The potential of induced pluripotent stem cells(iPSCs)for modeling and treating metabolic associated fatty liver disease(MAFLD)and metabolic associated steatohepatitis(MASH)is emerging.MAFLD is a growing global health...The potential of induced pluripotent stem cells(iPSCs)for modeling and treating metabolic associated fatty liver disease(MAFLD)and metabolic associated steatohepatitis(MASH)is emerging.MAFLD is a growing global health concern,currently with limited treatment options.While primary mesenchymal stem cells hold promise,iPSCs offer a versatile alternative due to their ability to differentiate into various cell types,including iPSC-derived mesenchymal stem cells.However,challenges remain,including optimizing differentiation protocols,ensuring cell safety,and addressing potential tumorigenicity risks.In addition,iPSCs offer the possibility to generate complex cellular models,including three-dimensional organoid models,which are closer representations of the human disease than animal models.Those models would also be valuable for drug discovery and personalized medicine approaches.Overall,iPSCs and their derivatives offer new perspectives for advancing MAFLD/MASH research and developing novel therapeutic strategies.Further research is needed to overcome current limitations and translate this potential into effective clinical applications.展开更多
Objective To develop a multimodal imaging atlas of a rat brain-computer interface(BCI)that incorporates brain,arterial,bone tissue and a BCI device using mixed reality(MR)for three-dimensional(3D)visualization.Methods...Objective To develop a multimodal imaging atlas of a rat brain-computer interface(BCI)that incorporates brain,arterial,bone tissue and a BCI device using mixed reality(MR)for three-dimensional(3D)visualization.Methods An invasive BCI was implanted in the left visual cortex of 4-week-old Sprague–Dawley rats.Multimodal imaging techniques,including micro-CT and 9.0 T MRI,were used to acquire images of the rat cranial bone structure,vascular distribution,brain tissue functional zones,and BCI device before and after implantation.Using 3D-slicer software,the images were fused through spatial transformations,followed by image segmentation and 3D model reconstruction.The HoloLens platform was employed for MR visualization.Results This study constructed a multimodal imaging atlas for rats that included the skull,brain tissue,arterial tissue,and BCI device coupled with MR technology to create an interactive 3D anatomical model.Conclusions This multimodal 3D atlas provides an objective and stable reference for exploring complex relationships between brain tissue structure and function,enhancing the understanding of the operational principles of BCIs.This is the first multimodal 3D imaging atlas related to a BCI created using Sprague–Dawley rats.展开更多
Purpose: The purpose of this umbrella review was to synthesize the evidence from systematic reviews on the benefits and harms of exercise therapy and physical activity(PA) for the secondary prevention and management o...Purpose: The purpose of this umbrella review was to synthesize the evidence from systematic reviews on the benefits and harms of exercise therapy and physical activity(PA) for the secondary prevention and management of low back pain(LBP).Methods: An umbrella review was conducted to evaluate the effectiveness of exercise therapy and PA in the management and secondary prevention of LBP. A systematic search was performed in MEDLINE, CINAHL, Scopus, Web of Science, Cochrane Database of Systematic Reviews,and Physiotherapy Evidence Database(PEDro), including reference lists of relevant reviews, covering studies published between January 1,2010 and May 20, 2024. Eligible studies were systematic reviews of randomized controlled trials and observational studies, with or without meta-analyses. The primary outcome for secondary prevention was LBP recurrence, while for management, primary outcomes included pain intensity and disability, with adverse events as secondary outcomes. Data were extracted across immediate, short-term, intermediate, and longterm follow-up periods. The Grading of Recommendations Assessment, Development, and Evaluation(GRADE) framework was used to assess the certainty of evidence, and the Assessment of Multiple Systematic Reviews tool(AMSTAR) tool was applied by 2 independent reviewers(JC, QL, and/or DXMW) to evaluate the quality of the included reviews. The study was prospectively registered on the Open Science Framework(OSF).Results: A total of 70 systematic reviews were included, 43 with meta-analyses, 7 with network meta-analyses, and 20 without meta-analyses.Six(out of 10) reviews with meta-analyses for secondary prevention indicated a small benefit from general exercises and leisure-time PA(low-to-moderate certainty). For LBP management, 35(out of 36) reviews reported that exercise therapies such as Pilates, motor control,mixed exercise, Tai Chi, water-based exercises, and yoga showed small beneficial effects on pain and disability compared to minimal intervention mainly in the short-term(low-to-moderate certainty). Seven network meta-analyses favored motor control and Pilates over other forms of exercise to reduce pain(low certainty). Adverse events were reported in less than 31% of the reviews, predominantly involving postexercise soreness and temporary increases in pain, mainly in yoga-related studies. Adverse events were considered minor, and no serious adverse events were reported.Conclusion: There is low-to-moderate certainty that exercise therapy and leisure-time PA are beneficial for improving pain and preventing the recurrence of LBP. However, evidence on the potential harms of these interventions is limited, and adverse events related to exercise and PA remain under-investigated.展开更多
Lycii Radicis Cortex(LRC)is a medicinal and food homologous plant with various pharmacological activities,including anti-tumor effects.This study explores the anti-tumor effect of LRC on non-small cell lung cancer(NSC...Lycii Radicis Cortex(LRC)is a medicinal and food homologous plant with various pharmacological activities,including anti-tumor effects.This study explores the anti-tumor effect of LRC on non-small cell lung cancer(NSCLC)and its molecular mechanism using mice bearing Lewis lung carcinoma cells.LRC significantly suppressed the growth of NSCLC.Besides,RNA sequencing of mice tumors and hematoxylin&eosin and immunofluorescence staining revealed that LRC promoted the infiltration of T lymphocytes,specifically GZMB~+CD8~+T lymphocytes,in tumor tissues.The Gene Set Enrichment Analysis of spleen RNA indicated that LRC up-regulated PD-1-downstream pathways,suggesting that LRC exerted its effects through the PDL1/PD-1 pathway.Further experiments revealed that LRC interacted with PD-L1,blocking PD-L1/PD-1 binding and thus restoring the T cell killing activity on tumor cells.Together,these results support using LRC as healthy food to improve anti-tumor immunity in patients with NSCLC.展开更多
Rice(Oryza sativa L.)plays a pivotal role in global food security,yet its breeding is constrained by its long generation time and seasonality.To enhance rice breeding efficiency and meet future food demands,we have de...Rice(Oryza sativa L.)plays a pivotal role in global food security,yet its breeding is constrained by its long generation time and seasonality.To enhance rice breeding efficiency and meet future food demands,we have developed a vertical hydroponic breeding system integrated with light-emitting diodes(LEDs)light-ing in a closed plant factory(PF),which significantly accelerates rice growth and generation advance-ment.The results show that indica rice can be harvested as early as after 63 days of cultivation,a 50%reduction compared with field cultivation,enabling the annual harvesting of 5-6 generations within the PF.A hyperspectral imaging(HSI)system and attenuated total reflectance infrared(ATR-IR)spec-troscopy were further employed to characterize the chemical composition of the PF-and field-cultivated rice.Metabolomics analysis with ultra-performance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS)and gas chromatography-mass spectrometry(GC-MS)revealed that,com-pared with the field-cultivated rice,the PF-cultivated rice exhibited an up-regulation of total phenolic acids along with 68 non-volatile and 19 volatile metabolites,such as isovitexin,succinic acid,and methylillicinone F.Overall,this study reveals the unique metabolic profile of PF-cultivated rice and high-lights the potential of PFs to accelerate the breeding of crops such as rice,offering an innovative agricul-tural strategy to support food security in the face of global population growth and climate change.展开更多
Chromium (Cr), a persistent soil pollutant, has detrimental effects on plants and living things, and its contamination in soil increased as a result of human-induced activities. Pakistan suffers from a lack of fresh w...Chromium (Cr), a persistent soil pollutant, has detrimental effects on plants and living things, and its contamination in soil increased as a result of human-induced activities. Pakistan suffers from a lack of fresh water supplies;hence most people use metal-containing water and wastewater to irrigate their crops. Exposure to Cr toxicity, the plant reduces their morphological and physiological growth which ultimately decreases crop productivity. The current study was designed to investigate the foliar application of hesperidin (HSP) at varying effluent rates (25, 50, 75, and 100 mg L^(−1)) on wheat growth under tannery wastewater irrigated soil. Cr toxicity caused a change in the concentration of chlorophyll molecules, indicating early signs of stress. Modifications in the ultrastructure of chloroplasts, the elevated activity of chlorophyllase, and the generation of reactive oxygen species were causing the reduction in chlorophyll. Cr stress disrupted total soluble protein concentrations and the activity of antioxidation-related enzymes and NRA, suggesting the onset of oxidative stress. On the other hand, the application of HSP reduced oxidative damage by improving protein concentration (37%), chlorophyll concentration (37%), and antioxidant enzyme activity such as CAT (65%), SOD (46%), and POD (68%). Furthermore, HSP raised the concentrations of non-enzymatic antioxidant molecules, which may indicate better redox homeostasis and stress tolerance. These molecules include GSH, GSSG, ascorbic acid, flavonoids, phenolics, and anthocyanins. HSP therapy lessened the impact of Cr stress on lipid peroxidation markers. HSP enhanced these measures during the investigation. Cr stress raised the concentrations of total free amino acids and nitrogen oxide and decreased the radical scavenging activity in wheat. Cr stress raised the concentration of all soluble sugars, primarily reducing and non-reducing sugars, whereas the application of HSP strengthened these osmo protectants even more results of the present investigation indicate that exogenous HSP is a feasible and eco-friendly approach to improving plant resistance against Cr toxicity by efficiently reducing the physiological strain and metabolic stress caused by Cr in wheat plants.展开更多
For any country,the availability of electricity is crucial to the development of the national economy and society.As a result,decision-makers and policy-makers can improve the sustainability and security of the energy...For any country,the availability of electricity is crucial to the development of the national economy and society.As a result,decision-makers and policy-makers can improve the sustainability and security of the energy supply by implementing a variety of actions by using the evaluation of these factors as an early warning system.This research aims to provide a multi-criterion decision-making(MCDM)method for assessing the sustainability and security of the electrical supply.The weights of criteria,which indicate their relative relevance in the assessment of the sustainability and security of the energy supply,the MCDM method allow users to express their opinions.To overcome the impact of uncertainty and vagueness of expert opinion,we explore the notion of picture fuzzy theory,which is a more efficient and dominant mathematical model.Recently,the theory of Aczel-Alsina operations has attained a lot of attraction and has an extensive capability to acquire smooth approximated results during the aggregation process.However,Choquet integral operators are more flexible and are used to express correlation among different attributes.This article diagnoses an innovative theory of picture fuzzy set to derive robust mathematical methodologies of picture fuzzy Choquet Integral Aczel-Alsina aggregation operators.To prove the intensity and validity of invented approaches,some dominant properties and special cases are also discussed.An intelligent decision algorithm for the MCDM problem is designed to resolve complicated real-life applications under multiple conflicting criteria.Additionally,we discussed a numerical example to investigate a suitable electric transformer under consideration of different beneficial key criteria.A comparative study is established to capture the superiority and effectiveness of pioneered mathematical approaches with existing methodologies.展开更多
We present the discovery of TCP J07222683+6220548,a new ultracompact binary system of the AM CVn type.This system was first identified displaying aΔV=7.6 mag outburst on 2025-01-20.9416 UTC by the New Milky Way wide-...We present the discovery of TCP J07222683+6220548,a new ultracompact binary system of the AM CVn type.This system was first identified displaying aΔV=7.6 mag outburst on 2025-01-20.9416 UTC by the New Milky Way wide-field survey for transients and later independently detected by ASAS-SN and ZTF.The outburst peaked at V_(max)=12.45 and lasted for seven days,followed by a series of rebrightenings.No previous outbursts are found in archival data.Positive superhumps with a period of 0.032546±0.000084 day(46.87±0.12 minutes),barely detectable during the main outburst,became clearly visible during the first rebrightening that lasted from day 18 to day 24 after the initial outburst.No convincing change in the superhump period was detected.Dense time-series photometry follow-up by a pair of 0.5 m INASAN robotic telescopes,together with VSNET and AAVSO observers,was essential for identifying TCP J07222683+6220548 as an AM CVn system and triggering confirmation spectroscopy with the 2.5 m CMO SAI telescope.Some outbursting AM CVn systems lacking such detailed follow-up may remain unrecognized among the newly discovered cataclysmic variable candidates.展开更多
Lessons learned from past experiences push for an alternate way of crop production.In India,adopting high density planting system(HDPS)to boost cotton yield is becoming a growing trend.HDPS has recently been considere...Lessons learned from past experiences push for an alternate way of crop production.In India,adopting high density planting system(HDPS)to boost cotton yield is becoming a growing trend.HDPS has recently been considered a replacement for the current Indian production system.It is also suitable for mechanical harvesting,which reducing labour costs,increasing input use efficiency,timely harvesting timely,maintaining cotton quality,and offering the potential to increase productivity and profitability.This technology has become widespread in globally cotton growing regions.Water management is critical for the success of high density cotton planting.Due to the problem of freshwater availability,more crops should be produced per drop of water.In the high-density planting system,optimum water application is essential to control excessive vegetative growth and improve the translocation of photoassimilates to reproductive organs.Deficit irrigation is a tool to save water without compromising yield.At the same time,it consumes less water than the normal evapotranspiration of crops.This review comprehensively documents the importance of growing cotton under a high-density planting system with deficit irrigation.Based on the current research and combined with cotton production reality,this review discusses the application and future development of deficit irrigation,which may provide theoretical guidance for the sustainable advancement of cotton planting systems.展开更多
Recent decades have witnessed several infectious disease outbreaks,including the coronavirus disease(COVID-19)pandemic,which had catastrophic impacts on societies around the globe.At the same time,the twenty-first cen...Recent decades have witnessed several infectious disease outbreaks,including the coronavirus disease(COVID-19)pandemic,which had catastrophic impacts on societies around the globe.At the same time,the twenty-first century has experienced an unprecedented era of technological development and demographic changes:exploding population growth,increased airline flights,and increased rural-to-urban migration,with an estimated 281 million international migrants worldwide in 2020,despite COVID-19 movement restrictions.In this review,we synthesized 195 research articles that examined the association between human movement and infectious disease outbreaks to understand the extent to which human mobility has increased the risk of infectious disease outbreaks.This article covers eight infectious diseases,ranging from respiratory illnesses to sexually transmitted and vector-borne diseases.The review revealed a strong association between human mobility and infectious disease spread,particularly strong for respiratory illnesses like COVID-19 and Influenza.Despite significant research into the relationship between infectious diseases and human mobility,four knowledge gaps were identified based on reviewed literature in this study:1)although some studies have used big data in investigating infectious diseases,the efforts are limited(with the exception of COVID-19 disease),2)while some research has explored the use of multiple data sources,there has been limited focus on fully integrating these data into comprehensive analyses,3)limited research on the global impact of mobility on the spread of infectious disease with most studies focusing on local or regional outbreaks,and 4)lack of standardization in the methodology for measuring the impacts of human mobility on infectious disease spread.By tackling the recognized knowledge gaps and adopting holistic,interdisciplinary methods,forthcoming research has the potential to substantially enhance our comprehension of the intricate interplay between human mobility and infectious diseases.展开更多
Here,we present a novel bioorthogonal platform that enables precise positioning of attached moieties in close proximity,thereby facilitating the discovery and optimization of biocompatible reactions.Using this platfor...Here,we present a novel bioorthogonal platform that enables precise positioning of attached moieties in close proximity,thereby facilitating the discovery and optimization of biocompatible reactions.Using this platform,we achieve a Horner-Wadsworth-Emmons(HWE)reaction under physiological conditions,generating a fluorophore in situ with a yield of up to 93%.This proximity platform should facilitate the discovery of various types of biocompatible reactions,making it a versatile tool for biomedical applica-tions.展开更多
Magnesium is an excellent material in terms of biocompatibility and its corrosion products can serve as an active source for new bone formation.However,localized corrosion and H_(2)generation limit the potential of Mg...Magnesium is an excellent material in terms of biocompatibility and its corrosion products can serve as an active source for new bone formation.However,localized corrosion and H_(2)generation limit the potential of Mg-based implants.Utilizing low-alloyed Mg-Zn wires can strongly reduce problems with large H_(2)bubbles and improve the mechanical properties considerably while maintaining excellent long-term biocompatibility.Acidic pickling and a polymer coating can be effectively used to lower the rate of in vivo degradation.In this work,microstructural,mechanical,and in vitro characterization of 250μm and 300μm extruded wires made from ultra-pure Mg,commercially pure Mg,Mg-0.15Zn,Mg-0.4Zn and Mg-1Zn was performed.Additionally,Mg-0.4Zn wires together with a variant coated with a copolymer of L-lactide andε-caprolactone were tested in vivo on artificially damaged Wistar rat femurs.Based on the observed Mg-induced osteogenesis,polymer-coated Mg wires with a small addition of Zn are a perspective material for bone-support applications,such as cerclage and fixation wires.展开更多
VVER-1200 (Water-Water Energetic Reactor) represents a significant advancement in nuclear power generation, emphasizing the continuous analysis and enhancement of safety systems for reliable operation. The proposed st...VVER-1200 (Water-Water Energetic Reactor) represents a significant advancement in nuclear power generation, emphasizing the continuous analysis and enhancement of safety systems for reliable operation. The proposed study focuses on simulating combined scenarios involving steam generator tube rupture (SGTR) and AC power loss using core algorithms and models within personal computer transient analyzer (PCTRAN). Reactor kinetic equations, thermal-hydraulic balance, and safety system models are discussed to elucidate their role in simulating SGTR and AC power loss. Safety criteria, boundaries and initial conditions are outlined to provide a comprehensive understanding of the simulation framework. The analysis delves into dynamic behavior of VVER-1200, placing emphasis on thermal-hydraulic implications, essential reactor parameters, and radiation monitoring to facilitate impact evaluation. Continuous monitoring and maintenance of safety systems are underscored to ensure stable core cooling, particularly during proposed transient conditions. Through meticulous analysis and comparison with established benchmarks, this study contributes to bolstering the safety and reliability of VVER-1200 reactors by identifying vulnerabilities, assessing mitigation strategies, and refining emergency response protocols. Practical implications of this study offer a crucial understanding of reactor behavior, safety system performance, and emergency response strategies, thereby improving safety, optimizing operational practices, and reducing risks in nuclear reactor accidents.展开更多
Purpose:This study aimed to quantify the dose-response association and the minimal effective dose of leisure-time physical activity(PA)to prevent mortality and cardiovascular disease in adults with type 2 diabetes.Met...Purpose:This study aimed to quantify the dose-response association and the minimal effective dose of leisure-time physical activity(PA)to prevent mortality and cardiovascular disease in adults with type 2 diabetes.Methods:Cross-country comparison of 2 prospective cohort studies including 14,913 and 17,457 population-based adults with type 2 diabetes from the UK and China.Baseline leisure-time PA was self-reported and categorized by metabolic equivalent hours per week(MET-h/week)according to World Health Organization recommendations:none,below recommendation(>0-7.49 MET-h/week);at recommended level(7.5-14.9 MET-h/week);above recommendation(>15 MET-h/week).Mortality and cardiovascular disease data were obtained from national registries.Results:During a median follow-up of 12.4 and 9.7 years,in the UK and China cohorts,repectively,higher levels of leisure-time PA were inversely associated with all-cause(1571 and 2351 events)and cardiovascular mortality(392 and 1060 events),mostly consistent with a linear dose-response relationship.PA below,at,and above recommendations,compared with no activity,yielded all-cause mortality hazard ratios of0.94(95%confidence interval(95%CI):0.79-1.12),0.90(95%CI:0.74-1.10),and 0.85(95%CI:0.70-1.02)in British adults and 0.87(95%CI:0.68-1.10),0.88(95%CI:0.74-1.03),and 0.77(95%CI:0.70-0.85)in Chinese adults.Associations with cardiovascular mortality were more pronounced in British adults(0.80(95%CI:0.58-1.11),0.75(95%CI:0.52-1.09),and 0.69(95%CI:0.48-0.97))but less pronounced in Chinese adults(1.06(95%CI:0.76-1.47),1.01(95%CI:0.80-1.28),and 0.79(95%CI:0.69-0.92)).PA at recommended levels was not associated with lower rates of major adverse cardiovascular events(2345 and 4458 events).Conclusion:Leisure-time PA at the recommended levels was not convincingly associated with lower mortality and had no association with risk of major adverse cardiovascular events in British or Chinese adults with type 2 diabetes.Leisure-time PA above current recommendations may be needed to prevent cardiovascular disease and premature mortality in adults with type 2 diabetes.展开更多
Hypoglycemia limits optimal glycemic management of patients with type 1 diabetes mellitus(T1DM).Fear of hypoglycemia(FoH)is a significant psychosocial consequence that negatively impacts the willingness of T1DM patien...Hypoglycemia limits optimal glycemic management of patients with type 1 diabetes mellitus(T1DM).Fear of hypoglycemia(FoH)is a significant psychosocial consequence that negatively impacts the willingness of T1DM patients to engage in and profit from the health benefits of regular physical activity(e.g.,cardiometabolic health,improved body composition,cardiovascular fitness,quality of life).Technological advances,improved insulin regimens,and a better understanding of the physiology of various types of exercise could help ameliorate FoH.This narrative review summarizes the available literature on FoH in children and adults and tools to avoid it.展开更多
The paper introduces the method of high-density seismic imaging exploration, discusses its features different from conventional shallow seismic reflection wave technique, and illustrates the application effect of the ...The paper introduces the method of high-density seismic imaging exploration, discusses its features different from conventional shallow seismic reflection wave technique, and illustrates the application effect of the method using three samples of engineering geological explorations on land and in water exploration of underground cavity, location survey of sunk ship and investigation of channel silt depth.展开更多
BACKGROUND Patients with acute pancreatitis(AP)frequently experience hospital readmissions,posing a significant burden to healthcare systems.Acute peripancreatic fluid collection(APFC)may negatively impact the clinica...BACKGROUND Patients with acute pancreatitis(AP)frequently experience hospital readmissions,posing a significant burden to healthcare systems.Acute peripancreatic fluid collection(APFC)may negatively impact the clinical course of AP.It could worsen symptoms and potentially lead to additional complications.However,clinical evidence regarding the specific association between APFC and early readmission in AP remains scarce.Understanding the link between APFC and readmission may help improve clinical care for AP patients and reduce healthcare costs.AIM To evaluate the association between APFC and 30-day readmission in patients with AP.METHODS This retrospective cohort study is based on the Nationwide Readmission Database for 2016-2019.Patients with a primary diagnosis of AP were identified.Participants were categorized into those with and without APFC.A 1:1 propensity score matching for age,gender,and Elixhauser comorbidities was performed.The primary outcome was early readmission rates.Secondary outcomes included the incidence of inpatient complications and healthcare utilization.Unadjusted analyses used Mann-Whitney U andχ2 tests,while Cox regression models assessed 30-day readmission risks and reported them as adjusted hazard ratios(aHR).Kaplan-Meier curves and log-rank tests verified readmission risks.RESULTS A total of 673059 patients with the principal diagnosis of AP were included.Of these,5.1%had APFC on initial admission.After propensity score matching,each cohort consisted of 33914 patients.Those with APFC showed a higher incidence of inpatient complications,including septic shock(3.1%vs 1.3%,P<0.001),portal venous thrombosis(4.4%vs 0.8%,P<0.001),and mechanical ventilation(1.8%vs 0.9%,P<0.001).The length of stay(LOS)was longer for APFC patients[4(3-7)vs 3(2-5)days,P<0.001],as were hospital charges($29451 vs$24418,P<0.001).For 30-day readmissions,APFC patients had a higher rate(15.7%vs 6.5%,P<0.001)and a longer median readmission LOS(4 vs 3 days,P<0.001).The APFC group also had higher readmission charges($28282 vs$22865,P<0.001).The presence of APFC increased the risk of readmission twofold(aHR 2.52,95%confidence interval:2.40-2.65,P<0.001).The independent risk factors for 30-day readmission included female gender,Elixhauser Comorbidity Index≥3,chronic pulmonary diseases,chronic renal disease,protein-calorie malnutrition,substance use disorder,depression,portal and splenic venous thrombosis,and certain endoscopic procedures.CONCLUSION Developing APFC during index hospitalization for AP is linked to higher readmission rates,more inpatient complications,longer LOS,and increased healthcare costs.Knowing predictors of readmission can help target high-risk patients,reducing healthcare burdens.展开更多
Objective To comparatively study the toxicity of four metal-containing nanoparticles(MNPs) and their chemical counterparts to the air-blood barrier(ABB) permeability using an in vitro model.Methods ABB model, which wa...Objective To comparatively study the toxicity of four metal-containing nanoparticles(MNPs) and their chemical counterparts to the air-blood barrier(ABB) permeability using an in vitro model.Methods ABB model, which was developed via the co-culturing of A549 and pulmonary capillary endothelium, was exposed to spherical CuO-NPs(divided into CuO-40, CuO-80, and CuO-100 based on particle size), nano-Al2O3(sheet and short-rod-shaped), nano-ZnO, nano-Pb S, CuSO4, Al2(SO4)3, Zn(CH3COO)2, and Pb(NO3)2 for 60 min.Every 10 min following exposure, the cumulative cleared volume(ΔTCL) of Lucifer yellow by the model was calculated.A clearance curve was established using linear regression analysis of ΔTCL versus time.Permeability coefficient(P) was calculated based on the slope of the curve to represent the degree of change in the ABB permeability.Results The results found the increased P values of CuO-40, CuO-80, sheet, and short-rod-shaped nano-Al2O3, Al2(SO4)3, and Pb(NO3)2.Among them, small CuO-40 and CuO-80 were stronger than CuO-100 and CuSO4;no difference was observed between Al2(SO4)3 and sheet and short-rod-shaped nano-Al2O3;and nano-Pb S was slightly weaker than Pb(NO3)2.So clearly the MNPs possess diverse toxicity.Conclusion ABB permeability abnormality means pulmonary toxicity potential.More studies are warranted to understand MNPs toxicity and ultimately control the health hazards.展开更多
Functional hubs with disproportionately extensive connectivities play a crucial role in global information integration in human brain networks.However,most resting-state functional magnetic resonance imaging(R-fMRI)st...Functional hubs with disproportionately extensive connectivities play a crucial role in global information integration in human brain networks.However,most resting-state functional magnetic resonance imaging(R-fMRI)studies have identified functional hubs by examining spontaneous fluctuations of the blood oxygen level-dependent signal within a typical low-frequency band(e.g.,0.01–0.08 Hz or 0.01–0.1 Hz).Little is known about how the spatial distributions of functional hubs depend on frequency bands of interest.Here,we used repeatedly measured R-fMRI data from 53 healthy young adults and a degree centrality analysis to identify voxelwise frequency-resolved functional hubs and further examined their test-retest reliability across two sessions.We showed that a wide-range frequency band(0.01–0.24 Hz)accessible with a typical sampling rate(fsample=0.5 Hz)could be classified into three frequency bands with distinct patterns,namely,low-frequency(LF,0.01–0.06 Hz),middle-frequency(MF,0.06–0.16 Hz),and high-frequency(HF,0.16–0.24 Hz)bands.The functional hubs were mainly located in the medial and lateral frontal and parietal cortices in the LF band,and in the medial prefrontal cortex,superior temporal gyrus,parahippocampal gyrus,amygdala,and several cerebellar regions in the MF and HF bands.These hub regions exhibited fair to good test-retest reliability,regardless of the frequency band.The presence of the three frequency bands was well replicated using an independent R-fMRI dataset from 45 healthy young adults.Our findings demonstrate reliable frequency-resolved functional connectivity hubs in three categories,thus providing insights into the frequency-specific connectome organization in healthy and disordered brains.展开更多
Limited integration of contextual factors in maternal care contributes to slow progress towards achieving MDG5 in sub-Sahara Africa. In Ngorongoro, rural Tanzania, the maternal mortality ratio is high with 642 materna...Limited integration of contextual factors in maternal care contributes to slow progress towards achieving MDG5 in sub-Sahara Africa. In Ngorongoro, rural Tanzania, the maternal mortality ratio is high with 642 maternal deaths/100,000 live births. Skilled birth attendants (SBAs) assist only 7% of deliveries. This study, undertaken from 2009 to 2011, used Participatory Action Research involving local stakeholders (Maasai women and men, traditional birth attendants (TBAs), hospital staff) to examine reasons for low utilization of SBAs and moreover to develop proposals how to integrate contextual factors and local needs in the health care system. Interviews, observations and literature study were also conducted. Thaddeus and Maine’s Three Delays model is used to structure the analysis. Delaying factors in decision making at home: negative perceptions by the community on availability and quality of care in the hospital;discontinuity of care by TBAs;food and financial insecurity;desired nearness to cattle and family;limited recognition of maternal deaths;limited male health education and suboptimal birth preparedness. Delaying factors in reaching the hospital: vehicle and road limitations. Delaying factors in receiving hospital care: limited (human) resources and limited knowledge sharing at the hospital. Community members and health workers proposed: increasing food/financial security;tailoring male health education;combining TBA/SBA care to provide continuous, culturally appropriate labour support;creating separate maternity wards;increasing the number and training of staff;ensuring continuous availability of Emergency Obstetric Care. Applying solutions to increase hospital utilization seems complex as collaborative actions by multiple actors and institutions are needed to create both a needs based and clinically sound continuum of maternal care. To follow-up this process of integrating local solutions into the maternal care system, we suggest to adapt the WHO Strategic Approach—a top-down framework for the implementation of innovations—to fit this bottom-up approach.展开更多
基金American Heart Association Award,No.24IVPHA1288417and FCT Fellowships,No.2022.13253.BDANA.
文摘The potential of induced pluripotent stem cells(iPSCs)for modeling and treating metabolic associated fatty liver disease(MAFLD)and metabolic associated steatohepatitis(MASH)is emerging.MAFLD is a growing global health concern,currently with limited treatment options.While primary mesenchymal stem cells hold promise,iPSCs offer a versatile alternative due to their ability to differentiate into various cell types,including iPSC-derived mesenchymal stem cells.However,challenges remain,including optimizing differentiation protocols,ensuring cell safety,and addressing potential tumorigenicity risks.In addition,iPSCs offer the possibility to generate complex cellular models,including three-dimensional organoid models,which are closer representations of the human disease than animal models.Those models would also be valuable for drug discovery and personalized medicine approaches.Overall,iPSCs and their derivatives offer new perspectives for advancing MAFLD/MASH research and developing novel therapeutic strategies.Further research is needed to overcome current limitations and translate this potential into effective clinical applications.
基金supported by the National Natural Science Foundation of China(No.82172524 and No.81974355)National Innovation Platform Development Program(No.2020021105012440),China+3 种基金Major Program of Hubei Province(No.2021BEA161),ChinaMajor Key Project of Hubei Province(No.JD2023BAA005),ChinaWuhan Union Hospital Free Innovation Preliminary Research Fund(No.2024XHYN047),ChinaJoint Funds for the Innovation of Science and Technology(No.2024Y9062),Fujian Province,China.
文摘Objective To develop a multimodal imaging atlas of a rat brain-computer interface(BCI)that incorporates brain,arterial,bone tissue and a BCI device using mixed reality(MR)for three-dimensional(3D)visualization.Methods An invasive BCI was implanted in the left visual cortex of 4-week-old Sprague–Dawley rats.Multimodal imaging techniques,including micro-CT and 9.0 T MRI,were used to acquire images of the rat cranial bone structure,vascular distribution,brain tissue functional zones,and BCI device before and after implantation.Using 3D-slicer software,the images were fused through spatial transformations,followed by image segmentation and 3D model reconstruction.The HoloLens platform was employed for MR visualization.Results This study constructed a multimodal imaging atlas for rats that included the skull,brain tissue,arterial tissue,and BCI device coupled with MR technology to create an interactive 3D anatomical model.Conclusions This multimodal 3D atlas provides an objective and stable reference for exploring complex relationships between brain tissue structure and function,enhancing the understanding of the operational principles of BCIs.This is the first multimodal 3D imaging atlas related to a BCI created using Sprague–Dawley rats.
基金funded by the Medical Research Future Fund-MRFF 2019 (Rapid Applied Research TranslationRART award)funded by an Australian Government Research Training Program Scholarship-RTP+1 种基金funded by National Health and Medical Research Council of Australia Research Fellowshipsfunded by the National Health and Medical Research Council (NHMRC) Leadership Fellow level 2
文摘Purpose: The purpose of this umbrella review was to synthesize the evidence from systematic reviews on the benefits and harms of exercise therapy and physical activity(PA) for the secondary prevention and management of low back pain(LBP).Methods: An umbrella review was conducted to evaluate the effectiveness of exercise therapy and PA in the management and secondary prevention of LBP. A systematic search was performed in MEDLINE, CINAHL, Scopus, Web of Science, Cochrane Database of Systematic Reviews,and Physiotherapy Evidence Database(PEDro), including reference lists of relevant reviews, covering studies published between January 1,2010 and May 20, 2024. Eligible studies were systematic reviews of randomized controlled trials and observational studies, with or without meta-analyses. The primary outcome for secondary prevention was LBP recurrence, while for management, primary outcomes included pain intensity and disability, with adverse events as secondary outcomes. Data were extracted across immediate, short-term, intermediate, and longterm follow-up periods. The Grading of Recommendations Assessment, Development, and Evaluation(GRADE) framework was used to assess the certainty of evidence, and the Assessment of Multiple Systematic Reviews tool(AMSTAR) tool was applied by 2 independent reviewers(JC, QL, and/or DXMW) to evaluate the quality of the included reviews. The study was prospectively registered on the Open Science Framework(OSF).Results: A total of 70 systematic reviews were included, 43 with meta-analyses, 7 with network meta-analyses, and 20 without meta-analyses.Six(out of 10) reviews with meta-analyses for secondary prevention indicated a small benefit from general exercises and leisure-time PA(low-to-moderate certainty). For LBP management, 35(out of 36) reviews reported that exercise therapies such as Pilates, motor control,mixed exercise, Tai Chi, water-based exercises, and yoga showed small beneficial effects on pain and disability compared to minimal intervention mainly in the short-term(low-to-moderate certainty). Seven network meta-analyses favored motor control and Pilates over other forms of exercise to reduce pain(low certainty). Adverse events were reported in less than 31% of the reviews, predominantly involving postexercise soreness and temporary increases in pain, mainly in yoga-related studies. Adverse events were considered minor, and no serious adverse events were reported.Conclusion: There is low-to-moderate certainty that exercise therapy and leisure-time PA are beneficial for improving pain and preventing the recurrence of LBP. However, evidence on the potential harms of these interventions is limited, and adverse events related to exercise and PA remain under-investigated.
基金supported by Natural Science Foundation of Guangdong Province,China(2022A1515011575)National Natural Science Foundation of China,China(81873154)President Foundation of Integrated Hospital of Traditional Chinese Medicine,Southern Medical University,China(1202103010)。
文摘Lycii Radicis Cortex(LRC)is a medicinal and food homologous plant with various pharmacological activities,including anti-tumor effects.This study explores the anti-tumor effect of LRC on non-small cell lung cancer(NSCLC)and its molecular mechanism using mice bearing Lewis lung carcinoma cells.LRC significantly suppressed the growth of NSCLC.Besides,RNA sequencing of mice tumors and hematoxylin&eosin and immunofluorescence staining revealed that LRC promoted the infiltration of T lymphocytes,specifically GZMB~+CD8~+T lymphocytes,in tumor tissues.The Gene Set Enrichment Analysis of spleen RNA indicated that LRC up-regulated PD-1-downstream pathways,suggesting that LRC exerted its effects through the PDL1/PD-1 pathway.Further experiments revealed that LRC interacted with PD-L1,blocking PD-L1/PD-1 binding and thus restoring the T cell killing activity on tumor cells.Together,these results support using LRC as healthy food to improve anti-tumor immunity in patients with NSCLC.
基金supported by the National Key Research and Development Program(2023YFF1001500)the Local Financial Funds of National Agricultural Science and Technology Center,Chengdu(NASC2022KR02,NASC2023TD08,NASC2021ST08,NASC2021PC04,NASC2022KR07,NASC2022KR06,and NASC2023ST04)+2 种基金the Agricultural Science and Technology Innova-tion Program(ASTIP-34-IUA-01,ASTIP-34-IUA-02,ASTIP-IUA-2023003,and ASTIP2024-34-IUA-09)the Central Public-interest Scientific Institution Basal Research Fund(Y2023YJ07 and SZ202403)the Sichuan Science and Technology Program(2023YFN003,2024NSFC1261,2023YFQ0100,and 2023ZYD0089).
文摘Rice(Oryza sativa L.)plays a pivotal role in global food security,yet its breeding is constrained by its long generation time and seasonality.To enhance rice breeding efficiency and meet future food demands,we have developed a vertical hydroponic breeding system integrated with light-emitting diodes(LEDs)light-ing in a closed plant factory(PF),which significantly accelerates rice growth and generation advance-ment.The results show that indica rice can be harvested as early as after 63 days of cultivation,a 50%reduction compared with field cultivation,enabling the annual harvesting of 5-6 generations within the PF.A hyperspectral imaging(HSI)system and attenuated total reflectance infrared(ATR-IR)spec-troscopy were further employed to characterize the chemical composition of the PF-and field-cultivated rice.Metabolomics analysis with ultra-performance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS)and gas chromatography-mass spectrometry(GC-MS)revealed that,com-pared with the field-cultivated rice,the PF-cultivated rice exhibited an up-regulation of total phenolic acids along with 68 non-volatile and 19 volatile metabolites,such as isovitexin,succinic acid,and methylillicinone F.Overall,this study reveals the unique metabolic profile of PF-cultivated rice and high-lights the potential of PFs to accelerate the breeding of crops such as rice,offering an innovative agricul-tural strategy to support food security in the face of global population growth and climate change.
基金The authors would like to extend their sincere appreciation to the Researchers Supporting Project Number(RSP2025R182),King Saud University,Riyadh,Saudi Arabia.
文摘Chromium (Cr), a persistent soil pollutant, has detrimental effects on plants and living things, and its contamination in soil increased as a result of human-induced activities. Pakistan suffers from a lack of fresh water supplies;hence most people use metal-containing water and wastewater to irrigate their crops. Exposure to Cr toxicity, the plant reduces their morphological and physiological growth which ultimately decreases crop productivity. The current study was designed to investigate the foliar application of hesperidin (HSP) at varying effluent rates (25, 50, 75, and 100 mg L^(−1)) on wheat growth under tannery wastewater irrigated soil. Cr toxicity caused a change in the concentration of chlorophyll molecules, indicating early signs of stress. Modifications in the ultrastructure of chloroplasts, the elevated activity of chlorophyllase, and the generation of reactive oxygen species were causing the reduction in chlorophyll. Cr stress disrupted total soluble protein concentrations and the activity of antioxidation-related enzymes and NRA, suggesting the onset of oxidative stress. On the other hand, the application of HSP reduced oxidative damage by improving protein concentration (37%), chlorophyll concentration (37%), and antioxidant enzyme activity such as CAT (65%), SOD (46%), and POD (68%). Furthermore, HSP raised the concentrations of non-enzymatic antioxidant molecules, which may indicate better redox homeostasis and stress tolerance. These molecules include GSH, GSSG, ascorbic acid, flavonoids, phenolics, and anthocyanins. HSP therapy lessened the impact of Cr stress on lipid peroxidation markers. HSP enhanced these measures during the investigation. Cr stress raised the concentrations of total free amino acids and nitrogen oxide and decreased the radical scavenging activity in wheat. Cr stress raised the concentration of all soluble sugars, primarily reducing and non-reducing sugars, whereas the application of HSP strengthened these osmo protectants even more results of the present investigation indicate that exogenous HSP is a feasible and eco-friendly approach to improving plant resistance against Cr toxicity by efficiently reducing the physiological strain and metabolic stress caused by Cr in wheat plants.
文摘For any country,the availability of electricity is crucial to the development of the national economy and society.As a result,decision-makers and policy-makers can improve the sustainability and security of the energy supply by implementing a variety of actions by using the evaluation of these factors as an early warning system.This research aims to provide a multi-criterion decision-making(MCDM)method for assessing the sustainability and security of the electrical supply.The weights of criteria,which indicate their relative relevance in the assessment of the sustainability and security of the energy supply,the MCDM method allow users to express their opinions.To overcome the impact of uncertainty and vagueness of expert opinion,we explore the notion of picture fuzzy theory,which is a more efficient and dominant mathematical model.Recently,the theory of Aczel-Alsina operations has attained a lot of attraction and has an extensive capability to acquire smooth approximated results during the aggregation process.However,Choquet integral operators are more flexible and are used to express correlation among different attributes.This article diagnoses an innovative theory of picture fuzzy set to derive robust mathematical methodologies of picture fuzzy Choquet Integral Aczel-Alsina aggregation operators.To prove the intensity and validity of invented approaches,some dominant properties and special cases are also discussed.An intelligent decision algorithm for the MCDM problem is designed to resolve complicated real-life applications under multiple conflicting criteria.Additionally,we discussed a numerical example to investigate a suitable electric transformer under consideration of different beneficial key criteria.A comparative study is established to capture the superiority and effectiveness of pioneered mathematical approaches with existing methodologies.
基金support of the Foundation for the Development of Theoretical Physics and Mathematics BASIS(project 24-2-1-6-1)supported by the UKRI Science and Technology Facilities Council and is a collaboration between the University of Edinburgh(grant ST/N002512/1)and Queen’s University Belfast(grant ST/N002520/1)within the LSST:UK Science Consortium+4 种基金supported by the National Science Foundation under grants No.AST-1440341 and AST-2034437primarily funded to search for near earth asteroids through NASA grants NN12AR55G,80NSSC18K0284,and80NSSC18K1575partially funded by Kepler/K2 grant J1944/80NSSC19K0112 and HST GO-15889STFC grants ST/T000198/1 and ST/S006109/1made use of the Astrophysics Data System,funded by NASA under Cooperative Agreement 80NSSC21M00561。
文摘We present the discovery of TCP J07222683+6220548,a new ultracompact binary system of the AM CVn type.This system was first identified displaying aΔV=7.6 mag outburst on 2025-01-20.9416 UTC by the New Milky Way wide-field survey for transients and later independently detected by ASAS-SN and ZTF.The outburst peaked at V_(max)=12.45 and lasted for seven days,followed by a series of rebrightenings.No previous outbursts are found in archival data.Positive superhumps with a period of 0.032546±0.000084 day(46.87±0.12 minutes),barely detectable during the main outburst,became clearly visible during the first rebrightening that lasted from day 18 to day 24 after the initial outburst.No convincing change in the superhump period was detected.Dense time-series photometry follow-up by a pair of 0.5 m INASAN robotic telescopes,together with VSNET and AAVSO observers,was essential for identifying TCP J07222683+6220548 as an AM CVn system and triggering confirmation spectroscopy with the 2.5 m CMO SAI telescope.Some outbursting AM CVn systems lacking such detailed follow-up may remain unrecognized among the newly discovered cataclysmic variable candidates.
文摘Lessons learned from past experiences push for an alternate way of crop production.In India,adopting high density planting system(HDPS)to boost cotton yield is becoming a growing trend.HDPS has recently been considered a replacement for the current Indian production system.It is also suitable for mechanical harvesting,which reducing labour costs,increasing input use efficiency,timely harvesting timely,maintaining cotton quality,and offering the potential to increase productivity and profitability.This technology has become widespread in globally cotton growing regions.Water management is critical for the success of high density cotton planting.Due to the problem of freshwater availability,more crops should be produced per drop of water.In the high-density planting system,optimum water application is essential to control excessive vegetative growth and improve the translocation of photoassimilates to reproductive organs.Deficit irrigation is a tool to save water without compromising yield.At the same time,it consumes less water than the normal evapotranspiration of crops.This review comprehensively documents the importance of growing cotton under a high-density planting system with deficit irrigation.Based on the current research and combined with cotton production reality,this review discusses the application and future development of deficit irrigation,which may provide theoretical guidance for the sustainable advancement of cotton planting systems.
基金supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under Award Number[3R01AI127203-04S1]National Science Foundation under Award Number[2028791].
文摘Recent decades have witnessed several infectious disease outbreaks,including the coronavirus disease(COVID-19)pandemic,which had catastrophic impacts on societies around the globe.At the same time,the twenty-first century has experienced an unprecedented era of technological development and demographic changes:exploding population growth,increased airline flights,and increased rural-to-urban migration,with an estimated 281 million international migrants worldwide in 2020,despite COVID-19 movement restrictions.In this review,we synthesized 195 research articles that examined the association between human movement and infectious disease outbreaks to understand the extent to which human mobility has increased the risk of infectious disease outbreaks.This article covers eight infectious diseases,ranging from respiratory illnesses to sexually transmitted and vector-borne diseases.The review revealed a strong association between human mobility and infectious disease spread,particularly strong for respiratory illnesses like COVID-19 and Influenza.Despite significant research into the relationship between infectious diseases and human mobility,four knowledge gaps were identified based on reviewed literature in this study:1)although some studies have used big data in investigating infectious diseases,the efforts are limited(with the exception of COVID-19 disease),2)while some research has explored the use of multiple data sources,there has been limited focus on fully integrating these data into comprehensive analyses,3)limited research on the global impact of mobility on the spread of infectious disease with most studies focusing on local or regional outbreaks,and 4)lack of standardization in the methodology for measuring the impacts of human mobility on infectious disease spread.By tackling the recognized knowledge gaps and adopting holistic,interdisciplinary methods,forthcoming research has the potential to substantially enhance our comprehension of the intricate interplay between human mobility and infectious diseases.
基金supported by the National Natural Science Foundation of China(Nos.21977075,22271200)the National Key R&D Program of China(Nos.2022YFC2009902,2022YFC2009900)+1 种基金the Science and Technology Plan Project of Sichuan Province(No.2023YFS0121)the 1·3·5 Project for Disciplines of Excellence at West China Hospital(No.ZYYC23003),Sichuan University。
文摘Here,we present a novel bioorthogonal platform that enables precise positioning of attached moieties in close proximity,thereby facilitating the discovery and optimization of biocompatible reactions.Using this platform,we achieve a Horner-Wadsworth-Emmons(HWE)reaction under physiological conditions,generating a fluorophore in situ with a yield of up to 93%.This proximity platform should facilitate the discovery of various types of biocompatible reactions,making it a versatile tool for biomedical applica-tions.
基金the project Ferr Mion of the Ministry of Education,Youth and Sports,Czech Republic,co-funded by the European Union(CZ.02.01.01/00/22_008/0004591)the support of The Charles University Grant Agency in the frame of the project No.121724 and the project Cooperatio No.207030 Dental Medicine/LF1 of the Charles University+4 种基金financial support from the Ministry of Education,Youth and Sport of the Czech Republic under the grant No.RVO 14000supported by the Ministry of Health of the Czech Republic-RVO project VFN64165the support of the project GAMA 2 of the Technology Agency of the Czech Republic No.TP01010055the project of the Czech Academy of Sciences,Czech Republic(Praemium Academiae grant No.AP2202)the support of the Ministry of Health of the Czech Republic,grant project No.NU20-08-00150。
文摘Magnesium is an excellent material in terms of biocompatibility and its corrosion products can serve as an active source for new bone formation.However,localized corrosion and H_(2)generation limit the potential of Mg-based implants.Utilizing low-alloyed Mg-Zn wires can strongly reduce problems with large H_(2)bubbles and improve the mechanical properties considerably while maintaining excellent long-term biocompatibility.Acidic pickling and a polymer coating can be effectively used to lower the rate of in vivo degradation.In this work,microstructural,mechanical,and in vitro characterization of 250μm and 300μm extruded wires made from ultra-pure Mg,commercially pure Mg,Mg-0.15Zn,Mg-0.4Zn and Mg-1Zn was performed.Additionally,Mg-0.4Zn wires together with a variant coated with a copolymer of L-lactide andε-caprolactone were tested in vivo on artificially damaged Wistar rat femurs.Based on the observed Mg-induced osteogenesis,polymer-coated Mg wires with a small addition of Zn are a perspective material for bone-support applications,such as cerclage and fixation wires.
文摘VVER-1200 (Water-Water Energetic Reactor) represents a significant advancement in nuclear power generation, emphasizing the continuous analysis and enhancement of safety systems for reliable operation. The proposed study focuses on simulating combined scenarios involving steam generator tube rupture (SGTR) and AC power loss using core algorithms and models within personal computer transient analyzer (PCTRAN). Reactor kinetic equations, thermal-hydraulic balance, and safety system models are discussed to elucidate their role in simulating SGTR and AC power loss. Safety criteria, boundaries and initial conditions are outlined to provide a comprehensive understanding of the simulation framework. The analysis delves into dynamic behavior of VVER-1200, placing emphasis on thermal-hydraulic implications, essential reactor parameters, and radiation monitoring to facilitate impact evaluation. Continuous monitoring and maintenance of safety systems are underscored to ensure stable core cooling, particularly during proposed transient conditions. Through meticulous analysis and comparison with established benchmarks, this study contributes to bolstering the safety and reliability of VVER-1200 reactors by identifying vulnerabilities, assessing mitigation strategies, and refining emergency response protocols. Practical implications of this study offer a crucial understanding of reactor behavior, safety system performance, and emergency response strategies, thereby improving safety, optimizing operational practices, and reducing risks in nuclear reactor accidents.
文摘Purpose:This study aimed to quantify the dose-response association and the minimal effective dose of leisure-time physical activity(PA)to prevent mortality and cardiovascular disease in adults with type 2 diabetes.Methods:Cross-country comparison of 2 prospective cohort studies including 14,913 and 17,457 population-based adults with type 2 diabetes from the UK and China.Baseline leisure-time PA was self-reported and categorized by metabolic equivalent hours per week(MET-h/week)according to World Health Organization recommendations:none,below recommendation(>0-7.49 MET-h/week);at recommended level(7.5-14.9 MET-h/week);above recommendation(>15 MET-h/week).Mortality and cardiovascular disease data were obtained from national registries.Results:During a median follow-up of 12.4 and 9.7 years,in the UK and China cohorts,repectively,higher levels of leisure-time PA were inversely associated with all-cause(1571 and 2351 events)and cardiovascular mortality(392 and 1060 events),mostly consistent with a linear dose-response relationship.PA below,at,and above recommendations,compared with no activity,yielded all-cause mortality hazard ratios of0.94(95%confidence interval(95%CI):0.79-1.12),0.90(95%CI:0.74-1.10),and 0.85(95%CI:0.70-1.02)in British adults and 0.87(95%CI:0.68-1.10),0.88(95%CI:0.74-1.03),and 0.77(95%CI:0.70-0.85)in Chinese adults.Associations with cardiovascular mortality were more pronounced in British adults(0.80(95%CI:0.58-1.11),0.75(95%CI:0.52-1.09),and 0.69(95%CI:0.48-0.97))but less pronounced in Chinese adults(1.06(95%CI:0.76-1.47),1.01(95%CI:0.80-1.28),and 0.79(95%CI:0.69-0.92)).PA at recommended levels was not associated with lower rates of major adverse cardiovascular events(2345 and 4458 events).Conclusion:Leisure-time PA at the recommended levels was not convincingly associated with lower mortality and had no association with risk of major adverse cardiovascular events in British or Chinese adults with type 2 diabetes.Leisure-time PA above current recommendations may be needed to prevent cardiovascular disease and premature mortality in adults with type 2 diabetes.
文摘Hypoglycemia limits optimal glycemic management of patients with type 1 diabetes mellitus(T1DM).Fear of hypoglycemia(FoH)is a significant psychosocial consequence that negatively impacts the willingness of T1DM patients to engage in and profit from the health benefits of regular physical activity(e.g.,cardiometabolic health,improved body composition,cardiovascular fitness,quality of life).Technological advances,improved insulin regimens,and a better understanding of the physiology of various types of exercise could help ameliorate FoH.This narrative review summarizes the available literature on FoH in children and adults and tools to avoid it.
文摘The paper introduces the method of high-density seismic imaging exploration, discusses its features different from conventional shallow seismic reflection wave technique, and illustrates the application effect of the method using three samples of engineering geological explorations on land and in water exploration of underground cavity, location survey of sunk ship and investigation of channel silt depth.
文摘BACKGROUND Patients with acute pancreatitis(AP)frequently experience hospital readmissions,posing a significant burden to healthcare systems.Acute peripancreatic fluid collection(APFC)may negatively impact the clinical course of AP.It could worsen symptoms and potentially lead to additional complications.However,clinical evidence regarding the specific association between APFC and early readmission in AP remains scarce.Understanding the link between APFC and readmission may help improve clinical care for AP patients and reduce healthcare costs.AIM To evaluate the association between APFC and 30-day readmission in patients with AP.METHODS This retrospective cohort study is based on the Nationwide Readmission Database for 2016-2019.Patients with a primary diagnosis of AP were identified.Participants were categorized into those with and without APFC.A 1:1 propensity score matching for age,gender,and Elixhauser comorbidities was performed.The primary outcome was early readmission rates.Secondary outcomes included the incidence of inpatient complications and healthcare utilization.Unadjusted analyses used Mann-Whitney U andχ2 tests,while Cox regression models assessed 30-day readmission risks and reported them as adjusted hazard ratios(aHR).Kaplan-Meier curves and log-rank tests verified readmission risks.RESULTS A total of 673059 patients with the principal diagnosis of AP were included.Of these,5.1%had APFC on initial admission.After propensity score matching,each cohort consisted of 33914 patients.Those with APFC showed a higher incidence of inpatient complications,including septic shock(3.1%vs 1.3%,P<0.001),portal venous thrombosis(4.4%vs 0.8%,P<0.001),and mechanical ventilation(1.8%vs 0.9%,P<0.001).The length of stay(LOS)was longer for APFC patients[4(3-7)vs 3(2-5)days,P<0.001],as were hospital charges($29451 vs$24418,P<0.001).For 30-day readmissions,APFC patients had a higher rate(15.7%vs 6.5%,P<0.001)and a longer median readmission LOS(4 vs 3 days,P<0.001).The APFC group also had higher readmission charges($28282 vs$22865,P<0.001).The presence of APFC increased the risk of readmission twofold(aHR 2.52,95%confidence interval:2.40-2.65,P<0.001).The independent risk factors for 30-day readmission included female gender,Elixhauser Comorbidity Index≥3,chronic pulmonary diseases,chronic renal disease,protein-calorie malnutrition,substance use disorder,depression,portal and splenic venous thrombosis,and certain endoscopic procedures.CONCLUSION Developing APFC during index hospitalization for AP is linked to higher readmission rates,more inpatient complications,longer LOS,and increased healthcare costs.Knowing predictors of readmission can help target high-risk patients,reducing healthcare burdens.
基金sponsored by the National Natural Science Foundation of China [No.81372949]the Young Scholar Scientific Research Foundation of China CDC [No.2016A206]
文摘Objective To comparatively study the toxicity of four metal-containing nanoparticles(MNPs) and their chemical counterparts to the air-blood barrier(ABB) permeability using an in vitro model.Methods ABB model, which was developed via the co-culturing of A549 and pulmonary capillary endothelium, was exposed to spherical CuO-NPs(divided into CuO-40, CuO-80, and CuO-100 based on particle size), nano-Al2O3(sheet and short-rod-shaped), nano-ZnO, nano-Pb S, CuSO4, Al2(SO4)3, Zn(CH3COO)2, and Pb(NO3)2 for 60 min.Every 10 min following exposure, the cumulative cleared volume(ΔTCL) of Lucifer yellow by the model was calculated.A clearance curve was established using linear regression analysis of ΔTCL versus time.Permeability coefficient(P) was calculated based on the slope of the curve to represent the degree of change in the ABB permeability.Results The results found the increased P values of CuO-40, CuO-80, sheet, and short-rod-shaped nano-Al2O3, Al2(SO4)3, and Pb(NO3)2.Among them, small CuO-40 and CuO-80 were stronger than CuO-100 and CuSO4;no difference was observed between Al2(SO4)3 and sheet and short-rod-shaped nano-Al2O3;and nano-Pb S was slightly weaker than Pb(NO3)2.So clearly the MNPs possess diverse toxicity.Conclusion ABB permeability abnormality means pulmonary toxicity potential.More studies are warranted to understand MNPs toxicity and ultimately control the health hazards.
基金The study was supported by the National Key R&D Program of China(2018YFA0701402)the National Natural Science Foundation of China(82021004,81971690,81620108016,and 11835003)the Fundamental Research Funds for the Central Universities of China(2019NTST24).
文摘Functional hubs with disproportionately extensive connectivities play a crucial role in global information integration in human brain networks.However,most resting-state functional magnetic resonance imaging(R-fMRI)studies have identified functional hubs by examining spontaneous fluctuations of the blood oxygen level-dependent signal within a typical low-frequency band(e.g.,0.01–0.08 Hz or 0.01–0.1 Hz).Little is known about how the spatial distributions of functional hubs depend on frequency bands of interest.Here,we used repeatedly measured R-fMRI data from 53 healthy young adults and a degree centrality analysis to identify voxelwise frequency-resolved functional hubs and further examined their test-retest reliability across two sessions.We showed that a wide-range frequency band(0.01–0.24 Hz)accessible with a typical sampling rate(fsample=0.5 Hz)could be classified into three frequency bands with distinct patterns,namely,low-frequency(LF,0.01–0.06 Hz),middle-frequency(MF,0.06–0.16 Hz),and high-frequency(HF,0.16–0.24 Hz)bands.The functional hubs were mainly located in the medial and lateral frontal and parietal cortices in the LF band,and in the medial prefrontal cortex,superior temporal gyrus,parahippocampal gyrus,amygdala,and several cerebellar regions in the MF and HF bands.These hub regions exhibited fair to good test-retest reliability,regardless of the frequency band.The presence of the three frequency bands was well replicated using an independent R-fMRI dataset from 45 healthy young adults.Our findings demonstrate reliable frequency-resolved functional connectivity hubs in three categories,thus providing insights into the frequency-specific connectome organization in healthy and disordered brains.
文摘Limited integration of contextual factors in maternal care contributes to slow progress towards achieving MDG5 in sub-Sahara Africa. In Ngorongoro, rural Tanzania, the maternal mortality ratio is high with 642 maternal deaths/100,000 live births. Skilled birth attendants (SBAs) assist only 7% of deliveries. This study, undertaken from 2009 to 2011, used Participatory Action Research involving local stakeholders (Maasai women and men, traditional birth attendants (TBAs), hospital staff) to examine reasons for low utilization of SBAs and moreover to develop proposals how to integrate contextual factors and local needs in the health care system. Interviews, observations and literature study were also conducted. Thaddeus and Maine’s Three Delays model is used to structure the analysis. Delaying factors in decision making at home: negative perceptions by the community on availability and quality of care in the hospital;discontinuity of care by TBAs;food and financial insecurity;desired nearness to cattle and family;limited recognition of maternal deaths;limited male health education and suboptimal birth preparedness. Delaying factors in reaching the hospital: vehicle and road limitations. Delaying factors in receiving hospital care: limited (human) resources and limited knowledge sharing at the hospital. Community members and health workers proposed: increasing food/financial security;tailoring male health education;combining TBA/SBA care to provide continuous, culturally appropriate labour support;creating separate maternity wards;increasing the number and training of staff;ensuring continuous availability of Emergency Obstetric Care. Applying solutions to increase hospital utilization seems complex as collaborative actions by multiple actors and institutions are needed to create both a needs based and clinically sound continuum of maternal care. To follow-up this process of integrating local solutions into the maternal care system, we suggest to adapt the WHO Strategic Approach—a top-down framework for the implementation of innovations—to fit this bottom-up approach.
