Recently there have been two causal modelling approaches to indicative conditionals,i.e.extrapolationist(Deng&Lee,2021)and filterist(Liang&Wang,2022),although they all take an interventionist position on subju...Recently there have been two causal modelling approaches to indicative conditionals,i.e.extrapolationist(Deng&Lee,2021)and filterist(Liang&Wang,2022),although they all take an interventionist position on subjunctive conditionals.Motivated by the so-called OK pairs,they try to provide a convincing explanation of the intuition underlying the OK pairs.As far as we know,what they have done is to provide not only an explanation of the OK pairs,but also a way of distinguishing between indicative and subjunctive conditionals.Although we agree with their success in explaining the OK pairs within a causal modelling framework,we argue that their ways of distinguishing between indicative and subjunctive conditionals fail.Instead,we argue that their approaches can be used to distinguish between two readings of conditionals,the epistemic reading and the ontic reading.which can be applied to both indicative and subjunctive conditionals.We conclude by arguing that these two readings are related to two approaches to asking and answering causal questions:the“auses-of-effects"approach and the"effects-of-causes"approach.展开更多
The new method for simultaneous determination of the concentrations of fluorine and chlorine in river water with double indicative electrodes is developed, and the quantitative analysis formulas that the inputs of ele...The new method for simultaneous determination of the concentrations of fluorine and chlorine in river water with double indicative electrodes is developed, and the quantitative analysis formulas that the inputs of electrode were exchanged by using self-made joints were induced. With this method,the synthetic water samples and the water samples taken from Majiagou River were analyzed. The results of determinations are satisfactory. The relative errors were<10.0% for F and <3.0%for Cl. The recoveries werc 90-101% for F and 90-110% tbr Cl. The relative standard deviations were < 15.2% for F and < 10.1% for Cl-. The advantages of this method is accurate, rapid and simple.展开更多
The Uranium-238 (<sup>238</sup>U), Thorium-232 (<sup>232</sup>Th) families and Potassium-40 (<sup>40</sup>K) are of terrestrial origin and contribute generally to an individual’s e...The Uranium-238 (<sup>238</sup>U), Thorium-232 (<sup>232</sup>Th) families and Potassium-40 (<sup>40</sup>K) are of terrestrial origin and contribute generally to an individual’s external exposure through our presence in this environment. They also contribute to the internal exposure through the ingestion of products and beverages such as water that are close to the earth. The aim of this work is to determine the committed effective dose or Total Indicative Dose (TID) due to gamma radioactivity of the borehole water from the Nord Riviera (NR) well field operated by the Côte d’Ivoire Water Distribution Company (SODECI) for the supply of drinking water to part of the population of Abidjan. In addition, the populations, with their habits, could use these borehole waters directly as drinking water. To this end, water samples from the seven (07) functional boreholes were collected and analyzed on a gamma spectrometry chain, equipped with an HPGe detector in the laboratory of the Radiation Protection Institute (RPI) of the GHANA Atomic Energy Commission (GAEC). The results of the specific activities of <sup>238</sup>U, <sup>232</sup>Th and <sup>40</sup>K obtained were transcribed into TID. As the natural radioactivity of the borehole water is high [1], the TIDs calculated from the activity results of the natural radionuclides<sup>238</sup>U, <sup>232</sup>Th, and <sup>40</sup>K vary for the seven boreholes from 0.150 to 0.166 mSv/yr with an average of 0.161 ± 0.034 mSv/yr. The TID of the control tower, where the borehole water is mixed and treated for household use, is equal to 0.136 ± 0.03 mSv/yr. The TIDs obtained are therefore all slightly greater than the WHO reference dose value of 0.1 mSv/yr. But all remain below the UNSCEAR reference dose of 0.29 mSv/yr.展开更多
An abnormality tends to occur in the productivity indicative curves in the process of productivity test interpretation of multi-layer gas wells,resulting in the failure of solutions to their productivity equations and...An abnormality tends to occur in the productivity indicative curves in the process of productivity test interpretation of multi-layer gas wells,resulting in the failure of solutions to their productivity equations and absolute open flow rates.To figure out the reasons for such an abnormality,we established a full-hole calculation model considering the coupling of wellbore variable mass flows and reservoir seepages to calculate a gas production profile and wellbore pressure distribution of a multi-layer productive gas reservoir.Then,based on the analysis of the gas production profile and wellbore pressure distribution characteristics of gas wells at different gas production rates,the root cause for the abnormality in the productivity indicative curves of multi-layer gas wells was analyzed,and a corresponding correction method was proposed and validated based on some examples.And the following research results were obtained.First,there are two reasons for the abnormal productivity indicative curves of multi-layer gas wells.On the one hand,there is a variable mass pipe flow in the wellbore of multi-layer sections and a flowing pressure gradient decreases with the increase of well depth.And the flowing pressure in the middle of the reservoir which is converted based on the flowing pressure gradient above the pressure gauge is higher than the real value.On the other hand,the pressure in the multi-layer producing sections doesn't realize a balance after well shutdown for a short time,so the measured static pressure is greater than the one measured when the pressure of each layer gets balanced after well shutdown for a long time.Second,the flowing pressure obtained from the productivity test interpretation of multi-layer gas producer shall be converted based on the pressure measured by the pressure gauge within 200 m above the reservoir top and it is necessary to adopt the static pressure measured after the balance of wellbore pressure.Third,the reliability of the model,the rationality of the abnormality reason analysis and the validity of the correction method are verified based on calculation examples and cases.It is concluded that the research results provide a technical support for the productivity evaluation of multi-layer gas wells.展开更多
China’s shipbuilding industry maintained the world’s largest market share in terms of three major indicators for the 16th consecutive year in 2025,according to data released by the Ministry of Industry and Informati...China’s shipbuilding industry maintained the world’s largest market share in terms of three major indicators for the 16th consecutive year in 2025,according to data released by the Ministry of Industry and Information Technology on 1 February.展开更多
Antibiotics are widespread in aquatic environments due to their extensive use in human healthcare and ani-mal husbandry.However,research on the occurrence and bioaccumulation of antibiotics in aquatic organisms within...Antibiotics are widespread in aquatic environments due to their extensive use in human healthcare and ani-mal husbandry.However,research on the occurrence and bioaccumulation of antibiotics in aquatic organisms within shallow wetland lakes remains limited.This study investigated the occurrence and bioaccumulation of ten commonly used antibiotics in the Baiyang Lake,northern China’s largest shallow wetland lake.The results indicated that sulfonamides and fluoroquinolones were the predominant antibiotics in surface water,whereas fluoroquinolones and macrolides were more prevalent in sediment.Fluoroquinolones demonstrated significant potential for bioaccumulation in targeted aquatic organisms,including both animals and plants(Carassius au-ratus and Phragmites australis).The bioaccumulation of antibiotics in Carassius auratus was correlated with their solubility,whereas in Phragmites australis,this was associated with their octanol-water partition coefficients and molecular weights.Ecological risk assessment indicated that most antibiotics posed minimal to low risk levels.However,four antibiotics were exceptions:clarithromycin(12.5%)and sulfamethoxazole(6.25%)presented a high risk in surface water samples,while norfloxacin(25.0%)and ciprofloxacin(25.0%)posed a high risk in sediment samples.Norfloxacin,ciprofloxacin,and roxithromycin were identified as key indicator antibiotics for enhancing the local monitoring and control of antibiotic contamination based on four criteria:(1)high con-centrations,(2)frequent detection,(3)capacity for bioaccumulation,and(4)ecological risk levels.This study contributes to a deeper understanding of the status of antibiotic contamination,bioaccumulation characteristics,and ecological risk in Baiyang Lake,thereby supporting efforts to monitor and regulate antibiotic pollution.展开更多
Objective:To analyze the therapeutic effect of laparoscopy combined with choledochoscopy in the treatment of difficult cholelithiasis.Methods:A total of 60 patients with difficult cholelithiasis admitted for treatment...Objective:To analyze the therapeutic effect of laparoscopy combined with choledochoscopy in the treatment of difficult cholelithiasis.Methods:A total of 60 patients with difficult cholelithiasis admitted for treatment from January 2022 to December 2024 were selected and evenly divided into two groups using a random number table.The combined group received laparoscopy combined with choledochoscopy treatment,while the single group received laparoscopy treatment alone.The total treatment efficacy,perioperative indicators,angiotensin(Ang)levels,quality of life scores,and complication rates were compared between the two groups.Results:The total treatment efficacy in the combined group was higher than that in the single group;except for operative time,the perioperative indicators in the combined group were superior to those in the single group;the Ang levels after treatment in the combined group were lower than those in the single group,and the quality of life scores were higher(P<0.05).The complication rate in the combined group was lower than that in the single group(P<0.05).Conclusion:Laparoscopy combined with choedochoscopy can enhance the treatment effectiveness for patients with difficult cholelithiasis,improve perioperative indicators,regulate their Ang levels,elevate quality of life,and demonstrate high surgical safety.展开更多
Recently,the China National Intellectual Property Administration released the"List of Enterprises Approved to Use the Geographical Indication Logo."The"Wujiang Silk"geographical indication logo has...Recently,the China National Intellectual Property Administration released the"List of Enterprises Approved to Use the Geographical Indication Logo."The"Wujiang Silk"geographical indication logo has been renewed and launched.This official approval serves to distinguish and celebrate the quality and cultural heritage of Shengze silk,and the use of this symbol is a testament to that distinction.Three enterprises from Shengze have been approved to use the logo:Saint Joy,Huajia Silk,and Xinmin Silk.展开更多
BACKGROUND Inappropriate selection of patients with early gastric cancer(EGC)for endoscopic submucosal dissection(ESD)may lead to non-curative resection,necessitating additional gastrectomy.Conversely,inappropriate se...BACKGROUND Inappropriate selection of patients with early gastric cancer(EGC)for endoscopic submucosal dissection(ESD)may lead to non-curative resection,necessitating additional gastrectomy.Conversely,inappropriate selection for gastrectomy may result in overtreatment,adversely affecting patients’quality of life.Few have systematically evaluated the concordance between therapeutic indications under current Japanese guidelines and pathological criteria in EGC.To minimize noncurative resection risks while sparing unnecessary surgery for low-risk patients’,we specifically assess the suitability of Japanese guidelines in non-Japanese populations.This work aims to optimize clinical practice by refining endoscopic treatment criteria for adoption beyond Japan.AIM To evaluate EGC clinical decision accuracy by comparing therapeutic indication with postoperative pathological criteria and analyzing factors influencing discrepancies.METHODS A retrospective analysis was conducted on 796 EGC cases diagnosed at Peking University Third Hospital between January 2010 and December 2022.Cases were categorized into three groups:Same-estimated(preoperative therapeutic indication with postoperative pathological criteria matched),underestimated(preoperative ESD indication but postoperative surgical criteria),and overestimated(preoperative surgical indication but postoperative ESD criteria).The rate of discrepancy and associated risk factors were assessed.RESULTS The accuracy rates of preoperative evaluation for ESD and gastrectomy indications were 73.0%(321/430)and 76.0%(278/366),respectively.The overall discrepancy rate was 25.6%(204/796).Multivariate analysis identified tumor location in the upper-third stomach(odds ratio=2.158,95%confidence interval:1.373-3.390,P=0.001)was significantly associated with a higher likelihood of being underestimated and undifferentiated histologic type on preoperative biopsy(odds ratio=2.005,95%confidence interval:1.036-3.879,P=0.039)was more likely to be overestimated.Significant differences were observed in tumor diameter(P<0.001),depth of infiltration(P<0.001),ulcerative findings(P<0.001),and histologic type(P<0.001)between preoperative and postoperative evaluations.CONCLUSION The accuracy of preoperative EGC indications is 74.4%.Upper-third stomach and undifferentiated histology are primary discrepancy predictors.Upper-third tumors are prone to underestimation,while undifferentiated tumors are prone to overestimation.展开更多
We used solidification/stabilization methods to remediate highly concentrated Zn^(2+)-contaminated soil.An industrial waste mixture of red mud,carbide slag,and phosphogypsum is combined with cement as the curing agent...We used solidification/stabilization methods to remediate highly concentrated Zn^(2+)-contaminated soil.An industrial waste mixture of red mud,carbide slag,and phosphogypsum is combined with cement as the curing agent.The mixing ratios of the four materials are determined by comparing the strength,permeability coefficient,pH,and Zn^(2+)-leaching concentration of the solidified soil.Microscopic characteristics of the solidified uncontaminated soil and solidified Zn^(2+)-contaminated soil were observed using scanning electron microscopy,X-ray diffraction,and Fourier-transform infrared spectroscopy.Furthermore,the heavy metals speciation in both pure cement and mixed-material solidified soil was examined,demonstrating the beneficial role of the mixed-type curing agent in stabilizing heavy metals.The research results indicate that Zn^(2+)degrade the strength of the solidified soil by up to 90%.The permeability coefficient,pH,and Zn^(2+)-leaching concentration of the solidified soil easily meet standard,especially with Zn^(2+)leaching concentration well below the environmental protection limit.Furthermore,most Zn^(2+)exists in forms with lower biological and chemical reactivity.Both the solidified Zn^(2+)-contaminated soil and uncontaminated soil resulted in the formation of hydrated products containing elements such as silicon,aluminum,calcium,and sulfur.Additionally,the solidified Zn^(2+)-contaminated soil produced zinc-containing compounds and a large amount of rod-shaped ettringite.展开更多
The concept of geographical indication is similar to the idea of authentic medicinal herbs in traditional Chinese medicine. This paper examines the geographical indication (GI) resources of medicinal herbs in the Wuli...The concept of geographical indication is similar to the idea of authentic medicinal herbs in traditional Chinese medicine. This paper examines the geographical indication (GI) resources of medicinal herbs in the Wuling Mountain Area from various perspectives, including geographical indication products, geographical indication trademarks, China s geographical indication products mutually recognized and protected with the EU, geographical indication standards, and the exclusive geographical indication logo. It studies the regional public brand characteristics of Chinese authentic medicinal herbs, based on hometown of authentic Chinese medicinal herbs, advantageous regions of characteristic agricultural products, important agricultural cultural heritage, national famous and excellent new agricultural products, national characteristic agricultural products, geographical indication Chinese well-known trademarks, advantageous regions of characteristic agricultural products, and regional public brands of agricultural products. It analyzes the main problems in the protection of geographical indications and the creation of regional public brands, and proposes suggestions for building high-quality authentic medicinal herb bases, developing new quality productivity in the authentic medicinal herb industry, implementing regional brand strategies for authentic medicinal herbs, constructing a new development pattern of dual circulation authentic medicinal herbs, etc.展开更多
Precipitation events,which follow a life cycle of initiation,development,and decay,represent the fundamental form of precipitation.Comprehensive and accurate detection of these events is crucial for effective water re...Precipitation events,which follow a life cycle of initiation,development,and decay,represent the fundamental form of precipitation.Comprehensive and accurate detection of these events is crucial for effective water resource management and flood control.However,current investigations on their spatio-temporal patterns remain limited,largely because of the lack of systematic detection indices that are specifically designed for precipitation events,which constrains event-scale research.In this study,we defined a set of precipitation event detection indices(PEDI)that consists of five conventional and fourteen extreme indices to characterize precipitation events from the perspectives of intensity,duration,and frequency.Applications of the PEDI revealed the spatial patterns of hourly precipitation events in China and its first-and second-order river basins from 2008 to 2017.Both conventional and extreme precipitation events displayed spatial distribution patterns that gradually decreased in intensity,duration,and frequency from southeast to northwest China.Compared with those in northwest China,the average values of most PEDIs in southeast China were usually 2-10 times greater for first-order river basins and 3-15 times greater for second-order basins.The PEDI could serve as a reference method for investigating precipitation events at global,regional,and basin scales.展开更多
Sand dust belts span approximately one-fifth of the global land surface.In these regions,dust tends to settle on vegetation surfaces,altering the observed reflectance and affecting remote sensing detections.To enhance...Sand dust belts span approximately one-fifth of the global land surface.In these regions,dust tends to settle on vegetation surfaces,altering the observed reflectance and affecting remote sensing detections.To enhance the accuracy of maize growth monitoring in dust-affected regions,this study aims to quantify the effect of sand dust retention on maize during the tasseling stage in the Kashgar Prefecture,Xinjiang Uygur Autonomous Region,China,by analyzing changes in canopy reflectance and vegetation indices.First,field sampling was conducted to measure the key canopy structure parameters and dust retention levels of maize,and laboratory spectral measurements were performed on leaf spectral properties under gradient dust retention.The measured data were then used to drive the LargE-Scale remote sensing data and image Simulation framework(LESS)model for simulating realistic maize canopy spectra across different dust levels,with validation against Sentinel-2 imagery.Second,on the basis of the simulated and satellite-derived spectra,the dust resistance of 36 common vegetation indices was systematically evaluated,and new robust dust-resistant indices were developed.The results showed that compared with dust-free maize,the canopy reflectance of dust-retained maize followed an increase–decrease–increase pattern,with critical turning points at 735 and 1325 nm.The maximum reflectance difference of–0.11755(change rate:29.002%)occurred within the 735–1325 nm range at 24 g/m^(2)dust retention,and the minimum reflectance difference of 0.04285(change rate:148.950%)was observed in the 350–735 nm range under the same dust retention level.Among the 36 vegetation indices,only the global environment monitoring index(GEMI)and the ratio of transformed chlorophyll absorption in reflectance index to optimized soil-adjusted vegetation index(TCARI/OSAVI)exhibited dust resistance,with GEMI being effective below 6 g/m^(2)and TCARI/OSAVI remaining stable across all levels(average ratio:0.970).The newly developed indices in this study,(RE3–RE2)/(NIR–RE2),(RE3–RE2)/(RE4–RE2),and(NIR–RE2)/(RE4–RE2),retained values within the predefined dust-resistant range over the full dust retention levels of 0–24 g/m^(2),thus showing a more stable dust resistance compared with the commonly used 36 vegetation indices.Specially,(RE3–RE2)/(RE4–RE2)performed the most robustly in Sentinel-2 imagery,that is,58.020%of pixels were within the dust-resistant range,and an average ratio of 0.937 was obtained for the original-spectra index.This study provides a scientific basis for crop monitoring and management in dust-affected regions.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
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
The advent of precision medicine has underscored the importance of biomarkers in predicting therapy response for bladder cancer,a malignancy marked by considerable heterogeneity.This review critically examines the cur...The advent of precision medicine has underscored the importance of biomarkers in predicting therapy response for bladder cancer,a malignancy marked by considerable heterogeneity.This review critically examines the current landscape of biomarkers to forecast treatment outcomes in bladder cancer patients.We explore a range of biomarkers,including genetic,epigenetic,proteomic,and transcriptomic indicators,from multiple sample sources,including urine,tumor tissue and blood,assessing their efficacy in predicting responses to chemotherapy,immunotherapy,and targeted therapies.Despite promising developments,the translation of these biomarkers into clinical practice faces significant challenges,such as variability in biomarker performance,the necessity for large-scale validation studies,and the integration of biomarker testing into routine clinical workflows.We also highlight the need for standardized methodologies and robust assays to ensure consistency and reliability.Future directions point towards longitudinal studies and the development of combination biomarker panels to enhance predictive accuracy.This review emphasizes the transformative potential of predictive biomarkers in improving patient outcomes and advocates for continued collaborative efforts to overcome existing barriers in this rapidly evolving field.展开更多
BACKGROUND Type 2 diabetes mellitus(T2DM),a chronic metabolic disease with a high global incidence,has become a serious public health challenge.China has the largest number of T2DM patients worldwide,imposing a signif...BACKGROUND Type 2 diabetes mellitus(T2DM),a chronic metabolic disease with a high global incidence,has become a serious public health challenge.China has the largest number of T2DM patients worldwide,imposing a significant economic burden on the healthcare system.T2DM is closely associated with insulin resistance,impaired pancreatic B cell function,and disordered glucose and lipid metabolism,which can lead to various complications,reducing patients'quality of life and increasing the risk of disability and death.Thus,finding effective preventive and intervention measures is crucial.Exercise therapy,a key part of diabetes management,has gained attention in recent years,with many studies indicating its benefits for blood glucose control and other aspects in diabetic patients.AIM To assess the effectiveness of combined resistance and aerobic exercise interventions on blood glucose control and metabolic indicators in patients with T2DM and to explore their application in diabetes management.METHODS Systematic searches were conducted using PubMed,EMBASE,Cochrane Library,and Chinese databases for relevant randomized controlled trials(RCTs).The inclusion criteria were participants aged≥18 years with T2DM and the intervention involved combined resistance and aerobic exercise for≥8 weeks.The primary outcome indicators were fasting blood glucose,low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),triglycerides(TG),glycated hemoglobin A1c(HbA1c),and total cholesterol(TC)levels.Data analysis was performed using RevMan software,and the interventional effects were assessed using weighted mean differences or standardized mean differences(SMD).RESULTS Six RCTs meeting the inclusion criteria were included,with a total sample size of 366 participants.The meta-analysis results showed that combined resistance and aerobic exercise significantly improved several metabolic indicators in patients with T2DM.Specific results were as follows:(1)For fasting blood glucose,combined exercise was more effective than aerobic exercise alone[SMD=1.22;95%confidence interval(95%CI):0.70,1.74;P<0.00001];(2)LDL-C levels were significantly reduced by the combined intervention(SMD=1.45;95%CI:1.18-1.72;P<0.00001);(3)The combined intervention significantly increased HDL-C levels(SMD=1.42;95%CI:0.98-1.87;P<0.00001);(4)The combined intervention significantly reduced TG levels(SMD=1.12;95%CI:0.85-1.39;P<0.00001;(5)No statistically significant difference was observed in HbA1c between the combined and the aerobic exercise group(SMD=-0.03;95%CI:-1.09 to 1.04;P<0.00001);and(6)The combined exercise intervention group significantly reduced TC levels(SMD=2.66;95%CI:1.93-3.38;P<0.00001).The subgroup analysis results suggest that the effect of exercise interventions may be influenced by various factors,including the patient's age,baseline blood glucose levels,and exercise intensity.CONCLUSION Combined resistance and aerobic exercise intervention significantly improved fasting blood glucose,LDL-C,HDL-C,TG,and TC levels in patients with T2DM,especially in terms of blood glucose control and cardiovascular risk,demonstrating better outcomes than aerobic exercise alone.展开更多
This paper addresses the accuracy and timeliness limitations of traditional comprehensive prediction methods by proposing an approach of decision-level fusion of multisource data.A risk prediction indicator system was...This paper addresses the accuracy and timeliness limitations of traditional comprehensive prediction methods by proposing an approach of decision-level fusion of multisource data.A risk prediction indicator system was established for water and mud inrush in tunnels by analyzing advanced prediction data for specifi c tunnel segments.Additionally,the indicator weights were determined using the analytic hierarchy process combined with the Huber weighting method.Subsequently,a multisource data decision-layer fusion algorithm was utilized to generate fused imaging results for tunnel water and mud inrush risk predictions.Meanwhile,risk analysis was performed for different tunnel sections to achieve spatial and temporal complementarity within the indicator system and optimize redundant information.Finally,model feasibility was validated using the CZ Project Sejila Mountain Tunnel segment as a case study,yielding favorable risk prediction results and enabling effi cient information fusion and support for construction decision-making.展开更多
基金supported by China’s MOE project of Key Research Institute of Humanities and Social Sciences at Universities(22JJD720021)the project of Shandong University(11090087395308).
文摘Recently there have been two causal modelling approaches to indicative conditionals,i.e.extrapolationist(Deng&Lee,2021)and filterist(Liang&Wang,2022),although they all take an interventionist position on subjunctive conditionals.Motivated by the so-called OK pairs,they try to provide a convincing explanation of the intuition underlying the OK pairs.As far as we know,what they have done is to provide not only an explanation of the OK pairs,but also a way of distinguishing between indicative and subjunctive conditionals.Although we agree with their success in explaining the OK pairs within a causal modelling framework,we argue that their ways of distinguishing between indicative and subjunctive conditionals fail.Instead,we argue that their approaches can be used to distinguish between two readings of conditionals,the epistemic reading and the ontic reading.which can be applied to both indicative and subjunctive conditionals.We conclude by arguing that these two readings are related to two approaches to asking and answering causal questions:the“auses-of-effects"approach and the"effects-of-causes"approach.
文摘The new method for simultaneous determination of the concentrations of fluorine and chlorine in river water with double indicative electrodes is developed, and the quantitative analysis formulas that the inputs of electrode were exchanged by using self-made joints were induced. With this method,the synthetic water samples and the water samples taken from Majiagou River were analyzed. The results of determinations are satisfactory. The relative errors were<10.0% for F and <3.0%for Cl. The recoveries werc 90-101% for F and 90-110% tbr Cl. The relative standard deviations were < 15.2% for F and < 10.1% for Cl-. The advantages of this method is accurate, rapid and simple.
文摘The Uranium-238 (<sup>238</sup>U), Thorium-232 (<sup>232</sup>Th) families and Potassium-40 (<sup>40</sup>K) are of terrestrial origin and contribute generally to an individual’s external exposure through our presence in this environment. They also contribute to the internal exposure through the ingestion of products and beverages such as water that are close to the earth. The aim of this work is to determine the committed effective dose or Total Indicative Dose (TID) due to gamma radioactivity of the borehole water from the Nord Riviera (NR) well field operated by the Côte d’Ivoire Water Distribution Company (SODECI) for the supply of drinking water to part of the population of Abidjan. In addition, the populations, with their habits, could use these borehole waters directly as drinking water. To this end, water samples from the seven (07) functional boreholes were collected and analyzed on a gamma spectrometry chain, equipped with an HPGe detector in the laboratory of the Radiation Protection Institute (RPI) of the GHANA Atomic Energy Commission (GAEC). The results of the specific activities of <sup>238</sup>U, <sup>232</sup>Th and <sup>40</sup>K obtained were transcribed into TID. As the natural radioactivity of the borehole water is high [1], the TIDs calculated from the activity results of the natural radionuclides<sup>238</sup>U, <sup>232</sup>Th, and <sup>40</sup>K vary for the seven boreholes from 0.150 to 0.166 mSv/yr with an average of 0.161 ± 0.034 mSv/yr. The TID of the control tower, where the borehole water is mixed and treated for household use, is equal to 0.136 ± 0.03 mSv/yr. The TIDs obtained are therefore all slightly greater than the WHO reference dose value of 0.1 mSv/yr. But all remain below the UNSCEAR reference dose of 0.29 mSv/yr.
文摘An abnormality tends to occur in the productivity indicative curves in the process of productivity test interpretation of multi-layer gas wells,resulting in the failure of solutions to their productivity equations and absolute open flow rates.To figure out the reasons for such an abnormality,we established a full-hole calculation model considering the coupling of wellbore variable mass flows and reservoir seepages to calculate a gas production profile and wellbore pressure distribution of a multi-layer productive gas reservoir.Then,based on the analysis of the gas production profile and wellbore pressure distribution characteristics of gas wells at different gas production rates,the root cause for the abnormality in the productivity indicative curves of multi-layer gas wells was analyzed,and a corresponding correction method was proposed and validated based on some examples.And the following research results were obtained.First,there are two reasons for the abnormal productivity indicative curves of multi-layer gas wells.On the one hand,there is a variable mass pipe flow in the wellbore of multi-layer sections and a flowing pressure gradient decreases with the increase of well depth.And the flowing pressure in the middle of the reservoir which is converted based on the flowing pressure gradient above the pressure gauge is higher than the real value.On the other hand,the pressure in the multi-layer producing sections doesn't realize a balance after well shutdown for a short time,so the measured static pressure is greater than the one measured when the pressure of each layer gets balanced after well shutdown for a long time.Second,the flowing pressure obtained from the productivity test interpretation of multi-layer gas producer shall be converted based on the pressure measured by the pressure gauge within 200 m above the reservoir top and it is necessary to adopt the static pressure measured after the balance of wellbore pressure.Third,the reliability of the model,the rationality of the abnormality reason analysis and the validity of the correction method are verified based on calculation examples and cases.It is concluded that the research results provide a technical support for the productivity evaluation of multi-layer gas wells.
文摘China’s shipbuilding industry maintained the world’s largest market share in terms of three major indicators for the 16th consecutive year in 2025,according to data released by the Ministry of Industry and Information Technology on 1 February.
基金supported by Hebei Natural Science Foundation(No.JZX2023018)Hebei Natural Science Foundation(No.C2022201042)the 100 Foreign Experts Plans of Hebei Province(No.606080123001).
文摘Antibiotics are widespread in aquatic environments due to their extensive use in human healthcare and ani-mal husbandry.However,research on the occurrence and bioaccumulation of antibiotics in aquatic organisms within shallow wetland lakes remains limited.This study investigated the occurrence and bioaccumulation of ten commonly used antibiotics in the Baiyang Lake,northern China’s largest shallow wetland lake.The results indicated that sulfonamides and fluoroquinolones were the predominant antibiotics in surface water,whereas fluoroquinolones and macrolides were more prevalent in sediment.Fluoroquinolones demonstrated significant potential for bioaccumulation in targeted aquatic organisms,including both animals and plants(Carassius au-ratus and Phragmites australis).The bioaccumulation of antibiotics in Carassius auratus was correlated with their solubility,whereas in Phragmites australis,this was associated with their octanol-water partition coefficients and molecular weights.Ecological risk assessment indicated that most antibiotics posed minimal to low risk levels.However,four antibiotics were exceptions:clarithromycin(12.5%)and sulfamethoxazole(6.25%)presented a high risk in surface water samples,while norfloxacin(25.0%)and ciprofloxacin(25.0%)posed a high risk in sediment samples.Norfloxacin,ciprofloxacin,and roxithromycin were identified as key indicator antibiotics for enhancing the local monitoring and control of antibiotic contamination based on four criteria:(1)high con-centrations,(2)frequent detection,(3)capacity for bioaccumulation,and(4)ecological risk levels.This study contributes to a deeper understanding of the status of antibiotic contamination,bioaccumulation characteristics,and ecological risk in Baiyang Lake,thereby supporting efforts to monitor and regulate antibiotic pollution.
文摘Objective:To analyze the therapeutic effect of laparoscopy combined with choledochoscopy in the treatment of difficult cholelithiasis.Methods:A total of 60 patients with difficult cholelithiasis admitted for treatment from January 2022 to December 2024 were selected and evenly divided into two groups using a random number table.The combined group received laparoscopy combined with choledochoscopy treatment,while the single group received laparoscopy treatment alone.The total treatment efficacy,perioperative indicators,angiotensin(Ang)levels,quality of life scores,and complication rates were compared between the two groups.Results:The total treatment efficacy in the combined group was higher than that in the single group;except for operative time,the perioperative indicators in the combined group were superior to those in the single group;the Ang levels after treatment in the combined group were lower than those in the single group,and the quality of life scores were higher(P<0.05).The complication rate in the combined group was lower than that in the single group(P<0.05).Conclusion:Laparoscopy combined with choedochoscopy can enhance the treatment effectiveness for patients with difficult cholelithiasis,improve perioperative indicators,regulate their Ang levels,elevate quality of life,and demonstrate high surgical safety.
文摘Recently,the China National Intellectual Property Administration released the"List of Enterprises Approved to Use the Geographical Indication Logo."The"Wujiang Silk"geographical indication logo has been renewed and launched.This official approval serves to distinguish and celebrate the quality and cultural heritage of Shengze silk,and the use of this symbol is a testament to that distinction.Three enterprises from Shengze have been approved to use the logo:Saint Joy,Huajia Silk,and Xinmin Silk.
基金Supported by China Health&Medical Development Foundation,No.M2021551.
文摘BACKGROUND Inappropriate selection of patients with early gastric cancer(EGC)for endoscopic submucosal dissection(ESD)may lead to non-curative resection,necessitating additional gastrectomy.Conversely,inappropriate selection for gastrectomy may result in overtreatment,adversely affecting patients’quality of life.Few have systematically evaluated the concordance between therapeutic indications under current Japanese guidelines and pathological criteria in EGC.To minimize noncurative resection risks while sparing unnecessary surgery for low-risk patients’,we specifically assess the suitability of Japanese guidelines in non-Japanese populations.This work aims to optimize clinical practice by refining endoscopic treatment criteria for adoption beyond Japan.AIM To evaluate EGC clinical decision accuracy by comparing therapeutic indication with postoperative pathological criteria and analyzing factors influencing discrepancies.METHODS A retrospective analysis was conducted on 796 EGC cases diagnosed at Peking University Third Hospital between January 2010 and December 2022.Cases were categorized into three groups:Same-estimated(preoperative therapeutic indication with postoperative pathological criteria matched),underestimated(preoperative ESD indication but postoperative surgical criteria),and overestimated(preoperative surgical indication but postoperative ESD criteria).The rate of discrepancy and associated risk factors were assessed.RESULTS The accuracy rates of preoperative evaluation for ESD and gastrectomy indications were 73.0%(321/430)and 76.0%(278/366),respectively.The overall discrepancy rate was 25.6%(204/796).Multivariate analysis identified tumor location in the upper-third stomach(odds ratio=2.158,95%confidence interval:1.373-3.390,P=0.001)was significantly associated with a higher likelihood of being underestimated and undifferentiated histologic type on preoperative biopsy(odds ratio=2.005,95%confidence interval:1.036-3.879,P=0.039)was more likely to be overestimated.Significant differences were observed in tumor diameter(P<0.001),depth of infiltration(P<0.001),ulcerative findings(P<0.001),and histologic type(P<0.001)between preoperative and postoperative evaluations.CONCLUSION The accuracy of preoperative EGC indications is 74.4%.Upper-third stomach and undifferentiated histology are primary discrepancy predictors.Upper-third tumors are prone to underestimation,while undifferentiated tumors are prone to overestimation.
基金Funded by the National Natural Science Foundation of China(Nos.52378360,51978438)。
文摘We used solidification/stabilization methods to remediate highly concentrated Zn^(2+)-contaminated soil.An industrial waste mixture of red mud,carbide slag,and phosphogypsum is combined with cement as the curing agent.The mixing ratios of the four materials are determined by comparing the strength,permeability coefficient,pH,and Zn^(2+)-leaching concentration of the solidified soil.Microscopic characteristics of the solidified uncontaminated soil and solidified Zn^(2+)-contaminated soil were observed using scanning electron microscopy,X-ray diffraction,and Fourier-transform infrared spectroscopy.Furthermore,the heavy metals speciation in both pure cement and mixed-material solidified soil was examined,demonstrating the beneficial role of the mixed-type curing agent in stabilizing heavy metals.The research results indicate that Zn^(2+)degrade the strength of the solidified soil by up to 90%.The permeability coefficient,pH,and Zn^(2+)-leaching concentration of the solidified soil easily meet standard,especially with Zn^(2+)leaching concentration well below the environmental protection limit.Furthermore,most Zn^(2+)exists in forms with lower biological and chemical reactivity.Both the solidified Zn^(2+)-contaminated soil and uncontaminated soil resulted in the formation of hydrated products containing elements such as silicon,aluminum,calcium,and sulfur.Additionally,the solidified Zn^(2+)-contaminated soil produced zinc-containing compounds and a large amount of rod-shaped ettringite.
基金Supported by the Project of National Social Science Fund of China (22CMZ015).
文摘The concept of geographical indication is similar to the idea of authentic medicinal herbs in traditional Chinese medicine. This paper examines the geographical indication (GI) resources of medicinal herbs in the Wuling Mountain Area from various perspectives, including geographical indication products, geographical indication trademarks, China s geographical indication products mutually recognized and protected with the EU, geographical indication standards, and the exclusive geographical indication logo. It studies the regional public brand characteristics of Chinese authentic medicinal herbs, based on hometown of authentic Chinese medicinal herbs, advantageous regions of characteristic agricultural products, important agricultural cultural heritage, national famous and excellent new agricultural products, national characteristic agricultural products, geographical indication Chinese well-known trademarks, advantageous regions of characteristic agricultural products, and regional public brands of agricultural products. It analyzes the main problems in the protection of geographical indications and the creation of regional public brands, and proposes suggestions for building high-quality authentic medicinal herb bases, developing new quality productivity in the authentic medicinal herb industry, implementing regional brand strategies for authentic medicinal herbs, constructing a new development pattern of dual circulation authentic medicinal herbs, etc.
基金National Key Research and Development Program of China,No.2023YFC3206605,No.2021YFC3201102National Natural Science Foundation of China,No.41971035。
文摘Precipitation events,which follow a life cycle of initiation,development,and decay,represent the fundamental form of precipitation.Comprehensive and accurate detection of these events is crucial for effective water resource management and flood control.However,current investigations on their spatio-temporal patterns remain limited,largely because of the lack of systematic detection indices that are specifically designed for precipitation events,which constrains event-scale research.In this study,we defined a set of precipitation event detection indices(PEDI)that consists of five conventional and fourteen extreme indices to characterize precipitation events from the perspectives of intensity,duration,and frequency.Applications of the PEDI revealed the spatial patterns of hourly precipitation events in China and its first-and second-order river basins from 2008 to 2017.Both conventional and extreme precipitation events displayed spatial distribution patterns that gradually decreased in intensity,duration,and frequency from southeast to northwest China.Compared with those in northwest China,the average values of most PEDIs in southeast China were usually 2-10 times greater for first-order river basins and 3-15 times greater for second-order basins.The PEDI could serve as a reference method for investigating precipitation events at global,regional,and basin scales.
基金supported by the Fundamental Research Funds for the Central Universities(N2001020)the National Natural Science Foundation of China(41201359).
文摘Sand dust belts span approximately one-fifth of the global land surface.In these regions,dust tends to settle on vegetation surfaces,altering the observed reflectance and affecting remote sensing detections.To enhance the accuracy of maize growth monitoring in dust-affected regions,this study aims to quantify the effect of sand dust retention on maize during the tasseling stage in the Kashgar Prefecture,Xinjiang Uygur Autonomous Region,China,by analyzing changes in canopy reflectance and vegetation indices.First,field sampling was conducted to measure the key canopy structure parameters and dust retention levels of maize,and laboratory spectral measurements were performed on leaf spectral properties under gradient dust retention.The measured data were then used to drive the LargE-Scale remote sensing data and image Simulation framework(LESS)model for simulating realistic maize canopy spectra across different dust levels,with validation against Sentinel-2 imagery.Second,on the basis of the simulated and satellite-derived spectra,the dust resistance of 36 common vegetation indices was systematically evaluated,and new robust dust-resistant indices were developed.The results showed that compared with dust-free maize,the canopy reflectance of dust-retained maize followed an increase–decrease–increase pattern,with critical turning points at 735 and 1325 nm.The maximum reflectance difference of–0.11755(change rate:29.002%)occurred within the 735–1325 nm range at 24 g/m^(2)dust retention,and the minimum reflectance difference of 0.04285(change rate:148.950%)was observed in the 350–735 nm range under the same dust retention level.Among the 36 vegetation indices,only the global environment monitoring index(GEMI)and the ratio of transformed chlorophyll absorption in reflectance index to optimized soil-adjusted vegetation index(TCARI/OSAVI)exhibited dust resistance,with GEMI being effective below 6 g/m^(2)and TCARI/OSAVI remaining stable across all levels(average ratio:0.970).The newly developed indices in this study,(RE3–RE2)/(NIR–RE2),(RE3–RE2)/(RE4–RE2),and(NIR–RE2)/(RE4–RE2),retained values within the predefined dust-resistant range over the full dust retention levels of 0–24 g/m^(2),thus showing a more stable dust resistance compared with the commonly used 36 vegetation indices.Specially,(RE3–RE2)/(RE4–RE2)performed the most robustly in Sentinel-2 imagery,that is,58.020%of pixels were within the dust-resistant range,and an average ratio of 0.937 was obtained for the original-spectra index.This study provides a scientific basis for crop monitoring and management in dust-affected regions.
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.
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The advent of precision medicine has underscored the importance of biomarkers in predicting therapy response for bladder cancer,a malignancy marked by considerable heterogeneity.This review critically examines the current landscape of biomarkers to forecast treatment outcomes in bladder cancer patients.We explore a range of biomarkers,including genetic,epigenetic,proteomic,and transcriptomic indicators,from multiple sample sources,including urine,tumor tissue and blood,assessing their efficacy in predicting responses to chemotherapy,immunotherapy,and targeted therapies.Despite promising developments,the translation of these biomarkers into clinical practice faces significant challenges,such as variability in biomarker performance,the necessity for large-scale validation studies,and the integration of biomarker testing into routine clinical workflows.We also highlight the need for standardized methodologies and robust assays to ensure consistency and reliability.Future directions point towards longitudinal studies and the development of combination biomarker panels to enhance predictive accuracy.This review emphasizes the transformative potential of predictive biomarkers in improving patient outcomes and advocates for continued collaborative efforts to overcome existing barriers in this rapidly evolving field.
基金Supported by Research Project of Zhejiang Provincial Science and Technology Plan for Traditional Chinese Medicine,No.2024ZL753and Research Project of Zhejiang Provincial Medical and Health Science and Technology Plan,No.2024KY1406.
文摘BACKGROUND Type 2 diabetes mellitus(T2DM),a chronic metabolic disease with a high global incidence,has become a serious public health challenge.China has the largest number of T2DM patients worldwide,imposing a significant economic burden on the healthcare system.T2DM is closely associated with insulin resistance,impaired pancreatic B cell function,and disordered glucose and lipid metabolism,which can lead to various complications,reducing patients'quality of life and increasing the risk of disability and death.Thus,finding effective preventive and intervention measures is crucial.Exercise therapy,a key part of diabetes management,has gained attention in recent years,with many studies indicating its benefits for blood glucose control and other aspects in diabetic patients.AIM To assess the effectiveness of combined resistance and aerobic exercise interventions on blood glucose control and metabolic indicators in patients with T2DM and to explore their application in diabetes management.METHODS Systematic searches were conducted using PubMed,EMBASE,Cochrane Library,and Chinese databases for relevant randomized controlled trials(RCTs).The inclusion criteria were participants aged≥18 years with T2DM and the intervention involved combined resistance and aerobic exercise for≥8 weeks.The primary outcome indicators were fasting blood glucose,low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),triglycerides(TG),glycated hemoglobin A1c(HbA1c),and total cholesterol(TC)levels.Data analysis was performed using RevMan software,and the interventional effects were assessed using weighted mean differences or standardized mean differences(SMD).RESULTS Six RCTs meeting the inclusion criteria were included,with a total sample size of 366 participants.The meta-analysis results showed that combined resistance and aerobic exercise significantly improved several metabolic indicators in patients with T2DM.Specific results were as follows:(1)For fasting blood glucose,combined exercise was more effective than aerobic exercise alone[SMD=1.22;95%confidence interval(95%CI):0.70,1.74;P<0.00001];(2)LDL-C levels were significantly reduced by the combined intervention(SMD=1.45;95%CI:1.18-1.72;P<0.00001);(3)The combined intervention significantly increased HDL-C levels(SMD=1.42;95%CI:0.98-1.87;P<0.00001);(4)The combined intervention significantly reduced TG levels(SMD=1.12;95%CI:0.85-1.39;P<0.00001;(5)No statistically significant difference was observed in HbA1c between the combined and the aerobic exercise group(SMD=-0.03;95%CI:-1.09 to 1.04;P<0.00001);and(6)The combined exercise intervention group significantly reduced TC levels(SMD=2.66;95%CI:1.93-3.38;P<0.00001).The subgroup analysis results suggest that the effect of exercise interventions may be influenced by various factors,including the patient's age,baseline blood glucose levels,and exercise intensity.CONCLUSION Combined resistance and aerobic exercise intervention significantly improved fasting blood glucose,LDL-C,HDL-C,TG,and TC levels in patients with T2DM,especially in terms of blood glucose control and cardiovascular risk,demonstrating better outcomes than aerobic exercise alone.
基金supported by the National Natural Science Foundation of China (grant numbers 42293351, and U2468221)。
文摘This paper addresses the accuracy and timeliness limitations of traditional comprehensive prediction methods by proposing an approach of decision-level fusion of multisource data.A risk prediction indicator system was established for water and mud inrush in tunnels by analyzing advanced prediction data for specifi c tunnel segments.Additionally,the indicator weights were determined using the analytic hierarchy process combined with the Huber weighting method.Subsequently,a multisource data decision-layer fusion algorithm was utilized to generate fused imaging results for tunnel water and mud inrush risk predictions.Meanwhile,risk analysis was performed for different tunnel sections to achieve spatial and temporal complementarity within the indicator system and optimize redundant information.Finally,model feasibility was validated using the CZ Project Sejila Mountain Tunnel segment as a case study,yielding favorable risk prediction results and enabling effi cient information fusion and support for construction decision-making.
