BACKGROUND Gastric cancer is one of the most common cancers worldwide,especially in East Asia.AIM To explore the clinical outcomes and progression-related factors of low-grade intraepithelial neoplasia(LGIN)in the gas...BACKGROUND Gastric cancer is one of the most common cancers worldwide,especially in East Asia.AIM To explore the clinical outcomes and progression-related factors of low-grade intraepithelial neoplasia(LGIN)in the gastric mucosa and provide valuable guidance for improving treatment efficacy.METHODS A total of 357 patients diagnosed with LGIN based on initial pathological examination in Anhui Provincial Hospital or three other medical consortium units between January 2022 and June 2024 were included.Among them,296 patients were followed up with endoscopic and biopsy pathology.Logistic regression was utilized to analyze the relevant risk factors for LGIN progression in the gastric mucosa.RESULTS The distribution sites of LGIN among the 357 patients were as follows:Gastric antrum(54.6%),gastric cardia(24.1%),gastric angulus(8.7%),gastric body(4.8%),gastric fundus(4.8%),and multiple sites(3.1%).Additionally,of the 357 patients with LGIN,112(31.4%)developed ulceration and 59(16.5%)experienced gastric polyps.Furthermore,231 of the 357(64.71%)patients with LGIN tested positive for Helicobacter pylori(H.pylori)infection.The H.pylori infection rates of the patients with LGIN with accompanying atrophy,intestinal metaplasia,and gastric ulcer were 51.95%,59.31%,and 28.57%,respectively.Multivariate logistic regression analysis showed that age≥60 years[odds ratio(OR)=3.063,95%confidence interval(CI):1.351-6.945,P=0.007],H.pylori infection(OR=3.560,95%CI:1.158-10.949,P=0.027),multiple locations(OR=10.136,95%CI:2.045-50.237,P=0.005),lesion size≥2 cm(OR=3.921,95%CI:1.664-9.237,P=0.002),and gastric ulcer(OR=2.730,95%CI:1.197-6.223,P=0.017)were predictive factors for LGIN progression.CONCLUSION LGIN progression is closely related to age,H.pylori positivity,multiple locations,lesion size≥2 cm,and gastric ulcer.Thus,actively identifying these risk factors in patients with LGIN may have certain clinical significance in preventing further tumor progression.展开更多
Liver transplantation,as an effective therapy for patients with liver cancer,plays an important role in improving the quality of life of patients.However,the com-plexity and trauma of liver transplantation can easily ...Liver transplantation,as an effective therapy for patients with liver cancer,plays an important role in improving the quality of life of patients.However,the com-plexity and trauma of liver transplantation can easily lead to the occurrence of malnutrition in patients,and then increase the risk of postoperative complica-tions,which has aroused widespread clinical attention.Reasonable nutritional support can not only maintain the stability of the body’s internal environment,reduce the occurrence of complications,but also promote the recovery of liver and other organ functions.In recent years,with the in-depth understanding of nut-ritional metabolism after liver transplantation,the application of enteral nutrition and parenteral nutrition in nutritional support after liver transplantation has been increasingly extensive and achieved remarkable results.This paper discusses the effect of early postoperative nutritional intervention on patients with liver cancer and liver transplantation,and combined with its mechanism of action,can better understand the effectiveness of intervention,and provide reference for the deve-lopment of scientific and reasonable nutritional support programs in clinical pra-ctice.展开更多
Lipocalin-2(LCN2)is a member of the lipocalin superfamily with multiple functions and can participate in the transport of a variety of small lipophilic ligands in vivo.LCN2 is significantly expressed in various tumors...Lipocalin-2(LCN2)is a member of the lipocalin superfamily with multiple functions and can participate in the transport of a variety of small lipophilic ligands in vivo.LCN2 is significantly expressed in various tumors and plays an important role in regulating tumor cell proliferation,invasion,and metastasis.The specific actions of LCN2 in tumors may vary depending on the particular type of cancer involved.In this review,we provide an extensive overview of the transcriptional and post-transcriptional regulation of LCN2 in health and disease.Furthermore,we summarize the impact of LCN2 dysregulation in a broad range of tumors.Lastly,we examine the mechanisms of action of LCN2 during tumorigenesis,progression,and metastasis.Understanding the complex relationships between LCN2 and tumor development,progression,and metastasis is vital for advancing our knowledge of cancer biology,developing biomarkers for diagnosis and clinical decision-making,and creating therapeutic strategies to improve the management of patients with cancer.展开更多
The microstructural evolution of a cold-rolled and intercritical annealed medium-Mn steel(Fe-0.10C-5Mn)was investigated during uniaxial tensile testing.In-situ observations under scanning electron microscopy,transmiss...The microstructural evolution of a cold-rolled and intercritical annealed medium-Mn steel(Fe-0.10C-5Mn)was investigated during uniaxial tensile testing.In-situ observations under scanning electron microscopy,transmission electron microscopy,and X-ray diffraction analysis were conducted to characterize the progressive transformation-induced plasticity process and associated fracture initiation mechanisms.These findings were discussed with the local strain measurements via digital image correlation.The results indicated that Lüders band formation in the steel was limited to 1.5%strain,which was mainly due to the early-stage martensitic phase transformation of a very small amount of the less stable large-sized retained austenite(RA),which led to localized stress concentrations and strain hardening and further retardation of yielding.The small-sized RA exhibited high stability and progressively transformed into martensite and contributed to a stably extended Portevin-Le Chatelier effect.The volume fraction of RA gradually decreased from 26.8%to 8.2%prior to fracture.In the late deformation stage,fracture initiation primarily occurred at the austenite/martensite and ferrite/martensite interfaces and the ferrite phase.展开更多
The progressive failure characteristics of geomaterial are a remarkable and challenging topic in geotechnical engineering.To study the effect of salt content and temperature on the progressive failure characteristics ...The progressive failure characteristics of geomaterial are a remarkable and challenging topic in geotechnical engineering.To study the effect of salt content and temperature on the progressive failure characteristics of frozen sodium sulfate saline sandy soil,a series of uniaxial compression tests were performed by integrating digital image correlation(DIC)technology into the testing apparatus.The evolution law of the uniaxial compression strength(UCS),the failure strain,and the formation of the shear band of the frozen sodium sulfate saline sandy soil were analyzed.The test results show that within the scope of this study,with the increase of salt content,both the UCS and the shear band angle initially decrease with increasing salt content before showing an increase.In contrast,the failure strain and the width of the shear band exhibit an initial increase followed by a decrease in the samples.In addition,to investigate the brittle failure characteristics of frozen sodium sulfate saline sandy soil,two classic brittleness evaluation methods were employed to quantitatively assess the brittleness level for the soil samples.The findings suggest that the failure characteristics under all test conditions in this study belong to the transition stage between brittle and ductile,indicating that frozen sodium sulfate saline sandy soil exhibits certain brittle behavior under uniaxial compression conditions,and the brittleness index basically decreases and then increases with the rise in salt content.展开更多
With breakthroughs in data processing and pattern recognition through deep learning technologies,the use of advanced algorithmic models for analyzing and interpreting soil spectral information has provided an efficien...With breakthroughs in data processing and pattern recognition through deep learning technologies,the use of advanced algorithmic models for analyzing and interpreting soil spectral information has provided an efficient and economical method for soil quality assessment.However,traditional single-output networks exhibit limitations in the prediction process,particularly in their inability to fully utilize the correlations among various elements.As a result,single-output networks tend to be optimized for a single task,neglecting the interrelationships among different soil elements,which limits prediction accuracy and model generalizability.To overcome this limitation,in this study,a multi-task learning architecture with a progressive extraction network was implemented for the simultaneous prediction of multiple indicators in soil,including nitrogen(N),organic carbon(OC),calcium carbonate(CaCO 3),cation exchange capacity(CEC),and pH.Furthermore,while incorporating the Pearson correlation coefficient,convolutional neural networks,long short-term memory networks and attention mechanisms were combined to extract local abstract features from the original spectra,thereby further improving the model.This architecture is referred to as the Relevance-sharing Progressive Layered Extraction Network.The model employs an adaptive joint loss optimization method to update the weights of individual task losses in the multi-task learning training process.展开更多
Load forecasting is of great significance to the development of new power systems.With the advancement of smart grids,the integration and distribution of distributed renewable energy sources and power electronics devi...Load forecasting is of great significance to the development of new power systems.With the advancement of smart grids,the integration and distribution of distributed renewable energy sources and power electronics devices have made power load data increasingly complex and volatile.This places higher demands on the prediction and analysis of power loads.In order to improve the prediction accuracy of short-term power load,a CNN-BiLSTMTPA short-term power prediction model based on the Improved Whale Optimization Algorithm(IWOA)with mixed strategies was proposed.Firstly,the model combined the Convolutional Neural Network(CNN)with the Bidirectional Long Short-Term Memory Network(BiLSTM)to fully extract the spatio-temporal characteristics of the load data itself.Then,the Temporal Pattern Attention(TPA)mechanism was introduced into the CNN-BiLSTM model to automatically assign corresponding weights to the hidden states of the BiLSTM.This allowed the model to differentiate the importance of load sequences at different time intervals.At the same time,in order to solve the problem of the difficulties of selecting the parameters of the temporal model,and the poor global search ability of the whale algorithm,which is easy to fall into the local optimization,the whale algorithm(IWOA)was optimized by using the hybrid strategy of Tent chaos mapping and Levy flight strategy,so as to better search the parameters of the model.In this experiment,the real load data of a region in Zhejiang was taken as an example to analyze,and the prediction accuracy(R2)of the proposed method reached 98.83%.Compared with the prediction models such as BP,WOA-CNN-BiLSTM,SSA-CNN-BiLSTM,CNN-BiGRU-Attention,etc.,the experimental results showed that the model proposed in this study has a higher prediction accuracy.展开更多
This article focuses on the factors influencing fracture nonunion, classification and treatment. The article emphasizes the importance of understanding the influencing factors and mechanisms of fracture healing for de...This article focuses on the factors influencing fracture nonunion, classification and treatment. The article emphasizes the importance of understanding the influencing factors and mechanisms of fracture healing for developing effective treatment strategies and improving patients’ quality of life. It also points out the challenges of current treatment, such as patient compliance and limitations of treatment methods, and looks at future treatment directions.展开更多
BACKGROUND Surgery is the first choice of treatment for patients with colorectal cancer.Traditional open surgery imparts great damage to the body of the patient and can easily cause adverse stress reactions.With the c...BACKGROUND Surgery is the first choice of treatment for patients with colorectal cancer.Traditional open surgery imparts great damage to the body of the patient and can easily cause adverse stress reactions.With the continuous development of medical technology,laparoscopic minimally invasive surgery has shown great advantages for the treatment of patients with celiac disease.AIM To investigate the short-term efficacy of laparoscopic radical surgery and traditional laparotomy for the treatment of colorectal cancer,and the differences in the risk analysis of unplanned reoperation after operation.METHODS As the research subjects,this study selected 100 patients with colorectal cancer who received surgical treatment at the Yulin First Hospital from January 2018 to January 2022.Among them,50 patients who underwent laparoscopic radical resection were selected as the research group and 50 patients who underwent traditional laparotomy were selected as the control group.Data pertaining to clinical indexes,gastrointestinal hormones,nutrition indexes,the levels of inflammatory factors,quality of life,Visual Analog Scale score,and the postoperative complications of the two groups of patients before and after treatment were collected,and the therapeutic effects in the two groups were analyzed and compared.RESULTS Compared with the control group,perioperative bleeding,peristalsis recovery time,and hospital stays were significantly shorter in the research group.After surgery,the levels of gastrin(GAS)and motilin(MTL)were decreased in both groups,and the fluctuation range of GAS and MTL observed in the research group was significantly lower than that recorded in the control group.The hemoglobin(Hb)levels increased after surgery,and the level of Hb in the research group was significantly higher compared with the control group.After the operation,the expression levels of tumor necrosis factor-α,interleukin-6,and C-reactive protein and the total incidence of complications were significantly lower in the research group compared with the control group.One year after the operation,the quality of life of the two groups was greatly improved,with the quality of life in the research group being significantly better.CONCLUSION Laparoscopy was effective for colorectal surgery by reducing the occurrence of complications and inflammatory stress reaction;moreover,the quality of life of patients was significantly improved,which warrants further promotion.展开更多
Thefield of energy storage devices is primarily dominated by lithium-ion batteries(LIBs)due to their mature manufacturing processes and stable performance.However,immature lithium recovery technology cannot stop the co...Thefield of energy storage devices is primarily dominated by lithium-ion batteries(LIBs)due to their mature manufacturing processes and stable performance.However,immature lithium recovery technology cannot stop the continuous increase in the cost of LIBs.Along with the rapid development of electric transportation,it has become inevitable to trigger a new round of competition in alternative energy storage systems.Some monovalent rechargeable metal ion batteries(sodium ion batteries(SIBs)and potassium ion batteries(PIBs),etc.)and multi-valent rechargeable metal-ion batteries(magnesium ion batteries(MIBs),calcium ion batteries(CIBs),zinc ion batteries(ZIBs),and aluminum ion batteries(AIBs),etc.)are potential candidates,which can replace LIBs in some of the scenarios to alleviate the pressure on supply.The cathode material plays a crucial role in determining the battery capacity.Transition metal compounds dominated by layered transition metal oxides as key cathode materials for secondary batteries play an important role in the advancement of various battery energy storage systems.In summary,this manuscript aims to review and summarize the research progress on transition metal compounds used as cathodes in different metal ion batteries,with the aim of providing valuable guidance for the exploration and design of high-performance integrated battery systems.展开更多
Styrene-butadiene-styrene(SBS)modified asphalt(SA)has long found effective applications in road construction materials.When combined with fillers,SBS-modified asphalt has demonstrated promising resistance to fatigue c...Styrene-butadiene-styrene(SBS)modified asphalt(SA)has long found effective applications in road construction materials.When combined with fillers,SBS-modified asphalt has demonstrated promising resistance to fatigue cracking caused by temperature fluctuations and aging.In this study,molybdenum disulfide(MoS_(2))and polyphosphoric acid(PPA)were ground in naphthenic oil(NO)and subjected to mechanical activation to create PPAmodified MoS_(2),referred to as OMS-PPA.By blending various ratios of OMS-PPA with SBS-modified asphalt,composite-modified asphalts were successfully developed to enhance their overall properties.To assess the mechanical characteristics and stability of these modified asphalts,various methods were employed,including penetration factor,flow activation energy,fluorescence microscopy,and dynamic shear rheology.Additionally,the short-term aging performance was evaluated using Fourier transform infrared(FTIR)spectroscopy and nanoindentation tests.The results revealed a 3.7%decrease in the penetration-temperature coefficient for SAOMS compared to SA,while 1-SA-OMS-PPA showed an even greater reduction of 7.1%.Furthermore,after short-term aging,carboxyl group generation in SA increased by 5.93%,while SA-OMS exhibited a smaller rise of 1.36%,and 1-SA-OMS-PPA saw an increase of just 0.93%.The study also highlighted significant improvements in the hardness of these materials.The hardness change ratio for SA-OMS decreased by 43.08%,while the ratio for 1-SA-OMS-PPA saw a notable reduction of 65.16% compared to unmodified SA.These findings suggest that OMS-PPA contributed to improvements in temperature sensitivity,particle dispersibility,and resistance to shortterm aging in asphalts.The results hold significant promise for the future development of advanced asphalt-based materials with potential high-value applications in flexible pavements for highways.展开更多
A new extended distribution called the Odd Exponential Generalized Exponential-Exponential distribution(EOEGE-E)is proposed based on generalization of the odd generalized exponential family(OEGE-E).The statistical pro...A new extended distribution called the Odd Exponential Generalized Exponential-Exponential distribution(EOEGE-E)is proposed based on generalization of the odd generalized exponential family(OEGE-E).The statistical properties of the proposed distribution are derived.The study evaluates the accuracy of six estimation methods under complete samples.Estimation techniques include maximumlikelihood,ordinary least squares,weighted least squares,maximumproduct of spacing,Cramer vonMises,and Anderson-Darling methods.Twomethods of estimation for the involved parameters are considered based on progressively type Ⅱ censored data(PTⅡC).These methods are maximum likelihood and maximum product of spacing.The proposed distribution’s effectiveness was evaluated using different data sets from various fields.The proposed distribution provides a better fit for these datasets than existing probability distributions.展开更多
BACKGROUND Colorectal polyps(CPs)are important precursor lesions of colorectal cancer,and endoscopic surgery remains the primary treatment option.However,the shortterm recurrence rate post-surgery is high,and the risk...BACKGROUND Colorectal polyps(CPs)are important precursor lesions of colorectal cancer,and endoscopic surgery remains the primary treatment option.However,the shortterm recurrence rate post-surgery is high,and the risk factors for recurrence remain unknown.AIM To comprehensively explore risk factors for short-term recurrence of CPs after endoscopic surgery and develop a nomogram prediction model.METHODS Overall,362 patients who underwent endoscopic polypectomy between January 2022 and January 2024 at Nanjing Jiangbei Hospital were included.We screened basic demographic data,clinical and polyp characteristics,surgery-related information,and independent risk factors for CPs recurrence using univariate and multivariate logistic regression analyses.The multivariate analysis results were used to construct a nomogram prediction model,internally validated using Bootstrapping,with performance evaluated using area under the curve(AUC),calibration curve,and decision curve analysis.RESULTS CP re-occurred in 166(45.86%)of the 362 patients within 1 year post-surgery.Multivariate logistic regression analysis showed that age(OR=1.04,P=0.002),alcohol consumption(OR=2.07,P=0.012),Helicobacter pylori infection(OR=2.34,P<0.001),polyp number>2(OR=1.98,P=0.005),sessile polyps(OR=2.10,P=0.006),and adenomatous pathological type(OR=3.02,P<0.001)were independent risk factors for post-surgery recurrence.The nomogram prediction model showed good discriminatory(AUC=0.73)and calibrating power,and decision curve analysis showed that the model had good clinical benefit at risk probabilities>20%.CONCLUSION We identified multiple independent risk factors for short-term recurrence after endoscopic surgery.The nomogram prediction model showed a certain degree of differentiation,calibration,and potential clinical applicability.展开更多
This paper systematically reviews the research progress of Advance Care Planning(ACP)in the field of lung cancer,and discusses its implementation status,key influencing factors and future development direction,includi...This paper systematically reviews the research progress of Advance Care Planning(ACP)in the field of lung cancer,and discusses its implementation status,key influencing factors and future development direction,including deepening of theoretical research,innovation of practice mode,optimization of policy support and cultural adaptation research.展开更多
Countries worldwide are advocating for energy transition initiatives to promote the construction of low-carbon energy systems.The low voltage ride through(LVRT)characteristics of renewable energy units and commutation...Countries worldwide are advocating for energy transition initiatives to promote the construction of low-carbon energy systems.The low voltage ride through(LVRT)characteristics of renewable energy units and commutation failures in line commutated converter high voltage direct current(LCC-HVDC)systems at the receiving end leads to short-term power shortage(STPS),which differs from traditional frequency stability issues.STPS occurs during the generator’s power angle swing phase,before the governor responds,and is on a timescale that is not related to primary frequency regulation.This paper addresses these challenges by examining the impact of LVRT on voltage stability,developing a frequency response model to analyze the mechanism of frequency instability caused by STPS,deriving the impact of STPS on the maximum frequency deviation,and introducing an energy deficiency factor to assess its impact on regional frequency stability.The East China Power Grid is used as a case study,where the energy deficiency factor is calculated to validate the proposed mechanism.STPS is mainly compensated by the rotor kinetic energy of the generators in this region,with minimal impact on other regions.It is concluded that the energy deficiency factor provides an effective explanation for the spatial distribution of the impact of STPS on system frequency.展开更多
This article systematically reviews the research progress on health literacy in lung cancer patients,covering the core definition and multidimensional assessment system of health literacy,epidemiological characteristi...This article systematically reviews the research progress on health literacy in lung cancer patients,covering the core definition and multidimensional assessment system of health literacy,epidemiological characteristics,mechanisms of its impact on clinical outcomes and quality of life,as well as targeted intervention strategies.Research indicates that health literacy significantly improves patient prognosis through pathways such as enhancing treatment adherence,optimizing doctor-patient communication,and strengthening self-management capabilities.This review also points out that future research needs to focus on developing cross-cultural assessment tools,exploring neurocognitive mechanisms,integrating digital technologies,and promoting policy translation to address the new challenges in the era of chronic disease management for lung cancer.展开更多
Objectives:This study aimed to clarify the short-term symptoms,duration,and influencing factors in people recovering from coronavirus disease 2019(COVID-19)after China’s dynamic zero-COVID-19 policy was implemented i...Objectives:This study aimed to clarify the short-term symptoms,duration,and influencing factors in people recovering from coronavirus disease 2019(COVID-19)after China’s dynamic zero-COVID-19 policy was implemented in December 2022.Methods:We included data from a large-scale on-line survey conducted in China between January 14 and February 1,2023.Participants were individuals of all ages.Chi-squared tests and multivariate logistic regression analyses were performed to identify factors associated with different symptoms.Results:Overall,21,012 patients from seven regions of China were included in this study(female:71.22%).For most patients,the period from symptom onset to a negative nucleic acid test result was≤10 days(72.33%).The distribution of symptoms varied at different times,with respiratory(1-4 weeks)and psychocardiology(5-8 weeks)symptoms being the most common.Multivariate analysis identified male sex,no comorbidity,and living in northeast and northwest China(compared with central China)as independent factors associated with a lower risk of symptoms,while age(41-60 years)was a possible risk factor(compared with 18-40 years).Conclusions:Short-term respiratory and psychocardiology symptoms were the most common after COVID-19 recovery.Sex,age,geographical region,and comorbidities were potential influencing factors for the development of short-term symptoms.展开更多
AIM:To investigate the prevalence and characteristics of myopia in school-aged students and effects of environmental and genetic factors on the progression of myopia.METHODS:A total of 2422 students aged between 5 and...AIM:To investigate the prevalence and characteristics of myopia in school-aged students and effects of environmental and genetic factors on the progression of myopia.METHODS:A total of 2422 students aged between 5 and 18y from nine schools in Baiyun District of Guangzhou,China were sampled using a stratified sampling method in 2020.Among them,1066 students participated in the follow-up survey the following year.Data were obtained based on ocular examinations and a questionnaire survey conducted during two visits.Factors potentially influencing the progression of myopia were analyzed.RESULTS:During the year assessed in this study,the percentage of students with myopia increased from 58.4%to 64.8%(P=0.002).Spherical equivalent(SE)progressed from-1.44±1.91 diopters(D)at baseline to-1.66±1.10 D(P=0.005).A generalized estimating equation(GEE)model revealed that age[adjusted odds ratio(aOR)=1.298,P<0.001],residential students(aOR=2.428,P=0.018),parental myopia(one myopic parent:aOR=1.553,both parents myopic:aOR=2.609,P<0.001),frequent reading of books or viewing of screens in direct sunlight(aOR=3.502,P=0.023),using only overhead lighting for reading and writing at night(aOR=1.633,P=0.011),parental restrictions on exercise time(aOR=2.286,P=0.012),and having less than 2h of outdoor exercise per day during the past week(aOR=1.584,P=0.019)were all identified as independent risk factors for progression of myopia.CONCLUSION:Our findings in this study indicate that age,residential students,parental myopia,indoor lighting environment,and physical activity have significant effects on the progression of myopia,providing evidence for further in-depth mechanistic interpretation and efficient intervention strategies for school-age children in this area.展开更多
Delirium is a transient and acute syndrome of encephalopathy,characterized by disturbances in consciousness,orientation,cognition,perception,and emotional regulation,often accompanied by hallucinations,illusions,psych...Delirium is a transient and acute syndrome of encephalopathy,characterized by disturbances in consciousness,orientation,cognition,perception,and emotional regulation,often accompanied by hallucinations,illusions,psychomotor agitation,and restlessness.Postoperative delirium(POD),a common complication particularly in elderly patients,significantly impacts recovery by prolonging mechanical ventilation,neurosurgical intensive care unit stays,and overall hospitalization durations,while severely diminishing patients’quality of life after discharge.Despite its prevalence,POD remains underrecognized in clinical practice,with significant gaps in its diagnosis and management.This review explores the definition,diagnostic criteria,underlying pathogenesis,and associated risk factors of POD in neurosurgical patients,aiming to offer valuable insights for improving clinical diagnosis and therapeutic strategies.展开更多
This paper deeply explores the application strategies of short-term cost curves in the field of economics.Firstly,it elaborates on the basic theories and constituent elements of short-term cost curves.By drawing and a...This paper deeply explores the application strategies of short-term cost curves in the field of economics.Firstly,it elaborates on the basic theories and constituent elements of short-term cost curves.By drawing and analyzing the shortterm cost curve graphs,it presents the internal relationship between costs and output.Then,it focuses on researching its application strategies in multiple aspects such as enterprise production decisions,market pricing,and industry competition analysis.展开更多
基金the Research Project of the Chinese Digestive Early Cancer Physicians’Joint Growth Program,No.GTCZ-2021-AH-34-0012.
文摘BACKGROUND Gastric cancer is one of the most common cancers worldwide,especially in East Asia.AIM To explore the clinical outcomes and progression-related factors of low-grade intraepithelial neoplasia(LGIN)in the gastric mucosa and provide valuable guidance for improving treatment efficacy.METHODS A total of 357 patients diagnosed with LGIN based on initial pathological examination in Anhui Provincial Hospital or three other medical consortium units between January 2022 and June 2024 were included.Among them,296 patients were followed up with endoscopic and biopsy pathology.Logistic regression was utilized to analyze the relevant risk factors for LGIN progression in the gastric mucosa.RESULTS The distribution sites of LGIN among the 357 patients were as follows:Gastric antrum(54.6%),gastric cardia(24.1%),gastric angulus(8.7%),gastric body(4.8%),gastric fundus(4.8%),and multiple sites(3.1%).Additionally,of the 357 patients with LGIN,112(31.4%)developed ulceration and 59(16.5%)experienced gastric polyps.Furthermore,231 of the 357(64.71%)patients with LGIN tested positive for Helicobacter pylori(H.pylori)infection.The H.pylori infection rates of the patients with LGIN with accompanying atrophy,intestinal metaplasia,and gastric ulcer were 51.95%,59.31%,and 28.57%,respectively.Multivariate logistic regression analysis showed that age≥60 years[odds ratio(OR)=3.063,95%confidence interval(CI):1.351-6.945,P=0.007],H.pylori infection(OR=3.560,95%CI:1.158-10.949,P=0.027),multiple locations(OR=10.136,95%CI:2.045-50.237,P=0.005),lesion size≥2 cm(OR=3.921,95%CI:1.664-9.237,P=0.002),and gastric ulcer(OR=2.730,95%CI:1.197-6.223,P=0.017)were predictive factors for LGIN progression.CONCLUSION LGIN progression is closely related to age,H.pylori positivity,multiple locations,lesion size≥2 cm,and gastric ulcer.Thus,actively identifying these risk factors in patients with LGIN may have certain clinical significance in preventing further tumor progression.
文摘Liver transplantation,as an effective therapy for patients with liver cancer,plays an important role in improving the quality of life of patients.However,the com-plexity and trauma of liver transplantation can easily lead to the occurrence of malnutrition in patients,and then increase the risk of postoperative complica-tions,which has aroused widespread clinical attention.Reasonable nutritional support can not only maintain the stability of the body’s internal environment,reduce the occurrence of complications,but also promote the recovery of liver and other organ functions.In recent years,with the in-depth understanding of nut-ritional metabolism after liver transplantation,the application of enteral nutrition and parenteral nutrition in nutritional support after liver transplantation has been increasingly extensive and achieved remarkable results.This paper discusses the effect of early postoperative nutritional intervention on patients with liver cancer and liver transplantation,and combined with its mechanism of action,can better understand the effectiveness of intervention,and provide reference for the deve-lopment of scientific and reasonable nutritional support programs in clinical pra-ctice.
基金supported by the Program for Science Technology and Innovation Committee of Shenzhen(2021N062-JCYJ20210324115408023)Guangdong High-Level Hospital Construction Fund,Shenzhen High-Level Hospital Construction Fund。
文摘Lipocalin-2(LCN2)is a member of the lipocalin superfamily with multiple functions and can participate in the transport of a variety of small lipophilic ligands in vivo.LCN2 is significantly expressed in various tumors and plays an important role in regulating tumor cell proliferation,invasion,and metastasis.The specific actions of LCN2 in tumors may vary depending on the particular type of cancer involved.In this review,we provide an extensive overview of the transcriptional and post-transcriptional regulation of LCN2 in health and disease.Furthermore,we summarize the impact of LCN2 dysregulation in a broad range of tumors.Lastly,we examine the mechanisms of action of LCN2 during tumorigenesis,progression,and metastasis.Understanding the complex relationships between LCN2 and tumor development,progression,and metastasis is vital for advancing our knowledge of cancer biology,developing biomarkers for diagnosis and clinical decision-making,and creating therapeutic strategies to improve the management of patients with cancer.
基金supported by the National Key R&D Program of China(No.2017YFB0304402)。
文摘The microstructural evolution of a cold-rolled and intercritical annealed medium-Mn steel(Fe-0.10C-5Mn)was investigated during uniaxial tensile testing.In-situ observations under scanning electron microscopy,transmission electron microscopy,and X-ray diffraction analysis were conducted to characterize the progressive transformation-induced plasticity process and associated fracture initiation mechanisms.These findings were discussed with the local strain measurements via digital image correlation.The results indicated that Lüders band formation in the steel was limited to 1.5%strain,which was mainly due to the early-stage martensitic phase transformation of a very small amount of the less stable large-sized retained austenite(RA),which led to localized stress concentrations and strain hardening and further retardation of yielding.The small-sized RA exhibited high stability and progressively transformed into martensite and contributed to a stably extended Portevin-Le Chatelier effect.The volume fraction of RA gradually decreased from 26.8%to 8.2%prior to fracture.In the late deformation stage,fracture initiation primarily occurred at the austenite/martensite and ferrite/martensite interfaces and the ferrite phase.
基金supported by the National Natural Science Foundation of China(Grant Nos.42372312,and 42172299)the Pyramid Talent Training Project of Beijing University of Civil Engineering and Architecture(Grant No.JDYC20220807).
文摘The progressive failure characteristics of geomaterial are a remarkable and challenging topic in geotechnical engineering.To study the effect of salt content and temperature on the progressive failure characteristics of frozen sodium sulfate saline sandy soil,a series of uniaxial compression tests were performed by integrating digital image correlation(DIC)technology into the testing apparatus.The evolution law of the uniaxial compression strength(UCS),the failure strain,and the formation of the shear band of the frozen sodium sulfate saline sandy soil were analyzed.The test results show that within the scope of this study,with the increase of salt content,both the UCS and the shear band angle initially decrease with increasing salt content before showing an increase.In contrast,the failure strain and the width of the shear band exhibit an initial increase followed by a decrease in the samples.In addition,to investigate the brittle failure characteristics of frozen sodium sulfate saline sandy soil,two classic brittleness evaluation methods were employed to quantitatively assess the brittleness level for the soil samples.The findings suggest that the failure characteristics under all test conditions in this study belong to the transition stage between brittle and ductile,indicating that frozen sodium sulfate saline sandy soil exhibits certain brittle behavior under uniaxial compression conditions,and the brittleness index basically decreases and then increases with the rise in salt content.
文摘With breakthroughs in data processing and pattern recognition through deep learning technologies,the use of advanced algorithmic models for analyzing and interpreting soil spectral information has provided an efficient and economical method for soil quality assessment.However,traditional single-output networks exhibit limitations in the prediction process,particularly in their inability to fully utilize the correlations among various elements.As a result,single-output networks tend to be optimized for a single task,neglecting the interrelationships among different soil elements,which limits prediction accuracy and model generalizability.To overcome this limitation,in this study,a multi-task learning architecture with a progressive extraction network was implemented for the simultaneous prediction of multiple indicators in soil,including nitrogen(N),organic carbon(OC),calcium carbonate(CaCO 3),cation exchange capacity(CEC),and pH.Furthermore,while incorporating the Pearson correlation coefficient,convolutional neural networks,long short-term memory networks and attention mechanisms were combined to extract local abstract features from the original spectra,thereby further improving the model.This architecture is referred to as the Relevance-sharing Progressive Layered Extraction Network.The model employs an adaptive joint loss optimization method to update the weights of individual task losses in the multi-task learning training process.
文摘Load forecasting is of great significance to the development of new power systems.With the advancement of smart grids,the integration and distribution of distributed renewable energy sources and power electronics devices have made power load data increasingly complex and volatile.This places higher demands on the prediction and analysis of power loads.In order to improve the prediction accuracy of short-term power load,a CNN-BiLSTMTPA short-term power prediction model based on the Improved Whale Optimization Algorithm(IWOA)with mixed strategies was proposed.Firstly,the model combined the Convolutional Neural Network(CNN)with the Bidirectional Long Short-Term Memory Network(BiLSTM)to fully extract the spatio-temporal characteristics of the load data itself.Then,the Temporal Pattern Attention(TPA)mechanism was introduced into the CNN-BiLSTM model to automatically assign corresponding weights to the hidden states of the BiLSTM.This allowed the model to differentiate the importance of load sequences at different time intervals.At the same time,in order to solve the problem of the difficulties of selecting the parameters of the temporal model,and the poor global search ability of the whale algorithm,which is easy to fall into the local optimization,the whale algorithm(IWOA)was optimized by using the hybrid strategy of Tent chaos mapping and Levy flight strategy,so as to better search the parameters of the model.In this experiment,the real load data of a region in Zhejiang was taken as an example to analyze,and the prediction accuracy(R2)of the proposed method reached 98.83%.Compared with the prediction models such as BP,WOA-CNN-BiLSTM,SSA-CNN-BiLSTM,CNN-BiGRU-Attention,etc.,the experimental results showed that the model proposed in this study has a higher prediction accuracy.
文摘This article focuses on the factors influencing fracture nonunion, classification and treatment. The article emphasizes the importance of understanding the influencing factors and mechanisms of fracture healing for developing effective treatment strategies and improving patients’ quality of life. It also points out the challenges of current treatment, such as patient compliance and limitations of treatment methods, and looks at future treatment directions.
文摘BACKGROUND Surgery is the first choice of treatment for patients with colorectal cancer.Traditional open surgery imparts great damage to the body of the patient and can easily cause adverse stress reactions.With the continuous development of medical technology,laparoscopic minimally invasive surgery has shown great advantages for the treatment of patients with celiac disease.AIM To investigate the short-term efficacy of laparoscopic radical surgery and traditional laparotomy for the treatment of colorectal cancer,and the differences in the risk analysis of unplanned reoperation after operation.METHODS As the research subjects,this study selected 100 patients with colorectal cancer who received surgical treatment at the Yulin First Hospital from January 2018 to January 2022.Among them,50 patients who underwent laparoscopic radical resection were selected as the research group and 50 patients who underwent traditional laparotomy were selected as the control group.Data pertaining to clinical indexes,gastrointestinal hormones,nutrition indexes,the levels of inflammatory factors,quality of life,Visual Analog Scale score,and the postoperative complications of the two groups of patients before and after treatment were collected,and the therapeutic effects in the two groups were analyzed and compared.RESULTS Compared with the control group,perioperative bleeding,peristalsis recovery time,and hospital stays were significantly shorter in the research group.After surgery,the levels of gastrin(GAS)and motilin(MTL)were decreased in both groups,and the fluctuation range of GAS and MTL observed in the research group was significantly lower than that recorded in the control group.The hemoglobin(Hb)levels increased after surgery,and the level of Hb in the research group was significantly higher compared with the control group.After the operation,the expression levels of tumor necrosis factor-α,interleukin-6,and C-reactive protein and the total incidence of complications were significantly lower in the research group compared with the control group.One year after the operation,the quality of life of the two groups was greatly improved,with the quality of life in the research group being significantly better.CONCLUSION Laparoscopy was effective for colorectal surgery by reducing the occurrence of complications and inflammatory stress reaction;moreover,the quality of life of patients was significantly improved,which warrants further promotion.
基金support from the Nuclear Fuel Pellet Appearance Quality Inspection Device Project(20190304 A).
文摘Thefield of energy storage devices is primarily dominated by lithium-ion batteries(LIBs)due to their mature manufacturing processes and stable performance.However,immature lithium recovery technology cannot stop the continuous increase in the cost of LIBs.Along with the rapid development of electric transportation,it has become inevitable to trigger a new round of competition in alternative energy storage systems.Some monovalent rechargeable metal ion batteries(sodium ion batteries(SIBs)and potassium ion batteries(PIBs),etc.)and multi-valent rechargeable metal-ion batteries(magnesium ion batteries(MIBs),calcium ion batteries(CIBs),zinc ion batteries(ZIBs),and aluminum ion batteries(AIBs),etc.)are potential candidates,which can replace LIBs in some of the scenarios to alleviate the pressure on supply.The cathode material plays a crucial role in determining the battery capacity.Transition metal compounds dominated by layered transition metal oxides as key cathode materials for secondary batteries play an important role in the advancement of various battery energy storage systems.In summary,this manuscript aims to review and summarize the research progress on transition metal compounds used as cathodes in different metal ion batteries,with the aim of providing valuable guidance for the exploration and design of high-performance integrated battery systems.
基金financially supported by the Key Research and Development Program of Hubei Province(Nos.2022BCA077 and 2022BCA082).
文摘Styrene-butadiene-styrene(SBS)modified asphalt(SA)has long found effective applications in road construction materials.When combined with fillers,SBS-modified asphalt has demonstrated promising resistance to fatigue cracking caused by temperature fluctuations and aging.In this study,molybdenum disulfide(MoS_(2))and polyphosphoric acid(PPA)were ground in naphthenic oil(NO)and subjected to mechanical activation to create PPAmodified MoS_(2),referred to as OMS-PPA.By blending various ratios of OMS-PPA with SBS-modified asphalt,composite-modified asphalts were successfully developed to enhance their overall properties.To assess the mechanical characteristics and stability of these modified asphalts,various methods were employed,including penetration factor,flow activation energy,fluorescence microscopy,and dynamic shear rheology.Additionally,the short-term aging performance was evaluated using Fourier transform infrared(FTIR)spectroscopy and nanoindentation tests.The results revealed a 3.7%decrease in the penetration-temperature coefficient for SAOMS compared to SA,while 1-SA-OMS-PPA showed an even greater reduction of 7.1%.Furthermore,after short-term aging,carboxyl group generation in SA increased by 5.93%,while SA-OMS exhibited a smaller rise of 1.36%,and 1-SA-OMS-PPA saw an increase of just 0.93%.The study also highlighted significant improvements in the hardness of these materials.The hardness change ratio for SA-OMS decreased by 43.08%,while the ratio for 1-SA-OMS-PPA saw a notable reduction of 65.16% compared to unmodified SA.These findings suggest that OMS-PPA contributed to improvements in temperature sensitivity,particle dispersibility,and resistance to shortterm aging in asphalts.The results hold significant promise for the future development of advanced asphalt-based materials with potential high-value applications in flexible pavements for highways.
文摘A new extended distribution called the Odd Exponential Generalized Exponential-Exponential distribution(EOEGE-E)is proposed based on generalization of the odd generalized exponential family(OEGE-E).The statistical properties of the proposed distribution are derived.The study evaluates the accuracy of six estimation methods under complete samples.Estimation techniques include maximumlikelihood,ordinary least squares,weighted least squares,maximumproduct of spacing,Cramer vonMises,and Anderson-Darling methods.Twomethods of estimation for the involved parameters are considered based on progressively type Ⅱ censored data(PTⅡC).These methods are maximum likelihood and maximum product of spacing.The proposed distribution’s effectiveness was evaluated using different data sets from various fields.The proposed distribution provides a better fit for these datasets than existing probability distributions.
文摘BACKGROUND Colorectal polyps(CPs)are important precursor lesions of colorectal cancer,and endoscopic surgery remains the primary treatment option.However,the shortterm recurrence rate post-surgery is high,and the risk factors for recurrence remain unknown.AIM To comprehensively explore risk factors for short-term recurrence of CPs after endoscopic surgery and develop a nomogram prediction model.METHODS Overall,362 patients who underwent endoscopic polypectomy between January 2022 and January 2024 at Nanjing Jiangbei Hospital were included.We screened basic demographic data,clinical and polyp characteristics,surgery-related information,and independent risk factors for CPs recurrence using univariate and multivariate logistic regression analyses.The multivariate analysis results were used to construct a nomogram prediction model,internally validated using Bootstrapping,with performance evaluated using area under the curve(AUC),calibration curve,and decision curve analysis.RESULTS CP re-occurred in 166(45.86%)of the 362 patients within 1 year post-surgery.Multivariate logistic regression analysis showed that age(OR=1.04,P=0.002),alcohol consumption(OR=2.07,P=0.012),Helicobacter pylori infection(OR=2.34,P<0.001),polyp number>2(OR=1.98,P=0.005),sessile polyps(OR=2.10,P=0.006),and adenomatous pathological type(OR=3.02,P<0.001)were independent risk factors for post-surgery recurrence.The nomogram prediction model showed good discriminatory(AUC=0.73)and calibrating power,and decision curve analysis showed that the model had good clinical benefit at risk probabilities>20%.CONCLUSION We identified multiple independent risk factors for short-term recurrence after endoscopic surgery.The nomogram prediction model showed a certain degree of differentiation,calibration,and potential clinical applicability.
基金Supported by National Natural Science Foundation of China(71774049).
文摘This paper systematically reviews the research progress of Advance Care Planning(ACP)in the field of lung cancer,and discusses its implementation status,key influencing factors and future development direction,including deepening of theoretical research,innovation of practice mode,optimization of policy support and cultural adaptation research.
基金funded by the Technology Project of State Grid Corporation of China(Research on Safety and Stability Evaluation and Optimization Enhancement Technology of Flexible Ultra High Voltage Multiterminal DC System Adapting to the Background of“Sand and Gobi Deserts”),grant number J2024003。
文摘Countries worldwide are advocating for energy transition initiatives to promote the construction of low-carbon energy systems.The low voltage ride through(LVRT)characteristics of renewable energy units and commutation failures in line commutated converter high voltage direct current(LCC-HVDC)systems at the receiving end leads to short-term power shortage(STPS),which differs from traditional frequency stability issues.STPS occurs during the generator’s power angle swing phase,before the governor responds,and is on a timescale that is not related to primary frequency regulation.This paper addresses these challenges by examining the impact of LVRT on voltage stability,developing a frequency response model to analyze the mechanism of frequency instability caused by STPS,deriving the impact of STPS on the maximum frequency deviation,and introducing an energy deficiency factor to assess its impact on regional frequency stability.The East China Power Grid is used as a case study,where the energy deficiency factor is calculated to validate the proposed mechanism.STPS is mainly compensated by the rotor kinetic energy of the generators in this region,with minimal impact on other regions.It is concluded that the energy deficiency factor provides an effective explanation for the spatial distribution of the impact of STPS on system frequency.
基金Supported by National Natural Science Foundation of China(71774049).
文摘This article systematically reviews the research progress on health literacy in lung cancer patients,covering the core definition and multidimensional assessment system of health literacy,epidemiological characteristics,mechanisms of its impact on clinical outcomes and quality of life,as well as targeted intervention strategies.Research indicates that health literacy significantly improves patient prognosis through pathways such as enhancing treatment adherence,optimizing doctor-patient communication,and strengthening self-management capabilities.This review also points out that future research needs to focus on developing cross-cultural assessment tools,exploring neurocognitive mechanisms,integrating digital technologies,and promoting policy translation to address the new challenges in the era of chronic disease management for lung cancer.
基金funded by the Young Scientists Fund of the National Natural Science Foundation of China under 82305433,82305437.
文摘Objectives:This study aimed to clarify the short-term symptoms,duration,and influencing factors in people recovering from coronavirus disease 2019(COVID-19)after China’s dynamic zero-COVID-19 policy was implemented in December 2022.Methods:We included data from a large-scale on-line survey conducted in China between January 14 and February 1,2023.Participants were individuals of all ages.Chi-squared tests and multivariate logistic regression analyses were performed to identify factors associated with different symptoms.Results:Overall,21,012 patients from seven regions of China were included in this study(female:71.22%).For most patients,the period from symptom onset to a negative nucleic acid test result was≤10 days(72.33%).The distribution of symptoms varied at different times,with respiratory(1-4 weeks)and psychocardiology(5-8 weeks)symptoms being the most common.Multivariate analysis identified male sex,no comorbidity,and living in northeast and northwest China(compared with central China)as independent factors associated with a lower risk of symptoms,while age(41-60 years)was a possible risk factor(compared with 18-40 years).Conclusions:Short-term respiratory and psychocardiology symptoms were the most common after COVID-19 recovery.Sex,age,geographical region,and comorbidities were potential influencing factors for the development of short-term symptoms.
基金Supported by the Guangzhou Health Science and Technology Project(No.20221A010077)the Guangdong Provincial Medical Science and Technology Research Fund Project(No.A2020146).
文摘AIM:To investigate the prevalence and characteristics of myopia in school-aged students and effects of environmental and genetic factors on the progression of myopia.METHODS:A total of 2422 students aged between 5 and 18y from nine schools in Baiyun District of Guangzhou,China were sampled using a stratified sampling method in 2020.Among them,1066 students participated in the follow-up survey the following year.Data were obtained based on ocular examinations and a questionnaire survey conducted during two visits.Factors potentially influencing the progression of myopia were analyzed.RESULTS:During the year assessed in this study,the percentage of students with myopia increased from 58.4%to 64.8%(P=0.002).Spherical equivalent(SE)progressed from-1.44±1.91 diopters(D)at baseline to-1.66±1.10 D(P=0.005).A generalized estimating equation(GEE)model revealed that age[adjusted odds ratio(aOR)=1.298,P<0.001],residential students(aOR=2.428,P=0.018),parental myopia(one myopic parent:aOR=1.553,both parents myopic:aOR=2.609,P<0.001),frequent reading of books or viewing of screens in direct sunlight(aOR=3.502,P=0.023),using only overhead lighting for reading and writing at night(aOR=1.633,P=0.011),parental restrictions on exercise time(aOR=2.286,P=0.012),and having less than 2h of outdoor exercise per day during the past week(aOR=1.584,P=0.019)were all identified as independent risk factors for progression of myopia.CONCLUSION:Our findings in this study indicate that age,residential students,parental myopia,indoor lighting environment,and physical activity have significant effects on the progression of myopia,providing evidence for further in-depth mechanistic interpretation and efficient intervention strategies for school-age children in this area.
基金Supported by Science and Technology Program of Nantong City,No.Key003Nantong Young Medical Expert,No.46+2 种基金the Science and Technology Program of Nantong Health Committee,No.MA2019003,No.MA2021017,and No.MSZ2024038Science and Technology Program of Nantong City,No.JCZ2022040Kangda College of Nanjing Medical University,No.KD2021JYYJYB025,No.KD2022KYJJZD022,and No.KD2024KYJJ289.
文摘Delirium is a transient and acute syndrome of encephalopathy,characterized by disturbances in consciousness,orientation,cognition,perception,and emotional regulation,often accompanied by hallucinations,illusions,psychomotor agitation,and restlessness.Postoperative delirium(POD),a common complication particularly in elderly patients,significantly impacts recovery by prolonging mechanical ventilation,neurosurgical intensive care unit stays,and overall hospitalization durations,while severely diminishing patients’quality of life after discharge.Despite its prevalence,POD remains underrecognized in clinical practice,with significant gaps in its diagnosis and management.This review explores the definition,diagnostic criteria,underlying pathogenesis,and associated risk factors of POD in neurosurgical patients,aiming to offer valuable insights for improving clinical diagnosis and therapeutic strategies.
文摘This paper deeply explores the application strategies of short-term cost curves in the field of economics.Firstly,it elaborates on the basic theories and constituent elements of short-term cost curves.By drawing and analyzing the shortterm cost curve graphs,it presents the internal relationship between costs and output.Then,it focuses on researching its application strategies in multiple aspects such as enterprise production decisions,market pricing,and industry competition analysis.
