This paper studies the context of the central area contiguous with the iron bed of medium-sized cities of the northwest region of São Paulo,in Brazil,namely:Presidente Prudente,Araçatuba,Birigüi,Sã...This paper studies the context of the central area contiguous with the iron bed of medium-sized cities of the northwest region of São Paulo,in Brazil,namely:Presidente Prudente,Araçatuba,Birigüi,São Josédo Rio Preto and Marilia.Not surprisingly,the ancient boundaries of railway lines crossing the countryside regions.These urban centers were developed by the expansion of the railway,but with the deactivation of the rail transport,its core areas went into obsolescence and deterioration process and,more recently,are suffering processes of modernization and productive restructuring.At the same time,amid the industrial landscapes and decaying railroad heritage,there are situations and dweller types able to reveal some imaginary,capable of triggering:surprises,dilemmas and entanglements in the analysis of urban composition,the modernization process and its consequent deterioration.Therefore,from the marginal uses present in each city of the northwestern country towns of São Paulo,we try explain a poltical and critical point of view of these urban areas.Thus,the marginal architecture is not only the expression of subaltern subjectivities,reflecting the complexities present in emblematic areas of public importance,affected by degradation processes,but also,the attempt to define a concept strategy:a destabilizing way of reading places filled with meaning,in the counterculture of the hegemonic space to make experimental projects.展开更多
The presence of a positive deep surgical margin in tongue squamous cell carcinoma(TSCC)significantly elevates the risk of local recurrence.Therefore,a prompt and precise intraoperative assessment of margin status is i...The presence of a positive deep surgical margin in tongue squamous cell carcinoma(TSCC)significantly elevates the risk of local recurrence.Therefore,a prompt and precise intraoperative assessment of margin status is imperative to ensure thorough tumor resection.In this study,we integrate Raman imaging technology with an artificial intelligence(AI)generative model,proposing an innovative approach for intraoperative margin status diagnosis.This method utilizes Raman imaging to swiftly and non-invasively capture tissue Raman images,which are then transformed into hematoxylin-eosin(H&E)-stained histopathological images using an AI generative model for histopathological diagnosis.The generated H&E-stained images clearly illustrate the tissue’s pathological conditions.Independently reviewed by three pathologists,the overall diagnostic accuracy for distinguishing between tumor tissue and normal muscle tissue reaches 86.7%.Notably,it outperforms current clinical practices,especially in TSCC with positive lymph node metastasis or moderately differentiated grades.This advancement highlights the potential of AI-enhanced Raman imaging to significantly improve intraoperative assessments and surgical margin evaluations,promising a versatile diagnostic tool beyond TSCC.展开更多
City,Street and Citizen:The Measure of the Ordinary Author:Suzanne Hall Year:2012Publisher:Routledge ISBN:978-0-415-68865-9(176 pages,in English)1.City streets from a marginal perspective Streets are the most common s...City,Street and Citizen:The Measure of the Ordinary Author:Suzanne Hall Year:2012Publisher:Routledge ISBN:978-0-415-68865-9(176 pages,in English)1.City streets from a marginal perspective Streets are the most common space in a city.However,it is these countless streets that constitute the spatial stage for the social life of the general public in a city.Meanwhile,socially speaking,streets also act as an essential part that builds the public sphere of a city.展开更多
Based on a set of high-resolution 3D seismic data from the northern continental margin of the South China Sea,the lithospheric structure,thinning mechanisms and related syn-rift tectonic deformation response processes...Based on a set of high-resolution 3D seismic data from the northern continental margin of the South China Sea,the lithospheric structure,thinning mechanisms and related syn-rift tectonic deformation response processes in the crustal necking zone in the deepwater area of the Pearl River Mouth Basin were systematically analyzed,and the petroleum geological significance was discussed.The necking zone investigated in the study is located in the Baiyun Sag and Kaiping Sag in the deepwater area of the Pearl River Mouth Basin.These areas show extreme crustal thinned geometries of central thinning and flank thickening,characterized by multi-level and multi-dipping detachment fault systems.The necking zone exhibits pronounced lateral heterogeneity in structural architectures,which can be classified into four types of thinned crustal architectures,i.e.the wedge-shaped extremely thinned crustal architecture in the Baiyun Main Sub-sag,dumbbell-shaped moderately thinned crustal architecture in the Baiyun West Sub-sag,box-shaped weakly thinned crustal architecture in eastern Baiyun Sag,and metamorphic core complex weakly thinned crustal architecture in the Kaiping Sag.This shows great variations in the degree and style of crustal thinning,types of detachment faults,distribution of syn-rift sedimentary sequences,and intensity of magmatism.The thinning of the necking zone is controlled by the heterogeneous rheological stratification of lithosphere,intensity of mantle-derived magmatism,and deformation modes of detachment faults.The syn-rift tectonic deformation of the necking zone evolved through three phases,i.e.uniform stretching during the early Wenchang Formation deposition period,necking during the late Wenchang Formation deposition period,and hyperextension during the Enping Formation deposition period.The crustal thinning extent and architectural differentiation in these phases were primarily controlled by three distinct mechanisms,i.e.the pure shear deformation activation of pre-existing thrust faults,the simple shear deformation of crust-mantle and inter-crust detachment faults,and differential coupling of lower crustal flow and ductile domes with main detachment faults.The hydrocarbon accumulation and enrichment in the necking zone exhibit marked spatial heterogeneity.Four distinct crustal thinned architecture-hydrocarbon accumulation models were identified in this study.The hydrocarbon accumulations in the shallow part exhibit significant correlations with their deep crustal thinned architectures.The unique lithospheric structure and deformation process predominantly control the favorable hydrocarbon accumulation zones with excellent source-fault-ridge-sand configurations,which is critical to reservoir-forming.The most promising exploration targets are mainly identified on the uplift zones and their seaward-dipping flanks associated with the middle and lower crustal domes.This research provides additional insights into lithospheric thinning-breakup process at intermediate continental margins of marine sedimentary basins,being significant for guiding the deepwater petroleum exploration in the Pearl River Mouth Basin.展开更多
Large-scale Danian-age(post-K/Pg boundary)Deccan magmatism is well known from the Mumbai metropolitan area,located in the structurally complex Panvel flexure zone along the western Indian rifted continental margin.Thi...Large-scale Danian-age(post-K/Pg boundary)Deccan magmatism is well known from the Mumbai metropolitan area,located in the structurally complex Panvel flexure zone along the western Indian rifted continental margin.This compositionally diverse late-Deccan magmatic suite contains subaerial tholeiitic lavas and dykes typical of the main Deccan province,with many features atypical of the Deccan,such as spilitic pillow lavas,“intertrappean”sediments(often containing considerable volcanic ash),rhyolitic lavas and tuffs,gabbro-granophyre intrusions,and trachyte intrusions containing alkali basalt enclaves.Most of these units,previously dated at 62.5 Ma to 61 Ma,are contemporaneous with or slightly postdate the 62.5 Ma India-Seychelles continental breakup and Panvel flexure formation.In the Dongri-Uttan area,two samples of a>50-m-thick,columnar-jointed rhyolite from the Darkhan Quarry and from a section behind the current Uttan Sagari Police Station have previously been dated at 62.6±0.6 Ma and 62.9±0.2 Ma(^(40)Ar/^(39)Ar,2r errors).New exposures reveal that these two statistically indistinguishable 40 Ar/39 Ar ages correspond to two distinct rhyolite units,separated by well-bedded silicic ash.The columnar rhyolites are microcrystalline,composed of quartz and alkali feldspar,with rare small(1–2 mm),altered feldspar phenocrysts,and no recognisable relict vitroclasts.Given the westerly structural dip,most of their lateral extent is submerged under the Arabian Sea,and we consider them to be possible flood rhyolite lavas.We interpret the ash beds,composed of pumice clasts and glass shards,as a low-grade(nonwelded)vitric ash,derived from a possibly distal Plinian eruption and deposited by fallout.The lavas and ash are peraluminous rhyolites.The lavas are Sr-Ba-poor and Rb-Zr-Nb-rich,and show“seagull-shaped”rare earth element patterns with deep negative europium anomalies.These crystal-poor lavas are“hot-dry-reduced”rhyolites typical of intraplate,continental rift and rifted margin settings.The very different high-field strength element contents of the lavas and the ash indicate compositionally distinct magma batches.The 62.5 Ma Dongri-Uttan sequence provides clear evidence for rapid silicic eruptions of effusive and explosive nature,alternating with each other and sourced from distinct magma chambers and eruptive vents.A newly identified,highly feldspar-phyric trachyte intrusion marks the last phase of magmatic activity in the area,corresponding with late-stage trachyte-syenite intrusions exposed in coastal western India and the Seychelles,and shows that the Mumbai rhyolites and trachytes form a compositional continuum.展开更多
BACKGROUND Postpancreatectomy hemorrhage is one of the most severe and life-threatening complications after pancreaticoduodenectomy.We present four cases of gastrointestinal bleeding patients to clarify its appropriat...BACKGROUND Postpancreatectomy hemorrhage is one of the most severe and life-threatening complications after pancreaticoduodenectomy.We present four cases of gastrointestinal bleeding patients to clarify its appropriate treatment and prevention.CASE SUMMARY The main symptoms included black stool,hematochezia,haematemesis,blood in the nasogastric tube,and hemorrhagic shock.The mean age was 66.25 years old and the median onset time was 340 d after the surgery.The bleeding location comprised gastrointestinal anastomosis,bile duct-jejunum anastomosis,and extraluminal bleeding.The possible causes included marginal ulcer,jejunal varix,and abdominal infection.Endoscopic hemostatic clips,as well as a covered stent using angiography,were utilized to stop the bleeding and three patients survived.Only one patient died of gastrointestinal bleeding,abdominal bleeding,abdominal infection,hypovolemic shock,and disseminated intravascular coagulation.CONCLUSION Early and effective endoscopic intervention is the key to successful hemostasis in patients with gastrointestinal bleeding after pancreatoduodenectomy.展开更多
The Cambrian platform margin in the Tarim Basin boasts favorable source-reservoir-cap assemblages,making it a significant target for hydrocarbon exploration in ultra-to extra-deep facies-controlled for-mations.Of the ...The Cambrian platform margin in the Tarim Basin boasts favorable source-reservoir-cap assemblages,making it a significant target for hydrocarbon exploration in ultra-to extra-deep facies-controlled for-mations.Of the three major basins in western China,Tarim is the only basin with large-scale platform margin where no exploration breakthrough has been achieved yet.This study determines the vertical and lateral differential evolution of the platform margin(in the Manxi area hereafter referred to as the Cambrian Manxi platform margin)through fine-scale sequence stratigraphic division and a segmented analysis.The platform margin can be divided into the Yuqi,Tahe,Shunbei,and Gucheng segments,from north to south,based on the development of different ancient landforms and the evolutionary process of the platform.The Yuqi and Shunbei segments exhibit relatively low-elevation ancient landforms.Both segments were in a submarine buildup stage during the Early Cambrian,resulting in overall limited scales of their reservoirs.The Gucheng segment features the highest-elevation ancient landforms and accordingly limited accommodation spaces.As a result,the rapid lateral migration of high-energy facies zones leads to the development of large-scale reservoirs with only limited thicknesses.In contrast,the Tahe segment,exhibiting comparatively high-elevation ancient landforms,is identified as the most favorable segment for the formation of large-scale reservoirs.The cap rocks of the platform margin are dominated by back-reef dolomitic flats and tight carbonate rocks formed in transgressive periods.A comprehensive evaluation of source rocks,reservoirs,and cap rocks indicates that the Tahe segment boasts the optimal hydrocarbon accumulation conditions along the platform margin.In this segment,the Shayilike Formation transgressive deposits and the high-energy mound-shoal complexes along the platform margin of the Wusonggeer Formation constitute the optimal reservoir-cap rock assemblage,establishing this segment as the most promising target for hydrocarbon exploration in the platform margin.展开更多
The trace element selenium(Se)occurs naturally throughout the earth.Se deficiency has been linked to impaired breast health and other diseases in human and animals.Compared to severe Se deficiency,marginal dietary Se ...The trace element selenium(Se)occurs naturally throughout the earth.Se deficiency has been linked to impaired breast health and other diseases in human and animals.Compared to severe Se deficiency,marginal dietary Se deficiency accusers more frequently in low-Se regions.Therefore,to investigate the Se status and inflammatory response of the mammary gland under marginal dietary Se levels,an lipopolysaccharide(LPS)induced mouse mastitis model was established.Mice were fed with moderate Se diet(0.087 mg•kg^(-1) Se),adequate Se diet(0.15 mg•kg^(-1) Se)or excessive Se diet(1.5 mg•kg^(-1) Se)for 60 days.Se status and inflammatory factors were investigated.Results showed that the Se status of mammary gland correlated with dietary Se levels.Marginal Se deficiency exacerbated mammary tissue histopathology;increased the mRNA level of inflammatory genes tumor necrosis factor alpha(TNF-α),interleukin-1β(IL-1β)and cyclooxygenase-2(COX-2);and enhanced the phosphorylation of NF-κB p65 in mammary gland tissues.Supplementation of Se in diet higher than recommended levels reduced the inflammatory reaction of mammary glands in LPS-induced mastitis model and provided a protective effect.展开更多
Climate change has significantly increased the frequency and severity of droughts and risk of tree death worldwide.Differences in leaf habit,plant size,and species diversity are associated with differences in the risk...Climate change has significantly increased the frequency and severity of droughts and risk of tree death worldwide.Differences in leaf habit,plant size,and species diversity are associated with differences in the risk of drought-induced mortality,but the relative contributions of these factors to the risk of mortality are unclear.In a study of the mortality of tree and shrub species during the extreme drought of 2019 in a savanna ecosystem in Southwest China,we assessed the relative contributions of evergreen and deciduous leaf habit,plant size,and species richness and diversity to the mortality of shrubs and trees after the 2019 extreme drought.The deciduous species had significantly lower hydraulic safety margins than the coexisting evergreen species,resulting in a higher mortality risk.Additionally,species and individuals with taller canopies tended to have deeper root systems,an advantage during extreme drought that reduced mortality risk.Notably,mortality risk was largely independent of stand species richness and diversity.Overall,leaf habit and plant height were better predictors of mortality risk than species richness and diversity.These novel insights provide a better understanding of the mechanisms driving drought-induced mortality in the ecosystems with a low canopy and weak interspecific and intraspecific competition for shared resources.Leaf habit and tree size should be incorporated into hypotheses on the mechanisms underlying drought-induced tree mortality.展开更多
Recently,Luolai Group released its Q12025 quarterly report.As a leading Chinese home textile enterprise listed on the Shenzhen Stock Exchange in 2009,the company covers the research,design,production,and sales of home...Recently,Luolai Group released its Q12025 quarterly report.As a leading Chinese home textile enterprise listed on the Shenzhen Stock Exchange in 2009,the company covers the research,design,production,and sales of home textile products,and has multiple brands covering different consumer markets.It has expanded its online and offline comprehensive multichannel sales system and is committed to creating a win-win home furnishings and textile industry ecosystem.展开更多
Compared to discrete continental marginal basins,the mechanisms of hydrocarbon migration and enrichment in transform continental marginal basins are poorly understood.In this study,we conducted a comprehensive analysi...Compared to discrete continental marginal basins,the mechanisms of hydrocarbon migration and enrichment in transform continental marginal basins are poorly understood.In this study,we conducted a comprehensive analysis of the main source rocks,reservoirs,and vertical migration pathways within the Rovuma(RB)and Tanzania(TB)basins in East Africa utilizing drilling,logging,seismic,and geochemical data.The results indicate that the enhanced preservation conditions of the Lower Jurassic source rocks in the southwest could lead to the discovery of large natural gas fields in the southern TB and RB.The primary reservoir is a deep-water turbidite sandstone.Due to topographic differences,the expanse of the turbidite sandstones in the RB is significantly larger than those in Tanzania.The main vertical migration pathways are the western boundary fault zone of the Kerimbas Graben(WBFZ)and the Seagap fault zone(SFZ).In the RB,natural gas migrates vertically along the WBFZ and preferentially accumulates in the deep-water turbidite sandstones of the footwall under the control of the fluid potential.Conversely,in the southern TB,the deep natural gas first migrates upward along the SFZ,then moves along the shallow branch faults in the sandstones on both sides of the SFZ.展开更多
Magmatism at continental margins is of great significance in understanding the continental rifting.We present a twodimensional P-wave velocity model derived from an ocean bottom seismometer experiment,conducted across...Magmatism at continental margins is of great significance in understanding the continental rifting.We present a twodimensional P-wave velocity model derived from an ocean bottom seismometer experiment,conducted across the middle northern continental margin of the South China Sea(SCS).The detailed velocity structures reveal significant heterogeneities extending from the continental shelf to the continent-ocean transition zone.The crust exhibits its greatest thickness below the continental shelf,measuring~23 km and gradually thins to~13 km at the distal margin.Furthermore,a narrow and distinct continent-ocean transition with only 40-km width is revealed.We also observe a high-velocity layer within the transition zone,reaching thickness of up to 4 km,characterized by P-wave velocities ranging from 7.0 km/s to 7.6 km/s in the lower crust.Based on the syn-rift melt generation using decompression melting model,we ascertain that syn-rift magmatism cannot fully account for the observed thick high-velocity layer.By integrating findings from previous geophysical and geochemical studies presenting extensive volcanic edifice on the seafloor at the northern margin,as well as ocean-island-basalt-type magmaticsamples in the SCS area,we propose that post-rifting magmatism associated with the Hainan Plume may have influenced theformation of the high-velocity lower crust within the transition zone and the northern margin of the SCS can thus be recognizedas magma-poor type margin.展开更多
As PEGylated liposomes have witnessed remarkable advancements in drug delivery,their immunogenicity has emerged as a notable challenge.In this study,we discovered that a simple pre-injection of folic acid(FA)effective...As PEGylated liposomes have witnessed remarkable advancements in drug delivery,their immunogenicity has emerged as a notable challenge.In this study,we discovered that a simple pre-injection of folic acid(FA)effectively mitigated the immunogenicity of PEGylated liposomes and enhanced their in vivo performance by tolerating splenic marginal zone B cells.FA specifically inhibited the internalization of PEGylated liposomes by splenic marginal zone B cells,thereby reducing splenic lymphocyte proliferation and specific IgM secretion.This modulation alleviated Ig M-mediated accelerated blood clearance and adverse accumulation of the PEGylated liposomes in the skin.These findings provide new insights into the immunomodulatory effects of FA and promising avenues to enhance the efficacy and safety of PEGylated liposomal nanomedicines.展开更多
BACKGROUND Fibroadenomas(FA)and phyllodes tumors(PT)are fibroepithelial neoplasms and are difficult to differentiate radiographically and histologically.We present a partially infarcted borderline PT in an adolescent ...BACKGROUND Fibroadenomas(FA)and phyllodes tumors(PT)are fibroepithelial neoplasms and are difficult to differentiate radiographically and histologically.We present a partially infarcted borderline PT in an adolescent with rapid tumor enlargement within 24 hours.Tumor infarction made the diagnostic work-up difficult.Com-plete surgical excision is the standard of care for PTs.There is controversy regar-ding margin re-excision for borderline PTs.In this report,we discuss the diagno-stic challenges of PT and the evolving concept of margin status on PT recurrence rate.CASE SUMMARY A 14-year-old healthy female with no medical history presented with a painful right breast mass with no nipple discharge,trauma,or skin findings.The mass showed rapid enlargement over 24 hours,prompting a workup with ultrasound and core needle biopsy.The initial biopsy was limited due to large areas of in-farction.Based on the scant viable tissue and considering the patient’s age,the mass was favored to be a juvenile FA.The patient underwent excision of the mass.Final pathology confirmed a borderline PT with positive surgical margins.The patient underwent margin re-excision,which did not show any residual tumor.At the 6-month post-op visit,there was a mass-forming lesion on the breast ultrasound.Subsequent core needle biopsy showed benign breast parenchyma with scar formation.The primary goal of evaluation in pediatric breast masses is to do no harm.However,rapidly growing and symptomatic masses require a more extensive work-up including biopsy and surgical excision.We present a rapidly growing breast mass in a 14-year-old female which was diagnosed as a borderline PT on her excision specimen.The mass rapidly enlarged over 24 hours.The initial biopsy pathology was limited due to a large area of infarction.The patient underwent excision of the mass.Final pathology confirmed a borderline PT that extended into the surgical margin,resulting in an additional re-excision procedure.Accurate diagnosis prior to surgical intervention is crucial to avoid additional procedures.Although histological morphology remains the gold standard for diagnosis,immunohistochemistry and molecular studies have recently shown to improve the accuracy of diagnosis of PTs.Long-term clinical and pathologic follow-up of PTs in adolescent patients should be collectively studied to examine whether our current diagnostic criteria for PT can reliably predict tumor behavior in this age group.CONCLUSION Accurate diagnosis of PTs requires surgical excision.Tumor infarction may lead to rapid tumor enlargement,hindering the correct diagnosis.More research is needed on margin status and recurrence rate,especially in adolescent patients,to help establish the best possible care for this age group.展开更多
Objective:To explore clinicopathological predictors of adverse pathological changes(APCs)(upgrading,upstaging,and positive surgical margin[PSM])after robot-assisted radical prostatectomy(RARP)in clinical tumor stage 2...Objective:To explore clinicopathological predictors of adverse pathological changes(APCs)(upgrading,upstaging,and positive surgical margin[PSM])after robot-assisted radical prostatectomy(RARP)in clinical tumor stage 2c(cT2c)prostate cancer(PCa)patients.Methods:From January 2018 to December 2022,cT2cN0M0 PCa patients who underwent prostate biopsies and subsequent RARP at the Peking University First Hospital with an interval between biopsy and RARP of ≤90 days were included.Univariable and stepwise multivariable logistic regression analyses were performed to identify independent risk factors associated with APCs.Nomograms were constructed based on these predictive models.The performance of the nomograms was evaluated by receiver operating characteristic curves,decision curve analyses,and calibration plots.Results:A total of 423 eligible cT2cN0M0 PCa patients were included.The rates of upgrading,upstaging,and PSM in our cohortwere 33%,51%,and 35%,respectively.The stepwise multivariate logistic analysis suggested that PSA density and the percentage of positive cores in systematic biopsy were significantly associated with the occurrence of APCs.The score of the Prostate Imaging Reporting and Data System,PSA density,and the International Society of Urological Pathology grade group(IGG)of needle-biopsy specimens(or clinical IGG[cIGG])were significantly associated with upgrading.The PSA density,percentage of positive cores in systematic biopsy,and largest tumor percentage in all cores of each patient(LTP)were significantly associated with upstaging.The PSA density and LTP were significantly associatedwith the PSM.Based on these results,four nomogramswere developed.Receiver operating characteristic curves,decision curve analyses,and calibration plots implied that the nomograms exhibited excellent accuracy.Conclusion:The predictive models we developed could help to identify high-risk PCa early,and optimize clinical decisions of cT2cN0M0 PCa patients.展开更多
Ongoing climate change has a considerable influence on the seasonality,timing,and intensity of rainfall worldwide,and is also predicted to decrease snow cover in cold ecosystems.Larch is a widely distributed tree spec...Ongoing climate change has a considerable influence on the seasonality,timing,and intensity of rainfall worldwide,and is also predicted to decrease snow cover in cold ecosystems.Larch is a widely distributed tree species in boreal Eurasia,calling for a comprehensive understanding of how larch adapts to changes in both rainfall and snowfall by adjusting carbon-water physiology.Here,we conducted a short-term rainfall(−60% ambient rainfall;three-year)and snowfall(−73% ambient snowfall;two-year)exclusions experiment in Larix gmelinii forest in northeastern China,and aimed to explore the responses of hydraulic(leaf pressure-volume traits,leaf and branch hydraulic conductivity and embolism resistance),stomatal(stomatal closure point and stomatal safety margin),and economic(photosynthetic rate,nutrient and non-structural carbohydrates contents)traits to rainfall and snowfall reductions.Despite the weak alternation of leaf and branch hydraulic traits,both rainfall and snowfall reductions significantly led to early stomatal closure and increased stomatal safety margins(the difference between stomatal closure point and xylem embolism threshold,describing drought resistance by merging both hydraulic and stomatal strategies).Reductions in rainfall and snowfall induced water or/and low-temperature stress,resulting in more conservative leaf economic traits,including a reduced photosynthetic rate,lower leaf nitrogen concentration,and higher leaf density.In addition,larch responded to reductions in rainfall and snowfall by up-regulating non-structural carbohydrates in the xylem,which helps repair embolism or lower the freezing point acting as osmolytes.Overall,our findings reveal that larch could adapt to the drought and snowpack reduction by strict stomatal regulation and investing non-structural carbohydrates in embolism repairing,at the cost of carbon assimilation.展开更多
Accurate determination of lung cancer margins at the molecular level is of great significance to determine the optimal extent of resection during surgical operation and reduce the risk of postoperative recurrence.In t...Accurate determination of lung cancer margins at the molecular level is of great significance to determine the optimal extent of resection during surgical operation and reduce the risk of postoperative recurrence.In this study,internal extractive electrospray ionization mass spectrometry(i EESI-MS)was used to trace potential molecular tumor margins in lung cancer tissue.Molecular differential model for the determination of lung cancer tumor margin was established via partial least-squares discriminant analysis(PLS-DA)of iEESI-MS data collected from lung tissue pieces within cancer tumor area and iEESI-MS data collected from lung tissue pieces outside cancer tumor area.Proof-of-concept data demonstrate that the developed molecular differential model yields ca.1-2 mm wider potential molecular tumor margin of a lung cancer compared to the conventional histological analysis,showing promising potential of iEESI-MS to increase the accuracy of tumor margins determination and lower risk of lung cancer postoperative recurrence.Furthermore,our results revealed that creatine and taurine showed positive correlations with lung cancer.展开更多
Previous studies have indicated that sediment gravity flow deposits developed in lacustrine active extensional rift basins are primarily influenced by tectonics and to a lesser extent by climate.Our present work revea...Previous studies have indicated that sediment gravity flow deposits developed in lacustrine active extensional rift basins are primarily influenced by tectonics and to a lesser extent by climate.Our present work reveals that climate can obscure the effect of tectonic subsidence by regulating sediment supply;conversely,tectonics can impede the sedimentary manifestation of climatic impacts.Here a case study has been presented to assess the impact of climate-modulated rapid lake-level rise and tectonic subsidence on the development of coarse-grained gravity flow deposits in the Dongying rift margin of the Bohai Bay Basin,eastern China.The lithofacies analysis reveals frequent bed amalgamation,abundant thick massive coarse-grained deposits,widespread cross bedding and plant fragments,and incomplete composite bed formed by high-energy erosion,indicating that the hyperpycnal flow is an important mechanism driving the deposition of these coarse-grained sediments.Detailed sequence stratigraphic analysis and sediment dispersal pattern suggest that the long-striped nearshore subaqueous fan systems induced by outburst-flood hyperpycnal flow distributed along the border fault,are primarily controlled by long-term tectonics,while the rapid rise of lake level driven by short-term climate change possibly intensifies seasonal flood-generated hyperpycnal flow occurrences and consequently promotes the basinal fan progradation.The maximum scale of these coarse-grained gravity flow deposits of the basinal fan systems are typically attained during the transgressive systems tract,which deviates from the classical sequence stratigraphic model.Furthermore,it presented a continuous transition from the proximal to the distal part,encompassing traction flows and turbidity currents during the periods of relatively stable tectonics.Nevertheless,gravel-rich debris flows appear to predominate the dispersion of coarse-grained sediments during periods characterized by intense tectonic activity.The coarse-grained gravity flow deposits in the lacustrine rift margin reported here,challenge the traditional beliefs:this study suggests that subaqueous deposits abundantly preserved in the transgressive setting.展开更多
This study focuses on tuffaceous clastic rocks of the Lower Cretaceous Qingshuihe Formation in the southern margin of Junggar Basin.It aims to explore the influence of sedimentation and parent rock on this kind of res...This study focuses on tuffaceous clastic rocks of the Lower Cretaceous Qingshuihe Formation in the southern margin of Junggar Basin.It aims to explore the influence of sedimentation and parent rock on this kind of reservoir development.The results show that the tuffaceous components formed by the denudation of ultramafic and mafic rocks can transform into chlorite coating or hematite,while those from intermediate rock denudation can be dissolved or transformed into illite.Sedimentary facies and lithofacies are essential in controlling the evolutionary result of tuffaceous components.Matrix-supported medium conglomerate and grain-supported medium-fine conglomerate that developed in the fan delta plain,with a closed original geochemical systems,have been in the oxidizing environment for a long time.The tuffaceous matrices mainly transforms into hematite or illite.These minerals occupy the primary pores and are difficult to dissolve by felsic fluids,which inhibits the development of high-quality reservoirs.The grain-supported sandy fine conglomerate developed in the fan delta front was in the underwater reductive environment with an open original geochemical system.The tuffaceous matrices not only can transform into chlorite coating to strengthen the particle's compaction resistance,but also can be fully dissolved,which promotes the formation of high-quality reservoirs.展开更多
文摘This paper studies the context of the central area contiguous with the iron bed of medium-sized cities of the northwest region of São Paulo,in Brazil,namely:Presidente Prudente,Araçatuba,Birigüi,São Josédo Rio Preto and Marilia.Not surprisingly,the ancient boundaries of railway lines crossing the countryside regions.These urban centers were developed by the expansion of the railway,but with the deactivation of the rail transport,its core areas went into obsolescence and deterioration process and,more recently,are suffering processes of modernization and productive restructuring.At the same time,amid the industrial landscapes and decaying railroad heritage,there are situations and dweller types able to reveal some imaginary,capable of triggering:surprises,dilemmas and entanglements in the analysis of urban composition,the modernization process and its consequent deterioration.Therefore,from the marginal uses present in each city of the northwestern country towns of São Paulo,we try explain a poltical and critical point of view of these urban areas.Thus,the marginal architecture is not only the expression of subaltern subjectivities,reflecting the complexities present in emblematic areas of public importance,affected by degradation processes,but also,the attempt to define a concept strategy:a destabilizing way of reading places filled with meaning,in the counterculture of the hegemonic space to make experimental projects.
基金supported by the National Natural Science Foundation of China(Grant Nos.82272955 and 22203057)the Natural Science Foundation of Fujian Province(Grant No.2021J011361).
文摘The presence of a positive deep surgical margin in tongue squamous cell carcinoma(TSCC)significantly elevates the risk of local recurrence.Therefore,a prompt and precise intraoperative assessment of margin status is imperative to ensure thorough tumor resection.In this study,we integrate Raman imaging technology with an artificial intelligence(AI)generative model,proposing an innovative approach for intraoperative margin status diagnosis.This method utilizes Raman imaging to swiftly and non-invasively capture tissue Raman images,which are then transformed into hematoxylin-eosin(H&E)-stained histopathological images using an AI generative model for histopathological diagnosis.The generated H&E-stained images clearly illustrate the tissue’s pathological conditions.Independently reviewed by three pathologists,the overall diagnostic accuracy for distinguishing between tumor tissue and normal muscle tissue reaches 86.7%.Notably,it outperforms current clinical practices,especially in TSCC with positive lymph node metastasis or moderately differentiated grades.This advancement highlights the potential of AI-enhanced Raman imaging to significantly improve intraoperative assessments and surgical margin evaluations,promising a versatile diagnostic tool beyond TSCC.
文摘City,Street and Citizen:The Measure of the Ordinary Author:Suzanne Hall Year:2012Publisher:Routledge ISBN:978-0-415-68865-9(176 pages,in English)1.City streets from a marginal perspective Streets are the most common space in a city.However,it is these countless streets that constitute the spatial stage for the social life of the general public in a city.Meanwhile,socially speaking,streets also act as an essential part that builds the public sphere of a city.
基金Supported by the Prospective Basic Research Project of CNOOC China Limited(KJQZ-2023-2001)Major Science and Technology Project of CNOOC(KJGG2022-0103-03).
文摘Based on a set of high-resolution 3D seismic data from the northern continental margin of the South China Sea,the lithospheric structure,thinning mechanisms and related syn-rift tectonic deformation response processes in the crustal necking zone in the deepwater area of the Pearl River Mouth Basin were systematically analyzed,and the petroleum geological significance was discussed.The necking zone investigated in the study is located in the Baiyun Sag and Kaiping Sag in the deepwater area of the Pearl River Mouth Basin.These areas show extreme crustal thinned geometries of central thinning and flank thickening,characterized by multi-level and multi-dipping detachment fault systems.The necking zone exhibits pronounced lateral heterogeneity in structural architectures,which can be classified into four types of thinned crustal architectures,i.e.the wedge-shaped extremely thinned crustal architecture in the Baiyun Main Sub-sag,dumbbell-shaped moderately thinned crustal architecture in the Baiyun West Sub-sag,box-shaped weakly thinned crustal architecture in eastern Baiyun Sag,and metamorphic core complex weakly thinned crustal architecture in the Kaiping Sag.This shows great variations in the degree and style of crustal thinning,types of detachment faults,distribution of syn-rift sedimentary sequences,and intensity of magmatism.The thinning of the necking zone is controlled by the heterogeneous rheological stratification of lithosphere,intensity of mantle-derived magmatism,and deformation modes of detachment faults.The syn-rift tectonic deformation of the necking zone evolved through three phases,i.e.uniform stretching during the early Wenchang Formation deposition period,necking during the late Wenchang Formation deposition period,and hyperextension during the Enping Formation deposition period.The crustal thinning extent and architectural differentiation in these phases were primarily controlled by three distinct mechanisms,i.e.the pure shear deformation activation of pre-existing thrust faults,the simple shear deformation of crust-mantle and inter-crust detachment faults,and differential coupling of lower crustal flow and ductile domes with main detachment faults.The hydrocarbon accumulation and enrichment in the necking zone exhibit marked spatial heterogeneity.Four distinct crustal thinned architecture-hydrocarbon accumulation models were identified in this study.The hydrocarbon accumulations in the shallow part exhibit significant correlations with their deep crustal thinned architectures.The unique lithospheric structure and deformation process predominantly control the favorable hydrocarbon accumulation zones with excellent source-fault-ridge-sand configurations,which is critical to reservoir-forming.The most promising exploration targets are mainly identified on the uplift zones and their seaward-dipping flanks associated with the middle and lower crustal domes.This research provides additional insights into lithospheric thinning-breakup process at intermediate continental margins of marine sedimentary basins,being significant for guiding the deepwater petroleum exploration in the Pearl River Mouth Basin.
基金supported by the research award project RI/0220-10000618-001 to Sheth from the Industrial Research and Consultancy Centre(IRCC)IIT Bombay.Shekhar and Astha were supported by Prime Minister’s Research Fellowships(PMRF,File Nos.1303100 and 1303103,respectively)+4 种基金Naik was initially supported by an IIT Bombay Institute Post-Doctoral Fellowship(File No.HR-1(HRM-1)/Rect/33/2022/20003002)subsequently by a Goa State Research Foundation Post-doctoral Fellowship(File No.PDF2024003)We express our sincere gratitude to Prof.N.Prabhakar for kindly granting us access to the WD-XRF spectrometry facility(SIP ProjectWBS Code:IN/22-1111039E-01)the ICP-MS facility,and the SERB-funded EPMA National Facility(IRPHA Grant No.IR/S4/ESF-16/2009(G))in the Department of Earth Sciences,IIT Bombay.
文摘Large-scale Danian-age(post-K/Pg boundary)Deccan magmatism is well known from the Mumbai metropolitan area,located in the structurally complex Panvel flexure zone along the western Indian rifted continental margin.This compositionally diverse late-Deccan magmatic suite contains subaerial tholeiitic lavas and dykes typical of the main Deccan province,with many features atypical of the Deccan,such as spilitic pillow lavas,“intertrappean”sediments(often containing considerable volcanic ash),rhyolitic lavas and tuffs,gabbro-granophyre intrusions,and trachyte intrusions containing alkali basalt enclaves.Most of these units,previously dated at 62.5 Ma to 61 Ma,are contemporaneous with or slightly postdate the 62.5 Ma India-Seychelles continental breakup and Panvel flexure formation.In the Dongri-Uttan area,two samples of a>50-m-thick,columnar-jointed rhyolite from the Darkhan Quarry and from a section behind the current Uttan Sagari Police Station have previously been dated at 62.6±0.6 Ma and 62.9±0.2 Ma(^(40)Ar/^(39)Ar,2r errors).New exposures reveal that these two statistically indistinguishable 40 Ar/39 Ar ages correspond to two distinct rhyolite units,separated by well-bedded silicic ash.The columnar rhyolites are microcrystalline,composed of quartz and alkali feldspar,with rare small(1–2 mm),altered feldspar phenocrysts,and no recognisable relict vitroclasts.Given the westerly structural dip,most of their lateral extent is submerged under the Arabian Sea,and we consider them to be possible flood rhyolite lavas.We interpret the ash beds,composed of pumice clasts and glass shards,as a low-grade(nonwelded)vitric ash,derived from a possibly distal Plinian eruption and deposited by fallout.The lavas and ash are peraluminous rhyolites.The lavas are Sr-Ba-poor and Rb-Zr-Nb-rich,and show“seagull-shaped”rare earth element patterns with deep negative europium anomalies.These crystal-poor lavas are“hot-dry-reduced”rhyolites typical of intraplate,continental rift and rifted margin settings.The very different high-field strength element contents of the lavas and the ash indicate compositionally distinct magma batches.The 62.5 Ma Dongri-Uttan sequence provides clear evidence for rapid silicic eruptions of effusive and explosive nature,alternating with each other and sourced from distinct magma chambers and eruptive vents.A newly identified,highly feldspar-phyric trachyte intrusion marks the last phase of magmatic activity in the area,corresponding with late-stage trachyte-syenite intrusions exposed in coastal western India and the Seychelles,and shows that the Mumbai rhyolites and trachytes form a compositional continuum.
文摘BACKGROUND Postpancreatectomy hemorrhage is one of the most severe and life-threatening complications after pancreaticoduodenectomy.We present four cases of gastrointestinal bleeding patients to clarify its appropriate treatment and prevention.CASE SUMMARY The main symptoms included black stool,hematochezia,haematemesis,blood in the nasogastric tube,and hemorrhagic shock.The mean age was 66.25 years old and the median onset time was 340 d after the surgery.The bleeding location comprised gastrointestinal anastomosis,bile duct-jejunum anastomosis,and extraluminal bleeding.The possible causes included marginal ulcer,jejunal varix,and abdominal infection.Endoscopic hemostatic clips,as well as a covered stent using angiography,were utilized to stop the bleeding and three patients survived.Only one patient died of gastrointestinal bleeding,abdominal bleeding,abdominal infection,hypovolemic shock,and disseminated intravascular coagulation.CONCLUSION Early and effective endoscopic intervention is the key to successful hemostasis in patients with gastrointestinal bleeding after pancreatoduodenectomy.
基金funded by SINOPEC Science and Technology Research Program (project Nos:P24226, P24077)Northwest Oil Field Company,SINOPEC.
文摘The Cambrian platform margin in the Tarim Basin boasts favorable source-reservoir-cap assemblages,making it a significant target for hydrocarbon exploration in ultra-to extra-deep facies-controlled for-mations.Of the three major basins in western China,Tarim is the only basin with large-scale platform margin where no exploration breakthrough has been achieved yet.This study determines the vertical and lateral differential evolution of the platform margin(in the Manxi area hereafter referred to as the Cambrian Manxi platform margin)through fine-scale sequence stratigraphic division and a segmented analysis.The platform margin can be divided into the Yuqi,Tahe,Shunbei,and Gucheng segments,from north to south,based on the development of different ancient landforms and the evolutionary process of the platform.The Yuqi and Shunbei segments exhibit relatively low-elevation ancient landforms.Both segments were in a submarine buildup stage during the Early Cambrian,resulting in overall limited scales of their reservoirs.The Gucheng segment features the highest-elevation ancient landforms and accordingly limited accommodation spaces.As a result,the rapid lateral migration of high-energy facies zones leads to the development of large-scale reservoirs with only limited thicknesses.In contrast,the Tahe segment,exhibiting comparatively high-elevation ancient landforms,is identified as the most favorable segment for the formation of large-scale reservoirs.The cap rocks of the platform margin are dominated by back-reef dolomitic flats and tight carbonate rocks formed in transgressive periods.A comprehensive evaluation of source rocks,reservoirs,and cap rocks indicates that the Tahe segment boasts the optimal hydrocarbon accumulation conditions along the platform margin.In this segment,the Shayilike Formation transgressive deposits and the high-energy mound-shoal complexes along the platform margin of the Wusonggeer Formation constitute the optimal reservoir-cap rock assemblage,establishing this segment as the most promising target for hydrocarbon exploration in the platform margin.
基金Supported by the Natural Science Foundation of the Heilongjiang Province of China(C2016003)China Postdoctoral Science Foundation(2015M581415)Heilongjiang Postdoctoral Fund(LBH-Z15005)。
文摘The trace element selenium(Se)occurs naturally throughout the earth.Se deficiency has been linked to impaired breast health and other diseases in human and animals.Compared to severe Se deficiency,marginal dietary Se deficiency accusers more frequently in low-Se regions.Therefore,to investigate the Se status and inflammatory response of the mammary gland under marginal dietary Se levels,an lipopolysaccharide(LPS)induced mouse mastitis model was established.Mice were fed with moderate Se diet(0.087 mg•kg^(-1) Se),adequate Se diet(0.15 mg•kg^(-1) Se)or excessive Se diet(1.5 mg•kg^(-1) Se)for 60 days.Se status and inflammatory factors were investigated.Results showed that the Se status of mammary gland correlated with dietary Se levels.Marginal Se deficiency exacerbated mammary tissue histopathology;increased the mRNA level of inflammatory genes tumor necrosis factor alpha(TNF-α),interleukin-1β(IL-1β)and cyclooxygenase-2(COX-2);and enhanced the phosphorylation of NF-κB p65 in mammary gland tissues.Supplementation of Se in diet higher than recommended levels reduced the inflammatory reaction of mammary glands in LPS-induced mastitis model and provided a protective effect.
基金supported by the National Natural Science Foundation of China(31600479,32371576)the Key R&D Program of Yunnan Province(202403AC100028)+1 种基金the Youth Academic and Technical Leading Talent Reserve Program in Yunnan Province(202405AC350012)the 14th Five-Year Plans of Xishuangbanna Tropical Botanical Garden,Chinese Academy of Sciences(XTBG-1450101,E3ZKFF2B01).
文摘Climate change has significantly increased the frequency and severity of droughts and risk of tree death worldwide.Differences in leaf habit,plant size,and species diversity are associated with differences in the risk of drought-induced mortality,but the relative contributions of these factors to the risk of mortality are unclear.In a study of the mortality of tree and shrub species during the extreme drought of 2019 in a savanna ecosystem in Southwest China,we assessed the relative contributions of evergreen and deciduous leaf habit,plant size,and species richness and diversity to the mortality of shrubs and trees after the 2019 extreme drought.The deciduous species had significantly lower hydraulic safety margins than the coexisting evergreen species,resulting in a higher mortality risk.Additionally,species and individuals with taller canopies tended to have deeper root systems,an advantage during extreme drought that reduced mortality risk.Notably,mortality risk was largely independent of stand species richness and diversity.Overall,leaf habit and plant height were better predictors of mortality risk than species richness and diversity.These novel insights provide a better understanding of the mechanisms driving drought-induced mortality in the ecosystems with a low canopy and weak interspecific and intraspecific competition for shared resources.Leaf habit and tree size should be incorporated into hypotheses on the mechanisms underlying drought-induced tree mortality.
文摘Recently,Luolai Group released its Q12025 quarterly report.As a leading Chinese home textile enterprise listed on the Shenzhen Stock Exchange in 2009,the company covers the research,design,production,and sales of home textile products,and has multiple brands covering different consumer markets.It has expanded its online and offline comprehensive multichannel sales system and is committed to creating a win-win home furnishings and textile industry ecosystem.
基金financially supported by the National Natural Science Foundation of China(Grant No.42002150)the Open Foundation of Cooperative Innovation Center of Unconventional Oil and Gas,Yangtze University(Ministry of Education&Hubei Province,Grant No.UOG2024-12)+1 种基金the Open Foundation Project of the Key Laboratory of Polar Geology and Marine Mineral Resources(China University of Geosciences,Beijing,China),Ministry of Education(Grant No.PGMR-2023-201)the National Key Research Program of China(Grant No.2017ZX05032-002)。
文摘Compared to discrete continental marginal basins,the mechanisms of hydrocarbon migration and enrichment in transform continental marginal basins are poorly understood.In this study,we conducted a comprehensive analysis of the main source rocks,reservoirs,and vertical migration pathways within the Rovuma(RB)and Tanzania(TB)basins in East Africa utilizing drilling,logging,seismic,and geochemical data.The results indicate that the enhanced preservation conditions of the Lower Jurassic source rocks in the southwest could lead to the discovery of large natural gas fields in the southern TB and RB.The primary reservoir is a deep-water turbidite sandstone.Due to topographic differences,the expanse of the turbidite sandstones in the RB is significantly larger than those in Tanzania.The main vertical migration pathways are the western boundary fault zone of the Kerimbas Graben(WBFZ)and the Seagap fault zone(SFZ).In the RB,natural gas migrates vertically along the WBFZ and preferentially accumulates in the deep-water turbidite sandstones of the footwall under the control of the fluid potential.Conversely,in the southern TB,the deep natural gas first migrates upward along the SFZ,then moves along the shallow branch faults in the sandstones on both sides of the SFZ.
基金supported by the Guangdong Pearl River Talent Program(No.017TZ07Z066)the Second Tibetan Plateau Scientific Expedition and Research Program(No.2019QZKK0701)+4 种基金the Southern Marine Laboratory(Zhuhai)Innovative R&D Program(No.311021003)the National Natural Science Foundation of China(No.42106067)the Natural Science Foundation of Guangdong Province,China(No.2022A1515010090)Shanghai Sheshan National Geophysical Observatory(No.SSOP202102)Guangzhou Science and Technology Planning Project(No.202102020456).
文摘Magmatism at continental margins is of great significance in understanding the continental rifting.We present a twodimensional P-wave velocity model derived from an ocean bottom seismometer experiment,conducted across the middle northern continental margin of the South China Sea(SCS).The detailed velocity structures reveal significant heterogeneities extending from the continental shelf to the continent-ocean transition zone.The crust exhibits its greatest thickness below the continental shelf,measuring~23 km and gradually thins to~13 km at the distal margin.Furthermore,a narrow and distinct continent-ocean transition with only 40-km width is revealed.We also observe a high-velocity layer within the transition zone,reaching thickness of up to 4 km,characterized by P-wave velocities ranging from 7.0 km/s to 7.6 km/s in the lower crust.Based on the syn-rift melt generation using decompression melting model,we ascertain that syn-rift magmatism cannot fully account for the observed thick high-velocity layer.By integrating findings from previous geophysical and geochemical studies presenting extensive volcanic edifice on the seafloor at the northern margin,as well as ocean-island-basalt-type magmaticsamples in the SCS area,we propose that post-rifting magmatism associated with the Hainan Plume may have influenced theformation of the high-velocity lower crust within the transition zone and the northern margin of the SCS can thus be recognizedas magma-poor type margin.
基金supported by the National Natural Science Foundation of China(Nos.82373817 and 82003659)Shanghai Natural Science Foundation(No.23ZR1477500)Pudong Health Bureau of Shanghai(No.YC-2023-0401)。
文摘As PEGylated liposomes have witnessed remarkable advancements in drug delivery,their immunogenicity has emerged as a notable challenge.In this study,we discovered that a simple pre-injection of folic acid(FA)effectively mitigated the immunogenicity of PEGylated liposomes and enhanced their in vivo performance by tolerating splenic marginal zone B cells.FA specifically inhibited the internalization of PEGylated liposomes by splenic marginal zone B cells,thereby reducing splenic lymphocyte proliferation and specific IgM secretion.This modulation alleviated Ig M-mediated accelerated blood clearance and adverse accumulation of the PEGylated liposomes in the skin.These findings provide new insights into the immunomodulatory effects of FA and promising avenues to enhance the efficacy and safety of PEGylated liposomal nanomedicines.
文摘BACKGROUND Fibroadenomas(FA)and phyllodes tumors(PT)are fibroepithelial neoplasms and are difficult to differentiate radiographically and histologically.We present a partially infarcted borderline PT in an adolescent with rapid tumor enlargement within 24 hours.Tumor infarction made the diagnostic work-up difficult.Com-plete surgical excision is the standard of care for PTs.There is controversy regar-ding margin re-excision for borderline PTs.In this report,we discuss the diagno-stic challenges of PT and the evolving concept of margin status on PT recurrence rate.CASE SUMMARY A 14-year-old healthy female with no medical history presented with a painful right breast mass with no nipple discharge,trauma,or skin findings.The mass showed rapid enlargement over 24 hours,prompting a workup with ultrasound and core needle biopsy.The initial biopsy was limited due to large areas of in-farction.Based on the scant viable tissue and considering the patient’s age,the mass was favored to be a juvenile FA.The patient underwent excision of the mass.Final pathology confirmed a borderline PT with positive surgical margins.The patient underwent margin re-excision,which did not show any residual tumor.At the 6-month post-op visit,there was a mass-forming lesion on the breast ultrasound.Subsequent core needle biopsy showed benign breast parenchyma with scar formation.The primary goal of evaluation in pediatric breast masses is to do no harm.However,rapidly growing and symptomatic masses require a more extensive work-up including biopsy and surgical excision.We present a rapidly growing breast mass in a 14-year-old female which was diagnosed as a borderline PT on her excision specimen.The mass rapidly enlarged over 24 hours.The initial biopsy pathology was limited due to a large area of infarction.The patient underwent excision of the mass.Final pathology confirmed a borderline PT that extended into the surgical margin,resulting in an additional re-excision procedure.Accurate diagnosis prior to surgical intervention is crucial to avoid additional procedures.Although histological morphology remains the gold standard for diagnosis,immunohistochemistry and molecular studies have recently shown to improve the accuracy of diagnosis of PTs.Long-term clinical and pathologic follow-up of PTs in adolescent patients should be collectively studied to examine whether our current diagnostic criteria for PT can reliably predict tumor behavior in this age group.CONCLUSION Accurate diagnosis of PTs requires surgical excision.Tumor infarction may lead to rapid tumor enlargement,hindering the correct diagnosis.More research is needed on margin status and recurrence rate,especially in adolescent patients,to help establish the best possible care for this age group.
基金supported by the Interdepartmental Research Project of Peking University First Hospital(No.2023IR27 to Liu Y)the Scientific Research Seed Fund of Peking University First Hospital(No.2023SF40 to Qiu J)+3 种基金the High Quality Clinical Research Project of Peking University First Hospital(No.2022CR75 to Gong K)the Beijing Natural Science Foundation(No.QY23068 to Deng R)the National Natural Science Foundation of China(No.82141103,No.82172617,and No.81872081 to Gong K)the Capital’s Funds for Health Improvement and Research(No.2022-2-4074 to Gong K).
文摘Objective:To explore clinicopathological predictors of adverse pathological changes(APCs)(upgrading,upstaging,and positive surgical margin[PSM])after robot-assisted radical prostatectomy(RARP)in clinical tumor stage 2c(cT2c)prostate cancer(PCa)patients.Methods:From January 2018 to December 2022,cT2cN0M0 PCa patients who underwent prostate biopsies and subsequent RARP at the Peking University First Hospital with an interval between biopsy and RARP of ≤90 days were included.Univariable and stepwise multivariable logistic regression analyses were performed to identify independent risk factors associated with APCs.Nomograms were constructed based on these predictive models.The performance of the nomograms was evaluated by receiver operating characteristic curves,decision curve analyses,and calibration plots.Results:A total of 423 eligible cT2cN0M0 PCa patients were included.The rates of upgrading,upstaging,and PSM in our cohortwere 33%,51%,and 35%,respectively.The stepwise multivariate logistic analysis suggested that PSA density and the percentage of positive cores in systematic biopsy were significantly associated with the occurrence of APCs.The score of the Prostate Imaging Reporting and Data System,PSA density,and the International Society of Urological Pathology grade group(IGG)of needle-biopsy specimens(or clinical IGG[cIGG])were significantly associated with upgrading.The PSA density,percentage of positive cores in systematic biopsy,and largest tumor percentage in all cores of each patient(LTP)were significantly associated with upstaging.The PSA density and LTP were significantly associatedwith the PSM.Based on these results,four nomogramswere developed.Receiver operating characteristic curves,decision curve analyses,and calibration plots implied that the nomograms exhibited excellent accuracy.Conclusion:The predictive models we developed could help to identify high-risk PCa early,and optimize clinical decisions of cT2cN0M0 PCa patients.
基金supported by the National Key R&D Program of China(2022YFE0127900,2021YFD2200401)the National Natural Science Foundation of China(31901278).
文摘Ongoing climate change has a considerable influence on the seasonality,timing,and intensity of rainfall worldwide,and is also predicted to decrease snow cover in cold ecosystems.Larch is a widely distributed tree species in boreal Eurasia,calling for a comprehensive understanding of how larch adapts to changes in both rainfall and snowfall by adjusting carbon-water physiology.Here,we conducted a short-term rainfall(−60% ambient rainfall;three-year)and snowfall(−73% ambient snowfall;two-year)exclusions experiment in Larix gmelinii forest in northeastern China,and aimed to explore the responses of hydraulic(leaf pressure-volume traits,leaf and branch hydraulic conductivity and embolism resistance),stomatal(stomatal closure point and stomatal safety margin),and economic(photosynthetic rate,nutrient and non-structural carbohydrates contents)traits to rainfall and snowfall reductions.Despite the weak alternation of leaf and branch hydraulic traits,both rainfall and snowfall reductions significantly led to early stomatal closure and increased stomatal safety margins(the difference between stomatal closure point and xylem embolism threshold,describing drought resistance by merging both hydraulic and stomatal strategies).Reductions in rainfall and snowfall induced water or/and low-temperature stress,resulting in more conservative leaf economic traits,including a reduced photosynthetic rate,lower leaf nitrogen concentration,and higher leaf density.In addition,larch responded to reductions in rainfall and snowfall by up-regulating non-structural carbohydrates in the xylem,which helps repair embolism or lower the freezing point acting as osmolytes.Overall,our findings reveal that larch could adapt to the drought and snowpack reduction by strict stomatal regulation and investing non-structural carbohydrates in embolism repairing,at the cost of carbon assimilation.
基金supported by Jiangxi Provincial International Science and Technology Cooperation Project(Nos.20203BDH80W010 and 20232BBH80012)the National Natural Science Foundation of China(Nos.82160410 and 81860379)+1 种基金Foundation of Jiangxi Provincial Department of Science and Technology(No.20212ACB206018)Key Research and Development Program of Jiangxi Province(No.20223BBG71009)。
文摘Accurate determination of lung cancer margins at the molecular level is of great significance to determine the optimal extent of resection during surgical operation and reduce the risk of postoperative recurrence.In this study,internal extractive electrospray ionization mass spectrometry(i EESI-MS)was used to trace potential molecular tumor margins in lung cancer tissue.Molecular differential model for the determination of lung cancer tumor margin was established via partial least-squares discriminant analysis(PLS-DA)of iEESI-MS data collected from lung tissue pieces within cancer tumor area and iEESI-MS data collected from lung tissue pieces outside cancer tumor area.Proof-of-concept data demonstrate that the developed molecular differential model yields ca.1-2 mm wider potential molecular tumor margin of a lung cancer compared to the conventional histological analysis,showing promising potential of iEESI-MS to increase the accuracy of tumor margins determination and lower risk of lung cancer postoperative recurrence.Furthermore,our results revealed that creatine and taurine showed positive correlations with lung cancer.
基金supported by the National Natural Science Foundation of China(Nos.42172109,41872113,42172108)China National Petroleum Corporation-China University of Petroleum(Beijing)strategic cooperation science and technology project(ZLZX2020-02)+2 种基金Science Foundation of China University of Petroleum(Beijing)(Nos.2462020BJRC002,2462020YXZZ020)Natural Science Foundation of Chongqing(CSTB2022NSCQ-MSX1166)Science and Technology Research Program of Chongqing Municipal Education Commission(KJQN202201511).
文摘Previous studies have indicated that sediment gravity flow deposits developed in lacustrine active extensional rift basins are primarily influenced by tectonics and to a lesser extent by climate.Our present work reveals that climate can obscure the effect of tectonic subsidence by regulating sediment supply;conversely,tectonics can impede the sedimentary manifestation of climatic impacts.Here a case study has been presented to assess the impact of climate-modulated rapid lake-level rise and tectonic subsidence on the development of coarse-grained gravity flow deposits in the Dongying rift margin of the Bohai Bay Basin,eastern China.The lithofacies analysis reveals frequent bed amalgamation,abundant thick massive coarse-grained deposits,widespread cross bedding and plant fragments,and incomplete composite bed formed by high-energy erosion,indicating that the hyperpycnal flow is an important mechanism driving the deposition of these coarse-grained sediments.Detailed sequence stratigraphic analysis and sediment dispersal pattern suggest that the long-striped nearshore subaqueous fan systems induced by outburst-flood hyperpycnal flow distributed along the border fault,are primarily controlled by long-term tectonics,while the rapid rise of lake level driven by short-term climate change possibly intensifies seasonal flood-generated hyperpycnal flow occurrences and consequently promotes the basinal fan progradation.The maximum scale of these coarse-grained gravity flow deposits of the basinal fan systems are typically attained during the transgressive systems tract,which deviates from the classical sequence stratigraphic model.Furthermore,it presented a continuous transition from the proximal to the distal part,encompassing traction flows and turbidity currents during the periods of relatively stable tectonics.Nevertheless,gravel-rich debris flows appear to predominate the dispersion of coarse-grained sediments during periods characterized by intense tectonic activity.The coarse-grained gravity flow deposits in the lacustrine rift margin reported here,challenge the traditional beliefs:this study suggests that subaqueous deposits abundantly preserved in the transgressive setting.
基金supported by the National Natural Science Foundation of China(Grant Nos.42172109,41872113,42172108)China National Petroleum Corporation-China University of Petroleum(Beijing)Strategic Cooperation Science and Technology Project(Grant No.ZLZX2020-02)+1 种基金State's Key Project of Research and Development Plan(Grant No.2018YFA0702405)Science Foundation of China University of Petroleum(Beijing)(Grant Nos.2462020BJRC002,2462020YXZZ020)。
文摘This study focuses on tuffaceous clastic rocks of the Lower Cretaceous Qingshuihe Formation in the southern margin of Junggar Basin.It aims to explore the influence of sedimentation and parent rock on this kind of reservoir development.The results show that the tuffaceous components formed by the denudation of ultramafic and mafic rocks can transform into chlorite coating or hematite,while those from intermediate rock denudation can be dissolved or transformed into illite.Sedimentary facies and lithofacies are essential in controlling the evolutionary result of tuffaceous components.Matrix-supported medium conglomerate and grain-supported medium-fine conglomerate that developed in the fan delta plain,with a closed original geochemical systems,have been in the oxidizing environment for a long time.The tuffaceous matrices mainly transforms into hematite or illite.These minerals occupy the primary pores and are difficult to dissolve by felsic fluids,which inhibits the development of high-quality reservoirs.The grain-supported sandy fine conglomerate developed in the fan delta front was in the underwater reductive environment with an open original geochemical system.The tuffaceous matrices not only can transform into chlorite coating to strengthen the particle's compaction resistance,but also can be fully dissolved,which promotes the formation of high-quality reservoirs.
