Background Endometrial receptivity(ERE)is a transient uterine state that determines the success of blastocyst implantation;however,the epigenomic regulation underlying ERE establishment in goats remains unclear.Here,w...Background Endometrial receptivity(ERE)is a transient uterine state that determines the success of blastocyst implantation;however,the epigenomic regulation underlying ERE establishment in goats remains unclear.Here,we profiled transcriptional and epigenomic features of endometrial tissues from pregnant goats during the peri-implantation window and nonpregnant control goats in the regressed luteal phase to uncover the transcriptional regulatory networks responsible for ERE establishment in goats,utilizing RNA-seq,ATAC-seq,and H3 K27 ac CUT&Tag.Results A total of 3,143 differentially expressed genes(DEGs)were identified,accompanied by significant alterations in chromatin accessibility and H3 K27 ac modifications between receptive and non-receptive endometria.The targeted genes associated with these epigenetic changes were significantly enriched in pathways related to cell adhesion,immune tolerance,and embryo attachment.Motif enrichment and transcription factor(TF)footprinting analyses identified members of the FOS/JUN,SOX,HNF1,CEBP,and BATF families as candidate regulators,implicating downstream genes involved in ERE establishment,including SPP1,FOXO1,KLF4/6,STAT1,IFI6,ITGB8,PLAC8,DUSP4,NR1D1,ISG15,RUFY4,and PIK3R3.In addition,numerous super-enhancers were identified,indicating regions of high regulatory activity and potential long-range gene-enhancers interactions in the endometrium.Integration of multi-omics datasets revealed a strong correlation(r>0.7)among chromatin accessibility,H3 K27 ac activation,and the expression of 172 DEGs.Furthermore,a set of hub genes(KLF6,IFI6,MCL1,SDC4,SUSD6,MAFF,and IL6R)that appear to coordinate TF binding and distal super-enhancers activity associated with ERE establishment.Conclusions Our data provided an integrated epigenomic atlas of endometrial receptivity establishment in goats and identify candidate regulatory elements and transcription factors that may orchestrate uterine preparation for implantation.These findings offer valuable insights and testable targets for improving fertility in ruminant livestock.展开更多
This study focuses on reconstructing the"reader-centered"paradigm in the teaching of high school English literary text reading,supported by Reception Aesthetics as its theoretical foundation.High school Engl...This study focuses on reconstructing the"reader-centered"paradigm in the teaching of high school English literary text reading,supported by Reception Aesthetics as its theoretical foundation.High school English literary text reading plays a significant role in cultivating students'language proficiency,cultural awareness,and aesthetic literacy.However,the current teaching practice in this area remains dominated by the traditional"teacher-centered"approach,which restricts students'active participation and the realization of the pluralistic value of literary texts.By integrating core concepts of Reception Aesthetics-such as"horizon of expectations,""structure of appeal,"and"interpretive community"-this research addresses the gap in existing studies,which have largely focused on the application of Reception Aesthetics in Chinese language teaching or college English instruction.Using literature research and classroom practice analysis,the study reconstructs the"reader-centered"paradigm across three dimensions:teaching objectives,teaching process,and evaluation methods.It also identifies practical challenges,including uneven student participation,time constraints,and difficulties in the teacher's role adaptation,and proposes corresponding optimization strategies.Practical results demonstrate that this paradigm effectively enhances students'reading engagement,text interpretation skills,and critical thinking.Future research may further expand text types and integrate information technology to continuously improve teaching effectiveness.展开更多
The Transformer has achieved great success in the field of medical image segmentation,but its quadratic computational complexity limits its application in dense medical image prediction.Recently,the receptance weighte...The Transformer has achieved great success in the field of medical image segmentation,but its quadratic computational complexity limits its application in dense medical image prediction.Recently,the receptance weighted key value(RWKV)architecture has garnered widespread attention due to its linear computational complexity and its capability of parallel computation during training.Despite the RWKV model's proficiency in addressing long-range modeling tasks with linear computational complexity,most current RWKV-based approaches employ static scanning patterns.These patterns may inadvertently incorporate biased prior knowledge into the model's predictions.To address this challenge,we propose a multi-head scan strategy combined with padding methods to effectively simulate spatial continuity in 2D images.Within the Feature Aggregation Attention(FAA)module,asymmetric convolutions are designed to aggregate 1D sequence features along a single dimension,thereby expanding effective receptive fields while preserving structural sparsity.Additionally,panoramic token shift(P-Shift)effectively models local dependency relationships by moving tokens from a wide receptive field.Extensive experiments conducted on the ISIC17/18 and ACDC datasets demonstrate that our method exhibits superior performance in dense medical image prediction tasks.展开更多
Current image inpainting models are primarily designed to achieve a large receptive field(RF)using refinement networks to incorporate different scales.However,these models fail to adapt the use of different RFs to the...Current image inpainting models are primarily designed to achieve a large receptive field(RF)using refinement networks to incorporate different scales.However,these models fail to adapt the use of different RFs to the specific patterns of image damage,resulting in artifacts and semantic information confusion in repaired images.To address the problems of artifacts and semantic information confusion,inspired by different sensitivities of different RFs to inpainting the same image damaged patterns,this study proposes an image inpainting method based on multiple receptive fields(MRFs)and dynamic matching of damaged patterns.First,the parallel filter banks are used to extract the MRF feature groups.Second,the features are dynamically weighted and screened,guided by the mask image,to construct a relationship that adaptively matches the most relevant RF to each specific damaged pattern.A fast Fourier convolution based decoder is used to enhance the fusion of global contextual features during the reconstruction of high dimensional features into low dimensional images.Comparative experimental results show that the proposed method achieves better subjective and objective inpainting results on three public datasets:Paris StreetView,CelebA-HQ,and Places2.展开更多
Objective:This study aimed to explore the clinical effect of acupuncture therapy for menstruation regu-lation and pregnancy promotion on thin endometrium in the real world.Design:This study is a single-center pragmati...Objective:This study aimed to explore the clinical effect of acupuncture therapy for menstruation regu-lation and pregnancy promotion on thin endometrium in the real world.Design:This study is a single-center pragmatic randomized controlled trial blinded to the statisticians.Using the“blockrand”software package,based on the age(≥35,<35),37 patients were randomized into an intervention group(19 cases)and a control group(18 cases).After reassignment regarding patient preference,21 patients were included in the intervention group and 16 in the control group.Setting:The trial was executed in the Specialty Outpatient Clinic,Acupuncture-Moxibustion Hospital of China Academy of Chinese Medical Sciences,from March 1,2019,to September 30,2020.Participants:The study included 37 patients with thin endometrium and without previous acupuncture treatment.Intervention:The intervention group was administered acupuncture for menstruation regulation and pregnancy promotion and a small-dose of progynova(2 mg daily),while the control group was adminis-tered a large-dose of progynova(4 mg daily).Interventions started from Day 5 of menstruation until the end of ovulation under B-ultrasound monitoring.The intervention lasted for three menstrual cycles.Measurements:Primary outcomes were changes in endometrial thickness between baseline and after intervention completion and the difference between the two groups after intervention.The secondary outcomes were endometrial and subendometrial blood flow,serum estradiol levels,menstrual conditions,and adverse reactions.Results:(1)Comparison of each indicator before and after intervention completion in the two groups:in the intervention group,the differences were significant in endometrial thickness,menstrual score,estra-diol(E2)level in ovulatory period,the pulsatility index(PI)and resistance index(RI)of uterine artery,the ratio of peak systolic velocity to end-diastolic velocity(S/D),the endometrial vascular index(VI),flow index(FI),and vascular flow index(VFI)and volume(P<0.01).In the control group,significant changes were observed in endometrial thickness,menstrual score,and E2 before and after the interven-tion(P<0.05),and no differences were observed in uterine artery PI,RI,S/D and endometrial VI,FI,VFI,and volume(P>0.05).Compared with the control group,the intervention group showed significant differences in endometrial thickness,menstrual score,E2,uterine artery PI,RI,S/D,and endometrial VI,FI,VFI,and volume after intervention(P<0.01).No adverse reactions were reported in the intervention group.In contrast,the control group had two cases of nausea and gastrointestinal discomfort after med-ication,eight cases of breast distention during medication,and one case of breast nodules enlarged by 1 cm after trial completion.展开更多
Background Increased backfat thickness of sows in early gestation is negative to reproductive performance.Endometrial receptivity is an important determinant of reproductive success,but it is unclear whether the effec...Background Increased backfat thickness of sows in early gestation is negative to reproductive performance.Endometrial receptivity is an important determinant of reproductive success,but it is unclear whether the effect of sow backfat thickness on litter size is associated with endometrial receptivity and whether melatonin treatment may have benefits.The present study seeks to answer these questions through in vitro and in vivo investigations.Results Excessive lipid deposition and lower melatonin levels in the uterus are detrimental to endometrial receptivity and embryo implantation in high backfat thickness sows.In cells treated with melatonin,the MT2/PI3K/LIF axis played a role in reducing lipid accumulation in porcine endometrial epithelium cells and improved endometrial receptivity.Furthermore,we found a reduction of lipids in the uterus after eight weeks of intraperitoneal administration of melatonin to HFD mice.Notably,melatonin treatment caused a significant reduction in the deposition of endometrial collagen,an increase in the number of glands,and repair of the pinopode structure,ultimately improving endometrial receptivity,promoting embryo implantation,and increasing the number of litter size of mice.Conclusions Collectively,the finding reveals the harmful effects of high backfat thickness sows on embryo implantation and highlight the role of melatonin and the MT2/PI3K/LIF axis in improving endometrial receptivity by enhancing metabolism and reducing the levels of uterine lipids in obese animals.展开更多
Dear Editor,This letter focuses on the fact that small objects with few pixels disappear in feature maps with large receptive fields, as the network deepens, in object detection tasks. Therefore, the detection of dens...Dear Editor,This letter focuses on the fact that small objects with few pixels disappear in feature maps with large receptive fields, as the network deepens, in object detection tasks. Therefore, the detection of dense small objects is challenging.展开更多
Drone-based small object detection is of great significance in practical applications such as military actions, disaster rescue, transportation, etc. However, the severe scale differences in objects captured by drones...Drone-based small object detection is of great significance in practical applications such as military actions, disaster rescue, transportation, etc. However, the severe scale differences in objects captured by drones and lack of detail information for small-scale objects make drone-based small object detection a formidable challenge. To address these issues, we first develop a mathematical model to explore how changing receptive fields impacts the polynomial fitting results. Subsequently, based on the obtained conclusions, we propose a simple but effective Hybrid Receptive Field Network (HRFNet), whose modules include Hybrid Feature Augmentation (HFA), Hybrid Feature Pyramid (HFP) and Dual Scale Head (DSH). Specifically, HFA employs parallel dilated convolution kernels of different sizes to extend shallow features with different receptive fields, committed to improving the multi-scale adaptability of the network;HFP enhances the perception of small objects by capturing contextual information across layers, while DSH reconstructs the original prediction head utilizing a set of high-resolution features and ultrahigh-resolution features. In addition, in order to train HRFNet, the corresponding dual-scale loss function is designed. Finally, comprehensive evaluation results on public benchmarks such as VisDrone-DET and TinyPerson demonstrate the robustness of the proposed method. Most impressively, the proposed HRFNet achieves a mAP of 51.0 on VisDrone-DET with 29.3 M parameters, which outperforms the extant state-of-the-art detectors. HRFNet also performs excellently in complex scenarios captured by drones, achieving the best performance on the CS-Drone dataset we built.展开更多
Background Exogenous gonadotropin-controlled ovarian stimulation is the critical step in animal reproductive management,such as pig,sheep,bovine and other species.It helps synchronize ovulation or stimulate multiple o...Background Exogenous gonadotropin-controlled ovarian stimulation is the critical step in animal reproductive management,such as pig,sheep,bovine and other species.It helps synchronize ovulation or stimulate multiple ovu-lations.However,a number of evidence indicated an unexpected decrease in pregnancy outcomes following ovarian stimulation.This study aimed to explore the underlying mechanism of the pregnancy defect and develop a practical rescue strategy.Results Compared with those in the control group,gilts that underwent ovarian stimulation showed a decrease in pregnancy rate,farrowing rate,and total number of piglets born.Stimulated gilts also showed an increase in estra-diol(E_(2))levels.The supraphysiologicalE_(2) level was correlated with the decrease in the number of piglets born.Furthermore,we found that high levels ofE_(2) impair uterine receptivity,as shown by the overproliferation of endo-metrial epithelial cells.In vitro mechanistic studies demonstrated that high levels ofE_(2) hyperactivate FGF-FGFR-ERK signaling cascade in the uterine endometrium,and in turn induces overproliferation of endometrial epithelial cells.Of note,N-acetyl-L-cysteine(NAC)supplementation effectively inhibits ERK hyperphosphorylation and ameliorates endometrial epithelial overproliferation.Importantly,in vivo experiments indicated that dietary NAC supplementa-tion,compared with ovarian stimulation group,improves the uterine receptivity in gilts,and significantly increases the pregnancy rate and total number of piglets born.Conclusions Ovarian stimulation-induced supraphysiological levels ofE_(2) impairs uterine receptivity by hyperactivat-ing FGF-FGFR-ERK signaling cascade,thereby reducing pregnancy rate and litter size.Supplementing NAC to a con-ventional diet for gilts ameliorates hyperactivated ERK signaling and improves uterine receptivity,thus rescuing adverse pregnancy outcomes following ovarian stimulation.展开更多
Hypersonic boundary-layer receptivity to freestream entropy and vorticity waves is investigated using direct numerical simula-tions for a Mach 6 flow over a 5.08 mm nose radius cone.Two frequencies of 33 kHz and 150 k...Hypersonic boundary-layer receptivity to freestream entropy and vorticity waves is investigated using direct numerical simula-tions for a Mach 6 flow over a 5.08 mm nose radius cone.Two frequencies of 33 kHz and 150 kHz are considered to be rep-resentative of the first and second instability modes,respectively.For the first mode,wall pressure fluctuations for both entropy and vorticity wave cases exhibit a strong modulation yet without a growing trend,indicating that the first mode is not generated despite its instability predicted by linear stability theory.The potential reason for this is the absence of postshock slow acoustic waves capable of synchronizing with the first mode.By contrast,for the second mode,a typical three-stage boundary-layer response is observed,consistent with that to slow acoustic waves studied previously.Furthermore,the postshock disturbances outside the boundary layer can be decomposed into the entropy(density/temperature fluctuations)and vorticity components(ve-locity fluctuations),and the latter is shown to play a leading role in generating the second mode,even for the case with entropy waves where the density/temperature fluctuations dominate the postshock regions.展开更多
This paper explores the divergent receptions of Lu Xun in China and the Anglophone world,examining how his image has been constructed,exalted,and contested across ideological and cultural boundaries.In China,Lu Xun is...This paper explores the divergent receptions of Lu Xun in China and the Anglophone world,examining how his image has been constructed,exalted,and contested across ideological and cultural boundaries.In China,Lu Xun is revered as a literary saint and revolutionary prophet,with his contributions to the New Culture Movement and critiques of feudalism canonized in public memory.In contrast,Anglophone scholarship has deconstructed his figure,focusing on translation politics,Cold War anxieties,postcolonial theory,and aesthetic modernism.Western critics have examined his ethical ambiguities,ideological complexities,and the aesthetic tensions in his work.This comparative analysis highlights how Lu Xun’s legacy reflects both the complexity of his work and the cultural,theoretical,and political contexts of his interpreters.展开更多
This concise paper,delivered at a conference,addresses a broad topic with the goal of providing a condensed and inevitably subjective perspective.Initially,it outlines the primary characteristics that distinguish coin...This concise paper,delivered at a conference,addresses a broad topic with the goal of providing a condensed and inevitably subjective perspective.Initially,it outlines the primary characteristics that distinguish coins from other historical sources.Subsequently,it provides a succinct overview of numismatics,categorized into seven phases:1.Pre-1550(coins as reflections of vice and virtue);2.From circa 1550 to circa 1620(coins as testimony of authentic history);3.From circa 1650 to circa 1730(the heyday of the“Republic of Medals”);4.From circa 1730 to circa 1840(the decline of the“Republic of Medals”and the emergence of scientific practices by Viennese Jesuits);5.From circa 1840 to circa 1940(die-studies and art history);6.From circa 1940 to circa 2000(coins as instruments of exchange);7.Since 2000(cultural shift and digital humanities).展开更多
Objective:To analyze the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)in evaluating endometrial receptivity(ER)for ovulation disorder infertility(ODI),and to investigate the impact of subendome...Objective:To analyze the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)in evaluating endometrial receptivity(ER)for ovulation disorder infertility(ODI),and to investigate the impact of subendometrial endometrial vascular index(VI)and endometrial vascular flow index(VFI)levels on ODI.Methods:A total of 110 patients diagnosed with ODI admitted between January 2023 and June 2024 were selected.All patients underwent ovulation induction therapy,3D-TVS examination,and sex hormone testing.Based on pregnancy outcomes,patients were divided into a successful pregnancy group(73 cases)and an unsuccessful pregnancy group(37 cases).ER parameters,sex hormone levels,and endometrial blood flow patterns were compared between the two groups.Receiver operating characteristic(ROC)curves were plotted to evaluate the predictive value of ER for ODI.Results:The spiral artery peak systolic velocity(PSV),endometrial volume(EMV),endometrial flow index(FI),and VFI in the successful pregnancy group were significantly higher than those in the unsuccessful pregnancy group(p<0.05).No significant differences were observed in other ER parameters between the two groups(p>0.05).There was no significant difference in sex hormone levels between the two groups on the day of human chorionic gonadotropin(hCG)treatment(p>0.05).Among the endometrial blood flow classifications in the pregnant group,the proportion of Type II was lower than that in the nonpregnant group(p<0.05).The Receiver Operating Characteristic(ROC)curve demonstrated that the area under the curve(AUC)for Endometrial Volume(EMV)in predicting pregnancy after Ovarian Dysfunction Infertility(ODI)treatment was 0.854,with a sensitivity of 92.61%and a specificity of 71.75%.The AUC for Vascularization Index(VI)was 0.771,with a sensitivity of 52.18%and a specificity of 88.70%.The AUC for Vascularization Flow Index(VFI)of the endometrium was 0.887,with a sensitivity of 80.01%and a specificity of 69.20%.Conclusion:Three-dimensional transvaginal sonography(3D-TVS)assessment of endometrial receptivity(ER)can effectively detect ODI,and the levels of subendometrial VI and VFI demonstrate superior predictive performance for pregnancy outcomes in this condition,serving as commonly used predictive indicators for the disease.展开更多
OBJECTIVE:To evaluate the effectiveness and safety of the sequential therapy in treating infertility with polycystic ovary syndrome(PCOS)and luteal phase defects(LPD)by Yangxin Dianji decoction(养心奠基方,YXDJ-D)and N...OBJECTIVE:To evaluate the effectiveness and safety of the sequential therapy in treating infertility with polycystic ovary syndrome(PCOS)and luteal phase defects(LPD)by Yangxin Dianji decoction(养心奠基方,YXDJ-D)and Nuangong Tiaojing decoction(暖宫调经方,NGTJ-D).METHODS:This study was undertaken in the Jiangsu Province Hospital of Chinese Medicine.Altogether 90 eligible patients with PCOS and LPD were assigned to exposed group A(Chinese Medicine therapy,YXDJ-D and NGTJ-D),exposed group B(Chinese Medicine plus Western Medicine therapy),control group(Western Medicine therapy).The exposed group A adopted the sequential therapy that YXDJ-D is taken in the postmenstrual period(follicular phase)and NGTJ-D is taken in premenstrual period(luteal phase).Control group took letrozole,dydrogesterone and was given intramuscular injection of human menopausal gonadotropin,human chorionic gonadotropin.The exposed group B was treated with the above-mentioned therapy project of integrated Chinese Medicine and Western Medicine.This study lasted for 2 courses for 6 months.The primary outcomes were pregnancy rate and early abortion rate.The secondary outcomes were the Traditional Chinese Medicine(TCM)syndrome scores,estrogen(E2)and progesterone(P),endometrial volume(EV),vascularity index(VI),flow index(FI)and vascularization flow index(VFI).These outcomes will be assessed at baseline and post-intervention.RESULTS:The pregnancy rates of the exposed group A and B were higher than the control group(60.00%vs 60.00%vs 53.33%),while early abortion rates of exposed groups A and B were lower than the control group(33.33%vs 16.67%vs 43.75%,P>0.05).Total efficacy rates in exposed group A and B were better than the control group(93.30%vs 93.30%vs 53.30%,P<0.01).TCM symptom scores and endometrial receptivity indexes(EV,FI,VFI)were significantly lower in exposed groups compared to the control group(P<0.05).P increase in exposed group B was superior to the other two groups(P<0.01).No noticeable abnormalities in safety indicators in the three groups.CONCLUSION:The sequential therapy of YXDJ-D and NGTJ-D can effectively increase pregnancy rate,reduce the early abortion rate and alleviate the clinical symptoms of infertility in patients with PCOS and LPD by improving luteal function and promoting the endometrial receptivity.展开更多
Based on BERTopic Model,the paper combines qualitative and quantitative methods to explore the reception of Can Xue’s translated works by analyzing readers’book reviews posted on Goodreads and Lovereading.We first c...Based on BERTopic Model,the paper combines qualitative and quantitative methods to explore the reception of Can Xue’s translated works by analyzing readers’book reviews posted on Goodreads and Lovereading.We first collected book reviews from these two well-known websites by Python.Through topic analysis of these reviews,we identified recurring topics,including details of her translated works and appreciation of their translation quality.Then,employing sentiment and content analysis methods,the paper explored the emotional attitudes and the specific thoughts of readers toward Can Xue and her translated works.The fingdings revealed that,among the 408 reviews,though the reception of Can Xue’s translated works was relatively positive,the current level of attention and recognition remains insufficient.However,based on the research results,the paper can derive valuable insights into the translation and dissemination processes such as adjusting translation and dissemination strategies,so that the global reach of Chinese literature and culture can be better facilitated.展开更多
Objective:To assess whether personalized embryo transfer guided by endometrial receptivity array(ERA)improves implantation and pregnancy rates in women with implantation failure.Methods:This retrospective case-control...Objective:To assess whether personalized embryo transfer guided by endometrial receptivity array(ERA)improves implantation and pregnancy rates in women with implantation failure.Methods:This retrospective case-control study was conducted on women with previous implantation failure.The women were divided into two groups,i.e,women who underwent ERA and those who underwent embryo transfer without ERA testing.ERA was performed using Igenomix.ERA results were interpreted as receptive or non-receptive.Women underwent frozen embryo transfer on the 6th day of progesterone(P+5).The primary outcomes were implantation rate,clinical pregnancy rate,abortion rate,and negative pregnancy rate.Results:This study included 229 women with previous implantation failure,with 154 in the ERA group and 75 in the no ERA group.The mean age of the women of the ERA group was(32.2±4.1)years,and that of the no ERA group was(31.5±4.8)years.Women in the ERA group had a higher implantation rate(60.4%)and clinical pregnancy rate(57.1%)compared to those in the no ERA group(48.0%and 46.7%,respectively).In addition,implantation rate of the nonreceptive ERA group was higher than the no ERA group(65%vs.48%),and clinical pregnancy rate was also higher in the non-receptive ERA group than the no ERA group(65%vs.47%).The abortion rate of the no ERA group was 9%and that of the non-receptive ERA group was 10%.52%no ERA group women and 35%non-receptive ERA group women had negative pregnancy results.Conclusions:Women who have undergone personalised embryo transfer guided by ERA have a higher clinical pregnancy rate than women who have not after previous implantation failure.展开更多
BACKGROUND Despite advances in the use of in vitro fertilization-embryo transfer(ET)in couples with infertility,recurrent implantation failure(RIF)after ET is still a major problem affecting women,with great psycholog...BACKGROUND Despite advances in the use of in vitro fertilization-embryo transfer(ET)in couples with infertility,recurrent implantation failure(RIF)after ET is still a major problem affecting women,with great psychological and economic burdens for the patient and his/her family.AIM To investigate the psychological burden(anxiety and depression)and evaluate the clinical benefits of endometrial receptivity testing(ERT)in patients experiencing RIF following frozen-thawed ET.METHODS A retrospective cohort study analyzed 371 patients experiencing RIF after assisted reproductive treatment at the First People’s Hospital of Changde City between January 2021 and June 2024.Demographic and clinical data were systematically collected through standardized questionnaires.Psychological assessment utilized validated instruments:The Self-Rating Depression Scale for depression evaluation and the Self-Rating Anxiety Scale for anxiety assessment.Participants were stratified by psychological status(anxiety/non-anxiety and depression/nondepression)to analyze influencing factors for anxiety and depression.The cohort was further categorized into the ERT and non-ERT groups based on ERT implementation to comparatively analyze their clinical outcomes.Additionally,they were divided into clinical and nonclinical pregnancy groups to identify factors affecting clinical pregnancy using univariate and multivariate logistic regression models.Compared with the non-ERT group,the 226 patients who underwent ERT-guided ET achieved a higher clinical pregnancy rate,thicker endometrium on transfer day,fewer embryos transferred,and a lower miscarriage rate.RESULTS The study identified a substantial psychological burden,with anxiety prevalence at 55.0%(mean Self-Rating Anxiety Scale score,50.89±9.34)and depression at 61.2%(mean Self-Rating Depression Scale score,55.55±9.48).Multivariate analysis identified annual household income>100000 yuan as protective factors against both anxiety and depression,whereas advanced maternal age(>35 years)and multiple implantation failures(≥3)served as risk factors.Additionally,anxiety-specific risk factors included prolonged infertility treatment(>5 years)and the spouse’s status as an only child.As to depression-specific risks,chronic infertility(>3 years)and higher educational attainment(college/bachelor’s degree or higher)were key determinants,whereas urban residence was a protective factor.Age>35 years was a risk factor for clinical pregnancy in patients experiencing RIF,whereas blastocyst-stage ET,a higher number of embryos transferred,and thicker endometrium were protective factors.CONCLUSION Patients experiencing RIF are particularly susceptible to anxiety and depression,and advanced maternal age and multiple implantation failures represent salient risk factors.Clinicians should implement proactive and evidencebased interventions to mitigate these psychological burdens.For patients experiencing RIF,ERT-guided ET demonstrates significant potential to improve assisted reproductive outcomes.展开更多
With the continuous development of artificial intelligence and machine learning techniques,there have been effective methods supporting the work of dermatologist in the field of skin cancer detection.However,object si...With the continuous development of artificial intelligence and machine learning techniques,there have been effective methods supporting the work of dermatologist in the field of skin cancer detection.However,object significant challenges have been presented in accurately segmenting melanomas in dermoscopic images due to the objects that could interfere human observations,such as bubbles and scales.To address these challenges,we propose a dual U-Net network framework for skin melanoma segmentation.In our proposed architecture,we introduce several innovative components that aim to enhance the performance and capabilities of the traditional U-Net.First,we establish a novel framework that links two simplified U-Nets,enabling more comprehensive information exchange and feature integration throughout the network.Second,after cascading the second U-Net,we introduce a skip connection between the decoder and encoder networks,and incorporate a modified receptive field block(MRFB),which is designed to capture multi-scale spatial information.Third,to further enhance the feature representation capabilities,we add a multi-path convolution block attention module(MCBAM)to the first two layers of the first U-Net encoding,and integrate a new squeeze-and-excitation(SE)mechanism with residual connections in the second U-Net.To illustrate the performance of our proposed model,we conducted comprehensive experiments on widely recognized skin datasets.On the ISIC-2017 dataset,the IoU value of our proposed model increased from 0.6406 to 0.6819 and the Dice coefficient increased from 0.7625 to 0.8023.On the ISIC-2018 dataset,the IoU value of proposed model also improved from 0.7138 to 0.7709,while the Dice coefficient increased from 0.8285 to 0.8665.Furthermore,the generalization experiments conducted on the jaw cyst dataset from Quzhou People’s Hospital further verified the outstanding segmentation performance of the proposed model.These findings collectively affirm the potential of our approach as a valuable tool in supporting clinical decision-making in the field of skin cancer detection,as well as advancing research in medical image analysis.展开更多
1 Noah Verrier,a 45‑year‑old artist from Tallahassee,Florida,has made a name for himself by painting still life images of ultra‑processed food and selling them online.Verrier's social media accounts showcase his w...1 Noah Verrier,a 45‑year‑old artist from Tallahassee,Florida,has made a name for himself by painting still life images of ultra‑processed food and selling them online.Verrier's social media accounts showcase his works,which have attracted a wide audience,some of whom think highly of them and demand they should be displayed in the Louvre.展开更多
基金financially supported by the National Natural Science Foundation of China(No.32502862)the Collection,Utilization and Innovation of Animal Resources by Research Institutes and Enterprises of Chongqing(No.Cqnyncwkqlhtxm)+1 种基金the Chongqing Modern Agricultural Industry Technology System(CQMAITS202513)the Key Project of Chongqing Technology Innovation and Application Development Special Program(CTSB2025TIAD-KPX0079)。
文摘Background Endometrial receptivity(ERE)is a transient uterine state that determines the success of blastocyst implantation;however,the epigenomic regulation underlying ERE establishment in goats remains unclear.Here,we profiled transcriptional and epigenomic features of endometrial tissues from pregnant goats during the peri-implantation window and nonpregnant control goats in the regressed luteal phase to uncover the transcriptional regulatory networks responsible for ERE establishment in goats,utilizing RNA-seq,ATAC-seq,and H3 K27 ac CUT&Tag.Results A total of 3,143 differentially expressed genes(DEGs)were identified,accompanied by significant alterations in chromatin accessibility and H3 K27 ac modifications between receptive and non-receptive endometria.The targeted genes associated with these epigenetic changes were significantly enriched in pathways related to cell adhesion,immune tolerance,and embryo attachment.Motif enrichment and transcription factor(TF)footprinting analyses identified members of the FOS/JUN,SOX,HNF1,CEBP,and BATF families as candidate regulators,implicating downstream genes involved in ERE establishment,including SPP1,FOXO1,KLF4/6,STAT1,IFI6,ITGB8,PLAC8,DUSP4,NR1D1,ISG15,RUFY4,and PIK3R3.In addition,numerous super-enhancers were identified,indicating regions of high regulatory activity and potential long-range gene-enhancers interactions in the endometrium.Integration of multi-omics datasets revealed a strong correlation(r>0.7)among chromatin accessibility,H3 K27 ac activation,and the expression of 172 DEGs.Furthermore,a set of hub genes(KLF6,IFI6,MCL1,SDC4,SUSD6,MAFF,and IL6R)that appear to coordinate TF binding and distal super-enhancers activity associated with ERE establishment.Conclusions Our data provided an integrated epigenomic atlas of endometrial receptivity establishment in goats and identify candidate regulatory elements and transcription factors that may orchestrate uterine preparation for implantation.These findings offer valuable insights and testable targets for improving fertility in ruminant livestock.
文摘This study focuses on reconstructing the"reader-centered"paradigm in the teaching of high school English literary text reading,supported by Reception Aesthetics as its theoretical foundation.High school English literary text reading plays a significant role in cultivating students'language proficiency,cultural awareness,and aesthetic literacy.However,the current teaching practice in this area remains dominated by the traditional"teacher-centered"approach,which restricts students'active participation and the realization of the pluralistic value of literary texts.By integrating core concepts of Reception Aesthetics-such as"horizon of expectations,""structure of appeal,"and"interpretive community"-this research addresses the gap in existing studies,which have largely focused on the application of Reception Aesthetics in Chinese language teaching or college English instruction.Using literature research and classroom practice analysis,the study reconstructs the"reader-centered"paradigm across three dimensions:teaching objectives,teaching process,and evaluation methods.It also identifies practical challenges,including uneven student participation,time constraints,and difficulties in the teacher's role adaptation,and proposes corresponding optimization strategies.Practical results demonstrate that this paradigm effectively enhances students'reading engagement,text interpretation skills,and critical thinking.Future research may further expand text types and integrate information technology to continuously improve teaching effectiveness.
基金Supported by Zhejiang Provincial Natural Science Foundation of China(LY22F020025)the National Natural Science Foundation of China(62072126)。
文摘The Transformer has achieved great success in the field of medical image segmentation,but its quadratic computational complexity limits its application in dense medical image prediction.Recently,the receptance weighted key value(RWKV)architecture has garnered widespread attention due to its linear computational complexity and its capability of parallel computation during training.Despite the RWKV model's proficiency in addressing long-range modeling tasks with linear computational complexity,most current RWKV-based approaches employ static scanning patterns.These patterns may inadvertently incorporate biased prior knowledge into the model's predictions.To address this challenge,we propose a multi-head scan strategy combined with padding methods to effectively simulate spatial continuity in 2D images.Within the Feature Aggregation Attention(FAA)module,asymmetric convolutions are designed to aggregate 1D sequence features along a single dimension,thereby expanding effective receptive fields while preserving structural sparsity.Additionally,panoramic token shift(P-Shift)effectively models local dependency relationships by moving tokens from a wide receptive field.Extensive experiments conducted on the ISIC17/18 and ACDC datasets demonstrate that our method exhibits superior performance in dense medical image prediction tasks.
基金The National Natural Science Foundation of China(No.62261032)the Central Government Guiding Funds for Local Scienceand Technology Development Program(No.25ZYJA026).
文摘Current image inpainting models are primarily designed to achieve a large receptive field(RF)using refinement networks to incorporate different scales.However,these models fail to adapt the use of different RFs to the specific patterns of image damage,resulting in artifacts and semantic information confusion in repaired images.To address the problems of artifacts and semantic information confusion,inspired by different sensitivities of different RFs to inpainting the same image damaged patterns,this study proposes an image inpainting method based on multiple receptive fields(MRFs)and dynamic matching of damaged patterns.First,the parallel filter banks are used to extract the MRF feature groups.Second,the features are dynamically weighted and screened,guided by the mask image,to construct a relationship that adaptively matches the most relevant RF to each specific damaged pattern.A fast Fourier convolution based decoder is used to enhance the fusion of global contextual features during the reconstruction of high dimensional features into low dimensional images.Comparative experimental results show that the proposed method achieves better subjective and objective inpainting results on three public datasets:Paris StreetView,CelebA-HQ,and Places2.
基金Supported by Special Funds for Basic Scientific Research of Central Public Welfare Research Institutes:201814006。
文摘Objective:This study aimed to explore the clinical effect of acupuncture therapy for menstruation regu-lation and pregnancy promotion on thin endometrium in the real world.Design:This study is a single-center pragmatic randomized controlled trial blinded to the statisticians.Using the“blockrand”software package,based on the age(≥35,<35),37 patients were randomized into an intervention group(19 cases)and a control group(18 cases).After reassignment regarding patient preference,21 patients were included in the intervention group and 16 in the control group.Setting:The trial was executed in the Specialty Outpatient Clinic,Acupuncture-Moxibustion Hospital of China Academy of Chinese Medical Sciences,from March 1,2019,to September 30,2020.Participants:The study included 37 patients with thin endometrium and without previous acupuncture treatment.Intervention:The intervention group was administered acupuncture for menstruation regulation and pregnancy promotion and a small-dose of progynova(2 mg daily),while the control group was adminis-tered a large-dose of progynova(4 mg daily).Interventions started from Day 5 of menstruation until the end of ovulation under B-ultrasound monitoring.The intervention lasted for three menstrual cycles.Measurements:Primary outcomes were changes in endometrial thickness between baseline and after intervention completion and the difference between the two groups after intervention.The secondary outcomes were endometrial and subendometrial blood flow,serum estradiol levels,menstrual conditions,and adverse reactions.Results:(1)Comparison of each indicator before and after intervention completion in the two groups:in the intervention group,the differences were significant in endometrial thickness,menstrual score,estra-diol(E2)level in ovulatory period,the pulsatility index(PI)and resistance index(RI)of uterine artery,the ratio of peak systolic velocity to end-diastolic velocity(S/D),the endometrial vascular index(VI),flow index(FI),and vascular flow index(VFI)and volume(P<0.01).In the control group,significant changes were observed in endometrial thickness,menstrual score,and E2 before and after the interven-tion(P<0.05),and no differences were observed in uterine artery PI,RI,S/D and endometrial VI,FI,VFI,and volume(P>0.05).Compared with the control group,the intervention group showed significant differences in endometrial thickness,menstrual score,E2,uterine artery PI,RI,S/D,and endometrial VI,FI,VFI,and volume after intervention(P<0.01).No adverse reactions were reported in the intervention group.In contrast,the control group had two cases of nausea and gastrointestinal discomfort after med-ication,eight cases of breast distention during medication,and one case of breast nodules enlarged by 1 cm after trial completion.
基金supported by the China Agriculture Research System(CARS-35-PIG)the National Natural Science Foundation of China(32272847,U22A20516)+1 种基金the National Key Research and Development Program of China(No.2021YFF1000602)the Key Research and Development Program of Shaanxi Province(No.2022ZDLNY01–04)。
文摘Background Increased backfat thickness of sows in early gestation is negative to reproductive performance.Endometrial receptivity is an important determinant of reproductive success,but it is unclear whether the effect of sow backfat thickness on litter size is associated with endometrial receptivity and whether melatonin treatment may have benefits.The present study seeks to answer these questions through in vitro and in vivo investigations.Results Excessive lipid deposition and lower melatonin levels in the uterus are detrimental to endometrial receptivity and embryo implantation in high backfat thickness sows.In cells treated with melatonin,the MT2/PI3K/LIF axis played a role in reducing lipid accumulation in porcine endometrial epithelium cells and improved endometrial receptivity.Furthermore,we found a reduction of lipids in the uterus after eight weeks of intraperitoneal administration of melatonin to HFD mice.Notably,melatonin treatment caused a significant reduction in the deposition of endometrial collagen,an increase in the number of glands,and repair of the pinopode structure,ultimately improving endometrial receptivity,promoting embryo implantation,and increasing the number of litter size of mice.Conclusions Collectively,the finding reveals the harmful effects of high backfat thickness sows on embryo implantation and highlight the role of melatonin and the MT2/PI3K/LIF axis in improving endometrial receptivity by enhancing metabolism and reducing the levels of uterine lipids in obese animals.
基金supported in part by the National Science Foundation of China(52371372)the Project of Science and Technology Commission of Shanghai Municipality,China(22JC1401400,21190780300)the 111 Project,China(D18003)
文摘Dear Editor,This letter focuses on the fact that small objects with few pixels disappear in feature maps with large receptive fields, as the network deepens, in object detection tasks. Therefore, the detection of dense small objects is challenging.
基金supported by the National Natural Science Foundation of China(Nos.62276204 and 62203343)the Fundamental Research Funds for the Central Universities(No.YJSJ24011)+1 种基金the Natural Science Basic Research Program of Shanxi,China(Nos.2022JM-340 and 2023-JC-QN-0710)the China Postdoctoral Science Foundation(Nos.2020T130494 and 2018M633470).
文摘Drone-based small object detection is of great significance in practical applications such as military actions, disaster rescue, transportation, etc. However, the severe scale differences in objects captured by drones and lack of detail information for small-scale objects make drone-based small object detection a formidable challenge. To address these issues, we first develop a mathematical model to explore how changing receptive fields impacts the polynomial fitting results. Subsequently, based on the obtained conclusions, we propose a simple but effective Hybrid Receptive Field Network (HRFNet), whose modules include Hybrid Feature Augmentation (HFA), Hybrid Feature Pyramid (HFP) and Dual Scale Head (DSH). Specifically, HFA employs parallel dilated convolution kernels of different sizes to extend shallow features with different receptive fields, committed to improving the multi-scale adaptability of the network;HFP enhances the perception of small objects by capturing contextual information across layers, while DSH reconstructs the original prediction head utilizing a set of high-resolution features and ultrahigh-resolution features. In addition, in order to train HRFNet, the corresponding dual-scale loss function is designed. Finally, comprehensive evaluation results on public benchmarks such as VisDrone-DET and TinyPerson demonstrate the robustness of the proposed method. Most impressively, the proposed HRFNet achieves a mAP of 51.0 on VisDrone-DET with 29.3 M parameters, which outperforms the extant state-of-the-art detectors. HRFNet also performs excellently in complex scenarios captured by drones, achieving the best performance on the CS-Drone dataset we built.
基金National Natural Science Foundation of China(31930103)National Center of Technology Innovation for Pigs(NCTIP-XD/B03)+2 种基金Ningbo Major Science and Technology Project(2021Z112)National Key R&D Program(2022YFD1300303)Beijing Innovation Consortium of Livestock Research System BAIC05-2024.
文摘Background Exogenous gonadotropin-controlled ovarian stimulation is the critical step in animal reproductive management,such as pig,sheep,bovine and other species.It helps synchronize ovulation or stimulate multiple ovu-lations.However,a number of evidence indicated an unexpected decrease in pregnancy outcomes following ovarian stimulation.This study aimed to explore the underlying mechanism of the pregnancy defect and develop a practical rescue strategy.Results Compared with those in the control group,gilts that underwent ovarian stimulation showed a decrease in pregnancy rate,farrowing rate,and total number of piglets born.Stimulated gilts also showed an increase in estra-diol(E_(2))levels.The supraphysiologicalE_(2) level was correlated with the decrease in the number of piglets born.Furthermore,we found that high levels ofE_(2) impair uterine receptivity,as shown by the overproliferation of endo-metrial epithelial cells.In vitro mechanistic studies demonstrated that high levels ofE_(2) hyperactivate FGF-FGFR-ERK signaling cascade in the uterine endometrium,and in turn induces overproliferation of endometrial epithelial cells.Of note,N-acetyl-L-cysteine(NAC)supplementation effectively inhibits ERK hyperphosphorylation and ameliorates endometrial epithelial overproliferation.Importantly,in vivo experiments indicated that dietary NAC supplementa-tion,compared with ovarian stimulation group,improves the uterine receptivity in gilts,and significantly increases the pregnancy rate and total number of piglets born.Conclusions Ovarian stimulation-induced supraphysiological levels ofE_(2) impairs uterine receptivity by hyperactivat-ing FGF-FGFR-ERK signaling cascade,thereby reducing pregnancy rate and litter size.Supplementing NAC to a con-ventional diet for gilts ameliorates hyperactivated ERK signaling and improves uterine receptivity,thus rescuing adverse pregnancy outcomes following ovarian stimulation.
基金supported by the National Natural Science Foundation of China(GrantNo.12072231).
文摘Hypersonic boundary-layer receptivity to freestream entropy and vorticity waves is investigated using direct numerical simula-tions for a Mach 6 flow over a 5.08 mm nose radius cone.Two frequencies of 33 kHz and 150 kHz are considered to be rep-resentative of the first and second instability modes,respectively.For the first mode,wall pressure fluctuations for both entropy and vorticity wave cases exhibit a strong modulation yet without a growing trend,indicating that the first mode is not generated despite its instability predicted by linear stability theory.The potential reason for this is the absence of postshock slow acoustic waves capable of synchronizing with the first mode.By contrast,for the second mode,a typical three-stage boundary-layer response is observed,consistent with that to slow acoustic waves studied previously.Furthermore,the postshock disturbances outside the boundary layer can be decomposed into the entropy(density/temperature fluctuations)and vorticity components(ve-locity fluctuations),and the latter is shown to play a leading role in generating the second mode,even for the case with entropy waves where the density/temperature fluctuations dominate the postshock regions.
文摘This paper explores the divergent receptions of Lu Xun in China and the Anglophone world,examining how his image has been constructed,exalted,and contested across ideological and cultural boundaries.In China,Lu Xun is revered as a literary saint and revolutionary prophet,with his contributions to the New Culture Movement and critiques of feudalism canonized in public memory.In contrast,Anglophone scholarship has deconstructed his figure,focusing on translation politics,Cold War anxieties,postcolonial theory,and aesthetic modernism.Western critics have examined his ethical ambiguities,ideological complexities,and the aesthetic tensions in his work.This comparative analysis highlights how Lu Xun’s legacy reflects both the complexity of his work and the cultural,theoretical,and political contexts of his interpreters.
文摘This concise paper,delivered at a conference,addresses a broad topic with the goal of providing a condensed and inevitably subjective perspective.Initially,it outlines the primary characteristics that distinguish coins from other historical sources.Subsequently,it provides a succinct overview of numismatics,categorized into seven phases:1.Pre-1550(coins as reflections of vice and virtue);2.From circa 1550 to circa 1620(coins as testimony of authentic history);3.From circa 1650 to circa 1730(the heyday of the“Republic of Medals”);4.From circa 1730 to circa 1840(the decline of the“Republic of Medals”and the emergence of scientific practices by Viennese Jesuits);5.From circa 1840 to circa 1940(die-studies and art history);6.From circa 1940 to circa 2000(coins as instruments of exchange);7.Since 2000(cultural shift and digital humanities).
文摘Objective:To analyze the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)in evaluating endometrial receptivity(ER)for ovulation disorder infertility(ODI),and to investigate the impact of subendometrial endometrial vascular index(VI)and endometrial vascular flow index(VFI)levels on ODI.Methods:A total of 110 patients diagnosed with ODI admitted between January 2023 and June 2024 were selected.All patients underwent ovulation induction therapy,3D-TVS examination,and sex hormone testing.Based on pregnancy outcomes,patients were divided into a successful pregnancy group(73 cases)and an unsuccessful pregnancy group(37 cases).ER parameters,sex hormone levels,and endometrial blood flow patterns were compared between the two groups.Receiver operating characteristic(ROC)curves were plotted to evaluate the predictive value of ER for ODI.Results:The spiral artery peak systolic velocity(PSV),endometrial volume(EMV),endometrial flow index(FI),and VFI in the successful pregnancy group were significantly higher than those in the unsuccessful pregnancy group(p<0.05).No significant differences were observed in other ER parameters between the two groups(p>0.05).There was no significant difference in sex hormone levels between the two groups on the day of human chorionic gonadotropin(hCG)treatment(p>0.05).Among the endometrial blood flow classifications in the pregnant group,the proportion of Type II was lower than that in the nonpregnant group(p<0.05).The Receiver Operating Characteristic(ROC)curve demonstrated that the area under the curve(AUC)for Endometrial Volume(EMV)in predicting pregnancy after Ovarian Dysfunction Infertility(ODI)treatment was 0.854,with a sensitivity of 92.61%and a specificity of 71.75%.The AUC for Vascularization Index(VI)was 0.771,with a sensitivity of 52.18%and a specificity of 88.70%.The AUC for Vascularization Flow Index(VFI)of the endometrium was 0.887,with a sensitivity of 80.01%and a specificity of 69.20%.Conclusion:Three-dimensional transvaginal sonography(3D-TVS)assessment of endometrial receptivity(ER)can effectively detect ODI,and the levels of subendometrial VI and VFI demonstrate superior predictive performance for pregnancy outcomes in this condition,serving as commonly used predictive indicators for the disease.
基金Supported by National Natural Science Foundation of China:Elucidation of a New Mechanism of the Prescription for Reinforcing Kidney and Promoting Pregnancy (Bushen Zhuyun Decoction) in Treating Luteal Phase Defects Infertility based on Coenzyme Q10/Ubiquinol Mediated New Ferroptosis Pathway in Endometrium During Implantation (No. 82474567)Jiangsu Province Key Research and Development Plan (Society Development) Project:a Multicenter Real-world Study of Sequential Treatment of Luteal Phase Defects Infertility with “Improving Endometrial Receptivity” as the Effect Point (No. BE2021726)Project of Clinical Innovation Center of Traditional Chinese Medicine in Jiangsu Province:Clinical And Basic Research on the Treatment of Luteal Phase Defects Infertility with “Improving Endometrial Receptivity” as the Effect Point (No. k2021j18-1)
文摘OBJECTIVE:To evaluate the effectiveness and safety of the sequential therapy in treating infertility with polycystic ovary syndrome(PCOS)and luteal phase defects(LPD)by Yangxin Dianji decoction(养心奠基方,YXDJ-D)and Nuangong Tiaojing decoction(暖宫调经方,NGTJ-D).METHODS:This study was undertaken in the Jiangsu Province Hospital of Chinese Medicine.Altogether 90 eligible patients with PCOS and LPD were assigned to exposed group A(Chinese Medicine therapy,YXDJ-D and NGTJ-D),exposed group B(Chinese Medicine plus Western Medicine therapy),control group(Western Medicine therapy).The exposed group A adopted the sequential therapy that YXDJ-D is taken in the postmenstrual period(follicular phase)and NGTJ-D is taken in premenstrual period(luteal phase).Control group took letrozole,dydrogesterone and was given intramuscular injection of human menopausal gonadotropin,human chorionic gonadotropin.The exposed group B was treated with the above-mentioned therapy project of integrated Chinese Medicine and Western Medicine.This study lasted for 2 courses for 6 months.The primary outcomes were pregnancy rate and early abortion rate.The secondary outcomes were the Traditional Chinese Medicine(TCM)syndrome scores,estrogen(E2)and progesterone(P),endometrial volume(EV),vascularity index(VI),flow index(FI)and vascularization flow index(VFI).These outcomes will be assessed at baseline and post-intervention.RESULTS:The pregnancy rates of the exposed group A and B were higher than the control group(60.00%vs 60.00%vs 53.33%),while early abortion rates of exposed groups A and B were lower than the control group(33.33%vs 16.67%vs 43.75%,P>0.05).Total efficacy rates in exposed group A and B were better than the control group(93.30%vs 93.30%vs 53.30%,P<0.01).TCM symptom scores and endometrial receptivity indexes(EV,FI,VFI)were significantly lower in exposed groups compared to the control group(P<0.05).P increase in exposed group B was superior to the other two groups(P<0.01).No noticeable abnormalities in safety indicators in the three groups.CONCLUSION:The sequential therapy of YXDJ-D and NGTJ-D can effectively increase pregnancy rate,reduce the early abortion rate and alleviate the clinical symptoms of infertility in patients with PCOS and LPD by improving luteal function and promoting the endometrial receptivity.
基金supported by the 2023 Youth Fund for Humanities and Social Sciences Research by the Ministry of Education of the People’s Republic of China(Grant No.23YJC740004).
文摘Based on BERTopic Model,the paper combines qualitative and quantitative methods to explore the reception of Can Xue’s translated works by analyzing readers’book reviews posted on Goodreads and Lovereading.We first collected book reviews from these two well-known websites by Python.Through topic analysis of these reviews,we identified recurring topics,including details of her translated works and appreciation of their translation quality.Then,employing sentiment and content analysis methods,the paper explored the emotional attitudes and the specific thoughts of readers toward Can Xue and her translated works.The fingdings revealed that,among the 408 reviews,though the reception of Can Xue’s translated works was relatively positive,the current level of attention and recognition remains insufficient.However,based on the research results,the paper can derive valuable insights into the translation and dissemination processes such as adjusting translation and dissemination strategies,so that the global reach of Chinese literature and culture can be better facilitated.
文摘Objective:To assess whether personalized embryo transfer guided by endometrial receptivity array(ERA)improves implantation and pregnancy rates in women with implantation failure.Methods:This retrospective case-control study was conducted on women with previous implantation failure.The women were divided into two groups,i.e,women who underwent ERA and those who underwent embryo transfer without ERA testing.ERA was performed using Igenomix.ERA results were interpreted as receptive or non-receptive.Women underwent frozen embryo transfer on the 6th day of progesterone(P+5).The primary outcomes were implantation rate,clinical pregnancy rate,abortion rate,and negative pregnancy rate.Results:This study included 229 women with previous implantation failure,with 154 in the ERA group and 75 in the no ERA group.The mean age of the women of the ERA group was(32.2±4.1)years,and that of the no ERA group was(31.5±4.8)years.Women in the ERA group had a higher implantation rate(60.4%)and clinical pregnancy rate(57.1%)compared to those in the no ERA group(48.0%and 46.7%,respectively).In addition,implantation rate of the nonreceptive ERA group was higher than the no ERA group(65%vs.48%),and clinical pregnancy rate was also higher in the non-receptive ERA group than the no ERA group(65%vs.47%).The abortion rate of the no ERA group was 9%and that of the non-receptive ERA group was 10%.52%no ERA group women and 35%non-receptive ERA group women had negative pregnancy results.Conclusions:Women who have undergone personalised embryo transfer guided by ERA have a higher clinical pregnancy rate than women who have not after previous implantation failure.
文摘BACKGROUND Despite advances in the use of in vitro fertilization-embryo transfer(ET)in couples with infertility,recurrent implantation failure(RIF)after ET is still a major problem affecting women,with great psychological and economic burdens for the patient and his/her family.AIM To investigate the psychological burden(anxiety and depression)and evaluate the clinical benefits of endometrial receptivity testing(ERT)in patients experiencing RIF following frozen-thawed ET.METHODS A retrospective cohort study analyzed 371 patients experiencing RIF after assisted reproductive treatment at the First People’s Hospital of Changde City between January 2021 and June 2024.Demographic and clinical data were systematically collected through standardized questionnaires.Psychological assessment utilized validated instruments:The Self-Rating Depression Scale for depression evaluation and the Self-Rating Anxiety Scale for anxiety assessment.Participants were stratified by psychological status(anxiety/non-anxiety and depression/nondepression)to analyze influencing factors for anxiety and depression.The cohort was further categorized into the ERT and non-ERT groups based on ERT implementation to comparatively analyze their clinical outcomes.Additionally,they were divided into clinical and nonclinical pregnancy groups to identify factors affecting clinical pregnancy using univariate and multivariate logistic regression models.Compared with the non-ERT group,the 226 patients who underwent ERT-guided ET achieved a higher clinical pregnancy rate,thicker endometrium on transfer day,fewer embryos transferred,and a lower miscarriage rate.RESULTS The study identified a substantial psychological burden,with anxiety prevalence at 55.0%(mean Self-Rating Anxiety Scale score,50.89±9.34)and depression at 61.2%(mean Self-Rating Depression Scale score,55.55±9.48).Multivariate analysis identified annual household income>100000 yuan as protective factors against both anxiety and depression,whereas advanced maternal age(>35 years)and multiple implantation failures(≥3)served as risk factors.Additionally,anxiety-specific risk factors included prolonged infertility treatment(>5 years)and the spouse’s status as an only child.As to depression-specific risks,chronic infertility(>3 years)and higher educational attainment(college/bachelor’s degree or higher)were key determinants,whereas urban residence was a protective factor.Age>35 years was a risk factor for clinical pregnancy in patients experiencing RIF,whereas blastocyst-stage ET,a higher number of embryos transferred,and thicker endometrium were protective factors.CONCLUSION Patients experiencing RIF are particularly susceptible to anxiety and depression,and advanced maternal age and multiple implantation failures represent salient risk factors.Clinicians should implement proactive and evidencebased interventions to mitigate these psychological burdens.For patients experiencing RIF,ERT-guided ET demonstrates significant potential to improve assisted reproductive outcomes.
基金funded by Zhejiang Basic Public Welfare Research Project,grant number LZY24E060001supported by Guangzhou Development Zone Science and Technology(2021GH10,2020GH10,2023GH02)+1 种基金the University of Macao(MYRG2022-00271-FST)the Science and Technology Development Fund(FDCT)of Macao(0032/2022/A).
文摘With the continuous development of artificial intelligence and machine learning techniques,there have been effective methods supporting the work of dermatologist in the field of skin cancer detection.However,object significant challenges have been presented in accurately segmenting melanomas in dermoscopic images due to the objects that could interfere human observations,such as bubbles and scales.To address these challenges,we propose a dual U-Net network framework for skin melanoma segmentation.In our proposed architecture,we introduce several innovative components that aim to enhance the performance and capabilities of the traditional U-Net.First,we establish a novel framework that links two simplified U-Nets,enabling more comprehensive information exchange and feature integration throughout the network.Second,after cascading the second U-Net,we introduce a skip connection between the decoder and encoder networks,and incorporate a modified receptive field block(MRFB),which is designed to capture multi-scale spatial information.Third,to further enhance the feature representation capabilities,we add a multi-path convolution block attention module(MCBAM)to the first two layers of the first U-Net encoding,and integrate a new squeeze-and-excitation(SE)mechanism with residual connections in the second U-Net.To illustrate the performance of our proposed model,we conducted comprehensive experiments on widely recognized skin datasets.On the ISIC-2017 dataset,the IoU value of our proposed model increased from 0.6406 to 0.6819 and the Dice coefficient increased from 0.7625 to 0.8023.On the ISIC-2018 dataset,the IoU value of proposed model also improved from 0.7138 to 0.7709,while the Dice coefficient increased from 0.8285 to 0.8665.Furthermore,the generalization experiments conducted on the jaw cyst dataset from Quzhou People’s Hospital further verified the outstanding segmentation performance of the proposed model.These findings collectively affirm the potential of our approach as a valuable tool in supporting clinical decision-making in the field of skin cancer detection,as well as advancing research in medical image analysis.
文摘1 Noah Verrier,a 45‑year‑old artist from Tallahassee,Florida,has made a name for himself by painting still life images of ultra‑processed food and selling them online.Verrier's social media accounts showcase his works,which have attracted a wide audience,some of whom think highly of them and demand they should be displayed in the Louvre.
