AIM:To investigate the efficacy and safety of repeated dexamethasone implants with real-life data in eyes with naive retinal vein occlusion(RVO)with macular edema(ME)at a minimum of 60mo follow-up.METHODS:In this retr...AIM:To investigate the efficacy and safety of repeated dexamethasone implants with real-life data in eyes with naive retinal vein occlusion(RVO)with macular edema(ME)at a minimum of 60mo follow-up.METHODS:In this retrospective cohort study,the data about best corrected visual acuity(BCVA),central macular thickness(CMT),serous macular detachment(SMD),hard exudate,hyperreflective foci(HRF),cystoid degeneration,pearl necklace sign,epiretinal membrane(ERM),disorganization of retinal inner layers(DRIL),ellipsoid zone and external limiting membrane(EZ-ELM)integrity,intraocular pressure(IOP)and lens condition were recorded.RESULTS:Thirty-eight eyes of 38 patients were included in the study.Thirteen patients presented with central RVO(CRVO)and 25 with branch RVO(BRVO).The mean follow-up time was 69.9±15.8mo,and the mean number of injections was 7.9±4.0.The mean BCVA gain was 25.0±36 letters,and this difference was statistically significant(P=0.021).The BCVA gain was 19.4±20.4 letters in the CRVO group,and 26.5±38.6 letters in the BRVO group(P=0.763).Besides,21(55.2%)of the patients achieved≥15 letters improvement.At the end of the follow-up period,SMD was not observed in any of the patients(P=0.016).Hard exudate,HRF number were decreased;while DRIL,ERM and EZ-ELM defects were increased but not significantly.CONCLUSION:Intravitreal dexamethasone monotherapy is an effective and safe treatment option for the treatment-naive RVO-ME patients in the long-term follow-up.展开更多
We present a novel protocol for deterministic secure quantum communication by using the lour-qubit cluster state as quantum channel. It is shown that two legitimate users can directly transmit the secret messages base...We present a novel protocol for deterministic secure quantum communication by using the lour-qubit cluster state as quantum channel. It is shown that two legitimate users can directly transmit the secret messages based on Bellbasis measurements and classical communication. The present protocol makes use of the ideas of block transmission and decoy particle checking technique. It has a high capacity as each cluster state can carry two 5its of information, and has a high intrinsic efficieney 5ecause almost all the instances except the decoy checking particles （its numSer is negligible） are useful. Furthermore, this protocol is feasible with present-day technique.展开更多
Background:Potassium(K)deficiency has become a common field production problem following the widespread adoption of Bacillus thuringiensis(Bt)transgenic cotton(Gossypium hirsutum L.)worldwide.The purpose of this study...Background:Potassium(K)deficiency has become a common field production problem following the widespread adoption of Bacillus thuringiensis(Bt)transgenic cotton(Gossypium hirsutum L.)worldwide.The purpose of this study was to clarify whether the introduction of Bt gene directly reduces the K-use efficiency of cotton to induce K deficiency.Results:The cotton variety,Jihe 321(wild type,WT)and its two Bt(Cry1Ac)-transgenic overexpression lines(OE-29317,OE-29312)were studied in field with low soil-test K+(47.8 mg·kg^(−1)).In the field with low soil-test K+,only OE-29317 had less biomass and K+accumulation than the WT at some growth stages.Both Bt lines produced similar or even greater seed cotton yield than WT in the field.When the Bt gene(~70%)in OE-29317 and OE-29312 plants was silenced by virus-induced gene silencing(VIGS),the VIGS-Bt plants did not produce more biomass than VIGSgreen fluorescent protein(control)plants.Conclusions:The introduction of Bt gene did not necessarily hinder the K use efficiency of the cotton lines under this study.展开更多
During COVID-19,the repercussions on scholar dynamics,functioning and structure were inevitable,causing an impact on groups that,historically,are minority in relation to the scope of school inclusion policies,such as ...During COVID-19,the repercussions on scholar dynamics,functioning and structure were inevitable,causing an impact on groups that,historically,are minority in relation to the scope of school inclusion policies,such as students diagnosed with autism spectrum disorder(ASD).This scenario is followed by educational phenomena in the face of which School Psychology has collaborated with the advancement of research and knowledge production.This qualitative study,based on Historical-Cultural Psychology and Critical School Psychology,analyzed the role of the school psychologist in monitoring students diagnosed with ASD in the context of regular school during the pandemic.The following procedures were conducted:application of an online questionnaire;and semi-structured interviews with four school psychologists.As a result,three zones of shared meanings were built:the claim for the right to education with support and adaptations;the psychologist as the great savior of inclusion;the non-total inclusion that denounces the structure of injustice by school.The information suggests that professional performance was hampered by different obstacles in the pandemic,such as the difficulty imposed by school,overload of demands,and impasses in the implementation of inclusion historically experienced at school,revealing that the school structure still carries historical consequences of exclusion.These shared meanings have demanded a professional performance with more effort,resistance,and strategies that accept the demands of school inclusion,providing collective mobilization,together with school actors,capable of breaking down barriers,especially those related to capacitist concepts.展开更多
The biocompatibility of orthopedic implants is closely related to their elastic modulus and surface properties.The objective of this study was to determine the effects of cold rolling,recrystallization and laser surfa...The biocompatibility of orthopedic implants is closely related to their elastic modulus and surface properties.The objective of this study was to determine the effects of cold rolling,recrystallization and laser surface melting(LSM)on the microstructure and mechanical properties of a biphase(α″+β)Ti-30Nb-4Sn alloy.X-ray diffraction(XRD)texture analysis of the cold-rolled substrate revealed the[302]α″//ND texture component,while analysis of the recrystallized substrate showed the[302]α″//ND and[110]α″//ND components.Theβ-phase texture could not be directly measured by XRD,but the presence of the[111]β//ND texture component was successfully predicted by considering the orientation relationship between theα″andβphases.Nanoindentation measurements showed that the elastic modulus of the cold-rolled substrate(63GPa)was lower than that of the recrystallized substrate(74GPa).Based on the available literature and the results presented here,it is suggested that this difference is caused by the introduction of crystal defects during cold deformation.The combined nanoindentation/EBSD analysis showed that the nanoindentation results are not affected by crystal orientation.LSM of the deformed alloy produced changes in hardness,elastic modulus and crystallographic texture similar to those produced by recrystallization heat treatment,creating a stiffness gradient between surface and substrate.展开更多
CDK2 is a principal mediator of CDK4/6 resistance.Concurrent CDK2/4/6 blockade may be effective in treating HR-positive,HER2-negative advanced breast cancer(ABC).This randomized,double-blind,parallel-controlled,phase ...CDK2 is a principal mediator of CDK4/6 resistance.Concurrent CDK2/4/6 blockade may be effective in treating HR-positive,HER2-negative advanced breast cancer(ABC).This randomized,double-blind,parallel-controlled,phase 3 trial(ClinicalTrials.gov,NCT05375461)assessed the efficacy of culmerciclib,a CDK2/4/6 inhibitor,plus fulvestrant in ABC.Patients with HR-positive,HER2-negative,locally recurrent or metastatic breast cancer were randomized(2:1)to receive culmerciclib plus fulvestrant or matching placebo plus fulvestrant.Between March 18,2022 and March 3,2023,293 pretreated patients(median age 53.0 years;pre-or perimenopausal 42.3%;bone metastasis 65.2%)were randomized to assigned treatments.At this prespecified interim analysis,culmerciclib plus fulvestrant extended the median investigator-assessed progression-free survival(PFS)significantly,the primary endpoint,as compared with placebo plus fulvestrant(16.6 months,95%CI 13.8 to not evaluable versus 7.5 months,95%CI 5.3 to 11.0;hazard ratio 0.36,95%CI 0.26–0.51;stratified log rank test P<0.001).Consistent effects were observed across diverse subgroups of patients.At a median follow-up duration of 13.8 months,overall survival was immature.The investigators-assessed objective response rate was 40.2%(95%CI,33.3–47.5)for culmerciclib compared to 12.1%(95%CI 6.4–20.2)for placebo(stratified Mantel-Haenszelχ2 test P<0.001).Diarrhea(87.1%)and neutropenia(80.4%)were the most common toxicities with culmerciclib plus fulvestrant.In conclusion,this randomized clinical trial met its primary outcome.Culmerciclib plus fulvestrant is well tolerated and leads to a significant gain in PFS of pretreated HR-positive HER2-negative ABC patients.展开更多
Bacillus spp.has been proven to be critical for the quality of many fermented foods,but as one of the domain bacteria,its effect on the quality of Yibin Yacai has not been fully addressed.Herein,the effects of inocula...Bacillus spp.has been proven to be critical for the quality of many fermented foods,but as one of the domain bacteria,its effect on the quality of Yibin Yacai has not been fully addressed.Herein,the effects of inoculation of Bacillus subtilis Y4 on the physicochemical properties,flavor metabolism and microbial community changes of Yibin Yacai for three-month solid-state fermentation were investigated.The results showed that inoculation of B.subtilis Y4 could reduce the pH and salinity of Yibin Yacai,accelerate the consumption of nitrite,promote the growth of Lactobacillus and the production of sweet amino acid,and inhibit pathogenic microorganisms at the late fermentation stage.During solid-state fermentation,the dominant fungus Cystofilobasidium was positively correlated with most volatile flavor substances,which were indirectly affected by B.subtilis Y4.Furthermore,compared to spontaneous fermented Yibin Yacai,inoculation of B.subtilis Y4 promoted the production of alkenes and made the peak of ester content appear earlier.These results indicated that inoculation of B.subtilis Y4 for solid-state fermentation could improve the quality and taste of Yibin Yacai,and shorten the fermentation time.展开更多
Analysis of the environmental and economic performance of fishing vessels has received limited attention compared with other ship types despite their notable contribution to global greenhouse gas(GHG)emissions.This st...Analysis of the environmental and economic performance of fishing vessels has received limited attention compared with other ship types despite their notable contribution to global greenhouse gas(GHG)emissions.This study evaluates the carbon footprint(CF)and economic viability of a liquefied natural gas(LNG)-fueled fishing vessel,using real engine operation simulations to provide precise and dynamic evaluation of fuel consumption and GHG emissions.Operational profiles are obtained through the utilization of onboard monitoring systems,whereas engine performance is simulated using the 1D/0D AVL Boost^(TM)model.Life cycle assessment(LCA)is conducted to quantify the environmental impact,whereas life cycle cost assessment(LCCA)is performed to analyze the profitability of LNG as an alternative fuel.The potential impact of the future fuel price uncertainties is addressed using Monte Carlo simulations.The LCA findings indicate that LNG has the potential to reduce the CF of the vessel by 14%to 16%,in comparison to a diesel power system configuration that serves as the baseline scenario.The LCCA results further indicate that the total cost of an LNG-powered ship is lower by 9.5%-13.8%,depending on the share of LNG and pilot fuels.This finding highlights the potential of LNG to produce considerable environmental benefits while addressing economic challenges under diverse operational and fuel price conditions.展开更多
The emergence of metal nanoclusters with atomically precise compositions and structures provides an opportunity for in-depth investigation of catalysis mechanisms and structure−property correlations at the nanoscale.H...The emergence of metal nanoclusters with atomically precise compositions and structures provides an opportunity for in-depth investigation of catalysis mechanisms and structure−property correlations at the nanoscale.However,a serious problem for metal nanocluster catalysts is that the ligands inhibit the catalytic activity through deactivating the surface of the nanoclusters.Here,we introduce a novel catalytic mode for metal nanoclusters,in which the nanoclusters initiate the catalysis via single electron transfer(SET)without destroying the integrity of nanoclusters,providing a solution for the contradiction between activity and stability of metal nanoclusters.We illustrated that the novel activation mode featured low catalyst loading(0.01 mol%),high TOF,mild reaction conditions,and easy recycling of catalyst in alkyne hydroborylation,which often suffered from poor selectivity,low functional group tolerance,etc.Furthermore,the catalyst[Au_(1)Cu_(14)(TBBT)_(12)(PPh_(3))_(6)]^(+)(TBBTH:p-tert-butylthiophenol)can be applied in highly efficient tandem processes such as hydroborylation−deuteration and hydroborylation−isomerization,demonstrating the utility of the introduced activation mode for metal nanoclusters.展开更多
BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burde...BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burden are limited.Electroacupuncture has been proposed as a potential adjunctive therapy,but its psychological benefits remain inadequately studied.AIM To investigate the therapeutic effect of electroacupuncture on emotional recovery and gastrointestinal function in patients with moderate to severe LARS,and to explore its potential advantages in psychologically vulnerable subgroups.METHODS We conducted a retrospective,controlled study involving 100 patients with moderate to severe LARS(LARS score≥21)treated at two tertiary hospitals in China between January 2022 and December 2024.Patients received either standard postoperative care alone(n=50)or in combination with a standardized 4-week electroacupuncture protocol(n=50).Psychological and functional outcomes were assessed using validated instruments including Hospital Anxiety and Depression Scale(HADS),Body Image Scale(BIS),General Self-Efficacy Scale,Perceived Social Support Scale(PSSS),LARS score,and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at four time points.The primary endpoint was emotional remission,defined as a≥3-point reduction in HADS-Anxiety subscale(HADS-A).Analyses included repeated-measures comparisons,Kaplan-Meier survival curves,Cox regression models,and subgroup-interaction testing.RESULTS At baseline,demographic,surgical,and psychosocial characteristics were comparable among groups.By week 4,patients receiving electroacupuncture demonstrated significantly greater reductions in anxiety(HADS-A:4.8±2.6 vs 7.3±3.0;P<0.001),depression,and body-image disturbance(BIS:8.7±3.6 vs 11.9±4.2;P<0.001),alongside enhanced coping capacity(Brief Coping Orientation to Problems Experienced),perceived social support(PSSS),and bowel function(LARS score).Emotional remission-defined as a≥3-point HADS-A reduction-was achieved more rapidly in the electroacupuncture group,as confirmed by Kaplan-Meier analysis(log-rank P<0.001;odds ratio=4.7).Multivariate Cox regression identified higher baseline LARS and BIS scores as independent predictors of delayed emotional recovery.Subgroup analyses revealed significantly amplified treatment benefits in patients with high baseline anxiety(HADS-A≥8),elevated body-image disturbance(BIS≥12),or low perceived social support(PSSS<60),with consistent interaction effects(P for interaction<0.05 across subgroups).CONCLUSION Electroacupuncture may accelerate emotional recovery and improve functional and psychosocial outcomes in patients with LARS.Its integration into postoperative care may offer particular benefits for psychologically vulnerable subgroups.展开更多
This paper investigates the reliability of internal marine combustion engines using an integrated approach that combines Fault Tree Analysis(FTA)and Bayesian Networks(BN).FTA provides a structured,top-down method for ...This paper investigates the reliability of internal marine combustion engines using an integrated approach that combines Fault Tree Analysis(FTA)and Bayesian Networks(BN).FTA provides a structured,top-down method for identifying critical failure modes and their root causes,while BN introduces flexibility in probabilistic reasoning,enabling dynamic updates based on new evidence.This dual methodology overcomes the limitations of static FTA models,offering a comprehensive framework for system reliability analysis.Critical failures,including External Leakage(ELU),Failure to Start(FTS),and Overheating(OHE),were identified as key risks.By incorporating redundancy into high-risk components such as pumps and batteries,the likelihood of these failures was significantly reduced.For instance,redundant pumps reduced the probability of ELU by 31.88%,while additional batteries decreased the occurrence of FTS by 36.45%.The results underscore the practical benefits of combining FTA and BN for enhancing system reliability,particularly in maritime applications where operational safety and efficiency are critical.This research provides valuable insights for maintenance planning and highlights the importance of redundancy in critical systems,especially as the industry transitions toward more autonomous vessels.展开更多
Bacillus subtilis plays an important role in fundamental and applied research,and it has been widely used as a cell factory for the production of enzymes,antimicrobial materials,and chemicals for agriculture,medicine,...Bacillus subtilis plays an important role in fundamental and applied research,and it has been widely used as a cell factory for the production of enzymes,antimicrobial materials,and chemicals for agriculture,medicine,and industry.However,genetic manipulation tools for B.subtilis have low efficiency.In this work,our goal was to develop a simple recombineering system for B.subtilis.We showed that genome editing can be achieved in B.subtiliis 1A751 through co-expression of YqaJ/YqaK,a native phage recombinase pair found in B.sub-tilis 168,and the competence master regulator ComK using a double-stranded DNA substrate with short ho-mology arms(100 bp)and a phosphorothioate modification at the 5′-end.Efficient gene knockouts and large DNA insertions were achieved using this new recombineering system in B.subtilis 1A751.As far as we know,this is the first recombineering system using the native phage recombinase pair YqaJ/YqaK in B.subtilis.In conclusion,this new recombineering system provides a simple and fast tool for genetic manipulation of B.sub-tilis,and it will promote studies of genome function,construction of production strains,and genome mining in B.subtilis.展开更多
In 2021,approximately 537 million people suffered from diabetes mellitus(DM)globally,and this figure will increase to approximately 783 million within the next quarter-century.The increasing burden of DM is a pressing...In 2021,approximately 537 million people suffered from diabetes mellitus(DM)globally,and this figure will increase to approximately 783 million within the next quarter-century.The increasing burden of DM is a pressing global public health issue.Therefore,the early identification of high-risk groups and implementation of effective intervention measures is imperative.展开更多
The unique fruity aroma of strawberries enhances their appeal to consumers.Fragaria nilgerrensis,a wild strawberry distributed in Southwest China and known for its distinctive peach-like aroma,represents a valuable re...The unique fruity aroma of strawberries enhances their appeal to consumers.Fragaria nilgerrensis,a wild strawberry distributed in Southwest China and known for its distinctive peach-like aroma,represents a valuable resource for improving the fragrance of cultivated strawberries.However,the molecular mechanism underlying the peach-like aroma biosynthesis remains largely unexplored.In this study,we integrated metabolomic and transcriptomic data across four developmental stages of F.nilgerrensis fruits to construct a detailed profile of volatile organic compounds(VOCs)and the associated gene expression alterations during fruit maturation.Our findings reveal that g-decalactone,d-decalactone,and g-undecalactone are the primary compounds responsible for the pronounced peach-like aroma,with their levels showing a significant correlation with the activity of the FngFAD2 enzyme.The silencing of the FngFAD2 gene through tobacco rattle viral(TRV)induction resulted in notable reductions in both the peach-like aroma and lactone content in the fruit.In addition,integrating dual luciferase assays,yeast one-hybrid(Y1H)and subcellular localization experiments,we also identified three transcription factors(FngDOF1.2,FngWRKY3,and FngWRI1)that enhance FngFAD2 expression.These findings elucidate the molecular regulatory network involved in the complex developmental process of peach-like flavor in strawberry fruits.Additionally,our research also provides a foundation for the utilization of the wild strawberry as well as improving the flavor and quality of cultivated strawberries.展开更多
Objectives:Philadelphia chromosome-positive B-cell acute lymphoblastic leukemia and Philadelphia-like B-cell acute lymphoblastic leukemia(Ph+/Ph-like ALL)constitute the majority of relapsed/refractory B-ALL(R/R B-ALL)...Objectives:Philadelphia chromosome-positive B-cell acute lymphoblastic leukemia and Philadelphia-like B-cell acute lymphoblastic leukemia(Ph+/Ph-like ALL)constitute the majority of relapsed/refractory B-ALL(R/R B-ALL)cases,highlighting an urgent need to discover new therapeutic targets.This study aims to elucidate the mechanisms underlying poor prognosis in Ph+/Ph-like ALL through transcriptome sequencing and functional cytological assays,with the goal of informing new clinical treatment strategies.Results:Transcriptomic analysis of Ph+/Ph-like ALL patients revealed that low expression of P2X Purinoceptor 1(P2RX1)was associated with unfavorable outcomes.Specifically,patients with poor prognosis and low P2RX1 expression exhibited downregulation of genes involved in energy and calcium metabolism pathways,along with upregulation of genes governing key cellular processes such as cell proliferation(e.g.,MYC),cell cycle progression(e.g.,CCND2),and apoptosis inhibition(e.g.,DASP6).Cellular experiments demonstrated that SUP-B15 cells overexpressing P2RX1 displayed elevated intracellular levels of ATP,calcium,and glucose,together with enhanced glycolytic capacity,compared to empty vector controls.Treatment of SUP-B15 cells with dexamethasone(Dex),Imatinib,or their combination significantly suppressed proliferation and promoted apoptosis,which was accompanied by increases in intracellular ATP,calcium,and glucose.Moreover,exogenous ATP administration(a P2RX1 agonist)enhanced apoptosis and inhibited proliferation in control cells.Conversely,treatment with NF449(a P2RX1 inhibitor)increased proliferation in both P2RX1-overexpressing and control SUP-B15 cells.Conclusion:Our findings indicate that P2RX1 may exert this function through modulating energy metabolism and calcium homeostasis,resulting in elevated intracellular calcium levels.Sustained elevation of calcium promotes apoptosis,whereas exogenous ATP activates P2RX1,enhances calcium influx,and attenuates the suppression of apoptosis associated with P2RX1 underexpression,ultimately correlating with improved treatment response.展开更多
Newly diagnosed patients with high-risk acute graft-versus-host disease(aGVHD)often experience poor clinical outcomes and low complete remission rates.Ruxolitinib with corticosteroids showed promising efficacy in impr...Newly diagnosed patients with high-risk acute graft-versus-host disease(aGVHD)often experience poor clinical outcomes and low complete remission rates.Ruxolitinib with corticosteroids showed promising efficacy in improving response and failure free survival in our phase I study.This study(ClinicalTrials.gov:NCT04061876)sought to evaluate the safety and effectiveness of combining ruxolitinib(RUX,5 mg/day)with corticosteroids(1 mg/kg/day methylprednisolone,RUX/steroids combined group)versus using methylprednisolone alone(2 mg/kg/day,steroids-only group).Newly diagnosed patients with intermediate-or high-risk aGVHD were included,with risk levels classified by either the Minnesota aGVHD Risk Score or biomarker assessment.Patients were randomized in a ratio of 1:1 into 2 groups:99 patients received RUX combined with methylprednisolone,while the other 99 received methylprednisolone alone as the initial treatment.The RUX/steroids group showed a significantly higher overall response rate(ORR)on day 28(92.9%)compared to the steroids-only group(70.7%,Odds Ratio[OR]=5.8;95%Confidence Interval[CI],2.4-14.0;P<0.001).Similarly,the ORR on day 56 was higher in the RUX/steroids group(85.9%vs.46.5%;OR=7.07;95%CI,3.36-15.75;P<0.001).Additionally,the 18-month failure-free survival was significantly better in the RUX/steroids group(57.2%)compared to the steroids-only group(33.3%;Hazard Ratio=0.46;95%CI,0.31-0.68;P<0.001).Adverse events(AEs)frequencies were comparable between both groups,with the exception of fewer grade 4 AEs in the RUX/steroids group(26.3%vs.50.5%P=0.005).To our knowledge,this study is the first prospective,randomized controlled trial to demonstrate that adding ruxolitinib to the standard methylprednisolone regimen provides an effective and safe first-line treatment for newly diagnosed high-risk acute GVHD.展开更多
This paper focuses on rural music education in the context of rural revitalization,deeply analyzes its current resource situation,and points out that tangible resources face shortages of teachers,inappropriate textboo...This paper focuses on rural music education in the context of rural revitalization,deeply analyzes its current resource situation,and points out that tangible resources face shortages of teachers,inappropriate textbooks,and outdated teaching facilities,while intangible resources are confronted with the loss of folk music culture and the weakening of educational foundations due to cultural ecological changes.Resources are characterized by dispersion,scarcity,and inefficient utilization.In response to these difficulties,this paper proposes integration paths for teachers,textbooks,teaching facilities,and folk music culture resources.Additionally,it constructs a diversified development model that combines rural tourism with music activities,develops characteristic music education industries,and integrates rural cultural construction.Simultaneously,it identifies funding shortages and outdated concepts as major obstacles and proposes targeted strategies such as expanding funding channels and changing inherent concepts.The aim is to promote the development of rural music education and contribute to the revitalization of rural culture.展开更多
文摘AIM:To investigate the efficacy and safety of repeated dexamethasone implants with real-life data in eyes with naive retinal vein occlusion(RVO)with macular edema(ME)at a minimum of 60mo follow-up.METHODS:In this retrospective cohort study,the data about best corrected visual acuity(BCVA),central macular thickness(CMT),serous macular detachment(SMD),hard exudate,hyperreflective foci(HRF),cystoid degeneration,pearl necklace sign,epiretinal membrane(ERM),disorganization of retinal inner layers(DRIL),ellipsoid zone and external limiting membrane(EZ-ELM)integrity,intraocular pressure(IOP)and lens condition were recorded.RESULTS:Thirty-eight eyes of 38 patients were included in the study.Thirteen patients presented with central RVO(CRVO)and 25 with branch RVO(BRVO).The mean follow-up time was 69.9±15.8mo,and the mean number of injections was 7.9±4.0.The mean BCVA gain was 25.0±36 letters,and this difference was statistically significant(P=0.021).The BCVA gain was 19.4±20.4 letters in the CRVO group,and 26.5±38.6 letters in the BRVO group(P=0.763).Besides,21(55.2%)of the patients achieved≥15 letters improvement.At the end of the follow-up period,SMD was not observed in any of the patients(P=0.016).Hard exudate,HRF number were decreased;while DRIL,ERM and EZ-ELM defects were increased but not significantly.CONCLUSION:Intravitreal dexamethasone monotherapy is an effective and safe treatment option for the treatment-naive RVO-ME patients in the long-term follow-up.
基金supported by the Postgraduate Innovation Research Plan from Anhui University under Grant No.20073039
文摘We present a novel protocol for deterministic secure quantum communication by using the lour-qubit cluster state as quantum channel. It is shown that two legitimate users can directly transmit the secret messages based on Bellbasis measurements and classical communication. The present protocol makes use of the ideas of block transmission and decoy particle checking technique. It has a high capacity as each cluster state can carry two 5its of information, and has a high intrinsic efficieney 5ecause almost all the instances except the decoy checking particles （its numSer is negligible） are useful. Furthermore, this protocol is feasible with present-day technique.
文摘Background:Potassium(K)deficiency has become a common field production problem following the widespread adoption of Bacillus thuringiensis(Bt)transgenic cotton(Gossypium hirsutum L.)worldwide.The purpose of this study was to clarify whether the introduction of Bt gene directly reduces the K-use efficiency of cotton to induce K deficiency.Results:The cotton variety,Jihe 321(wild type,WT)and its two Bt(Cry1Ac)-transgenic overexpression lines(OE-29317,OE-29312)were studied in field with low soil-test K+(47.8 mg·kg^(−1)).In the field with low soil-test K+,only OE-29317 had less biomass and K+accumulation than the WT at some growth stages.Both Bt lines produced similar or even greater seed cotton yield than WT in the field.When the Bt gene(~70%)in OE-29317 and OE-29312 plants was silenced by virus-induced gene silencing(VIGS),the VIGS-Bt plants did not produce more biomass than VIGSgreen fluorescent protein(control)plants.Conclusions:The introduction of Bt gene did not necessarily hinder the K use efficiency of the cotton lines under this study.
文摘During COVID-19,the repercussions on scholar dynamics,functioning and structure were inevitable,causing an impact on groups that,historically,are minority in relation to the scope of school inclusion policies,such as students diagnosed with autism spectrum disorder(ASD).This scenario is followed by educational phenomena in the face of which School Psychology has collaborated with the advancement of research and knowledge production.This qualitative study,based on Historical-Cultural Psychology and Critical School Psychology,analyzed the role of the school psychologist in monitoring students diagnosed with ASD in the context of regular school during the pandemic.The following procedures were conducted:application of an online questionnaire;and semi-structured interviews with four school psychologists.As a result,three zones of shared meanings were built:the claim for the right to education with support and adaptations;the psychologist as the great savior of inclusion;the non-total inclusion that denounces the structure of injustice by school.The information suggests that professional performance was hampered by different obstacles in the pandemic,such as the difficulty imposed by school,overload of demands,and impasses in the implementation of inclusion historically experienced at school,revealing that the school structure still carries historical consequences of exclusion.These shared meanings have demanded a professional performance with more effort,resistance,and strategies that accept the demands of school inclusion,providing collective mobilization,together with school actors,capable of breaking down barriers,especially those related to capacitist concepts.
基金supported by the Brazilian Funding Agencies CAPES(Federal Agency for the Support and Improvement of Higher Education)(Grant No.33003017)CNPq(National Council for Scientific and Technological Development)(Grant No.233006/2014-1)FAPESP(Sao Paulo Research Foundation)(Grant No.2011/19982-2)
文摘The biocompatibility of orthopedic implants is closely related to their elastic modulus and surface properties.The objective of this study was to determine the effects of cold rolling,recrystallization and laser surface melting(LSM)on the microstructure and mechanical properties of a biphase(α″+β)Ti-30Nb-4Sn alloy.X-ray diffraction(XRD)texture analysis of the cold-rolled substrate revealed the[302]α″//ND texture component,while analysis of the recrystallized substrate showed the[302]α″//ND and[110]α″//ND components.Theβ-phase texture could not be directly measured by XRD,but the presence of the[111]β//ND texture component was successfully predicted by considering the orientation relationship between theα″andβphases.Nanoindentation measurements showed that the elastic modulus of the cold-rolled substrate(63GPa)was lower than that of the recrystallized substrate(74GPa).Based on the available literature and the results presented here,it is suggested that this difference is caused by the introduction of crystal defects during cold deformation.The combined nanoindentation/EBSD analysis showed that the nanoindentation results are not affected by crystal orientation.LSM of the deformed alloy produced changes in hardness,elastic modulus and crystallographic texture similar to those produced by recrystallization heat treatment,creating a stiffness gradient between surface and substrate.
基金sponsored by the Chia Tai Tianqing Pharmaceutical Group Co.,Ltd.
文摘CDK2 is a principal mediator of CDK4/6 resistance.Concurrent CDK2/4/6 blockade may be effective in treating HR-positive,HER2-negative advanced breast cancer(ABC).This randomized,double-blind,parallel-controlled,phase 3 trial(ClinicalTrials.gov,NCT05375461)assessed the efficacy of culmerciclib,a CDK2/4/6 inhibitor,plus fulvestrant in ABC.Patients with HR-positive,HER2-negative,locally recurrent or metastatic breast cancer were randomized(2:1)to receive culmerciclib plus fulvestrant or matching placebo plus fulvestrant.Between March 18,2022 and March 3,2023,293 pretreated patients(median age 53.0 years;pre-or perimenopausal 42.3%;bone metastasis 65.2%)were randomized to assigned treatments.At this prespecified interim analysis,culmerciclib plus fulvestrant extended the median investigator-assessed progression-free survival(PFS)significantly,the primary endpoint,as compared with placebo plus fulvestrant(16.6 months,95%CI 13.8 to not evaluable versus 7.5 months,95%CI 5.3 to 11.0;hazard ratio 0.36,95%CI 0.26–0.51;stratified log rank test P<0.001).Consistent effects were observed across diverse subgroups of patients.At a median follow-up duration of 13.8 months,overall survival was immature.The investigators-assessed objective response rate was 40.2%(95%CI,33.3–47.5)for culmerciclib compared to 12.1%(95%CI 6.4–20.2)for placebo(stratified Mantel-Haenszelχ2 test P<0.001).Diarrhea(87.1%)and neutropenia(80.4%)were the most common toxicities with culmerciclib plus fulvestrant.In conclusion,this randomized clinical trial met its primary outcome.Culmerciclib plus fulvestrant is well tolerated and leads to a significant gain in PFS of pretreated HR-positive HER2-negative ABC patients.
基金supported by the Sichuan Science and Technology Program(no.2019YFG0164).
文摘Bacillus spp.has been proven to be critical for the quality of many fermented foods,but as one of the domain bacteria,its effect on the quality of Yibin Yacai has not been fully addressed.Herein,the effects of inoculation of Bacillus subtilis Y4 on the physicochemical properties,flavor metabolism and microbial community changes of Yibin Yacai for three-month solid-state fermentation were investigated.The results showed that inoculation of B.subtilis Y4 could reduce the pH and salinity of Yibin Yacai,accelerate the consumption of nitrite,promote the growth of Lactobacillus and the production of sweet amino acid,and inhibit pathogenic microorganisms at the late fermentation stage.During solid-state fermentation,the dominant fungus Cystofilobasidium was positively correlated with most volatile flavor substances,which were indirectly affected by B.subtilis Y4.Furthermore,compared to spontaneous fermented Yibin Yacai,inoculation of B.subtilis Y4 promoted the production of alkenes and made the peak of ester content appear earlier.These results indicated that inoculation of B.subtilis Y4 for solid-state fermentation could improve the quality and taste of Yibin Yacai,and shorten the fermentation time.
文摘Analysis of the environmental and economic performance of fishing vessels has received limited attention compared with other ship types despite their notable contribution to global greenhouse gas(GHG)emissions.This study evaluates the carbon footprint(CF)and economic viability of a liquefied natural gas(LNG)-fueled fishing vessel,using real engine operation simulations to provide precise and dynamic evaluation of fuel consumption and GHG emissions.Operational profiles are obtained through the utilization of onboard monitoring systems,whereas engine performance is simulated using the 1D/0D AVL Boost^(TM)model.Life cycle assessment(LCA)is conducted to quantify the environmental impact,whereas life cycle cost assessment(LCCA)is performed to analyze the profitability of LNG as an alternative fuel.The potential impact of the future fuel price uncertainties is addressed using Monte Carlo simulations.The LCA findings indicate that LNG has the potential to reduce the CF of the vessel by 14%to 16%,in comparison to a diesel power system configuration that serves as the baseline scenario.The LCCA results further indicate that the total cost of an LNG-powered ship is lower by 9.5%-13.8%,depending on the share of LNG and pilot fuels.This finding highlights the potential of LNG to produce considerable environmental benefits while addressing economic challenges under diverse operational and fuel price conditions.
基金financially supported by the National Natural Science Foundation of China(Nos.92061110,21925303,21829501,21771186,21222301,21528303,and 21171170)the Anhui Provincial Natural Science Foundation(2108085Y05 and 2108085MB56)+1 种基金Collaborative Innovation Program of Hefei Science Center,CAS(Nos.2020HSCCIP005 and 2022HSC-CIP018)the Hefei National Laboratory for Physical Sciences at the Microscale(KF2020102).
文摘The emergence of metal nanoclusters with atomically precise compositions and structures provides an opportunity for in-depth investigation of catalysis mechanisms and structure−property correlations at the nanoscale.However,a serious problem for metal nanocluster catalysts is that the ligands inhibit the catalytic activity through deactivating the surface of the nanoclusters.Here,we introduce a novel catalytic mode for metal nanoclusters,in which the nanoclusters initiate the catalysis via single electron transfer(SET)without destroying the integrity of nanoclusters,providing a solution for the contradiction between activity and stability of metal nanoclusters.We illustrated that the novel activation mode featured low catalyst loading(0.01 mol%),high TOF,mild reaction conditions,and easy recycling of catalyst in alkyne hydroborylation,which often suffered from poor selectivity,low functional group tolerance,etc.Furthermore,the catalyst[Au_(1)Cu_(14)(TBBT)_(12)(PPh_(3))_(6)]^(+)(TBBTH:p-tert-butylthiophenol)can be applied in highly efficient tandem processes such as hydroborylation−deuteration and hydroborylation−isomerization,demonstrating the utility of the introduced activation mode for metal nanoclusters.
文摘BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burden are limited.Electroacupuncture has been proposed as a potential adjunctive therapy,but its psychological benefits remain inadequately studied.AIM To investigate the therapeutic effect of electroacupuncture on emotional recovery and gastrointestinal function in patients with moderate to severe LARS,and to explore its potential advantages in psychologically vulnerable subgroups.METHODS We conducted a retrospective,controlled study involving 100 patients with moderate to severe LARS(LARS score≥21)treated at two tertiary hospitals in China between January 2022 and December 2024.Patients received either standard postoperative care alone(n=50)or in combination with a standardized 4-week electroacupuncture protocol(n=50).Psychological and functional outcomes were assessed using validated instruments including Hospital Anxiety and Depression Scale(HADS),Body Image Scale(BIS),General Self-Efficacy Scale,Perceived Social Support Scale(PSSS),LARS score,and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at four time points.The primary endpoint was emotional remission,defined as a≥3-point reduction in HADS-Anxiety subscale(HADS-A).Analyses included repeated-measures comparisons,Kaplan-Meier survival curves,Cox regression models,and subgroup-interaction testing.RESULTS At baseline,demographic,surgical,and psychosocial characteristics were comparable among groups.By week 4,patients receiving electroacupuncture demonstrated significantly greater reductions in anxiety(HADS-A:4.8±2.6 vs 7.3±3.0;P<0.001),depression,and body-image disturbance(BIS:8.7±3.6 vs 11.9±4.2;P<0.001),alongside enhanced coping capacity(Brief Coping Orientation to Problems Experienced),perceived social support(PSSS),and bowel function(LARS score).Emotional remission-defined as a≥3-point HADS-A reduction-was achieved more rapidly in the electroacupuncture group,as confirmed by Kaplan-Meier analysis(log-rank P<0.001;odds ratio=4.7).Multivariate Cox regression identified higher baseline LARS and BIS scores as independent predictors of delayed emotional recovery.Subgroup analyses revealed significantly amplified treatment benefits in patients with high baseline anxiety(HADS-A≥8),elevated body-image disturbance(BIS≥12),or low perceived social support(PSSS<60),with consistent interaction effects(P for interaction<0.05 across subgroups).CONCLUSION Electroacupuncture may accelerate emotional recovery and improve functional and psychosocial outcomes in patients with LARS.Its integration into postoperative care may offer particular benefits for psychologically vulnerable subgroups.
基金supported by Istanbul Technical University(Project No.45698)supported through the“Young Researchers’Career Development Project-training of doctoral students”of the Croatian Science Foundation.
文摘This paper investigates the reliability of internal marine combustion engines using an integrated approach that combines Fault Tree Analysis(FTA)and Bayesian Networks(BN).FTA provides a structured,top-down method for identifying critical failure modes and their root causes,while BN introduces flexibility in probabilistic reasoning,enabling dynamic updates based on new evidence.This dual methodology overcomes the limitations of static FTA models,offering a comprehensive framework for system reliability analysis.Critical failures,including External Leakage(ELU),Failure to Start(FTS),and Overheating(OHE),were identified as key risks.By incorporating redundancy into high-risk components such as pumps and batteries,the likelihood of these failures was significantly reduced.For instance,redundant pumps reduced the probability of ELU by 31.88%,while additional batteries decreased the occurrence of FTS by 36.45%.The results underscore the practical benefits of combining FTA and BN for enhancing system reliability,particularly in maritime applications where operational safety and efficiency are critical.This research provides valuable insights for maintenance planning and highlights the importance of redundancy in critical systems,especially as the industry transitions toward more autonomous vessels.
基金supported by the National Key R&D Program of China(2019YFA0904000)the National Natural Science Foundation of China(31570094,81502962,32270088)+6 种基金the 111 Project(B16030)the Shan-dong Provincial Natural Science Foundation of China(ZR2020MC015,ZR2018ZC2261)the Taishan Scholar Program of Shandong Provincethe Fundamental Research Funds of Shandong University(2018GN021)the Open Project Program of the State Key Laboratory of Bio-based Material and Green Papermaking(KF201825)the Science and Technology Project of Hunan Province(2021NK1040)Natural Science Foundation of Changsha(KQ2208130).
文摘Bacillus subtilis plays an important role in fundamental and applied research,and it has been widely used as a cell factory for the production of enzymes,antimicrobial materials,and chemicals for agriculture,medicine,and industry.However,genetic manipulation tools for B.subtilis have low efficiency.In this work,our goal was to develop a simple recombineering system for B.subtilis.We showed that genome editing can be achieved in B.subtiliis 1A751 through co-expression of YqaJ/YqaK,a native phage recombinase pair found in B.sub-tilis 168,and the competence master regulator ComK using a double-stranded DNA substrate with short ho-mology arms(100 bp)and a phosphorothioate modification at the 5′-end.Efficient gene knockouts and large DNA insertions were achieved using this new recombineering system in B.subtilis 1A751.As far as we know,this is the first recombineering system using the native phage recombinase pair YqaJ/YqaK in B.subtilis.In conclusion,this new recombineering system provides a simple and fast tool for genetic manipulation of B.sub-tilis,and it will promote studies of genome function,construction of production strains,and genome mining in B.subtilis.
基金supported by the Research Funds of the Center for Big Data and Population Health of IHM(grant number JKS2022015)the Key Scientific Research Fund of the Anhui Provincial Education Department(grant number2023AH050610)the Anhui Natural Science Foundation(grant number 1808085QH252)。
文摘In 2021,approximately 537 million people suffered from diabetes mellitus(DM)globally,and this figure will increase to approximately 783 million within the next quarter-century.The increasing burden of DM is a pressing global public health issue.Therefore,the early identification of high-risk groups and implementation of effective intervention measures is imperative.
基金supported by grants from National Natural Science Foundation of China(Grant Nos.32372655,32060085,32260094,32060237)Applied Basic Research Project of Yunnan(Grant Nos.202301AS070071,and 202101AZ070001-166)Yunnan Innovation Guidance and Technology Enterprise Cultivation Plan Project(Grant No.202304BT090032).
文摘The unique fruity aroma of strawberries enhances their appeal to consumers.Fragaria nilgerrensis,a wild strawberry distributed in Southwest China and known for its distinctive peach-like aroma,represents a valuable resource for improving the fragrance of cultivated strawberries.However,the molecular mechanism underlying the peach-like aroma biosynthesis remains largely unexplored.In this study,we integrated metabolomic and transcriptomic data across four developmental stages of F.nilgerrensis fruits to construct a detailed profile of volatile organic compounds(VOCs)and the associated gene expression alterations during fruit maturation.Our findings reveal that g-decalactone,d-decalactone,and g-undecalactone are the primary compounds responsible for the pronounced peach-like aroma,with their levels showing a significant correlation with the activity of the FngFAD2 enzyme.The silencing of the FngFAD2 gene through tobacco rattle viral(TRV)induction resulted in notable reductions in both the peach-like aroma and lactone content in the fruit.In addition,integrating dual luciferase assays,yeast one-hybrid(Y1H)and subcellular localization experiments,we also identified three transcription factors(FngDOF1.2,FngWRKY3,and FngWRI1)that enhance FngFAD2 expression.These findings elucidate the molecular regulatory network involved in the complex developmental process of peach-like flavor in strawberry fruits.Additionally,our research also provides a foundation for the utilization of the wild strawberry as well as improving the flavor and quality of cultivated strawberries.
基金supported by Guangdong Province Basic and Applied Basic Research Fund Project(2023A1515220104)Open Fund of Key Laboratory of Hepatoaplenic Surgery,Ministry of Education(Award Number:GPKF202407).
文摘Objectives:Philadelphia chromosome-positive B-cell acute lymphoblastic leukemia and Philadelphia-like B-cell acute lymphoblastic leukemia(Ph+/Ph-like ALL)constitute the majority of relapsed/refractory B-ALL(R/R B-ALL)cases,highlighting an urgent need to discover new therapeutic targets.This study aims to elucidate the mechanisms underlying poor prognosis in Ph+/Ph-like ALL through transcriptome sequencing and functional cytological assays,with the goal of informing new clinical treatment strategies.Results:Transcriptomic analysis of Ph+/Ph-like ALL patients revealed that low expression of P2X Purinoceptor 1(P2RX1)was associated with unfavorable outcomes.Specifically,patients with poor prognosis and low P2RX1 expression exhibited downregulation of genes involved in energy and calcium metabolism pathways,along with upregulation of genes governing key cellular processes such as cell proliferation(e.g.,MYC),cell cycle progression(e.g.,CCND2),and apoptosis inhibition(e.g.,DASP6).Cellular experiments demonstrated that SUP-B15 cells overexpressing P2RX1 displayed elevated intracellular levels of ATP,calcium,and glucose,together with enhanced glycolytic capacity,compared to empty vector controls.Treatment of SUP-B15 cells with dexamethasone(Dex),Imatinib,or their combination significantly suppressed proliferation and promoted apoptosis,which was accompanied by increases in intracellular ATP,calcium,and glucose.Moreover,exogenous ATP administration(a P2RX1 agonist)enhanced apoptosis and inhibited proliferation in control cells.Conversely,treatment with NF449(a P2RX1 inhibitor)increased proliferation in both P2RX1-overexpressing and control SUP-B15 cells.Conclusion:Our findings indicate that P2RX1 may exert this function through modulating energy metabolism and calcium homeostasis,resulting in elevated intracellular calcium levels.Sustained elevation of calcium promotes apoptosis,whereas exogenous ATP activates P2RX1,enhances calcium influx,and attenuates the suppression of apoptosis associated with P2RX1 underexpression,ultimately correlating with improved treatment response.
基金supported by grants from the National Key R&D Program of China(2023YFC2507800,2021YFA1100904)the National Natural Science Foundation of China(Nos.82270162,82270224,82200169)+5 种基金the Beijing Natural Science Foundation of China(No.7222175)the Military medical support innovation and generate special program(21WQ034)the Special Research Found for Health Protection(21BJZ30)Beijing Nova Program cross-cutting Project(20230484407)the Logistics Independent Research Program(2023hqzz09)Capital’s Funds for Health Improvement and Research(2024-2-5063).
文摘Newly diagnosed patients with high-risk acute graft-versus-host disease(aGVHD)often experience poor clinical outcomes and low complete remission rates.Ruxolitinib with corticosteroids showed promising efficacy in improving response and failure free survival in our phase I study.This study(ClinicalTrials.gov:NCT04061876)sought to evaluate the safety and effectiveness of combining ruxolitinib(RUX,5 mg/day)with corticosteroids(1 mg/kg/day methylprednisolone,RUX/steroids combined group)versus using methylprednisolone alone(2 mg/kg/day,steroids-only group).Newly diagnosed patients with intermediate-or high-risk aGVHD were included,with risk levels classified by either the Minnesota aGVHD Risk Score or biomarker assessment.Patients were randomized in a ratio of 1:1 into 2 groups:99 patients received RUX combined with methylprednisolone,while the other 99 received methylprednisolone alone as the initial treatment.The RUX/steroids group showed a significantly higher overall response rate(ORR)on day 28(92.9%)compared to the steroids-only group(70.7%,Odds Ratio[OR]=5.8;95%Confidence Interval[CI],2.4-14.0;P<0.001).Similarly,the ORR on day 56 was higher in the RUX/steroids group(85.9%vs.46.5%;OR=7.07;95%CI,3.36-15.75;P<0.001).Additionally,the 18-month failure-free survival was significantly better in the RUX/steroids group(57.2%)compared to the steroids-only group(33.3%;Hazard Ratio=0.46;95%CI,0.31-0.68;P<0.001).Adverse events(AEs)frequencies were comparable between both groups,with the exception of fewer grade 4 AEs in the RUX/steroids group(26.3%vs.50.5%P=0.005).To our knowledge,this study is the first prospective,randomized controlled trial to demonstrate that adding ruxolitinib to the standard methylprednisolone regimen provides an effective and safe first-line treatment for newly diagnosed high-risk acute GVHD.
文摘This paper focuses on rural music education in the context of rural revitalization,deeply analyzes its current resource situation,and points out that tangible resources face shortages of teachers,inappropriate textbooks,and outdated teaching facilities,while intangible resources are confronted with the loss of folk music culture and the weakening of educational foundations due to cultural ecological changes.Resources are characterized by dispersion,scarcity,and inefficient utilization.In response to these difficulties,this paper proposes integration paths for teachers,textbooks,teaching facilities,and folk music culture resources.Additionally,it constructs a diversified development model that combines rural tourism with music activities,develops characteristic music education industries,and integrates rural cultural construction.Simultaneously,it identifies funding shortages and outdated concepts as major obstacles and proposes targeted strategies such as expanding funding channels and changing inherent concepts.The aim is to promote the development of rural music education and contribute to the revitalization of rural culture.
