Muscle and bone,key tissues that maintain the body’s structure and function,are closely connected via mechanical and biochemical interactions.The vascular system plays a crucial role in musculoskeletal health,not onl...Muscle and bone,key tissues that maintain the body’s structure and function,are closely connected via mechanical and biochemical interactions.The vascular system plays a crucial role in musculoskeletal health,not only by providing nutrients and oxygen but also by regulating growth,regeneration,and metabolism.This review systematically examines the vascular structure and function of the musculoskeletal system,and explores the complex biochemical signaling networks involving myokines,osteokines,and vascular‑derived factors.Vascular dysfunction is a key contributor to the pathogenesis of degenerative diseases like sarcopenia(SP)and osteoporosis(OP),making vascular‑targeted therapies a promising approach for their treatment.Potential strategies for restoring vascular health include molecular targeting,exercise training,nutritional supplementation,cardiovascular pharmacotherapy,hormone therapies,and tissue engineering—all of which may help slow aging‑related musculoskeletal degeneration.Despite significant research progress,challenges remain in the clinical translation of these interventions.Future research should focus on elucidating the molecular mechanisms of muscle‑bone‑vascular interactions and exploring innovative tissue engineering techniques.This review provides a comprehensive understanding of the dynamic interactions between muscle,bone,and vascular systems,highlighting the importance of vascular health in musculoskeletal disease management,and proposes novel vascular‑targeted approaches for the prevention and treatment of musculoskeletal disorders.展开更多
Apramycin,an aminoglycoside antibiotic used exclusively in veterinary medicine,has attracted growing interest for its potential clinical application owing to its low toxicity and potent activity against multidrug-resi...Apramycin,an aminoglycoside antibiotic used exclusively in veterinary medicine,has attracted growing interest for its potential clinical application owing to its low toxicity and potent activity against multidrug-resistant(MDR)bacteria.Despite the completion of two Phase I clinical trials,apramycin resistance dynamics across One Health interfaces remain poorly understood.This study,conducted from 2020to 2023 in Chengdu,Qingdao,and Shanghai,China,collected 5160 non-duplicate samples from hospitals,broiler and pig farms and slaughterhouses,and markets.We identified 1394 isolates of apramycinresistant Escherichia coli(E.coli)(AREC),with the highest detection rates in animal feces(58%,700/1214),followed by animal carcasses(47%,183/393),fresh meat(35%,229/659),environments(21%,127/593),human feces(7%,103/1425),and clinical samples(5%,42/876).Detection rates were higher in broiler-producing chains(57%,742/1292)than in pig-producing chains(32%,512/1609).Most AREC isolates(99.7%,1390/1394)carried the aac(3)-Ⅳgene,conferring resistance to apramycin,gentamicin,and tobramycin.Genomic analysis of 742 AREC isolates revealed sporadic clonal transmission events between animals and humans in Qingdao and Shanghai.Long-read sequencing of 66 representative isolates showed that aac(3)-Ⅳgenes were primarily located on IncHI2/IncHI2A plasmids,with high structural conservation across different sources.Temporal surveillance indicated a sharp increase in aac(3)-Ⅳprevalence in livestock-associated E.coli following the adoption of apramycin in China.These findings demonstrate the rapid,plasmid-driven dissemination of apramycin resistance at the One Health interface,underscore the need for prudent veterinary stewardship and careful consideration of apramycin's clinical repurposing for human use.展开更多
Osteosarcopenia,an age-related syndrome involving both bone and muscle loss,severely impairs mobility and quality of life.In this study,we constructed novel multifunctional nanomaterials,tannic acid–stabilized gold n...Osteosarcopenia,an age-related syndrome involving both bone and muscle loss,severely impairs mobility and quality of life.In this study,we constructed novel multifunctional nanomaterials,tannic acid–stabilized gold nanoparticles loaded with osteogenic growth peptide(Au@TA-OGP).The system integrates the polyphenol chemistry of tannic acid with peptide bioactivity to enable colloidally stable,biocompatible,and osteoinductive nanoparticles.Au@TA-OGP exhibited excellent cytocompatibility with macrophages and endothelial cells,while significantly enhancing osteogenic differentiation of osteoblastic cells.In an established osteosarcopenia mouse model,treatment with Au@TA-OGP restored bone microarchitecture,reduced osteoclast activity,and reduced muscle loss.Micro-CT and histological analyses revealed improved trabecular structure and reduced bone resorption and muscle histology showed enlarged myofibers with diminished fibrosis.No systemic toxicity was detected by serum biochemistry or major-organ histology.Together,these findings suggest that Au@TA-OGP provides a safe,multifunctional nanotherapy that promotes bone formation,inhibits resorption,and supports neuromuscular repair,offering translational potential for metabolic bone diseases with neuromuscular comorbidity.展开更多
In this study,Bacillus mojavensis and Lactiplantibacillus herbarum were used to co-treat kitchen waste(KW)with Black soldier fly larvae(BSFL).The effects on the physicochemical properties,heavy metal content,and micro...In this study,Bacillus mojavensis and Lactiplantibacillus herbarum were used to co-treat kitchen waste(KW)with Black soldier fly larvae(BSFL).The effects on the physicochemical properties,heavy metal content,and microbial community of the BSFL sand were determined.Compared to the control group,the L.herbarum inoculation reduced 19.04%of the soluble salt(TSS),15.48%of Ni,and 13.04%of Zn in the residues;the B.mojavensis inoculation reduced 23.84%of TSS,13.61%of Pb,and 20.32%of the Ni in the residues;the L.herbarum and B.mojavensis inoculation reduced 29.53%of Cr,20.23%of Pb,18.06%of Ni,and 25.68%of the Zn in the residues.The microbial inoculants significantly enhanced the BSFL sand microbial diversity(Tukey,P<0.05).The dominant phylum and genus in the BSFL sand were Firmicutes(53.08%)and Corynebacterium(47.01%),respectively.The microbial inoculants resulted in an approximate 12%reduction in Corynebacterium.The linear discriminant analysis effective size analysis showed that the Corynebacterium abundance was significantly reduced.The microbial inoculants significantly affected the Corynebacterium relative abundance by significantly altering the substrate TSS,moisture content,and Ni.In conclusion,the effect of B.mojavensis and L.herbarum on the BSFL treatment of KW was beneficial,and their potential should be further exploited.展开更多
During drilling in marine gas hydrate reservoirs,drilling-fluid invasion can induce hydrate dissociation,wellbore instability,and reservoir damage,thereby compromising drilling safety and reservoir protection.To addre...During drilling in marine gas hydrate reservoirs,drilling-fluid invasion can induce hydrate dissociation,wellbore instability,and reservoir damage,thereby compromising drilling safety and reservoir protection.To address the low-temperature agglomeration and limited self-unplugging capability of conventional temporary plugging agents,a water-soluble thermoresponsive temporary plugging agent(TRP)was synthesized via free-radical copolymerization.Its structural characteristics,phase-transition behavior,plugging performance,reversible unplugging capacity,and underlying mechanism were systematically investigated through laboratory experiments and low-field nuclear magnetic resonance(NMR)imaging.The results show that TRP exhibits a lower critical solution temperature(LCST)of approximately 15℃,matching the thermal conditions of marine hydrate reservoirs.Above the LCST,TRP rapidly aggregates to form a dense plugging layer,effectively suppressing drilling-fluid invasion;below the LCST,it redissolves and restores formation permeability,with a maximum permeability recovery of 96.8%.Sanddisk filtration tests further demonstrate that TRP provides more effective fluid-loss control than ultrafine CaCO3 and nano-emulsion under the tested conditions.Low-field NMR imaging directly visualizes the invasion–plugging–unplugging process.Mechanism analysis indicates that plugging originates from hydrophobic association of polymer chains above the LCST,which enhances filter cake compactness and increases the rock-surface contact angle from 41.5°to 77.4°.This reversible thermoresponsive strategy provides a practical basis for intelligent reservoir protection during deep-sea hydrate drilling.展开更多
Metal-organic frameworks(MOFs)and their derivatives have gained significant attention in recent years for their ability to catalyze the advanced oxidation of persulfates.Cerium-doped MOFs,in particular,have shown prom...Metal-organic frameworks(MOFs)and their derivatives have gained significant attention in recent years for their ability to catalyze the advanced oxidation of persulfates.Cerium-doped MOFs,in particular,have shown promise due to their high catalytic efficiency,practical applicability,and cost-effectiveness.However,their structure,catalytic properties,and mechanisms are not yet fully understood.ZIF-8 was chosen as the raw material to prepare cerium-doped hollow carbon nano fibers(Ce-HCNFs)using the electrostatic spinning-calcination method.The objective is to investigate the structure,catalytic performance,and catalytic mechanism of Ce-HCNFs.The results show that Ce-HCNFs catalyzed the degradation of tetracycline(TC)by persulfate up to 76.9%,Quenching experiments and electron paramagnetic resonance experiments indicate the dominant role of single-linear oxygen.Furthermore,the experiments on the influence factor and cycling demonstrate the exceptional stability and recycling capability of Ce-HCNFs in real-world water environments.展开更多
Agricultural soil is related to food security and human health,antibiotics and heavy metals(HMs),as two typical pollutants,possess a high coexistence rate in the environmental medium,which is extremely prone to induci...Agricultural soil is related to food security and human health,antibiotics and heavy metals(HMs),as two typical pollutants,possess a high coexistence rate in the environmental medium,which is extremely prone to inducing antibiotic-HMs combined pollution.Recently,frequent human activities have led to more prominent antibiotics-HMs combined contamination in agricultural soils,especially the production and spread of antibiotic resistance genes(ARGs),heavy metal resistance genes(MRGs),antibiotic resistant bacteria(ARB),and antibiotics-HMs complexes(AMCs),which seriously threaten soil ecology and human health.This review describes the main sources(Intrinsic and manmade sources),composite mechanisms(co-selective resistance,oxidative stress,and Joint toxicity mechanism),environmental fate and the potential risks(soil ecological and human health risks)of antibiotics and HMs in agricultural soils.Finally,the current effective source blocking,transmission control,and attenuation strategies are classified for discussion,such as the application of additives and barrier materials,as well as plant and animal remediation and bioremediation,etc.,pointing out that future research should focus on the whole chain process of“source-processterminal”,intending to provide a theoretical basis and decision-making reference for future research.展开更多
Deep-sea mineral resource transportation predominantly utilizes hydraulic pipeline methodology.Environmental factors induce vibrations in flexible pipelines,thereby affecting the internal flow characteristics.Therefor...Deep-sea mineral resource transportation predominantly utilizes hydraulic pipeline methodology.Environmental factors induce vibrations in flexible pipelines,thereby affecting the internal flow characteristics.Therefore,real-time monitoring of solid–liquid two-phase flow in pipelines is crucial for system maintenance.This study develops an autoencoder-based deep learning framework to reconstruct three-dimensional solid–liquid two-phase flow within flexible vibrating pipelines utilizing sparse wall information from sensors.Within this framework,separate X-model and F-model with distinct hidden-layer structures are established to reconstruct the coordinates and flow field information on the computational domain grid of the pipeline under traveling wave vibration.Following hyperparameter optimization,the models achieved high reconstruction accuracy,demonstrating R2values of 0.990 and 0.945,respectively.The models’robustness is evaluated across three aspects:vibration parameters,physical fields,and vibration modes,demonstrating good reconstruction performance.Results concerning sensors show that 20 sensors(0.06%of total grids)achieve a balance between accuracy and cost,with superior accuracy obtained when arranged along the full length of the pipe compared to a dense arrangement at the front end.The models exhibited a signal-to-noise ratio tolerance of approximately 27 dB,with reconstruction accuracy being more affected by sensor failures at both ends of the pipeline.展开更多
Surface passivation with organic ammoniums improves perovskite solar cell performance by forming 2D/quasi-2D structures or adsorbing onto surfaces.However,complexity from mixed phases can trigger phase transitions,com...Surface passivation with organic ammoniums improves perovskite solar cell performance by forming 2D/quasi-2D structures or adsorbing onto surfaces.However,complexity from mixed phases can trigger phase transitions,compromising stability.The control of surface dimensionality after organic ammonium passivation presents significant importance to device stability.In this study,we developed a poly-fluorination strategy for surface treatment in perovskite solar cells,which enabled a high and durable interfacial phase purity after surface passivation.The locked surface dimensionality of perovskite was achieved through robust interaction between the poly-fluorinated ammoniums and the perovskite surface,along with the steric hindrance imparted by fluorine atoms,reducing its reactivity and penetration capabilities.The high hydrophobicity of the poly-fluorinated surface also aids in moisture resistance of the perovskite layer.The champion device achieved a power conversion efficiency(PCE)of 25.2% with certified 24.6%,with 90% of its initial PCE retained after approximately 1200 h under continuous 1-sun illumination,and over 14,400 h storage stability and superior stability under high-temperature operation.展开更多
The primary concern in stealth aircraft design is the very large electrical size objects.However,the computational and storage requirements of these objects present significant obstacles for current highfidelity desig...The primary concern in stealth aircraft design is the very large electrical size objects.However,the computational and storage requirements of these objects present significant obstacles for current highfidelity design methods,particularly when addressing high-dimensional complex engineering design problems.To address these challenges,we developed a surface sensitivity technique based on the multilevel fast multipole algorithm(MLFMA).An access and storage of sparse partial derivative tensor was improved to significantly enhanced the computation performance.The far-field interactions of the surface sensitivity equation were realized by differential the multipole expansion.In addition,we proposed a fast far-field multiplication method to accelerate the multiplication process.The surface mesh derivative with respect to the design variables was calculated by analytical and complex variable methods,substantially improving computational efficiency.These advancements enabled the MLFMAbased surface sensitivity method to millions meshes and large-scale gradients,extending gradientbased optimization for very large electrical size problems.Test cases have verified the effectiveness of this method in optimizing very large electrical objects in terms of both accuracy and efficiency.展开更多
Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent densi...Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent density func-tional theory and quadratic re-sponse theory.The effects of benzene-fused position on Stokes shift,fluorescence quantum yield and two-photon absorption are discussed comprehensively.The results show that fusing a benzene ring in coumarin can enhance Stokes shift efficiently.The benzene-fused position has important effects on these photophysical properties.The benzo[g]coumarins(BH1)and benzo[f]coumarins(BH2)derivatives have larger Stokes shifts in comparison with benzo[h]coumarins(BH3)and dihydrophenazine(BH4)derivatives.The two-photon absorp-tion of benzo[f]coumarins(BH2)derivative is much smaller than those of other benzo-coumarins derivatives.The large Stokes shift and increased two-photon action cross section can be achieved simultaneously in the dihydrophenazine(BH4)derivative.Therefore,the de-signed BH4 is expected to have superior performance for the ratiometric detection of HClO.To explore the reasons behind these effects,the intramolecular charge transfer degrees are il-lustrated quantitatively by plotting the hole-electron isosurface map,and the relation be-tween charge transfer and Stokes shift is revealed.A two-state model analysis is employed to understand two-photon absorption ability.Moreover,the fluorescence near-quenching mecha-nism of the product molecules B1 and B3 is explained by analyzing reorganization energy and Huang-Rhys factor,as well as related normal mode.Our research could contribute to the effi-cient design of ratiometric two-photon fluorescent probes with large Stokes shift and signifi-cant two-photon action cross section.展开更多
Objective:To investigate the clinical efficacy of Modified Gegen Qinlian Decoction combined with probiotics(Clostridium butyricum live capsules)in treating radiation enteritis(RE)in tumor patients,as well as its regul...Objective:To investigate the clinical efficacy of Modified Gegen Qinlian Decoction combined with probiotics(Clostridium butyricum live capsules)in treating radiation enteritis(RE)in tumor patients,as well as its regulatory effect on the structure of intestinal flora,providing clinical evidence for the integrated traditional Chinese and Western medicine treatment of radiation enteritis.Methods:A total of 40 patients with radiation enteritis admitted to the Oncology Department of Linfen Central Hospital from September 2023 to December 2024 were selected and divided into an observation group and a control group according to the random number table method,with 20 cases in each group.The control group was treated with Clostridium butyricum live capsules,while the observation group was treated with Modified Gegen Qinlian Decoction in addition to the treatment given to the control group.Both groups received a 4-week treatment course.Intestinal function indicators and changes in intestinal flora structure were compared between the two groups before and after treatment,and clinical efficacy was evaluated.Results:After 4 weeks of treatment,the total effective rate in the observation group versus the control group was(95.00%vs 65.00%),with a statistically significant difference(P<0.05).The fecal formation rate in the observation group(85.00%vs 60.00%)was significantly higher than that in the control group,and the defecation frequency(2.15±0.42 vs 3.85±0.65)times/day was significantly lower than that in the control group,with statistically significant differences(P<0.05).After treatment,the quantities of Bifidobacterium(6.85±0.72 L vs 5.23±0.61 L)gCFU/g and Lactobacillus(6.52±0.68 L vs 4.98±0.57 L)gCFU/g in the observation group were significantly higher than those in the control group,while the quantities of Escherichia coli(4.12±0.53 L vs 5.67±0.65 L)gCFU/g and Staphylococcus(3.85±0.48 L vs 5.23±0.59 L)gCFU/g were significantly lower than those in the control group,with statistically significant differences(P<0.05).Conclusion:Clinical studies have confirmed that the synergistic treatment of radiation enteritis with Modified Gegen Qinlian Decoction and probiotics can significantly improve patients’clinical symptoms and restore the balance of intestinal flora,providing an effective regimen for clinical treatment.展开更多
By removing a part of the structure,the tooth preparation provides restorative space,bonding surface,and finish line for various restorations on abutment.Preparation technique plays critical role in achieving the opti...By removing a part of the structure,the tooth preparation provides restorative space,bonding surface,and finish line for various restorations on abutment.Preparation technique plays critical role in achieving the optimal result of tooth preparation.With successful application of microscope in endodontics for>30 years,there is a full expectation of microscopic dentistry.However,as relatively little progress has been made in the application of microscopic dentistry in prosthodontics,the following assumptions have been proposed:Is it suitable to choose the tooth preparation technique under the naked eye in the microscopic vision?Is there a more accurate preparation technology intended for the microscope?To obtain long-term stable therapeutic effects,is it much easier to achieve maximum tooth preservation and retinal protection and maintain periodontal tissue and oral function health under microscopic vision?Whether the microscopic prosthodontics is a gimmick or a breakthrough in obtaining an ideal tooth preparation should be resolved in microscopic tooth preparation.This article attempts to illustrate the concept,core elements,and indications of microscopic minimally invasive tooth preparation,physiological basis of dental pulp,periodontium and functions involved in tool preparation,position ergonomics and visual basis for dentists,comparison of tooth preparation by naked eyes and a microscope,and comparison of different designs of microscopic minimally invasive tooth preparation techniques.Furthermore,a clinical protocol for microscopic minimally invasive tooth preparation based on target restorative space guide plate has been put forward and new insights on the quantity and shape of microscopic minimally invasive tooth preparation has been provided.展开更多
Objective: To predict preoperative staging using a radiomics approach based on computed tomography (CT)images of patients with esophageal squamous cell carcinoma (ESCC).Methods: This retrospective study included...Objective: To predict preoperative staging using a radiomics approach based on computed tomography (CT)images of patients with esophageal squamous cell carcinoma (ESCC).Methods: This retrospective study included 154 patients (primary cohort: n: t 14; validation cohort: n:40) withpathologically confirmed ESCC. All patients underwent a preoperative CT scan from the neck to abdomen. Highthroughput and quantitative radiomics features were extracted from the CT images for each patient. A radiomicssignature was constructed using the least absolute shrinkage and selection operator (Lasso). Associations betweenradiomics signature, tumor volume and ESCC staging were explored. Diagnostic performance of radiomicsapproach and tumor volume for discriminating between stages Ⅰ-Ⅱand Ⅲ-Ⅳ was evaluated and compared usingthe receiver operating characteristics (ROC) curves and net reclassification improvement (NRI).Results= A total of 9,790 radiomics features were extracted. Ten features were selected to build a radiomicssignature after feature dimension reduction. The radiomics signature was significantly associated with ESCCstaging (P〈0.001), and yielded a better performance for discrimination of early and advanced stage ESCC comparedto tumor volume in both the primary [area under the receiver operating characteristic curve (AUC): 0.795 vs. 0.694,P=0.003; NRI=0.424)] and validation cohorts (AUC: 0.762 vs. 0.624, P=0.035; NRI=0.834).Conclusions: The quantitative approach has the potential to identify stage Ⅰ-Ⅱand Ⅲ-Ⅳ ESCC beforetreatment.展开更多
Attention deficit hyperactivity disorder(ADHD)is a common childhood neuropsychiatric disorder that has been linked to the dopaminergic system. This study aimed to investigate the effects of regulation of the dopamin...Attention deficit hyperactivity disorder(ADHD)is a common childhood neuropsychiatric disorder that has been linked to the dopaminergic system. This study aimed to investigate the effects of regulation of the dopamine D4 receptor(DRD4) on functional brain activity during the resting state in ADHD children using the methods of regional homogeneity(Re Ho) and functional connectivity(FC). Resting-state functional magnetic resonance imaging data were analyzed in 49 children with ADHD. All participants were classified as either carriers of the DRD44-repeat/4-repeat(4 R/4 R) allele(n = 30) or the DRD42-repeat(2 R) allele(n = 19). The results showed that participants with the DRD4 2 R allele had decreased Re Ho bilaterally in the posterior lobes of the cerebellum, while Re Ho was increased in the left angular gyrus. Compared with participants carrying the DRD4 4 R/4 R allele, those with the DRD4 2 R allele showed decreased FC to the left angular gyrus in the left striatum, right inferior frontal gyrus, and bilateral lobes of the cerebellum. The increased FC regions included the left superior frontal gyrus, medial frontal gyrus, and rectus gyrus. These data suggest that the DRD4 polymorphisms are associated with localized brain activity and specific functional connections, including abnormality in the frontal-striatal-cerebellar loop. Our study not only enhances the understanding of the correlation between the cerebellar lobes and ADHD, but also provides an imaging basis for explaining the neural mechanisms underlying ADHD in children.展开更多
Objective: This study aimed to establish a method to predict the overall survival(OS) of patients with stage Ⅰ-Ⅲ colorectal cancer(CRC) through coupling radiomics analysis of CT images with the measurement of tumor ...Objective: This study aimed to establish a method to predict the overall survival(OS) of patients with stage Ⅰ-Ⅲ colorectal cancer(CRC) through coupling radiomics analysis of CT images with the measurement of tumor ecosystem diversification.Methods: We retrospectively identified 161 consecutive patients with stage Ⅰ-Ⅲ CRC who had underwent radical resection as a training cohort. A total of 248 patients were recruited for temporary independent validation as external validation cohort 1, with 103 patients from an external institute as the external validation cohort 2. CT image features to describe tumor spatial heterogeneity leveraging the measurement of diversification of tumor ecosystem, were extracted to build a marker, termed the EcoRad signature. Multivariate Cox regression was used to assess the EcoRad signature, with a prediction model constructed to demonstrate its incremental value to the traditional staging system for OS prediction.Results: The EcoRad signature was significantly associated with OS in the training cohort [hazard ratio(HR)=6.670;95% confidence interval(95% CI): 3.433-12.956;P<0.001), external validation cohort 1(HR=2.866;95% CI: 1.646-4.990;P<0.001) and external validation cohort 2(HR=3.342;95% CI: 1.289-8.663;P=0.002).Incorporating the EcoRad signature into the prediction model presented a higher prediction ability(P<0.001) with respect to the C-index(0.813, 95% CI: 0.804-0.822 in the training cohort;0.758, 95% CI: 0.751-0.765 in the external validation cohort 1;and 0.746, 95% CI: 0.722-0.770 in external validation cohort 2), compared with the reference model that only incorporated tumor, node, metastasis(TNM) system, as well as a better calibration,improved reclassification and superior clinical usefulness.Conclusions: This study establishes a method to measure the spatial heterogeneity of CRC through coupling radiomics analysis with measurement of diversification of the tumor ecosystem, and suggests that this approach could effectively predict OS and could be used as a supplement for risk stratification among stage Ⅰ-Ⅲ CRC patients.展开更多
AIM:To assess midterm results of stapled transanal rectal resection(STARR)for obstructed defecation syndrome(ODS)and predictive factors for outcome.METHODS:From May 2007 to May 2009,75 female patients underwent STARR ...AIM:To assess midterm results of stapled transanal rectal resection(STARR)for obstructed defecation syndrome(ODS)and predictive factors for outcome.METHODS:From May 2007 to May 2009,75 female patients underwent STARR and were included in the present study.Preoperative and postoperative workup consisted of standardized interview and physical examination including proctoscopy,colonoscopy,anorectal manometry,and defecography.Clinical and functional results were assessed by standardized questionnaires for the assessment of constipation constipation scoring system(CSS),Longo’s ODS score,and symptom severity score(SSS),incontinence Wexner incontinence score(WS),quality of life Patient Assessment of Constipation-Quality of Life Questionnaire(PAC-QOL),and patient satisfaction visual analog scale(VAS).Data were collected prospectively at baseline,12 and 30 mo.RESULTS:The median follow-up was 30 mo(range,30-46 mo).Late postoperative complications occurred in 11(14.7%)patients.Three of these patients required procedure-related reintervention(one diverticulectomy and two excision of staple granuloma).Although the recurrence rate was 10.7%,constipation scores(CSS,ODS score and SSS)significantly improved after STARR(P<0.0001).Significant reduction in ODS symptoms was matched by an improvement in the PAC-QOL and VAS(P<0.0001),and the satisfaction index was excellent in 25(33.3%)patients,good in 23(30.7%),fairly good in 14(18.7%),and poor in 13(17.3%).Nevertheless,the WS increased after STARR(P=0.0169).Incontinence was present or deteriorated in 8(10.7%)patients;6(8%)of whom were new onsets.Univariate analysis revealed that the occurrence of fecal incontinence(preoperative,postoperative or new-onset incontinence;P=0.028,0.000,and 0.007,respectively)was associated with the success of the operation.CONCLUSION:STARR is an acceptable procedure for the surgical correction of ODS.However,its impact on symptomatic recurrence and postoperative incontinence may be problematic.展开更多
Objective:To evaluate the human epidermal growth factor receptor 2(HER2)status in patients with breast cancer using multidetector computed tomography(MDCT)-based handcrafted and deep radiomics features.Methods:This re...Objective:To evaluate the human epidermal growth factor receptor 2(HER2)status in patients with breast cancer using multidetector computed tomography(MDCT)-based handcrafted and deep radiomics features.Methods:This retrospective study enrolled 339 female patients(primary cohort,n=177;validation cohort,n=162)with pathologically confirmed invasive breast cancer.Handcrafted and deep radiomics features were extracted from the MDCT images during the arterial phase.After the feature selection procedures,handcrafted and deep radiomics signatures and the combined model were built using multivariate logistic regression analysis.Performance was assessed by measures of discrimination,calibration,and clinical usefulness in the primary cohort and validated in the validation cohort.Results:The handcrafted radiomics signature had a discriminative ability with a C-index of 0.739[95%confidence interval(95%CI):0.661-0.818]in the primary cohort and 0.695(95%CI:0.609-0.781)in the validation cohort.The deep radiomics signature also had a discriminative ability with a C-index of 0.760(95%CI:0.690-0.831)in the primary cohort and 0.777(95%CI:0.696-0.857)in the validation cohort.The combined model,which incorporated both the handcrafted and deep radiomics signatures,showed good discriminative ability with a C-index of 0.829(95%CI:0.767-0.890)in the primary cohort and 0.809(95%CI:0.740-0.879)in the validation cohort.Conclusions:Handcrafted and deep radiomics features from MDCT images were associated with HER2 status in patients with breast cancer.Thus,these features could provide complementary aid for the radiological evaluation of HER2 status in breast cancer.展开更多
基金supported by the National Natural Science Foundation of China(Nos.82374497 and 82174416)Special Topic Selected Independently by Wangjing Hospital of Chinese Academy of Traditional Chinese Medicine(No.WJYY-ZZXT-2023-16)Fundamental Research Funds for the Central Public Welfare Research Institutes(No.ZZ17-YQ-014).
摘要Muscle and bone,key tissues that maintain the body’s structure and function,are closely connected via mechanical and biochemical interactions.The vascular system plays a crucial role in musculoskeletal health,not only by providing nutrients and oxygen but also by regulating growth,regeneration,and metabolism.This review systematically examines the vascular structure and function of the musculoskeletal system,and explores the complex biochemical signaling networks involving myokines,osteokines,and vascular‑derived factors.Vascular dysfunction is a key contributor to the pathogenesis of degenerative diseases like sarcopenia(SP)and osteoporosis(OP),making vascular‑targeted therapies a promising approach for their treatment.Potential strategies for restoring vascular health include molecular targeting,exercise training,nutritional supplementation,cardiovascular pharmacotherapy,hormone therapies,and tissue engineering—all of which may help slow aging‑related musculoskeletal degeneration.Despite significant research progress,challenges remain in the clinical translation of these interventions.Future research should focus on elucidating the molecular mechanisms of muscle‑bone‑vascular interactions and exploring innovative tissue engineering techniques.This review provides a comprehensive understanding of the dynamic interactions between muscle,bone,and vascular systems,highlighting the importance of vascular health in musculoskeletal disease management,and proposes novel vascular‑targeted approaches for the prevention and treatment of musculoskeletal disorders.
基金supported in part by the National Key Research and Development Program of China(2022YFD1800400)the National Natural Science Foundation of China(32141002 and 81991535)the 2115 Talent Development Program of China Agricultural University。
摘要Apramycin,an aminoglycoside antibiotic used exclusively in veterinary medicine,has attracted growing interest for its potential clinical application owing to its low toxicity and potent activity against multidrug-resistant(MDR)bacteria.Despite the completion of two Phase I clinical trials,apramycin resistance dynamics across One Health interfaces remain poorly understood.This study,conducted from 2020to 2023 in Chengdu,Qingdao,and Shanghai,China,collected 5160 non-duplicate samples from hospitals,broiler and pig farms and slaughterhouses,and markets.We identified 1394 isolates of apramycinresistant Escherichia coli(E.coli)(AREC),with the highest detection rates in animal feces(58%,700/1214),followed by animal carcasses(47%,183/393),fresh meat(35%,229/659),environments(21%,127/593),human feces(7%,103/1425),and clinical samples(5%,42/876).Detection rates were higher in broiler-producing chains(57%,742/1292)than in pig-producing chains(32%,512/1609).Most AREC isolates(99.7%,1390/1394)carried the aac(3)-Ⅳgene,conferring resistance to apramycin,gentamicin,and tobramycin.Genomic analysis of 742 AREC isolates revealed sporadic clonal transmission events between animals and humans in Qingdao and Shanghai.Long-read sequencing of 66 representative isolates showed that aac(3)-Ⅳgenes were primarily located on IncHI2/IncHI2A plasmids,with high structural conservation across different sources.Temporal surveillance indicated a sharp increase in aac(3)-Ⅳprevalence in livestock-associated E.coli following the adoption of apramycin in China.These findings demonstrate the rapid,plasmid-driven dissemination of apramycin resistance at the One Health interface,underscore the need for prudent veterinary stewardship and careful consideration of apramycin's clinical repurposing for human use.
基金supported by the Construction Project of Key Traditional Chinese Medicine Specialty(Orthopedics and Traumatology)in Chaoyang District,Beijing,Chinathe China Academy of Chinese Medical Sciences Wangjing Hospital Special Project for Independent Research(No.WJYY-ZZXT-2025-15)+4 种基金the Clinical Collaboration Program for Major and Difficult Diseases Integrating Chinese and Western Medicine(No.ZDYN-2024-B-046)the National Natural Science Foundation of China(No.82274557)the Beijing Natural Science Foundation(No.7242262)the Fundamental Research Funds for the Central Public Welfare Rresearch Institutes(No.ZZ13-YQ-03840)the Key Collaborative Research Program of the Scientific and Technological Innovation Project of the China Academy of Chinese Medical Sciences(No.CI2023C032YGL).
摘要Osteosarcopenia,an age-related syndrome involving both bone and muscle loss,severely impairs mobility and quality of life.In this study,we constructed novel multifunctional nanomaterials,tannic acid–stabilized gold nanoparticles loaded with osteogenic growth peptide(Au@TA-OGP).The system integrates the polyphenol chemistry of tannic acid with peptide bioactivity to enable colloidally stable,biocompatible,and osteoinductive nanoparticles.Au@TA-OGP exhibited excellent cytocompatibility with macrophages and endothelial cells,while significantly enhancing osteogenic differentiation of osteoblastic cells.In an established osteosarcopenia mouse model,treatment with Au@TA-OGP restored bone microarchitecture,reduced osteoclast activity,and reduced muscle loss.Micro-CT and histological analyses revealed improved trabecular structure and reduced bone resorption and muscle histology showed enlarged myofibers with diminished fibrosis.No systemic toxicity was detected by serum biochemistry or major-organ histology.Together,these findings suggest that Au@TA-OGP provides a safe,multifunctional nanotherapy that promotes bone formation,inhibits resorption,and supports neuromuscular repair,offering translational potential for metabolic bone diseases with neuromuscular comorbidity.
摘要In this study,Bacillus mojavensis and Lactiplantibacillus herbarum were used to co-treat kitchen waste(KW)with Black soldier fly larvae(BSFL).The effects on the physicochemical properties,heavy metal content,and microbial community of the BSFL sand were determined.Compared to the control group,the L.herbarum inoculation reduced 19.04%of the soluble salt(TSS),15.48%of Ni,and 13.04%of Zn in the residues;the B.mojavensis inoculation reduced 23.84%of TSS,13.61%of Pb,and 20.32%of the Ni in the residues;the L.herbarum and B.mojavensis inoculation reduced 29.53%of Cr,20.23%of Pb,18.06%of Ni,and 25.68%of the Zn in the residues.The microbial inoculants significantly enhanced the BSFL sand microbial diversity(Tukey,P<0.05).The dominant phylum and genus in the BSFL sand were Firmicutes(53.08%)and Corynebacterium(47.01%),respectively.The microbial inoculants resulted in an approximate 12%reduction in Corynebacterium.The linear discriminant analysis effective size analysis showed that the Corynebacterium abundance was significantly reduced.The microbial inoculants significantly affected the Corynebacterium relative abundance by significantly altering the substrate TSS,moisture content,and Ni.In conclusion,the effect of B.mojavensis and L.herbarum on the BSFL treatment of KW was beneficial,and their potential should be further exploited.
基金supported by the National Natural Science Foundation of China(52274025)the Key R&D Program of Shandong Province,China(2024CXPT076)the Taishan Scholar Plan Project in Shandong Province(tsqn202408090)。
摘要During drilling in marine gas hydrate reservoirs,drilling-fluid invasion can induce hydrate dissociation,wellbore instability,and reservoir damage,thereby compromising drilling safety and reservoir protection.To address the low-temperature agglomeration and limited self-unplugging capability of conventional temporary plugging agents,a water-soluble thermoresponsive temporary plugging agent(TRP)was synthesized via free-radical copolymerization.Its structural characteristics,phase-transition behavior,plugging performance,reversible unplugging capacity,and underlying mechanism were systematically investigated through laboratory experiments and low-field nuclear magnetic resonance(NMR)imaging.The results show that TRP exhibits a lower critical solution temperature(LCST)of approximately 15℃,matching the thermal conditions of marine hydrate reservoirs.Above the LCST,TRP rapidly aggregates to form a dense plugging layer,effectively suppressing drilling-fluid invasion;below the LCST,it redissolves and restores formation permeability,with a maximum permeability recovery of 96.8%.Sanddisk filtration tests further demonstrate that TRP provides more effective fluid-loss control than ultrafine CaCO3 and nano-emulsion under the tested conditions.Low-field NMR imaging directly visualizes the invasion–plugging–unplugging process.Mechanism analysis indicates that plugging originates from hydrophobic association of polymer chains above the LCST,which enhances filter cake compactness and increases the rock-surface contact angle from 41.5°to 77.4°.This reversible thermoresponsive strategy provides a practical basis for intelligent reservoir protection during deep-sea hydrate drilling.
基金Project supported by the National Natural Science Foundation of China(22206080)the Natural Science Foundation of Jiangsu(SBK2022041070)+1 种基金the Science and Technology Project of Henan Province(232102321050,232102321035)the International Science,Innovators,Technology Cooperation Projects of Henan Province(232102521009)。
摘要Metal-organic frameworks(MOFs)and their derivatives have gained significant attention in recent years for their ability to catalyze the advanced oxidation of persulfates.Cerium-doped MOFs,in particular,have shown promise due to their high catalytic efficiency,practical applicability,and cost-effectiveness.However,their structure,catalytic properties,and mechanisms are not yet fully understood.ZIF-8 was chosen as the raw material to prepare cerium-doped hollow carbon nano fibers(Ce-HCNFs)using the electrostatic spinning-calcination method.The objective is to investigate the structure,catalytic performance,and catalytic mechanism of Ce-HCNFs.The results show that Ce-HCNFs catalyzed the degradation of tetracycline(TC)by persulfate up to 76.9%,Quenching experiments and electron paramagnetic resonance experiments indicate the dominant role of single-linear oxygen.Furthermore,the experiments on the influence factor and cycling demonstrate the exceptional stability and recycling capability of Ce-HCNFs in real-world water environments.
基金supported by the National Natural Science Foundation of China(No.32171615)the National Key R&D Program of China(2019YFC1804102)。
摘要Agricultural soil is related to food security and human health,antibiotics and heavy metals(HMs),as two typical pollutants,possess a high coexistence rate in the environmental medium,which is extremely prone to inducing antibiotic-HMs combined pollution.Recently,frequent human activities have led to more prominent antibiotics-HMs combined contamination in agricultural soils,especially the production and spread of antibiotic resistance genes(ARGs),heavy metal resistance genes(MRGs),antibiotic resistant bacteria(ARB),and antibiotics-HMs complexes(AMCs),which seriously threaten soil ecology and human health.This review describes the main sources(Intrinsic and manmade sources),composite mechanisms(co-selective resistance,oxidative stress,and Joint toxicity mechanism),environmental fate and the potential risks(soil ecological and human health risks)of antibiotics and HMs in agricultural soils.Finally,the current effective source blocking,transmission control,and attenuation strategies are classified for discussion,such as the application of additives and barrier materials,as well as plant and animal remediation and bioremediation,etc.,pointing out that future research should focus on the whole chain process of“source-processterminal”,intending to provide a theoretical basis and decision-making reference for future research.
基金financial support by the National Natural Science Foundation of China (Nos.52471293 and 12372270)the National Youth Science Foundation of China (Nos.52101322 and 52108375)+3 种基金the Program for Intergovernmental International S&T Cooperation Projects of Shanghai Municipality, China (Nos.24510711100 and 22160710200)The Oceanic Interdisciplinary Program of Shanghai Jiao Tong University (No.SL2022PT101)funded by the Open Fund of the State Key Laboratory of Coastal and Offshore Engineering of Dalian University of Technology (No.LP2415)National Key R&D Program of China (No.2023YFC2811600)
摘要Deep-sea mineral resource transportation predominantly utilizes hydraulic pipeline methodology.Environmental factors induce vibrations in flexible pipelines,thereby affecting the internal flow characteristics.Therefore,real-time monitoring of solid–liquid two-phase flow in pipelines is crucial for system maintenance.This study develops an autoencoder-based deep learning framework to reconstruct three-dimensional solid–liquid two-phase flow within flexible vibrating pipelines utilizing sparse wall information from sensors.Within this framework,separate X-model and F-model with distinct hidden-layer structures are established to reconstruct the coordinates and flow field information on the computational domain grid of the pipeline under traveling wave vibration.Following hyperparameter optimization,the models achieved high reconstruction accuracy,demonstrating R2values of 0.990 and 0.945,respectively.The models’robustness is evaluated across three aspects:vibration parameters,physical fields,and vibration modes,demonstrating good reconstruction performance.Results concerning sensors show that 20 sensors(0.06%of total grids)achieve a balance between accuracy and cost,with superior accuracy obtained when arranged along the full length of the pipe compared to a dense arrangement at the front end.The models exhibited a signal-to-noise ratio tolerance of approximately 27 dB,with reconstruction accuracy being more affected by sensor failures at both ends of the pipeline.
基金grants(grant numbers LR24F040001,LD24E020001 and LD22E020002)from the Natural Science Foundation of Zhejiang Province of Chinathe National Natural Science Foundation of China(grant number 62274146)+1 种基金the support of Key R&D Program of Zhejiang(2024SSYS0061)supported by the Fundamental Research Funds for the Central Universities(226-2022-00200).
摘要Surface passivation with organic ammoniums improves perovskite solar cell performance by forming 2D/quasi-2D structures or adsorbing onto surfaces.However,complexity from mixed phases can trigger phase transitions,compromising stability.The control of surface dimensionality after organic ammonium passivation presents significant importance to device stability.In this study,we developed a poly-fluorination strategy for surface treatment in perovskite solar cells,which enabled a high and durable interfacial phase purity after surface passivation.The locked surface dimensionality of perovskite was achieved through robust interaction between the poly-fluorinated ammoniums and the perovskite surface,along with the steric hindrance imparted by fluorine atoms,reducing its reactivity and penetration capabilities.The high hydrophobicity of the poly-fluorinated surface also aids in moisture resistance of the perovskite layer.The champion device achieved a power conversion efficiency(PCE)of 25.2% with certified 24.6%,with 90% of its initial PCE retained after approximately 1200 h under continuous 1-sun illumination,and over 14,400 h storage stability and superior stability under high-temperature operation.
基金supported by the National Key Research and Development Program of China(Grant No.2023YFB3002800).
摘要The primary concern in stealth aircraft design is the very large electrical size objects.However,the computational and storage requirements of these objects present significant obstacles for current highfidelity design methods,particularly when addressing high-dimensional complex engineering design problems.To address these challenges,we developed a surface sensitivity technique based on the multilevel fast multipole algorithm(MLFMA).An access and storage of sparse partial derivative tensor was improved to significantly enhanced the computation performance.The far-field interactions of the surface sensitivity equation were realized by differential the multipole expansion.In addition,we proposed a fast far-field multiplication method to accelerate the multiplication process.The surface mesh derivative with respect to the design variables was calculated by analytical and complex variable methods,substantially improving computational efficiency.These advancements enabled the MLFMAbased surface sensitivity method to millions meshes and large-scale gradients,extending gradientbased optimization for very large electrical size problems.Test cases have verified the effectiveness of this method in optimizing very large electrical objects in terms of both accuracy and efficiency.
基金supported by the Shandong Provincial Natural Science Foundation,China(No.ZR2020MA078)。
摘要Four benzocoumarin-based two-photon fluorescent probes(BH1-BH4)are proposed for ra-tiometric detection of hypochlorous acid(HClO)and their two-photon sensing perfor-mance are evaluated by means of time-dependent density func-tional theory and quadratic re-sponse theory.The effects of benzene-fused position on Stokes shift,fluorescence quantum yield and two-photon absorption are discussed comprehensively.The results show that fusing a benzene ring in coumarin can enhance Stokes shift efficiently.The benzene-fused position has important effects on these photophysical properties.The benzo[g]coumarins(BH1)and benzo[f]coumarins(BH2)derivatives have larger Stokes shifts in comparison with benzo[h]coumarins(BH3)and dihydrophenazine(BH4)derivatives.The two-photon absorp-tion of benzo[f]coumarins(BH2)derivative is much smaller than those of other benzo-coumarins derivatives.The large Stokes shift and increased two-photon action cross section can be achieved simultaneously in the dihydrophenazine(BH4)derivative.Therefore,the de-signed BH4 is expected to have superior performance for the ratiometric detection of HClO.To explore the reasons behind these effects,the intramolecular charge transfer degrees are il-lustrated quantitatively by plotting the hole-electron isosurface map,and the relation be-tween charge transfer and Stokes shift is revealed.A two-state model analysis is employed to understand two-photon absorption ability.Moreover,the fluorescence near-quenching mecha-nism of the product molecules B1 and B3 is explained by analyzing reorganization energy and Huang-Rhys factor,as well as related normal mode.Our research could contribute to the effi-cient design of ratiometric two-photon fluorescent probes with large Stokes shift and signifi-cant two-photon action cross section.
基金Four“batches”innovation project of invigorating medicine through science and technology of Shanxi province(Project No.:2023XM059)。
摘要Objective:To investigate the clinical efficacy of Modified Gegen Qinlian Decoction combined with probiotics(Clostridium butyricum live capsules)in treating radiation enteritis(RE)in tumor patients,as well as its regulatory effect on the structure of intestinal flora,providing clinical evidence for the integrated traditional Chinese and Western medicine treatment of radiation enteritis.Methods:A total of 40 patients with radiation enteritis admitted to the Oncology Department of Linfen Central Hospital from September 2023 to December 2024 were selected and divided into an observation group and a control group according to the random number table method,with 20 cases in each group.The control group was treated with Clostridium butyricum live capsules,while the observation group was treated with Modified Gegen Qinlian Decoction in addition to the treatment given to the control group.Both groups received a 4-week treatment course.Intestinal function indicators and changes in intestinal flora structure were compared between the two groups before and after treatment,and clinical efficacy was evaluated.Results:After 4 weeks of treatment,the total effective rate in the observation group versus the control group was(95.00%vs 65.00%),with a statistically significant difference(P<0.05).The fecal formation rate in the observation group(85.00%vs 60.00%)was significantly higher than that in the control group,and the defecation frequency(2.15±0.42 vs 3.85±0.65)times/day was significantly lower than that in the control group,with statistically significant differences(P<0.05).After treatment,the quantities of Bifidobacterium(6.85±0.72 L vs 5.23±0.61 L)gCFU/g and Lactobacillus(6.52±0.68 L vs 4.98±0.57 L)gCFU/g in the observation group were significantly higher than those in the control group,while the quantities of Escherichia coli(4.12±0.53 L vs 5.67±0.65 L)gCFU/g and Staphylococcus(3.85±0.48 L vs 5.23±0.59 L)gCFU/g were significantly lower than those in the control group,with statistically significant differences(P<0.05).Conclusion:Clinical studies have confirmed that the synergistic treatment of radiation enteritis with Modified Gegen Qinlian Decoction and probiotics can significantly improve patients’clinical symptoms and restore the balance of intestinal flora,providing an effective regimen for clinical treatment.
基金supported by a funding from Chengdu Science and Technology Benefiting Project(Grant number 2016-HM02-00018-SF)
摘要By removing a part of the structure,the tooth preparation provides restorative space,bonding surface,and finish line for various restorations on abutment.Preparation technique plays critical role in achieving the optimal result of tooth preparation.With successful application of microscope in endodontics for>30 years,there is a full expectation of microscopic dentistry.However,as relatively little progress has been made in the application of microscopic dentistry in prosthodontics,the following assumptions have been proposed:Is it suitable to choose the tooth preparation technique under the naked eye in the microscopic vision?Is there a more accurate preparation technology intended for the microscope?To obtain long-term stable therapeutic effects,is it much easier to achieve maximum tooth preservation and retinal protection and maintain periodontal tissue and oral function health under microscopic vision?Whether the microscopic prosthodontics is a gimmick or a breakthrough in obtaining an ideal tooth preparation should be resolved in microscopic tooth preparation.This article attempts to illustrate the concept,core elements,and indications of microscopic minimally invasive tooth preparation,physiological basis of dental pulp,periodontium and functions involved in tool preparation,position ergonomics and visual basis for dentists,comparison of tooth preparation by naked eyes and a microscope,and comparison of different designs of microscopic minimally invasive tooth preparation techniques.Furthermore,a clinical protocol for microscopic minimally invasive tooth preparation based on target restorative space guide plate has been put forward and new insights on the quantity and shape of microscopic minimally invasive tooth preparation has been provided.
基金supported by the National Key R&D Program of China (No. 2017YFC1309100)National Natural Scientific Foundation of China (No. 81771912)Science and Technology Planning Project of Guangdong Province (No. 2017B020227012)
摘要Objective: To predict preoperative staging using a radiomics approach based on computed tomography (CT)images of patients with esophageal squamous cell carcinoma (ESCC).Methods: This retrospective study included 154 patients (primary cohort: n: t 14; validation cohort: n:40) withpathologically confirmed ESCC. All patients underwent a preoperative CT scan from the neck to abdomen. Highthroughput and quantitative radiomics features were extracted from the CT images for each patient. A radiomicssignature was constructed using the least absolute shrinkage and selection operator (Lasso). Associations betweenradiomics signature, tumor volume and ESCC staging were explored. Diagnostic performance of radiomicsapproach and tumor volume for discriminating between stages Ⅰ-Ⅱand Ⅲ-Ⅳ was evaluated and compared usingthe receiver operating characteristics (ROC) curves and net reclassification improvement (NRI).Results= A total of 9,790 radiomics features were extracted. Ten features were selected to build a radiomicssignature after feature dimension reduction. The radiomics signature was significantly associated with ESCCstaging (P〈0.001), and yielded a better performance for discrimination of early and advanced stage ESCC comparedto tumor volume in both the primary [area under the receiver operating characteristic curve (AUC): 0.795 vs. 0.694,P=0.003; NRI=0.424)] and validation cohorts (AUC: 0.762 vs. 0.624, P=0.035; NRI=0.834).Conclusions: The quantitative approach has the potential to identify stage Ⅰ-Ⅱand Ⅲ-Ⅳ ESCC beforetreatment.
基金supported by the Natural Science Foundation of Zhejiang Province, China (No. LY14H180006, LQ18H090009)the Natural Science Foundation of Jiangsu Province (BK20160142)
摘要Attention deficit hyperactivity disorder(ADHD)is a common childhood neuropsychiatric disorder that has been linked to the dopaminergic system. This study aimed to investigate the effects of regulation of the dopamine D4 receptor(DRD4) on functional brain activity during the resting state in ADHD children using the methods of regional homogeneity(Re Ho) and functional connectivity(FC). Resting-state functional magnetic resonance imaging data were analyzed in 49 children with ADHD. All participants were classified as either carriers of the DRD44-repeat/4-repeat(4 R/4 R) allele(n = 30) or the DRD42-repeat(2 R) allele(n = 19). The results showed that participants with the DRD4 2 R allele had decreased Re Ho bilaterally in the posterior lobes of the cerebellum, while Re Ho was increased in the left angular gyrus. Compared with participants carrying the DRD4 4 R/4 R allele, those with the DRD4 2 R allele showed decreased FC to the left angular gyrus in the left striatum, right inferior frontal gyrus, and bilateral lobes of the cerebellum. The increased FC regions included the left superior frontal gyrus, medial frontal gyrus, and rectus gyrus. These data suggest that the DRD4 polymorphisms are associated with localized brain activity and specific functional connections, including abnormality in the frontal-striatal-cerebellar loop. Our study not only enhances the understanding of the correlation between the cerebellar lobes and ADHD, but also provides an imaging basis for explaining the neural mechanisms underlying ADHD in children.
基金supported by the National Key R&D Program of China (No. 2021YFF1201003)the Key R&D Program of Guangdong Province, China (No. 2021B0101420006)+2 种基金the National Science Fund for Distinguished Young Scholars (No. 81925023 and 82071892)the National Natural Science Foundation of China (No. 81771912 and 82071892)the National Natural Science Foundation for Young Scientists of China (No. 81701782 and 81901910).
摘要Objective: This study aimed to establish a method to predict the overall survival(OS) of patients with stage Ⅰ-Ⅲ colorectal cancer(CRC) through coupling radiomics analysis of CT images with the measurement of tumor ecosystem diversification.Methods: We retrospectively identified 161 consecutive patients with stage Ⅰ-Ⅲ CRC who had underwent radical resection as a training cohort. A total of 248 patients were recruited for temporary independent validation as external validation cohort 1, with 103 patients from an external institute as the external validation cohort 2. CT image features to describe tumor spatial heterogeneity leveraging the measurement of diversification of tumor ecosystem, were extracted to build a marker, termed the EcoRad signature. Multivariate Cox regression was used to assess the EcoRad signature, with a prediction model constructed to demonstrate its incremental value to the traditional staging system for OS prediction.Results: The EcoRad signature was significantly associated with OS in the training cohort [hazard ratio(HR)=6.670;95% confidence interval(95% CI): 3.433-12.956;P<0.001), external validation cohort 1(HR=2.866;95% CI: 1.646-4.990;P<0.001) and external validation cohort 2(HR=3.342;95% CI: 1.289-8.663;P=0.002).Incorporating the EcoRad signature into the prediction model presented a higher prediction ability(P<0.001) with respect to the C-index(0.813, 95% CI: 0.804-0.822 in the training cohort;0.758, 95% CI: 0.751-0.765 in the external validation cohort 1;and 0.746, 95% CI: 0.722-0.770 in external validation cohort 2), compared with the reference model that only incorporated tumor, node, metastasis(TNM) system, as well as a better calibration,improved reclassification and superior clinical usefulness.Conclusions: This study establishes a method to measure the spatial heterogeneity of CRC through coupling radiomics analysis with measurement of diversification of the tumor ecosystem, and suggests that this approach could effectively predict OS and could be used as a supplement for risk stratification among stage Ⅰ-Ⅲ CRC patients.
基金Supported by Clinical Research Fund of Beijing Municipal Science and Technology Commission,No.Z111107058811051
摘要AIM:To assess midterm results of stapled transanal rectal resection(STARR)for obstructed defecation syndrome(ODS)and predictive factors for outcome.METHODS:From May 2007 to May 2009,75 female patients underwent STARR and were included in the present study.Preoperative and postoperative workup consisted of standardized interview and physical examination including proctoscopy,colonoscopy,anorectal manometry,and defecography.Clinical and functional results were assessed by standardized questionnaires for the assessment of constipation constipation scoring system(CSS),Longo’s ODS score,and symptom severity score(SSS),incontinence Wexner incontinence score(WS),quality of life Patient Assessment of Constipation-Quality of Life Questionnaire(PAC-QOL),and patient satisfaction visual analog scale(VAS).Data were collected prospectively at baseline,12 and 30 mo.RESULTS:The median follow-up was 30 mo(range,30-46 mo).Late postoperative complications occurred in 11(14.7%)patients.Three of these patients required procedure-related reintervention(one diverticulectomy and two excision of staple granuloma).Although the recurrence rate was 10.7%,constipation scores(CSS,ODS score and SSS)significantly improved after STARR(P<0.0001).Significant reduction in ODS symptoms was matched by an improvement in the PAC-QOL and VAS(P<0.0001),and the satisfaction index was excellent in 25(33.3%)patients,good in 23(30.7%),fairly good in 14(18.7%),and poor in 13(17.3%).Nevertheless,the WS increased after STARR(P=0.0169).Incontinence was present or deteriorated in 8(10.7%)patients;6(8%)of whom were new onsets.Univariate analysis revealed that the occurrence of fecal incontinence(preoperative,postoperative or new-onset incontinence;P=0.028,0.000,and 0.007,respectively)was associated with the success of the operation.CONCLUSION:STARR is an acceptable procedure for the surgical correction of ODS.However,its impact on symptomatic recurrence and postoperative incontinence may be problematic.
基金supported by the National Key R&D Program of China(No.2017YFC1309100)the National Science Fund for Distinguished Young Scholars(No.81925023)+1 种基金the National Natural Science Foundation of China(No.81771912,81701662,81701782,81601469,and 81702322)Science and Technology Planning Project of Guangdong Province(No.2017B020227012)。
摘要Objective:To evaluate the human epidermal growth factor receptor 2(HER2)status in patients with breast cancer using multidetector computed tomography(MDCT)-based handcrafted and deep radiomics features.Methods:This retrospective study enrolled 339 female patients(primary cohort,n=177;validation cohort,n=162)with pathologically confirmed invasive breast cancer.Handcrafted and deep radiomics features were extracted from the MDCT images during the arterial phase.After the feature selection procedures,handcrafted and deep radiomics signatures and the combined model were built using multivariate logistic regression analysis.Performance was assessed by measures of discrimination,calibration,and clinical usefulness in the primary cohort and validated in the validation cohort.Results:The handcrafted radiomics signature had a discriminative ability with a C-index of 0.739[95%confidence interval(95%CI):0.661-0.818]in the primary cohort and 0.695(95%CI:0.609-0.781)in the validation cohort.The deep radiomics signature also had a discriminative ability with a C-index of 0.760(95%CI:0.690-0.831)in the primary cohort and 0.777(95%CI:0.696-0.857)in the validation cohort.The combined model,which incorporated both the handcrafted and deep radiomics signatures,showed good discriminative ability with a C-index of 0.829(95%CI:0.767-0.890)in the primary cohort and 0.809(95%CI:0.740-0.879)in the validation cohort.Conclusions:Handcrafted and deep radiomics features from MDCT images were associated with HER2 status in patients with breast cancer.Thus,these features could provide complementary aid for the radiological evaluation of HER2 status in breast cancer.