaxant,but improper use can lead to arrhythmias and,in severe cases,pose a life-threatening risk.Additionally,some criminals exploit SC for illicit activities.Therefore,rapid SC detection is paramount for clinical practice and public safety.Currently,however,limited methods are available for the rapid detection of SC.A fluorescent indicator displacement assay sensor based on molecular recognition of an amide naphthotube was developed.This sensor enabled the rapid fluorescent detection of SC through competitive binding between SC and methylene blue with the amide naphthotube.The sensor exhibited exceptional sensitivity with a detection limit as low as 1.1μmol/L and a detection range of 1.1~60μmol/L,coupled with outstanding selectivity and robust stability.Furthermore,this sensor accurately determined SC levels in biological samples such as serum.In summary,this research provides a new solution for the rapid and accurate sensing of SC in complex matrices and offers new insights for the swift identification and detection of toxins.展开更多
In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-p...In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-propeller is studied by analyzing the complex force situation during ship navigation and building a MATLAB/Simulink simulation platform based on multi-environmental resistance,propeller efficiency,main engine power,fuel consumption,fuel consumption rate and EEOI calculation module.Considering the environmental factors of wind,wave and ice,the route is divided into sections,the calculation of main engine power,main engine fuel consumption and EEOI for each section is completed,and the speed design is optimized based on the simulation model for each section.Under the requirements of the voyage plan,the optimization results show that the energy efficiency operation index of the whole route is reduced by 3.114%and the fuel consumption is reduced by 9.17 t.展开更多
BACKGROUND Nutritional and inflammatory indicators are crucial in assessing the nutritional health and immune function of patients with cancer,which are factors closely associated with the diagnosis and treatment of c...BACKGROUND Nutritional and inflammatory indicators are crucial in assessing the nutritional health and immune function of patients with cancer,which are factors closely associated with the diagnosis and treatment of colorectal cancer(CRC).AIM To explore the relationship between nutritional and inflammatory indicators and microsatellite stability(MSS)status in CRC.METHODS The clinical data of 56 patients who underwent surgical treatment for CRC were collected.Furthermore,the expressions of nutritional(levels of serum albumin,triglycerides,serum cholesterol,and body mass index)and inflammatory response indicators(absolute neutrophil count,absolute lymphocyte count,absolute monocyte count,neutrophil-to-lymphocyte ratio,and lymphocyte-to-monocyte ratio)as well as their correlation with microsatellite instability(MSI)status were investigated in patients with CRC.RESULTS Compared to the patients with MSS tumors,those with MSI tumors demonstrated significantly lower levels of two nutritional indicators,namely serum albumin and body mass index(P<0.05).Moreover,patients in the MSI group demonstrated significantly lower absolute lymphocyte counts and higher neutrophil-to-lymphocyte ratio than those in the MSS group(P<0.05),indicating pronounced differences in inflammatory responses and immune states between the two groups.CONCLUSION Certain nutritional and inflammatory indicators exhibit significant differences among patients with MSI and MSS CRC,highlighting their potential role in the clinical treatment and health management of this specific population.展开更多
Understanding the active tectonic processes in the Nandakini Watershed is imperative for evaluating geological hazards and seismic risks,as well as for informing land-use planning and natural resource management strat...Understanding the active tectonic processes in the Nandakini Watershed is imperative for evaluating geological hazards and seismic risks,as well as for informing land-use planning and natural resource management strategies in the region.Tectonic geomorphology serves as a vital tool for characterizing recent tectonic movements.This research employs GIS techniques to elucidate tectonic activity and its influence on drainage patterns in the Nandakini Watershed,utilizing morphometric parameters derived from SRTM DEM data.Morphometric indices are employed to assess the tectonic movement within drainage basins,capturing both areal and linear factors such as drainage density,texture,circulatory and bifurcation ratios,and stream length ratios.The linear and areal morphometric indices are categorized into three classes representing varying degrees of active tectonic activity.These classifications are then utilized to compute the relative active tectonic index(IRAT).In addition,geomorphic parameters include hypsometric integral,stream length-gradient index,normalized steepness index,chi gradient index,and swath profiles.The majority of the studied region is in an extremely high to moderately active tectonic zone.Large-scale faults and thrusts within the basins are closely correlated with these zones that have been identified.The integrated methodology of GIS-based morphometric analysis and geomorphic study enables the identification of deformed landforms associated with ongoing tectonic activity.Furthermore,these results offer valuable insights for informing watershed management strategies and promoting sustainable land use planning initiatives.展开更多
Green cover and human disturbance are important local factors shaping urban bird communities, while climatic and topographic variables can be important when analyzing cities in different biomes. However, the roles of ...Green cover and human disturbance are important local factors shaping urban bird communities, while climatic and topographic variables can be important when analyzing cities in different biomes. However, the roles of large-scale and local variables influencing bird species composition have been scarcely explored in urban areas. This study aimed to analyze the association of climatic, topographic, landscape, and local variables with bird species composition in streets dominated by buildings and urban parks. I expected park bird composition to be more related to large-scale variables, whereas bird species in streets to be more associated with local-scale variables. Bird surveys were conducted in nine cities along a climatic and topographic gradient. Bird species composition in urban parks and streets were related to climatic and topographic variables, local vegetation greenness, and distance to non-urban areas. However, bird composition in streets was also related to noise and pedestrian traffic. The classification of bird composition in urban parks aligned with the phytogeographic provinces, whereas the streets’ bird composition was unrelated to phytogeographic provinces. The results showed that urban habitats with increased vegetation cover allow the colonization of native bird communities and are more aligned with natural large-scale environmental gradients. In contrast, more urbanized sites are decoupled from climatic and topographic gradients and invaded by exotic and widespread native species.展开更多
This study provides a systematic investigation into the influence of feature selection methods on cryptocurrency price forecasting models employing technical indicators.In this work,over 130 technical indicators—cove...This study provides a systematic investigation into the influence of feature selection methods on cryptocurrency price forecasting models employing technical indicators.In this work,over 130 technical indicators—covering momentum,volatility,volume,and trend-related technical indicators—are subjected to three distinct feature selection approaches.Specifically,mutual information(MI),recursive feature elimination(RFE),and random forest importance(RFI).By extracting an optimal set of 20 predictors,the proposed framework aims to mitigate redundancy and overfitting while enhancing interpretability.These feature subsets are integrated into support vector regression(SVR),Huber regressors,and k-nearest neighbors(KNN)models to forecast the prices of three leading cryptocurrencies—Bitcoin(BTC/USDT),Ethereum(ETH/USDT),and Binance Coin(BNB/USDT)—across horizons ranging from 1 to 20 days.Model evaluation employs the coefficient of determination(R2)and the root mean squared logarithmic error(RMSLE),alongside a walk-forward validation scheme to approximate real-world trading contexts.Empirical results indicate that incorporating momentum and volatility measures substantially improves predictive accuracy,with particularly pronounced effects observed at longer forecast windows.Moreover,indicators related to volume and trend provide incremental benefits in select market conditions.Notably,an 80%–85% reduction in the original feature set frequently maintains or enhances model performance relative to the complete indicator set.These findings highlight the critical role of targeted feature selection in addressing high-dimensional financial data challenges while preserving model robustness.This research advances the field of cryptocurrency forecasting by offering a rigorous comparison of feature selection methods and their effects on multiple digital assets and prediction horizons.The outcomes highlight the importance of dimension-reduction strategies in developing more efficient and resilient forecasting algorithms.Future efforts should incorporate high-frequency data and explore alternative selection techniques to further refine predictive accuracy in this highly volatile domain.展开更多
This study evaluates the trace element contents (cadmium, lead, mercury and arsenic) in soils, sediments and rock residues of the artisanal gold mining site of Lite-Bala in the Democratic Republic of Congo. Random sam...This study evaluates the trace element contents (cadmium, lead, mercury and arsenic) in soils, sediments and rock residues of the artisanal gold mining site of Lite-Bala in the Democratic Republic of Congo. Random sampling, physicochemical analysis and analysis of total and soluble trace elements by ICP-OES spectrometry as well as calculations of pollution indices (FE and Igeo) and partition coefficient (kd) were carried out in two areas in the dry season and in the rainy season. The soils and sediments of the site are acidic, oxidizing, poor in organic carbon with clayey to sandy textures. Artisanal gold mining at Lite-Bala does not affect, to date, the cadmium, lead, mercury and arsenic contents of soils and sediments. On the other hand, the presence of these elements in rock residues, even in low levels, and the mechanization of this exploitation will have an impact on them in the long term;in particular for Hg used as an input and whose levels are close to the higher standard in surface soils.展开更多
Damage indices are effective in quantifying structural seismic damage.Numerous response-based damage indices have been developed and validated through the hysteretic response of various experimental specimens.However,...Damage indices are effective in quantifying structural seismic damage.Numerous response-based damage indices have been developed and validated through the hysteretic response of various experimental specimens.However,the accuracy of these indices for evaluating damage of RC columns is challenged by fluctuating axial load and irregular horizontal loading paths from 3-D earthquake excitations.This study introduces D_(iem),a material-based damage model for RC columns under random bidirectional loads and variable axial forces.Section damage indices of the plastic hinge are calculated by integrating the damage indices of concrete and steel fiber elements,considering their distance to the centroid axis.The P-Δeffect index is defined,and the component failure index is calculated using a combination of these indices.A hysteretic simulation and D_(iem)damage analysis program for cantilever RC columns is developed using Fortran.Three RC columns tested under bidirectional hysteretic loading are simulated to calibrate the program.Parameter analysis of 1,638 RC columns is conducted to verify D_(iem)’s applicability.The results demonstrated that D_(iem)’s failure assessment aligns with the 80%residual criterion.D_(iem)analysis of a real seismic damaged RC column shows satisfactory agreement with post-earthquake damage assessment and illustrates significant damage differences between columns with and without axial load fluctuation.展开更多
The morpho-physiological responses of 15 rapeseed genotypes to drought stress were assessed,revealing strong correlations among various characteristics.Under control conditions,the genotype Angelico fascinated the hig...The morpho-physiological responses of 15 rapeseed genotypes to drought stress were assessed,revealing strong correlations among various characteristics.Under control conditions,the genotype Angelico fascinated the highest chlorophyll content,while Nilofar had the highest carotenoid content,grain yield,and harvest index(HI).Talaye recorded the highest proline content.Under drought conditions,Nafis maintained the highest plant height,pod number,biomass,and grain yield.Angelico demonstrated the highest chlorophyll and relative water content(RWC).Nima showed the highest carotenoid content,Zarfam excelled in chlorophyll b,and Nafis recorded the highest proline content.Overall,drought stress resulted in a significant reduction in most morphophysiological traits.In the principal component analysis(PCA),the first two components explained a substantial portion of the variation in both control and drought conditions,facilitating the classification of the genotypes into two distinct groups.Additionally,twelve drought stress indices further categorized the genotypes,with the first two components accounting for the majority of the variation(99.45%).Notably,the Nilofar,Nima,Nafis,and Shirali cultivars were grouped together under both control and drought conditions,exhibiting the highest grain yield.These genotypes could be considered drought-tolerant varieties of this study.The research identified stable and high-performing rapeseed genotypes,which are recommended for future breeding programs.展开更多
Morpho-physiological evaluation of a crop’s genetic resources is necessary to find possible genotypes to include in breeding initiatives.The objective of this study was to identify heat-tolerant wheat genotypes among...Morpho-physiological evaluation of a crop’s genetic resources is necessary to find possible genotypes to include in breeding initiatives.The objective of this study was to identify heat-tolerant wheat genotypes among 36 mutant lines using morpho-physiological indices.Seedlings of mutant lines and check varieties were grown under both normal(control)and heat-stress conditions in growth chambers.Data were recorded on root-shoot parameters(length,fresh weight,dry weight,and ratio),relative water content(RWC),stability of cell membrane,pigment content,and chlorophyll fluorescence.Two-way analysis of variance showed significant(p<0.01,p<0.001)variation among 15 morpho-physiological features in both growing conditions.Correlation studies showed that pigment-specific indices(total chl,chl a,chl b,carotenoid,Fv/Fm—chlorophyll fluorescence)had significant positive correlations with rootshoot fresh weight(RFW,SFW)and root-shoot dry weight(RDW,SDW),and negative association with relative water content,stability of cell membrane at both conditions.Hierarchical cluster analysis revealed three primary clusters where cluster III(18 genotypes)showed minimal changes in studied characters than cluster I(11 genotypes)and cluster II(13 genotypes).Results obtained from this study revealed that the identified heat-sensitive(30-2 SSH)and heat-tolerant genotypes(27-2(4),29-2(2),and 30-2 SSH)of wheat might provide useful breeding materials for enhancing wheat yield even more in this period of uncertain climate change.展开更多
Analysis on the investigation and evaluation data of afforestation space suitability in Nanyang City reveals that there are a total of 47,394 issued land parcels,covering an area of 102,400 hm^(2).Among these,20,834 p...Analysis on the investigation and evaluation data of afforestation space suitability in Nanyang City reveals that there are a total of 47,394 issued land parcels,covering an area of 102,400 hm^(2).Among these,20,834 parcels are suitable for afforestation with an area of 35,300 hm^(2),while 7,220 parcels are planned for afforestation but not yet implemented,covering an area of 19,900 hm^(2).Additionally,there are 26,560 parcels classified as unsuitable for afforestation with an area of 67,100 hm^(2).There are also 13,614 parcels,with an area of 15,400 hm^(2),that meet the criteria for afforestation space but have not been included in the planning.In view of discrepancies in land type classification or being outside the original evaluation scope in the investigation of afforestation space suitability evaluation,corresponding recommendations have been proposed to provide valuable references for scientifically formulating territorial greening plans and reasonably reserving afforestation space.展开更多
Hydrogen is emerging as a promising alternative to fossil fuels in the transportation sector.This study evaluated the feasibility of estab-lishing hydrogen refueling stations in five cities in Oman,Duqm,Haima,Sur,Al B...Hydrogen is emerging as a promising alternative to fossil fuels in the transportation sector.This study evaluated the feasibility of estab-lishing hydrogen refueling stations in five cities in Oman,Duqm,Haima,Sur,Al Buraymi,and Salalah,using Hybrid Optimization of Multiple Electric Renewables(HOMER)software.Three hybrid energy systems,photovoltaic-wind turbine-battery,photovoltaic-battery,and wind turbine-battery were analyzed for each city.Results indicated that Duqm offers the lowest net present cost(NPC),levelized cost of energy,and levelized cost of hydrogen,making it the most cost-effective location.Additionally,Sensitivity analysis showed that as the life of electrolyzer increases during operation,the initial capital expenditure is distributed over a longer operational period,leading to a reduction in the NPC.More so,renewable energy systems produced no emissions which supports Oman’s mission target.This comprehensive analysis confirms the feasibility of establishing a hydrogen refueling station in Duqm,Oman,and highlights advanced optimization techniques’superior capability in designing cost-effective,sustainable energy systems.展开更多
Precipitation is scarce in semi-arid areas,which results in serious drought.Occurrence of flash drought is quite often in these areas,and flash drought may also cause significant disasters.However,monitoring flash dro...Precipitation is scarce in semi-arid areas,which results in serious drought.Occurrence of flash drought is quite often in these areas,and flash drought may also cause significant disasters.However,monitoring flash drought is still weak and remains a challenge.This study aims to identify,evaluate,and monitor flash drought events that occurred from 1961 to 2020 in reservoirs of the CearáState,Brazil.The Christian's method,standardized precipitation index(SPI),standardized precipitation evapotranspiration index(SPEI),and evaporative demand drought index(EDDI)were used to assess the severity and persistence of flash drought.Moreover,analyses conducted in 2001,2008,2011,2012,2016,and 2020revealed the complexity and interaction of flash drought with environmental and meteorological factors.The results indicated that in dry years such as 2001,2012,and 2016,drought indices pointed to the intensification of drought conditions,with impacts on major reservoirs in the area,such as Banabuiú,Castanh?o,and Orós.Low precipitation,associated with high evaporative demand,intensified water stress,reducing water availability for the population and local ecosystems.In wet years such as 2008,2011,and 2020,SPEI and EDDI indicated higher moisture levels and drought relief,favoring the recovery of reservoirs.It was also observed that most flash drought episodes evolved into conventional droughts,highlighting their persistence and potential long-term impact.Moreover,the months of May and November presented a higher frequency of flash drought during the wet and dry periods,respectively,negatively impacting most of the studied reservoirs.These findings underscore the need for effective drought monitoring and mitigation strategies to reduce its impacts on agriculture and water resources in the semi-arid area.Early detection and analysis of flash drought are important for improving water resource management and for continuous adaptation to changing drought conditions.展开更多
In this letter,we discuss the article by Li et al published in the World Journal of Gastrointestinal Surgery.Gallbladder cancer is a rare but fatal cancer that is often detected unexpectedly and at an advanced stage f...In this letter,we discuss the article by Li et al published in the World Journal of Gastrointestinal Surgery.Gallbladder cancer is a rare but fatal cancer that is often detected unexpectedly and at an advanced stage following routine cholecystectomy.Although the prognosis is poor,curative resections often combined with postoperative chemotherapy and/or radiation therapy can improve survival.However,targeted patient selection for the appropriate therapeutic approach is critical to minimize unnecessary morbidity.Using advanced statistical techniques,the authors developed a nomogram with the potential to predict survival after gallbladder cancer resection,identifying factors associated with long-and shortterm survival.This tool could improve patient selection for surgery and postoperative treatment.In this letter,we provide background on survival nomograms including an in-depth discussion of statistical methods employed in this study,the use of nomograms in other forms of cancer,limitations to the model,and directions for future research.展开更多
基金supported by the Hercules Foundation(AKUL/09/038&AKUL/13/09)national grants from the Research Council of KU Leuven(BOF-OT/14/064)+1 种基金the Research Foundation Flanders(FWO G0B2315N)the Flemish Institute for the promotion of scientific research(IWT)
文摘Matrix metalloproteinases（MMPs）are members of the metzincin superfamily named after the zinc ion and the conserved methionine residue at the active site.In addition to their role in extracellular matrix（ECM）remodeling,these proteinases（in）activate many signaling molecules such as growth factors.
基金supported by special research program, Ministry of Health, China (200902001)
文摘Several complications of insertion and use of pulmonary artery catheter （PAC）, including catheter entrapment, are recognized during or after cardiac surgery. Early detection is very important. We report a case of PAC entrapment because the the catheter was accidentally su- tured to the superior vena cava. Bleeding from the thermistor connector was initially detected after surgery because the needle punctured the lumen of thermistor connector. The PAC was removed through re-exploration. Therefore, bleeding from the thermistor connector could early indicate the PAC entrapment. We suggest that abnormal bleeding from the non-injectate lumen ports of PAC should be checked before sternal closure.
基金supported by the Southwest Minzu University Research Startup Funds (No.16011221038,RQD2022021)Double World-Class Project (No.CX2023010)。
文摘Wetland degradation is an escalating global challenge with profound impacts on animal diversity,particularly during successional processes.Birds,as highly mobile and environmentally sensitive organisms,serve as effective indicators of ecological change.While previous studies have primarily focused on local community structures and species diversity during a specific season,there is a need to extend the research timeframe and explore broader spatial variations.Additionally,expanding from simple species diversity indices to more multidimensional diversity indices would provide a more comprehensive understanding of wetland health and resilience.To address these gaps,we investigated the effects of wetland degradation on bird diversity across taxonomic,phylogenetic,and functional dimensions in the Zoige Wetland,a plateau meadow wetland biodiversity hotspot.Surveys were conducted during both breeding(summer)and overwintering(winter)seasons across 20 transects in 5 sampling areas,representing 4 degradation levels(pristine,low,medium,and high).Our study recorded a total of 106 bird species from 32 families and 14 orders,revealing distinct seasonal patterns in bird community composition and diversity.Biodiversity indices were significantly higher in pristine and low-degraded wetlands,particularly benefiting waterfowl(Anseriformes,Ciconiiformes)and wading birds(Charadriiformes)in winter,when these areas provided superior food resources and habitat conditions.In contrast,medium and highly degraded wetlands supported increased numbers of terrestrial birds(Passeriformes)and raptors(Accipitriformes,Falconiformes).Seasonal differences in taxonomic,phylogenetic,and functional diversity indices highlighted the contrasting ecological roles of wetlands during breeding and overwintering periods.Furthermore,indicator species analysis revealed key species associated with specific degradation levels and seasons,providing valuable insights into wetland health.This study underscores the importance of spatiotemporal dynamics in understanding avian responses to wetland degradation.By linking seasonal patterns of bird diversity to habitat conditions,our findings contribute to conservation efforts and provide a framework for assessing wetland degradation and its ecological impacts.
文摘Cardiovascular diseases(CVDs)remain the leading cause of morbidity and mortality worldwide,necessitating innovative diagnostic and prognostic strategies.Traditional biomarkers like C-reactive protein,uric acid,troponin,and natriuretic peptides play crucial roles in CVD management,yet they are often limited by sensitivity and specificity constraints.This narrative review critically examines the emerging landscape of cardiac biomarkers and advocates for a multiple-marker approach to enhance early detection,prognosis,and risk stratification of CVD.In recent years,several novel biomarkers have shown promise in revolutionizing CVD diagnostics.Gamma-glutamyltransferase,microRNAs,endothelial microparticles,placental growth factor,trimethylamine N-oxide,retinol-binding protein 4,copeptin,heart-type fatty acid-binding protein,galectin-3,growth differentiation factor-15,soluble suppression of tumorigenicity 2,fibroblast growth factor 23,and adrenomedullin have emerged as significant indicators of CV health.These biomarkers provide insights into various pathophysiological processes,such as oxidative stress,endothelial dysfunction,inflammation,metabolic disturbances,and myocardial injury.The integration of these novel biomarkers with traditional ones offers a more comprehensive understanding of CVD mechanisms.This multiple-marker approach can improve diagnostic accuracy,allowing for better risk stratification and more personalized treatment strategies.This review underscores the need for continued research to validate the clinical utility of these biomarkers and their potential incorporation into routine clinical practice.By leveraging the strengths of both traditional and novel biomarkers,precise therapeutic plans can be developed,thereby improving the management and prognosis of patients with CVDs.The ongoing exploration and validation of these biomarkers are crucial for advancing CV care and addressing the limitations of current diagnostic tools.
文摘BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU admissions are associated with increased morbidity and mortality and are an indicator of trauma service quality.Two different types of unplanned ICU admissions include upgrades(patients admitted to the floor then moved to the ICU)and bounce backs(patients admitted to the ICU,discharged to the floor,and then readmitted to the ICU).Previous studies have shown that geriatric trauma patients are at higher risk for unfavorable outcomes.AIM To analyze the characteristics,management and outcomes of trauma patients who had an unplanned ICU admission during their hospitalization.METHODS This institutional review board approved,retrospective cohort study examined 203 adult trauma patients with unplanned ICU admission at an urban level 1 trauma center over a six-year period(2017-2023).This included 134 upgrades and 69 bounce backs.Analyzed variables included:(1)Age;(2)Sex;(3)Comorbidities;(4)Mechanism of injury(MOI);(5)Injury severity score(ISS);(6)Glasgow Coma Scale(GCS);(7)Type of injury;(8)Transfusions;(9)Consultations;(10)Timing and reason for unplanned admission;(11)Intubations;(12)Surgical interventions;(13)ICU and hospital lengths of stay;and(14)Mortality.RESULTS Unplanned ICU admissions comprised 4.2%of total ICU admissions.Main MOI was falls.Mean age was 70.7 years,ISS was 12.8 and GCS was 13.9.Main injuries were traumatic brain injury(37.4%)and thoracic injury(21.7%),and main reason for unplanned ICU admission was respiratory complication(39.4%).The 47.3%underwent a surgical procedure and 46.8%were intubated.Average timing for unplanned ICU admission was 2.9 days.Bounce backs occurred half as often as upgrades,however had higher rates of transfusions(63.8%vs 40.3%,P=0.002),consultations(4.8 vs 3.0,P<0.001),intubations(63.8%vs 38.1%%,P=0.001),longer ICU lengths of stay(13.2 days vs 6.4 days,P<0.001)and hospital lengths of stay(26.7 days vs 13.0 days,P<0.001).Mortality was 25.6%among unplanned ICU admissions,31.9%among geriatric unplanned ICU admissions and 11.9%among all trauma ICU patients.CONCLUSION Unplanned ICU admissions constituted 4.2%of total ICU admissions.Respiratory complications were the main cause of unplanned ICU admissions.Bounce backs occurred half as often as upgrades,but were associated with worse outcomes.
文摘Succinylcholine(SC)is a widely used depolarizing muscle relaxant,but improper use can lead to arrhythmias and,in severe cases,pose a life-threatening risk.Additionally,some criminals exploit SC for illicit activities.Therefore,rapid SC detection is paramount for clinical practice and public safety.Currently,however,limited methods are available for the rapid detection of SC.A fluorescent indicator displacement assay sensor based on molecular recognition of an amide naphthotube was developed.This sensor enabled the rapid fluorescent detection of SC through competitive binding between SC and methylene blue with the amide naphthotube.The sensor exhibited exceptional sensitivity with a detection limit as low as 1.1μmol/L and a detection range of 1.1~60μmol/L,coupled with outstanding selectivity and robust stability.Furthermore,this sensor accurately determined SC levels in biological samples such as serum.In summary,this research provides a new solution for the rapid and accurate sensing of SC in complex matrices and offers new insights for the swift identification and detection of toxins.
文摘In order to accurately forecast the main engine fuel consumption and reduce the Energy Efficiency Operational Indicator(EEOI)of merchant ships in polar ice areas,the energy transfer relationship between ship-machine-propeller is studied by analyzing the complex force situation during ship navigation and building a MATLAB/Simulink simulation platform based on multi-environmental resistance,propeller efficiency,main engine power,fuel consumption,fuel consumption rate and EEOI calculation module.Considering the environmental factors of wind,wave and ice,the route is divided into sections,the calculation of main engine power,main engine fuel consumption and EEOI for each section is completed,and the speed design is optimized based on the simulation model for each section.Under the requirements of the voyage plan,the optimization results show that the energy efficiency operation index of the whole route is reduced by 3.114%and the fuel consumption is reduced by 9.17 t.
基金Supported by Grants of the Suzhou Medical Key Discipline,No.SZXK202109Suzhou Clinical Key Disease Project,No.LCZX202111Suzhou Promoting Health through Science and Education Research Project,No.KJXW2021028.
文摘BACKGROUND Nutritional and inflammatory indicators are crucial in assessing the nutritional health and immune function of patients with cancer,which are factors closely associated with the diagnosis and treatment of colorectal cancer(CRC).AIM To explore the relationship between nutritional and inflammatory indicators and microsatellite stability(MSS)status in CRC.METHODS The clinical data of 56 patients who underwent surgical treatment for CRC were collected.Furthermore,the expressions of nutritional(levels of serum albumin,triglycerides,serum cholesterol,and body mass index)and inflammatory response indicators(absolute neutrophil count,absolute lymphocyte count,absolute monocyte count,neutrophil-to-lymphocyte ratio,and lymphocyte-to-monocyte ratio)as well as their correlation with microsatellite instability(MSI)status were investigated in patients with CRC.RESULTS Compared to the patients with MSS tumors,those with MSI tumors demonstrated significantly lower levels of two nutritional indicators,namely serum albumin and body mass index(P<0.05).Moreover,patients in the MSI group demonstrated significantly lower absolute lymphocyte counts and higher neutrophil-to-lymphocyte ratio than those in the MSS group(P<0.05),indicating pronounced differences in inflammatory responses and immune states between the two groups.CONCLUSION Certain nutritional and inflammatory indicators exhibit significant differences among patients with MSI and MSS CRC,highlighting their potential role in the clinical treatment and health management of this specific population.
文摘Understanding the active tectonic processes in the Nandakini Watershed is imperative for evaluating geological hazards and seismic risks,as well as for informing land-use planning and natural resource management strategies in the region.Tectonic geomorphology serves as a vital tool for characterizing recent tectonic movements.This research employs GIS techniques to elucidate tectonic activity and its influence on drainage patterns in the Nandakini Watershed,utilizing morphometric parameters derived from SRTM DEM data.Morphometric indices are employed to assess the tectonic movement within drainage basins,capturing both areal and linear factors such as drainage density,texture,circulatory and bifurcation ratios,and stream length ratios.The linear and areal morphometric indices are categorized into three classes representing varying degrees of active tectonic activity.These classifications are then utilized to compute the relative active tectonic index(IRAT).In addition,geomorphic parameters include hypsometric integral,stream length-gradient index,normalized steepness index,chi gradient index,and swath profiles.The majority of the studied region is in an extremely high to moderately active tectonic zone.Large-scale faults and thrusts within the basins are closely correlated with these zones that have been identified.The integrated methodology of GIS-based morphometric analysis and geomorphic study enables the identification of deformed landforms associated with ongoing tectonic activity.Furthermore,these results offer valuable insights for informing watershed management strategies and promoting sustainable land use planning initiatives.
基金funded by the Agencia Nacional de Promoción de la Investigación,el Desarrollo Tecnológico y la Innovación,PICT 2018–03871.
文摘Green cover and human disturbance are important local factors shaping urban bird communities, while climatic and topographic variables can be important when analyzing cities in different biomes. However, the roles of large-scale and local variables influencing bird species composition have been scarcely explored in urban areas. This study aimed to analyze the association of climatic, topographic, landscape, and local variables with bird species composition in streets dominated by buildings and urban parks. I expected park bird composition to be more related to large-scale variables, whereas bird species in streets to be more associated with local-scale variables. Bird surveys were conducted in nine cities along a climatic and topographic gradient. Bird species composition in urban parks and streets were related to climatic and topographic variables, local vegetation greenness, and distance to non-urban areas. However, bird composition in streets was also related to noise and pedestrian traffic. The classification of bird composition in urban parks aligned with the phytogeographic provinces, whereas the streets’ bird composition was unrelated to phytogeographic provinces. The results showed that urban habitats with increased vegetation cover allow the colonization of native bird communities and are more aligned with natural large-scale environmental gradients. In contrast, more urbanized sites are decoupled from climatic and topographic gradients and invaded by exotic and widespread native species.
文摘This study provides a systematic investigation into the influence of feature selection methods on cryptocurrency price forecasting models employing technical indicators.In this work,over 130 technical indicators—covering momentum,volatility,volume,and trend-related technical indicators—are subjected to three distinct feature selection approaches.Specifically,mutual information(MI),recursive feature elimination(RFE),and random forest importance(RFI).By extracting an optimal set of 20 predictors,the proposed framework aims to mitigate redundancy and overfitting while enhancing interpretability.These feature subsets are integrated into support vector regression(SVR),Huber regressors,and k-nearest neighbors(KNN)models to forecast the prices of three leading cryptocurrencies—Bitcoin(BTC/USDT),Ethereum(ETH/USDT),and Binance Coin(BNB/USDT)—across horizons ranging from 1 to 20 days.Model evaluation employs the coefficient of determination(R2)and the root mean squared logarithmic error(RMSLE),alongside a walk-forward validation scheme to approximate real-world trading contexts.Empirical results indicate that incorporating momentum and volatility measures substantially improves predictive accuracy,with particularly pronounced effects observed at longer forecast windows.Moreover,indicators related to volume and trend provide incremental benefits in select market conditions.Notably,an 80%–85% reduction in the original feature set frequently maintains or enhances model performance relative to the complete indicator set.These findings highlight the critical role of targeted feature selection in addressing high-dimensional financial data challenges while preserving model robustness.This research advances the field of cryptocurrency forecasting by offering a rigorous comparison of feature selection methods and their effects on multiple digital assets and prediction horizons.The outcomes highlight the importance of dimension-reduction strategies in developing more efficient and resilient forecasting algorithms.Future efforts should incorporate high-frequency data and explore alternative selection techniques to further refine predictive accuracy in this highly volatile domain.
文摘This study evaluates the trace element contents (cadmium, lead, mercury and arsenic) in soils, sediments and rock residues of the artisanal gold mining site of Lite-Bala in the Democratic Republic of Congo. Random sampling, physicochemical analysis and analysis of total and soluble trace elements by ICP-OES spectrometry as well as calculations of pollution indices (FE and Igeo) and partition coefficient (kd) were carried out in two areas in the dry season and in the rainy season. The soils and sediments of the site are acidic, oxidizing, poor in organic carbon with clayey to sandy textures. Artisanal gold mining at Lite-Bala does not affect, to date, the cadmium, lead, mercury and arsenic contents of soils and sediments. On the other hand, the presence of these elements in rock residues, even in low levels, and the mechanization of this exploitation will have an impact on them in the long term;in particular for Hg used as an input and whose levels are close to the higher standard in surface soils.
基金Scientific Research Fund of Institute of Engineering Mechanics,China Earthquake Administration under Grant No.2019B12National Natural Science Foundation of China Youth Fund under Grant No.51108433National Natural Science Foundation of China under Grant No.51778186。
文摘Damage indices are effective in quantifying structural seismic damage.Numerous response-based damage indices have been developed and validated through the hysteretic response of various experimental specimens.However,the accuracy of these indices for evaluating damage of RC columns is challenged by fluctuating axial load and irregular horizontal loading paths from 3-D earthquake excitations.This study introduces D_(iem),a material-based damage model for RC columns under random bidirectional loads and variable axial forces.Section damage indices of the plastic hinge are calculated by integrating the damage indices of concrete and steel fiber elements,considering their distance to the centroid axis.The P-Δeffect index is defined,and the component failure index is calculated using a combination of these indices.A hysteretic simulation and D_(iem)damage analysis program for cantilever RC columns is developed using Fortran.Three RC columns tested under bidirectional hysteretic loading are simulated to calibrate the program.Parameter analysis of 1,638 RC columns is conducted to verify D_(iem)’s applicability.The results demonstrated that D_(iem)’s failure assessment aligns with the 80%residual criterion.D_(iem)analysis of a real seismic damaged RC column shows satisfactory agreement with post-earthquake damage assessment and illustrates significant damage differences between columns with and without axial load fluctuation.
文摘The morpho-physiological responses of 15 rapeseed genotypes to drought stress were assessed,revealing strong correlations among various characteristics.Under control conditions,the genotype Angelico fascinated the highest chlorophyll content,while Nilofar had the highest carotenoid content,grain yield,and harvest index(HI).Talaye recorded the highest proline content.Under drought conditions,Nafis maintained the highest plant height,pod number,biomass,and grain yield.Angelico demonstrated the highest chlorophyll and relative water content(RWC).Nima showed the highest carotenoid content,Zarfam excelled in chlorophyll b,and Nafis recorded the highest proline content.Overall,drought stress resulted in a significant reduction in most morphophysiological traits.In the principal component analysis(PCA),the first two components explained a substantial portion of the variation in both control and drought conditions,facilitating the classification of the genotypes into two distinct groups.Additionally,twelve drought stress indices further categorized the genotypes,with the first two components accounting for the majority of the variation(99.45%).Notably,the Nilofar,Nima,Nafis,and Shirali cultivars were grouped together under both control and drought conditions,exhibiting the highest grain yield.These genotypes could be considered drought-tolerant varieties of this study.The research identified stable and high-performing rapeseed genotypes,which are recommended for future breeding programs.
文摘Morpho-physiological evaluation of a crop’s genetic resources is necessary to find possible genotypes to include in breeding initiatives.The objective of this study was to identify heat-tolerant wheat genotypes among 36 mutant lines using morpho-physiological indices.Seedlings of mutant lines and check varieties were grown under both normal(control)and heat-stress conditions in growth chambers.Data were recorded on root-shoot parameters(length,fresh weight,dry weight,and ratio),relative water content(RWC),stability of cell membrane,pigment content,and chlorophyll fluorescence.Two-way analysis of variance showed significant(p<0.01,p<0.001)variation among 15 morpho-physiological features in both growing conditions.Correlation studies showed that pigment-specific indices(total chl,chl a,chl b,carotenoid,Fv/Fm—chlorophyll fluorescence)had significant positive correlations with rootshoot fresh weight(RFW,SFW)and root-shoot dry weight(RDW,SDW),and negative association with relative water content,stability of cell membrane at both conditions.Hierarchical cluster analysis revealed three primary clusters where cluster III(18 genotypes)showed minimal changes in studied characters than cluster I(11 genotypes)and cluster II(13 genotypes).Results obtained from this study revealed that the identified heat-sensitive(30-2 SSH)and heat-tolerant genotypes(27-2(4),29-2(2),and 30-2 SSH)of wheat might provide useful breeding materials for enhancing wheat yield even more in this period of uncertain climate change.
文摘Analysis on the investigation and evaluation data of afforestation space suitability in Nanyang City reveals that there are a total of 47,394 issued land parcels,covering an area of 102,400 hm^(2).Among these,20,834 parcels are suitable for afforestation with an area of 35,300 hm^(2),while 7,220 parcels are planned for afforestation but not yet implemented,covering an area of 19,900 hm^(2).Additionally,there are 26,560 parcels classified as unsuitable for afforestation with an area of 67,100 hm^(2).There are also 13,614 parcels,with an area of 15,400 hm^(2),that meet the criteria for afforestation space but have not been included in the planning.In view of discrepancies in land type classification or being outside the original evaluation scope in the investigation of afforestation space suitability evaluation,corresponding recommendations have been proposed to provide valuable references for scientifically formulating territorial greening plans and reasonably reserving afforestation space.
文摘Hydrogen is emerging as a promising alternative to fossil fuels in the transportation sector.This study evaluated the feasibility of estab-lishing hydrogen refueling stations in five cities in Oman,Duqm,Haima,Sur,Al Buraymi,and Salalah,using Hybrid Optimization of Multiple Electric Renewables(HOMER)software.Three hybrid energy systems,photovoltaic-wind turbine-battery,photovoltaic-battery,and wind turbine-battery were analyzed for each city.Results indicated that Duqm offers the lowest net present cost(NPC),levelized cost of energy,and levelized cost of hydrogen,making it the most cost-effective location.Additionally,Sensitivity analysis showed that as the life of electrolyzer increases during operation,the initial capital expenditure is distributed over a longer operational period,leading to a reduction in the NPC.More so,renewable energy systems produced no emissions which supports Oman’s mission target.This comprehensive analysis confirms the feasibility of establishing a hydrogen refueling station in Duqm,Oman,and highlights advanced optimization techniques’superior capability in designing cost-effective,sustainable energy systems.
基金CearáFoundation for Scientific and Technological Development Support(FUNCAP)the Coordination for the Improvement of Higher Education Personnel(CAPES)for all the help and support to carry out this research。
文摘Precipitation is scarce in semi-arid areas,which results in serious drought.Occurrence of flash drought is quite often in these areas,and flash drought may also cause significant disasters.However,monitoring flash drought is still weak and remains a challenge.This study aims to identify,evaluate,and monitor flash drought events that occurred from 1961 to 2020 in reservoirs of the CearáState,Brazil.The Christian's method,standardized precipitation index(SPI),standardized precipitation evapotranspiration index(SPEI),and evaporative demand drought index(EDDI)were used to assess the severity and persistence of flash drought.Moreover,analyses conducted in 2001,2008,2011,2012,2016,and 2020revealed the complexity and interaction of flash drought with environmental and meteorological factors.The results indicated that in dry years such as 2001,2012,and 2016,drought indices pointed to the intensification of drought conditions,with impacts on major reservoirs in the area,such as Banabuiú,Castanh?o,and Orós.Low precipitation,associated with high evaporative demand,intensified water stress,reducing water availability for the population and local ecosystems.In wet years such as 2008,2011,and 2020,SPEI and EDDI indicated higher moisture levels and drought relief,favoring the recovery of reservoirs.It was also observed that most flash drought episodes evolved into conventional droughts,highlighting their persistence and potential long-term impact.Moreover,the months of May and November presented a higher frequency of flash drought during the wet and dry periods,respectively,negatively impacting most of the studied reservoirs.These findings underscore the need for effective drought monitoring and mitigation strategies to reduce its impacts on agriculture and water resources in the semi-arid area.Early detection and analysis of flash drought are important for improving water resource management and for continuous adaptation to changing drought conditions.
文摘In this letter,we discuss the article by Li et al published in the World Journal of Gastrointestinal Surgery.Gallbladder cancer is a rare but fatal cancer that is often detected unexpectedly and at an advanced stage following routine cholecystectomy.Although the prognosis is poor,curative resections often combined with postoperative chemotherapy and/or radiation therapy can improve survival.However,targeted patient selection for the appropriate therapeutic approach is critical to minimize unnecessary morbidity.Using advanced statistical techniques,the authors developed a nomogram with the potential to predict survival after gallbladder cancer resection,identifying factors associated with long-and shortterm survival.This tool could improve patient selection for surgery and postoperative treatment.In this letter,we provide background on survival nomograms including an in-depth discussion of statistical methods employed in this study,the use of nomograms in other forms of cancer,limitations to the model,and directions for future research.
