The serrated flow behavior,known as the Portevin-Le Chatelier(PLC)effect,is commonly observed during high-temperature deformation.In this study,we report a serrated flow behavior in FeCoCrNiMo0.2 high-entropy alloy(HE...The serrated flow behavior,known as the Portevin-Le Chatelier(PLC)effect,is commonly observed during high-temperature deformation.In this study,we report a serrated flow behavior in FeCoCrNiMo0.2 high-entropy alloy(HEA),which is mediated by nano-twinning and phase transformation at cryogenic temperatures.During uniaxial tensile deformation at 77 K,the alloy exhibited the formation of high-density deformation nano-twinning,cross-twinning,stacking faults(SFs)and Lomer-Cottrell locks(L-C locks).Additionally,the lower stacking fault energy(SFE)at low temperatures promotes the formation of the 9R phase.The high-density twin boundaries effectively hinder dislocation movement,leading to the instability of plastic deformation and promoting the serrated flow behavior.Furthermore,the rapid and unstable transformation of the 9R phase contributes to the pronounced serrated flow behavior.Nano-twinning,SFs,cross-twinning,L-C locks and 9R phase collectively induce a dynamic Hall-Petch effect,enhancing the strength-ductility synergy and strain-hardening ability of deformed alloy at 77 K.Our work provides valuable insights into the mechanism of tensile deformation at cryogenic temperatures in single-phase FCC HEA.展开更多
BACKGROUND Serrated polyposis syndrome(SPS)is a polyposis condition with neoplastic potential,but its psychological impact is not well understood.AIM To assess health anxiety prevalence in a regional Australian cohort...BACKGROUND Serrated polyposis syndrome(SPS)is a polyposis condition with neoplastic potential,but its psychological impact is not well understood.AIM To assess health anxiety prevalence in a regional Australian cohort of SPS patients and explore factors influencing it,including workforce impacts of regular surveillance.METHODS This cross-sectional study screened patients aged 18-65 undergoing colonoscopy in a regional gastroenterology practice between January 2015 and June 2022.Eligible SPS patients were invited to participate.Data included the Short Health Anxiety Inventory,employment status,and previous demographic and medical findings.RESULTS Health anxiety was found in 21.57%of SPS patients,with anxious patients being significantly more concerned about surveillance(OR=7.70).Patients lost an average of 11.04 work hours per colonoscopy.CONCLUSION Health anxiety in SPS patients aligns with rates in other gastroenterology populations.Identifying it may improve management,though further research is needed to better understand prevalence and care improvements.展开更多
Due to the gradually prominent impact of fracture characteristics and serrated yielding in the application of nickel-based superalloys,the hot tensile properties of Inconel 718 superalloy were studied,including fractu...Due to the gradually prominent impact of fracture characteristics and serrated yielding in the application of nickel-based superalloys,the hot tensile properties of Inconel 718 superalloy were studied,including fracture behavior,mechanical properties,and plastic behavior.The experiments adopted three heat treatment regimes and two tensile directions.Results show that various heat treatments make grain sizes different.The larger-sized grains make the vertical surface uneven,which also decrease the number of grain boundaries and carbides,restricting the occurrence of dimples and ultimately reducing the material plasticity.The reduced grain boundaries can decrease dislocations,increase the demand for thermal activation energy,and transform the serration mode of serrated yielding.In addition,various heat treatments also make precipitates different.Carbides can promote the formation of dimples.The needle-shaped δ phase precipitates at grain boundaries and twin boundaries,and slightly inclines towards the rolling direction.Therefore,its pinning effect is outstanding along the transverse direction,which can affect the dimple aggregation and the dislocation movement,ultimately exhibiting anisotropy in fracture characteristics,mechanical properties,and serrated yielding.展开更多
This editorial discusses Thompson et al's original article,which is published in the most recent edition of the World Journal of Clinical Oncology and sheds critical light on the intertwined issues of health anxie...This editorial discusses Thompson et al's original article,which is published in the most recent edition of the World Journal of Clinical Oncology and sheds critical light on the intertwined issues of health anxiety and work loss in individuals diagnosed with serrated polyposis syndrome(SPS).SPS is rare,characterized by the development of multiple serrated colorectal polyps.This editorial provides an overview of SPS,including its pathophysiology,clinical presentation,diagnostic criteria,management strategies,and the psychosocial impact.SPS is linked to molecular alterations,which drive carcinogenesis.Colonoscopy and histological analysis are used for diagnosis.Genetic testing is also considered where there is a family history.Quality of life can be greatly impacted by the psychosocial effects of SPS,especially health anxiety.Further understanding of the molecular mechanisms and creating individualized surveillance are required.展开更多
BACKGROUND Traditional serrated adenoma(TSA)is a rare and precancerous lesion of colorectal cancer.The clinical and endoscopic differentiations between TSAs without dysplasia or adenocarcinoma(TSAOs)and TSAs with dysp...BACKGROUND Traditional serrated adenoma(TSA)is a rare and precancerous lesion of colorectal cancer.The clinical and endoscopic differentiations between TSAs without dysplasia or adenocarcinoma(TSAOs)and TSAs with dysplasia or adenocarcinoma(TSADs)remain unclear.AIM To evaluate the characteristics of colorectal TSAs and compare the characteristics of TSAOs with those of TSADs.METHODS This retrospective study included 193 patients who underwent endoscopic resection and received a pathologic diagnosis of TSA.We reviewed the medical,endoscopic,and histopathologic records of patients who underwent endoscopic resection of TSAs between January 2010 and December 2023.RESULTS TSAs were more frequently located in the rectosigmoid colon.Most TSAs had 0-Ip,0-Isp,or 0-Is morphologies.The TSAD lesions were larger than TSAO lesions.TSAD lesions more commonly had a red color and an irregular border than TSAO lesions.TSAOs were usually treated using conventional endoscopic mucosal resection,whereas TSADs were treated using conventional endoscopic mucosal resection,endoscopic submucosal dissection,and surgery.Post-polypectomy bleeding was more common with TSADs than with TSAOs.Univariate analysis showed that gastrointestinal bleeding,red color,0-IIa,irregular border,and lobular mucosal surface were significantly associated with TSADs.Multivariate analysis showed that gastrointestinal bleeding,an irregular border,and a lobular mucosal surface were significantly associated with TSADs.CONCLUSION TSAs with gastrointestinal bleeding,an irregular border,and a lobular mucosal surface are associated with an increased risk of dysplasia or adenocarcinoma.展开更多
BACKGROUND According to the guidelines in the United States,individuals with a family history of colorectal cancer should be screened at the age of 40 years.Data on the prevalence of adenomas and sessile serrated lesi...BACKGROUND According to the guidelines in the United States,individuals with a family history of colorectal cancer should be screened at the age of 40 years.Data on the prevalence of adenomas and sessile serrated lesions(SSLs)in individuals aged 40-49 years in Japan are lacking.AIM To investigate the effect of family history on the detection of adenomas and SSLs during colonoscopy in Japan.METHODS This retrospective,single-center cohort study included individuals aged 40-79 years who underwent colonoscopy by expert endoscopists with an adenoma detection rate(ADR)≥40%between 2021 and 2024.The ADR and adenoma plus SSL detection rate(ASDR)were investigated according to age.Multivariable analyses were performed to examine the effects of first-degree family history of colorectal cancer,fecal immunochemical test,and sex on the ADR and ASDR for each age group.A binomial logistic regression model was used.RESULTS In 10248 participants,the overall ADR and ASDR were 53.6%and 59.1%,respectively.The ADR and ASDR increased with age.Among 2317 participants aged 40-49 years,the presence of a family history significantly increased the ADR(47.6%vs 38.2%).The odds ratio of a family history for the ADR adjusted by sex and fecal immunochemical test was 1.59(95%confidence interval:1.13-2.25).In contrast,there was no significant association between the ADR and family history in participants aged 50-59,60-69,and 70-79 years.Similarly,a family history significantly increased the ASDR(58.0%vs 43.7%)in participants aged 40-49 years.The odds ratio of a family history for the ASDR was 1.92(95%confidence interval:1.36-2.71).CONCLUSION Participants with a family history exhibited significantly elevated ADR(47.6%)and ASDR(58.0%),in their 40s.Individuals with a family history should initiate colonoscopy at 40 years old.展开更多
The effects of rejuvenation heat treatment(RHT)on the serrated flow behavior and fracture mode of nickel-based superalloys(R26)were investigated by tensile tests and microstructural characterization.The serrated flow ...The effects of rejuvenation heat treatment(RHT)on the serrated flow behavior and fracture mode of nickel-based superalloys(R26)were investigated by tensile tests and microstructural characterization.The serrated flow activation energies were determined to be 41−72 and 64−81 kJ/mol before and after RHT,respectively.Dynamic strain aging in the alloy is caused by the diffusion of carbon atoms into dislocation channels in the nickel matrix.Before RHT,carbides are concentrated at the grain boundaries.Cracks initiate from these carbides and propagate along the grain boundaries.RHT dissolves carbides at grain boundaries,transferring crack initiation to the precipitated phase group in the grains.RHT increases carbon atom concentration in the nickel matrix,enhancing dynamic strain aging and serrated flow behavior.展开更多
Some studies have reported that approximately 50%of appendiceal lesions are sessile serrated lesions(SSLs).Traditionally,surgical intervention has been the preferred method.Endoscopic procedures such as endoscopic muc...Some studies have reported that approximately 50%of appendiceal lesions are sessile serrated lesions(SSLs).Traditionally,surgical intervention has been the preferred method.Endoscopic procedures such as endoscopic mucosal resection(EMR)serve as alternative treatments for lesions at the appendiceal orifice(AO).However,EMR is not appropriate when the lesion margin within the AO cannot be visualized.When lesions extend into the lumen,extended laparoscopic appendectomy(ELA)or combined surgery can be used to resect the lesions.Compared with traditional surgery and EMR,ELA or combined surgery is a safer and more precise option that preserves the function of the ileocecal region.However,the need for coordination between surgeons and endoscopists,along with the requirement for staged procedures and multiple bowel preparations,increases the complexity of the treatment.In recent years,with the advancement of endoscopic full-thickness resection,endoscopic transcecal appendectomy(ETA)has been used to treat SSLs involving the AO.The use of choledochoscopy in conjunction with ETA can further enhance treatment precision.This integrated approach holds promise for replacing the combined endoscopic and laparoscopic surgical techniques.However,additional data are required to confirm its safety and efficacy.展开更多
BACKGROUND Sessile serrated lesions(SSLs)are premalignant polyps implicated in up to 30%of colorectal cancers.Australia reports high SSL detection rates(SSL-DRs),yet with marked variability(3.1%-24%).This substantial ...BACKGROUND Sessile serrated lesions(SSLs)are premalignant polyps implicated in up to 30%of colorectal cancers.Australia reports high SSL detection rates(SSL-DRs),yet with marked variability(3.1%-24%).This substantial variation raises concerns about missed lesions and post-colonoscopy colorectal cancer.This study investigates determinants associated with SSL-DR variation in regional Australia.AIM To study how patient,clinical,and colonoscopy factors are associated with SSL detection in a regional Australian practice.We aimed to contribute high-detection data to the literature by analyzing the association of SSL detection with various determinants.METHODS This retrospective,cross-sectional analysis examined 1450 colonoscopies performed at Port Macquarie Gastroenterology during 2023.Sigmoidoscopies and repeat procedures were excluded.Multivariate logistic regression analyzed associations between SSL detection and patient demographics,clinical indications,procedural factors,and comorbidities.RESULTS The overall SSL-DR was 30.7%.Multivariate analysis identified several independent predictors:Clinical indication,bowel preparation quality,inflammatory bowel disease status,and serrated polyposis syndrome.The faecal occult blood test positive(FOBT)(+)cohort showed the highest predicted SSL detection probability(39.8%),while clinical symptoms showed the lowest(22.3%).After adjustment,SSL detection odds were 2.3 times greater among FOBT(+)patients than those with clinical symptoms(adjusted odds ratio=2.30,95%confidence interval:1.20-4.40,P=0.004).CONCLUSION SSL-DR as a quality indicator requires contextualization regarding clinical indications,bowel preparation quality,and comorbidities.There was a significantly higher prevalence of SSLs in FOBT(+)patients.Despite comprehensive adjustment,this study cannot fully explain the wide SSL-DR variation in Australia,highlighting the need for standardized detection protocols and further research to ensure optimal cancer prevention outcomes.展开更多
[Background]High harmonic cavities are widely used in electron storage rings to lengthen thebunch,lower the bunch peak current,thereby reducing the IBS effect,enhancing the Touschek lifetime,as well asproviding Landau...[Background]High harmonic cavities are widely used in electron storage rings to lengthen thebunch,lower the bunch peak current,thereby reducing the IBS effect,enhancing the Touschek lifetime,as well asproviding Landau damping,which is particularly important for storage rings operating with ultra-low emittance or atlow beam energy.[Purpose]To further increase the bunch length without additional hardware costs,the phasemodulation in a dual-RF system is considered.[Methods]In this paper,turn-by-turn simulations incorporating randomsynchrotron radiation excitation are conducted,and a brief analysis is presented to explain the bunch lengtheningmechanism.[Results]Simulation results reveal that the peak current can be further reduced,thereby mitigating IBSeffects and enhancing the Touschek lifetime.Although the energy spread increases,which tends to reduce thebrightness of higher-harmonic radiation from the undulator,the brightness of the fundamental harmonic can,in fact,beimproved.展开更多
A dual-phase synergistic enhancement method was adopted to strengthen the Al-Mn-Mg-Sc-Zr alloy fabricated by laser powder bed fusion(LPBF)by leveraging the unique advantages of Er and TiB_(2).Spherical powders of 0.5w...A dual-phase synergistic enhancement method was adopted to strengthen the Al-Mn-Mg-Sc-Zr alloy fabricated by laser powder bed fusion(LPBF)by leveraging the unique advantages of Er and TiB_(2).Spherical powders of 0.5wt%Er-1wt%TiB_(2)/Al-Mn-Mg-Sc-Zr nanocomposite were prepared using vacuum homogenization technique,and the density of samples prepared through the LPBF process reached 99.8%.The strengthening and toughening mechanisms of Er-TiB_(2)were investigated.The results show that Al_(3)Er diffraction peaks are detected by X-ray diffraction analysis,and texture strength decreases according to electron backscatter diffraction results.The added Er and TiB_(2)nano-reinforcing phases act as heterogeneous nucleation sites during the LPBF forming process,hindering grain growth and effectively refining the grains.After incorporating the Er-TiB_(2)dual-phase nano-reinforcing phases,the tensile strength and elongation at break of the LPBF-deposited samples reach 550 MPa and 18.7%,which are 13.4%and 26.4%higher than those of the matrix material,respectively.展开更多
Optical phase-gradient metasurfaces have garnered significant attention for enabling flexible light manipulation,with applications across diverse domains.In this work,we will demonstrate that the metasurfaces with pha...Optical phase-gradient metasurfaces have garnered significant attention for enabling flexible light manipulation,with applications across diverse domains.In this work,we will demonstrate that the metasurfaces with phase gradient modulation can be used to achieve illusion optics,featuring the advantages of simple geometric structure and feasible implementation compared with the well-known transformation optics method.The underlying mechanism is the anomalous diffraction law caused by the phase gradient,which provides a theoretical basis for freely manipulating the propagation path of light.By considering a specific example,we will demonstrate that the phase gradient can transform spatial coordinates in real space into illusion space,thereby converting a plane in real space into a curved surface structure in illusion space to achieve the illusion effect.This approach provides a viable alternative to transformation optics for designing illusion devices.展开更多
The water-quenched(WQ)2195 Al−Li alloy was subjected to stretching at different temperatures,from room temperature(RT)to−196℃(CT),to investigate the effect of cryogenic deformation on the aging precipitation behavior...The water-quenched(WQ)2195 Al−Li alloy was subjected to stretching at different temperatures,from room temperature(RT)to−196℃(CT),to investigate the effect of cryogenic deformation on the aging precipitation behaviors and mechanical properties.The precipitation kinetics of the T1 phase and the microstructures in peak aging state were investigated through the differential scanning calorimetric(DSC)tests and electron microscopy observation.The results show that−196℃deformation produces a high dislocation density,which promotes the precipitation of the T1 phase and refines its sizes significantly.In addition,the grain boundary precipitates(GBPs)of−196℃-stretched samples are suppressed considerably due to the high dislocation density in the grain interiors,which increases the ductility.In comparison,the strength remains nearly constant.Thus,it is indicated that cryogenic forming has the potential to provide the shape and property control for the manufacture of critical components of aluminum alloys.展开更多
Beryllium-containing sludge(BCS)is a typical hazardous waste from Be smelting,which can cause serious harm to ecology and human health by releasing harmful Be if it is stored long-term in environment.Nonetheless,the o...Beryllium-containing sludge(BCS)is a typical hazardous waste from Be smelting,which can cause serious harm to ecology and human health by releasing harmful Be if it is stored long-term in environment.Nonetheless,the occurrence of Be in BCS is unclear,which seriously hinders the development of pollution control technologies.In order to enhance the understanding of BCS,the occurrence of Be and the microscale interactions with coexisting phases were investigated for the first time.It was found that CaSO_(4)·2H_(2)O and amorphous SiO_(2) are the primary phases of BCS.The simulated experiments of purified materials showed that Be interacted with CaSO_(4)·2H_(2)O and amorphous SiO_(2).Be can enter into the lattice of CaSO_(4)·2H_(2)O mainly as free Be2+.Amorphous SiO_(2) can adsorb Be2+particularly at a pH range of 3–5.The dissolution behavior experiment of BCS shows that about 52%of the Be is readily extracted under acidic conditions,which refers to the Be of independent occurrence.In contrast,the remaining 48%of Be can be extracted only after the CaSO_(4)·2H_(2)O has completely dissolved.Hence,CaSO_(4)·2H_(2)O is identified as the key occurrence phase which determines the highly efficient dissolution of Be.As a result,this study enhances the understanding of BCS and lays the foundation for the development of Be separation technologies.展开更多
Sessile serrated adenoma/polyps(SSA/Ps) are early precursor lesions in the serrated neoplasia pathway, which results in colorectal carcinomas with BRAF mutations, methylation for DNA repair genes, a Cp G island methyl...Sessile serrated adenoma/polyps(SSA/Ps) are early precursor lesions in the serrated neoplasia pathway, which results in colorectal carcinomas with BRAF mutations, methylation for DNA repair genes, a Cp G island methylator phenotype, and high levels of microsatellite instability. Some of these lesions can rapidly become dysplastic or invasive carcinomas that exhibit high lymphatic invasion and lymph node metastasis potentials. Detecting serrated lesions, including SSA/Ps with and without dysplasia/carcinoma, is critical, but SSA/Ps can be difficult to detect, are inconsistently identified by endoscopists and pathologists, and are often incompletely resected. Therefore, SSA/Ps are considered to be major contributors to "interval cancers". If colonoscopists can identify the specific endoscopic characteristics of SSA/Ps, their detection and the effectiveness of colonoscopy may improve. Here, the endoscopic features of SSA/Ps with and without dysplasia/carcinoma, including the characteristics determined using magnifying endoscopy, are reviewed in the context of previous reports. Endoscopically, these subtle polyps are like hyperplastic polyps, because they are slightly elevated and pale. Unlike hyperplastic polyps, SSA/Ps are usually larger than 5 mm, frequently covered by a thin layer called the ‘‘mucus cap'', and are more commonly located in the proximal colon. Magnifying narrow-band imaging findings, which include dark spots inside the crypts and varicose microvascular vessels, in addition to the type II-open pit patterns detected using magnifying chromoendoscopy, effectively differentiate SSA/Ps from hyperplastic polyps. The lesions' endoscopic characteristics, which include their(semi)pedunculated morphologies, double elevations, central depressions, and reddishness, and the use of magnifying endoscopy, might help to detect dysplasia/carcinoma within SSA/Ps. Greater awareness may promote further research into improving the detection, identification, and complete resection rates of SSA/Ps with and without dysplasia/carcinoma and reduce the interval cancer rates.展开更多
It is currently known that colorectal cancers(CRC) arise from 3 different pathways: the adenoma to carcinoma chromosomal instability pathway(50%-70%); the mutator "Lynch syndrome" route(3%-5%); and the serra...It is currently known that colorectal cancers(CRC) arise from 3 different pathways: the adenoma to carcinoma chromosomal instability pathway(50%-70%); the mutator "Lynch syndrome" route(3%-5%); and the serrated pathway(30%-35%). The World Health Organization has classified serrated polyps into three types of lesions: hyperplastic polyps(HP),sessile serrated adenomas/polyps(SSA/P) and traditional serrated adenomas(TSA),the latter two strongly associated with development of CRCs. HPs do not cause cancer and TSAs are rare. SSA/P appear to be the responsible precursor lesion for the development of cancers through the serrated pathway. Both HPs and SSA/Ps appear morphologically similar. SSA/P are difficult to detect. The margins are normally inconspicuous. En bloc resection of these polyps can hence be troublesome. A careful examination of borders,submucosal injection of a dye solution(for larger lesions) and resection of a rim of normal tissue around the lesion may ensure total eradication of these lesions.展开更多
Molecular advances support the existence of an alternative pathway of colorectal carcinogenesis that is based on the hypermethylation of specific DNA regions that silences tumor suppressor genes. This alternative path...Molecular advances support the existence of an alternative pathway of colorectal carcinogenesis that is based on the hypermethylation of specific DNA regions that silences tumor suppressor genes. This alternative pathway has been called the serrated pathway due to the serrated appearance of tumors in histological analysis. New classifications for colorectal cancer(CRC) were proposed recently based on genetic profiles that show four types of molecular alterations: BRAF gene mutations, KRAS gene mutations, microsatellite instability, and hypermethylation of Cp G islands. This review summarizes what is known about the serrated pathway of CRC, including CRC molecular and clinical features, prognosis, and response to chemotherapy.展开更多
In recent years , a second pathway for colonic carcinogenesis , distinct from the adenomatous pathway, has been explored. This is referred to as serrated pathway and includes three types of polyp,characterised by a se...In recent years , a second pathway for colonic carcinogenesis , distinct from the adenomatous pathway, has been explored. This is referred to as serrated pathway and includes three types of polyp,characterised by a serrated appearance of the crypts:hyperplastic polyps(HP),sessile serrated adenomas(SSA)or lesions,and traditional serrated adenomas.Each lesion has its own genetic,as well as macroscopic and microscopic morphological features.Because of their flat aspect,their detection is easier with chromoendoscopy(carmin indigo or narrow-band imaging).However,as we show in this review,the distinction between SSA and HP is quite difficult.It is now recommended to resect in one piece as it is possible the serrated polyps with a control in a delay depending on the presence or not of dysplasia.These different types of lesion are described in detail in the present review in general population,in polyposis and in inflammatory bowel diseases patients.This review highlights the need to improve characterization and understanding of this way of colorectal cancerogenesis.展开更多
In this review, I outline the characteristic endoscopic findings of serrated lesions of the colorectum based on image enhanced endoscopy(IEE). Histopathologically, lesions with serrated structures are typically classi...In this review, I outline the characteristic endoscopic findings of serrated lesions of the colorectum based on image enhanced endoscopy(IEE). Histopathologically, lesions with serrated structures are typically classified into the following three types based: hyperplastic polyps(HPs), traditional serrated adenomas(TSAs), and sessile serrated adenoma/polyps(SSA/Ps). Both HP and SSA/P often present as dark-green colors on auto fluorescence imaging(AFI) colonoscopy that are similar to the normal surrounding mucosa. In contrast, TSAs often have elevated shapes and present as magenta colors that are similar to the tubular adenomas. The superficial type of TSA also includes many lesions that present as magenta colors. When SSA/Ps are associated with cytological dysplasia, many lesions present with magenta colors, whereas lesions that are not associated with cytological dysplasia present with dark-green colors. When observed via narrow band imaging(NBI), many SSA/P include lesions with strong mucous adhesions. Because these lesions are observed with reddish mucous adhesions, we refer to them as "red cap sign" and place such signs among the typical findings of SSA/P. Because the dilatation of the pit in SSA/P is observed as a round/oval black dot on magnified observations, we refer to this finding as Ⅱ-dilatation pit(Ⅱ-D pit) and also positioned it as a characteristic finding of SSA/P. In contrast, dilatations of the capillary vessels surrounding the glands, such as those that occur in tubular adenoma, are not considered to be useful for differentiating HPs from SSA/Ps. However, in cases in which SSA/P is associated with cytological dysplasia, the dilatation of capillary vessels is observed in the same area. When submucosal layer invasion occurs in the same area, the blood flow presents with irregularities that are similar to those of common colorectal cancer at an early stage and disappears as the invasion proceeds deeply. The surface pattern of invasive cancer that is observed at the tumor surface is also likely to disappear. Based on the above results, we considered that the differentiations between HP and TSA, between TSA and SSA/P, and between HP and SSA/P might become easier due to the concomitant use of white light observation and IEE. We also concluded that AFI and NBI can be useful modalities for SSA/P lesions associated with cytological dysplasia.展开更多
基金supported by the National Natural Science Foundation of China(Nos.52474403,52364050 and 52301137)Guizhou Provincial Program on Commercialization of Scientific and Technological Achievements(No.[2023]001)+2 种基金Guizhou Province Science and Technology Project(No.[2022]050)Guiyang city Science and Technology Project(No.[2023]48-16)the Central Government in Guidance of Local Science and Technology Development Funds(No.[2024]032).
文摘The serrated flow behavior,known as the Portevin-Le Chatelier(PLC)effect,is commonly observed during high-temperature deformation.In this study,we report a serrated flow behavior in FeCoCrNiMo0.2 high-entropy alloy(HEA),which is mediated by nano-twinning and phase transformation at cryogenic temperatures.During uniaxial tensile deformation at 77 K,the alloy exhibited the formation of high-density deformation nano-twinning,cross-twinning,stacking faults(SFs)and Lomer-Cottrell locks(L-C locks).Additionally,the lower stacking fault energy(SFE)at low temperatures promotes the formation of the 9R phase.The high-density twin boundaries effectively hinder dislocation movement,leading to the instability of plastic deformation and promoting the serrated flow behavior.Furthermore,the rapid and unstable transformation of the 9R phase contributes to the pronounced serrated flow behavior.Nano-twinning,SFs,cross-twinning,L-C locks and 9R phase collectively induce a dynamic Hall-Petch effect,enhancing the strength-ductility synergy and strain-hardening ability of deformed alloy at 77 K.Our work provides valuable insights into the mechanism of tensile deformation at cryogenic temperatures in single-phase FCC HEA.
文摘BACKGROUND Serrated polyposis syndrome(SPS)is a polyposis condition with neoplastic potential,but its psychological impact is not well understood.AIM To assess health anxiety prevalence in a regional Australian cohort of SPS patients and explore factors influencing it,including workforce impacts of regular surveillance.METHODS This cross-sectional study screened patients aged 18-65 undergoing colonoscopy in a regional gastroenterology practice between January 2015 and June 2022.Eligible SPS patients were invited to participate.Data included the Short Health Anxiety Inventory,employment status,and previous demographic and medical findings.RESULTS Health anxiety was found in 21.57%of SPS patients,with anxious patients being significantly more concerned about surveillance(OR=7.70).Patients lost an average of 11.04 work hours per colonoscopy.CONCLUSION Health anxiety in SPS patients aligns with rates in other gastroenterology populations.Identifying it may improve management,though further research is needed to better understand prevalence and care improvements.
基金National Natural Science Foundation of China(52175353)Shanxi Province Key Research and Development Program(202102150401002)Shanxi Province Major Science and Technology Special Project(202101110401009)。
文摘Due to the gradually prominent impact of fracture characteristics and serrated yielding in the application of nickel-based superalloys,the hot tensile properties of Inconel 718 superalloy were studied,including fracture behavior,mechanical properties,and plastic behavior.The experiments adopted three heat treatment regimes and two tensile directions.Results show that various heat treatments make grain sizes different.The larger-sized grains make the vertical surface uneven,which also decrease the number of grain boundaries and carbides,restricting the occurrence of dimples and ultimately reducing the material plasticity.The reduced grain boundaries can decrease dislocations,increase the demand for thermal activation energy,and transform the serration mode of serrated yielding.In addition,various heat treatments also make precipitates different.Carbides can promote the formation of dimples.The needle-shaped δ phase precipitates at grain boundaries and twin boundaries,and slightly inclines towards the rolling direction.Therefore,its pinning effect is outstanding along the transverse direction,which can affect the dimple aggregation and the dislocation movement,ultimately exhibiting anisotropy in fracture characteristics,mechanical properties,and serrated yielding.
文摘This editorial discusses Thompson et al's original article,which is published in the most recent edition of the World Journal of Clinical Oncology and sheds critical light on the intertwined issues of health anxiety and work loss in individuals diagnosed with serrated polyposis syndrome(SPS).SPS is rare,characterized by the development of multiple serrated colorectal polyps.This editorial provides an overview of SPS,including its pathophysiology,clinical presentation,diagnostic criteria,management strategies,and the psychosocial impact.SPS is linked to molecular alterations,which drive carcinogenesis.Colonoscopy and histological analysis are used for diagnosis.Genetic testing is also considered where there is a family history.Quality of life can be greatly impacted by the psychosocial effects of SPS,especially health anxiety.Further understanding of the molecular mechanisms and creating individualized surveillance are required.
基金Supported by The First Research in Lifetime Grant from Chonnam National University Hospital Biomedical Research Institute,No.HCRI23005。
文摘BACKGROUND Traditional serrated adenoma(TSA)is a rare and precancerous lesion of colorectal cancer.The clinical and endoscopic differentiations between TSAs without dysplasia or adenocarcinoma(TSAOs)and TSAs with dysplasia or adenocarcinoma(TSADs)remain unclear.AIM To evaluate the characteristics of colorectal TSAs and compare the characteristics of TSAOs with those of TSADs.METHODS This retrospective study included 193 patients who underwent endoscopic resection and received a pathologic diagnosis of TSA.We reviewed the medical,endoscopic,and histopathologic records of patients who underwent endoscopic resection of TSAs between January 2010 and December 2023.RESULTS TSAs were more frequently located in the rectosigmoid colon.Most TSAs had 0-Ip,0-Isp,or 0-Is morphologies.The TSAD lesions were larger than TSAO lesions.TSAD lesions more commonly had a red color and an irregular border than TSAO lesions.TSAOs were usually treated using conventional endoscopic mucosal resection,whereas TSADs were treated using conventional endoscopic mucosal resection,endoscopic submucosal dissection,and surgery.Post-polypectomy bleeding was more common with TSADs than with TSAOs.Univariate analysis showed that gastrointestinal bleeding,red color,0-IIa,irregular border,and lobular mucosal surface were significantly associated with TSADs.Multivariate analysis showed that gastrointestinal bleeding,an irregular border,and a lobular mucosal surface were significantly associated with TSADs.CONCLUSION TSAs with gastrointestinal bleeding,an irregular border,and a lobular mucosal surface are associated with an increased risk of dysplasia or adenocarcinoma.
文摘BACKGROUND According to the guidelines in the United States,individuals with a family history of colorectal cancer should be screened at the age of 40 years.Data on the prevalence of adenomas and sessile serrated lesions(SSLs)in individuals aged 40-49 years in Japan are lacking.AIM To investigate the effect of family history on the detection of adenomas and SSLs during colonoscopy in Japan.METHODS This retrospective,single-center cohort study included individuals aged 40-79 years who underwent colonoscopy by expert endoscopists with an adenoma detection rate(ADR)≥40%between 2021 and 2024.The ADR and adenoma plus SSL detection rate(ASDR)were investigated according to age.Multivariable analyses were performed to examine the effects of first-degree family history of colorectal cancer,fecal immunochemical test,and sex on the ADR and ASDR for each age group.A binomial logistic regression model was used.RESULTS In 10248 participants,the overall ADR and ASDR were 53.6%and 59.1%,respectively.The ADR and ASDR increased with age.Among 2317 participants aged 40-49 years,the presence of a family history significantly increased the ADR(47.6%vs 38.2%).The odds ratio of a family history for the ADR adjusted by sex and fecal immunochemical test was 1.59(95%confidence interval:1.13-2.25).In contrast,there was no significant association between the ADR and family history in participants aged 50-59,60-69,and 70-79 years.Similarly,a family history significantly increased the ASDR(58.0%vs 43.7%)in participants aged 40-49 years.The odds ratio of a family history for the ASDR was 1.92(95%confidence interval:1.36-2.71).CONCLUSION Participants with a family history exhibited significantly elevated ADR(47.6%)and ASDR(58.0%),in their 40s.Individuals with a family history should initiate colonoscopy at 40 years old.
基金supported by the National Natural Science Foundation of China(No.52175286)the Tribology Science Fund of State Key Laboratory of Tribology in Advanced Equipment,Tsinghua University,China(No.SKLTKF20B16).
文摘The effects of rejuvenation heat treatment(RHT)on the serrated flow behavior and fracture mode of nickel-based superalloys(R26)were investigated by tensile tests and microstructural characterization.The serrated flow activation energies were determined to be 41−72 and 64−81 kJ/mol before and after RHT,respectively.Dynamic strain aging in the alloy is caused by the diffusion of carbon atoms into dislocation channels in the nickel matrix.Before RHT,carbides are concentrated at the grain boundaries.Cracks initiate from these carbides and propagate along the grain boundaries.RHT dissolves carbides at grain boundaries,transferring crack initiation to the precipitated phase group in the grains.RHT increases carbon atom concentration in the nickel matrix,enhancing dynamic strain aging and serrated flow behavior.
文摘Some studies have reported that approximately 50%of appendiceal lesions are sessile serrated lesions(SSLs).Traditionally,surgical intervention has been the preferred method.Endoscopic procedures such as endoscopic mucosal resection(EMR)serve as alternative treatments for lesions at the appendiceal orifice(AO).However,EMR is not appropriate when the lesion margin within the AO cannot be visualized.When lesions extend into the lumen,extended laparoscopic appendectomy(ELA)or combined surgery can be used to resect the lesions.Compared with traditional surgery and EMR,ELA or combined surgery is a safer and more precise option that preserves the function of the ileocecal region.However,the need for coordination between surgeons and endoscopists,along with the requirement for staged procedures and multiple bowel preparations,increases the complexity of the treatment.In recent years,with the advancement of endoscopic full-thickness resection,endoscopic transcecal appendectomy(ETA)has been used to treat SSLs involving the AO.The use of choledochoscopy in conjunction with ETA can further enhance treatment precision.This integrated approach holds promise for replacing the combined endoscopic and laparoscopic surgical techniques.However,additional data are required to confirm its safety and efficacy.
文摘BACKGROUND Sessile serrated lesions(SSLs)are premalignant polyps implicated in up to 30%of colorectal cancers.Australia reports high SSL detection rates(SSL-DRs),yet with marked variability(3.1%-24%).This substantial variation raises concerns about missed lesions and post-colonoscopy colorectal cancer.This study investigates determinants associated with SSL-DR variation in regional Australia.AIM To study how patient,clinical,and colonoscopy factors are associated with SSL detection in a regional Australian practice.We aimed to contribute high-detection data to the literature by analyzing the association of SSL detection with various determinants.METHODS This retrospective,cross-sectional analysis examined 1450 colonoscopies performed at Port Macquarie Gastroenterology during 2023.Sigmoidoscopies and repeat procedures were excluded.Multivariate logistic regression analyzed associations between SSL detection and patient demographics,clinical indications,procedural factors,and comorbidities.RESULTS The overall SSL-DR was 30.7%.Multivariate analysis identified several independent predictors:Clinical indication,bowel preparation quality,inflammatory bowel disease status,and serrated polyposis syndrome.The faecal occult blood test positive(FOBT)(+)cohort showed the highest predicted SSL detection probability(39.8%),while clinical symptoms showed the lowest(22.3%).After adjustment,SSL detection odds were 2.3 times greater among FOBT(+)patients than those with clinical symptoms(adjusted odds ratio=2.30,95%confidence interval:1.20-4.40,P=0.004).CONCLUSION SSL-DR as a quality indicator requires contextualization regarding clinical indications,bowel preparation quality,and comorbidities.There was a significantly higher prevalence of SSLs in FOBT(+)patients.Despite comprehensive adjustment,this study cannot fully explain the wide SSL-DR variation in Australia,highlighting the need for standardized detection protocols and further research to ensure optimal cancer prevention outcomes.
基金National Natural Science Foundation of China(12405168)The Fundamental Research Funds for the Central Universities,China(2024CDJXY004)。
文摘[Background]High harmonic cavities are widely used in electron storage rings to lengthen thebunch,lower the bunch peak current,thereby reducing the IBS effect,enhancing the Touschek lifetime,as well asproviding Landau damping,which is particularly important for storage rings operating with ultra-low emittance or atlow beam energy.[Purpose]To further increase the bunch length without additional hardware costs,the phasemodulation in a dual-RF system is considered.[Methods]In this paper,turn-by-turn simulations incorporating randomsynchrotron radiation excitation are conducted,and a brief analysis is presented to explain the bunch lengtheningmechanism.[Results]Simulation results reveal that the peak current can be further reduced,thereby mitigating IBSeffects and enhancing the Touschek lifetime.Although the energy spread increases,which tends to reduce thebrightness of higher-harmonic radiation from the undulator,the brightness of the fundamental harmonic can,in fact,beimproved.
基金Shaanxi Province Qin Chuangyuan“Scientist+Engineer”Team Construction Project(2022KXJ-071)2022 Qin Chuangyuan Achievement Transformation Incubation Capacity Improvement Project(2022JH-ZHFHTS-0012)+8 种基金Shaanxi Province Key Research and Development Plan-“Two Chains”Integration Key Project-Qin Chuangyuan General Window Industrial Cluster Project(2023QCY-LL-02)Xixian New Area Science and Technology Plan(2022-YXYJ-003,2022-XXCY-010)2024 Scientific Research Project of Shaanxi National Defense Industry Vocational and Technical College(Gfy24-07)Shaanxi Vocational and Technical Education Association 2024 Vocational Education Teaching Reform Research Topic(2024SZX354)National Natural Science Foundation of China(U24A20115)2024 Shaanxi Provincial Education Department Service Local Special Scientific Research Program Project-Industrialization Cultivation Project(24JC005,24JC063)Shaanxi Province“14th Five-Year Plan”Education Science Plan,2024 Project(SGH24Y3181)National Key Research and Development Program of China(2023YFB4606400)Longmen Laboratory Frontier Exploration Topics Project(LMQYTSKT003)。
文摘A dual-phase synergistic enhancement method was adopted to strengthen the Al-Mn-Mg-Sc-Zr alloy fabricated by laser powder bed fusion(LPBF)by leveraging the unique advantages of Er and TiB_(2).Spherical powders of 0.5wt%Er-1wt%TiB_(2)/Al-Mn-Mg-Sc-Zr nanocomposite were prepared using vacuum homogenization technique,and the density of samples prepared through the LPBF process reached 99.8%.The strengthening and toughening mechanisms of Er-TiB_(2)were investigated.The results show that Al_(3)Er diffraction peaks are detected by X-ray diffraction analysis,and texture strength decreases according to electron backscatter diffraction results.The added Er and TiB_(2)nano-reinforcing phases act as heterogeneous nucleation sites during the LPBF forming process,hindering grain growth and effectively refining the grains.After incorporating the Er-TiB_(2)dual-phase nano-reinforcing phases,the tensile strength and elongation at break of the LPBF-deposited samples reach 550 MPa and 18.7%,which are 13.4%and 26.4%higher than those of the matrix material,respectively.
基金supported by the National Natural Science Foundation of China (Grant Nos.12274313 and 62375234)the Gusu Leading Talent Plan for Scientific and Technological Innovation and Entrepreneurship (Grant No.ZXL2024400)。
文摘Optical phase-gradient metasurfaces have garnered significant attention for enabling flexible light manipulation,with applications across diverse domains.In this work,we will demonstrate that the metasurfaces with phase gradient modulation can be used to achieve illusion optics,featuring the advantages of simple geometric structure and feasible implementation compared with the well-known transformation optics method.The underlying mechanism is the anomalous diffraction law caused by the phase gradient,which provides a theoretical basis for freely manipulating the propagation path of light.By considering a specific example,we will demonstrate that the phase gradient can transform spatial coordinates in real space into illusion space,thereby converting a plane in real space into a curved surface structure in illusion space to achieve the illusion effect.This approach provides a viable alternative to transformation optics for designing illusion devices.
基金financially supported by the National Key Research and Development Program of China (No. 2019YFA0708801)the National Natural Science Foundation of China (No. 51875125)。
文摘The water-quenched(WQ)2195 Al−Li alloy was subjected to stretching at different temperatures,from room temperature(RT)to−196℃(CT),to investigate the effect of cryogenic deformation on the aging precipitation behaviors and mechanical properties.The precipitation kinetics of the T1 phase and the microstructures in peak aging state were investigated through the differential scanning calorimetric(DSC)tests and electron microscopy observation.The results show that−196℃deformation produces a high dislocation density,which promotes the precipitation of the T1 phase and refines its sizes significantly.In addition,the grain boundary precipitates(GBPs)of−196℃-stretched samples are suppressed considerably due to the high dislocation density in the grain interiors,which increases the ductility.In comparison,the strength remains nearly constant.Thus,it is indicated that cryogenic forming has the potential to provide the shape and property control for the manufacture of critical components of aluminum alloys.
基金supported by the National Natural Science Foundation of China(No.22276219)the foundation for Innovative Research Groups of the National Natural Science Foundation of China(No.52121004)+1 种基金the major program Natural Science Foundation of Hunan Province of China(No.2021JC0001)the Fundamental Research Funds for the Central Universities of Central South University(No.2024ZZTS0063).
文摘Beryllium-containing sludge(BCS)is a typical hazardous waste from Be smelting,which can cause serious harm to ecology and human health by releasing harmful Be if it is stored long-term in environment.Nonetheless,the occurrence of Be in BCS is unclear,which seriously hinders the development of pollution control technologies.In order to enhance the understanding of BCS,the occurrence of Be and the microscale interactions with coexisting phases were investigated for the first time.It was found that CaSO_(4)·2H_(2)O and amorphous SiO_(2) are the primary phases of BCS.The simulated experiments of purified materials showed that Be interacted with CaSO_(4)·2H_(2)O and amorphous SiO_(2).Be can enter into the lattice of CaSO_(4)·2H_(2)O mainly as free Be2+.Amorphous SiO_(2) can adsorb Be2+particularly at a pH range of 3–5.The dissolution behavior experiment of BCS shows that about 52%of the Be is readily extracted under acidic conditions,which refers to the Be of independent occurrence.In contrast,the remaining 48%of Be can be extracted only after the CaSO_(4)·2H_(2)O has completely dissolved.Hence,CaSO_(4)·2H_(2)O is identified as the key occurrence phase which determines the highly efficient dissolution of Be.As a result,this study enhances the understanding of BCS and lays the foundation for the development of Be separation technologies.
文摘Sessile serrated adenoma/polyps(SSA/Ps) are early precursor lesions in the serrated neoplasia pathway, which results in colorectal carcinomas with BRAF mutations, methylation for DNA repair genes, a Cp G island methylator phenotype, and high levels of microsatellite instability. Some of these lesions can rapidly become dysplastic or invasive carcinomas that exhibit high lymphatic invasion and lymph node metastasis potentials. Detecting serrated lesions, including SSA/Ps with and without dysplasia/carcinoma, is critical, but SSA/Ps can be difficult to detect, are inconsistently identified by endoscopists and pathologists, and are often incompletely resected. Therefore, SSA/Ps are considered to be major contributors to "interval cancers". If colonoscopists can identify the specific endoscopic characteristics of SSA/Ps, their detection and the effectiveness of colonoscopy may improve. Here, the endoscopic features of SSA/Ps with and without dysplasia/carcinoma, including the characteristics determined using magnifying endoscopy, are reviewed in the context of previous reports. Endoscopically, these subtle polyps are like hyperplastic polyps, because they are slightly elevated and pale. Unlike hyperplastic polyps, SSA/Ps are usually larger than 5 mm, frequently covered by a thin layer called the ‘‘mucus cap'', and are more commonly located in the proximal colon. Magnifying narrow-band imaging findings, which include dark spots inside the crypts and varicose microvascular vessels, in addition to the type II-open pit patterns detected using magnifying chromoendoscopy, effectively differentiate SSA/Ps from hyperplastic polyps. The lesions' endoscopic characteristics, which include their(semi)pedunculated morphologies, double elevations, central depressions, and reddishness, and the use of magnifying endoscopy, might help to detect dysplasia/carcinoma within SSA/Ps. Greater awareness may promote further research into improving the detection, identification, and complete resection rates of SSA/Ps with and without dysplasia/carcinoma and reduce the interval cancer rates.
文摘It is currently known that colorectal cancers(CRC) arise from 3 different pathways: the adenoma to carcinoma chromosomal instability pathway(50%-70%); the mutator "Lynch syndrome" route(3%-5%); and the serrated pathway(30%-35%). The World Health Organization has classified serrated polyps into three types of lesions: hyperplastic polyps(HP),sessile serrated adenomas/polyps(SSA/P) and traditional serrated adenomas(TSA),the latter two strongly associated with development of CRCs. HPs do not cause cancer and TSAs are rare. SSA/P appear to be the responsible precursor lesion for the development of cancers through the serrated pathway. Both HPs and SSA/Ps appear morphologically similar. SSA/P are difficult to detect. The margins are normally inconspicuous. En bloc resection of these polyps can hence be troublesome. A careful examination of borders,submucosal injection of a dye solution(for larger lesions) and resection of a rim of normal tissue around the lesion may ensure total eradication of these lesions.
文摘Molecular advances support the existence of an alternative pathway of colorectal carcinogenesis that is based on the hypermethylation of specific DNA regions that silences tumor suppressor genes. This alternative pathway has been called the serrated pathway due to the serrated appearance of tumors in histological analysis. New classifications for colorectal cancer(CRC) were proposed recently based on genetic profiles that show four types of molecular alterations: BRAF gene mutations, KRAS gene mutations, microsatellite instability, and hypermethylation of Cp G islands. This review summarizes what is known about the serrated pathway of CRC, including CRC molecular and clinical features, prognosis, and response to chemotherapy.
文摘In recent years , a second pathway for colonic carcinogenesis , distinct from the adenomatous pathway, has been explored. This is referred to as serrated pathway and includes three types of polyp,characterised by a serrated appearance of the crypts:hyperplastic polyps(HP),sessile serrated adenomas(SSA)or lesions,and traditional serrated adenomas.Each lesion has its own genetic,as well as macroscopic and microscopic morphological features.Because of their flat aspect,their detection is easier with chromoendoscopy(carmin indigo or narrow-band imaging).However,as we show in this review,the distinction between SSA and HP is quite difficult.It is now recommended to resect in one piece as it is possible the serrated polyps with a control in a delay depending on the presence or not of dysplasia.These different types of lesion are described in detail in the present review in general population,in polyposis and in inflammatory bowel diseases patients.This review highlights the need to improve characterization and understanding of this way of colorectal cancerogenesis.
文摘In this review, I outline the characteristic endoscopic findings of serrated lesions of the colorectum based on image enhanced endoscopy(IEE). Histopathologically, lesions with serrated structures are typically classified into the following three types based: hyperplastic polyps(HPs), traditional serrated adenomas(TSAs), and sessile serrated adenoma/polyps(SSA/Ps). Both HP and SSA/P often present as dark-green colors on auto fluorescence imaging(AFI) colonoscopy that are similar to the normal surrounding mucosa. In contrast, TSAs often have elevated shapes and present as magenta colors that are similar to the tubular adenomas. The superficial type of TSA also includes many lesions that present as magenta colors. When SSA/Ps are associated with cytological dysplasia, many lesions present with magenta colors, whereas lesions that are not associated with cytological dysplasia present with dark-green colors. When observed via narrow band imaging(NBI), many SSA/P include lesions with strong mucous adhesions. Because these lesions are observed with reddish mucous adhesions, we refer to them as "red cap sign" and place such signs among the typical findings of SSA/P. Because the dilatation of the pit in SSA/P is observed as a round/oval black dot on magnified observations, we refer to this finding as Ⅱ-dilatation pit(Ⅱ-D pit) and also positioned it as a characteristic finding of SSA/P. In contrast, dilatations of the capillary vessels surrounding the glands, such as those that occur in tubular adenoma, are not considered to be useful for differentiating HPs from SSA/Ps. However, in cases in which SSA/P is associated with cytological dysplasia, the dilatation of capillary vessels is observed in the same area. When submucosal layer invasion occurs in the same area, the blood flow presents with irregularities that are similar to those of common colorectal cancer at an early stage and disappears as the invasion proceeds deeply. The surface pattern of invasive cancer that is observed at the tumor surface is also likely to disappear. Based on the above results, we considered that the differentiations between HP and TSA, between TSA and SSA/P, and between HP and SSA/P might become easier due to the concomitant use of white light observation and IEE. We also concluded that AFI and NBI can be useful modalities for SSA/P lesions associated with cytological dysplasia.
