Objective:To observed the effect of a curcumin-based vaginal gel combined with electroporation for the treatment of vulvovaginal candidiasis(VVC)caused by Candida albicans.Methods:Temperature-sensitive in situ gels(IS...Objective:To observed the effect of a curcumin-based vaginal gel combined with electroporation for the treatment of vulvovaginal candidiasis(VVC)caused by Candida albicans.Methods:Temperature-sensitive in situ gels(ISG)were prepared using poloxamers 407 and 188 as matrices.The mass ratio of poloxamer 407 and poloxamer 188 was 7:1 with a gelation temperature of approximately 29℃ and gelation time of 2.5 min.Results:Electroporation increased the transmucosal permeability of the model drug,doxorubicin and improved the antifungal effects of curcumin.In vitro antifungal experiments showed that the number of fungal colonies in curcumin ISG combined with electroporation was lower than that in pure curcumin ISG.In vivo pharmacodynamic experiments showed that,compared to the model group,curcumin ISG with electroporation inhibited the growth of C.albicans,alleviated vaginal mucosal edema,and reduced the inflammatory response.Conclusion:Curcumin ISG combined with electroporation has substantial potential for the efficient clinical treatment of VVC.展开更多
Objective:To find a viable alternative to reduce the number of doses required for the patients with post-traumatic stress disorder(PTSD),and to improve efficacy and patient compliance.Methods: In this study,we used gi...Objective:To find a viable alternative to reduce the number of doses required for the patients with post-traumatic stress disorder(PTSD),and to improve efficacy and patient compliance.Methods: In this study,we used ginger oil,a phytochemical with potential therapeutic properties,to prepare ginger oil patches.High-performance liquid chromatography(HPLC)was used to quantify the main active component of ginger oil,6-gingerol.Transdermal absorption experiments were conducted to optimize the various pressure-sensitive adhesives and permeation enhancers,including their type and concentration.Subsequently,the ginger oil patches were optimized and subjected to content determination and property evaluations.A PTSD mouse model was established using the foot-shock method.The therapeutic effect of ginger oil patches on PTSD was assessed through pathological sections,behavioral tests,and the evaluation of biomarkers such as tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),brain-derived neurotrophic factor(BDNF),and melatonin(MT).Results: The results demonstrated that ginger oil patches exerted therapeutic effects against PTSD by inhibiting inflammatory responses and modulating MT and BDNF levels.Pharmacokinetic experiments revealed that ginger oil patches maintained a stable blood drug concentration for at least one day,addressing the rapid metabolism drawback of 6-gingerol and enhancing its therapeutic efficacy.Conclusions: Ginger oil can be prepared as a transdermal drug patch that meets these requirements,and the bioavailability of the prepared patch is better than that of oral administration.It can improve PTSD with good patient compliance and ease of administration.Therefore,it is a promising therapeutic formulation for the treatment of PTSD.展开更多
Background The benefit/risk ratio of stenting in acute ST-segment elevation myocardial infarction （STEMI） patients with single vessel intermediate stenosis culprit lesions merits further study, therefore the subject...Background The benefit/risk ratio of stenting in acute ST-segment elevation myocardial infarction （STEMI） patients with single vessel intermediate stenosis culprit lesions merits further study, therefore the subject of the present study. Methods and results It was a pro- spective, multicenter, randomized controlled trial. Between April 2012 and July 2015, 399 acute STEMI patients with single vessel disease and intermediate （40%-70%） stenosis of the culprit lesion before or after aspiration thrombectomy and/or intracoronary tirofiban （15 pg/kg） were enrolled and were randomly assigned （h 1） to stenting group （n = 201） and non-stenting group （n = 198）. In stenting group, patients received pharmacologic therapy plus standard percutaneous coronary intervention （PCI） with stent implantation. In non-stenting group, pa- tients received pharmacologic therapy and PCI （thrombectomy）, but without dilatation or stenting. Primary endpoint was 12-month rate of major adverse cardiac and eerebrovascular events （MACCE）, a composite of cardiac death, non-fatal myocardial infarction （M1）, repeat re- vascularization and stroke. Secondary endpoints were 12-month rates of all cause death, ischemia driven admission and bleeding complica- tion. Median follow-up time was 12.4 ~ 3.1 months. At 12 months, MACCE occurred in 8.0% of the patients in stenting group, as compared with 15.2% in the non-stenting group （adjusted HR： 0.42, 95% Ch 0.19-0.89, P = 0.02）. The stenting group had lower non-fatal MI rate than non-stenting group, （1.5% vs. 5.5%, P = 0.03）. The two groups shared similar cardiac death, repeat revascularization, stroke, all cause death, ischemia driven readmission and bleeding rates at 12 months. Conclusions Stent implantation had better efficacy and safety in reducing MACCE risks among acute STEMI patients with single vessel intermediate stenosis culprit lesions.展开更多
Background Interleukin （IL）-10, IL-6 and their ratio （IL-6/IL-10） play an important role in the risk of developing coronary artery disease, and may correlate with its outcomes. Few clinical trials have investigate...Background Interleukin （IL）-10, IL-6 and their ratio （IL-6/IL-10） play an important role in the risk of developing coronary artery disease, and may correlate with its outcomes. Few clinical trials have investigated the prognostic impact of these factors on long-term car- diovascular events in patients presented with chest pain. Methods A prospective study was performed on 566 patients admitted with chest pain and identified mild to moderate coronary artery lesions. 1L-10, IL-6 and IL-6/IL-10 were measured. Results A total of 511 patients com- pleted the follow-up. The median follow-up time was 74 months. Kaplan-Meier analysis demonstrated a clear increase of the incidence of major adverse cardiac events during the follow-up period in patients with below-median levels of IL-10 （P = 0.006） and above-median levels of IL-6/IL-10 （P = 0.012）. Multivariate Cox proportional hazards analysis indicated the IL-10 levels to be strong independent predictors after adjustment for underlying confounders. Conclusions Elevated IL-10 levels are associated with a more favorable long-term prognosis in patients with chest pain and mild to moderate coronary artery lesions. IL-10 could be used for early risk assessment of long-term prognosis.展开更多
Cold injury refers to local or systemic injury caused by a rapid, massive loss of body heat in a cold environment. The incidence of cold injury is high. However, the current situation regarding the diagnosis and treat...Cold injury refers to local or systemic injury caused by a rapid, massive loss of body heat in a cold environment. The incidence of cold injury is high. However, the current situation regarding the diagnosis and treatment of cold injury in our country is not ideal. To standardize and improve the level of clinical diagnosis and treatment of cold injury in China, it is necessary to make a consensus that is practical and adapted to the conditions in China. We used the latest population-level epidemiological and clinical research data, combined with relevant literature from China and foreign countries. The consensus was developed by a joint committee of multidisciplinary experts. This expert consensus addresses the epidemiology, diagnosis, on-site emergency procedures, in-hospital treatment, and prevention of cold injury.展开更多
Wearable and portable mobile phones play a critical role in the market, and one of the key technologies is the flexible electrode with high specific capacity and excellent mechanical flexibility. Herein, a wire-in-wir...Wearable and portable mobile phones play a critical role in the market, and one of the key technologies is the flexible electrode with high specific capacity and excellent mechanical flexibility. Herein, a wire-in-wire TiO_(2)/C nanofibers (TiO_(2) ww/CN) film is synthesized via electrospinning with selenium as a structural inducer. The interconnected carbon network and unique wire- in-wire nanostructure cannot only improve electronic conductivity and induce effective charge transports, but also bring a superior mechanic flexibility. Ulti-mately, TiO_(2) ww/CN film shows outstanding electrochemical performance as free-standing electrodes in Li/K ion batteries. It shows a discharge capacity as high as 303 mAh g^(−1) at 5 A g^(−1) after 6000 cycles in Li half-cells, and the unique structure is well-reserved after long-term cycling. Moreover, even TiO_(2) has a large diffusion barrier of K^(+), TiO_(2) ww/CN film demonstrates excellent perfor-mance (259 mAh g^(−1) at 0.05 A g^(−1) after 1000 cycles) in K half-cells owing to extraordinary pseudocapacitive contribution. The Li/K full cells consisted of TiO_(2) ww/CN film anode and LiFePO_(4)/Perylene-3,4,9,10-tetracarboxylic dianhydride cathode possess outstanding cycling stability and demonstrate practical application from lighting at least 19 LEDs. It is, therefore, expected that this material will find broad applications in portable and wearable Li/K-ion batteries.展开更多
Background It is still controversial whether percutaneous coronary intervention with drug-eluting stent （DES） is safe and effective compared to coronary artery bypass graft surgery （CABG） for unprotected left main...Background It is still controversial whether percutaneous coronary intervention with drug-eluting stent （DES） is safe and effective compared to coronary artery bypass graft surgery （CABG） for unprotected left main coronary artery （ULMCA） disease at long-term follow up （≥3 years）. Methods Eligible studies were selected by searching PubMed, EMBASE, and Cochrane Library up to December 6, 2016. The primary endpoint was a composite of death, myocardial infarction （MI） or stroke during the longest follow-up. Death, cardiac death, MI, stroke and repeat revascularization were the secondary outcomes. Results Four randomized controlled trials and twelve adjusted observational studies involving 14,130 patients were included. DES was comparable to CABG regarding the occurrence of the primary endpoint （FIR = 0.94, 95% CI： 0.86-1.03）. Besides, DES was significantly associated with higher incidence of MI （HR = 1.56, 95% CI： 1.09-2.22） and repeat revascularization （HR = 3.09, 95% CI： 2.33-4.10） compared with CABG, while no difference was found between the two strategies regard as the rate of death, cardiac death and stroke. Furthermore, DES can reduce the risk of the composite endpoint of death, MI or stroke （HR = 0.80, 95% CI： 0.67-0.95） for ULMCA lesions with SYNTAX score ≤32. Conclusions Although with higher risk of repeat revascularization, PCI with DES appears to be as safe as CABG for ULMCA disease at long-term follow up. In addition, treatment with DES could be an alternative interventional strategy to CABG for ULMCA lesions with low to intermediate anatomic complexity.展开更多
Objective:To study the effects of methylprednisolone combined with montelukast on immune function and cytokines in children with recurrent Henoch-Schonlein purpura.Methods:Children who were diagnosed with recurrent He...Objective:To study the effects of methylprednisolone combined with montelukast on immune function and cytokines in children with recurrent Henoch-Schonlein purpura.Methods:Children who were diagnosed with recurrent Henoch-Schonlein purpura in Zigong Third People's Hospital between September 2015 and August 2017 were selected as the research subjects and randomly divided into the intervention group who received methylprednisolone combined with montelukast therapy and the control group who received hydrocortisone therapy. The levels of Th1/Th2 and Th17/Treg immunity indexes in peripheral blood as well as cytokines in serum were measured before treatment as well as 4 and 8 weeks after treatment.Results: 4 weeks and 8 weeks after treatment, Th1 and Treg cell contents as well as T-bet and FoxP3 mRNA expression in peripheral blood of both groups of patients were significantly higher than those before treatment whereas Th2 and Th17 cell contents as well as GATA-3 and RORγt mRNA expression in peripheral blood and NF-κB, OPN, IL-33, MK and HMGB1 contents in serum were significantly lower than those before treatment, and Th1 and Treg cell contents as well as T-bet and FoxP3 mRNA expression in peripheral blood of intervention group were significantly higher than those of control group whereas Th2 and Th17 cell contents as well as GATA-3 and RORγt mRNA expression in peripheral blood and NF-κB, OPN, IL-33, MK and HMGB1 contents in serum were significantly lower than those of control group.Conclusion: methylprednisolone combined with montelukast treatment of recurrent Henoch-Schonlein purpura can regulate the immune function and inhibit the cytokine secretion.展开更多
The duration of vehicle fire incidents has been closely associated with incidents loss. Understanding the influential priority of factors is significant to take targeted countermeasures for the managements. Based on t...The duration of vehicle fire incidents has been closely associated with incidents loss. Understanding the influential priority of factors is significant to take targeted countermeasures for the managements. Based on the database from WSDOT （Washington Department of Transportation） in USA, we analyze the probability distribution of the vehicle fire accidents＇ duration. Then we classify the influential factors into the first-grade factors including three categories： time, incident type, operation and the second-grade factors including eight categories： quarter, week and day time, etc. Then GILA （grey relational analysis） model is applied to calculate grey relational grades of the influential factors. The results show that the most important factor of the first-grade factors is incident type, vehicles involved and agencies involved are the major factors among the second-grade factors.展开更多
Numerous countries worldwide have committed to the decarbonization of their economies.These countries include both developed nations such as the United States,United Kingdom,and European Union member states,as well as...Numerous countries worldwide have committed to the decarbonization of their economies.These countries include both developed nations such as the United States,United Kingdom,and European Union member states,as well as recently developed nations like China.A commonly adopted strategy among these countries involves initiating the decar-bonization process within the power sector.This adoption is pri-marily motivated by two factors:first,the existence of well-estab-lished low-carbon power supply technologies,such as wind and solar PV second,the potential for extensive electrification of fossil fuel energy demand through rapidly advancing technologies,such as electric vehicles and heat pumps.Thus,decarbonizing the power sector represents the most logical starting point in the jour-ney toward a low-carbon future.展开更多
Objective:To explore the new treatment strategies for radiation proctitis,which is the most common complication of pelvic tumor malignancies.Methods:Four cases of patients with severe radiation proctitis were treated ...Objective:To explore the new treatment strategies for radiation proctitis,which is the most common complication of pelvic tumor malignancies.Methods:Four cases of patients with severe radiation proctitis were treated with high-dosage vitamin C(VC,12–24 g/d,iv)combined with cyclooxygenase-2(cyclooxygenase-2,COX-2)inhibitors.Results:For these four cases,the diarrhea,hematochezia,tenesmus,pain,and other symptoms were significantly improved.The edema of the rectal wall is also significantly improved in the imaging review.Conclusion:The high-dosage VC combined with the treatment of severe radiation proctitis is safe and effective.展开更多
Wax pattern fabrication in the investment casting of hollow turbine blades directly determines the dimension accuracy of subsequent casting,and therefore significantly affects the quality of final product.In this work...Wax pattern fabrication in the investment casting of hollow turbine blades directly determines the dimension accuracy of subsequent casting,and therefore significantly affects the quality of final product.In this work,we develop a machine learning-based multi-objective optimization framework for improving dimension accuracy of wax pattern by optimizing its process parameters.We consider two optimization objectives on the dimension of wax pattern,i.e.,the surface warpage and core offset.An active learning of Bayesian optimization is employed in data sampling to determine process parameters,and a validated numerical model of injection molding is used to compute objective results of dimension under varied process parameters.The collected dataset is then leveraged to train different machine learning models,and it turns out that the Gaussian process regression model performs best in prediction accuracy,which is then used as the surrogate model in the optimization framework.A genetic algorithm is employed to produce a non-dominated Pareto front using the surrogate model in searching,followed by an entropy weight method to select the most optimal solution from the Pareto front.The optimized set of process parameters is then compared to empirical parameters obtained from previous trial-and-error experiments,and it turns out that the maximum and average warpage results of the optimized solution decrease 26.0%and 20.2%,and the maximum and average errors of wall thickness compared to standard part decrease from 0.22 mm and 0.0517 mm using empirical parameters to 0.10 mm and 0.0356 mm using optimized parameters,respectively.This framework is demonstrated capable of addressing the challenge of dimension control arising in the wax pattern production,and it can be reliably deployed in varied types of turbine blades to significantly reduce the manufacturing cost of turbine blades.展开更多
Mo has been widely reported as a conducive element for the corrosion resistance of massive alloy sys-tems.However,the mechanism of Mo optimizing the corrosion resistance is complicated,and in-depth studies are still r...Mo has been widely reported as a conducive element for the corrosion resistance of massive alloy sys-tems.However,the mechanism of Mo optimizing the corrosion resistance is complicated,and in-depth studies are still required.The present work comprehensively and quantitatively studied the critical influ-ences of Mo on the passivation and repassivation behavior of CoCrFeNi HEA based on the dissolution-diffusion-deposition model proposed in our previous work.The experimental results indicated that Mo remarkably eliminated the metastable pitting corrosion,significantly improved the breakdown potential and perfectly protected the CoCrFeNiMo_(0.2)HEA from pitting corrosion.The modelling and X-ray photo-electron spectroscopy(XPS)results both show that in the passivation process,MoO_(2)was the last product to deposit,thereby existing in the outer layer of the passive film.Mo addition increased the Cr content by weakening the deposition of Fe_(2)O_(3)and Fe_(3)O_(4)and also improved the Cr_(2)O_(3)/Cr(OH)3 ratio by promot-ing deprotonation of Cr(OH)_(3),thus enhancing the quality of passive film.Besides,when pitting corrosion occurred,MoO_(2),MoO_(3),and FeMoO_(4)were the first products to deposit and accelerated the repassivation process of HEA by timely covering the matrix in the pit cavity,thereby preventing further corrosion of the matrix.展开更多
Phospholipase C zeta(PLC)is a key sperm-borne oocyte-activating factor that triggers Ca^(2+)oscillations and the subsequent block to polyspermy following gamete fusion.Mutations in PLCZ1,the gene encoding PLCζ,cause ...Phospholipase C zeta(PLC)is a key sperm-borne oocyte-activating factor that triggers Ca^(2+)oscillations and the subsequent block to polyspermy following gamete fusion.Mutations in PLCZ1,the gene encoding PLCζ,cause male infertility and intracytoplasmic sperm injection(ICSI)fertilization failure;and PLCζ expression and localization patterns are significantly correlated with ICSI fertilization rate(FR).However,in conventional in vitro fertilization(cIVF),whether and how sperm PLCζ affects fertilization remain unclear.Herein,we identified one previously reported and two novel PLCZ1 mutations associated with polyspermy in vitro that are characterized by excessive sperm-zona binding and a delay in pronuclei(PN)formation.Immunofluorescence staining and oocyte activation testing revealed that virtually all spermatozoa from patients lacked functional PLCζ and were thus unable to evoke Ca^(2+) oscillations.ICSI with an artificial oocyte activation treatment successfully rescued the polyspermic phenotype and resulted in a live birth.Furthermore,we analyzed PLCζ in an additional 58 males after cIVF treatment in the Reproductive and Genetic Hospital of CiTiC-Xiangya(Changsha,China)between February 2019 and January 2022.We found that the proportion of spermatozoa that expressed PLCζ was positively correlated with both 2PN rate and total FR.The optimal cutoff value below which males were likely to experience low FR(total FR≤30%)after clVF was 56.7%for the proportion of spermatozoa expressing PLC5.Our study expands the mutation and the phenotypic spectrum of PLCZ1 and further suggests that PLCζ constitutes a promising biomarker for identifying low FRs cases in cIVF due to sperm-related oocyte activation deficiency and that sperm PLCζ analysis may benefit the widermale population and not onlymen with IcsI failure.展开更多
Zinc-based flow battery is an energy storage technology with good application prospects because of its advantages of abundant raw materials,low cost,and environmental friendliness.The chemical stability of zinc electr...Zinc-based flow battery is an energy storage technology with good application prospects because of its advantages of abundant raw materials,low cost,and environmental friendliness.The chemical stability of zinc electrodes exposed to electrolyte is a very important issue for zinc-based batteries.This paper reports on details of chemical stability of the zinc metal exposed to a series of solutions,as well as the relationship between the morphological evolution of zinc electrodes and their properties in an alkaline medium.Chemical corrosion of zinc electrodes by the electrolyte will change their surface morphology.However,we observed that chemical corrosion is not the main contributor to the evolution of zinc electrode surface morphology,but the main contributor is the Zn/Zn^(2+)electrode process.The morphological evolution of zinc electrodes was controlled by using ionic liquids,1-ethyl-3-methylimidazolium acetate(EMIA),and 1-propylsulfonic-3-methylimidazolium tosylate(PSMIT),and the electrode performance was recorded during the morphological evolution process.It was observed that the reversible change of zinc electrode morphology was accompanied by better electrode performance.展开更多
Introduction:Pneumoconiosis is the most prevalent occupational disease in China,with coal worker pneumoconiosis(CWP)demonstrating the highest incidence.Studies have indicated that phospholipids may be associated with ...Introduction:Pneumoconiosis is the most prevalent occupational disease in China,with coal worker pneumoconiosis(CWP)demonstrating the highest incidence.Studies have indicated that phospholipids may be associated with CWP.Methods:In this study,serum was obtained from 62 patients with pneumoconiosis,105 coal dustexposed workers,and 50 healthy individuals and analyzed via targeted lipidomics using ultraperformance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS).After initially identifying phospholipids with significant differences through univariate and multivariate statistical analyses,receiver operating characteristic(ROC)analysis was performed.The differential phospholipids identified in patient samples were then integrated to assess their diagnostic potential for CWP using a support vector machine(SVM).Results:Compared with healthy subjects,the levels of Lyso-PS(18:0)were decreased,while PC(16:0),PC(18:0),PC(16:0/18:1),PI(16:0/18:1),PS(18:1),PG(16:0),and PG(18:0/18:1)were significantly increased in the pneumoconiosis group,with an area under the curve(AUC)>0.7.Moreover,compared with the dust-exposed group,Lyso-PC(16:0),PC(16:0),PC(16:0/18:1),PI(16:0/18:1),and PG(16:0)were significantly elevated in the pneumoconiosis group,with an AUC>0.7.The diagnostic model,including PC(16:0),PC(16:0/18:1),PI(16:0/18:1),and PG(16:0),demonstrated excellent performance with an AUC of 0.956.Discussion:The serum phospholipid profiles of patients with pneumoconiosis differed significantly from those of controls,including differences in PC,Lyso-PC,PI,PS,Lyso-PS,and PG.Among these,a diagnostic model incorporating PC(16:0),PC(16:0/18:1),PI(16:0/18:1),and PG(16:0)demonstrated superior screening efficiency.展开更多
基金supported by the Beijing Natural Science Foundation(L222126).
文摘Objective:To observed the effect of a curcumin-based vaginal gel combined with electroporation for the treatment of vulvovaginal candidiasis(VVC)caused by Candida albicans.Methods:Temperature-sensitive in situ gels(ISG)were prepared using poloxamers 407 and 188 as matrices.The mass ratio of poloxamer 407 and poloxamer 188 was 7:1 with a gelation temperature of approximately 29℃ and gelation time of 2.5 min.Results:Electroporation increased the transmucosal permeability of the model drug,doxorubicin and improved the antifungal effects of curcumin.In vitro antifungal experiments showed that the number of fungal colonies in curcumin ISG combined with electroporation was lower than that in pure curcumin ISG.In vivo pharmacodynamic experiments showed that,compared to the model group,curcumin ISG with electroporation inhibited the growth of C.albicans,alleviated vaginal mucosal edema,and reduced the inflammatory response.Conclusion:Curcumin ISG combined with electroporation has substantial potential for the efficient clinical treatment of VVC.
基金supported by the National Natural Scientific Foundation(82172186)Beijing Natural Scientific Foundation(L222126).
文摘Objective:To find a viable alternative to reduce the number of doses required for the patients with post-traumatic stress disorder(PTSD),and to improve efficacy and patient compliance.Methods: In this study,we used ginger oil,a phytochemical with potential therapeutic properties,to prepare ginger oil patches.High-performance liquid chromatography(HPLC)was used to quantify the main active component of ginger oil,6-gingerol.Transdermal absorption experiments were conducted to optimize the various pressure-sensitive adhesives and permeation enhancers,including their type and concentration.Subsequently,the ginger oil patches were optimized and subjected to content determination and property evaluations.A PTSD mouse model was established using the foot-shock method.The therapeutic effect of ginger oil patches on PTSD was assessed through pathological sections,behavioral tests,and the evaluation of biomarkers such as tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),brain-derived neurotrophic factor(BDNF),and melatonin(MT).Results: The results demonstrated that ginger oil patches exerted therapeutic effects against PTSD by inhibiting inflammatory responses and modulating MT and BDNF levels.Pharmacokinetic experiments revealed that ginger oil patches maintained a stable blood drug concentration for at least one day,addressing the rapid metabolism drawback of 6-gingerol and enhancing its therapeutic efficacy.Conclusions: Ginger oil can be prepared as a transdermal drug patch that meets these requirements,and the bioavailability of the prepared patch is better than that of oral administration.It can improve PTSD with good patient compliance and ease of administration.Therefore,it is a promising therapeutic formulation for the treatment of PTSD.
文摘Background The benefit/risk ratio of stenting in acute ST-segment elevation myocardial infarction （STEMI） patients with single vessel intermediate stenosis culprit lesions merits further study, therefore the subject of the present study. Methods and results It was a pro- spective, multicenter, randomized controlled trial. Between April 2012 and July 2015, 399 acute STEMI patients with single vessel disease and intermediate （40%-70%） stenosis of the culprit lesion before or after aspiration thrombectomy and/or intracoronary tirofiban （15 pg/kg） were enrolled and were randomly assigned （h 1） to stenting group （n = 201） and non-stenting group （n = 198）. In stenting group, patients received pharmacologic therapy plus standard percutaneous coronary intervention （PCI） with stent implantation. In non-stenting group, pa- tients received pharmacologic therapy and PCI （thrombectomy）, but without dilatation or stenting. Primary endpoint was 12-month rate of major adverse cardiac and eerebrovascular events （MACCE）, a composite of cardiac death, non-fatal myocardial infarction （M1）, repeat re- vascularization and stroke. Secondary endpoints were 12-month rates of all cause death, ischemia driven admission and bleeding complica- tion. Median follow-up time was 12.4 ~ 3.1 months. At 12 months, MACCE occurred in 8.0% of the patients in stenting group, as compared with 15.2% in the non-stenting group （adjusted HR： 0.42, 95% Ch 0.19-0.89, P = 0.02）. The stenting group had lower non-fatal MI rate than non-stenting group, （1.5% vs. 5.5%, P = 0.03）. The two groups shared similar cardiac death, repeat revascularization, stroke, all cause death, ischemia driven readmission and bleeding rates at 12 months. Conclusions Stent implantation had better efficacy and safety in reducing MACCE risks among acute STEMI patients with single vessel intermediate stenosis culprit lesions.
文摘Background Interleukin （IL）-10, IL-6 and their ratio （IL-6/IL-10） play an important role in the risk of developing coronary artery disease, and may correlate with its outcomes. Few clinical trials have investigated the prognostic impact of these factors on long-term car- diovascular events in patients presented with chest pain. Methods A prospective study was performed on 566 patients admitted with chest pain and identified mild to moderate coronary artery lesions. 1L-10, IL-6 and IL-6/IL-10 were measured. Results A total of 511 patients com- pleted the follow-up. The median follow-up time was 74 months. Kaplan-Meier analysis demonstrated a clear increase of the incidence of major adverse cardiac events during the follow-up period in patients with below-median levels of IL-10 （P = 0.006） and above-median levels of IL-6/IL-10 （P = 0.012）. Multivariate Cox proportional hazards analysis indicated the IL-10 levels to be strong independent predictors after adjustment for underlying confounders. Conclusions Elevated IL-10 levels are associated with a more favorable long-term prognosis in patients with chest pain and mild to moderate coronary artery lesions. IL-10 could be used for early risk assessment of long-term prognosis.
文摘Cold injury refers to local or systemic injury caused by a rapid, massive loss of body heat in a cold environment. The incidence of cold injury is high. However, the current situation regarding the diagnosis and treatment of cold injury in our country is not ideal. To standardize and improve the level of clinical diagnosis and treatment of cold injury in China, it is necessary to make a consensus that is practical and adapted to the conditions in China. We used the latest population-level epidemiological and clinical research data, combined with relevant literature from China and foreign countries. The consensus was developed by a joint committee of multidisciplinary experts. This expert consensus addresses the epidemiology, diagnosis, on-site emergency procedures, in-hospital treatment, and prevention of cold injury.
基金the National Natural Science Foundation of China(Grant Nos.51672234,52072325)the Key Research Foundation of Education Bureau of Hunan Province,China(Grant No.20A486)+1 种基金Hunan 2011 Collaborative Innovation Center of Chemical Engineering and Technology with Environmental Benignity and Effective Resource Utilization,Program for Innovative Research Cultivation Team in University of Ministry of Education of China(1337304)the 111 Project(B12015).
文摘Wearable and portable mobile phones play a critical role in the market, and one of the key technologies is the flexible electrode with high specific capacity and excellent mechanical flexibility. Herein, a wire-in-wire TiO_(2)/C nanofibers (TiO_(2) ww/CN) film is synthesized via electrospinning with selenium as a structural inducer. The interconnected carbon network and unique wire- in-wire nanostructure cannot only improve electronic conductivity and induce effective charge transports, but also bring a superior mechanic flexibility. Ulti-mately, TiO_(2) ww/CN film shows outstanding electrochemical performance as free-standing electrodes in Li/K ion batteries. It shows a discharge capacity as high as 303 mAh g^(−1) at 5 A g^(−1) after 6000 cycles in Li half-cells, and the unique structure is well-reserved after long-term cycling. Moreover, even TiO_(2) has a large diffusion barrier of K^(+), TiO_(2) ww/CN film demonstrates excellent perfor-mance (259 mAh g^(−1) at 0.05 A g^(−1) after 1000 cycles) in K half-cells owing to extraordinary pseudocapacitive contribution. The Li/K full cells consisted of TiO_(2) ww/CN film anode and LiFePO_(4)/Perylene-3,4,9,10-tetracarboxylic dianhydride cathode possess outstanding cycling stability and demonstrate practical application from lighting at least 19 LEDs. It is, therefore, expected that this material will find broad applications in portable and wearable Li/K-ion batteries.
文摘Background It is still controversial whether percutaneous coronary intervention with drug-eluting stent （DES） is safe and effective compared to coronary artery bypass graft surgery （CABG） for unprotected left main coronary artery （ULMCA） disease at long-term follow up （≥3 years）. Methods Eligible studies were selected by searching PubMed, EMBASE, and Cochrane Library up to December 6, 2016. The primary endpoint was a composite of death, myocardial infarction （MI） or stroke during the longest follow-up. Death, cardiac death, MI, stroke and repeat revascularization were the secondary outcomes. Results Four randomized controlled trials and twelve adjusted observational studies involving 14,130 patients were included. DES was comparable to CABG regarding the occurrence of the primary endpoint （FIR = 0.94, 95% CI： 0.86-1.03）. Besides, DES was significantly associated with higher incidence of MI （HR = 1.56, 95% CI： 1.09-2.22） and repeat revascularization （HR = 3.09, 95% CI： 2.33-4.10） compared with CABG, while no difference was found between the two strategies regard as the rate of death, cardiac death and stroke. Furthermore, DES can reduce the risk of the composite endpoint of death, MI or stroke （HR = 0.80, 95% CI： 0.67-0.95） for ULMCA lesions with SYNTAX score ≤32. Conclusions Although with higher risk of repeat revascularization, PCI with DES appears to be as safe as CABG for ULMCA disease at long-term follow up. In addition, treatment with DES could be an alternative interventional strategy to CABG for ULMCA lesions with low to intermediate anatomic complexity.
文摘Objective:To study the effects of methylprednisolone combined with montelukast on immune function and cytokines in children with recurrent Henoch-Schonlein purpura.Methods:Children who were diagnosed with recurrent Henoch-Schonlein purpura in Zigong Third People's Hospital between September 2015 and August 2017 were selected as the research subjects and randomly divided into the intervention group who received methylprednisolone combined with montelukast therapy and the control group who received hydrocortisone therapy. The levels of Th1/Th2 and Th17/Treg immunity indexes in peripheral blood as well as cytokines in serum were measured before treatment as well as 4 and 8 weeks after treatment.Results: 4 weeks and 8 weeks after treatment, Th1 and Treg cell contents as well as T-bet and FoxP3 mRNA expression in peripheral blood of both groups of patients were significantly higher than those before treatment whereas Th2 and Th17 cell contents as well as GATA-3 and RORγt mRNA expression in peripheral blood and NF-κB, OPN, IL-33, MK and HMGB1 contents in serum were significantly lower than those before treatment, and Th1 and Treg cell contents as well as T-bet and FoxP3 mRNA expression in peripheral blood of intervention group were significantly higher than those of control group whereas Th2 and Th17 cell contents as well as GATA-3 and RORγt mRNA expression in peripheral blood and NF-κB, OPN, IL-33, MK and HMGB1 contents in serum were significantly lower than those of control group.Conclusion: methylprednisolone combined with montelukast treatment of recurrent Henoch-Schonlein purpura can regulate the immune function and inhibit the cytokine secretion.
文摘The duration of vehicle fire incidents has been closely associated with incidents loss. Understanding the influential priority of factors is significant to take targeted countermeasures for the managements. Based on the database from WSDOT （Washington Department of Transportation） in USA, we analyze the probability distribution of the vehicle fire accidents＇ duration. Then we classify the influential factors into the first-grade factors including three categories： time, incident type, operation and the second-grade factors including eight categories： quarter, week and day time, etc. Then GILA （grey relational analysis） model is applied to calculate grey relational grades of the influential factors. The results show that the most important factor of the first-grade factors is incident type, vehicles involved and agencies involved are the major factors among the second-grade factors.
文摘Numerous countries worldwide have committed to the decarbonization of their economies.These countries include both developed nations such as the United States,United Kingdom,and European Union member states,as well as recently developed nations like China.A commonly adopted strategy among these countries involves initiating the decar-bonization process within the power sector.This adoption is pri-marily motivated by two factors:first,the existence of well-estab-lished low-carbon power supply technologies,such as wind and solar PV second,the potential for extensive electrification of fossil fuel energy demand through rapidly advancing technologies,such as electric vehicles and heat pumps.Thus,decarbonizing the power sector represents the most logical starting point in the jour-ney toward a low-carbon future.
基金Leading Discipline Construction Support Project(Oncology),Zhongnan Hospital of Wuhan University(XKJS202005),China.
文摘Objective:To explore the new treatment strategies for radiation proctitis,which is the most common complication of pelvic tumor malignancies.Methods:Four cases of patients with severe radiation proctitis were treated with high-dosage vitamin C(VC,12–24 g/d,iv)combined with cyclooxygenase-2(cyclooxygenase-2,COX-2)inhibitors.Results:For these four cases,the diarrhea,hematochezia,tenesmus,pain,and other symptoms were significantly improved.The edema of the rectal wall is also significantly improved in the imaging review.Conclusion:The high-dosage VC combined with the treatment of severe radiation proctitis is safe and effective.
基金funded by the National Key Research and Development Program of China(Grant No.2019YFA0705302)the National Science and Technology Major Project“Aeroengine and Gas Turbine”of China(Grant No.2017-VII-0008-0102).
文摘Wax pattern fabrication in the investment casting of hollow turbine blades directly determines the dimension accuracy of subsequent casting,and therefore significantly affects the quality of final product.In this work,we develop a machine learning-based multi-objective optimization framework for improving dimension accuracy of wax pattern by optimizing its process parameters.We consider two optimization objectives on the dimension of wax pattern,i.e.,the surface warpage and core offset.An active learning of Bayesian optimization is employed in data sampling to determine process parameters,and a validated numerical model of injection molding is used to compute objective results of dimension under varied process parameters.The collected dataset is then leveraged to train different machine learning models,and it turns out that the Gaussian process regression model performs best in prediction accuracy,which is then used as the surrogate model in the optimization framework.A genetic algorithm is employed to produce a non-dominated Pareto front using the surrogate model in searching,followed by an entropy weight method to select the most optimal solution from the Pareto front.The optimized set of process parameters is then compared to empirical parameters obtained from previous trial-and-error experiments,and it turns out that the maximum and average warpage results of the optimized solution decrease 26.0%and 20.2%,and the maximum and average errors of wall thickness compared to standard part decrease from 0.22 mm and 0.0517 mm using empirical parameters to 0.10 mm and 0.0356 mm using optimized parameters,respectively.This framework is demonstrated capable of addressing the challenge of dimension control arising in the wax pattern production,and it can be reliably deployed in varied types of turbine blades to significantly reduce the manufacturing cost of turbine blades.
基金funded by the National Natural Science Foun-dation of China(Grant Nos.U1960203,52004060,52325406,and 52174308)Science Fund for Distinguished Young Scholars of Liaon-ing Province(Grant No.2023JH6/100500008)Fundamental Re-search Funds for the Central Universities(Grant Nos.N2125017 and N2225031).Special thanks are due to the instrumental analysis from the Analytical and Testing Centre,Northeastern University.
文摘Mo has been widely reported as a conducive element for the corrosion resistance of massive alloy sys-tems.However,the mechanism of Mo optimizing the corrosion resistance is complicated,and in-depth studies are still required.The present work comprehensively and quantitatively studied the critical influ-ences of Mo on the passivation and repassivation behavior of CoCrFeNi HEA based on the dissolution-diffusion-deposition model proposed in our previous work.The experimental results indicated that Mo remarkably eliminated the metastable pitting corrosion,significantly improved the breakdown potential and perfectly protected the CoCrFeNiMo_(0.2)HEA from pitting corrosion.The modelling and X-ray photo-electron spectroscopy(XPS)results both show that in the passivation process,MoO_(2)was the last product to deposit,thereby existing in the outer layer of the passive film.Mo addition increased the Cr content by weakening the deposition of Fe_(2)O_(3)and Fe_(3)O_(4)and also improved the Cr_(2)O_(3)/Cr(OH)3 ratio by promot-ing deprotonation of Cr(OH)_(3),thus enhancing the quality of passive film.Besides,when pitting corrosion occurred,MoO_(2),MoO_(3),and FeMoO_(4)were the first products to deposit and accelerated the repassivation process of HEA by timely covering the matrix in the pit cavity,thereby preventing further corrosion of the matrix.
基金supported by grants from the National Natural Science Foundation of China(No.81901553 to CD)the Natural Science Foundation of Hunan Province,China(No.2021JJ30461 to CD).
文摘Phospholipase C zeta(PLC)is a key sperm-borne oocyte-activating factor that triggers Ca^(2+)oscillations and the subsequent block to polyspermy following gamete fusion.Mutations in PLCZ1,the gene encoding PLCζ,cause male infertility and intracytoplasmic sperm injection(ICSI)fertilization failure;and PLCζ expression and localization patterns are significantly correlated with ICSI fertilization rate(FR).However,in conventional in vitro fertilization(cIVF),whether and how sperm PLCζ affects fertilization remain unclear.Herein,we identified one previously reported and two novel PLCZ1 mutations associated with polyspermy in vitro that are characterized by excessive sperm-zona binding and a delay in pronuclei(PN)formation.Immunofluorescence staining and oocyte activation testing revealed that virtually all spermatozoa from patients lacked functional PLCζ and were thus unable to evoke Ca^(2+) oscillations.ICSI with an artificial oocyte activation treatment successfully rescued the polyspermic phenotype and resulted in a live birth.Furthermore,we analyzed PLCζ in an additional 58 males after cIVF treatment in the Reproductive and Genetic Hospital of CiTiC-Xiangya(Changsha,China)between February 2019 and January 2022.We found that the proportion of spermatozoa that expressed PLCζ was positively correlated with both 2PN rate and total FR.The optimal cutoff value below which males were likely to experience low FR(total FR≤30%)after clVF was 56.7%for the proportion of spermatozoa expressing PLC5.Our study expands the mutation and the phenotypic spectrum of PLCZ1 and further suggests that PLCζ constitutes a promising biomarker for identifying low FRs cases in cIVF due to sperm-related oocyte activation deficiency and that sperm PLCζ analysis may benefit the widermale population and not onlymen with IcsI failure.
基金financially supported by the National Natural Science Foundation of China(Grant Nos.21361010 and 22065014)the National Innovation Training Program(Grant No.202210407024)+1 种基金the Natural Science Foundation of Jiangxi Province(Grant No.20171BAB206001)the Education Department of Jiangxi Province(Grant No.GJJ190433).
文摘Zinc-based flow battery is an energy storage technology with good application prospects because of its advantages of abundant raw materials,low cost,and environmental friendliness.The chemical stability of zinc electrodes exposed to electrolyte is a very important issue for zinc-based batteries.This paper reports on details of chemical stability of the zinc metal exposed to a series of solutions,as well as the relationship between the morphological evolution of zinc electrodes and their properties in an alkaline medium.Chemical corrosion of zinc electrodes by the electrolyte will change their surface morphology.However,we observed that chemical corrosion is not the main contributor to the evolution of zinc electrode surface morphology,but the main contributor is the Zn/Zn^(2+)electrode process.The morphological evolution of zinc electrodes was controlled by using ionic liquids,1-ethyl-3-methylimidazolium acetate(EMIA),and 1-propylsulfonic-3-methylimidazolium tosylate(PSMIT),and the electrode performance was recorded during the morphological evolution process.It was observed that the reversible change of zinc electrode morphology was accompanied by better electrode performance.
文摘Introduction:Pneumoconiosis is the most prevalent occupational disease in China,with coal worker pneumoconiosis(CWP)demonstrating the highest incidence.Studies have indicated that phospholipids may be associated with CWP.Methods:In this study,serum was obtained from 62 patients with pneumoconiosis,105 coal dustexposed workers,and 50 healthy individuals and analyzed via targeted lipidomics using ultraperformance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS).After initially identifying phospholipids with significant differences through univariate and multivariate statistical analyses,receiver operating characteristic(ROC)analysis was performed.The differential phospholipids identified in patient samples were then integrated to assess their diagnostic potential for CWP using a support vector machine(SVM).Results:Compared with healthy subjects,the levels of Lyso-PS(18:0)were decreased,while PC(16:0),PC(18:0),PC(16:0/18:1),PI(16:0/18:1),PS(18:1),PG(16:0),and PG(18:0/18:1)were significantly increased in the pneumoconiosis group,with an area under the curve(AUC)>0.7.Moreover,compared with the dust-exposed group,Lyso-PC(16:0),PC(16:0),PC(16:0/18:1),PI(16:0/18:1),and PG(16:0)were significantly elevated in the pneumoconiosis group,with an AUC>0.7.The diagnostic model,including PC(16:0),PC(16:0/18:1),PI(16:0/18:1),and PG(16:0),demonstrated excellent performance with an AUC of 0.956.Discussion:The serum phospholipid profiles of patients with pneumoconiosis differed significantly from those of controls,including differences in PC,Lyso-PC,PI,PS,Lyso-PS,and PG.Among these,a diagnostic model incorporating PC(16:0),PC(16:0/18:1),PI(16:0/18:1),and PG(16:0)demonstrated superior screening efficiency.
