Stroke is classified as ischemic or hemorrhagic,and there are few effective treatments for either type.Immunologic mechanisms play a critical role in secondary brain injury following a stroke,which manifests as cytoki...Stroke is classified as ischemic or hemorrhagic,and there are few effective treatments for either type.Immunologic mechanisms play a critical role in secondary brain injury following a stroke,which manifests as cytokine release,blood–brain barrier disruption,neuronal cell death,and ultimately behavioral impairment.Suppressing the inflammatory response has been shown to mitigate this cascade of events in experimental stroke models.However,in clinical trials of anti-inflammatory agents,longterm immunosuppression has not demonstrated significant clinical benefits for patients.This may be attributable to the dichotomous roles of inflammation in both tissue injury and repair,as well as the complex pathophysiologic inflammatory processes in stroke.Inhibiting acute harmful inflammatory responses or inducing a phenotypic shift from a pro-inflammatory to an anti-inflammatory state at specific time points after a stroke are alternative and promising therapeutic strategies.Identifying agents that can modulate inflammation requires a detailed understanding of the inflammatory processes of stroke.Furthermore,epigenetic reprogramming plays a crucial role in modulating post-stroke inflammation and can potentially be exploited for stroke management.In this review,we summarize current findings on the epigenetic regulation of the inflammatory response in stroke,focusing on key signaling pathways including nuclear factor-kappa B,Janus kinase/signal transducer and activator of transcription,and mitogen-activated protein kinase as well as inflammasome activation.We also discuss promising molecular targets for stroke treatment.The evidence to date indicates that therapeutic targeting of the epigenetic regulation of inflammation can shift the balance from inflammation-induced tissue injury to repair following stroke,leading to improved post-stroke outcomes.展开更多
Cloud computing has become an essential technology for the management and processing of large datasets,offering scalability,high availability,and fault tolerance.However,optimizing data replication across multiple dat...Cloud computing has become an essential technology for the management and processing of large datasets,offering scalability,high availability,and fault tolerance.However,optimizing data replication across multiple data centers poses a significant challenge,especially when balancing opposing goals such as latency,storage costs,energy consumption,and network efficiency.This study introduces a novel Dynamic Optimization Algorithm called Dynamic Multi-Objective Gannet Optimization(DMGO),designed to enhance data replication efficiency in cloud environments.Unlike traditional static replication systems,DMGO adapts dynamically to variations in network conditions,system demand,and resource availability.The approach utilizes multi-objective optimization approaches to efficiently balance data access latency,storage efficiency,and operational costs.DMGO consistently evaluates data center performance and adjusts replication algorithms in real time to guarantee optimal system efficiency.Experimental evaluations conducted in a simulated cloud environment demonstrate that DMGO significantly outperforms conventional static algorithms,achieving faster data access,lower storage overhead,reduced energy consumption,and improved scalability.The proposed methodology offers a robust and adaptable solution for modern cloud systems,ensuring efficient resource consumption while maintaining high performance.展开更多
The development of neurodegenerative diseases is closely related to the disruption of central nervous system homeostasis.Microglia,as innate immune cells,play important roles in the maintenance of central nervous syst...The development of neurodegenerative diseases is closely related to the disruption of central nervous system homeostasis.Microglia,as innate immune cells,play important roles in the maintenance of central nervous system homeostasis,injury response,and neurodegenerative diseases.Lactate has been considered a metabolic waste product,but recent studies are revealing ever more of the physiological functions of lactate.Lactylation is an important pathway in lactate function and is involved in glycolysis-related functions,macrophage polarization,neuromodulation,and angiogenesis and has also been implicated in the development of various diseases.This review provides an overview of the lactate metabolic and homeostatic regulatory processes involved in microglia lactylation,histone versus non-histone lactylation,and therapeutic approaches targeting lactate.Finally,we summarize the current research on microglia lactylation in central nervous system diseases.A deeper understanding of the metabolic regulatory mechanisms of microglia lactylation will provide more options for the treatment of central nervous system diseases.展开更多
Microwave thermochemotherapy(MTC)has been applied to treat lip squamous cell carcinoma(LSCC),but a deeper understanding of its therapeutic mechanisms and molecular biology is needed.To address this,we used single-cell...Microwave thermochemotherapy(MTC)has been applied to treat lip squamous cell carcinoma(LSCC),but a deeper understanding of its therapeutic mechanisms and molecular biology is needed.To address this,we used single-cell transcriptomics(scRNA-seq)and spatial transcriptomics(ST)to highlight the pivotal role of tumor-associated neutrophils(TANs)among tumor-infiltrating immune cells and their therapeutic response to MTC.MNDA+TANs with anti-tumor activity(N1-phenotype)are found to be abundantly infiltrated by MTC with benefit of increased blood perfusion,and these TANs are characterized by enhanced cytotoxicity,ameliorated hypoxia,and upregulated IL1B,activating T&NK cells and fibroblasts via IL1B-IL1R.In this highly anti-tumor immunogenic and hypoxia-reversed microenvironment under MTC,fibroblasts accumulated in the tumor front(TF)can recruit N1-TANs via CXCL2-CXCR2 and clear N2-TANs(pro-tumor phenotype)via CXCL12-CXCR4,which results in the aggregation of N1-TANs and extracellular matrix(ECM)deposition.In addition,we construct an N1-TANs marker,MX2,which positively correlates with better prognosis in LSCC patients,and employ deep learning techniques to predict expression of MX2 from hematoxylin-eosin(H&E)-stained images so as to conveniently guide decision making in clinical practice.Collectively,our findings demonstrate that the N1-TANs/fibroblasts defense wall formed in response to MTC effectively combat LSCC.展开更多
The rapid advancement of nanotechnology has sparked much interest in applying nanoscale perovskite materials for photodetection applications.These materials are promising candidates for next-generation photodetectors(...The rapid advancement of nanotechnology has sparked much interest in applying nanoscale perovskite materials for photodetection applications.These materials are promising candidates for next-generation photodetectors(PDs)due to their unique optoelectronic properties and flexible synthesis routes.This review explores the approaches used in the development and use of optoelectronic devices made of different nanoscale perovskite architectures,including quantum dots,nanosheets,nanorods,nanowires,and nanocrystals.Through a thorough analysis of recent literature,the review also addresses common issues like the mechanisms underlying the degradation of perovskite PDs and offers perspectives on potential solutions to improve stability and scalability that impede widespread implementation.In addition,it highlights that photodetection encompasses the detection of light fields in dimensions other than light intensity and suggests potential avenues for future research to overcome these obstacles and fully realize the potential of nanoscale perovskite materials in state-of-the-art photodetection systems.This review provides a comprehensive overview of nanoscale perovskite PDs and guides future research efforts towards improved performance and wider applicability,making it a valuable resource for researchers.展开更多
The presence of endogenous neural stem/progenitor cells in the adult mammalian brain suggests that the central nervous system can be repaired and regenerated after injury.However,whether it is possible to stimulate ne...The presence of endogenous neural stem/progenitor cells in the adult mammalian brain suggests that the central nervous system can be repaired and regenerated after injury.However,whether it is possible to stimulate neurogenesis and reconstruct cortical layers II to VI in non-neurogenic regions,such as the cortex,remains unknown.In this study,we implanted a hyaluronic acid collagen gel loaded with basic fibroblast growth factor into the motor cortex immediately following traumatic injury.Our findings reveal that this gel effectively stimulated the proliferation and migration of endogenous neural stem/progenitor cells,as well as their differentiation into mature and functionally integrated neurons.Importantly,these new neurons reconstructed the architecture of cortical layers II to VI,integrated into the existing neural circuitry,and ultimately led to improved brain function.These findings offer novel insight into potential clinical treatments for traumatic cerebral cortex injuries.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
We propose a theoretical framework,based on the two-component Gross-Pitaevskii equation(GPE),for the investigation of vortex solitons(VSs)in hybrid atomic-molecular Bose-Einstein condensates under the action of the st...We propose a theoretical framework,based on the two-component Gross-Pitaevskii equation(GPE),for the investigation of vortex solitons(VSs)in hybrid atomic-molecular Bose-Einstein condensates under the action of the stimulated Raman-induced photoassociation and square-optical-lattice potential.Stationary solutions of the coupled GPE system are obtained by means of the imaginary-time integration,while the temporal dynamics are simulated using the fourth-order Runge-Kutta algorithm.The analysis reveals stable rhombus-shaped VS shapes with topological charges m=1 and 2 of the atomic component.The stability domains and spatial structure of these VSs are governed by three key parameters:the parametric-coupling strength(χ),atomicmolecular interaction strength(g_(12)),and the optical-lattice potential depth(V_(0)).By varyingχand g_(12),we demonstrate a structural transition where four-core rhombus-shaped VSs evolve into eight-core square-shaped modes,highlighting the nontrivial nonlinear dynamics of the system.This work establishes a connection between interactions of cold atoms and topologically structured matter waves in hybrid quantum systems.展开更多
The international scientific literature presents still incipient results regarding the management of cancer symptom clusters by oncology nursing,especially in pediatric oncology.This is a promising field of investigat...The international scientific literature presents still incipient results regarding the management of cancer symptom clusters by oncology nursing,especially in pediatric oncology.This is a promising field of investigation for clinical nurses and researchers,and when it is subsidized by medium-range theories,they co-rroborate the diagnoses and interventions of nursing in oncology,enhancing the science of nursing care.This minireview article aims to discuss the utilizing the hospital clowns as a complementary therapy,to enhance quality of life and reduce stress and fatigue in pediatric cancer patients.Overall,the evidence presented so far pointed out that complementary therapy might help improve the quality of life of pediatric cancer patients,and that complementary therapy usage should be part of a health comprehensive care model,delivering therapeutic approaches that might enhance the mind-body during a pediatric cancer patients’life span.The results of scientific investigations by nurses,particularly those linked to the basic sciences,play a critical role in advancing personalized care in pediatric integrative oncology.展开更多
The paper primarily focuses on social safety nets and their effectiveness in poverty alleviation.Social Safety Net(SSN)programs pertain to social service initiatives aimed at providing temporary assistance to individu...The paper primarily focuses on social safety nets and their effectiveness in poverty alleviation.Social Safety Net(SSN)programs pertain to social service initiatives aimed at providing temporary assistance to individuals or groups facing vulnerabilities or unexpected hardships,such as those with lower incomes.Poverty poses a significant obstacle to the progress of social development,and its impacts are worsened by various factors including insecurity,frequent flooding,and droughts in Somalia.A total of 342 households in the Banadir region of Somalia were interviewed for the social safety nets(SSN)study.Data collection in the study was facilitated through the utilization of Kobo Toolbox,while the data analysis was conducted using EViews v.12.The results obtained from the ADP and PP tests indicated that all variables exhibited stationarity at the level.The Impact Assessment(IA)reveals a positive correlation with Household Income and Poverty Indices(HIPI),suggesting a risk of dependency without a strategic exit strategy,potentially leading to a 26%increase in poverty levels.A well-executed Program Implementation and Design(PID)can result in a 33%increase in income and poverty indices.Recipients perceive the Social Safety Net(PSSN)as reducing poverty and increasing income by 11%.Therefore,the study recommends integrating beneficiaries into the urban economy through sustainable livelihood options.Finally,the Somali government should prioritize the implementation of sustainable livelihood programs to mitigate dependency and alleviate poverty among SSN beneficiaries.展开更多
BACKGROUND The decision to administer adjuvant chemotherapy to patients with local stage depends on specific high-risk features that are T4 tumor stage,presence of perineural invasion,lymphovascular invasion,poorly di...BACKGROUND The decision to administer adjuvant chemotherapy to patients with local stage depends on specific high-risk features that are T4 tumor stage,presence of perineural invasion,lymphovascular invasion,poorly differentiated tumor histology,inadequate lymph node sampling(fewer than 12 lymph nodes),and evidence of tumor perforation or obstruction.Tumor-stroma ratio,tumor infiltrating lymphocytes(TIL),Crohn-like reaction(CLR),desmoid reaction,poorly differentiated clusters(PDC)are new pathological markers that are being studied.AIM To examine the relationship between new pathological markers and defined high METHODS We evaluated 155 patients with the diagnosis stage I and II colorectal cancer between the years 2007 and 2021 who were treated at Trakya University Hospital,Department of Medical Oncology.We divided those with and without high-risk factors into two groups.We examined the relationship of new pathological markers with these groups and with pathological markers in risk factors.RESULTS There was no statistically significant correlation between presence of TIL,presence of PDC,presence of tumor budding,presence of CLR,presence of desmoid reaction and low and high-risk groups according to the degree of those with PDC(P=0.82,P=0.51,P=0.77,P=0.37,P=0.83,respectively).In addition,no statistically significant correlation was found between the tumor-stroma ratio and low and high risk groups(P=0.80).We found a statistically significant correlation between the presence of PDC and the presence of PDC grade 3 and T stage(P=0.001,P=0.001,respectively).It was determined that the presence of PDC and the frequency of grade 3 PDC increased with the advanced T stage.CONCLUSION No relationship was found between the presence of new pathological markers and high-low risk groups.When we examined the relationship between new and old pathological markers,only the frequency of detection of PDC and PDC grade 3 was found to be correlated with advanced T stage.展开更多
To the Editor:Liver transplantation is widely regarded as the definitive treat-ment for patients with end-stage liver disease.However,the per-sistent shortage of cadaveric liver grafts has driven the develop-ment of l...To the Editor:Liver transplantation is widely regarded as the definitive treat-ment for patients with end-stage liver disease.However,the per-sistent shortage of cadaveric liver grafts has driven the develop-ment of living-donor liver transplantation(LDLT).Despite its ben-efits,LDLT raises substantial concerns regarding donor morbid-ity,as the procedure involves operating on a healthy individual.Complications associated with donor hepatectomy include abdom-inal trauma,chronic wound pain,physical stress,and psycholog-ical burdens[1,2].In light of these challenges,minimally inva-sive approaches,including laparoscopic and robotic donor hepa-tectomy,have been introduced to mitigate risks and enhance re-covery[3].However,the impact of these techniques on male sex-ual function-a critical aspect of donor quality of life-remains underexplored.Several retrospective studies have highlighted sex-ual dysfunction and altered spousal relationships following open donor hepatectomy[4-6].For instance,9%of donors reported a de-crease in sexual activity,and a significant proportion experienced low body image perceptions.展开更多
Existing knowledge on degraded mountain landscapes does not shed sufficient light on the socio-economic and ecological opportunities essential for successful restoration initiatives.To address this knowledge lacuna,a ...Existing knowledge on degraded mountain landscapes does not shed sufficient light on the socio-economic and ecological opportunities essential for successful restoration initiatives.To address this knowledge lacuna,a study was conducted on the Bamboutos Mountains landscape in Cameroon with the main objective being to analyse the opportunities for restoring this landscape in line with local,national and international development goals and to minimise the negative effects of land-use decisions.Following the Restoration Opportunity Assessment Methodology(ROAM)approach,five participatory reflection workshops were organized in the five target clusters of the landscape for data collection.The results of the study led to the development of a restoration map that presents five interventions:grassland management on an area of 4,720 ha currently occupied by shrub savannah;the practice of fruit-based agroforestry on 3,221 ha of agricultural fields;the planting of riparian forests on 451 ha of degraded watercourses;the revegetation and conservation of the Bamboutos Mountains forest reserve,sacred forests and relics of degraded forests on 435 ha of area;and the revegetation of 6 ha of degraded water sources.The carbon stocks vary from 2.66 to 345.15 tC/ha depending on the type of restoration intervention with a total carbon stock of 247,367.45 tC/ha on the 8,834 ha of area to be restored.This presents a very satisfactory economic cost-benefit,because for an investment of USD 5,991,269.84,a gain of USD 100,439,519.13 could be achieved after 20 years,i.e.,an estimated profit of USD 94,448,249.29.These results provide an understanding of the types of restoration interventions possible in this landscape,a solid basis for planning a restoration initiative.The results equally provide guidance on priority areas from a social,economic,and ecological perspective.展开更多
Background:This retrospective cross-sectional study evaluated the antibiogram profile of Gram-negative bacterial infections at Yastebsheron Hospital.The study aimed to identify prevalent pathogens,assess antimicrobial...Background:This retrospective cross-sectional study evaluated the antibiogram profile of Gram-negative bacterial infections at Yastebsheron Hospital.The study aimed to identify prevalent pathogens,assess antimicrobial susceptibility patterns,and develop evidence-based recommendations for empirical antibiotic therapy.Methods:A total of 1,182 clinical specimens(urine,swabs,aspirates,and cerebrospinal fluid)collected in 2022 were analyzed following standard microbiological procedures.Culture and sensitivity testing were performed according to established protocols.Data were analyzed using SPSS version 23 and Microsoft Excel,with results presented through descriptive statistics.Results:Gram-negative bacteria accounted for 48.4%of isolates.Urinary tract infections(UTIs)were the most prevalent,with a significantly higher incidence among female patients(67%).Escherichia coli(59.8%)was the predominant uropathogen.Among the frequently isolated pathogens E.coli(52.5%),Enterobacter spp.(21.9%),Proteus mirabilis(9.8%),and Pseudomonas aeruginosa(8.4%)meropenem demonstrated the highest efficacy.Levofloxacin showed excellent activity against Enterobacter spp.and P.mirabilis(92%susceptibility),while amikacin exhibited moderate effectiveness against E.coli(78%).Morganella morganii displayed the highest multidrug-resistance rates.Colistin was universally effective against P.aeruginosa.Third-generation cephalosporins and nalidixic acid showed limited efficacy against E.coli(21-41%susceptibility).P.mirabilis,Klebsiella pneumoniae,and M.morganii demonstrated low susceptibility to most tested antibiotics.Conclusion:Regular antibiogram updates are essential for monitoring antimicrobial resistance trends and guiding empirical therapy.The study findings support the use of meropenem and levofloxacin as first-line options while highlighting concerning resistance patterns to cephalosporins and quinolones.Local susceptibility data remain crucial for optimizing antibiotic selection and stewardship efforts.展开更多
Current research focuses on the performance degradation of photovoltaic(PV)modules,examining both crystalline silicon(p-Si and m-Si)and thin-film technologies,including a-Si/μc-Si,HIT,CdTe and CIGS.These modules were...Current research focuses on the performance degradation of photovoltaic(PV)modules,examining both crystalline silicon(p-Si and m-Si)and thin-film technologies,including a-Si/μc-Si,HIT,CdTe and CIGS.These modules were operated outdoors in two distinct climatic zones in the United States(US)over a period of three years.The degradation analysis includes the study of various quantities,such as the decrease in peak power,the reduction in current and voltage,and the variation in the fill factor.The annual degradation rate(DR)of PV modules is obtained by a linear fit of the effective maximum power evolution over time.The results indicate that m-Si and p-Si modules experienced a slight decrease in performance,with DRs of−0.83%and−1.07%,respectively.Subsequently,the HIT module exhibited a DR of−1.75%,while CdTe and CIGS modules demonstrated DRs of−2.03%and−2.45%,respectively.The a-Si/μc-Si module showed the highest DR at−3.26%.Using the Single Diode Model(SDM),we monitored the temporal evolution of physical parameters as well as changes in the shape of the I-V and P-V curves over time.We found that the key points of the I-V curve degrade over time,as do the I-V and P-V characteristics between two days approximately 30 months apart.展开更多
Conventional soil maps(CSMs)often have multiple soil types within a single polygon,which hinders the ability of machine learning to accurately predict soils.Soil disaggregation approaches are commonly used to improve ...Conventional soil maps(CSMs)often have multiple soil types within a single polygon,which hinders the ability of machine learning to accurately predict soils.Soil disaggregation approaches are commonly used to improve the spatial and attribute precision of CSMs.The approach disaggregation and harmonization of soil map units through resampled classification trees(DSMART)is popular but computationally intensive,as it generates and assigns synthetic samples to soil series based on the areal coverage information of CSMs.Alternatively,the disaggregation approach pure polygon disaggregation(PPD)assigns soil series based solely on the proportions of soil series in pure polygons in CSMs.This study compared these two disaggregation approaches by applying them to a CSM of Middlesex County,Ontario,Canada.Four different sampling methods were used:two sampling designs,simple random sampling(SRS)and conditional Latin hypercube sampling(cLHS),with two sample sizes(83100 and 19420 samples per sampling plan),both based on an area-weighted approach.Two machine learning algorithms(MLAs),C5.0 decision tree(C5.0)and random forest(RF),were applied to the disaggregation approaches to compare the disaggregation accuracy.The accuracy assessment utilized a set of 500 validation points obtained from the Middlesex County soil survey report.The MLA C5.0(Kappa index=0.58–0.63)showed better performance than RF(Kappa index=0.53–0.54)based on the larger sample size,and PPD with C5.0 based on the larger sample size was the best-performing(Kappa index=0.63)approach.Based on the smaller sample size,both cLHS(Kappa index=0.41–0.48)and SRS(Kappa index=0.40–0.47)produced similar accuracy results.The disaggregation approach PPD exhibited lower processing capacity and time demands(1.62–5.93 h)while yielding maps with lower uncertainty as compared to DSMART(2.75–194.2 h).For CSMs predominantly composed of pure polygons,utilizing PPD for soil series disaggregation is a more efficient and rational choice.However,DSMART is the preferable approach for disaggregating soil series that lack pure polygon representations in the CSMs.展开更多
BACKGROUND Family caregivers of cirrhosis patients(CPs)often experience burden,stress,and depression.Investigating whether these conditions improve following the patient undergoing liver transplantation(LT)is crucial,...BACKGROUND Family caregivers of cirrhosis patients(CPs)often experience burden,stress,and depression.Investigating whether these conditions improve following the patient undergoing liver transplantation(LT)is crucial,as it would elucidate the compre-hensive benefits of the procedure and demonstrate the positive impacts not only on the patients but also on their caregivers and society.AIM To compare the levels of burden,stress and depression among family caregivers of cirrhotic and liver transplant patients.METHODS This cross-sectional observational study evaluated caregivers of CPs and LT recipients at a quaternary Brazilian hospital.Instruments included identification cards,interview scripts,the caregiver burden scale Inventory,Lipp’s Stress Symptom Inventory,and the Beck Depression Inventory-Second Edition.Psychometric analyses involved confirmatory factor analysis and calculation of McDonald’s omega and composite reliability.Factor scores were compared with the Mann-Whitney U test,with effect size as the rank-biserial correlation coefficient(r).Statistical analysis was performed with R software(P<0.05).RESULTS Seventy-seven CP caregivers and 65 LT recipient caregivers were included.Most were female(CP:85.7%vs LT:84.6%)and the patients’spouses(76.6%vs 63.1%).The median age and caregiving duration were 55.4(23.3-76.3)vs 54.6(25.7-82.1)and 3.9(1-20)vs 8(1.5-24)years,respectively(P=0.001).LT caregivers were less likely to be at risk of overload(21.5%vs 49.4%),to be under stress(33.8%vs 36.4%)and to show symptoms of depression(15.4%vs 35.1%).Compared with LT caregivers,CP caregivers had greater median factor scores for burden(general tension,P=0.012;isolation,P=0.014;disappointment,P=0.004),depression(P=0.008),and stress(P=0.047),with small to moderate effect sizes.The disappointment(r=0.240)and depression(r=0.225)dimensions had the largest effect sizes.CONCLUSION Family caregivers of LT recipients are less likely to exhibit symptoms of burden,stress,and depression,suggesting that the benefits of LT extend to the patients’family members.展开更多
Dear Editor,The latest Visian implantable collamer lens(ICL)with a central port design(Aquaport;model V4c)obviates the necessity for preoperative laser iridotomy or intraoperative iridectomy by allowing the free flow ...Dear Editor,The latest Visian implantable collamer lens(ICL)with a central port design(Aquaport;model V4c)obviates the necessity for preoperative laser iridotomy or intraoperative iridectomy by allowing the free flow of the aqueous humor between the sides of the intraocular lens.The design of Aquaport can also eliminate the complications associated with iridotomy and iridectomy.Therefore,the V4c ICL has the potential to significantly reduce the risk of pupillary block compared to its predecessors.展开更多
Axonal growth inhibitors are released during traumatic injuries to the adult mammalian central nervous system, including after spinal cord injury. These molecules accumulate at the injury site and form a highly inhibi...Axonal growth inhibitors are released during traumatic injuries to the adult mammalian central nervous system, including after spinal cord injury. These molecules accumulate at the injury site and form a highly inhibitory environment for axonal regeneration. Among these inhibitory molecules, myelinassociated inhibitors, including neurite outgrowth inhibitor A, oligodendrocyte myelin glycoprotein, myelin-associated glycoprotein, chondroitin sulfate proteoglycans and repulsive guidance molecule A are of particular importance. Due to their inhibitory nature, they represent exciting molecular targets to study axonal inhibition and regeneration after central injuries. These molecules are mainly produced by neurons, oligodendrocytes, and astrocytes within the scar and in its immediate vicinity. They exert their effects by binding to specific receptors, localized in the membranes of neurons. Receptors for these inhibitory cues include Nogo receptor 1, leucine-rich repeat, and Ig domain containing 1 and p75 neurotrophin receptor/tumor necrosis factor receptor superfamily member 19(that form a receptor complex that binds all myelin-associated inhibitors), and also paired immunoglobulin-like receptor B. Chondroitin sulfate proteoglycans and repulsive guidance molecule A bind to Nogo receptor 1, Nogo receptor 3, receptor protein tyrosine phosphatase σ and leucocyte common antigen related phosphatase, and neogenin, respectively. Once activated, these receptors initiate downstream signaling pathways, the most common amongst them being the Rho A/ROCK signaling pathway. These signaling cascades result in actin depolymerization, neurite outgrowth inhibition, and failure to regenerate after spinal cord injury. Currently, there are no approved pharmacological treatments to overcome spinal cord injuries other than physical rehabilitation and management of the array of symptoms brought on by spinal cord injuries. However, several novel therapies aiming to modulate these inhibitory proteins and/or their receptors are under investigation in ongoing clinical trials. Investigation has also been demonstrating that combinatorial therapies of growth inhibitors with other therapies, such as growth factors or stem-cell therapies, produce stronger results and their potential application in the clinics opens new venues in spinal cord injury treatment.展开更多
For the first time,the linear and nonlinear vibrations of composite rectangular sandwich plates with various geometric patterns of lattice core have been analytically examined in this work.The plate comprises a lattic...For the first time,the linear and nonlinear vibrations of composite rectangular sandwich plates with various geometric patterns of lattice core have been analytically examined in this work.The plate comprises a lattice core located in the middle and several homogeneous orthotropic layers that are symmetrical relative to it.For this purpose,the partial differential equations of motion have been derived based on the first-order shear deformation theory,employing Hamilton’s principle and Von Kármán’s nonlinear displacement-strain relations.Then,the nonlinear partial differential equations of the plate are converted into a time-dependent nonlinear ordinary differential equation(Duffing equation)by applying the Galerkin method.From the solution of this equation,the natural frequencies are extracted.Then,to calculate the non-linear frequencies of the plate,the non-linear equation of the plate has been solved analytically using the method of multiple scales.Finally,the effect of some critical parameters of the system,such as the thickness,height,and different angles of the stiffeners on the linear and nonlinear frequencies,has been analyzed in detail.To confirmthe solution method,the results of this research have been compared with the reported results in the literature and finite elements in ABAQUS,and a perfect match is observed.The results reveal that the geometry and configuration of core ribs strongly affect the natural frequencies of the plate.展开更多
基金supported by the National Natural Science Foundation of China,Nos.32070735(to QL),82371321(to QL),82171270(to ZL)Public Service Platform for Artificial Intelligence Screening and Auxiliary Diagnosis for the Medical and Health Industry,Ministry of Industry and Information Technology of the People's Republic of China,No.2020-0103-3-1(to ZL)+2 种基金the Natural Science Foundation of Beijing,No.Z200016(to ZL)Beijing Talents Project,No.2018000021223ZK03(to ZL)Beijing Municipal Committee of Science and Technology,No.Z201100005620010(to ZL)。
文摘Stroke is classified as ischemic or hemorrhagic,and there are few effective treatments for either type.Immunologic mechanisms play a critical role in secondary brain injury following a stroke,which manifests as cytokine release,blood–brain barrier disruption,neuronal cell death,and ultimately behavioral impairment.Suppressing the inflammatory response has been shown to mitigate this cascade of events in experimental stroke models.However,in clinical trials of anti-inflammatory agents,longterm immunosuppression has not demonstrated significant clinical benefits for patients.This may be attributable to the dichotomous roles of inflammation in both tissue injury and repair,as well as the complex pathophysiologic inflammatory processes in stroke.Inhibiting acute harmful inflammatory responses or inducing a phenotypic shift from a pro-inflammatory to an anti-inflammatory state at specific time points after a stroke are alternative and promising therapeutic strategies.Identifying agents that can modulate inflammation requires a detailed understanding of the inflammatory processes of stroke.Furthermore,epigenetic reprogramming plays a crucial role in modulating post-stroke inflammation and can potentially be exploited for stroke management.In this review,we summarize current findings on the epigenetic regulation of the inflammatory response in stroke,focusing on key signaling pathways including nuclear factor-kappa B,Janus kinase/signal transducer and activator of transcription,and mitogen-activated protein kinase as well as inflammasome activation.We also discuss promising molecular targets for stroke treatment.The evidence to date indicates that therapeutic targeting of the epigenetic regulation of inflammation can shift the balance from inflammation-induced tissue injury to repair following stroke,leading to improved post-stroke outcomes.
文摘Cloud computing has become an essential technology for the management and processing of large datasets,offering scalability,high availability,and fault tolerance.However,optimizing data replication across multiple data centers poses a significant challenge,especially when balancing opposing goals such as latency,storage costs,energy consumption,and network efficiency.This study introduces a novel Dynamic Optimization Algorithm called Dynamic Multi-Objective Gannet Optimization(DMGO),designed to enhance data replication efficiency in cloud environments.Unlike traditional static replication systems,DMGO adapts dynamically to variations in network conditions,system demand,and resource availability.The approach utilizes multi-objective optimization approaches to efficiently balance data access latency,storage efficiency,and operational costs.DMGO consistently evaluates data center performance and adjusts replication algorithms in real time to guarantee optimal system efficiency.Experimental evaluations conducted in a simulated cloud environment demonstrate that DMGO significantly outperforms conventional static algorithms,achieving faster data access,lower storage overhead,reduced energy consumption,and improved scalability.The proposed methodology offers a robust and adaptable solution for modern cloud systems,ensuring efficient resource consumption while maintaining high performance.
文摘The development of neurodegenerative diseases is closely related to the disruption of central nervous system homeostasis.Microglia,as innate immune cells,play important roles in the maintenance of central nervous system homeostasis,injury response,and neurodegenerative diseases.Lactate has been considered a metabolic waste product,but recent studies are revealing ever more of the physiological functions of lactate.Lactylation is an important pathway in lactate function and is involved in glycolysis-related functions,macrophage polarization,neuromodulation,and angiogenesis and has also been implicated in the development of various diseases.This review provides an overview of the lactate metabolic and homeostatic regulatory processes involved in microglia lactylation,histone versus non-histone lactylation,and therapeutic approaches targeting lactate.Finally,we summarize the current research on microglia lactylation in central nervous system diseases.A deeper understanding of the metabolic regulatory mechanisms of microglia lactylation will provide more options for the treatment of central nervous system diseases.
基金supported by National Natural Science Foundation of China grants(Nos.82173326 and 82473058)Key Research and Development Project of Sichuan Province(Nos.2024YFFK0374 and 2024YFFK0198)Interdisciplinary Innovation Project of West China College of Stomatology,Sichuan University(RD-03-202004).
文摘Microwave thermochemotherapy(MTC)has been applied to treat lip squamous cell carcinoma(LSCC),but a deeper understanding of its therapeutic mechanisms and molecular biology is needed.To address this,we used single-cell transcriptomics(scRNA-seq)and spatial transcriptomics(ST)to highlight the pivotal role of tumor-associated neutrophils(TANs)among tumor-infiltrating immune cells and their therapeutic response to MTC.MNDA+TANs with anti-tumor activity(N1-phenotype)are found to be abundantly infiltrated by MTC with benefit of increased blood perfusion,and these TANs are characterized by enhanced cytotoxicity,ameliorated hypoxia,and upregulated IL1B,activating T&NK cells and fibroblasts via IL1B-IL1R.In this highly anti-tumor immunogenic and hypoxia-reversed microenvironment under MTC,fibroblasts accumulated in the tumor front(TF)can recruit N1-TANs via CXCL2-CXCR2 and clear N2-TANs(pro-tumor phenotype)via CXCL12-CXCR4,which results in the aggregation of N1-TANs and extracellular matrix(ECM)deposition.In addition,we construct an N1-TANs marker,MX2,which positively correlates with better prognosis in LSCC patients,and employ deep learning techniques to predict expression of MX2 from hematoxylin-eosin(H&E)-stained images so as to conveniently guide decision making in clinical practice.Collectively,our findings demonstrate that the N1-TANs/fibroblasts defense wall formed in response to MTC effectively combat LSCC.
基金supported by the National Research Foundation of Korea(NRF)grant funded by the Korean government(MSIT)(No.RS-2022–00165798)Anhui Natural Science Foundation(No.2308085MF211)The authors extend their appreciation to the Deanship of Research and Graduate Studies at King Khalid University for funding this work through Large Research Project under Grant Number(R.G.P.2/491/45).
文摘The rapid advancement of nanotechnology has sparked much interest in applying nanoscale perovskite materials for photodetection applications.These materials are promising candidates for next-generation photodetectors(PDs)due to their unique optoelectronic properties and flexible synthesis routes.This review explores the approaches used in the development and use of optoelectronic devices made of different nanoscale perovskite architectures,including quantum dots,nanosheets,nanorods,nanowires,and nanocrystals.Through a thorough analysis of recent literature,the review also addresses common issues like the mechanisms underlying the degradation of perovskite PDs and offers perspectives on potential solutions to improve stability and scalability that impede widespread implementation.In addition,it highlights that photodetection encompasses the detection of light fields in dimensions other than light intensity and suggests potential avenues for future research to overcome these obstacles and fully realize the potential of nanoscale perovskite materials in state-of-the-art photodetection systems.This review provides a comprehensive overview of nanoscale perovskite PDs and guides future research efforts towards improved performance and wider applicability,making it a valuable resource for researchers.
基金supported by the National Natural Science Foundation of China,Nos.82272171(to ZY),82271403(to XL),81941011(to XL),31971279(to ZY),31730030(to XL)the Natural Science Foundation of Beijing,No.7222004(to HD).
文摘The presence of endogenous neural stem/progenitor cells in the adult mammalian brain suggests that the central nervous system can be repaired and regenerated after injury.However,whether it is possible to stimulate neurogenesis and reconstruct cortical layers II to VI in non-neurogenic regions,such as the cortex,remains unknown.In this study,we implanted a hyaluronic acid collagen gel loaded with basic fibroblast growth factor into the motor cortex immediately following traumatic injury.Our findings reveal that this gel effectively stimulated the proliferation and migration of endogenous neural stem/progenitor cells,as well as their differentiation into mature and functionally integrated neurons.Importantly,these new neurons reconstructed the architecture of cortical layers II to VI,integrated into the existing neural circuitry,and ultimately led to improved brain function.These findings offer novel insight into potential clinical treatments for traumatic cerebral cortex injuries.
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 the National Natural Science Foundation of China(Grant No.62275075)the Natural Science Foundation of Hubei Soliton Research Association(Grant No.2025HBSRA09)+1 种基金joint supported by Hubei Provincial Natural Science Foundation and Xianning of China(Grant Nos.2025AFD401 and 2025AFD405)Israel Science Foundation(Grant No.1695/22).
文摘We propose a theoretical framework,based on the two-component Gross-Pitaevskii equation(GPE),for the investigation of vortex solitons(VSs)in hybrid atomic-molecular Bose-Einstein condensates under the action of the stimulated Raman-induced photoassociation and square-optical-lattice potential.Stationary solutions of the coupled GPE system are obtained by means of the imaginary-time integration,while the temporal dynamics are simulated using the fourth-order Runge-Kutta algorithm.The analysis reveals stable rhombus-shaped VS shapes with topological charges m=1 and 2 of the atomic component.The stability domains and spatial structure of these VSs are governed by three key parameters:the parametric-coupling strength(χ),atomicmolecular interaction strength(g_(12)),and the optical-lattice potential depth(V_(0)).By varyingχand g_(12),we demonstrate a structural transition where four-core rhombus-shaped VSs evolve into eight-core square-shaped modes,highlighting the nontrivial nonlinear dynamics of the system.This work establishes a connection between interactions of cold atoms and topologically structured matter waves in hybrid quantum systems.
基金Supported by the Coordination of Improvement of Higher Education Personnel(CAPES)and National Council for Scientific and Technological Development(CNPq),No.311427/2023-5.
文摘The international scientific literature presents still incipient results regarding the management of cancer symptom clusters by oncology nursing,especially in pediatric oncology.This is a promising field of investigation for clinical nurses and researchers,and when it is subsidized by medium-range theories,they co-rroborate the diagnoses and interventions of nursing in oncology,enhancing the science of nursing care.This minireview article aims to discuss the utilizing the hospital clowns as a complementary therapy,to enhance quality of life and reduce stress and fatigue in pediatric cancer patients.Overall,the evidence presented so far pointed out that complementary therapy might help improve the quality of life of pediatric cancer patients,and that complementary therapy usage should be part of a health comprehensive care model,delivering therapeutic approaches that might enhance the mind-body during a pediatric cancer patients’life span.The results of scientific investigations by nurses,particularly those linked to the basic sciences,play a critical role in advancing personalized care in pediatric integrative oncology.
文摘The paper primarily focuses on social safety nets and their effectiveness in poverty alleviation.Social Safety Net(SSN)programs pertain to social service initiatives aimed at providing temporary assistance to individuals or groups facing vulnerabilities or unexpected hardships,such as those with lower incomes.Poverty poses a significant obstacle to the progress of social development,and its impacts are worsened by various factors including insecurity,frequent flooding,and droughts in Somalia.A total of 342 households in the Banadir region of Somalia were interviewed for the social safety nets(SSN)study.Data collection in the study was facilitated through the utilization of Kobo Toolbox,while the data analysis was conducted using EViews v.12.The results obtained from the ADP and PP tests indicated that all variables exhibited stationarity at the level.The Impact Assessment(IA)reveals a positive correlation with Household Income and Poverty Indices(HIPI),suggesting a risk of dependency without a strategic exit strategy,potentially leading to a 26%increase in poverty levels.A well-executed Program Implementation and Design(PID)can result in a 33%increase in income and poverty indices.Recipients perceive the Social Safety Net(PSSN)as reducing poverty and increasing income by 11%.Therefore,the study recommends integrating beneficiaries into the urban economy through sustainable livelihood options.Finally,the Somali government should prioritize the implementation of sustainable livelihood programs to mitigate dependency and alleviate poverty among SSN beneficiaries.
文摘BACKGROUND The decision to administer adjuvant chemotherapy to patients with local stage depends on specific high-risk features that are T4 tumor stage,presence of perineural invasion,lymphovascular invasion,poorly differentiated tumor histology,inadequate lymph node sampling(fewer than 12 lymph nodes),and evidence of tumor perforation or obstruction.Tumor-stroma ratio,tumor infiltrating lymphocytes(TIL),Crohn-like reaction(CLR),desmoid reaction,poorly differentiated clusters(PDC)are new pathological markers that are being studied.AIM To examine the relationship between new pathological markers and defined high METHODS We evaluated 155 patients with the diagnosis stage I and II colorectal cancer between the years 2007 and 2021 who were treated at Trakya University Hospital,Department of Medical Oncology.We divided those with and without high-risk factors into two groups.We examined the relationship of new pathological markers with these groups and with pathological markers in risk factors.RESULTS There was no statistically significant correlation between presence of TIL,presence of PDC,presence of tumor budding,presence of CLR,presence of desmoid reaction and low and high-risk groups according to the degree of those with PDC(P=0.82,P=0.51,P=0.77,P=0.37,P=0.83,respectively).In addition,no statistically significant correlation was found between the tumor-stroma ratio and low and high risk groups(P=0.80).We found a statistically significant correlation between the presence of PDC and the presence of PDC grade 3 and T stage(P=0.001,P=0.001,respectively).It was determined that the presence of PDC and the frequency of grade 3 PDC increased with the advanced T stage.CONCLUSION No relationship was found between the presence of new pathological markers and high-low risk groups.When we examined the relationship between new and old pathological markers,only the frequency of detection of PDC and PDC grade 3 was found to be correlated with advanced T stage.
文摘To the Editor:Liver transplantation is widely regarded as the definitive treat-ment for patients with end-stage liver disease.However,the per-sistent shortage of cadaveric liver grafts has driven the develop-ment of living-donor liver transplantation(LDLT).Despite its ben-efits,LDLT raises substantial concerns regarding donor morbid-ity,as the procedure involves operating on a healthy individual.Complications associated with donor hepatectomy include abdom-inal trauma,chronic wound pain,physical stress,and psycholog-ical burdens[1,2].In light of these challenges,minimally inva-sive approaches,including laparoscopic and robotic donor hepa-tectomy,have been introduced to mitigate risks and enhance re-covery[3].However,the impact of these techniques on male sex-ual function-a critical aspect of donor quality of life-remains underexplored.Several retrospective studies have highlighted sex-ual dysfunction and altered spousal relationships following open donor hepatectomy[4-6].For instance,9%of donors reported a de-crease in sexual activity,and a significant proportion experienced low body image perceptions.
基金the material and logistical support provided by the Environmental Geomatics Laboratory of the Forestry Department of the University of Dschang
文摘Existing knowledge on degraded mountain landscapes does not shed sufficient light on the socio-economic and ecological opportunities essential for successful restoration initiatives.To address this knowledge lacuna,a study was conducted on the Bamboutos Mountains landscape in Cameroon with the main objective being to analyse the opportunities for restoring this landscape in line with local,national and international development goals and to minimise the negative effects of land-use decisions.Following the Restoration Opportunity Assessment Methodology(ROAM)approach,five participatory reflection workshops were organized in the five target clusters of the landscape for data collection.The results of the study led to the development of a restoration map that presents five interventions:grassland management on an area of 4,720 ha currently occupied by shrub savannah;the practice of fruit-based agroforestry on 3,221 ha of agricultural fields;the planting of riparian forests on 451 ha of degraded watercourses;the revegetation and conservation of the Bamboutos Mountains forest reserve,sacred forests and relics of degraded forests on 435 ha of area;and the revegetation of 6 ha of degraded water sources.The carbon stocks vary from 2.66 to 345.15 tC/ha depending on the type of restoration intervention with a total carbon stock of 247,367.45 tC/ha on the 8,834 ha of area to be restored.This presents a very satisfactory economic cost-benefit,because for an investment of USD 5,991,269.84,a gain of USD 100,439,519.13 could be achieved after 20 years,i.e.,an estimated profit of USD 94,448,249.29.These results provide an understanding of the types of restoration interventions possible in this landscape,a solid basis for planning a restoration initiative.The results equally provide guidance on priority areas from a social,economic,and ecological perspective.
文摘Background:This retrospective cross-sectional study evaluated the antibiogram profile of Gram-negative bacterial infections at Yastebsheron Hospital.The study aimed to identify prevalent pathogens,assess antimicrobial susceptibility patterns,and develop evidence-based recommendations for empirical antibiotic therapy.Methods:A total of 1,182 clinical specimens(urine,swabs,aspirates,and cerebrospinal fluid)collected in 2022 were analyzed following standard microbiological procedures.Culture and sensitivity testing were performed according to established protocols.Data were analyzed using SPSS version 23 and Microsoft Excel,with results presented through descriptive statistics.Results:Gram-negative bacteria accounted for 48.4%of isolates.Urinary tract infections(UTIs)were the most prevalent,with a significantly higher incidence among female patients(67%).Escherichia coli(59.8%)was the predominant uropathogen.Among the frequently isolated pathogens E.coli(52.5%),Enterobacter spp.(21.9%),Proteus mirabilis(9.8%),and Pseudomonas aeruginosa(8.4%)meropenem demonstrated the highest efficacy.Levofloxacin showed excellent activity against Enterobacter spp.and P.mirabilis(92%susceptibility),while amikacin exhibited moderate effectiveness against E.coli(78%).Morganella morganii displayed the highest multidrug-resistance rates.Colistin was universally effective against P.aeruginosa.Third-generation cephalosporins and nalidixic acid showed limited efficacy against E.coli(21-41%susceptibility).P.mirabilis,Klebsiella pneumoniae,and M.morganii demonstrated low susceptibility to most tested antibiotics.Conclusion:Regular antibiogram updates are essential for monitoring antimicrobial resistance trends and guiding empirical therapy.The study findings support the use of meropenem and levofloxacin as first-line options while highlighting concerning resistance patterns to cephalosporins and quinolones.Local susceptibility data remain crucial for optimizing antibiotic selection and stewardship efforts.
文摘Current research focuses on the performance degradation of photovoltaic(PV)modules,examining both crystalline silicon(p-Si and m-Si)and thin-film technologies,including a-Si/μc-Si,HIT,CdTe and CIGS.These modules were operated outdoors in two distinct climatic zones in the United States(US)over a period of three years.The degradation analysis includes the study of various quantities,such as the decrease in peak power,the reduction in current and voltage,and the variation in the fill factor.The annual degradation rate(DR)of PV modules is obtained by a linear fit of the effective maximum power evolution over time.The results indicate that m-Si and p-Si modules experienced a slight decrease in performance,with DRs of−0.83%and−1.07%,respectively.Subsequently,the HIT module exhibited a DR of−1.75%,while CdTe and CIGS modules demonstrated DRs of−2.03%and−2.45%,respectively.The a-Si/μc-Si module showed the highest DR at−3.26%.Using the Single Diode Model(SDM),we monitored the temporal evolution of physical parameters as well as changes in the shape of the I-V and P-V curves over time.We found that the key points of the I-V curve degrade over time,as do the I-V and P-V characteristics between two days approximately 30 months apart.
基金the Ontario Ministry of Agriculture,Food and Rural Affairs,Canada,who supported this project by providing updated soil information on Ontario and Middlesex Countysupported by the Natural Science and Engineering Research Council of Canada(No.RGPIN-2014-4100)。
文摘Conventional soil maps(CSMs)often have multiple soil types within a single polygon,which hinders the ability of machine learning to accurately predict soils.Soil disaggregation approaches are commonly used to improve the spatial and attribute precision of CSMs.The approach disaggregation and harmonization of soil map units through resampled classification trees(DSMART)is popular but computationally intensive,as it generates and assigns synthetic samples to soil series based on the areal coverage information of CSMs.Alternatively,the disaggregation approach pure polygon disaggregation(PPD)assigns soil series based solely on the proportions of soil series in pure polygons in CSMs.This study compared these two disaggregation approaches by applying them to a CSM of Middlesex County,Ontario,Canada.Four different sampling methods were used:two sampling designs,simple random sampling(SRS)and conditional Latin hypercube sampling(cLHS),with two sample sizes(83100 and 19420 samples per sampling plan),both based on an area-weighted approach.Two machine learning algorithms(MLAs),C5.0 decision tree(C5.0)and random forest(RF),were applied to the disaggregation approaches to compare the disaggregation accuracy.The accuracy assessment utilized a set of 500 validation points obtained from the Middlesex County soil survey report.The MLA C5.0(Kappa index=0.58–0.63)showed better performance than RF(Kappa index=0.53–0.54)based on the larger sample size,and PPD with C5.0 based on the larger sample size was the best-performing(Kappa index=0.63)approach.Based on the smaller sample size,both cLHS(Kappa index=0.41–0.48)and SRS(Kappa index=0.40–0.47)produced similar accuracy results.The disaggregation approach PPD exhibited lower processing capacity and time demands(1.62–5.93 h)while yielding maps with lower uncertainty as compared to DSMART(2.75–194.2 h).For CSMs predominantly composed of pure polygons,utilizing PPD for soil series disaggregation is a more efficient and rational choice.However,DSMART is the preferable approach for disaggregating soil series that lack pure polygon representations in the CSMs.
文摘BACKGROUND Family caregivers of cirrhosis patients(CPs)often experience burden,stress,and depression.Investigating whether these conditions improve following the patient undergoing liver transplantation(LT)is crucial,as it would elucidate the compre-hensive benefits of the procedure and demonstrate the positive impacts not only on the patients but also on their caregivers and society.AIM To compare the levels of burden,stress and depression among family caregivers of cirrhotic and liver transplant patients.METHODS This cross-sectional observational study evaluated caregivers of CPs and LT recipients at a quaternary Brazilian hospital.Instruments included identification cards,interview scripts,the caregiver burden scale Inventory,Lipp’s Stress Symptom Inventory,and the Beck Depression Inventory-Second Edition.Psychometric analyses involved confirmatory factor analysis and calculation of McDonald’s omega and composite reliability.Factor scores were compared with the Mann-Whitney U test,with effect size as the rank-biserial correlation coefficient(r).Statistical analysis was performed with R software(P<0.05).RESULTS Seventy-seven CP caregivers and 65 LT recipient caregivers were included.Most were female(CP:85.7%vs LT:84.6%)and the patients’spouses(76.6%vs 63.1%).The median age and caregiving duration were 55.4(23.3-76.3)vs 54.6(25.7-82.1)and 3.9(1-20)vs 8(1.5-24)years,respectively(P=0.001).LT caregivers were less likely to be at risk of overload(21.5%vs 49.4%),to be under stress(33.8%vs 36.4%)and to show symptoms of depression(15.4%vs 35.1%).Compared with LT caregivers,CP caregivers had greater median factor scores for burden(general tension,P=0.012;isolation,P=0.014;disappointment,P=0.004),depression(P=0.008),and stress(P=0.047),with small to moderate effect sizes.The disappointment(r=0.240)and depression(r=0.225)dimensions had the largest effect sizes.CONCLUSION Family caregivers of LT recipients are less likely to exhibit symptoms of burden,stress,and depression,suggesting that the benefits of LT extend to the patients’family members.
基金Supported by the National Key Research and Development Program(No.2019YFC1710200)the Shandong Province Pharmaceutical Technology Development Project(No.202107020970).
文摘Dear Editor,The latest Visian implantable collamer lens(ICL)with a central port design(Aquaport;model V4c)obviates the necessity for preoperative laser iridotomy or intraoperative iridectomy by allowing the free flow of the aqueous humor between the sides of the intraocular lens.The design of Aquaport can also eliminate the complications associated with iridotomy and iridectomy.Therefore,the V4c ICL has the potential to significantly reduce the risk of pupillary block compared to its predecessors.
基金a Ph D fellowship by FCT-Fundacao para a Ciência Tecnologia (SFRH/BD/135868/2018)(to SSC)。
文摘Axonal growth inhibitors are released during traumatic injuries to the adult mammalian central nervous system, including after spinal cord injury. These molecules accumulate at the injury site and form a highly inhibitory environment for axonal regeneration. Among these inhibitory molecules, myelinassociated inhibitors, including neurite outgrowth inhibitor A, oligodendrocyte myelin glycoprotein, myelin-associated glycoprotein, chondroitin sulfate proteoglycans and repulsive guidance molecule A are of particular importance. Due to their inhibitory nature, they represent exciting molecular targets to study axonal inhibition and regeneration after central injuries. These molecules are mainly produced by neurons, oligodendrocytes, and astrocytes within the scar and in its immediate vicinity. They exert their effects by binding to specific receptors, localized in the membranes of neurons. Receptors for these inhibitory cues include Nogo receptor 1, leucine-rich repeat, and Ig domain containing 1 and p75 neurotrophin receptor/tumor necrosis factor receptor superfamily member 19(that form a receptor complex that binds all myelin-associated inhibitors), and also paired immunoglobulin-like receptor B. Chondroitin sulfate proteoglycans and repulsive guidance molecule A bind to Nogo receptor 1, Nogo receptor 3, receptor protein tyrosine phosphatase σ and leucocyte common antigen related phosphatase, and neogenin, respectively. Once activated, these receptors initiate downstream signaling pathways, the most common amongst them being the Rho A/ROCK signaling pathway. These signaling cascades result in actin depolymerization, neurite outgrowth inhibition, and failure to regenerate after spinal cord injury. Currently, there are no approved pharmacological treatments to overcome spinal cord injuries other than physical rehabilitation and management of the array of symptoms brought on by spinal cord injuries. However, several novel therapies aiming to modulate these inhibitory proteins and/or their receptors are under investigation in ongoing clinical trials. Investigation has also been demonstrating that combinatorial therapies of growth inhibitors with other therapies, such as growth factors or stem-cell therapies, produce stronger results and their potential application in the clinics opens new venues in spinal cord injury treatment.
文摘For the first time,the linear and nonlinear vibrations of composite rectangular sandwich plates with various geometric patterns of lattice core have been analytically examined in this work.The plate comprises a lattice core located in the middle and several homogeneous orthotropic layers that are symmetrical relative to it.For this purpose,the partial differential equations of motion have been derived based on the first-order shear deformation theory,employing Hamilton’s principle and Von Kármán’s nonlinear displacement-strain relations.Then,the nonlinear partial differential equations of the plate are converted into a time-dependent nonlinear ordinary differential equation(Duffing equation)by applying the Galerkin method.From the solution of this equation,the natural frequencies are extracted.Then,to calculate the non-linear frequencies of the plate,the non-linear equation of the plate has been solved analytically using the method of multiple scales.Finally,the effect of some critical parameters of the system,such as the thickness,height,and different angles of the stiffeners on the linear and nonlinear frequencies,has been analyzed in detail.To confirmthe solution method,the results of this research have been compared with the reported results in the literature and finite elements in ABAQUS,and a perfect match is observed.The results reveal that the geometry and configuration of core ribs strongly affect the natural frequencies of the plate.
