BACKGROUND Mucosal adenocarcinoma of the descending duodenum is a very rare gastroin-testinal tumor.Due to its low incidence,it has rarely been the focus of clinical and pathological studies.The clinical manifestation...BACKGROUND Mucosal adenocarcinoma of the descending duodenum is a very rare gastroin-testinal tumor.Due to its low incidence,it has rarely been the focus of clinical and pathological studies.The clinical manifestations of these tumors are usually nonspecific,and they are easily misdiagnosed or missed.Pathological diagnosis is the gold standard for diagnosis,but due to the small number of cases,the relevant pathological characteristics and diagnostic criteria are not completely clear.The purpose of this study was to deepen the understanding of the diagnosis and treatment of this disease and to provide a clinical guidance.CASE SUMMARY A 61-year-old woman who was hospitalized with recurrent abdominal pain for more than 20 days.The patient developed epigastric pain with no obvious cause more than 20 days prior,mainly left epigastric pain and middle epigastric pain,and presented persistent dull pain without nausea or vomiting,fever or chills.The patient was treated at a local hospital,gastroscopy revealed a new lesion in the circum-intestinal cavity in the descending part of the duodenum,and pathological biopsy revealed mucous adenocarcinoma in the descending part of the duode-num.Currently,for further diagnosis and treatment,the patient is admitted to our hospital for surgical treatment for“malignant tumor of the duodenum”in the outpatient department.CONCLUSION Mucosal adenocarcinoma of the descending duodenum has a high misdiagnosis rate and missed diagnosis rate,clinical manifestations lack specificity,and pathological diagnosis is the main basis for diagnosis.展开更多
BACKGROUND At present,the conventional methods for diagnosing cerebral edema in clinical practice are computed tomography(CT)and magnetic resonance imaging(MRI),which can evaluate the location and degree of peripheral...BACKGROUND At present,the conventional methods for diagnosing cerebral edema in clinical practice are computed tomography(CT)and magnetic resonance imaging(MRI),which can evaluate the location and degree of peripheral cerebral edema,but cannot realize quantification.When patients have symptoms of diffuse cerebral edema or high cranial pressure,CT or MRI often suggests that cerebral edema is lagging and cannot be dynamically monitored in real time.Intracranial pressure monitoring is the gold standard,but it is an invasive operation with high cost and complications.For clinical purposes,the ideal cerebral edema monitoring should be non-invasive,real-time,bedside,and continuous dynamic monitoring.The dis-turbance coefficient(DC)was used in this study to dynamically monitor the occu-rrence,development,and evolution of cerebral edema in patients with cerebral hemorrhage in real time,and review head CT or MRI to evaluate the development of the disease and guide further treatment,so as to improve the prognosis of patients with cerebral hemorrhage.AIM To offer a promising new approach for non-invasive adjuvant therapy in cerebral edema treatment.METHODS A total of 160 patients with hypertensive cerebral hemorrhage admitted to the Department of Neurosurgery,Second Affiliated Hospital of Xi’an Medical University from September 2018 to September 2019 were recruited.The patients were randomly divided into a control group(n=80)and an experimental group(n=80).Patients in the control group received conventional empirical treatment,while those in the experimental group were treated with mannitol dehydration under the guidance of DC.Subsequently,we compared the two groups with regards to the total dosage of mannitol,the total course of treatment,the incidence of complications,and prognosis.RESULTS The mean daily consumption of mannitol,the total course of treatment,and the mean hospitalization days were 362.7±117.7 mL,14.8±5.2 days,and 29.4±7.9 in the control group and 283.1±93.6 mL,11.8±4.2 days,and 23.9±8.3 in the experimental group(P<0.05).In the control group,there were 20 patients with pulmonary infection(25%),30 with electrolyte disturbance(37.5%),20 with renal impairment(25%),and 16 with stress ulcer(20%).In the experimental group,pulmonary infection occurred in 18 patients(22.5%),electrolyte disturbance in 6(7.5%),renal impairment in 2(2.5%),and stress ulcers in 15(18.8%)(P<0.05).According to the Glasgow coma scale score 6 months after discharge,the prognosis of the control group was good in 20 patients(25%),fair in 26(32.5%),and poor in 34(42.5%);the prognosis of the experimental group was good in 32(40%),fair in 36(45%),and poor in 12(15%)(P<0.05).CONCLUSION Using DC for non-invasive dynamic monitoring of cerebral edema demonstrates considerable clinical potential.It reduces mannitol dosage,treatment duration,complication rates,and hospital stays,ultimately lowering hospital-ization costs.Additionally,it improves overall patient prognosis,offering a promising new approach for non-invasive adjuvant therapy in cerebral edema treatment.展开更多
Ti-47Al-2Nb-2Cr-0.15B(mole fraction,%)alloy was vacuum brazed with amorphous and crystalline Ti.25Zr-12.5Cu-12.5Ni-3.0Co-2.0Mo(mass fraction,%)filler alloys,and the melting,spreading and gap filling behaviors of the a...Ti-47Al-2Nb-2Cr-0.15B(mole fraction,%)alloy was vacuum brazed with amorphous and crystalline Ti.25Zr-12.5Cu-12.5Ni-3.0Co-2.0Mo(mass fraction,%)filler alloys,and the melting,spreading and gap filling behaviors of the amorphous and crystalline filler alloys as well as the joints brazed with them were investigated in details.Results showed that the amorphous filler alloy possessed narrower melting temperature interval,lower liquidus temperature and melting active energy compared with the crystalline filler alloy,and it also exhibited better brazeability on the surface of the Ti.47Al.2Nb.2Cr.0.15B alloy.The TiAl joints brazed with crystalline and amorphous filler alloys were composed of two interfacial reaction layers and a central brazed layer.Under the same conditions,the tensile strength of the joint brazed with the amorphous filler alloy was always higher than that with the crystalline filler alloy.The maxmium tensile strength of the joint brazed at 1273 K with the amorphous filler alloy reached 254 MPa.展开更多
The influence of initial groove angle on strain rate inside and outside groove of Ti6Al4V alloy was investigated.Based on the evolution of strain rate inside and outside groove,the effect of strain rate difference on ...The influence of initial groove angle on strain rate inside and outside groove of Ti6Al4V alloy was investigated.Based on the evolution of strain rate inside and outside groove,the effect of strain rate difference on the evolution of normal stress and effective stress inside and outside groove was also analyzed.The results show that when linear loading path changes from uniaxial tension to equi-biaxial tension,the initial groove angle plays a weaker role in the evolution of strain rate in the M-K model.Due to the constraint of force equilibrium between inside and outside groove,the strain rate difference makes the normal stress inside groove firstly decrease and then increase during calculation,which makes the prediction algorithm of forming limit convergent at elevated temperature.The decrease of normal stress inside groove is mainly caused by high temperature softening effect and the rotation of groove,while the increase of normal stress inside groove is mainly due to strain rate hardening effect.展开更多
95W?3.4Ni?1.6Fe heavy alloy was carburized by pack carburization. Microstructure and hardness of the carburized alloywere investigated by SEM, EDS XRD. Effect of carburization on the rolling contact fatigue (RCF) prop...95W?3.4Ni?1.6Fe heavy alloy was carburized by pack carburization. Microstructure and hardness of the carburized alloywere investigated by SEM, EDS XRD. Effect of carburization on the rolling contact fatigue (RCF) property of the alloy was studied.The results showed that the carburized layer was composed of the outer, porous WC layer and the modified subsurface layer witheach W grain surrounded by a WC shell. Carburization not only decreased the RCF performance of the alloy but also aggravated thewear of the counter balls. The untreated alloy was damaged by two modes of spalling and delamination under RCF condition. Thesubsurface main crack of the untreated alloy initiated where the maximum shear stress existed and preferentially propagated alongthe W?W interfaces. Spalling was the main failure mode of the carburized alloys, and the crumbling WC particles intensified theabrasion of the carburized surface.展开更多
BACKGROUND Minute Pulmonary Meningothelial-like Nodules(MPMNs)are rare benign pulmonary nodules,which are more common in elderly women and have a higher detection rate in lung tissues of patients with lung malignant d...BACKGROUND Minute Pulmonary Meningothelial-like Nodules(MPMNs)are rare benign pulmonary nodules,which are more common in elderly women and have a higher detection rate in lung tissues of patients with lung malignant diseases.Its origin is not yet clear.At present,there are few reports on the diagnostic methods such as imaging and pathological manifestations of MPMNs.This article reports a 70-year-old female patient with pulmonary adenocarcinoma combined with MPMNs and reviews of the relevant literature.CASE SUMMARY A 70-year-old women was admitted to our institution with feeling sour in her back and occasional cough for more than 2 mo.Computerized electronic scanning scan and 3D reconstruction images in our institution showed there were multiple ground-glass nodules in both of her two lungs.The biggest one was in the apicoposterior segment of left upper lobe,about 2.5 mm×9 mm in size.We performed thoracoscopic resection of the left upper lung apicoposterior segment of the patient,and the final pathological report was minimally invasive adenocarcinoma.Re-examination of high resolution computed tomography 21 mo after surgery showed multiple ground-glass nodules in both lungs,and a new groundglass nodule was found in the superior segment of the right lower lobe.We took pathological biopsy of the right upper lung and right lower lung nodules for the patient under thoracoscopy.The histomorphology of the right lower lobe nodule showed multiple lesions in the lung tissue,and the small foci in the alveolar septum were distributed in mild form of the aggregation of short spindle cells.The immunohistochemistry showed that the lesion was epithelial membrane antigen(EMA)(+),somatostatin receptor 2a(SSTR2a)(+),S-100(-),chromogranin A(-),Syn(-),cytokeratin(-)and HMB-45(-).The final diagnosis was minimally invasive adenocarcinoma,accompanied by MPMNs.We recommend that patients continue to receive treatment after surgery and to do regular follow-up observations.CONCLUSION The imaging manifestations of MPMNs are atypical,histomorphology and immunohistochemistry can assist in its diagnosis.This article reviews the relevant literature of MPMNs immunohistochemistry and shows that MPMNs are positive for EMA,SSTR2a,and progesterone receptor.展开更多
An in situ and ex situ reinforced powder metallurgy （PM） steel was prepared by the combination of high-energy ball milling and subsequent hot pressing of elemental mixed powders of Fe-10Cr-1Cu-1Ni-1Mo-2C by mass wit...An in situ and ex situ reinforced powder metallurgy （PM） steel was prepared by the combination of high-energy ball milling and subsequent hot pressing of elemental mixed powders of Fe-10Cr-1Cu-1Ni-1Mo-2C by mass with the addition of NbC particles. A 40-h milling pretreatment makes the powder particles nearly equiaxed with an average diameter of-8 μm, and the ferrite grain size is refined to -6 nm. The sintered density reaches 99.0%-99.7% of the theoretical value when the sintering is conducted at temperatures greater than 1000℃ for 30 min. In the sintered bulk specimens, the formation of an in situ M7C3 （M = Cr, Fe, Mo） phase is confirmed. MTC3 carbides with several hundred nanometers in size are uniformly distributed in the matrix. Some ultra-fine second phases of 50-200 nm form around the ex situ NbC and in situ M7C3 particles. The sintered steel exhibits an excellent combination of hardness （〉 Hv 500） and compressive strength （2100-2420 MPa）.展开更多
BACKGROUND This study was designed to investigate the clinical outcomes of enhanced recovery after surgery(ERAS)in the perioperative period in elderly patients with nonsmall cell lung cancer(NSCLC).AIM To investigate ...BACKGROUND This study was designed to investigate the clinical outcomes of enhanced recovery after surgery(ERAS)in the perioperative period in elderly patients with nonsmall cell lung cancer(NSCLC).AIM To investigate the potential enhancement of video-assisted thoracic surgery(VATS)in postoperative recovery in elderly patients with NSCLC.METHODS We retrospectively analysed the clinical data of 85 elderly NSCLC patients who underwent ERAS(the ERAS group)and 327 elderly NSCLC patients who received routine care(the control group)after VATS at the Department of Thoracic Surgery of Peking University Shenzhen Hospital between May 2015 and April 2017.After propensity score matching of baseline data,we analysed the postoperative stay,total hospital expenses,postoperative 48-h pain score,and postoperative complication rate for the 2 groups of patients who underwent lobectomy or sublobar resection.RESULTS After propensity score matching,ERAS significantly reduced the postoperative hospital stay(6.96±4.16 vs 8.48±4.18 d,P=0.001)and total hospital expenses(48875.27±18437.5 vs 55497.64±21168.63 CNY,P=0.014)and improved the satisfaction score(79.8±7.55 vs 77.35±7.72,P=0.029)relative to those for routine care.No significant between-group difference was observed in postoperative 48-h pain score(4.68±1.69 vs 5.28±2.1,P=0.090)or postoperative complication rate(21.2%vs 27.1%,P=0.371).Subgroup analysis showed that ERAS significantly reduced the postoperative hospital stay and total hospital expenses and increased the satisfaction score of patients who underwent lobectomy but not of patients who underwent sublobar resection.CONCLUSION ERAS effectively reduced the postoperative hospital stay and total hospital expenses and improved the satisfaction score in the perioperative period for elderly NSCLC patients who underwent lobectomy but not for patients who underwent sublobar resection.展开更多
In high-altitude nuclear detonations,the proportion of pulsed X-ray energy can exceed 70%,making it a specific monitoring signal for such events.These pulsed X-rays can be captured using a satellite-borne X-ray detect...In high-altitude nuclear detonations,the proportion of pulsed X-ray energy can exceed 70%,making it a specific monitoring signal for such events.These pulsed X-rays can be captured using a satellite-borne X-ray detector following atmospheric transmission.To quantitatively analyze the effects of different satellite detection altitudes,burst heights,and transmission angles on the physical processes of X-ray transport and energy fluence,we developed an atmospheric transmission algorithm for pulsed X-rays from high-altitude nuclear detonations based on scattering correction.The proposed method is an improvement over the traditional analytical method that only computes direct-transmission X-rays.The traditional analytical method exhibits a maximum relative error of 67.79% compared with the Monte Carlo method.Our improved method reduces this error to within 10% under the same conditions,even reaching 1% in certain scenarios.Moreover,its computation time is 48,000 times faster than that of the Monte Carlo method.These results have important theoretical significance and engineering application value for designing satellite-borne nuclear detonation pulsed X-ray detectors,inverting nuclear detonation source terms,and assessing ionospheric effects.展开更多
A novel micro-nano Ti−10Cu−10Ni−8Al−8Nb−4Zr−1.5Hf filler was used to vacuum braze Ti−47Al−2Nb−2Cr−0.15B alloy at 1160−1220℃ for 30 min.The interfacial microstructure and formation mechanism of TiAl joints and the rel...A novel micro-nano Ti−10Cu−10Ni−8Al−8Nb−4Zr−1.5Hf filler was used to vacuum braze Ti−47Al−2Nb−2Cr−0.15B alloy at 1160−1220℃ for 30 min.The interfacial microstructure and formation mechanism of TiAl joints and the relationships among brazing temperature,interfacial microstructure and joint strength were emphatically investigated.Results show that the TiAl joints brazed at 1160 and 1180℃ possess three interfacial layers and mainly consist of α_(2)-Ti_(3)Al,τ_(3)-Al_(3)NiTi_(2) and Ti_(2)Ni,but the brazing seams are no longer layered and Ti_(2)Ni is completely replaced by the uniformly distributed τ_(3)-Al_(3)NiTi_(2) at 1200 and 1220℃ due to the destruction of α_(2)-Ti_(3)Al barrier layer.This transformation at 1200℃ obviously improves the tensile strength of the joint and obtains a maximum of 343 MPa.Notably,the outward diffusion of Al atoms from the dissolution of TiAl substrate dominates the microstructure evolution and tensile strength of the TiAl joint at different brazing temperatures.展开更多
BACKGROUND Elderly giant retrosternal thyroid goiter is a rare yet significant medical condition,often presenting clinical symptoms that can be confused with other diseases,posing diagnostic and therapeutic challenges...BACKGROUND Elderly giant retrosternal thyroid goiter is a rare yet significant medical condition,often presenting clinical symptoms that can be confused with other diseases,posing diagnostic and therapeutic challenges.This study aims to delve into the characteristics and potential mechanisms of this ailment through pathological diagnosis and immunohistochemical analysis,providing clinicians with more precise diagnostic and treatment strategies.A 77-year-old male,was admitted to hospital with the chief complaint of finding a goiter in the semilunar month during physical examination,accompanied by dyspnea.Locally protruding into the superior mediastinum,the adjacent structure was compressed,the trachea was compressed to the right,and the local lumen was slightly narrowed.The patient was diagnosed with giant retrosternal goiter.Considering dyspnea caused by trachea compression,our department planned to perform giant retrosternal thyroidectomy.Immunohistochemical results:Tg(+),TTF-1(+),Calcitonin(CT)(I),Ki-67(+,about 20%),CD34(-).Retrosternal goiter means that more than 50%of the volume of the thyroid gland is below the upper margin of the sternum.As retrosternal goiter disease is a relatively rare disease,once the disease is diagnosed,it should be timely surgical treatment,and the treatment is more difficult,the need for professional medical team for comprehensive treatment.CONCLUSION The imaging manifestations of giant retrosternal goiter are atypical,histomorphology and immunohistochemistry can assist in its diagnosis.This article reviews the relevant literature of giant retrosternal goiter immunohisto-chemistry and shows that giant retrosternal goiter is positive for Tg,TTF-1,and Ki-67.展开更多
The influence of brazing temperature and brazing time on the microstructure and shear strength ofγ-TiAl/GH536 joints brazed with Ti-Zr-Cu-Ni-Fe-Co-Mo filler was investigated using SEM,EDS,XRD and universal testing ma...The influence of brazing temperature and brazing time on the microstructure and shear strength ofγ-TiAl/GH536 joints brazed with Ti-Zr-Cu-Ni-Fe-Co-Mo filler was investigated using SEM,EDS,XRD and universal testing machine.Results show that all the brazed joints mainly consist of four reaction layers regardless of the brazing temperature and brazing time.The thickness of the brazed seam and the average shear strength of the joint increase firstly and then decrease with brazing temperature in the range of 1090-1170℃and brazing time varying from 0 to 20 min.The maximum shear strength of 262 MPa is obtained at 1150℃for 10 min.The brittle Al3NiTi2 and TiNi3 intermetallics are the main controlling factors for the crack generation and deterioration of joint strength.The fracture surface is characterized as typical cleavage fracture and it mainly consists of massive brittle Al3NiTi2 intermetallics.展开更多
BACKGROUND A 63-year-old female was diagnosed with acute Stanford type A aortic dissection.The patient had pain in the chest and back for 1 wk.The computed tomography angiography(CTA)showed Stanford type A aortic diss...BACKGROUND A 63-year-old female was diagnosed with acute Stanford type A aortic dissection.The patient had pain in the chest and back for 1 wk.The computed tomography angiography(CTA)showed Stanford type A aortic dissection(Myla type III aortic arch).The intimal tear was located at the top of the aortic arch and retrograded to the ascending aorta.CASE SUMMARY Preoperatively,a three-dimensional(3D)-printed model of the aortic arch was made according to CTA data.Then,under the guidance of the 3D-printed aortic model,a pre-fenestrated stent-graft was customized,and the diameter of the stent-graft was reduced intraoperatively by surgeons.3D printing,triple prefenestration,and reduced diameter techniques were used during the surgery.The CTA examinations were performed at the 3rd mo and 1st year after the surgery;the results showed that the aortic dissection was repaired without endoleak,and all three branches of the aortic arch remained unobstructed.CONCLUSION Applying the triple pre-fenestration technique for aortic arch lesions was feasible and minimally invasive in our case.The technique provides a new avenue for thoracic endovascular aortic repair of Stanford type A aortic dissection.展开更多
Objective:To construct the tissue engineering seed cell(HaCaT cell line) with stable expression of the human epidermal growth factor(EGF),and analyze the changes of its biological characteristics.Methods:PCDNA3.1-EGF ...Objective:To construct the tissue engineering seed cell(HaCaT cell line) with stable expression of the human epidermal growth factor(EGF),and analyze the changes of its biological characteristics.Methods:PCDNA3.1-EGF eukaryotic expression vector was transferred into HaCaT cell,and G418 was utilized to select the HaCaT-EGF cell line.Using an inverted microscope,PCR,ELISA method to detect the changes of the cell morphology,the expression of the ECF gene and protein,and the mRNA expression levels of apoptosis related molecule Caspase-3,the cell cycle related protein cyclin D1.Results:The mRNA expression levels of the obtained HaCaT-ECF cell were more than 100 times higher than the level of ordinary HaCaT cell.The colony of the HaCaT-EGF cells was more focused and tight compared to the empty vector transfected HaCaT cells and normal HaCaT cells.The expression levels of apoptotic factor Caspase-3 and cyclin Dt in HaCaT-EGF cell were significantly higher than those in the empty vector HaCaT- pcDNA3.1 cell,and the differences were statistically significant(P<0.01),but there was no significant difference compared to the normal HaCaT cells(P>0.05).Conclusions: HaCaT-EGF cell can continuously secrete ECF,and the biological characteristic is stable.It can be used for tissue engineering experiment and is an ideal seed cell for constructing tissue engineered skin.展开更多
BACKGROUND A 46-year-old male underwent ascending aortic replacement,total arch replacement,and descending aortic stent implantation for Stanford type A aortic dissection in 2016.However,an intraoperative stent-graft ...BACKGROUND A 46-year-old male underwent ascending aortic replacement,total arch replacement,and descending aortic stent implantation for Stanford type A aortic dissection in 2016.However,an intraoperative stent-graft was deployed in the false lumen inadvertently.This caused severe iatrogenic thoracic and abdominal aortic dissection,and the dissection involved many visceral arteries.CASE SUMMARY The patient had pain in the chest and back for 1 mo.A computed tomography scan showed that the patient had secondary thoracic and abdominal aortic dissection.The ascending aortic replacement,total arch replacement,and descending aortic stent implantation for Stanford type A aortic dissection were performed 2 years prior.An intraoperative stent-graft was deployed in the false lumen.Endovascular aneurysm repair was performed to address this intractable situation.An occluder was used to occlude the proximal end of the true lumen,and a covered stent was used to direct blood flow back to the true lumen.A three-dimensional printing technique was used in this operation to guide prefenestration.The computed tomography scan at the 1stmo after surgery showed that the thoracic and abdominal aortic dissection was repaired,with all visceral arteries remaining patent.The patient did not develop renal failure or neurological complications after surgery.CONCLUSION The total endovascular repair for false lumen stent-graft implantation was feasible and minimally invasive.Our procedures provided a new solution for stent-graft deployed in the false lumen,and other departments may be inspired by this case when they need to rescue a disastrous stent implantation.展开更多
The canonical transient receptor potential channel(TRPC)proteins form Ca^(2+)-permeable cation channels that are involved in various heart diseases.However,the roles of specific TRPC proteins in myocardial ischemia/re...The canonical transient receptor potential channel(TRPC)proteins form Ca^(2+)-permeable cation channels that are involved in various heart diseases.However,the roles of specific TRPC proteins in myocardial ischemia/reperfusion(I/R)injury remain poorly understood.We observed that TRPC1 and TRPC6 were highly expressed in the area at risk(AAR)in a coronary artery ligation induced I/R model.Trpc1/mice exhibited improved cardiac function,lower serum Troponin T and serum creatine kinase level,smaller infarct volume,less fibrotic scars,and fewer apoptotic cells after myocardial-I/R than wild-type or Trpc6/mice.Cardiomyocyte-specific knockdown of Trpc1 using adeno-associated virus 9 mitigated myocardial I/R injury.Furthermore,Trpc1 deficiency protected adult mouse ventricular myocytes(AMVMs)and HL-1 cells from death during hypoxia/reoxygenation(H/R)injury.RNA-sequencing-based transcriptome analysis revealed differential expression of genes related to reactive oxygen species(ROS)generation in Trpc1/cardiomyocytes.Among these genes,oxoglutarate dehydrogenase-like(Ogdhl)was markedly downregulated.Moreover,Trpc1 deficiency impaired the calcineurin(CaN)/nuclear factorkappa B(NF-kB)signaling pathway in AMVMs.Suppression of this pathway inhibited Ogdhl upregulation and ROS generation in HL-1 cells under H/R conditions.Chromatin immunoprecipitation assays confirmed NF-kB binding to the Ogdhl promoter.The cardioprotective effect of Trpc1 deficiency was canceled out by overexpression of NF-kB and Ogdhl in cardiomyocytes.In conclusion,our findings reveal that TRPC1 is upregulated in the AAR following myocardial I/R,leading to increased Ca^(2+) influx into associated cardiomyocytes.Subsequently,this upregulates Ogdhl expression through the CaN/NF-kB signaling pathway,ultimately exacerbating ROS production and aggravating myocardial I/R injury.展开更多
Pollen records of two swamp sections, located at Taibai Mountain, the highest peak in the Qinling Mountains of central China, show variations of vegetation and climate for the last 3 500 cal BP. The pollen assemblage ...Pollen records of two swamp sections, located at Taibai Mountain, the highest peak in the Qinling Mountains of central China, show variations of vegetation and climate for the last 3 500 cal BP. The pollen assemblage at the Foyechi and Sanqingchi sections and the surface soil pollen allowed us to reconstruct a high-altitude vegetation history at Taibai Mountain for the first time. The data indicated that there was a cold-dry climate interval between 3 500 and 3 080 cal BP and a relatively warm and wet period compared with the present from 3 080 to 1 860 cal BE The warmest period in the late Holocene on Taibai Mountain was from 1 430 to 730 cal BP, with an approximate 2 ~C increase in mean annual temperature compared with today. There was a relatively cool-dry climate interval from 730 to 310 cal BE After 310 cal BE a mountain tundra vegetation developed again and the position of the modern tree line was established.展开更多
Background：Sarpogrelate is a selective 5-hydroxytryptamine （5-HT） receptor subtype 2A antagonist which blocks 5-HT induced platelet aggregation and proliferation of vascular smooth muscle cells.We compared the effi...Background：Sarpogrelate is a selective 5-hydroxytryptamine （5-HT） receptor subtype 2A antagonist which blocks 5-HT induced platelet aggregation and proliferation of vascular smooth muscle cells.We compared the efficacy of sarpogrelate-based dual antiplatelet therapies for the prevention of restenosis and target lesion revascularization （TLR） rates comparing with that of clopidogrel after percutaneous endovascular interventions （EVIs） of femoropopliteal （FP） arterial lesions.Methods：This prospective,multicenter,randomized clinical trial recruited a total of 120 patients with successful EVI of FP lesions at seven centers across China between January 2011 and June 2012.Patients were randomized to receive either sarpogrelate （100 mg trice daily for 6 months,n =63） or clopidogrel （75 mg once daily for 6 months,n =57）.All patients also received oral aspirin （100 mg once daily for 12 months）.Clinical follow-up was conducted up to 12 months postprocedure.Results：There was no significant difference between the two groups in basic demographic data.The restenosis rate was higher in the clopidogrel group （22.80%） than in sarpogrelate group （17.50%）,but there was no significant difference between these two groups （P =0.465）.The TLR rate,ipsilateral amputation rate,mortality in all-cause and bleeding rate were also similar in the two groups （P 〉 0.05）.Conclusions：Aspirin plus sarpogrelate is a comparable antithrombotic regimen to aspirin plus clopidogrel after EVI of FP arterial lesions.Dual antiplatelet therapies might play an important role in preventing restenosis after successful EVI of FP lesions.展开更多
This study aims at preparing water soluble aspartic acid （ASP） modified CdTe quantum dots with tunable fluorescence emission controlled by reaction time. The size of the synthesized CdTe quantum dots was evaluated u...This study aims at preparing water soluble aspartic acid （ASP） modified CdTe quantum dots with tunable fluorescence emission controlled by reaction time. The size of the synthesized CdTe quantum dots was evaluated using transmission electron microscope （TEM） and also calculated based on their UV-vis spectra. The optical properties of TGA-CdTe quantum dots were characterized by UV-vis and fluorescence （FL） spectroscopy. The red-shift in the UV-vis absorption and FL emission with the increase of reaction time was observed. The biocompatibility examination indicated that the ASP modified CdTe QDs had low cytotoxicity.展开更多
基金Supported by China Scholarship Council,No.202406210298the Scientific Research Project of the Education Department of Anhui Province,No.YJS20210324+1 种基金the Research and Development of Intelligent Surgical Navigation and Operating System for Precise Liver Resection,No.2022ZLA006the National Natural Science Foundation of China,No.81972829.
文摘BACKGROUND Mucosal adenocarcinoma of the descending duodenum is a very rare gastroin-testinal tumor.Due to its low incidence,it has rarely been the focus of clinical and pathological studies.The clinical manifestations of these tumors are usually nonspecific,and they are easily misdiagnosed or missed.Pathological diagnosis is the gold standard for diagnosis,but due to the small number of cases,the relevant pathological characteristics and diagnostic criteria are not completely clear.The purpose of this study was to deepen the understanding of the diagnosis and treatment of this disease and to provide a clinical guidance.CASE SUMMARY A 61-year-old woman who was hospitalized with recurrent abdominal pain for more than 20 days.The patient developed epigastric pain with no obvious cause more than 20 days prior,mainly left epigastric pain and middle epigastric pain,and presented persistent dull pain without nausea or vomiting,fever or chills.The patient was treated at a local hospital,gastroscopy revealed a new lesion in the circum-intestinal cavity in the descending part of the duodenum,and pathological biopsy revealed mucous adenocarcinoma in the descending part of the duode-num.Currently,for further diagnosis and treatment,the patient is admitted to our hospital for surgical treatment for“malignant tumor of the duodenum”in the outpatient department.CONCLUSION Mucosal adenocarcinoma of the descending duodenum has a high misdiagnosis rate and missed diagnosis rate,clinical manifestations lack specificity,and pathological diagnosis is the main basis for diagnosis.
基金Supported by the Shaanxi Provincial Key Research and Development Plan Project,No.2020ZDLSF01-02.
文摘BACKGROUND At present,the conventional methods for diagnosing cerebral edema in clinical practice are computed tomography(CT)and magnetic resonance imaging(MRI),which can evaluate the location and degree of peripheral cerebral edema,but cannot realize quantification.When patients have symptoms of diffuse cerebral edema or high cranial pressure,CT or MRI often suggests that cerebral edema is lagging and cannot be dynamically monitored in real time.Intracranial pressure monitoring is the gold standard,but it is an invasive operation with high cost and complications.For clinical purposes,the ideal cerebral edema monitoring should be non-invasive,real-time,bedside,and continuous dynamic monitoring.The dis-turbance coefficient(DC)was used in this study to dynamically monitor the occu-rrence,development,and evolution of cerebral edema in patients with cerebral hemorrhage in real time,and review head CT or MRI to evaluate the development of the disease and guide further treatment,so as to improve the prognosis of patients with cerebral hemorrhage.AIM To offer a promising new approach for non-invasive adjuvant therapy in cerebral edema treatment.METHODS A total of 160 patients with hypertensive cerebral hemorrhage admitted to the Department of Neurosurgery,Second Affiliated Hospital of Xi’an Medical University from September 2018 to September 2019 were recruited.The patients were randomly divided into a control group(n=80)and an experimental group(n=80).Patients in the control group received conventional empirical treatment,while those in the experimental group were treated with mannitol dehydration under the guidance of DC.Subsequently,we compared the two groups with regards to the total dosage of mannitol,the total course of treatment,the incidence of complications,and prognosis.RESULTS The mean daily consumption of mannitol,the total course of treatment,and the mean hospitalization days were 362.7±117.7 mL,14.8±5.2 days,and 29.4±7.9 in the control group and 283.1±93.6 mL,11.8±4.2 days,and 23.9±8.3 in the experimental group(P<0.05).In the control group,there were 20 patients with pulmonary infection(25%),30 with electrolyte disturbance(37.5%),20 with renal impairment(25%),and 16 with stress ulcer(20%).In the experimental group,pulmonary infection occurred in 18 patients(22.5%),electrolyte disturbance in 6(7.5%),renal impairment in 2(2.5%),and stress ulcers in 15(18.8%)(P<0.05).According to the Glasgow coma scale score 6 months after discharge,the prognosis of the control group was good in 20 patients(25%),fair in 26(32.5%),and poor in 34(42.5%);the prognosis of the experimental group was good in 32(40%),fair in 36(45%),and poor in 12(15%)(P<0.05).CONCLUSION Using DC for non-invasive dynamic monitoring of cerebral edema demonstrates considerable clinical potential.It reduces mannitol dosage,treatment duration,complication rates,and hospital stays,ultimately lowering hospital-ization costs.Additionally,it improves overall patient prognosis,offering a promising new approach for non-invasive adjuvant therapy in cerebral edema treatment.
基金Foundation item:Project(51865012)supported by the National Natural Science Foundation of ChinaProject(2016005)supported by the Open Foundation of National Engineering Research Center of Near-net-shape Forming for Metallic Materials,China+2 种基金Project(GJJ170372)supported by the Science Foundation of Educational Department of Jiangxi Province,ChinaProject(JCKY2016603C003)supported by the GF Basic Research Project,ChinaProject(JPPT125GH038)supported by the Research Project of Special Furnishment and Part,China
文摘Ti-47Al-2Nb-2Cr-0.15B(mole fraction,%)alloy was vacuum brazed with amorphous and crystalline Ti.25Zr-12.5Cu-12.5Ni-3.0Co-2.0Mo(mass fraction,%)filler alloys,and the melting,spreading and gap filling behaviors of the amorphous and crystalline filler alloys as well as the joints brazed with them were investigated in details.Results showed that the amorphous filler alloy possessed narrower melting temperature interval,lower liquidus temperature and melting active energy compared with the crystalline filler alloy,and it also exhibited better brazeability on the surface of the Ti.47Al.2Nb.2Cr.0.15B alloy.The TiAl joints brazed with crystalline and amorphous filler alloys were composed of two interfacial reaction layers and a central brazed layer.Under the same conditions,the tensile strength of the joint brazed with the amorphous filler alloy was always higher than that with the crystalline filler alloy.The maxmium tensile strength of the joint brazed at 1273 K with the amorphous filler alloy reached 254 MPa.
基金Project(51775023)supported by the National Natural Science Foundation of ChinaProject(YWF-18-BJ-J-75)supported by the Fundamental Research Funds for the Central Universities,China
文摘The influence of initial groove angle on strain rate inside and outside groove of Ti6Al4V alloy was investigated.Based on the evolution of strain rate inside and outside groove,the effect of strain rate difference on the evolution of normal stress and effective stress inside and outside groove was also analyzed.The results show that when linear loading path changes from uniaxial tension to equi-biaxial tension,the initial groove angle plays a weaker role in the evolution of strain rate in the M-K model.Due to the constraint of force equilibrium between inside and outside groove,the strain rate difference makes the normal stress inside groove firstly decrease and then increase during calculation,which makes the prediction algorithm of forming limit convergent at elevated temperature.The decrease of normal stress inside groove is mainly caused by high temperature softening effect and the rotation of groove,while the increase of normal stress inside groove is mainly due to strain rate hardening effect.
基金Project(9140A18070114JW16001)supported by the Advanced Research Fund of Department of Defense,ChinaProject(2014M562171)supported by the China Postdoctoral Science Foundation
文摘95W?3.4Ni?1.6Fe heavy alloy was carburized by pack carburization. Microstructure and hardness of the carburized alloywere investigated by SEM, EDS XRD. Effect of carburization on the rolling contact fatigue (RCF) property of the alloy was studied.The results showed that the carburized layer was composed of the outer, porous WC layer and the modified subsurface layer witheach W grain surrounded by a WC shell. Carburization not only decreased the RCF performance of the alloy but also aggravated thewear of the counter balls. The untreated alloy was damaged by two modes of spalling and delamination under RCF condition. Thesubsurface main crack of the untreated alloy initiated where the maximum shear stress existed and preferentially propagated alongthe W?W interfaces. Spalling was the main failure mode of the carburized alloys, and the crumbling WC particles intensified theabrasion of the carburized surface.
基金the National Natural Science Foundation of China,No.81972829.
文摘BACKGROUND Minute Pulmonary Meningothelial-like Nodules(MPMNs)are rare benign pulmonary nodules,which are more common in elderly women and have a higher detection rate in lung tissues of patients with lung malignant diseases.Its origin is not yet clear.At present,there are few reports on the diagnostic methods such as imaging and pathological manifestations of MPMNs.This article reports a 70-year-old female patient with pulmonary adenocarcinoma combined with MPMNs and reviews of the relevant literature.CASE SUMMARY A 70-year-old women was admitted to our institution with feeling sour in her back and occasional cough for more than 2 mo.Computerized electronic scanning scan and 3D reconstruction images in our institution showed there were multiple ground-glass nodules in both of her two lungs.The biggest one was in the apicoposterior segment of left upper lobe,about 2.5 mm×9 mm in size.We performed thoracoscopic resection of the left upper lung apicoposterior segment of the patient,and the final pathological report was minimally invasive adenocarcinoma.Re-examination of high resolution computed tomography 21 mo after surgery showed multiple ground-glass nodules in both lungs,and a new groundglass nodule was found in the superior segment of the right lower lobe.We took pathological biopsy of the right upper lung and right lower lung nodules for the patient under thoracoscopy.The histomorphology of the right lower lobe nodule showed multiple lesions in the lung tissue,and the small foci in the alveolar septum were distributed in mild form of the aggregation of short spindle cells.The immunohistochemistry showed that the lesion was epithelial membrane antigen(EMA)(+),somatostatin receptor 2a(SSTR2a)(+),S-100(-),chromogranin A(-),Syn(-),cytokeratin(-)and HMB-45(-).The final diagnosis was minimally invasive adenocarcinoma,accompanied by MPMNs.We recommend that patients continue to receive treatment after surgery and to do regular follow-up observations.CONCLUSION The imaging manifestations of MPMNs are atypical,histomorphology and immunohistochemistry can assist in its diagnosis.This article reviews the relevant literature of MPMNs immunohistochemistry and shows that MPMNs are positive for EMA,SSTR2a,and progesterone receptor.
基金financially supported by the Key Technology R&D Program of the Ministry of Education of China(No.62501036011)the Fundamental Research Funds for the Central Universities of China(No.2012ZG0006)
文摘An in situ and ex situ reinforced powder metallurgy （PM） steel was prepared by the combination of high-energy ball milling and subsequent hot pressing of elemental mixed powders of Fe-10Cr-1Cu-1Ni-1Mo-2C by mass with the addition of NbC particles. A 40-h milling pretreatment makes the powder particles nearly equiaxed with an average diameter of-8 μm, and the ferrite grain size is refined to -6 nm. The sintered density reaches 99.0%-99.7% of the theoretical value when the sintering is conducted at temperatures greater than 1000℃ for 30 min. In the sintered bulk specimens, the formation of an in situ M7C3 （M = Cr, Fe, Mo） phase is confirmed. MTC3 carbides with several hundred nanometers in size are uniformly distributed in the matrix. Some ultra-fine second phases of 50-200 nm form around the ex situ NbC and in situ M7C3 particles. The sintered steel exhibits an excellent combination of hardness （〉 Hv 500） and compressive strength （2100-2420 MPa）.
基金the financial support from the National Natural Science Foundation of China(Nos.52172067,92160202)Natural Science Foundation of Guangdong Province,China(Nos.2021B1515020038,2020B1515020036)+1 种基金Guangdong Special Support Program,China(No.2019BT02C629)Guangdong Academy of Sciences Program,China(No.2020GDASYL20200104030)。
基金Supported by the Scientific Research Foundation of Peking University Shenzhen Hospital,No.KYQD2021096the National Natural Science Foundation of China,No.81972829Precision Medicine Research Program of Tsinghua University,No.2022ZLA006.
文摘BACKGROUND This study was designed to investigate the clinical outcomes of enhanced recovery after surgery(ERAS)in the perioperative period in elderly patients with nonsmall cell lung cancer(NSCLC).AIM To investigate the potential enhancement of video-assisted thoracic surgery(VATS)in postoperative recovery in elderly patients with NSCLC.METHODS We retrospectively analysed the clinical data of 85 elderly NSCLC patients who underwent ERAS(the ERAS group)and 327 elderly NSCLC patients who received routine care(the control group)after VATS at the Department of Thoracic Surgery of Peking University Shenzhen Hospital between May 2015 and April 2017.After propensity score matching of baseline data,we analysed the postoperative stay,total hospital expenses,postoperative 48-h pain score,and postoperative complication rate for the 2 groups of patients who underwent lobectomy or sublobar resection.RESULTS After propensity score matching,ERAS significantly reduced the postoperative hospital stay(6.96±4.16 vs 8.48±4.18 d,P=0.001)and total hospital expenses(48875.27±18437.5 vs 55497.64±21168.63 CNY,P=0.014)and improved the satisfaction score(79.8±7.55 vs 77.35±7.72,P=0.029)relative to those for routine care.No significant between-group difference was observed in postoperative 48-h pain score(4.68±1.69 vs 5.28±2.1,P=0.090)or postoperative complication rate(21.2%vs 27.1%,P=0.371).Subgroup analysis showed that ERAS significantly reduced the postoperative hospital stay and total hospital expenses and increased the satisfaction score of patients who underwent lobectomy but not of patients who underwent sublobar resection.CONCLUSION ERAS effectively reduced the postoperative hospital stay and total hospital expenses and improved the satisfaction score in the perioperative period for elderly NSCLC patients who underwent lobectomy but not for patients who underwent sublobar resection.
文摘In high-altitude nuclear detonations,the proportion of pulsed X-ray energy can exceed 70%,making it a specific monitoring signal for such events.These pulsed X-rays can be captured using a satellite-borne X-ray detector following atmospheric transmission.To quantitatively analyze the effects of different satellite detection altitudes,burst heights,and transmission angles on the physical processes of X-ray transport and energy fluence,we developed an atmospheric transmission algorithm for pulsed X-rays from high-altitude nuclear detonations based on scattering correction.The proposed method is an improvement over the traditional analytical method that only computes direct-transmission X-rays.The traditional analytical method exhibits a maximum relative error of 67.79% compared with the Monte Carlo method.Our improved method reduces this error to within 10% under the same conditions,even reaching 1% in certain scenarios.Moreover,its computation time is 48,000 times faster than that of the Monte Carlo method.These results have important theoretical significance and engineering application value for designing satellite-borne nuclear detonation pulsed X-ray detectors,inverting nuclear detonation source terms,and assessing ionospheric effects.
基金the National Natural Science Foundation of China(No.51865012)the Natural Science Foundation of Jiangxi Province,China(No.20202BABL204040)+3 种基金the Open Foundation of National Engineering Research Center of Near-net-shape Forming for Metallic Materials,China(No.2016005)the Science Foundation of Educational Department of Jiangxi Province,China(No.GJJ170372)the GF Basic Scientific Research Project,China(No.JCKY2020205C002)the Civil Population Supporting Planning and Development Project,China(No.JPPT125GH038).
文摘A novel micro-nano Ti−10Cu−10Ni−8Al−8Nb−4Zr−1.5Hf filler was used to vacuum braze Ti−47Al−2Nb−2Cr−0.15B alloy at 1160−1220℃ for 30 min.The interfacial microstructure and formation mechanism of TiAl joints and the relationships among brazing temperature,interfacial microstructure and joint strength were emphatically investigated.Results show that the TiAl joints brazed at 1160 and 1180℃ possess three interfacial layers and mainly consist of α_(2)-Ti_(3)Al,τ_(3)-Al_(3)NiTi_(2) and Ti_(2)Ni,but the brazing seams are no longer layered and Ti_(2)Ni is completely replaced by the uniformly distributed τ_(3)-Al_(3)NiTi_(2) at 1200 and 1220℃ due to the destruction of α_(2)-Ti_(3)Al barrier layer.This transformation at 1200℃ obviously improves the tensile strength of the joint and obtains a maximum of 343 MPa.Notably,the outward diffusion of Al atoms from the dissolution of TiAl substrate dominates the microstructure evolution and tensile strength of the TiAl joint at different brazing temperatures.
基金Supported by the Scientific Research Foundation of Peking University Shenzhen Hospital,No.KYQD202100Xthe National Natural Science Foundation of China,No.81972829and Precision Medicine Research Program of Tsinghua University,No.2022ZLA006。
文摘BACKGROUND Elderly giant retrosternal thyroid goiter is a rare yet significant medical condition,often presenting clinical symptoms that can be confused with other diseases,posing diagnostic and therapeutic challenges.This study aims to delve into the characteristics and potential mechanisms of this ailment through pathological diagnosis and immunohistochemical analysis,providing clinicians with more precise diagnostic and treatment strategies.A 77-year-old male,was admitted to hospital with the chief complaint of finding a goiter in the semilunar month during physical examination,accompanied by dyspnea.Locally protruding into the superior mediastinum,the adjacent structure was compressed,the trachea was compressed to the right,and the local lumen was slightly narrowed.The patient was diagnosed with giant retrosternal goiter.Considering dyspnea caused by trachea compression,our department planned to perform giant retrosternal thyroidectomy.Immunohistochemical results:Tg(+),TTF-1(+),Calcitonin(CT)(I),Ki-67(+,about 20%),CD34(-).Retrosternal goiter means that more than 50%of the volume of the thyroid gland is below the upper margin of the sternum.As retrosternal goiter disease is a relatively rare disease,once the disease is diagnosed,it should be timely surgical treatment,and the treatment is more difficult,the need for professional medical team for comprehensive treatment.CONCLUSION The imaging manifestations of giant retrosternal goiter are atypical,histomorphology and immunohistochemistry can assist in its diagnosis.This article reviews the relevant literature of giant retrosternal goiter immunohisto-chemistry and shows that giant retrosternal goiter is positive for Tg,TTF-1,and Ki-67.
基金Project(51865012)supported by the National Natural Science Foundation of ChinaProject(20202BABL204040)supported by the Natural Science Foundation of Jiangxi Province,China+3 种基金Project(2016005)supported by the Open Foundation of National Engineering Research Center of Near-net-shape Forming for Metallic Materials,ChinaProject(GJJ170372)supported by the Science Foundation of Educational Department of Jiangxi Province,ChinaProject(JCKY2016603C003)supported by the GF Basic Research Project,ChinaProject(JPPT125GH038)supported by the Research Project of Special Furnishment and Part,China。
文摘The influence of brazing temperature and brazing time on the microstructure and shear strength ofγ-TiAl/GH536 joints brazed with Ti-Zr-Cu-Ni-Fe-Co-Mo filler was investigated using SEM,EDS,XRD and universal testing machine.Results show that all the brazed joints mainly consist of four reaction layers regardless of the brazing temperature and brazing time.The thickness of the brazed seam and the average shear strength of the joint increase firstly and then decrease with brazing temperature in the range of 1090-1170℃and brazing time varying from 0 to 20 min.The maximum shear strength of 262 MPa is obtained at 1150℃for 10 min.The brittle Al3NiTi2 and TiNi3 intermetallics are the main controlling factors for the crack generation and deterioration of joint strength.The fracture surface is characterized as typical cleavage fracture and it mainly consists of massive brittle Al3NiTi2 intermetallics.
基金Jiangsu Provincial Medical Youth Talent Foundation,No.QXRC201621Outstanding Youth Project supported by Nanjing Medical Science and Technology Development Foundation,No.JQX17003and Social Development Program of Jiangsu Province,No.BE2019604.
文摘BACKGROUND A 63-year-old female was diagnosed with acute Stanford type A aortic dissection.The patient had pain in the chest and back for 1 wk.The computed tomography angiography(CTA)showed Stanford type A aortic dissection(Myla type III aortic arch).The intimal tear was located at the top of the aortic arch and retrograded to the ascending aorta.CASE SUMMARY Preoperatively,a three-dimensional(3D)-printed model of the aortic arch was made according to CTA data.Then,under the guidance of the 3D-printed aortic model,a pre-fenestrated stent-graft was customized,and the diameter of the stent-graft was reduced intraoperatively by surgeons.3D printing,triple prefenestration,and reduced diameter techniques were used during the surgery.The CTA examinations were performed at the 3rd mo and 1st year after the surgery;the results showed that the aortic dissection was repaired without endoleak,and all three branches of the aortic arch remained unobstructed.CONCLUSION Applying the triple pre-fenestration technique for aortic arch lesions was feasible and minimally invasive in our case.The technique provides a new avenue for thoracic endovascular aortic repair of Stanford type A aortic dissection.
基金This research work was funded by the National Natural Science Foundation of China(Grant No.30901562)
文摘Objective:To construct the tissue engineering seed cell(HaCaT cell line) with stable expression of the human epidermal growth factor(EGF),and analyze the changes of its biological characteristics.Methods:PCDNA3.1-EGF eukaryotic expression vector was transferred into HaCaT cell,and G418 was utilized to select the HaCaT-EGF cell line.Using an inverted microscope,PCR,ELISA method to detect the changes of the cell morphology,the expression of the ECF gene and protein,and the mRNA expression levels of apoptosis related molecule Caspase-3,the cell cycle related protein cyclin D1.Results:The mRNA expression levels of the obtained HaCaT-ECF cell were more than 100 times higher than the level of ordinary HaCaT cell.The colony of the HaCaT-EGF cells was more focused and tight compared to the empty vector transfected HaCaT cells and normal HaCaT cells.The expression levels of apoptotic factor Caspase-3 and cyclin Dt in HaCaT-EGF cell were significantly higher than those in the empty vector HaCaT- pcDNA3.1 cell,and the differences were statistically significant(P<0.01),but there was no significant difference compared to the normal HaCaT cells(P>0.05).Conclusions: HaCaT-EGF cell can continuously secrete ECF,and the biological characteristic is stable.It can be used for tissue engineering experiment and is an ideal seed cell for constructing tissue engineered skin.
基金Supported by National Natural Science Foundation of China,No.81600375
文摘BACKGROUND A 46-year-old male underwent ascending aortic replacement,total arch replacement,and descending aortic stent implantation for Stanford type A aortic dissection in 2016.However,an intraoperative stent-graft was deployed in the false lumen inadvertently.This caused severe iatrogenic thoracic and abdominal aortic dissection,and the dissection involved many visceral arteries.CASE SUMMARY The patient had pain in the chest and back for 1 mo.A computed tomography scan showed that the patient had secondary thoracic and abdominal aortic dissection.The ascending aortic replacement,total arch replacement,and descending aortic stent implantation for Stanford type A aortic dissection were performed 2 years prior.An intraoperative stent-graft was deployed in the false lumen.Endovascular aneurysm repair was performed to address this intractable situation.An occluder was used to occlude the proximal end of the true lumen,and a covered stent was used to direct blood flow back to the true lumen.A three-dimensional printing technique was used in this operation to guide prefenestration.The computed tomography scan at the 1stmo after surgery showed that the thoracic and abdominal aortic dissection was repaired,with all visceral arteries remaining patent.The patient did not develop renal failure or neurological complications after surgery.CONCLUSION The total endovascular repair for false lumen stent-graft implantation was feasible and minimally invasive.Our procedures provided a new solution for stent-graft deployed in the false lumen,and other departments may be inspired by this case when they need to rescue a disastrous stent implantation.
基金supported by the National Natural Science Foundation of China(Grant Nos.:81970245,82270357,and 81770432)the Scientific Research Project of Shaanxi Administration of Traditional Chinese Medicine,China(Grant Nos.:2021-04-ZZ-001,2021-QYPT-003,and 2022-SLRH-YQ-004)+1 种基金the Project of Science and Technology Department of Shaanxi Province in China(Project No.:2022YWZX-PG-01)the Natural Science Basic Research Program of Shaanxi Province in China(Grant No.:2023-JC-JQ-61).
文摘The canonical transient receptor potential channel(TRPC)proteins form Ca^(2+)-permeable cation channels that are involved in various heart diseases.However,the roles of specific TRPC proteins in myocardial ischemia/reperfusion(I/R)injury remain poorly understood.We observed that TRPC1 and TRPC6 were highly expressed in the area at risk(AAR)in a coronary artery ligation induced I/R model.Trpc1/mice exhibited improved cardiac function,lower serum Troponin T and serum creatine kinase level,smaller infarct volume,less fibrotic scars,and fewer apoptotic cells after myocardial-I/R than wild-type or Trpc6/mice.Cardiomyocyte-specific knockdown of Trpc1 using adeno-associated virus 9 mitigated myocardial I/R injury.Furthermore,Trpc1 deficiency protected adult mouse ventricular myocytes(AMVMs)and HL-1 cells from death during hypoxia/reoxygenation(H/R)injury.RNA-sequencing-based transcriptome analysis revealed differential expression of genes related to reactive oxygen species(ROS)generation in Trpc1/cardiomyocytes.Among these genes,oxoglutarate dehydrogenase-like(Ogdhl)was markedly downregulated.Moreover,Trpc1 deficiency impaired the calcineurin(CaN)/nuclear factorkappa B(NF-kB)signaling pathway in AMVMs.Suppression of this pathway inhibited Ogdhl upregulation and ROS generation in HL-1 cells under H/R conditions.Chromatin immunoprecipitation assays confirmed NF-kB binding to the Ogdhl promoter.The cardioprotective effect of Trpc1 deficiency was canceled out by overexpression of NF-kB and Ogdhl in cardiomyocytes.In conclusion,our findings reveal that TRPC1 is upregulated in the AAR following myocardial I/R,leading to increased Ca^(2+) influx into associated cardiomyocytes.Subsequently,this upregulates Ogdhl expression through the CaN/NF-kB signaling pathway,ultimately exacerbating ROS production and aggravating myocardial I/R injury.
基金国家重点基础研究发展计划(973计划)，中国科学院资助项目，the Knowledge Innovation Program of the Chinese Academy of Sciences
文摘Pollen records of two swamp sections, located at Taibai Mountain, the highest peak in the Qinling Mountains of central China, show variations of vegetation and climate for the last 3 500 cal BP. The pollen assemblage at the Foyechi and Sanqingchi sections and the surface soil pollen allowed us to reconstruct a high-altitude vegetation history at Taibai Mountain for the first time. The data indicated that there was a cold-dry climate interval between 3 500 and 3 080 cal BP and a relatively warm and wet period compared with the present from 3 080 to 1 860 cal BE The warmest period in the late Holocene on Taibai Mountain was from 1 430 to 730 cal BP, with an approximate 2 ~C increase in mean annual temperature compared with today. There was a relatively cool-dry climate interval from 730 to 310 cal BE After 310 cal BE a mountain tundra vegetation developed again and the position of the modern tree line was established.
文摘Background：Sarpogrelate is a selective 5-hydroxytryptamine （5-HT） receptor subtype 2A antagonist which blocks 5-HT induced platelet aggregation and proliferation of vascular smooth muscle cells.We compared the efficacy of sarpogrelate-based dual antiplatelet therapies for the prevention of restenosis and target lesion revascularization （TLR） rates comparing with that of clopidogrel after percutaneous endovascular interventions （EVIs） of femoropopliteal （FP） arterial lesions.Methods：This prospective,multicenter,randomized clinical trial recruited a total of 120 patients with successful EVI of FP lesions at seven centers across China between January 2011 and June 2012.Patients were randomized to receive either sarpogrelate （100 mg trice daily for 6 months,n =63） or clopidogrel （75 mg once daily for 6 months,n =57）.All patients also received oral aspirin （100 mg once daily for 12 months）.Clinical follow-up was conducted up to 12 months postprocedure.Results：There was no significant difference between the two groups in basic demographic data.The restenosis rate was higher in the clopidogrel group （22.80%） than in sarpogrelate group （17.50%）,but there was no significant difference between these two groups （P =0.465）.The TLR rate,ipsilateral amputation rate,mortality in all-cause and bleeding rate were also similar in the two groups （P 〉 0.05）.Conclusions：Aspirin plus sarpogrelate is a comparable antithrombotic regimen to aspirin plus clopidogrel after EVI of FP arterial lesions.Dual antiplatelet therapies might play an important role in preventing restenosis after successful EVI of FP lesions.
基金funded by the Danish Strategic Research Council(No.DSF-10-93456,FENAMI Project)the Fundamental Research Funds for the Central Universities(No.JUSRP1042)+2 种基金the Open Project Program of Key Laboratory of Eco-textiles,Ministry of Education,Jiangnan University(No.KLET1202)the National Natural Science Foundation of China under Grant No.31201134National High-tech R&D Program of China(863 Program,No. 2012AA030313)
文摘This study aims at preparing water soluble aspartic acid （ASP） modified CdTe quantum dots with tunable fluorescence emission controlled by reaction time. The size of the synthesized CdTe quantum dots was evaluated using transmission electron microscope （TEM） and also calculated based on their UV-vis spectra. The optical properties of TGA-CdTe quantum dots were characterized by UV-vis and fluorescence （FL） spectroscopy. The red-shift in the UV-vis absorption and FL emission with the increase of reaction time was observed. The biocompatibility examination indicated that the ASP modified CdTe QDs had low cytotoxicity.
