The results of the 2022-2025 study conducted for the vulnerability assessment of pastures and for the development of improvement measures on the degraded land sections in the arid and semi-arid provinces of the Caucas...The results of the 2022-2025 study conducted for the vulnerability assessment of pastures and for the development of improvement measures on the degraded land sections in the arid and semi-arid provinces of the Caucasus under the global climate change conditions are introduced in the current article.The main goal of our scientific work is to study and assess the current ecological and resource state of natural phytocenoses,pastures and hayfields in the arid and semi-arid landscapes under climate change.The paper presents the results of determining the areas and levels of degradation of the natural biogeocenoses and biogeocenoses of the pastures and hayfields in the mountain and highland landscapes.The results were obtained using remote sensing,field and laboratory studies and analyses.The conducted studies have revealed that along 34,174.5 ha pasture and 1342.0 meadows areas of the pastures at the Areni,Yeghegis,Yeghegnadzor and Vayq consolidated administrative territories situated in the arid and semi-arid zones of the Vayots Dzor Region high degradation was recorded in about 6508 hectares of pasture and 407 hectares of meadows areas,which is related to irregular and uncontrolled economic mismanagement of the local population and global climate change.To improve the ecological condition,accessibility and quality of ecosystem services of the pastures,hayfields and natural meadows,comprehensive restoration bioecological and agrotechnical measures have been proposed.They are aimed at improving the air,water and nutrient regimes of soils,at their bioprotection,as well as at the general increase in area and at improving the economic characteristics of the vegetation cover.Such measures on the ecosystem basis are appropriate in the context of enriching the qualitative composition of plants with useful ecological and economic bioecological characteristics,taking into account the characteristics of landscapes,weather and climatic conditions,and agricultural opportunities.展开更多
Anion-exchange membrane water electrolysers(AEMWEs)and fuel cells(AEMFCs)are critical technologies for converting renewable resources into green hydrogen(H_(2)),where anion-exchange membranes(AEMs)play a vital role in...Anion-exchange membrane water electrolysers(AEMWEs)and fuel cells(AEMFCs)are critical technologies for converting renewable resources into green hydrogen(H_(2)),where anion-exchange membranes(AEMs)play a vital role in efficiently transporting hydroxide ions(OH^(-))and minimizing fuel crossover,thus enhancing overall efficiency.While conventional AEMs with linear,side-chain,and block polymer architectures show promise through functionalization,their long-term performance remains a concern.To address this,hyperbranched polymers offer a promising alternative due to their three-dimensional structure,higher terminal functionality,and ease of functionalization.This unique architecture provides interconnected ion transport pathways,fractional free volume,and enhanced long-term stability in alkaline environments.Recent studies have achieved conductivities as high as 304.5 mS cm^(-1),attributed to their improved fractional free volume and microphase separation in hyperbranched AEMs.This review explores the chemical,mechanical,and ionic properties of hyperbranched AEMs in AEMFCs and assesses their potential for application in AEMWEs.Strategies such as blending and structural functionalisation have significantly improved the properties by promoting microphase separation and increasing the density of cationic groups on the polymer surface.The review provides essential insights for future research,highlighting the challenges and opportunities in developing high-performance hyperbranched AEMs to advance hydrogen energy infrastructure.展开更多
The aim of this paper was to characterize through experiment the moisture and temperature kinetic behavior of Eucalyptus gomphocephala wood samples using microwave heating(MWH)in two scenarios:intermittently and conti...The aim of this paper was to characterize through experiment the moisture and temperature kinetic behavior of Eucalyptus gomphocephala wood samples using microwave heating(MWH)in two scenarios:intermittently and continuously.The mechanical properties and surface appearance of the heated samples were also investigated.Continuous and intermittent microwave drying kinetic experiments were conducted at a frequency of 2.45 GHz using a microwave laboratory oven at 300,500,and 1000 watts.Drying rate curves indicated three distinct phases of MWH.Increasing the microwave power with a shorter drying time led to rapid increases in internal temperature and water evaporation rates of the heated samples.Mechanical results indicated that samples heated under continuous MW(Microwave)power at 300 watts had a modulus of rupture(MOR)and modulus of elasticity(MOE)in three static bending tests higher than 29%and 36%,respectively,than samples heated at 1000 watts.Intermittent microwave heating(IMWH)of samples at 300 and 1000 watts produced the highest MOR and MOE values of 31%and 51%,respectively,unlike those heated under continuous microwave heating(CMWH).External qualitative observation showed that samples heated at high microwave power had severe surface checks.These defects were missing when using IMWH.An analysis of variance(ANOVA)showed that mechanical properties were linked to both microwave power level and the heating scenario,except for MOR in axial compression under CMWH.展开更多
The low efficiency of phytoextraction of lead(Pb)from agricultural fields poses a significant agricultural challenge.Organic chelating agents can influence Pb bioavailability in soil,affecting its uptake,transport,and...The low efficiency of phytoextraction of lead(Pb)from agricultural fields poses a significant agricultural challenge.Organic chelating agents can influence Pb bioavailability in soil,affecting its uptake,transport,and toxicity in plants.This study aimed to assess the impact of citric acid(CA)and diethylenetriaminepentaacetic acid(DTPA)on chelate-assisted phytoextraction of Pb and its effect on growth and physiology of two cultivars(07001;07002)of mung bean(Vigna radiata).The cultivars of mung bean were exposed to 60 lead chloride(PbCl_(2))solution,mg⋅L-1with or without the addition of 300 CA or 500 DTPA,until maturity.The exposure of plants to Pb mg⋅L^(-1) mg⋅L^(-1) stress increased the accumulation of Pb in roots(49%of control),stems(58%of control),leaves(67%of control),and seeds(61%of control).Maximum accumulation of Pb was observed in roots and the least accumulation was found in seeds of both mung bean cultivars.The extent of Pb accumulation in different plant parts correlated positively with Pb toxicity and reduced growth of both mung bean cultivars(33%to 40%).The cultivar cv 07001 was more susceptible to Pb stress.The addition of CA and DTPA increased the accumulation of Pb in plant parts of mung bean cultivars-phytoextraction(10.8%to 21.5%).However,the addition of CA partitioned Pb in vegetative parts,i.e.,root,stem thus mitigated the toxic effects of Pb on the growth of mung bean cultivars(6.25%–10.5%).In contrast,the addition of DTPA had adverse effects on the growth of mung bean cultivars.The addition of CA facilitated a greater uptake and accumulation of nitrogen,phosphorous,and potassium in the roots and leaves of mung bean cultivars.In addition,CA also improved the photosynthetic pigments(11%–14%)and photosynthetic rate(5%–12%)under both control and Pb stress conditions.The ameliorative effect of CA on the photosynthetic capacity of mung bean cultivars was likely associated with photosynthetic metabolic factors rather than stomatal factors.Furthermore,cv 07002 was found to be more tolerant to Pb stress and showed better performance in CA application.Overall,the application of CA demonstrated significant potential as a chelating agent for remediating Pb-contaminated soil.展开更多
Clinically significant Portal hypertension(PH),defined by a hepatic venous pressure gradient(HVPG)greater than 10 mmHg,is a key predictor of decompensation events in cirrhosis,leading to variceal hemorrhage,ascites,an...Clinically significant Portal hypertension(PH),defined by a hepatic venous pressure gradient(HVPG)greater than 10 mmHg,is a key predictor of decompensation events in cirrhosis,leading to variceal hemorrhage,ascites,and hepatic encephalopathy.This narrative review explores the pathophysiology of PH in cirrhosis,evaluates diagnostic methods for identifying clinically significant PH(CSPH),and discusses guideline-driven strategies to prevent initial and further decompensation.While HVPG remains the gold standard for diagnosing CSPH,non-invasive tools such as liver stiffness measurement and spleen stiffness measurement are increasingly used for initial risk stratification.The combined use of these tools reduces the proportion of patients in the diagnostic"grey zone".Endoscopic ultrasound-guided portal pressure gradient is an emerging diagnostic tool that requires further validation.Non-selective beta-blockers are the cornerstone of primary prophylaxis for decompensation,and their combination with endoscopic variceal ligation is the first-line therapy for secondary prophylaxis of recurrent esophageal variceal bleeding.Statins show promise in reducing PH and preventing decompensation while further studies are still needed.This review also discusses the indications for preemptive transjugular intrahepatic portosystemic shunt and its role in managing refractory ascites and variceal bleeding.展开更多
Urethral catheterization is an important skill to develop as consultations for“difficult catheterization”are common in practice.Developing a broad approach to difficult urethral catheterization is crucial to improve...Urethral catheterization is an important skill to develop as consultations for“difficult catheterization”are common in practice.Developing a broad approach to difficult urethral catheterization is crucial to improve trainee success rates.Strategies and techniques to improve catheterization success are often passed down and shared between trainees without formal documentation or dissemination of techniques.Herein,we present a framework for difficult urethral catheterization based on clinical history and patient examination,while also providing additional techniques and troubleshooting to overcome common challenges with urethral catheterization in adult and pediatric patients.展开更多
Dear Editor,I am responding to Zou and Li's,The missing perilymph sign on MRI indicates a perilymphatic fistula:A case report Zou J,Li H.Journal of Otology,2025, 20(1):1-4.https://doi.org/10.26599/JOTO.2025.954000...Dear Editor,I am responding to Zou and Li's,The missing perilymph sign on MRI indicates a perilymphatic fistula:A case report Zou J,Li H.Journal of Otology,2025, 20(1):1-4.https://doi.org/10.26599/JOTO.2025.9540001 proposing the"missing perilymph"sign on MRI as a novel radiological indicator of perilymphatic fistula(PLF).This study adds to the growing body of work seeking objective,non-invasive diagnostic methods for PLF,a condition that has long eluded definitive radiological confirmation.The avoidance of gadolinium contrast in the imaging technique is an additional strength,given increasing awareness of gadoliniumassociated risks (Starekova et al.,2024).展开更多
Lymphedema,particularly in its advanced stages,presents significant challenges in treatment,often necessitating a combination of therapies to manage symptoms effectively and improve patient outcomes.This article revie...Lymphedema,particularly in its advanced stages,presents significant challenges in treatment,often necessitating a combination of therapies to manage symptoms effectively and improve patient outcomes.This article reviews the findings of Wang et al,regarding the use of lymphovenous anastomosis and complex decongestive therapy in treating severe,deformed stage III lymphedema with recurrent infections.The case report details the promising results achieved through this combined therapy,highlighting substantial reductions in limb volume and the complete resolution of recurrent lymphangitis.The patient experienced notable improvements in weight loss,physical function,and quality of life.Despite its strengths,the study has several limitations.It lacks specific details on the types of lymphovenous anastomoses performed and complex decongestive therapy protocols,such as frequency and adherence,making reproducibility difficult.The short follow-up period of six months limits understanding of long-term efficacy,and more consistent reporting of key metrics such as weight loss and body mass index would enhance outcome assessments.This article emphasizes the importance of integrating minimally invasive surgical techniques with conservative therapies to address both the symptoms and underlying causes of lymphedema.Further research is essential to standardize protocols and refine combined treatment strategies.展开更多
BACKGROUND Second-line treatment of Crohn’s disease(CD)commonly involves immunosuppressants such as azathioprine,mercaptopurine,or methotrexate(MTX),used either alone or in combination.AIM To investigate the current ...BACKGROUND Second-line treatment of Crohn’s disease(CD)commonly involves immunosuppressants such as azathioprine,mercaptopurine,or methotrexate(MTX),used either alone or in combination.AIM To investigate the current use of MTX among French gastroenterologists.METHODS An online questionnaire was distributed between March and August 2023 to 116 French gastroenterologists managing CD.A total of 87 respondents completed the survey and were included in the analysis.RESULTS Respondents reported a mean annual caseload of 140 CD patients(median:50).Overall,71%prescribed MTX,predominantly in injectable form(92%),either as monotherapy or in combination with biologics or cyclosporin.MTX was prescribed for mild-to-moderate CD by 64%of respondents,and for severe CD by 58%,often in combination with an anti-tumor necrosis factor agent(89%and 94%,respectively).Injectable MTX was favored(84%)in specific clinical scenarios:Patients with articular manifestations(77%),Epstein-Barr virus-negative status(65%),or aged over 65 years(58%).Among the 29%of non-prescribers,the primary reason cited was lack of familiarity with MTX use(60%).Both prescribers and non-prescribers expressed the need for clearer guidelines and real-world data to support MTX use.CONCLUSION Regardless of prescribing habits,most respondents had a favorable opinion of MTX and recognized its good longterm safety profile.French learned societies and medical associations should provide consensus guidelines on MTX use,supported by validated real-world safety and effectiveness data.展开更多
Fc Receptor-Like 1(FCRL1),a member of the FCRL family,contains two immunoreceptor tyrosinebased activation motifs(ITAMs)in its cytoplasmic domain and plays a critical role in B-cell biology.Its expression begins in pr...Fc Receptor-Like 1(FCRL1),a member of the FCRL family,contains two immunoreceptor tyrosinebased activation motifs(ITAMs)in its cytoplasmic domain and plays a critical role in B-cell biology.Its expression begins in pre-B-cells,dynamically shifts during B-cell development,and contributes to the regulation of human B-cell activation.Notably,FCRL1 is overexpressed in subsets of naive and memory B-cells,as well as in malignant B-cells,including those in diffuse large B-cell lymphoma(DLBCL),an aggressive and often treatment-resistant hematological malignancy.Among FCRL family members,FCRL1 stands out as a promising immunotherapeutic target due to its selective expression in malignant B-cells and its functional role in proliferation.Given the limited efficacy of current therapies for relapsed/refractory DLBCL,targeting FCRL1 could address an unmet clinical need by offering a novel,mechanism-based approach to modulate B-cell signaling and enhance anti-tumor immunity.This mini-review highlights the therapeutic potential of FCRL1-directed strategies,supporting their further exploration in preclinical models and future clinical trials for DLBCL and other B-cell malignancies.展开更多
This special issue of iRADIOLOGY on the application of in-struments and equipment in medical imaging documents the groundbreaking strides to develop optimal imaging modalities,particularly X‐ray,ultrasound,computed t...This special issue of iRADIOLOGY on the application of in-struments and equipment in medical imaging documents the groundbreaking strides to develop optimal imaging modalities,particularly X‐ray,ultrasound,computed tomography(CT),magnetic resonance imaging(MRI),positron emission tomog-raphy(PET),and single‐photon emission computed tomography(SPECT),to diagnose,treat,cure,and ultimately prevent med-ical disorders.This special issue continues the outstanding contributions of prior special issues on ultra‐high field MRI[1],ultra‐high field MRI in the theranostics of mental disorders[2],artificial intelligence in medical imaging[3],imaging of fetuses,children,and mothers[4],and the use of large language models in radiology[5]to provide readers updates on the state‐of‐the‐art of the application of instruments and equipment in medi-cal imaging to utilize the promising hardware available for optimal interventions in medicine.展开更多
To promote growth,terrestrial plants release photosynthetic products into the rhizosphere in the form of root exudates through their root systems.Under the attraction of root exudates,plant growth-promoting rhizobacte...To promote growth,terrestrial plants release photosynthetic products into the rhizosphere in the form of root exudates through their root systems.Under the attraction of root exudates,plant growth-promoting rhizobacteria(PGPR)colonize the rhizosphere to stimulate plant growth and/or suppress the growth of pathogenic microorganisms.The rhizospheric recruitment of PGPR,as well as the establishment of root-microbe interactions,is initiated by chemotaxis towards root exudates.Over the past several decades,scientists have made notable strides in identifying representative chemoeffectors in root exudates,as well as the corresponding chemoreceptors.We review here the most recent developments in rhizospheric chemotaxis,particularly the chemoeffectors in root exudates,the structural and functional characterization of methyl-accepting chemotaxis proteins of PGPR,and the impacts of rhizospheric chemotaxis on root colonization,biofilm formation,and other root-microbe interactions during recruitment.Finally,we propose several perspectives that aim to fully unlock the potential of PGPR as bioinoculants in sustainable agriculture.展开更多
This study proposes and systematically evaluates an optimized integration of warm surface seawater injection with depressurization for the long-term exploitation of marine natural gas hydrates.By employing comprehensi...This study proposes and systematically evaluates an optimized integration of warm surface seawater injection with depressurization for the long-term exploitation of marine natural gas hydrates.By employing comprehensive multiphysics simulations guided by field data from hydrate production tests in the South China Sea,we pinpoint key operational parameters—such as injection rates,depths,and timings—that notably enhance production efficiency.The results indicate that a 3-phase hydrate reservoir transitions from a free-gas-dominated production stage to a hydrate-decomposition-dominated stage.Moderate warm seawater injection supplies additional heat during the hydrate decomposition phase,thereby enhancing stable production;however,excessively high injection rates can impede the depressurization process.Only injection at an appropriate depth simultaneously balances thermal supplementation and the pressure gradient,leading to higher overall productivity.A“depressurization-driven sensible-heat supply window”is introduced,highlighting that timely seawater injection following initial depressurization prolongs reservoir dissociation dynamics.In this study area,commencing seawater injection at 170 d of depressurization proved optimal.This optimized integration leverages clean and renewable thermal energy,providing essential insights into thermal supplementation strategies with significant implications for sustainable,economically feasible,and efficient commercial-scale hydrate production.展开更多
The title of the online version of the original article was revised.The title of the original article has been revised to:Hydrochemical characterization of surface waters in Northern Tehran:Integrating cluster-based t...The title of the online version of the original article was revised.The title of the original article has been revised to:Hydrochemical characterization of surface waters in Northern Tehran:Integrating cluster-based techniques with Self-Organizing Maps.展开更多
It has been shown clinically that continuous removal of ischemia/reperfusion-induced reactive oxygen species is not conducive to the recovery of late stroke.Indeed,previous studies have shown that excessive increases ...It has been shown clinically that continuous removal of ischemia/reperfusion-induced reactive oxygen species is not conducive to the recovery of late stroke.Indeed,previous studies have shown that excessive increases in hypochlorous acid after stroke can cause severe damage to brain tissue.Our previous studies have found that a small amount of hypochlorous acid still exists in the later stage of stroke,but its specific role and mechanism are currently unclear.To simulate stroke in vivo,a middle cerebral artery occlusion rat model was established,with an oxygen-glucose deprivation/reoxygenation model established in vitro to mimic stroke.We found that in the early stage(within 24 hours)of ischemic stroke,neutrophils produced a large amount of hypochlorous acid,while in the recovery phase(10 days after stroke),microglia were activated and produced a small amount of hypochlorous acid.Further,in acute stroke in rats,hypochlorous acid production was prevented using a hypochlorous acid scavenger,taurine,or myeloperoxidase inhibitor,4-aminobenzoic acid hydrazide.Our results showed that high levels of hypochlorous acid(200μM)induced neuronal apoptosis after oxygen/glucose deprivation/reoxygenation.However,in the recovery phase of the middle cerebral artery occlusion model,a moderate level of hypochlorous acid promoted the proliferation and differentiation of neural stem cells into neurons and astrocytes.This suggests that hypochlorous acid plays different roles at different phases of cerebral ischemia/reperfusion injury.Lower levels of hypochlorous acid(5 and 100μM)promoted nuclear translocation ofβ-catenin.By transfection of single-site mutation plasmids,we found that hypochlorous acid induced chlorination of theβ-catenin tyrosine 30 residue,which promoted nuclear translocation.Altogether,our study indicates that maintaining low levels of hypochlorous acid plays a key role in the recovery of neurological function.展开更多
Exercise is established as a supportive care intervention during and after various cancer treatment modalities.1,2 Documented benefits include improvements in health-related fitness,physical functioning,some symptoms/...Exercise is established as a supportive care intervention during and after various cancer treatment modalities.1,2 Documented benefits include improvements in health-related fitness,physical functioning,some symptoms/side effects,psychosocial functioning,and quality of life.1,2 Exercise has not been established,however,as a treatment for any type of cancer in any clinical oncology setting.2 This special topic of the Journal of Sport and Health Science(JSHS)is dedicated to research on“Exercise as a cancer treatment”.The special topic sought preclinical,observational,or clinical studies examining the effects of exercise after a cancer diagnosis on a cancer outcome(e.g.,cell/tumor growth,tumor response,disease recurrence,progression,death from cancer).It includes 6 original articles and an invited opinion article.展开更多
Most material distribution-based topology optimization methods work on a relaxed form of the optimization problem and then push the solution toward the binary limits.However,when benchmarking these methods,researchers...Most material distribution-based topology optimization methods work on a relaxed form of the optimization problem and then push the solution toward the binary limits.However,when benchmarking these methods,researchers use known solutions to only a single form of benchmark problem.This paper proposes a comparison platform for systematic benchmarking of topology optimization methods using both binary and relaxed forms.A greyness measure is implemented to evaluate how far a solution is from the desired binary form.The well-known ZhouRozvany(ZR)problem is selected as the benchmarking problem here,making use of available global solutions for both its relaxed and binary forms.The recently developed non-penalization Smooth-edged Material Distribution for Optimizing Topology(SEMDOT),well-established Solid Isotropic Material with Penalization(SIMP),and continuation methods are studied on this platform.Interestingly,in most cases,the grayscale solutions obtained by SEMDOT demonstrate better performance in dealing with the ZR problem than SIMP.The reasons are investigated and attributed to the usage of two different regularization techniques,namely,the Heaviside smooth function in SEMDOT and the power-law penalty in SIMP.More importantly,a simple-to-use benchmarking graph is proposed for evaluating newly developed topology optimization methods.展开更多
Lynch syndrome(LS)is the most common hereditary colorectal cancer(CRC)predisposition syndrome,characterized by a high mutational burden and microsatellite instability-high(MSI-H)tumors.Immunology of LS-associated CRC(...Lynch syndrome(LS)is the most common hereditary colorectal cancer(CRC)predisposition syndrome,characterized by a high mutational burden and microsatellite instability-high(MSI-H)tumors.Immunology of LS-associated CRC(LS-CRC)is unique,with significant implications for treatment.Despite well-established knowledge of LS immunology,immunotherapy dose and treatment response can vary significantly based on local tumor immunity and specific germline pathogenic variant of LS genes.This variability necessitates tailored surveillance strategies and new personalised immunotherapy approaches for LS patients.LS-CRC often benefits from immunotherapy due to the distinct tumor microenvironment(TME)and the variety of tumor infiltrating lymphocytes(TILs).This perspective discusses a novel approach of analysing spatial TILs at a single-cell level using tumor whole slide images(WSIs)that accounts for the distinct TME of LS-CRC.By emphasizing the necessity of personalized medicine in hereditary cancer syndromes,the future research and clinical practices that enhance patient outcomes through precision oncology is inspired.展开更多
Type 2 diabetes mellitus(T2DM)significantly elevates the risk of colorectal cancer(CRC)and complicates its treatment by promoting chemoresistance.Poor glycemic control has been linked to exacerbated CRC progression an...Type 2 diabetes mellitus(T2DM)significantly elevates the risk of colorectal cancer(CRC)and complicates its treatment by promoting chemoresistance.Poor glycemic control has been linked to exacerbated CRC progression and diminished chemotherapy efficacy,impacting patient outcomes through various mechanisms such as oxidative stress,activation of metabolic pathways,and altered protein modifications that hinder apoptosis and enhance tumor survival.Clinical evidence shows that T2DM patients experience higher rates of chemoresistance and reduced disease-free survival and overall survival compared to non-diabetic patients.Specifically,those with poor glycemic control exhibit increased chemo-resistance and poorer survival metrics.Antidiabetic treatments,including metformin,acarbose,and gliclazide,show promise in improving chemotherapy response and glycemic management,potentially enhancing patient outcomes.Addressing this challenge requires a comprehensive,multidisciplinary approach involving oncologists,endocrino-logists,and surgeons to optimize patient care.Integrated strategies that prioritize glycemic control are essential for reducing chemoresistance and improving survival in CRC patients with T2DM.展开更多
Pulmonary embolism(PE)ranks as the third leading cause of cardiovascularrelated deaths in Western nations.Patients classified as high-risk(HR)-those exhibiting hemodynamic instability-require immediate interventions t...Pulmonary embolism(PE)ranks as the third leading cause of cardiovascularrelated deaths in Western nations.Patients classified as high-risk(HR)-those exhibiting hemodynamic instability-require immediate interventions to restore blood flow.While intermediate–HR(IHR)individuals remain hemodynamically stable,they face a significant chance of clinical decline and thus need close and continuous observation.Effective risk assessment,mortality prediction,and therapeutic decision-making in these patients rely on a combination of clinical evaluation and imaging studies.Catheter-directed therapy(CDT)has emerged as a promising option,offering the ability to alleviate clot burden and reduce strain on the right ventricle,all while posing a lower risk of major bleeding compared to systemic thrombolysis.The growing adoption of CDT reflects its increasing relevance in PE treatment,especially when managed by specialized PE response teams that ensure individualized,multidisciplinary care.As clinical practices evolve,further studies and robust clinical trials are necessary to clearly define CDT’s role in lowering the risks of complications and death among IHR PE patients.This article explores the current understanding and future direction of managing PE,focusing in the role of catheter-based interventions.展开更多
基金the framework of the Project 21T-4C045 of the Higher Education and Science Committee(RA)。
文摘The results of the 2022-2025 study conducted for the vulnerability assessment of pastures and for the development of improvement measures on the degraded land sections in the arid and semi-arid provinces of the Caucasus under the global climate change conditions are introduced in the current article.The main goal of our scientific work is to study and assess the current ecological and resource state of natural phytocenoses,pastures and hayfields in the arid and semi-arid landscapes under climate change.The paper presents the results of determining the areas and levels of degradation of the natural biogeocenoses and biogeocenoses of the pastures and hayfields in the mountain and highland landscapes.The results were obtained using remote sensing,field and laboratory studies and analyses.The conducted studies have revealed that along 34,174.5 ha pasture and 1342.0 meadows areas of the pastures at the Areni,Yeghegis,Yeghegnadzor and Vayq consolidated administrative territories situated in the arid and semi-arid zones of the Vayots Dzor Region high degradation was recorded in about 6508 hectares of pasture and 407 hectares of meadows areas,which is related to irregular and uncontrolled economic mismanagement of the local population and global climate change.To improve the ecological condition,accessibility and quality of ecosystem services of the pastures,hayfields and natural meadows,comprehensive restoration bioecological and agrotechnical measures have been proposed.They are aimed at improving the air,water and nutrient regimes of soils,at their bioprotection,as well as at the general increase in area and at improving the economic characteristics of the vegetation cover.Such measures on the ecosystem basis are appropriate in the context of enriching the qualitative composition of plants with useful ecological and economic bioecological characteristics,taking into account the characteristics of landscapes,weather and climatic conditions,and agricultural opportunities.
基金UKRI financial support under grant number EP/Y026098/1 for Global Hydrogen Production Technologies(HyPT)Center。
文摘Anion-exchange membrane water electrolysers(AEMWEs)and fuel cells(AEMFCs)are critical technologies for converting renewable resources into green hydrogen(H_(2)),where anion-exchange membranes(AEMs)play a vital role in efficiently transporting hydroxide ions(OH^(-))and minimizing fuel crossover,thus enhancing overall efficiency.While conventional AEMs with linear,side-chain,and block polymer architectures show promise through functionalization,their long-term performance remains a concern.To address this,hyperbranched polymers offer a promising alternative due to their three-dimensional structure,higher terminal functionality,and ease of functionalization.This unique architecture provides interconnected ion transport pathways,fractional free volume,and enhanced long-term stability in alkaline environments.Recent studies have achieved conductivities as high as 304.5 mS cm^(-1),attributed to their improved fractional free volume and microphase separation in hyperbranched AEMs.This review explores the chemical,mechanical,and ionic properties of hyperbranched AEMs in AEMFCs and assesses their potential for application in AEMWEs.Strategies such as blending and structural functionalisation have significantly improved the properties by promoting microphase separation and increasing the density of cationic groups on the polymer surface.The review provides essential insights for future research,highlighting the challenges and opportunities in developing high-performance hyperbranched AEMs to advance hydrogen energy infrastructure.
文摘The aim of this paper was to characterize through experiment the moisture and temperature kinetic behavior of Eucalyptus gomphocephala wood samples using microwave heating(MWH)in two scenarios:intermittently and continuously.The mechanical properties and surface appearance of the heated samples were also investigated.Continuous and intermittent microwave drying kinetic experiments were conducted at a frequency of 2.45 GHz using a microwave laboratory oven at 300,500,and 1000 watts.Drying rate curves indicated three distinct phases of MWH.Increasing the microwave power with a shorter drying time led to rapid increases in internal temperature and water evaporation rates of the heated samples.Mechanical results indicated that samples heated under continuous MW(Microwave)power at 300 watts had a modulus of rupture(MOR)and modulus of elasticity(MOE)in three static bending tests higher than 29%and 36%,respectively,than samples heated at 1000 watts.Intermittent microwave heating(IMWH)of samples at 300 and 1000 watts produced the highest MOR and MOE values of 31%and 51%,respectively,unlike those heated under continuous microwave heating(CMWH).External qualitative observation showed that samples heated at high microwave power had severe surface checks.These defects were missing when using IMWH.An analysis of variance(ANOVA)showed that mechanical properties were linked to both microwave power level and the heating scenario,except for MOR in axial compression under CMWH.
基金funding from the Ongoing Research Funding program,ORF-2025-298,King Saud University,Riyadh,Saudi Arabia.
文摘The low efficiency of phytoextraction of lead(Pb)from agricultural fields poses a significant agricultural challenge.Organic chelating agents can influence Pb bioavailability in soil,affecting its uptake,transport,and toxicity in plants.This study aimed to assess the impact of citric acid(CA)and diethylenetriaminepentaacetic acid(DTPA)on chelate-assisted phytoextraction of Pb and its effect on growth and physiology of two cultivars(07001;07002)of mung bean(Vigna radiata).The cultivars of mung bean were exposed to 60 lead chloride(PbCl_(2))solution,mg⋅L-1with or without the addition of 300 CA or 500 DTPA,until maturity.The exposure of plants to Pb mg⋅L^(-1) mg⋅L^(-1) stress increased the accumulation of Pb in roots(49%of control),stems(58%of control),leaves(67%of control),and seeds(61%of control).Maximum accumulation of Pb was observed in roots and the least accumulation was found in seeds of both mung bean cultivars.The extent of Pb accumulation in different plant parts correlated positively with Pb toxicity and reduced growth of both mung bean cultivars(33%to 40%).The cultivar cv 07001 was more susceptible to Pb stress.The addition of CA and DTPA increased the accumulation of Pb in plant parts of mung bean cultivars-phytoextraction(10.8%to 21.5%).However,the addition of CA partitioned Pb in vegetative parts,i.e.,root,stem thus mitigated the toxic effects of Pb on the growth of mung bean cultivars(6.25%–10.5%).In contrast,the addition of DTPA had adverse effects on the growth of mung bean cultivars.The addition of CA facilitated a greater uptake and accumulation of nitrogen,phosphorous,and potassium in the roots and leaves of mung bean cultivars.In addition,CA also improved the photosynthetic pigments(11%–14%)and photosynthetic rate(5%–12%)under both control and Pb stress conditions.The ameliorative effect of CA on the photosynthetic capacity of mung bean cultivars was likely associated with photosynthetic metabolic factors rather than stomatal factors.Furthermore,cv 07002 was found to be more tolerant to Pb stress and showed better performance in CA application.Overall,the application of CA demonstrated significant potential as a chelating agent for remediating Pb-contaminated soil.
基金Supported by Quebec Health Research Fund Clinician Research Scholars Junior 1,No.350546.
文摘Clinically significant Portal hypertension(PH),defined by a hepatic venous pressure gradient(HVPG)greater than 10 mmHg,is a key predictor of decompensation events in cirrhosis,leading to variceal hemorrhage,ascites,and hepatic encephalopathy.This narrative review explores the pathophysiology of PH in cirrhosis,evaluates diagnostic methods for identifying clinically significant PH(CSPH),and discusses guideline-driven strategies to prevent initial and further decompensation.While HVPG remains the gold standard for diagnosing CSPH,non-invasive tools such as liver stiffness measurement and spleen stiffness measurement are increasingly used for initial risk stratification.The combined use of these tools reduces the proportion of patients in the diagnostic"grey zone".Endoscopic ultrasound-guided portal pressure gradient is an emerging diagnostic tool that requires further validation.Non-selective beta-blockers are the cornerstone of primary prophylaxis for decompensation,and their combination with endoscopic variceal ligation is the first-line therapy for secondary prophylaxis of recurrent esophageal variceal bleeding.Statins show promise in reducing PH and preventing decompensation while further studies are still needed.This review also discusses the indications for preemptive transjugular intrahepatic portosystemic shunt and its role in managing refractory ascites and variceal bleeding.
文摘Urethral catheterization is an important skill to develop as consultations for“difficult catheterization”are common in practice.Developing a broad approach to difficult urethral catheterization is crucial to improve trainee success rates.Strategies and techniques to improve catheterization success are often passed down and shared between trainees without formal documentation or dissemination of techniques.Herein,we present a framework for difficult urethral catheterization based on clinical history and patient examination,while also providing additional techniques and troubleshooting to overcome common challenges with urethral catheterization in adult and pediatric patients.
文摘Dear Editor,I am responding to Zou and Li's,The missing perilymph sign on MRI indicates a perilymphatic fistula:A case report Zou J,Li H.Journal of Otology,2025, 20(1):1-4.https://doi.org/10.26599/JOTO.2025.9540001 proposing the"missing perilymph"sign on MRI as a novel radiological indicator of perilymphatic fistula(PLF).This study adds to the growing body of work seeking objective,non-invasive diagnostic methods for PLF,a condition that has long eluded definitive radiological confirmation.The avoidance of gadolinium contrast in the imaging technique is an additional strength,given increasing awareness of gadoliniumassociated risks (Starekova et al.,2024).
文摘Lymphedema,particularly in its advanced stages,presents significant challenges in treatment,often necessitating a combination of therapies to manage symptoms effectively and improve patient outcomes.This article reviews the findings of Wang et al,regarding the use of lymphovenous anastomosis and complex decongestive therapy in treating severe,deformed stage III lymphedema with recurrent infections.The case report details the promising results achieved through this combined therapy,highlighting substantial reductions in limb volume and the complete resolution of recurrent lymphangitis.The patient experienced notable improvements in weight loss,physical function,and quality of life.Despite its strengths,the study has several limitations.It lacks specific details on the types of lymphovenous anastomoses performed and complex decongestive therapy protocols,such as frequency and adherence,making reproducibility difficult.The short follow-up period of six months limits understanding of long-term efficacy,and more consistent reporting of key metrics such as weight loss and body mass index would enhance outcome assessments.This article emphasizes the importance of integrating minimally invasive surgical techniques with conservative therapies to address both the symptoms and underlying causes of lymphedema.Further research is essential to standardize protocols and refine combined treatment strategies.
文摘BACKGROUND Second-line treatment of Crohn’s disease(CD)commonly involves immunosuppressants such as azathioprine,mercaptopurine,or methotrexate(MTX),used either alone or in combination.AIM To investigate the current use of MTX among French gastroenterologists.METHODS An online questionnaire was distributed between March and August 2023 to 116 French gastroenterologists managing CD.A total of 87 respondents completed the survey and were included in the analysis.RESULTS Respondents reported a mean annual caseload of 140 CD patients(median:50).Overall,71%prescribed MTX,predominantly in injectable form(92%),either as monotherapy or in combination with biologics or cyclosporin.MTX was prescribed for mild-to-moderate CD by 64%of respondents,and for severe CD by 58%,often in combination with an anti-tumor necrosis factor agent(89%and 94%,respectively).Injectable MTX was favored(84%)in specific clinical scenarios:Patients with articular manifestations(77%),Epstein-Barr virus-negative status(65%),or aged over 65 years(58%).Among the 29%of non-prescribers,the primary reason cited was lack of familiarity with MTX use(60%).Both prescribers and non-prescribers expressed the need for clearer guidelines and real-world data to support MTX use.CONCLUSION Regardless of prescribing habits,most respondents had a favorable opinion of MTX and recognized its good longterm safety profile.French learned societies and medical associations should provide consensus guidelines on MTX use,supported by validated real-world safety and effectiveness data.
基金supported by funding from the Veterans Administration(I01 BX006101-01)supported in part by funding from the Veterans Administration(IO1 BX001262)the recipient of RCS Award(IK6 BX005964)from the Department of Veterans Administration.
文摘Fc Receptor-Like 1(FCRL1),a member of the FCRL family,contains two immunoreceptor tyrosinebased activation motifs(ITAMs)in its cytoplasmic domain and plays a critical role in B-cell biology.Its expression begins in pre-B-cells,dynamically shifts during B-cell development,and contributes to the regulation of human B-cell activation.Notably,FCRL1 is overexpressed in subsets of naive and memory B-cells,as well as in malignant B-cells,including those in diffuse large B-cell lymphoma(DLBCL),an aggressive and often treatment-resistant hematological malignancy.Among FCRL family members,FCRL1 stands out as a promising immunotherapeutic target due to its selective expression in malignant B-cells and its functional role in proliferation.Given the limited efficacy of current therapies for relapsed/refractory DLBCL,targeting FCRL1 could address an unmet clinical need by offering a novel,mechanism-based approach to modulate B-cell signaling and enhance anti-tumor immunity.This mini-review highlights the therapeutic potential of FCRL1-directed strategies,supporting their further exploration in preclinical models and future clinical trials for DLBCL and other B-cell malignancies.
文摘This special issue of iRADIOLOGY on the application of in-struments and equipment in medical imaging documents the groundbreaking strides to develop optimal imaging modalities,particularly X‐ray,ultrasound,computed tomography(CT),magnetic resonance imaging(MRI),positron emission tomog-raphy(PET),and single‐photon emission computed tomography(SPECT),to diagnose,treat,cure,and ultimately prevent med-ical disorders.This special issue continues the outstanding contributions of prior special issues on ultra‐high field MRI[1],ultra‐high field MRI in the theranostics of mental disorders[2],artificial intelligence in medical imaging[3],imaging of fetuses,children,and mothers[4],and the use of large language models in radiology[5]to provide readers updates on the state‐of‐the‐art of the application of instruments and equipment in medi-cal imaging to utilize the promising hardware available for optimal interventions in medicine.
基金sponsored by the National Science Foundation of China(Nos.52200189,52230006,and 32271700)the Guangxi Science and Technology Project,China(Nos.2021GXNSFBA220055,2020GXNSFAA297256,and Guike AB21220049)+2 种基金the Guangxi Key Laboratory of Environmental Pollution Control Theory and TechnologyGuangxi Engineering Research Center of Comprehensive Treatment for Agricultural Non-Point Source PollutionModern Industry College of Ecology and Environmental Protection from Guilin University of Technology,China for support。
文摘To promote growth,terrestrial plants release photosynthetic products into the rhizosphere in the form of root exudates through their root systems.Under the attraction of root exudates,plant growth-promoting rhizobacteria(PGPR)colonize the rhizosphere to stimulate plant growth and/or suppress the growth of pathogenic microorganisms.The rhizospheric recruitment of PGPR,as well as the establishment of root-microbe interactions,is initiated by chemotaxis towards root exudates.Over the past several decades,scientists have made notable strides in identifying representative chemoeffectors in root exudates,as well as the corresponding chemoreceptors.We review here the most recent developments in rhizospheric chemotaxis,particularly the chemoeffectors in root exudates,the structural and functional characterization of methyl-accepting chemotaxis proteins of PGPR,and the impacts of rhizospheric chemotaxis on root colonization,biofilm formation,and other root-microbe interactions during recruitment.Finally,we propose several perspectives that aim to fully unlock the potential of PGPR as bioinoculants in sustainable agriculture.
基金supported by the National Key R&D Program of China(No.2024YFB4206700)the Joint Geological Funds of the National Natural Science Foundation of China(No.U2244223)+5 种基金the China Scholarship Council Program(No.202404910533)the Guangdong Major Project of Basic and Applied Basic Research(No.2020B0301030003)the China Geological Survey Project(No.DD20211350)the Key Deployment Program of Chinese Academy of Sciences(Nos.YJKYYQ20190043,ZDBS-LY-DQC003,KFZD-SW-422,and ZDRW-ZS-2021-3-1)the Scientific Research and Technology Development Project of China National Petroleum Corporation(No.2022DJ5503)the Supercomputing Laboratory,IGGCAS.
文摘This study proposes and systematically evaluates an optimized integration of warm surface seawater injection with depressurization for the long-term exploitation of marine natural gas hydrates.By employing comprehensive multiphysics simulations guided by field data from hydrate production tests in the South China Sea,we pinpoint key operational parameters—such as injection rates,depths,and timings—that notably enhance production efficiency.The results indicate that a 3-phase hydrate reservoir transitions from a free-gas-dominated production stage to a hydrate-decomposition-dominated stage.Moderate warm seawater injection supplies additional heat during the hydrate decomposition phase,thereby enhancing stable production;however,excessively high injection rates can impede the depressurization process.Only injection at an appropriate depth simultaneously balances thermal supplementation and the pressure gradient,leading to higher overall productivity.A“depressurization-driven sensible-heat supply window”is introduced,highlighting that timely seawater injection following initial depressurization prolongs reservoir dissociation dynamics.In this study area,commencing seawater injection at 170 d of depressurization proved optimal.This optimized integration leverages clean and renewable thermal energy,providing essential insights into thermal supplementation strategies with significant implications for sustainable,economically feasible,and efficient commercial-scale hydrate production.
文摘The title of the online version of the original article was revised.The title of the original article has been revised to:Hydrochemical characterization of surface waters in Northern Tehran:Integrating cluster-based techniques with Self-Organizing Maps.
基金supported by the Natural Science Foundation of Jiangsu Province of China,No.BK20211348(to SHQ)Xuzhou Basic Research Program,No.KC21030(to LYH)+1 种基金Leadership Program of Xuzhou Medical University,No.JBGS202203(to SHQ)Research Grant Council GRF of Hong Kong Special Administrative Region of China,No.17105220(to JGS)。
文摘It has been shown clinically that continuous removal of ischemia/reperfusion-induced reactive oxygen species is not conducive to the recovery of late stroke.Indeed,previous studies have shown that excessive increases in hypochlorous acid after stroke can cause severe damage to brain tissue.Our previous studies have found that a small amount of hypochlorous acid still exists in the later stage of stroke,but its specific role and mechanism are currently unclear.To simulate stroke in vivo,a middle cerebral artery occlusion rat model was established,with an oxygen-glucose deprivation/reoxygenation model established in vitro to mimic stroke.We found that in the early stage(within 24 hours)of ischemic stroke,neutrophils produced a large amount of hypochlorous acid,while in the recovery phase(10 days after stroke),microglia were activated and produced a small amount of hypochlorous acid.Further,in acute stroke in rats,hypochlorous acid production was prevented using a hypochlorous acid scavenger,taurine,or myeloperoxidase inhibitor,4-aminobenzoic acid hydrazide.Our results showed that high levels of hypochlorous acid(200μM)induced neuronal apoptosis after oxygen/glucose deprivation/reoxygenation.However,in the recovery phase of the middle cerebral artery occlusion model,a moderate level of hypochlorous acid promoted the proliferation and differentiation of neural stem cells into neurons and astrocytes.This suggests that hypochlorous acid plays different roles at different phases of cerebral ischemia/reperfusion injury.Lower levels of hypochlorous acid(5 and 100μM)promoted nuclear translocation ofβ-catenin.By transfection of single-site mutation plasmids,we found that hypochlorous acid induced chlorination of theβ-catenin tyrosine 30 residue,which promoted nuclear translocation.Altogether,our study indicates that maintaining low levels of hypochlorous acid plays a key role in the recovery of neurological function.
基金supported by the Canada Research Chairs Programa Foundation Grant from the Canadian Institutes of Health Research (No. 159927)
文摘Exercise is established as a supportive care intervention during and after various cancer treatment modalities.1,2 Documented benefits include improvements in health-related fitness,physical functioning,some symptoms/side effects,psychosocial functioning,and quality of life.1,2 Exercise has not been established,however,as a treatment for any type of cancer in any clinical oncology setting.2 This special topic of the Journal of Sport and Health Science(JSHS)is dedicated to research on“Exercise as a cancer treatment”.The special topic sought preclinical,observational,or clinical studies examining the effects of exercise after a cancer diagnosis on a cancer outcome(e.g.,cell/tumor growth,tumor response,disease recurrence,progression,death from cancer).It includes 6 original articles and an invited opinion article.
文摘Most material distribution-based topology optimization methods work on a relaxed form of the optimization problem and then push the solution toward the binary limits.However,when benchmarking these methods,researchers use known solutions to only a single form of benchmark problem.This paper proposes a comparison platform for systematic benchmarking of topology optimization methods using both binary and relaxed forms.A greyness measure is implemented to evaluate how far a solution is from the desired binary form.The well-known ZhouRozvany(ZR)problem is selected as the benchmarking problem here,making use of available global solutions for both its relaxed and binary forms.The recently developed non-penalization Smooth-edged Material Distribution for Optimizing Topology(SEMDOT),well-established Solid Isotropic Material with Penalization(SIMP),and continuation methods are studied on this platform.Interestingly,in most cases,the grayscale solutions obtained by SEMDOT demonstrate better performance in dealing with the ZR problem than SIMP.The reasons are investigated and attributed to the usage of two different regularization techniques,namely,the Heaviside smooth function in SEMDOT and the power-law penalty in SIMP.More importantly,a simple-to-use benchmarking graph is proposed for evaluating newly developed topology optimization methods.
文摘Lynch syndrome(LS)is the most common hereditary colorectal cancer(CRC)predisposition syndrome,characterized by a high mutational burden and microsatellite instability-high(MSI-H)tumors.Immunology of LS-associated CRC(LS-CRC)is unique,with significant implications for treatment.Despite well-established knowledge of LS immunology,immunotherapy dose and treatment response can vary significantly based on local tumor immunity and specific germline pathogenic variant of LS genes.This variability necessitates tailored surveillance strategies and new personalised immunotherapy approaches for LS patients.LS-CRC often benefits from immunotherapy due to the distinct tumor microenvironment(TME)and the variety of tumor infiltrating lymphocytes(TILs).This perspective discusses a novel approach of analysing spatial TILs at a single-cell level using tumor whole slide images(WSIs)that accounts for the distinct TME of LS-CRC.By emphasizing the necessity of personalized medicine in hereditary cancer syndromes,the future research and clinical practices that enhance patient outcomes through precision oncology is inspired.
文摘Type 2 diabetes mellitus(T2DM)significantly elevates the risk of colorectal cancer(CRC)and complicates its treatment by promoting chemoresistance.Poor glycemic control has been linked to exacerbated CRC progression and diminished chemotherapy efficacy,impacting patient outcomes through various mechanisms such as oxidative stress,activation of metabolic pathways,and altered protein modifications that hinder apoptosis and enhance tumor survival.Clinical evidence shows that T2DM patients experience higher rates of chemoresistance and reduced disease-free survival and overall survival compared to non-diabetic patients.Specifically,those with poor glycemic control exhibit increased chemo-resistance and poorer survival metrics.Antidiabetic treatments,including metformin,acarbose,and gliclazide,show promise in improving chemotherapy response and glycemic management,potentially enhancing patient outcomes.Addressing this challenge requires a comprehensive,multidisciplinary approach involving oncologists,endocrino-logists,and surgeons to optimize patient care.Integrated strategies that prioritize glycemic control are essential for reducing chemoresistance and improving survival in CRC patients with T2DM.
文摘Pulmonary embolism(PE)ranks as the third leading cause of cardiovascularrelated deaths in Western nations.Patients classified as high-risk(HR)-those exhibiting hemodynamic instability-require immediate interventions to restore blood flow.While intermediate–HR(IHR)individuals remain hemodynamically stable,they face a significant chance of clinical decline and thus need close and continuous observation.Effective risk assessment,mortality prediction,and therapeutic decision-making in these patients rely on a combination of clinical evaluation and imaging studies.Catheter-directed therapy(CDT)has emerged as a promising option,offering the ability to alleviate clot burden and reduce strain on the right ventricle,all while posing a lower risk of major bleeding compared to systemic thrombolysis.The growing adoption of CDT reflects its increasing relevance in PE treatment,especially when managed by specialized PE response teams that ensure individualized,multidisciplinary care.As clinical practices evolve,further studies and robust clinical trials are necessary to clearly define CDT’s role in lowering the risks of complications and death among IHR PE patients.This article explores the current understanding and future direction of managing PE,focusing in the role of catheter-based interventions.
