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Psoriasis treatment: Unconventional and non-standard modalities in the era of biologics 被引量:1
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作者 Vikram K Mahajan 《World Journal of Dermatology》 2016年第1期17-51,共35页
Psoriasis is a potentially debilitating inflammatory dermatosis affecting 0.2%-4.8% of the population worldwide causing a significant occupational, personal or psychosocial morbidity to these patients for life. The ba... Psoriasis is a potentially debilitating inflammatory dermatosis affecting 0.2%-4.8% of the population worldwide causing a significant occupational, personal or psychosocial morbidity to these patients for life. The basic aim of psoriasis therapy is to control the disease to maximum possible extent and improve the patient's quality of life. Management of triggers for flareups, lifestyle modifications, and dietary supplements are often recommended. Intermittent or rotational therapy with frequent alterations in treatment options is usually needed to reduce toxicity of anti-psoriatic drugs in the absence of safer alternatives. Currently, several biological agents categorized as either T-cell targeted(e.g., Alefacept, Efalizumab) or cytokine modulating(e.g., Adalimumab, Infliximab, Etanercept) are available for treating severe psoriasis. However, their high cost is often precluding for most patients. The usefulness of systemic(methotrexate, cyclosporine, acitretin or several other therapeutic agents) or topical(tar, anthralin, corticosteroids or calcipotriol ointments, phototherapy with or without psoralens) therapies has been well established for the management of psoriasis. The literature is also replete with benefits of less used non-standard and unconventional treatment modalities(hydroxycarbamide, azathioprine, leflunomide, mycophenolate mofetil, isotretinoin, fumarates, topical calcineurin inhibitors, peroxisome proliferator-activated receptors agonists, statins, sulfasalazine, pentoxifylline, colchicine, grenz ray therapy, excimer laser, climatotherapy and balneophototherapy, peritoneal dialysis, tonsillectomy, ichthyotherapy, etc.). These can be used alternatively to treat psoriasis patients who have mild/minimal lesions, are intolerant to conventional drugs, have developed side effects or achieved recommended cumulative dose, where comorbidities pose unusual therapeutic challenges, or may be as intermittent, rotational or combination treatment alternatives. 展开更多
关键词 Acetretin Azathioprine Balneophototherapy Calcineurin inhibitors CALCIPOTRIOL Calcium dobesilate Climatotherapy Colchicine Cyclosporine DAPSONE Excimer laser Fumarates Grenz ray therapy Hydroxycarbamide Ichthyotherapy ISOTRETINOIN Leflunamide Methotrexate MYCOPHENOLATE mofetil Pentoxifylline Peritoneal dialysis Phototherpy Plaque PSORIASIS Peroxisome proliferator-activated receptors agonists Statins SULFASALAZINE Tonsillectomy
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Damage and repair in retinal degenerative diseases:Molecular basis through clinical translation
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作者 Ziting Zhang Junfeng Ma +3 位作者 Wahid Shah Xin Quan Tao Ding Yuan Gao 《Neural Regeneration Research》 2026年第4期1383-1395,共13页
Retinal ganglion cells are the bridging neurons between the eye and the central nervous system,transmitting visual signals to the brain.The injury and loss of retinal ganglion cells are the primary pathological change... Retinal ganglion cells are the bridging neurons between the eye and the central nervous system,transmitting visual signals to the brain.The injury and loss of retinal ganglion cells are the primary pathological changes in several retinal degenerative diseases,including glaucoma,ischemic optic neuropathy,diabetic neuropathy,and optic neuritis.In mammals,injured retinal ganglion cells lack regenerative capacity and undergo apoptotic cell death within a few days of injury.Additionally,these cells exhibit limited regenerative ability,ultimately contributing to vision impairment and potentially leading to blindness.Currently,the only effective clinical treatment for glaucoma is to prevent vision loss by lowering intraocular pressure through medications or surgery;however,this approach cannot halt the effect of retinal ganglion cell loss on visual function.This review comprehensively investigates the mechanisms underlying retinal ganglion cell degeneration in retinal degenerative diseases and further explores the current status and potential of cell replacement therapy for regenerating retinal ganglion cells.As our understanding of the complex processes involved in retinal ganglion cell degeneration deepens,we can explore new treatment strategies,such as cell transplantation,which may offer more effective ways to mitigate the effect of retinal degenerative diseases on vision. 展开更多
关键词 cell replacement therapy DEGENERATION GLAUCOMA optic nerve damage regenerative medicine retinal degenerative disease retinal diseases retinal ganglion cells stem cell therapy vision restoration
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Artificial intelligence-based apps for screening and diagnosing diabetic retinopathy and common ocular disorders
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作者 Rajwinder Kaur Arvind Kumar Morya +5 位作者 Parul C Gupta Sarita Aggarwal Nitin K Menia Amanjot Kaur Sukhchain Kaur Sony Sinha 《World Journal of Methodology》 2025年第4期147-157,共11页
Artificial intelligence(AI),encompassing machine learning and deep learning,is being extensively used in medical sciences.It is slated to positively impact the diagnosis and prognostication of various diseases.Deep le... Artificial intelligence(AI),encompassing machine learning and deep learning,is being extensively used in medical sciences.It is slated to positively impact the diagnosis and prognostication of various diseases.Deep learning,a subset of AI,has been instrumental in diagnosing diabetic retinopathy(DR),diabetic macular edema,glaucoma,age-related macular degeneration,and numerous other ocular diseases.AI performs equally well in the early prediction of glaucoma and agerelated macular degeneration.Integrating AI with telemedicine promises to improve healthcare delivery,although challenges persist in implementing AI algorithms,especially in deve-loping countries.This review provides a compre hensive summary of AI,its applications in ophthalmology,particularly DR,the diverse algorithms utilized for different ocular conditions,and prospects for the future integration of AI in eye care. 展开更多
关键词 Age-related macular degeneration Alzheimer's disease Artificial intelligence Automatic retinal image analysis Chronic kidney disease Convolutional neural networks Diabetic retinopathy Diabetic macular edema International council of ophthalmology Machine learning Massive training artificial neural networks Natural language processing OCT angiography Optical coherence tomography Vision transformers
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Successful term pregnancy after renal transplant in end-stage renal disease with complement factor H-related mutation:A case report
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作者 Manish Ramesh Balwani Amit Pasari +13 位作者 Pranjal Kashiv Chaitanya Shembekar Manisha Shembekar Shubham Dubey Vijay Jeyachandran Sunny Malde Sushrut Gupta Twinkle Pawar Priyanka Tolani Mohit Kurundwadkar Prasad Gurjar Kapil Sejpal Charulata Bawankule Vivek B Kute 《World Journal of Transplantation》 2026年第1期256-262,共7页
BACKGROUND Complement-mediated thrombotic microangiopathy(TMA)is a rare endothelial injury syndrome caused by dysregulated activation of the alternative complement pathway,often linked to genetic abnormalities in comp... BACKGROUND Complement-mediated thrombotic microangiopathy(TMA)is a rare endothelial injury syndrome caused by dysregulated activation of the alternative complement pathway,often linked to genetic abnormalities in complement factor H(CFH),complement factor I,or complement factor H-related(CFHR)proteins.Both renal transplantation and pregnancy are independent triggers for recurrence.This case highlights a genetically high-risk patient who achieved a successful term pregnancy after renal transplantation without complement inhibition,emphasizing individualized risk stratification,close surveillance,and multidisciplinary management for favourable maternal and graft outcomes.CASE SUMMARY A 32-year-old woman with end-stage renal disease secondary to genetically confirmed complement-mediated TMA—homozygous CFH exon 17 deletion and CFHR3-CFHR1 duplication—was maintained on dialysis for 2.5 years before undergoing a successful live-donor kidney transplant from her mother.Post-transplant immunosuppression included tacrolimus,mycophenolate mofetil,and prednisolone,later modified to azathioprine during pregnancy planning.One-year post-transplant,she conceived spontaneously.Pregnancy was complicated by transient gestational hypertension,controlled with nifedipine,labetalol,and amlodipine.Proteinuria remained<150 mg/day;white blood cell counts 5.8-7.2×109/L without cytopenia.Serum creatinine ranged 0.9-1.1 mg/dL,and tacrolimus trough levels 5-7 ng/mL.At 36 weeks,she delivered a healthy 3 kg infant by elective caesarean section.Postpartum follow-up at three months confirmed stable maternal and graft function.CONCLUSION High-risk complement-mediated TMA patients can achieve successful pregnancy post-transplant through individualized care without mandatory complement blockade. 展开更多
关键词 Complement-mediated thrombotic microangiopathy CFH exon 17 deletion CFHR3-CFHR1 duplication Renal transplantation High-risk pregnancy Complement dysregulation Eculizumab-free management Atypical hemolytic uremic syndrome Case report
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Scaling of thin wire cylindrical compression with material,diameter,and laser energy after 100 fs Joule surface heating
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作者 L.Yang M.-L.Herbert +32 位作者 C.Baehtz V.Bouffetier E.Brambrink T.Dornheim N.Fefeu T.Gawne S.Goede J.Hagemann H.Hoppner L.G.Huang O.Humphries T.Kluge D.Kraus J.Lütgert J.-P.Naedler M.Nakatsutsumi A.Pelka T.R.Preston C.B.Qu S.V.Rahul L.Randolph R.Redmer M.Rehwald J.J.Santos M.Smíd U.Schramm J.-P.Schwinkendorf M.Vescovi U.Zastrau K.Zeil A.Laso Garcia T.Toncian T.E.Cowan 《Matter and Radiation at Extremes》 2026年第1期68-80,共13页
We present the first systematic experimental validation of return-current-driven cylindrical implosion scaling in micrometer-sized Cu and Al wires irradiated by J-class femtosecond laser pulses.Employing XFEL-based im... We present the first systematic experimental validation of return-current-driven cylindrical implosion scaling in micrometer-sized Cu and Al wires irradiated by J-class femtosecond laser pulses.Employing XFEL-based imaging with sub-micrometer spatial and femtosecond temporal resolution,supported by hydrodynamic and particle-in-cell simulations,we reveal how return current density depends precisely on wire diameter,material properties,and incident laser energy.We identify deviations from simple theoretical predictions due to geometrically influenced electron escape dynamics.These results refine and confirm the scaling laws essential for predictive modeling in high-energy-density physics and inertial fusion research. 展开更多
关键词 cylindrical implosion scaling laser energy thin wire cylindrical compression MATERIAL cu al wires DIAMETER systematic experimental validation
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Neuronal guidance signaling in neurodegenerative diseases:Key regulators that function at neuron-glia and neuroimmune interfaces
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作者 Junichi Yuasa-Kawada Mariko Kinoshita-Kawada +6 位作者 Masaki Hiramoto Satoru Yamagishi Takayasu Mishima Shin’ichiro Yasunaga Yoshio Tsuboi Nobutaka Hattori Jane Y.Wu 《Neural Regeneration Research》 2026年第2期612-635,共24页
The nervous system processes a vast amount of information,performing computations that underlie perception,cognition,and behavior.During development,neuronal guidance genes,which encode extracellular cues,their recept... The nervous system processes a vast amount of information,performing computations that underlie perception,cognition,and behavior.During development,neuronal guidance genes,which encode extracellular cues,their receptors,and downstream signal transducers,organize neural wiring to generate the complex architecture of the nervous system.It is now evident that many of these neuroguidance cues and their receptors are active during development and are also expressed in the adult nervous system.This suggests that neuronal guidance pathways are critical not only for neural wiring but also for ongoing function and maintenance of the mature nervous system.Supporting this view,these pathways continue to regulate synaptic connectivity,plasticity,and remodeling,and overall brain homeostasis throughout adulthood.Genetic and transcriptomic analyses have further revealed many neuronal guidance genes to be associated with a wide range of neurodegenerative and neuropsychiatric disorders.Although the precise mechanisms by which aberrant neuronal guidance signaling drives the pathogenesis of these diseases remain to be clarified,emerging evidence points to several common themes,including dysfunction in neurons,microglia,astrocytes,and endothelial cells,along with dysregulation of neuron-microglia-astrocyte,neuroimmune,and neurovascular interactions.In this review,we explore recent advances in understanding the molecular and cellular mechanisms by which aberrant neuronal guidance signaling contributes to disease pathogenesis through altered cell-cell interactions.For instance,recent studies have unveiled two distinct semaphorin-plexin signaling pathways that affect microglial activation and neuroinflammation.We discuss the challenges ahead,along with the therapeutic potentials of targeting neuronal guidance pathways for treating neurodegenerative diseases.Particular focus is placed on how neuronal guidance mechanisms control neuron-glia and neuroimmune interactions and modulate microglial function under physiological and pathological conditions.Specifically,we examine the crosstalk between neuronal guidance signaling and TREM2,a master regulator of microglial function,in the context of pathogenic protein aggregates.It is well-established that age is a major risk factor for neurodegeneration.Future research should address how aging and neuronal guidance signaling interact to influence an individual’s susceptibility to various late-onset neurological diseases and how the progression of these diseases could be therapeutically blocked by targeting neuronal guidance pathways. 展开更多
关键词 amyloid-β axon guidance NEURODEGENERATION neuroimmune interactions neuroinflammation neuron-glia interactions neurovascular interactions SEMAPHORIN synaptic remodeling tau TDP-43 TREM2 Α-SYNUCLEIN
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Thermal Insulation Performance of Natural Fibre-Reinforced Composites--A Comprehensive Review
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作者 Raviduth Ramful 《Journal of Renewable Materials》 2026年第1期105-126,共22页
Typically used thermal insulation materials such as foam insulation and fibreglass may pose notable health risks and environmental impacts thereby resulting in respiratory irritation andwaste disposal issues,respectiv... Typically used thermal insulation materials such as foam insulation and fibreglass may pose notable health risks and environmental impacts thereby resulting in respiratory irritation andwaste disposal issues,respectively.While these materials are affordable and display good thermal insulation,their unsustainable traits pertaining to an intensive manufacturing process and poor disposability are major concerns.Alternative insulation materials with enhanced sustainable characteristics are therefore being explored,and one type of material which has gained notable attention owing to its low carbon footprint and low thermal conductivity is natural fibre.Among the few review studies conducted on Natural Fibre Reinforced Composite(NFRC)insulation boards,the multitude of factors and underlying mechanisms affecting their thermal conductivity performance have been sparsely covered.This review study aimed to address this gap by providing a holistic overview of some of the key intrinsic and extrinsic factors affecting the thermal conductivity performance of NFRCs.Key intrinsic factors pertaining to the microstructural features and to the physico-mechanical traits of NFRCs,namely the fibre lumen size,α,and the fibre-matrix thermal conductivity ratio,β,respectively,were found to largely affect the Transverse Thermal Conductivity(TTC)in NFRC boards.Extrinsic factors,which were found to indirectly affect NFRCs’thermal conductivity,such as fibre pre-processing,composite manufacturing and environmental factors,were also covered.Some of the noteworthy NFRC featureswhich were found to affect their thermal conductivity are volume fraction of fibres,bulk density and porosity.The findings of this study highlight the need for additional research investigation to address the foregoing limitations observed in NFRC thermal insulation boards by considering appropriate natural fibres,composition and fabrication techniques.The fabrication of high-grade NFRC boards,which will display an optimum balance between enhanced thermal insulation and long-term durability performance,could further replace conventionally used thermal insulation boards in the modern building and construction industry. 展开更多
关键词 Natural fibre-reinforced composites(NFRCs) thermal conductivity thermal insulation transverse thermal conductivity(TTC) porous materials microstructural features physico-mechanical traits
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MicroRNA-301a knockout attenuates peripheral nerve regeneration by delaying Wallerian degeneration
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作者 Lanya Fu Xiaofang Hu +17 位作者 Jiawei Xu Zhenlin Li Jiale Cai Xinrui Ma Ying Zou Ye He Shuyi Xu Yizhou Xu Jiaqi Zhang Yunlun Li Jingmin Liu Tsz Hei Fong Xianghai Wang Lixin Zhu Dongfeng Chen Aijun Liu Xiaodong Ma Jiasong Guo 《Neural Regeneration Research》 2026年第6期2580-2589,共10页
Our recent study demonstrated that knockout of microRNA-301a attenuates migration and phagocytosis in macrophages.Considering that macrophages and Schwann cells synergistically clear the debris of degraded axons and m... Our recent study demonstrated that knockout of microRNA-301a attenuates migration and phagocytosis in macrophages.Considering that macrophages and Schwann cells synergistically clear the debris of degraded axons and myelin during Wallerian degeneration,which is a prerequisite for nerve regeneration,we hypothesized that microRNA-301a regulates Wallerian degeneration and nerve regeneration via impacts on Schwann cell migration and phagocytosis.Herein,we found low expression of microRNA-301a in intact sciatic nerves,with no impact of the microRNA-301a knockout on nerve structure and function.By contrast,we found significant upregulation of microRNA-301a in injured sciatic nerves.We established a sciatic nerve crush model in microRNA-301a knockout mice,which exhibited attenua9ted morphological and functional regeneration following sciatic nerve crush injury.The microRNA-301a knockout also led to significantly inhibited Wallerian degeneration in an in vivo sciatic nerve-transection model and in an in vitro nerve explant block model.Schwann cells with the microRNA-301a knockout showed inhibition of phagocytosis and migration,which was reversible under transfection with microRNA-301a mimics.Rescue experiments involving transfection of microRNA-301a-knockout Schwann cells with microRNA-301a mimics or treatment with the C-X-C motif receptor 4 inhibitor WZ811 indicated the mechanistic involvement of the Yin Yang 1/C-X-C motif receptor 4 pathway in the role of microRNA-301a.Combined with our previous findings in macrophages,we conclude that microRNA-301a plays a key role in peripheral nerve injury and repair by regulating the migratory and phagocytic capabilities of Schwann cells and macrophages via the Yin Yang 1/C-X-C motif receptor 4 pathway. 展开更多
关键词 axonal regeneration CXCR4 MACROPHAGE migration miR-301a peripheral nerve injury PHAGOCYTOSIS REMYELINATION Schwann cell Wallerian degeneration YY1
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Glycine decarboxylase as a novel regulator of N-methyl-D-aspartate receptor function:Implications for pathophysiology of schizophrenia
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作者 Maltesh Kambali Uwe Rudolph 《Neural Regeneration Research》 2026年第7期2950-2951,共2页
Glutamate receptors and schizophrenia:Schizophrenia is a chronic mental disorder affecting approximately 1%of the global population,with 70%-80%heritability.It has a multifactorial etiology involving both environmenta... Glutamate receptors and schizophrenia:Schizophrenia is a chronic mental disorder affecting approximately 1%of the global population,with 70%-80%heritability.It has a multifactorial etiology involving both environmental factors and a complex polygenic genetic architecture.Over the last two decades,large-scale genome-wide approaches revealed contributions of common variants with individually small effect sizes and of rare copy number variants with a large effect size.N-methy l-D-a spar tat e receptor(NMDAR)hypofunction has been implicated as a central mechanism in the pathophysiology of schizophrenia(Coyle et al.,2020). 展开更多
关键词 N methyl D aspartate receptor SCHIZOPHRENIA polygenic genetic architectureover glycine decarboxylase PATHOPHYSIOLOGY common variants glutamate receptors chronic mental disorder
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Membrane Proteins as Potential Colon Cancer Biomarkers: Verification of 4 Candidates from a Secretome Dataset
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作者 Sum-Fu Chiang Ming-Hung Tsai +9 位作者 Reiping Tang Ling-Ling Hsieh Jy-Ming Chiang Chien-Yuh Yeh Pao-Shiu Hsieh Wen-Sy Tsai Ya-Ping Liu Ying Liang Jinn-Shiun Chen Jau-Song Yu 《Surgical Science》 2014年第10期418-438,共21页
Colorectal cancer (CRC) is an important health issue in Taiwan. There were over ten thousand newly diagnosed CRC patients each year. The outcome of late stage CRC still remains to be improved, and tumor markers are ex... Colorectal cancer (CRC) is an important health issue in Taiwan. There were over ten thousand newly diagnosed CRC patients each year. The outcome of late stage CRC still remains to be improved, and tumor markers are expected to improve CRC detection and management. From a colorectal cancer cell secretome database, we chose four proteins as candidates for clinical verification, including tumor-associated calcium signal transducer 2 (TROP2, TACSTD2), transmembrane 9 superfamily member 2 (TM9SF2), and tetraspanin-6 (TSPAN6), and tumor necrosis factor receptor superfamily member 16 (NGFR). Different groups of 30 CRC patients’ tissue samples collected from Chang Gung Memorial Hospital were analyzed by immunohistochemistry (IHC) for the four proteins, and the results were scored by pathologist. For all the four candidate proteins, marked differences of IHC score existed between tumor and adjacent non-tumor counterpart. However, there were only trends between higher protein expression levels and worse outcome. Three proteins (TROP2, TM9SF2 and NGFR) had trends between higher tissue expression and tumor stage or lymph node metastasis. Our study revealed that tissue expression of four proteins (TROP2, TM9SF2, TSPAN6, and NGFR) was markedly different between tumor and adjacent non-tumor counterparts. Overexpression of all these four proteins showed some trends with poorer survival. 展开更多
关键词 Biomarker Colorectal Cancer Immunohistochemistry Membrane Protein SECRETOME Tetraspanin-6 Transmembrane 9 SUPERFAMILY MEMBER 2 TUMOR-ASSOCIATED Calcium Signal Transducer 2 Tumor Necrosis Factor Receptor SUPERFAMILY MEMBER 16 VERIFICATION
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Cell Phf8[ˈfeɪt]control:Epigenetic regulation during oligodendroglial development
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作者 Marco Kremp Michael Wegner 《Neural Regeneration Research》 2026年第3期1110-1111,共2页
Oligodendrocytes and their cell-intrinsic gene regulatory network:Oligodendrocytes(OLs)are the myelinating glial cells of the vertebrate central nervous system.They are responsible for insulating neuronal axons with a... Oligodendrocytes and their cell-intrinsic gene regulatory network:Oligodendrocytes(OLs)are the myelinating glial cells of the vertebrate central nervous system.They are responsible for insulating neuronal axons with a lipid-rich myelin sheath,which enables the saltatory conduction of action potentials.During development,oligodendrocyte progenitor cells(OPCs)emerge from neural stem cells in the ventricular zone.They then proliferate,increase their number,and migrate to their final destination where they encounter unmyelinated neuronal axons and differentiate in a stepwise fashion into myelinating oligodendrocytes(mOLs)under the influence of environmental stimuli. 展开更多
关键词 insulating neuronal axons myelinating glial cells neural stem cells oligodendroglial development progenitor cells opcs emerge CELL epigenetic regulation saltatory conduction action potentialsduring
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Splitting of Operations for Di-Associative Algebras and Tri-Associative Algebras
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作者 Wen TENG Xiansheng DAI 《Journal of Mathematical Research with Applications》 2026年第1期21-32,共12页
Loday introduced di-associative algebras and tri-associative algebras motivated by periodicity phenomena in algebraic K-theory.The purpose of this paper is to study the splittings of operations on di-associative algeb... Loday introduced di-associative algebras and tri-associative algebras motivated by periodicity phenomena in algebraic K-theory.The purpose of this paper is to study the splittings of operations on di-associative algebras and tri-associative algebras.We introduce the notion of a quad-dendriform algebra,which is a splitting of a di-associative algebra.We show that a relative averaging operator on dendriform algebras gives rise to a quad-dendriform algebra.Furthermore,we introduce the notion of six-dendriform algebras,which are splittings of the tri-associative algebras,and demonstrate that homomorphic relative averaging operators induce six-dendriform algebras. 展开更多
关键词 dendriform algebra di-associative algebra quad-dendriform algebra tri-associative algebra six-dendriform algebra relative averaging operator
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Drosophila view on glia in peripheral sensory neuropathy
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作者 Steffen Kautzmann Christian Klämbt 《Neural Regeneration Research》 2026年第6期2353-2354,共2页
Peripheral sensory neurons perceive external signals and convey signals to the central nervous system(CNS).Information transmission occurs via often extremely long axons and timely reactions of the animal require a fa... Peripheral sensory neurons perceive external signals and convey signals to the central nervous system(CNS).Information transmission occurs via often extremely long axons and timely reactions of the animal require a fast conductance velocity.This not only depends on axonal diameter and insulation by glial processes,but it requires the structural integrity of the axon. 展开更多
关键词 peripheral sensory neurons central nervous system cns information DROSOPHILA peripheral sensory neuropathy glial processesbut conductance velocitythis structural integrity GLIA
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Pentagonal vs quadrangular conjunctival autograft in pterygium surgery:a comparative study on graft retraction
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作者 Alperen Bahar Aysun Şanal Doğan 《International Journal of Ophthalmology(English edition)》 2026年第2期247-251,共5页
AIM:To investigate the effect of pentagonal conjunctival autograft on reducing graft retraction following pterygium surgery.METHODS:This retrospective comparative study included patients who underwent primary pterygiu... AIM:To investigate the effect of pentagonal conjunctival autograft on reducing graft retraction following pterygium surgery.METHODS:This retrospective comparative study included patients who underwent primary pterygium excision with either pentagonal(created by shaping the junction with the recipient conjunctiva into a wedge)or quadrangular conjunctival autograft transplantation.All patients completed a 6mo postoperative follow-up.The primary outcome measure was the incidence of graft retraction;secondary outcomes included graft displacement requiring re-suturing and pterygium recurrence rate.RESULTS:The study enrolled 58 participants,comprising 26(15 males,11 females)in the pentagonal graft group(mean age:54.9±13.1y),and 32(17 males,15 females)in the quadrangular graft group(mean age:57.6±10.4y).Graft retraction occurred in only 1 eye(3.8%)in the pentagonal autograft group,compared to 9 eyes(28.1%)in the quadrangular autograft group.No cases of graft displacement requiring re-suturing were reported in the pentagonal autograft group.Although graft displacement and recurrence requiring re-suturing were observed less frequently in surgeries with a pentagonal graft,the difference was not statistically significant(P>0.05).CONCLUSION:Designing the conjunctival autograft in a pentagonal shape—mimicking geodesic dome architecture and conforming to the eye’s spherical structure—enhances compatibility with the recipient conjunctiva and improves resistance to physical traction forces.This design effectively reduces the incidence of graft retraction and other related complications,providing a more favorable surgical option for pterygium treatment. 展开更多
关键词 PTERYGIUM conjunctival autograft pentagonal autograft quadrangular autograft graft retraction surgical outcome
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Induction therapy in kidney transplant recipients:A consensus statement of Indian Society of Organ Transplantation
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作者 Vivek B Kute Manish Ramesh Balwani +25 位作者 Jigar B Shrimali Amit Pasari Vijay Kher Mohan Punabhai Patel Deodatta Chafekar Swarnalata Guditi Pratik Das Gireesh Mathihally Siddaiah Suraj Mohan Godara Vinant Bhargava Anurag Gupta Vishal Ramteke Nishant Deshpande Priyanka Tolani Narayan Prasad Radhika Krishna Patil Ravi Mohanka Sandeep Mahajan Sourabh Sharma Subho Banerjee Divyesh P Engineer Dhananjai Agarwal Pranjal Kashiv Arpita Lahiri Dinesh Khullar Aneesh Srivastava 《World Journal of Transplantation》 2026年第1期17-31,共15页
Kidney transplantation(KT)accounts for nearly three-fourths of organ transplants in India,with living donors contributing to 82%of cases.Induction immunosuppression is essential to optimize initial immunosuppression,r... Kidney transplantation(KT)accounts for nearly three-fourths of organ transplants in India,with living donors contributing to 82%of cases.Induction immunosuppression is essential to optimize initial immunosuppression,reduce acute rejections,and enable tailored use of maintenance agents.Rabbit anti-thymocyte globulin(rATG)and interleukin-2 receptor anatagonists(IL-2RA/IL-2RBs)are the most widely used induction therapies.However,data on induction practices across India are limited.To evaluate induction immunosuppression practices across KT centers in India and establish a consensus for different subsets of KT recipients.A nationwide online survey was conducted by the Indian Society of Organ Transplantation(ISOT)among its members(400 KT centers).Responses were analyzed to assess induction practices across diverse donor types,age groups,and immunological risk profiles.Heterogeneity in practices prompted consensus building using a modified Delphi process.Literature review and expert panel discussions(April 2024)were followed by structured voting,and 16 consensus statements were finalized.Of 400 centers approached,254 participated.rATG was the most commonly used induction therapy,followed by IL-2RBs;alemtuzumab was least used.Significant heterogeneity was observed in type,dose,and duration of induction therapy.Consensus recommendations were framed:rATG for high immunological risk recipients and deceased donor KTs;IL-2RB or low-dose rATG for low immunological risk;rituximab in ABOincompatible KTs;and tailoring based on age,diabetes,donor type,infection risk,and affordability.This first ISOT consensus provides 16 India-specific statements on induction therapy in KT.It emphasizes risk-stratified,evidenceinformed,and context-appropriate induction strategies,supporting standardization of care across the country. 展开更多
关键词 Kidney transplant Induction therapy Rabbit anti-thymocyte globulin IL-2 receptor blockers RITUXIMAB CONSENSUS Indian Society of Organ Transplantation
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AI and ML in groundwater exploration and water resources management:Concepts,methods,applications,and future directions
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作者 Adla Andalu MGopal Naik Sandeep Budde 《Journal of Groundwater Science and Engineering》 2026年第1期100-122,共23页
The integration of Artificial Intelligence(AI)and Machine Learning(ML)into groundwater exploration and water resources management has emerged as a transformative approach to addressing global water challenges.This rev... The integration of Artificial Intelligence(AI)and Machine Learning(ML)into groundwater exploration and water resources management has emerged as a transformative approach to addressing global water challenges.This review explores key AI and ML concepts,methodologies,and their applications in hydrology,focusing on groundwater potential mapping,water quality prediction,and groundwater level forecasting.It discusses various data acquisition techniques,including remote sensing,geospatial analysis,and geophysical surveys,alongside preprocessing methods that are essential for enhancing model accuracy.The study highlights AI-driven solutions in water distribution,allocation optimization,and realtime resource management.Despite their advantages,the application of AI and ML in water sciences faces several challenges,including data scarcity,model reliability,and the integration of these tools with traditional water management systems.Ethical and regulatory concerns also demand careful consideration.The paper also outlines future research directions,emphasizing the need for improved data collection,interpretable models,real-time monitoring capabilities,and interdisciplinary collaboration.By leveraging AI and ML advancements,the water sector can enhance decision-making,optimize resource distribution,and support the development of sustainable water management strategies. 展开更多
关键词 Artificial intelligence Machine learning Groundwater exploration Hydrological modeling Remote sensing applications Water resources management
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Clean Coal &High Carbon Efficiency Energy Engineering
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作者 Stefan Petters Kalvin Tse 《Journal of Power and Energy Engineering》 2015年第4期348-355,共8页
Today we live in a world of Hydrocarbon Energy Carriers, where Carbon is always used as a Carrier for Hydrogen 1) Biomass (CH1.44O0.66 or C6H12O6);2) Natural Gas [NG] (CH4);3) Water Gas [C+H2O];4) Gasoline (C6H12, C7H... Today we live in a world of Hydrocarbon Energy Carriers, where Carbon is always used as a Carrier for Hydrogen 1) Biomass (CH1.44O0.66 or C6H12O6);2) Natural Gas [NG] (CH4);3) Water Gas [C+H2O];4) Gasoline (C6H12, C7H18, C8H18, etc.);5) Kerosene (C17H36, C18H38, C19H40, C20H42, C21H44, C22H46, etc.) and;6) Crude Oil. The Carbon aggregates are all storable and have worthwhile, logistically manageable energy densities. But whenever recovering Energy from the Carbon molarities, CO2 gets emitted into the atmosphere, while separate use of Hydrogen Energy contents carried by the Carbon moieties would just generate water vapor. Hydrogen is also the most important intermediary in Refineries, hydrogenating lower grade Hydrocarbons into higher potencies, or for removing Sulfur by the formation of Hydrogen Sulfur, that can be dissociated after its segregation from the Hydrocarbon products. But most of the internal Hydrogen yields in Refineries today is used for onsite production of Ammonia as a basis for Energy fertilizers in high performance agriculture. Because Hydrogen is awkward to store and transport, most of it is currently used captive within large size centralized plants as a reactant for producing Hydrocarbon energy carriers, using the Carbon as a carrier for the Hydrogen moieties, to then be distributed over big enough areas for consumption of the such large scale plants’ volumes. With recently proven achievements of Hydrogen production from excess Wind & Solar Power by electrolysis, Hydrogen could become available in abundant quantities, to be distributed locally within the coverage area of the transmission grid such Wind & Solar installations are feeding into. In combination with Carbon as a reactant such abundant Hydrogen could also be synthesized into Hydrocarbon Energy Carriers and substitute fossil commodities. 展开更多
关键词 Atmospheric CARBON CARBON EFFICIENCY CARBON Metabolism CARBON RE-USE Chemical ENERGY Content Controlled Microbial Composting ENERGY Carriers Fossil Substitute Commodities INTERMEDIARIES Heating Value Hybrid Power Plant Hydrocarbon Hydrogen Organic Waste Valorization Photosynthesis Productivity REFINERIES
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Hyponormal Block Toeplitz Operators on the Weighted Bergman Space with Circulant Symbols
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作者 FU Guangyang ZHOU Jiang 《数学进展》 北大核心 2026年第1期183-191,共9页
In this paper,we present a necessary and sufficient condition for hyponormal block Toeplitz operators T on the vector-valued weighted Bergman space with symbolsΦ(z)=G^(*)(z)+F(z),where F(z)=∑^(N)_(i)=1 A_(i)z^(i)and... In this paper,we present a necessary and sufficient condition for hyponormal block Toeplitz operators T on the vector-valued weighted Bergman space with symbolsΦ(z)=G^(*)(z)+F(z),where F(z)=∑^(N)_(i)=1 A_(i)z^(i)and G(z)=∑^(N)_(i)=1 A_(−i)z^(i),A_(i)ae culants. 展开更多
关键词 block Toeplitz operator hyponormal weighted Bergman space CIRCULANT COMMUTATOR
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Identification, Synthesis, Isolation and Spectral Characterization of Multidrug-Resistant Tuberculosis (MDR-TB) Related Substances
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作者 Sureshbabu Jayachandra Madhuresh Kumar Sethi +4 位作者 Vipin Kumar Kaushik Vijayakrishna Ravi Saiprasad Kottolla Vikas Chandra Dev Purbita Chakraborty 《Green and Sustainable Chemistry》 2018年第2期190-207,共18页
Several related substances were detected at trace level in (2R)-2,3-dihydro-2-methyl-6-nitro-2-[[4-[4-[4-(trifluoromethoxy)phenoxy]-1-piperidinyl] phenoxy] methyl]imidazo[2, 1-b]oxazole drug substance by a newly devel... Several related substances were detected at trace level in (2R)-2,3-dihydro-2-methyl-6-nitro-2-[[4-[4-[4-(trifluoromethoxy)phenoxy]-1-piperidinyl] phenoxy] methyl]imidazo[2, 1-b]oxazole drug substance by a newly developed high-performance liquid chromatography method. All related substances were characterized rapidly but some impurities were found to be intermediates. Proposed structures were further confirmed by characterization using NMR, FT-IR, and HRMS techniques. Based on the spectroscopic data;unknown related sub-stances were characterized as 1-(Methylsulfonyl)-4-[4-(trifluoromethoxy) phenoxy]piperidine;4-{4-[4-(Tri-fluoromethoxy)-phenoxy]piperidin-1-yl}phenol and 4-{4-[4-(trifluoromethoxy)phenoxy]piperidin-1-yl}phenyl methane sulfonate;4-Bromophenyl methane sulfonate, Ethyl 3,6-dihydro-1(2H)-pyridine carboxylate, (2S)-3-(4-Bromophenoxy)-2-hydroxy-2-methylpropyl methane sulfonate, (2S)-3-(4-Bromophenoxy)-2-methylpropane-1,2-diyldimethane-sulfonate, (2S)-2-Methyl-3-(4-{4-[4-(trifluoromethoxy) phenoxy]-piperidin-1-yl} phenoxy)-propane-1,2-diyldimethane sulfonate, (S)-3-(4-Bromophenoxy)-2-methyl-propane-1,2-diol and corresponding Enantiomer, (2R)-2-[(4-Bromo-phenoxy)methyl]-2-methyloxirane and (2R)-2-[(4-bromophenoxy)methyl]-2-methyl-6-nitro-2,3-dihydroimidazo[2,1-b][1,3]oxazole. A possible mechanism for the formation of these related substances is also proposed. 展开更多
关键词 Asymmetric SYNTHESIS TUBERCULOSIS (TB) Human Immunodeficiency Virus (HIV) MYCOBACTERIUM TUBERCULOSIS MYCOBACTERIUM africanus MYCOBACTERIUM BOVIS Directly Observed Treatment Short (DOTS) High Prevalence of Multi-Drug-Resistant (MDR) and Extensively Drug Resistant (XDR)
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Wigner Quasiprobability with an Application to Coherent Phase States
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作者 Alfred Wünsche 《Advances in Pure Mathematics》 2018年第6期564-614,共51页
Starting from Wigner’s definition of the function named now after him we systematically develop different representation of this quasiprobability with emphasis on symmetric representations concerning the canonical va... Starting from Wigner’s definition of the function named now after him we systematically develop different representation of this quasiprobability with emphasis on symmetric representations concerning the canonical variables (q,p) of phase space and using the known relation to the parity operator. One of the representations is by means of the Laguerre 2D polynomials which is particularly effective in quantum optics. For the coherent states we show that their Fourier transforms are again coherent states. We calculate the Wigner quasiprobability to the eigenstates of a particle in a square well with infinitely high impenetrable walls which is not smooth in the spatial coordinate and vanishes outside the wall boundaries. It is not well suited for the calculation of expectation values. A great place takes on the calculation of the Wigner quasiprobability for coherent phase states in quantum optics which is essentially new. We show that an unorthodox entire function plays there a role in most formulae which makes all calculations difficult. The Wigner quasiprobability for coherent phase states is calculated and graphically represented but due to the involved unorthodox function it may be considered only as illustration and is not suited for the calculation of expectation values. By another approach via the number representation of the states and using the recently developed summation formula by means of Generalized Eulerian numbers it becomes possible to calculate in approximations with good convergence the basic expectation values, in particular, the basic uncertainties which are additionally represented in graphics. Both considered examples, the square well and the coherent phase states, belong to systems with SU (1,1) symmetry with the same index K=1/2 of unitary irreducible representations. 展开更多
关键词 Parity Operator Quantum Square Well COHERENT STATES SU (1 1) Group and REALIZATIONS Glauber-Sudarshan and Husimi-Kano Quasiprobability London PHASE STATES PHASE Distribution Unorthodox Entire Function Laguerre 2D Polynomials Generalized Eulerian Numbers
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