Most urological conditions are represented by male disorders. Analyzing certain epidemiological aspects of female urological disorders at the National University Teaching Hospital of Cotnou, will allow us objectively ...Most urological conditions are represented by male disorders. Analyzing certain epidemiological aspects of female urological disorders at the National University Teaching Hospital of Cotnou, will allow us objectively to have reliable data to optimize the urological management of women. Patients and Methods: This was a retrospective, analytical and descriptive study that was conducted at the CNHU-HKM over a 10-year period from January 2008 to December 2017 on the epidemiological aspects of female urological diseases from the study of patient records. The variable studied was: the age, the profession, the year of admission, the organ affected, and the type of pathology. The confidentiality of the data has been ensured. Results: Female urological disorders over 10 years accounted for 9.62% of all patients received in Urology Department. The age group greater than 50 years was the most common at 31.34%. Traders and housewives were the most numerous (39.93% and 14.55%). Bladder diseases were the most frequent (51.50), dominated by vesico-vaginal fistulas (29.85%). In addition to fistulas, tumoral affections were most prevalent at 27.99% followed by infectious diseases at 8.21%. The lithiasic affections were infrequent at 6.72%. Conclusion: Female urological conditions are infrequent but not negligible, dominated by vesico-vaginal fistulas and tumors in the context of developing countries. The specific evaluation of each pathology group can help optimize management.展开更多
Lithium-ion batteries(LIBs)are the most popular energy storage devices due to their high energy density,high operating voltage,and long cycle life.However,green and effective recycling methods are needed because LIBs ...Lithium-ion batteries(LIBs)are the most popular energy storage devices due to their high energy density,high operating voltage,and long cycle life.However,green and effective recycling methods are needed because LIBs contain heavy metals such as Co,Ni,and Mn and organic compounds inside,which seriously threaten human health and the environment.In this work,we review the current status of spent LIB recycling,discuss the traditional pyrometallurgical and hydrometallurgical recovery processes,and summarize the existing short-process recovery technologies such as salt-assisted roasting,flotation processes,and direct recycling.Finally,we analyze the problems and potential research prospects of the current recycling process,and point out that the multidisciplinary integration of recycling will become the mainstream technology for the development of spent LIBs.展开更多
The cleanliness of seed cotton plays a critical role in the pre-treatment of cotton textiles,and the removal of impurity during the harvesting process directly determines the quality and market value of cotton textile...The cleanliness of seed cotton plays a critical role in the pre-treatment of cotton textiles,and the removal of impurity during the harvesting process directly determines the quality and market value of cotton textiles.By fusing band combination optimization with deep learning,this study aims to achieve more efficient and accurate detection of film impurities in seed cotton on the production line.By applying hyperspectral imaging and a one-dimensional deep learning algorithm,we detect and classify impurities in seed cotton after harvest.The main categories detected include pure cotton,conveyor belt,film covering seed cotton,and film adhered to the conveyor belt.The proposed method achieves an impurity detection rate of 99.698%.To further ensure the feasibility and practical application potential of this strategy,we compare our results against existing mainstream methods.In addition,the model shows excellent recognition performance on pseudo-color images of real samples.With a processing time of 11.764μs per pixel from experimental data,it shows a much improved speed requirement while maintaining the accuracy of real production lines.This strategy provides an accurate and efficient method for removing impurities during cotton processing.展开更多
[Objective]Traditional structural geology textbooks often provide outdated treatments of joints and veins,failing to reflect the significant advances made in the past three decades.This review seeks to address part of...[Objective]Traditional structural geology textbooks often provide outdated treatments of joints and veins,failing to reflect the significant advances made in the past three decades.This review seeks to address part of this gap by highlighting the significance of barren joints and veins in reconstructing both the directions and magnitudes of geological paleostresses.[Conclusion]Conjugate shear joints not only indicate the orientation of the three effective principal stresses but also imply differential stresses at least four times greater than the tensile strength of the brittle host rock.Exfoliation joints form under stress states ofσ_(1)≈σ_(2)>0>σ_(3),whereas polygonal columnar joints in sedimentary rocks reflectσ_(1)^(*)>>σ_(2)^(*)=σ_(3)^(*),allowing the tensile strength of rocks to be estimated.Tensile joints in brittle strong beds interlayered with ductile soft layers are primarily driven by tensile stresses transferred from interfacial shear stresses between the hard and soft layers,with joint saturation mainly controlled by tectonic strain.Under natural strain-rate conditions,the Weibull modulus and tensile strength of the strong layers,as well as the shear-flow strength of the ductile layers,can be inferred from the nonlinear relationship between joint spacing and bed thickness.Ladder-like orthogonal joints,which form under a stress state ofσ_(1)^(*)>>σ_(2)^(*)>σ_(3)^(*),divide strata into blocky units and,after weathering and erosion,give rise to characteristic castle-and tower-like landforms.Veins,as mineral-filled joints,provide spacing and thickness data that allow estimates of layer strain.Moreover,the nonlinear relationship between vein spacing and bed thickness permits quantification of the extent to which mineral precipitation restores the tensile strength of rock beds.The absence of ladder-like orthogonal veins is attributed to this strength recovery.[Significance]Collectively,these observations demonstrate the critical role of joints and veins in constraining both the magnitudes and orientations of geological paleostress fields.展开更多
The removal of nitrogen via the ANAMMOX process is a promising green wastewater treatment technology,with numerous benefits.The incessant studies on the ANAMMOX process over the years due to its long start-up and high...The removal of nitrogen via the ANAMMOX process is a promising green wastewater treatment technology,with numerous benefits.The incessant studies on the ANAMMOX process over the years due to its long start-up and high operational cost has positively influenced its technological advancement,even though at a rather slow pace.At the moment,relatively newANAMMOX technologies are being developedwith the goal of treating lowcarbon wastewater at low temperatures,tackling nitrite and nitrate accumulation and methane utilization from digestates while also recovering resources(phosphorus)in a sustainable manner.This review compares and contrasts the handful of ANAMMOX-based processes developed thus far with plausible solutions for addressing their respective bottlenecks hindering full-scale implementation.Ultimately,future prospects for advancing understanding of mechanisms and engineering application of ANAMMOX process are posited.As a whole,technological advances in process design and patents have greatly contributed to better understanding of the ANAMMOX process,which has greatly aided in the optimization and industrialization of the ANAMMOX process.This review is intended to provide researchers with an overview of the present state of research and technological development of the ANAMMOX process,thus serving as a guide for realizing energy autarkic future practical applications.展开更多
In this paper, we study edge detection or segmentation, which is recognized as a rudiment innovation as it can evaluate sharpness and analyze object boundaries. That’s the reason it has been an influential figure in ...In this paper, we study edge detection or segmentation, which is recognized as a rudiment innovation as it can evaluate sharpness and analyze object boundaries. That’s the reason it has been an influential figure in the image-processing era. Because of this, it has a significant influence in the age of image processing. On the other hand, edge detection is the process of dividing an image into discontinuous regions. It specifies the intensity shift connected to the image’s edge. There are several methods for detecting edges. Four edge identification methods on satellite images and satellite images affected by Gaussian noise were examined. Known edge detection technologies such as Canny, Prewitt, Scharr, and Robert operators are included in this study. Additionally, the key feature of an image for evaluating its quality is the Image Quality Assessment (IQA) measure. We primarily take into account SSIM, MSE, PSNR, and RMSE when assessing image quality. Experimental validation has been obtained for the application of the Canny and Prewitt algorithms to the satellite dataset. However, when the Gaussian Noise effect is added to the same dataset, clever edge detection performs better.展开更多
Mesenchymal stem cells(MSCs)possess unique properties such as immunomodu-lation,paracrine actions,multilineage differentiation,and self-renewal.Therefore,MSC-based cell therapy is an innovative approach to treating va...Mesenchymal stem cells(MSCs)possess unique properties such as immunomodu-lation,paracrine actions,multilineage differentiation,and self-renewal.Therefore,MSC-based cell therapy is an innovative approach to treating various degenera-tive illnesses,including cardiovascular diseases.However,several challenges,including low transplant survival rates,low migration to the ischemic myocar-dium,and poor tissue retention,restrict the application of MSCs in clinical settings.These undesirable cell therapy outcomes mainly originated due to the overproduction of reactive oxygen species(ROS)in the injured heart.MSCs'stress-coping capacity can be enhanced by preconditioning them under conditions similar to the microenvironment of wounded tissues.Hydrogen peroxide(H_(2)O_(2))is a ROS that has been shown to activate protective cellular mechanisms such as survival,proliferation,migration,paracrine effects,and differentiation at suble-thal doses.These processes are induced via phosphatidylinositol 3-kinase/protein kinase B,p38 mitogen-activated protein kinases,c-Jun N-terminal kinase,Janus kinase/signal transducer and activator of the transcription,Notch1,and Wnt sig-naling pathways.H_(2)O_(2) preconditioning could lead to many clinical benefits,including ischemic injury reduction,enhanced survival of cellular transplants,and tissue regeneration.In this review,we present an overview of stem cell preconditioning methods and the biological functions activated by H_(2)O_(2) precondi-tioning.Furthermore,this review explores the molecular mechanisms underlying the protective cellular functions stimulated under H_(2)O_(2) preconditioning.展开更多
AIM:To assess visual outcomes and satisfaction of a non-diffractive extended depth of focus(EDOF)intraocular lens(IOL)in individuals with ocular hypertension(OHT)and well-controlled mild glaucoma undergoing cataract s...AIM:To assess visual outcomes and satisfaction of a non-diffractive extended depth of focus(EDOF)intraocular lens(IOL)in individuals with ocular hypertension(OHT)and well-controlled mild glaucoma undergoing cataract surgery.METHODS:An investigator-initiated,single-center,prospective,interventional,noncomparative study conducted in Montreal,Canada.The study enrolled 31 patients(55 eyes)with OHT or mild glaucoma who received a non-diffractive EDOF IOL(Acrysof IQ Vivity).Participants underwent sequential cataract surgery with the Vivity IOL.Follow-up evaluations occurred at 1d,1,and 3mo postoperatively,assessing uncorrected distance,intermediate,and near visual acuity.Questionnaires(QUVID:Questionnaire for visual disturbances and IOLSAT:Intraocular lens satisfaction)were administered pre and post-operatively to measure visual disturbances and spectacle independence in various lighting.Safety parameters included intraocular pressure(IOP),glaucoma medications,spherical equivalence,mean deviation and pattern standard deviation or square root of lost variance on Octopus visual field.RESULTS:At 1 and 3mo postoperatively,significant improvements were observed in uncorrected distance and intermediate visual acuity.Spectacle independence was enhanced for distance and intermediate vision,especially in bright light settings.Spectacle-free intermediate vision was improved even in dim lighting.Visual disturbances,particularly glare symptoms,were reduced,and there was a notable decrease in IOP and glaucoma medication burden at 3mo.There was more hazy vision postoperatively with no impact on visual acuity and visual satisfaction.CONCLUSION:The non-diffractive EDOF lens improves distance and intermediate spectacle-free visual function in patients with OHT and well-controlled glaucoma.The findings highlight significant improvements in visual acuity,reduced glare,enhanced spectacle independence,and improved visual performance in different lighting conditions.展开更多
Jovani et al’s study contributes important evidence linking childhood trauma(CT)and parental socialization with at-risk mental state(ARMS)in non-clinical adolescents,demonstrating the mediating role of low levels of ...Jovani et al’s study contributes important evidence linking childhood trauma(CT)and parental socialization with at-risk mental state(ARMS)in non-clinical adolescents,demonstrating the mediating role of low levels of parental affection and communication in this relationship.This letter commends the study’s strengths while also identifying key issues that warrant further attention,including the limitations of cross-sectional design,potential perceptual biases,conceptual overlap between CT and parenting,and limited cultural generalizability.We advocate for longitudinal,culturally sensitive,and multi-informant approaches to further refine ARMS risk models,strengthen theoretical distinctions between CT and parenting,and inform targeted prevention strategies across diverse populations.We also extend the discussion by highlighting promising directions for future research.展开更多
Lynch syndrome(LS)is the most common hereditary colorectal cancer(CRC)predisposition syndrome,characterized by a high mutational burden and microsatellite instability-high(MSI-H)tumors.Immunology of LS-associated CRC(...Lynch syndrome(LS)is the most common hereditary colorectal cancer(CRC)predisposition syndrome,characterized by a high mutational burden and microsatellite instability-high(MSI-H)tumors.Immunology of LS-associated CRC(LS-CRC)is unique,with significant implications for treatment.Despite well-established knowledge of LS immunology,immunotherapy dose and treatment response can vary significantly based on local tumor immunity and specific germline pathogenic variant of LS genes.This variability necessitates tailored surveillance strategies and new personalised immunotherapy approaches for LS patients.LS-CRC often benefits from immunotherapy due to the distinct tumor microenvironment(TME)and the variety of tumor infiltrating lymphocytes(TILs).This perspective discusses a novel approach of analysing spatial TILs at a single-cell level using tumor whole slide images(WSIs)that accounts for the distinct TME of LS-CRC.By emphasizing the necessity of personalized medicine in hereditary cancer syndromes,the future research and clinical practices that enhance patient outcomes through precision oncology is inspired.展开更多
Clinically significant Portal hypertension(PH),defined by a hepatic venous pressure gradient(HVPG)greater than 10 mmHg,is a key predictor of decompensation events in cirrhosis,leading to variceal hemorrhage,ascites,an...Clinically significant Portal hypertension(PH),defined by a hepatic venous pressure gradient(HVPG)greater than 10 mmHg,is a key predictor of decompensation events in cirrhosis,leading to variceal hemorrhage,ascites,and hepatic encephalopathy.This narrative review explores the pathophysiology of PH in cirrhosis,evaluates diagnostic methods for identifying clinically significant PH(CSPH),and discusses guideline-driven strategies to prevent initial and further decompensation.While HVPG remains the gold standard for diagnosing CSPH,non-invasive tools such as liver stiffness measurement and spleen stiffness measurement are increasingly used for initial risk stratification.The combined use of these tools reduces the proportion of patients in the diagnostic"grey zone".Endoscopic ultrasound-guided portal pressure gradient is an emerging diagnostic tool that requires further validation.Non-selective beta-blockers are the cornerstone of primary prophylaxis for decompensation,and their combination with endoscopic variceal ligation is the first-line therapy for secondary prophylaxis of recurrent esophageal variceal bleeding.Statins show promise in reducing PH and preventing decompensation while further studies are still needed.This review also discusses the indications for preemptive transjugular intrahepatic portosystemic shunt and its role in managing refractory ascites and variceal bleeding.展开更多
Exoplanet imaging using the solar gravitational lens is an enticing prospect.The fundamental physical properties of the lens,including its angular resolution and light amplification,promise exceptional capabilities.Th...Exoplanet imaging using the solar gravitational lens is an enticing prospect.The fundamental physical properties of the lens,including its angular resolution and light amplification,promise exceptional capabilities.These expectations,however,are tempered by the realization of numerous challenges,including imperfections of the lens itself,noise sources,the properties of the imaging target and difficult technical issues.We discuss,in particular,a subject not previously addressed,the impact of temporally varying surface features,notably a variable cloud cover,obscuring the target exoplanet.This has a substantial detrimental effect on image recovery,leading to our cautious assessment of the practical feasibility of using the Sun’s gravitational field as an effective telescope.展开更多
BACKGROUND Hypoganglionosis is a rare gastrointestinal acquired motility disorder that res-embles Hirschsprung’s disease and can manifest in the adult life.Abdominal compartment syndrome,a condition characterized by ...BACKGROUND Hypoganglionosis is a rare gastrointestinal acquired motility disorder that res-embles Hirschsprung’s disease and can manifest in the adult life.Abdominal compartment syndrome,a condition characterized by an increase in intra-abdo-minal pressure with physiological disturbance can be caused by severe massive fecal impaction.CASE SUMMARY A 33-year-old female presented to the emergency room with massive abdominal distension that rapidly progressed to abdominal compartment syndrome.The pa-tient was diagnosed with hypoganglionosis.Life-saving emergent proctoco-lectomy was performed to save the patient.CONCLUSION Abdominal compartment syndrome can develop secondary to excessive colonic distension.This extreme but rare situation must be addressed immediately.Hypo-ganglionosis is a potential cause of severe constipation that may present in adu-lthood.展开更多
文摘Most urological conditions are represented by male disorders. Analyzing certain epidemiological aspects of female urological disorders at the National University Teaching Hospital of Cotnou, will allow us objectively to have reliable data to optimize the urological management of women. Patients and Methods: This was a retrospective, analytical and descriptive study that was conducted at the CNHU-HKM over a 10-year period from January 2008 to December 2017 on the epidemiological aspects of female urological diseases from the study of patient records. The variable studied was: the age, the profession, the year of admission, the organ affected, and the type of pathology. The confidentiality of the data has been ensured. Results: Female urological disorders over 10 years accounted for 9.62% of all patients received in Urology Department. The age group greater than 50 years was the most common at 31.34%. Traders and housewives were the most numerous (39.93% and 14.55%). Bladder diseases were the most frequent (51.50), dominated by vesico-vaginal fistulas (29.85%). In addition to fistulas, tumoral affections were most prevalent at 27.99% followed by infectious diseases at 8.21%. The lithiasic affections were infrequent at 6.72%. Conclusion: Female urological conditions are infrequent but not negligible, dominated by vesico-vaginal fistulas and tumors in the context of developing countries. The specific evaluation of each pathology group can help optimize management.
基金financial support by the National Natural Science Foundation of China(No.52374293)Zhongyuan Science and Technology Innovation Leading Talent Project,China(No.224200510025)+1 种基金the Science and Technology Innovation Program of Hunan Province,China(No.2022RC1123)One of the authors,Hong-bo ZENG,gratefully acknowledges the support from the Natural Sciences and Engineering Research Council of Canada(NSERC)and the Canada Research Chairs Program.
文摘Lithium-ion batteries(LIBs)are the most popular energy storage devices due to their high energy density,high operating voltage,and long cycle life.However,green and effective recycling methods are needed because LIBs contain heavy metals such as Co,Ni,and Mn and organic compounds inside,which seriously threaten human health and the environment.In this work,we review the current status of spent LIB recycling,discuss the traditional pyrometallurgical and hydrometallurgical recovery processes,and summarize the existing short-process recovery technologies such as salt-assisted roasting,flotation processes,and direct recycling.Finally,we analyze the problems and potential research prospects of the current recycling process,and point out that the multidisciplinary integration of recycling will become the mainstream technology for the development of spent LIBs.
基金supported in part by the Six Talent Peaks Project in Jiangsu Province under Grant 013040315in part by the China Textile Industry Federation Science and Technology Guidance Project under Grant 2017107+1 种基金in part by the National Natural Science Foundation of China under Grant 31570714in part by the China Scholarship Council under Grant 202108320290。
文摘The cleanliness of seed cotton plays a critical role in the pre-treatment of cotton textiles,and the removal of impurity during the harvesting process directly determines the quality and market value of cotton textiles.By fusing band combination optimization with deep learning,this study aims to achieve more efficient and accurate detection of film impurities in seed cotton on the production line.By applying hyperspectral imaging and a one-dimensional deep learning algorithm,we detect and classify impurities in seed cotton after harvest.The main categories detected include pure cotton,conveyor belt,film covering seed cotton,and film adhered to the conveyor belt.The proposed method achieves an impurity detection rate of 99.698%.To further ensure the feasibility and practical application potential of this strategy,we compare our results against existing mainstream methods.In addition,the model shows excellent recognition performance on pseudo-color images of real samples.With a processing time of 11.764μs per pixel from experimental data,it shows a much improved speed requirement while maintaining the accuracy of real production lines.This strategy provides an accurate and efficient method for removing impurities during cotton processing.
文摘[Objective]Traditional structural geology textbooks often provide outdated treatments of joints and veins,failing to reflect the significant advances made in the past three decades.This review seeks to address part of this gap by highlighting the significance of barren joints and veins in reconstructing both the directions and magnitudes of geological paleostresses.[Conclusion]Conjugate shear joints not only indicate the orientation of the three effective principal stresses but also imply differential stresses at least four times greater than the tensile strength of the brittle host rock.Exfoliation joints form under stress states ofσ_(1)≈σ_(2)>0>σ_(3),whereas polygonal columnar joints in sedimentary rocks reflectσ_(1)^(*)>>σ_(2)^(*)=σ_(3)^(*),allowing the tensile strength of rocks to be estimated.Tensile joints in brittle strong beds interlayered with ductile soft layers are primarily driven by tensile stresses transferred from interfacial shear stresses between the hard and soft layers,with joint saturation mainly controlled by tectonic strain.Under natural strain-rate conditions,the Weibull modulus and tensile strength of the strong layers,as well as the shear-flow strength of the ductile layers,can be inferred from the nonlinear relationship between joint spacing and bed thickness.Ladder-like orthogonal joints,which form under a stress state ofσ_(1)^(*)>>σ_(2)^(*)>σ_(3)^(*),divide strata into blocky units and,after weathering and erosion,give rise to characteristic castle-and tower-like landforms.Veins,as mineral-filled joints,provide spacing and thickness data that allow estimates of layer strain.Moreover,the nonlinear relationship between vein spacing and bed thickness permits quantification of the extent to which mineral precipitation restores the tensile strength of rock beds.The absence of ladder-like orthogonal veins is attributed to this strength recovery.[Significance]Collectively,these observations demonstrate the critical role of joints and veins in constraining both the magnitudes and orientations of geological paleostress fields.
基金supported by the National Natural Science Foundation of China (No.51508366)the Natural Science Foundation of Jiangsu Province (No.BK20201450)the Jiangsu Qinglan Project,Kunshan Science and Technology Planning Project (No.KSF202108).
文摘The removal of nitrogen via the ANAMMOX process is a promising green wastewater treatment technology,with numerous benefits.The incessant studies on the ANAMMOX process over the years due to its long start-up and high operational cost has positively influenced its technological advancement,even though at a rather slow pace.At the moment,relatively newANAMMOX technologies are being developedwith the goal of treating lowcarbon wastewater at low temperatures,tackling nitrite and nitrate accumulation and methane utilization from digestates while also recovering resources(phosphorus)in a sustainable manner.This review compares and contrasts the handful of ANAMMOX-based processes developed thus far with plausible solutions for addressing their respective bottlenecks hindering full-scale implementation.Ultimately,future prospects for advancing understanding of mechanisms and engineering application of ANAMMOX process are posited.As a whole,technological advances in process design and patents have greatly contributed to better understanding of the ANAMMOX process,which has greatly aided in the optimization and industrialization of the ANAMMOX process.This review is intended to provide researchers with an overview of the present state of research and technological development of the ANAMMOX process,thus serving as a guide for realizing energy autarkic future practical applications.
文摘In this paper, we study edge detection or segmentation, which is recognized as a rudiment innovation as it can evaluate sharpness and analyze object boundaries. That’s the reason it has been an influential figure in the image-processing era. Because of this, it has a significant influence in the age of image processing. On the other hand, edge detection is the process of dividing an image into discontinuous regions. It specifies the intensity shift connected to the image’s edge. There are several methods for detecting edges. Four edge identification methods on satellite images and satellite images affected by Gaussian noise were examined. Known edge detection technologies such as Canny, Prewitt, Scharr, and Robert operators are included in this study. Additionally, the key feature of an image for evaluating its quality is the Image Quality Assessment (IQA) measure. We primarily take into account SSIM, MSE, PSNR, and RMSE when assessing image quality. Experimental validation has been obtained for the application of the Canny and Prewitt algorithms to the satellite dataset. However, when the Gaussian Noise effect is added to the same dataset, clever edge detection performs better.
文摘Mesenchymal stem cells(MSCs)possess unique properties such as immunomodu-lation,paracrine actions,multilineage differentiation,and self-renewal.Therefore,MSC-based cell therapy is an innovative approach to treating various degenera-tive illnesses,including cardiovascular diseases.However,several challenges,including low transplant survival rates,low migration to the ischemic myocar-dium,and poor tissue retention,restrict the application of MSCs in clinical settings.These undesirable cell therapy outcomes mainly originated due to the overproduction of reactive oxygen species(ROS)in the injured heart.MSCs'stress-coping capacity can be enhanced by preconditioning them under conditions similar to the microenvironment of wounded tissues.Hydrogen peroxide(H_(2)O_(2))is a ROS that has been shown to activate protective cellular mechanisms such as survival,proliferation,migration,paracrine effects,and differentiation at suble-thal doses.These processes are induced via phosphatidylinositol 3-kinase/protein kinase B,p38 mitogen-activated protein kinases,c-Jun N-terminal kinase,Janus kinase/signal transducer and activator of the transcription,Notch1,and Wnt sig-naling pathways.H_(2)O_(2) preconditioning could lead to many clinical benefits,including ischemic injury reduction,enhanced survival of cellular transplants,and tissue regeneration.In this review,we present an overview of stem cell preconditioning methods and the biological functions activated by H_(2)O_(2) precondi-tioning.Furthermore,this review explores the molecular mechanisms underlying the protective cellular functions stimulated under H_(2)O_(2) preconditioning.
文摘AIM:To assess visual outcomes and satisfaction of a non-diffractive extended depth of focus(EDOF)intraocular lens(IOL)in individuals with ocular hypertension(OHT)and well-controlled mild glaucoma undergoing cataract surgery.METHODS:An investigator-initiated,single-center,prospective,interventional,noncomparative study conducted in Montreal,Canada.The study enrolled 31 patients(55 eyes)with OHT or mild glaucoma who received a non-diffractive EDOF IOL(Acrysof IQ Vivity).Participants underwent sequential cataract surgery with the Vivity IOL.Follow-up evaluations occurred at 1d,1,and 3mo postoperatively,assessing uncorrected distance,intermediate,and near visual acuity.Questionnaires(QUVID:Questionnaire for visual disturbances and IOLSAT:Intraocular lens satisfaction)were administered pre and post-operatively to measure visual disturbances and spectacle independence in various lighting.Safety parameters included intraocular pressure(IOP),glaucoma medications,spherical equivalence,mean deviation and pattern standard deviation or square root of lost variance on Octopus visual field.RESULTS:At 1 and 3mo postoperatively,significant improvements were observed in uncorrected distance and intermediate visual acuity.Spectacle independence was enhanced for distance and intermediate vision,especially in bright light settings.Spectacle-free intermediate vision was improved even in dim lighting.Visual disturbances,particularly glare symptoms,were reduced,and there was a notable decrease in IOP and glaucoma medication burden at 3mo.There was more hazy vision postoperatively with no impact on visual acuity and visual satisfaction.CONCLUSION:The non-diffractive EDOF lens improves distance and intermediate spectacle-free visual function in patients with OHT and well-controlled glaucoma.The findings highlight significant improvements in visual acuity,reduced glare,enhanced spectacle independence,and improved visual performance in different lighting conditions.
文摘Jovani et al’s study contributes important evidence linking childhood trauma(CT)and parental socialization with at-risk mental state(ARMS)in non-clinical adolescents,demonstrating the mediating role of low levels of parental affection and communication in this relationship.This letter commends the study’s strengths while also identifying key issues that warrant further attention,including the limitations of cross-sectional design,potential perceptual biases,conceptual overlap between CT and parenting,and limited cultural generalizability.We advocate for longitudinal,culturally sensitive,and multi-informant approaches to further refine ARMS risk models,strengthen theoretical distinctions between CT and parenting,and inform targeted prevention strategies across diverse populations.We also extend the discussion by highlighting promising directions for future research.
文摘Lynch syndrome(LS)is the most common hereditary colorectal cancer(CRC)predisposition syndrome,characterized by a high mutational burden and microsatellite instability-high(MSI-H)tumors.Immunology of LS-associated CRC(LS-CRC)is unique,with significant implications for treatment.Despite well-established knowledge of LS immunology,immunotherapy dose and treatment response can vary significantly based on local tumor immunity and specific germline pathogenic variant of LS genes.This variability necessitates tailored surveillance strategies and new personalised immunotherapy approaches for LS patients.LS-CRC often benefits from immunotherapy due to the distinct tumor microenvironment(TME)and the variety of tumor infiltrating lymphocytes(TILs).This perspective discusses a novel approach of analysing spatial TILs at a single-cell level using tumor whole slide images(WSIs)that accounts for the distinct TME of LS-CRC.By emphasizing the necessity of personalized medicine in hereditary cancer syndromes,the future research and clinical practices that enhance patient outcomes through precision oncology is inspired.
基金Supported by Quebec Health Research Fund Clinician Research Scholars Junior 1,No.350546.
文摘Clinically significant Portal hypertension(PH),defined by a hepatic venous pressure gradient(HVPG)greater than 10 mmHg,is a key predictor of decompensation events in cirrhosis,leading to variceal hemorrhage,ascites,and hepatic encephalopathy.This narrative review explores the pathophysiology of PH in cirrhosis,evaluates diagnostic methods for identifying clinically significant PH(CSPH),and discusses guideline-driven strategies to prevent initial and further decompensation.While HVPG remains the gold standard for diagnosing CSPH,non-invasive tools such as liver stiffness measurement and spleen stiffness measurement are increasingly used for initial risk stratification.The combined use of these tools reduces the proportion of patients in the diagnostic"grey zone".Endoscopic ultrasound-guided portal pressure gradient is an emerging diagnostic tool that requires further validation.Non-selective beta-blockers are the cornerstone of primary prophylaxis for decompensation,and their combination with endoscopic variceal ligation is the first-line therapy for secondary prophylaxis of recurrent esophageal variceal bleeding.Statins show promise in reducing PH and preventing decompensation while further studies are still needed.This review also discusses the indications for preemptive transjugular intrahepatic portosystemic shunt and its role in managing refractory ascites and variceal bleeding.
文摘Exoplanet imaging using the solar gravitational lens is an enticing prospect.The fundamental physical properties of the lens,including its angular resolution and light amplification,promise exceptional capabilities.These expectations,however,are tempered by the realization of numerous challenges,including imperfections of the lens itself,noise sources,the properties of the imaging target and difficult technical issues.We discuss,in particular,a subject not previously addressed,the impact of temporally varying surface features,notably a variable cloud cover,obscuring the target exoplanet.This has a substantial detrimental effect on image recovery,leading to our cautious assessment of the practical feasibility of using the Sun’s gravitational field as an effective telescope.
文摘BACKGROUND Hypoganglionosis is a rare gastrointestinal acquired motility disorder that res-embles Hirschsprung’s disease and can manifest in the adult life.Abdominal compartment syndrome,a condition characterized by an increase in intra-abdo-minal pressure with physiological disturbance can be caused by severe massive fecal impaction.CASE SUMMARY A 33-year-old female presented to the emergency room with massive abdominal distension that rapidly progressed to abdominal compartment syndrome.The pa-tient was diagnosed with hypoganglionosis.Life-saving emergent proctoco-lectomy was performed to save the patient.CONCLUSION Abdominal compartment syndrome can develop secondary to excessive colonic distension.This extreme but rare situation must be addressed immediately.Hypo-ganglionosis is a potential cause of severe constipation that may present in adu-lthood.
