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Long-term prognostic role of adiponectin in stable coronary artery disease: A meta-analysis of prospective studies
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作者 Sahas Reddy Jitta Priyanka Vatsavayi +11 位作者 Chenna Reddy Tera Shobana Krishnamurthy Saisree Reddy Adla Jala Diksha Sanjana Pasnoor Utheja Dasari Aisha Farooq Supriya Maramreddy Kavya Jammula Medha Reddy Kesani Sridevi Tripuraneni Nihar Jena Rupak Desai 《World Journal of Cardiology》 2025年第6期153-162,共10页
BACKGROUND The persistent burden of cardiovascular(CV)disease in the United States requires innovative and cost-effective prognostic markers that can be relied upon.AIM To provide insights into how adiponectin can pre... BACKGROUND The persistent burden of cardiovascular(CV)disease in the United States requires innovative and cost-effective prognostic markers that can be relied upon.AIM To provide insights into how adiponectin can predict all-cause mortality and major adverse CV events(MACE)in patients with coronary artery disease(CAD)and to determine the prognostic value of adiponectin in predicting all-cause mortality and MACE in patients with stable CAD.METHODS We conducted a systematic search on PubMed,Scopus,and Google Scholar to find relevant studies published through June 2023 evaluating the long-term prognostic role of adiponectin in patients with stable CAD.Using a random effects model with 95%CI,we estimated the odds ratio(OR)while assessing heterogeneity through I^(2)statistics.To ensure robustness,we performed a sensitivity analysis using the leave-one-out approach.RESULTS After screening,we included five prospective studies involving 3225 patients who were followed up for a median duration of 3.8 years.Within the study population,prevalent risk factors included hypertension,diabetes,hyperlipidemia,and smoking.The commonly prescribed medications were angiotensin-converting enzyme inhibitors,beta blockers,and statins.The combined adjusted OR for all-cause mortality was found to be 2.51(95%CI:1.36–4.62),showing heterogeneity(I^(2)=65.51%,P=0.03).On the other hand,the combined adjusted OR for MACE was determined to be 1.04(95%CI:1.02–1.06)with no significant heterogeneity observed(I^(2)=0%,P=0.68).Through a sensitivity analysis,it was discovered that none of the studies significantly impacted the overall results of the meta-analysis,thus indicating their robustness.CONCLUSION Higher levels of adiponectin were found to be associated with an increased risk of long-term mortality and MACE in patients with CAD,which highlights its potential as a cost-effective marker for risk assessment and guiding treatment strategies.Further research on the role of adiponectin could greatly influence decision-making and resource allocation in CV care. 展开更多
关键词 ADIPONECTIN Stable coronary artery disease Coronary artery disease Major adverse cardiac and cerebrovascular events Mortality LONG-TERM Systematic review META-ANALYSIS
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lncRNA GAS5基因多态性与多囊卵巢综合征发病风险的相关性研究
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作者 陆玉兰 庞晓霞 +2 位作者 陈兴鸿 韦玉霞 刘纯宏 《中国病理生理杂志》 北大核心 2025年第2期348-353,共6页
目的:研究长链非编码RNA(lncRNA)生长阻滞特异性转录物5(GAS5)基因多态性与多囊卵巢综合征(PCOS)发病的关联性。方法:选取2018年5月~2019年5月在广西右江民族医学院附属医院生殖医学中心确诊的236例PCOS患者作为病例组,同时选取同期性... 目的:研究长链非编码RNA(lncRNA)生长阻滞特异性转录物5(GAS5)基因多态性与多囊卵巢综合征(PCOS)发病的关联性。方法:选取2018年5月~2019年5月在广西右江民族医学院附属医院生殖医学中心确诊的236例PCOS患者作为病例组,同时选取同期性别、年龄相匹配的277例健康女性作为对照组,采用iMLDR单核苷酸多态性(SNP)分型方法检测GAS5基因rs145204276 I/D、rs55829688 C/T和rs6790 G/A位点基因型。采用logistic回归分析GAS5基因多态性与PCOS的相关性。结果:GAS5基因rs145204276 I/D位点多态性在对照组和PCOS组之间差异有统计学意义,logistic回归分析结果显示,与I/I基因型相比,I/D和D/D基因型以及显性模型I/D+D/D具有较低的PCOS发病风险[I/D vs I/I:OR(95%CI)=0.61(0.42,0.88),P=0.009;D/D vs I/I:OR(95%CI)=0.44(0.23,0.84),P=0.013;I/D+D/D vs I/I:OR(95%CI)=0.57(0.40,0.81),P=0.002];与I等位基因相比,D等位基因显著降低PCOS的发病风险[D vs I:OR(95%CI)=0.62(0.47,0.82),P=0.001]。rs55829688 C/T和rs6790 G/A位点多态性在对照组和PCOS组之间比较差异均无统计学意义(P>0.05)。单倍型联合分析显示D-T-A单倍型在对照组和PCOS组间的分布差异有统计学意义[OR(95%CI)=0.61(0.45,0.84),P=0.002]。结论:GAS5基因rs145204276 I/D位点多态性可能与PCOS遗传易感性相关,即携带D等位基因的个体可能具有较低的PCOS发病风险。 展开更多
关键词 多囊卵巢综合征 单核苷酸多态性 长链非编码RNA 生长阻滞特异性转录物5
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Correlation of magnetic resonance imaging biomarkers (tissue bridges) with neurological recovery following traumatic spinal cord injury
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作者 Roop Singh Sachin Gautam +2 位作者 Shalini Aggarwal Svareen Kaur Mantu Jain 《World Journal of Orthopedics》 2025年第11期109-124,共16页
BACKGROUND Spinal cord injury(SCI)imposes enduring physical impairments and substantial socio-economic burdens.These injuries are either traumatic incidents or ischemic but exhibit comparable clinical recoveries.This ... BACKGROUND Spinal cord injury(SCI)imposes enduring physical impairments and substantial socio-economic burdens.These injuries are either traumatic incidents or ischemic but exhibit comparable clinical recoveries.This suggests shared underlying neurodegenerative mechanisms,such as neuronal cell death,demyelination,and axonal degeneration,regardless of aetiology.AIM To investigate the relationship between the magnetic resonance imaging(MRI)biomarkers(tissue bridges)and clinical outcome in acute traumatic SCI.METHODS In this prospective study adult patients with acute SCI who were examined clinically and radiologically within first 48 hours and subsequently at intervals were included.Clinical assessment included sensory score,motor score and zone of partial preservation.Radiological scores included measurement kyphotic deformities-sagittal index,regional kyphosis,gardener segmental kyphotic deformity.MRI on 3 Tesla machine was done to evaluate quantitative&qualitative parameters,and tissue bridges at one and 6 months.RESULTS There were 47 patients with a mean age of 40.43±10.73 years and male/female ratio of 34:13.There was a significant(P<0.05)improvement in clinical,radiological,and MRI parameters at 6 months.Maximum spinal cord compression(MSCC),maximal canal compression,lesion length,width,and area;dorsal tissue bridges;ventral tissue bridges,total width of tissue bridges;and midsagittal tissue bridge ratios at one month significantly(P<0.05)correlated with the 6-month total motor score and total sensory score.Further,the regression analysis demonstrated clinical improvement to dimensions of tissue bridges at 6 months.CONCLUSION The MRI imaging biomarkers in SCI patients demonstrated substantial improvement over time.There was a negative correlation between neurological recovery,MSCC,maximum canal compromise,and lesion dimensions(lesion length,lesion width,and lesion area).Higher canal compromise and lesion dimensions were associated with a poorer outcome.The evaluation of the midsagittal tissue bridge(including the ventral tissue bridge,dorsal tissue bridge,total width of the tissue bridge,and tissue bridge ratios)at 1 and 6 months showed a positive correlation with the neurological recovery. 展开更多
关键词 Spinal cord injury Magnetic resonance imaging Tissue bridges ASIA impairment scale
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Outcomes of patients with acute ST-segment elevation myocardial infarction treated by a prolonged“Deferred”percutaneous coronary intervention strategy
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作者 Akshyaya Pradhan Shivam Uppal +8 位作者 Pravesh Vishwakarma Abhishek Singh Monika Bhandari Ayush Shukla Akhil Sharma Gaurav Chaudhary Sharad Chandra Rishi Sethi Sudhanshu Kumar Dwivedi 《World Journal of Cardiology》 2025年第2期52-60,共9页
BACKGROUND Primary percutaneous coronary intervention(PCI)is the preferred treatment for ST-segment elevation myocardial infarction(STEMI).However,in patients with high thrombus burden,immediate stenting during PCI ca... BACKGROUND Primary percutaneous coronary intervention(PCI)is the preferred treatment for ST-segment elevation myocardial infarction(STEMI).However,in patients with high thrombus burden,immediate stenting during PCI can lead to poor outcomes due to the risk of thrombus migration and subsequent microvascular occlusion,resulting in no-reflow phenomena.Deferred stenting offers a potential advantage by allowing for the reduction of thrombus load,which may help to minimize the incidence of slow-flow and no-reflow complications.This study explores the effectiveness of a deferred stenting strategy in improving outcomes for STEMI patients.AIM To evaluate the effectiveness and safety of deferred PCI in a real-world setting in acute STEMI patients.METHODS RESULTS Anterior wall myocardial infarction was the predominant type of STEMI in 62%of the selected 55 patients(mean age:54 years;70%males),and diabetes mellitus was the most common risk factor(18.2%),followed by hypertension(16.2%).On the second angiogram of these patients measures of thrombus grade,thrombolysis in myocardial infarction flow grade,myocardial blush grade,and severity of stenosis of culprit lesion were consid-erably improved compared to the first angiogram,and the average culprit artery diameter had increased by 7.8%.Most patients(60%)had an uneventful hospital stay during the second angiogram and an uneventful intrapro-cedural course(85.19%),with slow-flow/no-reflow occurring only in 7.4%of the patients;these patients recovered after taking vasodilator drugs.In 29.3%of patients,the culprit artery was recanalized,preventing unnecessary stent deployment.CONCLUSION Deferred PCI strategy is safe and reduces the thrombus burden,improves thrombolysis in myocardial infarction(TIMI)flow,improves myocardial blush grade,and prevents unwarranted stent deployment. 展开更多
关键词 Myocardial infarction Percutaneous coronary intervention ST elevation myocardial infarction STENTS Coronary angiography
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Determination of Trophic Levels of Marine Fish Using Stable Isotope Analysis of Fish Scale Nitrogen(δ15N)in the Yellow Sea and Northern East China Sea
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作者 BAI Huaiyu HUANG Lingfeng SUN Yao 《Journal of Ocean University of China》 2025年第3期735-744,共10页
Fish scaleδ^(15)N(δ^(15)N_(sca))records trophic information of the whole life history for marine fishes.Data from gut content and values calculated from white muscle tissue(WMT)are insufficient for assessing trophic... Fish scaleδ^(15)N(δ^(15)N_(sca))records trophic information of the whole life history for marine fishes.Data from gut content and values calculated from white muscle tissue(WMT)are insufficient for assessing trophic level(TL)of marine fishes as they only provide the information of several months or even several days.Stable isotope analysis(SIA)of nitrogen was carried out in fish scales and WMT of 16 species from a total of 28 individuals captured from the Yellow Sea and northern East China Sea in October and November of 2019,aiming at discovering the correlation betweenδ^(15)N_(sca) and fish WMTδ^(15)N(δ^(15)NWMT),so as to useδ^(15)N_(sca) for the characterization of TLs of marine fish.Scales were analyzed without prior carbonate dissolution as a pre-processing step.TL calculated fromδ^(15)N_(sca) was compared to traditional TL formula calculated withδ^(15)N_(WMT) to estimate the accuracy.We found that there was a highly significant and positive correlation(r=0.830,P<0.001)betweenδ^(15)N_(sca) andδ^(15)N_(WMT).TL calculation results using fish scale(TL_(sca))and WMT(TL_(WMT))showed congruence(r=0.773,P<0.001),and the regression coefficient betweenδ^(15)N_(sca) andδ^(15)NWMT was used for calculating TLsca.The conversion was conducted for the purpose of comparison with previousδ^(15)N_(WMT)-based calculation results of TL.TLsca calculation results were 81.25%within the TL range of±10%calculated withδ^(15)NWMT.The findings in the present study showed thatδ^(15)N_(sca) is a viable technique for the characterization of the TL of marine fish and can help to predict food web and support the study of marine ecosystem. 展开更多
关键词 fish scale stable isotope analysis trophic level Yellow Sea northern East China Sea
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Personalized nutrition to mitigate inflammation in genetically predisposed individuals:a secondary analysis of the Danish PREVENTOMICS intervention
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作者 SebastiàGalmés Andreu Palou-March +9 位作者 Kristina Pigsborg Mona Adnan Aldubayan Sophia M.O.Gormsen Alberto Calleja Joan Trabal Vanesa Martínez Biotza Gutiérrez Josep M.Del Bas Faidon Magkos Francisca Serra 《Food Science and Human Wellness》 2025年第6期2328-2338,共11页
Deep phenotyping and genetic characterization of individuals are fundamental to assessing the metabolic status and determining nutrition-specific requirements.This study aimed to ascertain the utmost effectiveness of ... Deep phenotyping and genetic characterization of individuals are fundamental to assessing the metabolic status and determining nutrition-specific requirements.This study aimed to ascertain the utmost effectiveness of personalized interventions by aligning dietary adjustments with both the genotype and metabolotype of individuals.Therefore,we assessed here the usefulness of a polygenic score(PGS)characterizing a potential pro-inflammatory profile(PGSi)as a nutrigenetic tool to discern individuals from the Danish PREVENTOMICS cohort that could better respond to precision nutrition(PN)plans,specifically targeted at counteracting the low-grade inflammatory profile typically found in obesity.The cohort followed a PN plan to counteract the pro-inflammatory profile(PNi group)or generic dietary recommendations(Control)for 10 weeks.PGSi was applied for genetic stratification(Low/High).The effects of the intervention on anthropometrics and biomarkers related to inflammatory profile and carbohydrate metabolism were assessed.Around 30%of subjects had a high genetic predisposition to pro-inflammatory status(high-PGSi).These individuals demonstrated the most effective response to the dietary plan,experiencing improved body composition,with significant decreases in body weight(∆:-4.84%;P=0.039)and body fat(∆:-4.86%;P=0.007),and beneficial changes in pro-and anti-inflammatory biomarkers,with significant increases in IL-10(∆:71.3%;P=0.025)and decreases in TNF-α(∆:-3.0%;P=0.048),CRP(∆:-31.1%),ICAM1(∆:-5.8%),and MCP1(∆:-4.2%)circulating levels,compared to low-PGSi individuals.Both phenotypic and genetic stratification contributed to a better understanding of metabolic heterogeneity in response to diet.This approach allows for refinement of the prediction of individual requirements and potentially for better management of obesity. 展开更多
关键词 Personalized nutrition Inflammatory polygenic score NUTRIGENETICS Health signatures Low-grade inflammation Obesity
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Self-Esteem as a Mediator:Analyzing Its Impact on Parental Attachment and Adolescent Delinquency
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作者 Mahshid Manouchehri Musheer A.Aljaberi +3 位作者 Yi-Ching Lin Aiche Sabah Amira Mohammed Ali Chung-Ying Lin 《International Journal of Mental Health Promotion》 2025年第7期1013-1028,共16页
Background:While various factors contributing to delinquency have been explored,the role of selfesteem in this specific context has received little attention.Hence,this study aims to investigate the complex issue of a... Background:While various factors contributing to delinquency have been explored,the role of selfesteem in this specific context has received little attention.Hence,this study aims to investigate the complex issue of adolescent delinquency in Iran by focusing on the mediating role of self-esteem in the relationship between parental attachment and delinquent behavior.Methods:Using the multistage cluster random sampling method,the research involved 528 high school students in Tehran.Each student completed validated scales assessing their parental attachment,self-esteem,and delinquency at school.Multiple regression analyses with the Sobel test and bootstrappingmethod were used to examine mediated effects.Results:Thefindings reveal that self-esteem significantly mediates the relationship betweenmaternal attachment and delinquency(standardized coefficient=−0.0292;p=0.04).Adolescents with secure maternal attachments tend to exhibit higher self-esteem,which reduces the likelihood of delinquent behavior.In contrast,paternal attachment did not show a significant mediating effect in this study.These results underscore the importance of cultivating secure maternal relationships and fostering positive self-esteem to address adolescent delinquency.Conclusion:The study suggests that targeted interventions that strengthen maternal attachment and boost self-esteem could effectively mitigate delinquent behaviors among Iranian adolescents.These interventions should prioritize the emotional support and value of secure maternal bonds as key factors in promoting healthy adolescent development. 展开更多
关键词 ADOLESCENT DELINQUENCY maternal attachments parental influence paternal attachments SELF-ESTEEM
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Hydroxy-α-sanshool-loaded adipose-targeted mesoporous silica nanoparticles induce white adipose browning and reduce obesity by activating TRPV1 被引量:1
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作者 Qing Zhang Chengxun He +5 位作者 Juan Guo Dandan Tang Die Qian Chuan Zheng Chunjie Wu Wei Peng 《Bio-Design and Manufacturing》 2025年第2期288-309,I0005-I0011,共29页
Obesity has become a global threat to health;however,the available drugs for treating obesity are limited.We investigated the anti-obesity effect of hydroxy-α-sanshool(HAS),an amide derived from the fruit of Zanthoxy... Obesity has become a global threat to health;however,the available drugs for treating obesity are limited.We investigated the anti-obesity effect of hydroxy-α-sanshool(HAS),an amide derived from the fruit of Zanthoxylum bungeanum,which promotes the management of obesity by triggering the browning of white adipose tissue(WAT)targeting the membrane receptor of transient receptor potential vanilloid 1(TRPV1).However,HAS easily undergoes configuration transformation and oxidative degradation.The short peptide CKGGRAKDC or adipose-targeting sequence(ATS)binds specifically to prohibitin on the surface of WAT cells and can be used as recognition assembly to enhance adipocyte targetability.Furthermore,mesoporous silica nanoparticles(MSNs)are widely used in drug delivery systems because of their large specific surface area and pore volume.Therefore,HAS-loaded adipose-targeted MSNs(MSNs-ATS)were developed to enhance the adipocyte targetability,safety,and efficacy of HAS,and tested on mature 3T3-L1 cells and obese mouse models.MSNs-ATS showed higher specificity for adipocyte targetability without obvious toxicity.HAS-loaded MSNs-ATS showed anti-obesity effects superior to those of HAS alone.In conclusion,we successfully developed adipocyte-targeted,HAS-loaded MSNs with good safety and anti-obesity effects. 展开更多
关键词 Hydroxy-α-sanshool Adipocyte targetability Mesoporous silica nanoparticles White adipose tissue browning OBESITY
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BCCIP通过调节DNA损伤修复途径增强胃癌对顺铂的耐药性
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作者 贾哲 曾广言 +8 位作者 邹鹏 付宗立 周楚洲 饶雄辉 周宇航 江超 靳兴汉 翁诺卿 罗辉兴 《中国病理生理杂志》 北大核心 2025年第5期871-881,共11页
目的:探讨BRCA2和CDKN1A相互作用蛋白(BRCA2 and CDKN1A interacting protein,BCCIP)在胃癌中的功能及其在顺铂耐药中的作用及机制。方法:基于癌症基因组图谱(The Cancer Genome Atlas,TCGA)数据库,分析胃癌组织(n=415)和正常组织(n=34)... 目的:探讨BRCA2和CDKN1A相互作用蛋白(BRCA2 and CDKN1A interacting protein,BCCIP)在胃癌中的功能及其在顺铂耐药中的作用及机制。方法:基于癌症基因组图谱(The Cancer Genome Atlas,TCGA)数据库,分析胃癌组织(n=415)和正常组织(n=34)中BCCIP的mRNA表达水平;RT-qPCR、Western blot和免疫组化实验检测内部队列中胃癌及其配对癌旁组织中BCCIP的mRNA和蛋白表达水平(n=36、5或30);用顺铂以剂量(0、2、4、6、8和10μmol/L)和时间(0、6、24和48 h)依赖的方式梯度处理胃癌细胞系AGS和HGC27,Western blot检测BCCIP蛋白表达水平的变化;构建BCCIP稳定敲减的胃癌细胞系为实验组(shRNA#1和shRNA#2组),以空载质粒转染的细胞为对照组(vector组),流式细胞术和集落形成实验检测BCCIP对顺铂处理下胃癌细胞凋亡和集落形成能力的影响;Western blot检测顺铂(2.5和1.0μmol/L)处理后胃癌细胞胞质和胞核中BCCIP蛋白表达水平的变化,检测顺铂(2.5和1.0μmol/L)处理下BCCIP对DNA损伤标志物γ-H2AX表达水平、凋亡相关蛋白cleaved caspase-9和cleaved caspase-3表达水平及检查点激酶1(checkpoint kinase 1,CHK1)活化水平的影响;免疫荧光染色观察顺铂(2.5和1.0μmol/L)处理下BCCIP对胃癌细胞中γ-H2AX表达的影响。结果:相比于正常组织,BCCIP在胃癌组织中的表达水平显著上调(P<0.01)。顺铂以时间和剂量依赖的方式诱导胃癌细胞中BCCIP表达上调。BCCIP敲减促进顺铂处理下胃癌细胞凋亡(P<0.01),并抑制集落形成(P<0.05)。BCCIP敲减促进顺铂处理下γ-H2AX的表达,抑制CHK1的激活,并提高cleaved caspase-9和cleaved caspase-3蛋白水平(P<0.01)。结论:顺铂促进胃癌细胞中BCCIP的表达;BCCIP通过调节DNA损伤修复途径抑制顺铂诱导的胃癌细胞凋亡。 展开更多
关键词 BRCA2和CDKN1A相互作用蛋白 胃癌 顺铂 化疗耐药 DNA损伤反应 细胞凋亡
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Estimation of Aboveground Biomass of Acacia Trees in the Hyper-Arid Arava, Israel Using Allometric Analysis—Allometric Equations for Acacia Trees in the Desert
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作者 Gidon Winters Casey Alexander +2 位作者 Thanh Hoai Tran Giorgio Matteucci Elli Groner 《Open Journal of Ecology》 2025年第2期194-204,共11页
Biomass is among the most important state variables used to characterize ecosystems. Estimation of tree biomass involves the development of species-specific “allometric equations” that describe the relationship betw... Biomass is among the most important state variables used to characterize ecosystems. Estimation of tree biomass involves the development of species-specific “allometric equations” that describe the relationship between tree biomass and tree diameter and/or height. While many allometric equations were developed for northern hemisphere and tropical species, rarely have they been developed for trees in arid ecosystems, limiting, amongst other things, our ability to estimate carbon stocks in arid regions. Acacia raddiana and A. tortilis are major components of savannas and arid regions in the Middle East and Africa, where they are considered keystone species. Using the opportunity that trees were being uprooted for land development, we measured height (H), north-south (C1) and east-west (C2) canopy diameters, stem diameter at 1.3 meters of the largest stem (D1.3 or DBH), and aboveground fresh and dry weight (FW and DW, respectively) of nine trees (n = 9) from each species. For A. tortilis only, we recorded the number of trunks, and measured the diameter of the largest trunk at ground level (D0). While the average crown (canopy) size (C1 + C2) was very similar among the two species, Acacia raddiana trees were found to be significantly taller than their Acacia tortilis counterparts. Results show that in the arid Arava (southern Israel), an average adult acacia tree has ~200 kg of aboveground dry biomass and that a typical healthy acacia ecosystem in this region, may include ~41 tons of tree biomass per km2. The coefficients of DBH (tree diameter at breast height) to biomass and wood volume, could be used by researchers studying acacia trees throughout the Middle East and Africa, enabling them to estimate biomass of acacia trees and to evaluate their importance for carbon stocks in their arid regions. Highlights: 1) Estimations of tree biomass in arid regions are rare. 2) Biomass allometric equations were developed for A. raddiana and A. tortilis trees. 3) Equations contribute to the estimation of carbon stocks in arid regions. 展开更多
关键词 Acacia raddiana Acacia tortilis Carbon Stocks Desert Ecosystems DESERTIFICATION Allometric Equations
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Comparison of functional recovery of the knee following total knee arthroplasty in patients with and without ankle symptoms
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作者 Antea Buterin Mirela Vuckovic +3 位作者 Sandra Spanja Prpic Vedrana Zaharija Martin Nonkovic Tomislav Prpic 《World Journal of Orthopedics》 2025年第5期72-79,共8页
BACKGROUND Total knee arthroplasty(TKA)aims to restore motion and alleviate pain,enabling patients to return to daily activities.Despite advances in implants,surgery,and perioperative care,patient dissatisfaction rate... BACKGROUND Total knee arthroplasty(TKA)aims to restore motion and alleviate pain,enabling patients to return to daily activities.Despite advances in implants,surgery,and perioperative care,patient dissatisfaction rates remain significant.AIM To determine whether ankle symptoms are associated with inferior results of functional recovery of the knee following TKA.METHODS This prospective study included all patients with advanced knee osteoarthritis who underwent a primary unilateral TKA between August 2019 and December 2019 with data documented by the treating surgeon and outpatient physical therapists.Patients were categorized based on ankle symptoms using the Ame-rican Orthopaedic Foot and Ankle Society(AOFAS)score:(1)Group 1(AOFAS≤85,n=30);and(2)Group 2(AOFAS>85,n=49).Active range of motion(ROM),the Knee Injury and Osteoarthritis Outcome Score(KOOS),and the visual ana-logue scale(VAS)were compared between two groups.RESULTS Postoperative KOOS,ROM,and VAS significantly improved in both groups(P<0.001).However,at three months,KOOS(P=0.02)and extension motion(P=0.01)improvements were significantly greater in group 2.CONCLUSION These findings suggest that preoperative ankle symptoms may negatively impact early knee functional recovery,particularly in KOOS scores and extension motion. 展开更多
关键词 ANKLE Functional recovery KNEE OSTEOARTHRITIS Total knee arthroplasty
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Renal tubular acidosis:Varied aetiologies and clinical presentations:Three case reports
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作者 Akhila Bhandarkar Anwitha Varmudy +1 位作者 Hiya Boro Sowrabha Bhat 《World Journal of Nephrology》 2025年第2期168-177,共10页
BACKGROUND Renal tubular acidosis(RTA)refers to a group of kidney disorders characterized by defective acid excretion or bicarbonate reabsorption,leading to metabolic acidosis.This case series presents three cases of ... BACKGROUND Renal tubular acidosis(RTA)refers to a group of kidney disorders characterized by defective acid excretion or bicarbonate reabsorption,leading to metabolic acidosis.This case series presents three cases of RTA with distinct etiologies and clinical manifestations.These cases emphasize the necessity of a comprehensive evaluation of RTA,considering both renal and systemic origins.CASE SUMMARY The first case describes a female patient with osteopetrosis-related RTA,diagnosed with Guibaud-Vainsel syndrome,emphasizing the importance of genetic assessment.The second case delineates RTA secondary to focal segmental glomerulosclerosis,associating tubular dysfunction with glomerular pathology.In the first two cases whole exome sequencing confirmed genetic diagnosis.The third case illuminates RTA as a complication of Graves’disease,highlighting autoimmune implications.CONCLUSION These cases underscore the interdisciplinary approach essential in RTA management.Understanding the diverse pathophysiology of RTA aids in tailored therapeutic strategies and improved patient outcomes. 展开更多
关键词 Renal tubular acidosis Guibaud-Vainsel syndrome Marble brain disease OSTEOPETROSIS Focal segmental glomerulosclerosis Graves’disease Case series Case report
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Proteomic profiling and scRNA sequencing identify signatures associated with Helicobacter pylori infection and risk of developing gastric cancer
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作者 Yu Jin Xue Li +7 位作者 Bingyao Cai Lanxin Yang Wenjing Zhao Hengmin Xu Yang Zhang Zongchao Liu Kaifeng Pan Wenqing Li 《Cancer Biology & Medicine》 2025年第8期946-963,共18页
Objective:The key molecular events signifying the Helicobacter pylori-induced gastric carcinogenesis process are largely unknown.Methods:Bulk tissue-proteomics profiling were leveraged across multi-stage gastric lesio... Objective:The key molecular events signifying the Helicobacter pylori-induced gastric carcinogenesis process are largely unknown.Methods:Bulk tissue-proteomics profiling were leveraged across multi-stage gastric lesions from Linqu(n=166)and Beijing sets(n=99)and single-cell transcriptomic profiling(n=18)to decipher key molecular signatures of H.pylori-related gastric lesion progression and gastric cancer(GC)development.The association of key proteins association with gastric lesion progression and GC development were prospectively studied building on follow-up of the Linqu set and UK Biobank(n=48,529).Results:Concordant proteomics signatures associated with H.pylori infection and gastric carcinogenesis(ρ=0.784,correlation P=1.80×10^(−36))were identified.RNA expression of genes encoding 13 up-and 15 down-regulated key proteins displayed trending alterations in the transition from normal gastric epithelium to intestinal metaplasia,then to malignant cells.A 15-tissue protein panel integrating these signatures demonstrated potential for targeting individuals at high risk for progressing to gastric neoplasia(OR=7.22,95%CI:1.31-39.72 for the high-score group).A 4-circulating protein panel may be used as non-invasive markers predicting the risk of GC development(hazard ratio=3.73,95%confidence interval:1.63-8.54,high-risk vs.low-risk populations,area under the curve=0.75).Conclusions:Concordant proteomics signatures associated with H.pylori infection and gastric carcinogenesis were unveiled with potential as biomarkers for targeted prevention strategies. 展开更多
关键词 Stomach neoplasms Helicobacter pylori PROTEOMICS scRNA-seq BIOMARKER
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Unique Environmental and Cyclogenesis Conditions of Boreal Midsummer Extratropical Cyclones Accompanied by Torrential Rain in Central and Eastern China
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作者 ZHANG Meng XIE Tie-jun +3 位作者 SONG Jia-ning FU Jing LUO Jing-jia LI Dian 《Journal of Tropical Meteorology》 2025年第4期362-378,共17页
In recent years,torrential rain events caused by extratropical cyclones(ETCs)during the boreal midsummer(July-August)in Central and Eastern China have shown an increasing trend.For instence,in August 2024,two ETCs bro... In recent years,torrential rain events caused by extratropical cyclones(ETCs)during the boreal midsummer(July-August)in Central and Eastern China have shown an increasing trend.For instence,in August 2024,two ETCs brought large-scale heavy rainfall to North China,with daily precipitation exceeding 100 mm.Using reanalysis datasets and gridded precipitation data,the ETCs that affected Central and Eastern China during the boreal midsummer from 1981 to 2020 were objectively identified and tracked.ETCs causing precipitation were classified based on maximum daily precipitation,resulting in datasets for ETCs with torrential rain(daily precipitation exceeding 100 mm,referred to as ETC_R100)and heavy rain(daily precipitation exceeding 25 mm,referred to as ETC_R25).Comparative analysis can help highlight the characteristics of ETC_R100.This study compares the spatial distribution,movement paths,weather impacts,large-scale atmospheric circulation,and environmental conditions of these two types of precipitation-related ETCs.The following findings emerged:(1)ETC_R100 is driven by the combined forcing of upper-level troughs and warm-moist airflows at lower levels,exhibiting stronger thermal forcing than ETC_R25.(2)The moisture source for ETC_R100 are the Bay of Bengal and the Northwest Pacific,with moisture transported via the South China Sea.Compared to ETCs with nonextreme rainfall,ETC_R100 is characterized by greater atmospheric instability and better moisture conditions,resulting in higher precipitation intensity.(3)Regardless of the precipitation level,ETCs affected different regions but contributed significantly to precipitation in northern China,accounting for approximately 50%of the total precipitation.The results indicate that ETC_R100 differs significantly from ETCs with varying levels of precipitation in terms of statistical characteristics,weather impact,environmental conditions,and cyclogenesis conditions. 展开更多
关键词 extratropical cyclone(ETC) torrential rains environmental conditions CYCLOGENESIS Central and Eastern China
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Transition from the Sedimentary Manganese Deposit to Supergene Manganese Ore in Eastern Hebei,North China:Evidences from Mineralogy and Geochemistry
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作者 Lingtong Xu Wenchao Yu +4 位作者 Song Jin Hua Guo Pengfei Ma Yuansheng Du Cailong Zhang 《Journal of Earth Science》 2025年第1期11-28,共18页
Original sedimentary manganese(Mn)deposits and supergene Mn ores are important Mn resources in China.However,the geochemical information from Chinese supergene Mn ores is scarce,and the relationship between sedimentar... Original sedimentary manganese(Mn)deposits and supergene Mn ores are important Mn resources in China.However,the geochemical information from Chinese supergene Mn ores is scarce,and the relationship between sedimentary Mn deposits and supergene Mn ores is ambiguous.In this study,we collected the original Mn-bearing dolomitic sandstones(ZK20-3 drillcore)and supergene Mn ores(Longmen Section)from eastern Hebei,North China for systematic petrographic,mineralogical and geochemical analyses.Our new data help us to figure out the transformation from original Mn-bearing deposits to supergene ores.The main minerals of original Mn-bearing dolomitic sandstones are quartz and feldspar,with minor muscovite,dolomite,rhodochrosite,ankerite,and kutnohorite.Supergene Mn-oxide ores only emerged in the middle part of the Longmen(LM)Section,and mainly contain quartz,pyrolusite,cryptomelane,todorokite and occasional dolomite.The possible transformation sequence of Mn minerals is:kutnohorite/rhodochrosite→pyrolusite(Ⅰ)→cryptomelane(todorokite)→todorokite(cryptomelane)→pyrolusite(Ⅱ).For Mn-oxide ores,Fe,Na and Si are enriched but Al,Ca,Mg and K are depleted with the enrichment of Mn.For original and supergene ores,the total rare earth element+ytterbium(∑REY)contents range from 105.68×10^(-6)to 250.56×10^(-6)and from 18.08×10^(-6)to 176.60×10^(-6),respectively.Original Mn ores have similar slightly LREE-enriched patterns,but the purer Mn-oxide ore shows a HREE-enriched pattern.In the middle part of the LM Section,positive Ce anomalies in Mn-oxide ores indicate the precipitation of Ce-bearing minerals.It implies the existence of geochemical barriers,which changed p H and Eh values due to the long-time influence of groundwater. 展开更多
关键词 supergene manganese ore GEOCHEMISTRY Gaoyuzhuang Formation North China
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Reflective thinking meets artificial intelligence:Synthesizing sustainability transition knowledge in left-behind mountain regions
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作者 Andrej Ficko Simo Sarkki +2 位作者 Yasar Selman Gultekin Antonia Egli Juha Hiedanpää 《Geography and Sustainability》 2025年第1期159-169,共11页
We demonstrate a multi-method approach towards discovering and structuring sustainability transition knowl edge in marginalized mountain regions.By employing reflective thinking,artificial intelligence(AI)-powered tex... We demonstrate a multi-method approach towards discovering and structuring sustainability transition knowl edge in marginalized mountain regions.By employing reflective thinking,artificial intelligence(AI)-powered text summarization and text mining,we synthesize experts’narratives on sustainable development challenges and solutions in Kardüz Upland,Türkiye.We then analyze their alignment with the UN Sustainable Development Goals(SDGs)using document embedding.Investment in infrastructure,education,and resilient socio-ecological systems emerged as priority sectors to combat poor infrastructure,geographic isolation,climate change,poverty,depopulation,unemployment,low education levels,and inadequate social services.The narratives were closest in substance to SDG 1,3,and 11.Social dimensions of sustainability were more pronounced than environmental dimensions.The presented approach supports policymakers in organizing loosely structured sustainability tran sition knowledge and fragmented data corpora,while also advancing AI applications for designing and planning sustainable development policies at the regional level. 展开更多
关键词 Artificial intelligence INNOVATION Reflective thinking Scientific imagination Text mining Text summarization
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Assessing Changes in Root Architecture,Developmental Timing,Transcriptional and Hormonal Profiles in Rice Co-Cultivated with Azolla filiculoides
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作者 Sara CANNAVÒ Chiara PALENI +9 位作者 Alma COSTARELLI Maria Cristina VALERI Martina CERRI Antonietta SACCOMANNO Veronica GREGIS Graziella Chini ZITTELLI Petre I.DOBREV Lara REALE Martin M.KATER Francesco PAOLOCCI 《Rice science》 2025年第3期426-444,I0066-I0084,共38页
Strategies for increasing rice yield are needed to keep pace with the expected global population growth and sustainably address the challenges posed by climate change.In Southeast Asian countries,rice farming benefits... Strategies for increasing rice yield are needed to keep pace with the expected global population growth and sustainably address the challenges posed by climate change.In Southeast Asian countries,rice farming benefits from the use of Azolla spp.for nitrogen supply.By virtue of their symbiosis with the nitrogen-fixing cyanobacterium Trichormus azollae,Azolla spp.are ferns that release nitrogen into the environment upon biomass decomposition.However,whether and to what extent actively growing Azolla plants influence the development of co-cultivated rice seedlings remains unclear.To address this,rice(Oryza sativa L.var.Kitaake)seedlings were co-cultivated hydroponically with Azolla filiculoides for up to two months.Morphological changes in rice roots and aerial organs were assessed alongside nitric oxide assays in rice roots,root transcriptomics,and targeted hormonomics of rice roots,leaves,and growth media.Here,we showed that co-cultivation with actively growing A.filiculoides alters rice root architecture by inducing a nitric oxide boost and accelerates leaf and tiller differentiation and proliferation.Overall,this study provides an in-depth analysis of the morphogenetic effects of co-cultivated A.filiculoides on rice during early vegetative growth.It also paves the way for studies assessing whether A.filiculoides co-cultivation primes rice plants to better withstand abiotic and biotic stresses. 展开更多
关键词 AZOLLA hormone liquid chromatography-mass spectrometry Oryza sativa nitric oxide plant architecture root apparatus transcriptome Trichormus(Anabaena)azollae
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TONEFACT:Can even advanced hemorrhoids be treated without surgery?A paradigm shift in the management of hemorrhoids
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作者 Pankaj Garg Inna Tulina +3 位作者 Dong-Lin Ren Kaushik Bhattacharya Vipul D Yagnik Garg Mahak 《World Journal of Gastrointestinal Surgery》 2025年第7期18-27,共10页
Hemorrhoids are one of the most common anorectal disorders.Early hemorrhoids are treated conservatively,but advanced hemorrhoids are usually treated with surgery.However,in the last decade,we have worked extensively i... Hemorrhoids are one of the most common anorectal disorders.Early hemorrhoids are treated conservatively,but advanced hemorrhoids are usually treated with surgery.However,in the last decade,we have worked extensively in the field of conservative management of hemorrhoids.From our experience,we could manage a large proportion of advanced hemorrhoids without surgery by a treatment concept(TONEFACT)with a high satisfaction rate.Evidence for the TONEFACT approach primarily comes from observational studies and a prospective,nonrandomized study of 85 patients.This has been shown to improve defecation time and reduce prolapse symptoms in early-stage hemorrhoids,leading to fewer surgical interventions.Although promising,these observations lack validation from more extensive randomized controlled trials to draw firm conclusions.In this opinion review,without using much data,we will discuss our viewpoint based on our experience as specified by the journal guidelines. 展开更多
关键词 HEMORRHOIDS FIBER Water intake NON-SURGICAL Conservative management
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High summer background O_(3)levels in the desert of northwest China
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作者 Xinbing Ren Fang Wang +8 位作者 Bayi Wu Shaoting Zhang Lei Zhang Xingjun Zhou Yuanzhe Ren Yongjing Ma Feng Hao Yongli Tian Jinyuan Xin 《Journal of Environmental Sciences》 2025年第5期516-528,共13页
Generally speaking,the precursors of ozone(O_(3)),nitrogen oxides and volatile organic compounds are very low in desert areas due to the lack of anthropogenic emissions and natural emissions,and thus O_(3)concentratio... Generally speaking,the precursors of ozone(O_(3)),nitrogen oxides and volatile organic compounds are very low in desert areas due to the lack of anthropogenic emissions and natural emissions,and thus O_(3)concentrations are relatively low.However,high summer background concentrations of about 100μg/m^(3)or 60 ppb were found in the Alxa Desert in the highland of northwest China based on continuous summer observations from 2019 to 2021,which was higher than the most of natural background areas or clean areas in world for summer O_(3)background concentrations.The high O_(3)background concentrations were related to surface features and altitude.Heavy-intensity anthropogenic activity areas in desert areas can cause increased O_(3)concentrations or pollution,but also generated O_(3)depleting substances such as nitrous oxide,which eventually reduced the regional O_(3)baseline values.Nitrogen dioxide(NO2)also had a dual effect on O_(3)generation,showing promotion at low concentrations and inhibition at high concentrations.In addition,sand-dust weather reduced O_(3)clearly,but O_(3)eventually stabilized around the background concentration values and did not vary with sand-dust particulate matter. 展开更多
关键词 Alxa Desert O_(3)background concentration Anthropogenic effect Sand-dust weather Northwest China
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Multi-dimensional catalysis:From macroscopic 3D structures to microscopic Ti-V synergistic interaction in lithium-sulfur batteries
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作者 Yiqi Cao Qinhua Gu +9 位作者 Yujie Qi Xiao Tao Wenjuan Han Bo Liu Chunbo Liu Chuyan Zhang Nan Huang Guangbo Che Ming Lu Bingsen Zhang 《Journal of Energy Chemistry》 2025年第5期585-593,共9页
Lithium-sulfur(Li-S)chemistry reaction opens a new battery era with high energy density;meanwhile,multiple electrons migration leads to the complex phase transition of sulfur species.To manipulate the binding strength... Lithium-sulfur(Li-S)chemistry reaction opens a new battery era with high energy density;meanwhile,multiple electrons migration leads to the complex phase transition of sulfur species.To manipulate the binding strength of multiple key intermediates more efficiently,the bimetallic TiVC MXene is utilized to realize multi-dimensional catalysis.Based on the macroscopic three-dimensional(3D)structure using two-dimensional(2D)MXene architecture,electron conductivity and sulfur utilization are improved.Microscopically,Ti-V catalytic systems regulate multiple reaction intermediates through intermetallic synergies customized surface properties and atomic scale coordination,thereby improving electronic and ionic conductivity.In-situ Raman spectroscopy and electrochemical analysis show that the conversion rate of polysulfides was accelerated during the charge-discharge process.The Ti-V interaction exhibits unique catalytic activity and regulates multiple continuous processes of sulfur species phase transformation,which are essential for the excellent energy performance of Li-S batteries.This study not only clarifies the catalytic mechanism of Ti-V at different dimensions but also proposes a promising strategy for the design of advanced catalytic systems in energy storage technology. 展开更多
关键词 Bimetallic MXene Three-dimensional structure CATALYSIS Lithium-sulfur batteries In-situ characterizations
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