Objective To compare intra-pleural injection efficacy and safety between Endostar and bevacizumab combined with pemetrexed/cisplatin for the treatment of malignant pleural effusion in patients with epidermal growth fa...Objective To compare intra-pleural injection efficacy and safety between Endostar and bevacizumab combined with pemetrexed/cisplatin for the treatment of malignant pleural effusion in patients with epidermal growth factor receptor(EGFR)-/anaplastic lymphoma kinase(ALK)-lung adenocarcinoma. Methods Sixty-four pCVatients with EGFR-/ALK-lung adenocarcinoma with malignant pleural effusion(MPE) were admitted to the authors' hospital between January 2016 and June 2017. Patients were randomly divided into two groups: Endostar combined with pemetrexed/cisplatin(Endostar group); and bevacizumab plus pemetrexed/cisplatin(Bevacizumab group). They underwent thoracic puncture and catheterization, and MPE was drained as much as possible. Both groups were treated with pemetrexed 500 mg/m^2, intravenous drip(d1), cisplatin 37.5 mg/m^2 per time, intra-pleural injection(d1, d3). Patients in the Endostar group were treated with Endostar 30 mg per time, intra-pleural injection(d1, 3), and patients in the Bevacizumab group were treated with bevacizumab 5 mg/kg per time, intra-pleural injection(d1). Only one cycle of treatment was applied. MPE was extracted before treatment and on day 7 after treatment. The levels of vascular endothelial growth factor(VEGF) were determined using ELISA. Efficacy and side effects were evaluated according to the Response Evaluation Criteria in Solid Tumors(RECIST) version 1.1, and National Cancer Institute Common Terminology Criteria for Adverse Events(CTCAE) version 3.0 criteria. Results The objective response rates in the Endostar and Bevacizumab groups were 50.0% and 56.3%, respectively; there was no statistical difference between the groups(P > 0.05). After one cycle of treatment, the mean VEGF levels in MPE in both groups decreased significantly, and there was no significant difference in the degree of decline between the two groups(P > 0.05). In both groups, pre-treatment VEGF levels for patients achieving complete response were significantly higher than those for patients achieving stable disease + progressive disease(P < 0.05). No specific side effects were recorded. Conclusion Endostar and Bevacizumab demonstrated similar efficacy in controlling MPE in patients with EGFR-/ALK-lung adenocarcinoma through an anti-angiogenesis pathway, with tolerable side effects. The levels of VEGF in MPE could predict the efficacy of intra-pleural injection of anti-angiogenesis drugs.展开更多
BACKGROUND Intramuscular corticosteroid injection may cause adverse effects such as dermal and/or subcutaneous atrophy,alopecia,hypopigmentation,and hyperpigmentation.Although cutaneous atrophy can spontaneously resol...BACKGROUND Intramuscular corticosteroid injection may cause adverse effects such as dermal and/or subcutaneous atrophy,alopecia,hypopigmentation,and hyperpigmentation.Although cutaneous atrophy can spontaneously resolve,several treatment options have been suggested for this condition.CASE SUMMARY In this paper,we report a case of corticosteroid injection induced lipoatrophy treated with autologous whole blood(AWB)injection,as the condition had been unresponsive to fractional laser therapy.A 29-year-old female patient visited the dermatology clinic complaining of skin depression on her right buttock area,which had appeared six months earlier.There had been only subtle improvement at the margins after fractional CO_(2) laser treatment;therefore,after obtaining informed consent from the patient,AWB treatment was initiated.One month after the first AWB injection,the size and depth of the lesion had noticeably improved,and a slight improvement was also observed in discoloration.CONCLUSION Close observation is the initial treatment of choice for steroid induced skin atrophy;however,for patients in need of immediate cosmetic improvement,AWB injection may be a safe and cost-effective alternative.展开更多
Chronic migraine is a potentially debilitating condition that can be detrimental to someone’s quality of life. Clinical data has proven OnabotulinumtoxinA (BoNT-A) to be an effective prophylactic treatment for chroni...Chronic migraine is a potentially debilitating condition that can be detrimental to someone’s quality of life. Clinical data has proven OnabotulinumtoxinA (BoNT-A) to be an effective prophylactic treatment for chronic headache types, and it is now regularly employed by headache treatment centers. The PREEMPT injection protocol has become the standard treatment regimen surrounding Botox injections for chronic migraine treatment since it was granted approval by the FDA in 2010. This retrospective chart review of patients treated for chronic migraine at Maine Comprehensive Pain Management in Scarborough, Maine, presents an alteration to the standard PREEMPT injection paradigm that reinforces the efficacy of Botox for chronic migraine treatment. We will discuss our Modified PREEMPT injection paradigm, which yields a positive clinical response rate of 95% of patients achieving at least 50% improvement in their migraine headaches. This appears to be the highest established response rate in the literature to date.展开更多
Using natural gas(NG)as the primary fuel helps alleviate the fossil fuel crisis while reducing engine soot and nitrogen oxide(NO_(X))emissions.In this paper,the influences of a novel split injection concept on an NG h...Using natural gas(NG)as the primary fuel helps alleviate the fossil fuel crisis while reducing engine soot and nitrogen oxide(NO_(X))emissions.In this paper,the influences of a novel split injection concept on an NG high pressure direct injection(HPDI)engine are examined.Four typical split injection strategies,namely split pre-injection of pilot diesel(PD)and NG,split post-injection of PD and NG,split pre-injection of NG,and split post-injection of PD,were developed to investigate the influences on combustion and emissions.Results revealed that split pre injection of NG enhanced the atomization of PD,whereas the split post-injection of NG lowered the temperature in the core region of the PD spray,resulting in the deterioration of combustion.The effect of the split injection strategy on indicated thermal efficiency exceeded 7.5%.Split pre-injection was favorable to enhancing thermal efficiency,whereas split post-injection was not.Ignition delay,combustion duration,and premixed combustion time proportion were affected by injection strategies by 3.8%,50%,and 19.7%,respectively.Split pre-injection increased CH_(4) emission in the exhaust.Split post-injection,especially split post-injection of PD and NG,reduced the unburned CH_(4) emission by approximately 30%.When the split post-injection ratio was less than 30%,the trade-off between NO_(X) and soot was interrupted.The distribution range of hydroxyl radicals was expanded by pre-injection,and NO_(X) was generated in the region where the NG jet hit the wall.This paper provides valuable insights into the optimization of HPDI injection parameters.展开更多
Propofol(2,6-di-isopropylphenol) is a short-acting,intravenous sedative drug.^([1,2]) The pharmacologic mechanism of propofol is related to its agonistic effects on the gamma-amino butyric acid receptor.^([1-3]) Propo...Propofol(2,6-di-isopropylphenol) is a short-acting,intravenous sedative drug.^([1,2]) The pharmacologic mechanism of propofol is related to its agonistic effects on the gamma-amino butyric acid receptor.^([1-3]) Propofol injection pain(PIP) is well-known in the operating room and is commonly countered by the prophylactic administration of lidocaine.In anesthesia,PIP is encountered in 28%–90% of patients.^([4,5]) However,PIPprophylaxis does not seem to be efficacious in every population.^([6,7]) Whether procedural sedation and analgesia(PSA) in the emergency department(ED) warrants lidocaine administration is unclear.展开更多
Subcutaneous administration of low-molecularweight heparin(LMWH)has been widely accepted as an effective anticoagulation therapy and is frequently used for patients to prevent thromboembolic events.While the usually s...Subcutaneous administration of low-molecularweight heparin(LMWH)has been widely accepted as an effective anticoagulation therapy and is frequently used for patients to prevent thromboembolic events.While the usually seen bruising around the injection site during subcutaneous LMWH treatment,the abdominal wall(AW)hematoma(AWH)was scarcely observed and reported.A previous study demonstrated the usual etiological risk of AWH involved anticoagulation therapy,chronic kidney disease,and trauma.^([1])Most of these cases had a favorable prognosis after conservative treatment.展开更多
BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain d...BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain.展开更多
Background : Traditional DNA microinjection methods used in mammals are difficult to apply to avian species due to their unique reproductive characteristics. Genetic manipulation in chickens, particularly involving im...Background : Traditional DNA microinjection methods used in mammals are difficult to apply to avian species due to their unique reproductive characteristics. Genetic manipulation in chickens, particularly involving immature follicles within living ovaries, has not been extensively explored. This study seeks to establish an efficient method for generating transgenic chickens through ovarian injection, potentially bypassing the challenges associated with primordial germ cell (PGC) manipulation and fertilized egg microinjection. Methods : Hens were anesthetized and underwent a surgical procedure to access the ovary for DNA injection into immature follicles. The study used liposomes to deliver GFP- expressing plasmids at various dosages. After injection, hens recovered, and their eggs were fertilized through artificial insemination. Results : Transgenic chickens were successfully generated in one generation without needing G0 founders. The injection of 20 μg plasmid yielded the highest transgenic efficiency at 12.1%. GFP- positive embryos were confirmed through microscopy, and successful transgene expression was validated at the tissue level using immunostaining. TERT and GFP elements introduced in the G1 generation resulted in 4.1% positive transgene rates, as confirmed by PCR and Southern blotting. Conclusion : This ovarian injection method offers a promising alternative for avian genetic manipulation, bypassing complex PGC procedures and enabling direct generation of G1 transgenic chickens. This technique simplifies the transgenic process for chickens and has the potential to be adapted for other avian species, especially those without established PGCs culture systems.展开更多
Background:Houttuynia cordata injection(HCI),made from fresh Houttuynia cordata,exerts heat-clearing,detoxifying and diuretic effects.It is indicated for various infections including lung abscess,fever,leucorrhea,urin...Background:Houttuynia cordata injection(HCI),made from fresh Houttuynia cordata,exerts heat-clearing,detoxifying and diuretic effects.It is indicated for various infections including lung abscess,fever,leucorrhea,urinary tract infection and carbuncle.Candida albicans is a common opportunistic pathogen in immunocompromised individuals.This pathogenic fungus colonizes in skin,mucosa membrane and digestive tract,potentially progressing from localized mucosal infections to systemic disease.Methods:The minimum inhibitory concentration(MIC)of HCI against C.albicans strain was determined by the microdilution method.The hyphal status of C.albicans was observed after incubation in the liquid medium and evaluated by Gram staining.The biofilm formation ability was measured using XTT reduction assay and assessed by Calcofluor White staining.The expression of virulence-related genes was detected with quantitative RT-PCR.Results:The MIC of HCI against C.albicans strain was determined to be 0.5 g/mL.At this concentration,HCI exhibited inhibitory effects on hyphal formation,as confirmed by both liquid medium observation and Gram staining.HCI at the MIC also effectively inhibited C.albicans biofilm formation,which was verified through XTT reduction assay and Calcofluor White staining.Additionally,gene expression analysis revealed that HCI significantly suppressed the expression of virulence-related genes in C.albicans.Conclusion:HCI demonstrates inhibitory effects on C.albicans growth and biofilm development.It inhibits hyphal formation,affecting the yeast-to-hyphal transition.This study investigated the antifungal effects of HCI,providing potent experimental evidence for its mechanism of action against C.albicans.展开更多
In view of the problems that the drilling depth can not be adjusted and the amount of liquid injection can not be accurately modulated in the local test device of maize variety breeding and disease resistance,combinin...In view of the problems that the drilling depth can not be adjusted and the amount of liquid injection can not be accurately modulated in the local test device of maize variety breeding and disease resistance,combining the test technical requirements of drilling,liquid injection and sealing of the penultimate radial pitch of maize straw from the ground,a quantitative adjustable liquid injection device for maize stalk center borehole was designed.Its structure,working principle,key technical parameters and practical application effect were elaborated in detail.The field experiment demonstrated that the quantitative adjustable liquid injection device for maize stalk center borehole could meet the requirements of the local test of maize stalk rot.展开更多
During the highly transient process of the direct-start in a four-cylinder GDI engine,each cylinder exhibits specific characteristics in terms of in-cylinder conditions and energy demands,necessitating different contr...During the highly transient process of the direct-start in a four-cylinder GDI engine,each cylinder exhibits specific characteristics in terms of in-cylinder conditions and energy demands,necessitating different control for each cylinder.However,recent studies have paid insufficient attention to cylinders other than the first starting cylinder.This paper proposes a comprehensive control strategy based on experimental data from the direct-start process of the second,third,and fourth cylinders,aiming to enhance the characteristics of combustion and emission performance through the optimization of injection timing,equivalence ratio,and ignition timing.The research findings indicate that the second cylinder should inject fuel approximately 10 ms after the first cylinder ignites to mix thoroughly the fuel with air.The ignition timing of the second cylinder should be close to the highest point of the piston movement to minimize hindrance to the piston compression process.The third and fourth cylinders should adopt a delayed injection timing strategy to prevent the escape of injected fuel caused by low engine speed.The optimal ignition timing for the third cylinder is 20℃A BTDC,while the fourth cylinder should be ignited earlier due to its stronger airflow and faster formation of a mixture that can be ignited.As the fuel injection quantity increases,the power output of the three cylinders enhances,but at the same time,emissions also increase.Therefore,their optimal equivalence ratios are determined as 1.2,1.4,and 1.2,respectively,striking a balance between combustion and emission performances.展开更多
BACKGROUND Sub-acromial injections are a therapeutic option for rotator cuff injuries;however,evidence regarding the most effective drug in this context is unclear,which needs to be investigated.AIM To evaluate the ef...BACKGROUND Sub-acromial injections are a therapeutic option for rotator cuff injuries;however,evidence regarding the most effective drug in this context is unclear,which needs to be investigated.AIM To evaluate the effectiveness of various sub-acromial injections for rotator cuff injuries.METHODS We conducted a systematic review and pair-wise and network meta-analyses of randomized clinical trials(RCTs)comparing sub-acromial injections for rotator cuff injuries.The interventions evaluated were hyaluronic acid(HA),platelet-rich plasma(PRP),prolotherapy,and corticosteroids.The outcomes of interest were pain and functional improvement,which were evaluated with standardized scores.The Risk of Bias 2 tool and the Grading of Recommendations,Assessment,Development and Evaluation methodology were used to assess data quality.RESULTS Twenty RCTs,comprising 1479 participants,were included.In the short term,HA achieved the best outcomes[pain mean difference(MD)=-1.48,95%confidence interval(CI)-2.37 to-0.59;function MD=10.18,95%CI:4.96-15.41].In the medium term,HA,PRP,HA+PRP,and corticosteroids were not superior to placebo in improving pain.Based on function,HA+PRP was superior to placebo,corticosteroids,and PRP(MD=26.72;95%CI:8.02-45.41).In the long term,HA,PRP,and corticosteroids were not superior to placebo in reducing pain.However,based on function,HA+PRP,PRP,and HA were superior to placebo,and HA+PRP had the best result(MD=36.64;95%CI:31.66-33.62).CONCLUSION HA provides satisfactory short-term results,while HA with PRP demonstrates functional improvement in the medium and long terms.However,no intervention maintained the pain-relief effect on>3-month follow-up.展开更多
This study elucidates the findings of a computational investigation into the stimulation characteristics of natural reservoir systems enhanced by high-voltage electropulse-assisted fluid injection.The presented method...This study elucidates the findings of a computational investigation into the stimulation characteristics of natural reservoir systems enhanced by high-voltage electropulse-assisted fluid injection.The presented methodology delineates the comprehensive rock-fracturing process induced by electropulse and subsequent fluid injection,encompassing the discharge circuit,plasma channel formation,shockwave propagation,and hydro-mechanical response.A hydromechanical model incorporating an anisotropic plastic damage constitutive law,discrete fracture networks,and heterogeneous distribution is developed to represent the natural reservoir system.The results demonstrate that high-voltage electropulse effectively generates intricate fracture networks,significantly enhances the hydraulic properties of reservoir systems,and mitigates the adverse impact of ground stress on fracturing.The stimulationenhancing effect of electropulse is observed to intensify with increasing discharge voltage,with enhancements of 118.0%,139.5%,and 169.0%corresponding to discharge voltages of 20 kV,40 kV,and 60 kV,respectively.Additionally,a high-voltage electropulse with an initial voltage of U_(0)=80 kV and capacitance C=5μF has been shown to augment the efficiency of injection activation to approximately 201.1%compared to scenarios without electropulse.Under the influence of high-voltage electropulse,the fluid pressure distribution diverges from the conventional single direction of maximum stress,extending over larger areas.These innovative methods and findings hold potential implications for optimizing reservoir stimulation in geo-energy engineering.展开更多
Oxygenated fuels can reduce harmful emissions without affecting engine performance,meeting the big challenge in the transportation industry,which keeps the environment safe and reduces global warming.This study invest...Oxygenated fuels can reduce harmful emissions without affecting engine performance,meeting the big challenge in the transportation industry,which keeps the environment safe and reduces global warming.This study investigates the impact of biodiesel injection strategies and fuel injection pressures(FIP)on diesel engine exhaust emission characteristics.The engine is fuelled with 20%Jatropha biodiesel(JB)and 80%diesel,named JB20D.The ratios of fuel injection pressures started with injecting the fuel(diesel and JB20D)from 200 bar to 500 bar.The experimental outcomes indicate that the engine performance of brake-specific fuel consumption increased by 21.36%from the burning of JB20D compared with diesel,while brake thermal efficiency improved by 6.54%for low and high FIP compared to the diesel.The high fuel injection pressures slightly decrease the nitrogen oxide(NOX)emissions for both diesel and biodiesel.The emissions of NOX decreased from the combustion of JB20D by 18.7%under high fuel injection pressures compared to diesel.The concentration of soot particulate decreased by 20.4%form JB20D combustion than those combusted from diesel fuel.展开更多
BACKGROUND Hemorrhoids,a prevalent chronic condition globally,significantly impact patients'quality of life.While various surgical interventions,such as external stripping and internal ligation,procedure for prola...BACKGROUND Hemorrhoids,a prevalent chronic condition globally,significantly impact patients'quality of life.While various surgical interventions,such as external stripping and internal ligation,procedure for prolapse and hemorrhoids,and tissue selecting technique,are employed for treatment,they are often associated with postoperative complications,including unsatisfactory defecation,bleeding,and anal stenosis.In contrast,Xiaozhiling injection,a traditional Chinese medicine-based therapy,has emerged as a minimally invasive and effective alternative for internal hemorrhoids.This treatment offers distinct advantages,such as reduced dietary restrictions,broad applicability,and minimal induction of systemic inflammatory responses.Additionally,Xiaozhiling injection effectively eliminates hemorrhoid nuclei,prevents local tissue necrosis,preserves anal cushion integrity,and mitigates postoperative complications,including bleeding and prolapse.Despite its clinical efficacy,the molecular mechanisms underlying its therapeutic effects remain poorly understood,warranting further investigation.AIM To investigate the molecular mechanism underlying the therapeutic effect of Xiaozhiling injection in the treatment of internal hemorrhoids.METHODS An internal hemorrhoid model was established in rats,and the rats were randomly divided into a modeling group[control group(CK group)]and a treatment group.One week after injection,Stereo-seq and electron microscopy were used to study the changes in gene expression and subcellular structures in fibroblasts.RESULTS Single-cell sequencing revealed differences in the expression and transcript levels of the genes collagen 3 alpha 1,decorin,and actin alpha 2 in fibroblasts between the CK group and the treatment group.Spatial transcriptome analysis revealed that genes of the sphingosine kinase 1(Sphk1)/sphingosine-1-phosphate(S1P)pathway spatially overlapped with key genes of the transforming growth factor beta 1 pathway,namely,Sphk1,S1P receptor,and transforming growth factor beta 1,in the treatment group.The proportion of fibroblasts was lower in the treatment group than in the CK group,and Xiaozhiling treatment had a significant effect on the proportion of fibroblasts in hemorrhoidal tissue.Immunohistochemistry revealed a significant increase in the expression of a fibroblast marker.Electron microscopy showed that the endoplasmic reticulum of fibroblasts contained a large amount of glycogen,indicating cell activation.Fibroblast activation and the expression of key genes of the Sphk1-S1P pathway could be observed at the injection site,suggesting that after Xiaozhiling intervention,the Sphk1-S1P pathway could be activated to promote fibrosis.CONCLUSION Xiaozhiling injection exerts its therapeutic effects on internal hemorrhoids by promoting collagen synthesis and secretion in fibroblasts.After Xiaozhiling intervention,the Sphk1-S1P pathway can be activated to promote fibrosis.展开更多
Objective:To screen and identify the key active molecules,signaling pathways,and therapeutic targets of Shuxuening(SXN)injection for treating liver cirrhosis(LC)and to evaluate its therapeutic potential using a mouse ...Objective:To screen and identify the key active molecules,signaling pathways,and therapeutic targets of Shuxuening(SXN)injection for treating liver cirrhosis(LC)and to evaluate its therapeutic potential using a mouse model.Methods:Target genes of SXN and LC were retrieved from public databases,and enrichment analysis was performed.A proteineprotein interaction(PPI)network was constructed using the Search Tool for the Retrieval of Interacting Genes/Proteins(STRING),and hub genes were identified using Molecular Complex Detection(MCODE).LC was induced in rats and mice via intraperitoneal injections of diethylnitrosamine and carbon tetrachloride(CCl4)for 12 weeks.Starting at week 7,SXN was administered intraperitoneally to the mice in the treatment group.Serum and liver tissues of the mice were collected for the detection of indicators,pathological staining,and expression analysis of hub targets using quantitative real-time polymerase chain reaction(qRT-PCR).Results:We identified 368 overlapping genes(OLGs)between SXN and LC targets.These OLGs were subsequently used to build a PPI network and to screen for hub genes.Enrichment analysis showed that these genes were associated with cancer-related pathways,including phosphoinositide-3-kinase/Akt and mitogen-activated protein kinase signaling and various cellular processes,such as responses to chemicals and metabolic regulation.In vivo experiments demonstrated that SXN treatment significantly improved liver function and pathology in CCl4-induced LC mice by reducing inflammation and collagen deposition.Furthermore,qRT-PCR demonstrated that SXN regulated the expression of MAPK8,AR and CASP3 in the livers of LC mice.Conclusion:This study highlighted the therapeutic effects of SXN in alleviating LC using both bioinformatics and experimental methods.The observed effect was associated with modulation of hub gene expression,particularly MAPK8,and CASP3.展开更多
Background Sudden sensorineural hearing loss(SSNHL)is a rapid condition of hearing impairment,typically occurring over 72 hours and affecting the inner ear or auditory nerve pathways.The etiology of SSNHL remains larg...Background Sudden sensorineural hearing loss(SSNHL)is a rapid condition of hearing impairment,typically occurring over 72 hours and affecting the inner ear or auditory nerve pathways.The etiology of SSNHL remains largely idiopathic,with potential causes including viral infections,vascular occlusions,and autoimmune disorders.Traditional treatment primarily involves systemic corticosteroids,but their efficacy is inconsistent,leading to exploring alternative and adjunctive therapies such as intratympanic steroid(ITS)injections.Objective This Systematic Review and Meta-Analysis intends to determine the effectiveness of ITS injections as an initial treatment,combined therapy,or salvage treatment for SSNHL compared to systemic steroids alone.Methods An inclusive study was performed through the PubMed,Scopus,Web of Science,and Cochrane Library databases,encompassing publications published from 2015 to 2024.Case-control studies,cohort studies,randomized controlled trials(RCTs),and systematic reviews were included.Two separate reviewers read the studies and extracted data on steroid administration methods,study outcomes,and risk of bias(ROB)using the Cochrane Collaboration Tool and RevMan 5.4.Results The review included 12 studies with varied designs,including prospective RCTs,systematic reviews,and retrospective analyses.Combined ITS and systemic steroid therapy showed superior hearing recovery compared to systemic steroids alone in several studies.ITS alone demonstrated variable efficacy,with some studies indicating benefits,particularly as a salvage therapy.ROB assessment revealed variability in methodological rigor,with studies like those of Li&Ding et al.(2020)and Devantier et al.(2022)showing low risk,while others exhibited higher risks,particularly in random sequence generation and allocation concealment.Conclusion The findings suggest that ITS injections,particularly when combined with systemic steroids,can enhance hearing recovery in SSNHL patients.However,variability in study outcomes and methodological quality underscores the need for standardized protocols and further high-quality RCTs.This analysis underscores the prospective advantages of ITS therapy while stressing the need for stringent study designs to enhance SSNHL treatment methodologies.展开更多
This study aims to understand the effect of injection rate on injection-induced fracture activation in granite.We performed water injection-induced slip tests on samples containing either a smooth or a rough fracture ...This study aims to understand the effect of injection rate on injection-induced fracture activation in granite.We performed water injection-induced slip tests on samples containing either a smooth or a rough fracture at four different injection rates under undrained conditions and monitored the acoustic emission(AE)signals during the tests.Experimental results reveal that the critical activation fluid pressure is related to the injection rate,pressure diffusion rate,stress state,and fracture roughness.For the smooth fracture,as the injection rate increases,the critical activation fluid pressure increases significantly,while the injection rate has little effect on the critical activation fluid pressure of the rough fracture.The quasi-static slip distance of fractures decreases as the injection rate increases,with rough fractures exhibiting a greater overall slip distance compared to smooth fractures.The number of AE events per unit sliding distance increases with the injection rate,while the global b value decreases.These results indicate that higher injection rates produce more large-magnitude AE events and more severe slip instability and asperity damage.We established a linkage between fluid injection volume,injection rate,and AE events using the seismogenic index(Σ).The smooth fracture exhibits a steadily increasingΣwith the elapse of injection time,and the rate of increase is higher at higher injection rates;while the rough fracture is featured by a fluctuatingΣ,signifying the intermittent occurrence of large-magnitude AE events associated with the damage of larger fracture asperities.Our results highlight the importance of fracture surface heterogeneity on injection-induced fracture activation and slip.展开更多
In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-b...In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-based alloy(typically pure lead or lead-bismuth eutectic(LBE))is used as the coolant.To clarify the pressure build-up characteristics under water-jet injection,this study conducted several experiments by injecting pressurized water into a molten LBE pool at Sun Yat-sen University.To obtain a further understanding,several new experimental parameters were adopted,including the melt temperature,water subcooling,injection pressure,injection duration,and nozzle diameter.Through detailed analyses,it was found that the pressure and temperature during the water-melt interaction exhibited a consistent variation trend with our previous water-droplet injection mode LBE experiment.Similarly,the existence of a steam explosion was confirmed,which typically results in a much stronger pressure build-up.For the non-explosion cases,increasing the injection pressure,melt-pool temperature,nozzle diameter,and water subcooling promoted pressure build-up in the melt pool.However,a limited enhancement effect was observed when increasing the injection duration,which may be owing to the continually rising pressure in the interaction vessel or the isolation effect of the generated steam cavity.Regardless of whether a steam explosion occurred,the calculated mechanical and kinetic energy conversion efficiencies of the melt were relatively small(not exceeding 4.1%and 0.7%,respectively).Moreover,the range of the conversion efficiency was similar to that of previous water-droplet experiments,although the upper limit of the jet mode was slightly lower.展开更多
This paper proposes a virtual position-offset injection based permanent magnet temperature estimation approach for permanent magnet synchronous machines(PMSMs). The concept of virtual position-offset injection is math...This paper proposes a virtual position-offset injection based permanent magnet temperature estimation approach for permanent magnet synchronous machines(PMSMs). The concept of virtual position-offset injection is mathematically transforming the machine model to a virtual frame with a position-offset. The virtual frame temperature estimation model is derived to calculate the permanent magnet temperature(PMT) directly from the measurements with computation efficiency. The estimation model involves a combined inductance term, which can simplify the establishment of saturation compensation model with less measurements. Moreover, resistance and inverter distorted terms are cancelled in the estimation model, which can improve the robustness to the winding temperature rise and inverter distortion. The proposed approach can achieve simplified computation in temperature estimation and reduced memory usage in saturation compensation. While existing model-based approaches could be affected by either the need of resistance and inverter information or complex saturation compensation. Experiments are conducted on the test machine to verify the proposed approach under various operating conditions.展开更多
基金Supported by a grant from the Nature Science Foundation of Hubei Province,China(No.2017CFB472)
文摘Objective To compare intra-pleural injection efficacy and safety between Endostar and bevacizumab combined with pemetrexed/cisplatin for the treatment of malignant pleural effusion in patients with epidermal growth factor receptor(EGFR)-/anaplastic lymphoma kinase(ALK)-lung adenocarcinoma. Methods Sixty-four pCVatients with EGFR-/ALK-lung adenocarcinoma with malignant pleural effusion(MPE) were admitted to the authors' hospital between January 2016 and June 2017. Patients were randomly divided into two groups: Endostar combined with pemetrexed/cisplatin(Endostar group); and bevacizumab plus pemetrexed/cisplatin(Bevacizumab group). They underwent thoracic puncture and catheterization, and MPE was drained as much as possible. Both groups were treated with pemetrexed 500 mg/m^2, intravenous drip(d1), cisplatin 37.5 mg/m^2 per time, intra-pleural injection(d1, d3). Patients in the Endostar group were treated with Endostar 30 mg per time, intra-pleural injection(d1, 3), and patients in the Bevacizumab group were treated with bevacizumab 5 mg/kg per time, intra-pleural injection(d1). Only one cycle of treatment was applied. MPE was extracted before treatment and on day 7 after treatment. The levels of vascular endothelial growth factor(VEGF) were determined using ELISA. Efficacy and side effects were evaluated according to the Response Evaluation Criteria in Solid Tumors(RECIST) version 1.1, and National Cancer Institute Common Terminology Criteria for Adverse Events(CTCAE) version 3.0 criteria. Results The objective response rates in the Endostar and Bevacizumab groups were 50.0% and 56.3%, respectively; there was no statistical difference between the groups(P > 0.05). After one cycle of treatment, the mean VEGF levels in MPE in both groups decreased significantly, and there was no significant difference in the degree of decline between the two groups(P > 0.05). In both groups, pre-treatment VEGF levels for patients achieving complete response were significantly higher than those for patients achieving stable disease + progressive disease(P < 0.05). No specific side effects were recorded. Conclusion Endostar and Bevacizumab demonstrated similar efficacy in controlling MPE in patients with EGFR-/ALK-lung adenocarcinoma through an anti-angiogenesis pathway, with tolerable side effects. The levels of VEGF in MPE could predict the efficacy of intra-pleural injection of anti-angiogenesis drugs.
基金Supported by The New Faculty Research Grant of Pusan National University,2023The Research Grant of the Chungbuk National University in 2023.
文摘BACKGROUND Intramuscular corticosteroid injection may cause adverse effects such as dermal and/or subcutaneous atrophy,alopecia,hypopigmentation,and hyperpigmentation.Although cutaneous atrophy can spontaneously resolve,several treatment options have been suggested for this condition.CASE SUMMARY In this paper,we report a case of corticosteroid injection induced lipoatrophy treated with autologous whole blood(AWB)injection,as the condition had been unresponsive to fractional laser therapy.A 29-year-old female patient visited the dermatology clinic complaining of skin depression on her right buttock area,which had appeared six months earlier.There had been only subtle improvement at the margins after fractional CO_(2) laser treatment;therefore,after obtaining informed consent from the patient,AWB treatment was initiated.One month after the first AWB injection,the size and depth of the lesion had noticeably improved,and a slight improvement was also observed in discoloration.CONCLUSION Close observation is the initial treatment of choice for steroid induced skin atrophy;however,for patients in need of immediate cosmetic improvement,AWB injection may be a safe and cost-effective alternative.
文摘Chronic migraine is a potentially debilitating condition that can be detrimental to someone’s quality of life. Clinical data has proven OnabotulinumtoxinA (BoNT-A) to be an effective prophylactic treatment for chronic headache types, and it is now regularly employed by headache treatment centers. The PREEMPT injection protocol has become the standard treatment regimen surrounding Botox injections for chronic migraine treatment since it was granted approval by the FDA in 2010. This retrospective chart review of patients treated for chronic migraine at Maine Comprehensive Pain Management in Scarborough, Maine, presents an alteration to the standard PREEMPT injection paradigm that reinforces the efficacy of Botox for chronic migraine treatment. We will discuss our Modified PREEMPT injection paradigm, which yields a positive clinical response rate of 95% of patients achieving at least 50% improvement in their migraine headaches. This appears to be the highest established response rate in the literature to date.
基金Supported by the National Natural Science Foundation of China(No.51909154)Shanghai Engineering Research Center of Ship Intelligent Maintenance and Energy Efficiency(No.20DZ2252300).
文摘Using natural gas(NG)as the primary fuel helps alleviate the fossil fuel crisis while reducing engine soot and nitrogen oxide(NO_(X))emissions.In this paper,the influences of a novel split injection concept on an NG high pressure direct injection(HPDI)engine are examined.Four typical split injection strategies,namely split pre-injection of pilot diesel(PD)and NG,split post-injection of PD and NG,split pre-injection of NG,and split post-injection of PD,were developed to investigate the influences on combustion and emissions.Results revealed that split pre injection of NG enhanced the atomization of PD,whereas the split post-injection of NG lowered the temperature in the core region of the PD spray,resulting in the deterioration of combustion.The effect of the split injection strategy on indicated thermal efficiency exceeded 7.5%.Split pre-injection was favorable to enhancing thermal efficiency,whereas split post-injection was not.Ignition delay,combustion duration,and premixed combustion time proportion were affected by injection strategies by 3.8%,50%,and 19.7%,respectively.Split pre-injection increased CH_(4) emission in the exhaust.Split post-injection,especially split post-injection of PD and NG,reduced the unburned CH_(4) emission by approximately 30%.When the split post-injection ratio was less than 30%,the trade-off between NO_(X) and soot was interrupted.The distribution range of hydroxyl radicals was expanded by pre-injection,and NO_(X) was generated in the region where the NG jet hit the wall.This paper provides valuable insights into the optimization of HPDI injection parameters.
文摘Propofol(2,6-di-isopropylphenol) is a short-acting,intravenous sedative drug.^([1,2]) The pharmacologic mechanism of propofol is related to its agonistic effects on the gamma-amino butyric acid receptor.^([1-3]) Propofol injection pain(PIP) is well-known in the operating room and is commonly countered by the prophylactic administration of lidocaine.In anesthesia,PIP is encountered in 28%–90% of patients.^([4,5]) However,PIPprophylaxis does not seem to be efficacious in every population.^([6,7]) Whether procedural sedation and analgesia(PSA) in the emergency department(ED) warrants lidocaine administration is unclear.
文摘Subcutaneous administration of low-molecularweight heparin(LMWH)has been widely accepted as an effective anticoagulation therapy and is frequently used for patients to prevent thromboembolic events.While the usually seen bruising around the injection site during subcutaneous LMWH treatment,the abdominal wall(AW)hematoma(AWH)was scarcely observed and reported.A previous study demonstrated the usual etiological risk of AWH involved anticoagulation therapy,chronic kidney disease,and trauma.^([1])Most of these cases had a favorable prognosis after conservative treatment.
基金approved by the Medical Ethics Committee of the Tel Aviv Sourasky Medical Center Institutional Review Board,approval No.TLV-0674-21.
文摘BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain.
基金National Key Research and Development Program of China,Grant/Award Number:2023YFF1000204National Natural Science Foundation of China,Grant/Award Number:32172715,32230105 and 32330103+2 种基金The Innovative Project of State Key Laboratory of Animal Biotech Breeding,Grant/Award Number:2024SKLAB1-2/9Chinese Universities Scientific Fund,Grant/Award Number:2024TC167The 2115 Talent Development Program of China Agricultural University。
文摘Background : Traditional DNA microinjection methods used in mammals are difficult to apply to avian species due to their unique reproductive characteristics. Genetic manipulation in chickens, particularly involving immature follicles within living ovaries, has not been extensively explored. This study seeks to establish an efficient method for generating transgenic chickens through ovarian injection, potentially bypassing the challenges associated with primordial germ cell (PGC) manipulation and fertilized egg microinjection. Methods : Hens were anesthetized and underwent a surgical procedure to access the ovary for DNA injection into immature follicles. The study used liposomes to deliver GFP- expressing plasmids at various dosages. After injection, hens recovered, and their eggs were fertilized through artificial insemination. Results : Transgenic chickens were successfully generated in one generation without needing G0 founders. The injection of 20 μg plasmid yielded the highest transgenic efficiency at 12.1%. GFP- positive embryos were confirmed through microscopy, and successful transgene expression was validated at the tissue level using immunostaining. TERT and GFP elements introduced in the G1 generation resulted in 4.1% positive transgene rates, as confirmed by PCR and Southern blotting. Conclusion : This ovarian injection method offers a promising alternative for avian genetic manipulation, bypassing complex PGC procedures and enabling direct generation of G1 transgenic chickens. This technique simplifies the transgenic process for chickens and has the potential to be adapted for other avian species, especially those without established PGCs culture systems.
基金sponsored by the projects funded by the Natural Science Foundation(Key project)of University in Anhui province(grant numbers 2023AH050727,2023AH040114,2023AH052278).
文摘Background:Houttuynia cordata injection(HCI),made from fresh Houttuynia cordata,exerts heat-clearing,detoxifying and diuretic effects.It is indicated for various infections including lung abscess,fever,leucorrhea,urinary tract infection and carbuncle.Candida albicans is a common opportunistic pathogen in immunocompromised individuals.This pathogenic fungus colonizes in skin,mucosa membrane and digestive tract,potentially progressing from localized mucosal infections to systemic disease.Methods:The minimum inhibitory concentration(MIC)of HCI against C.albicans strain was determined by the microdilution method.The hyphal status of C.albicans was observed after incubation in the liquid medium and evaluated by Gram staining.The biofilm formation ability was measured using XTT reduction assay and assessed by Calcofluor White staining.The expression of virulence-related genes was detected with quantitative RT-PCR.Results:The MIC of HCI against C.albicans strain was determined to be 0.5 g/mL.At this concentration,HCI exhibited inhibitory effects on hyphal formation,as confirmed by both liquid medium observation and Gram staining.HCI at the MIC also effectively inhibited C.albicans biofilm formation,which was verified through XTT reduction assay and Calcofluor White staining.Additionally,gene expression analysis revealed that HCI significantly suppressed the expression of virulence-related genes in C.albicans.Conclusion:HCI demonstrates inhibitory effects on C.albicans growth and biofilm development.It inhibits hyphal formation,affecting the yeast-to-hyphal transition.This study investigated the antifungal effects of HCI,providing potent experimental evidence for its mechanism of action against C.albicans.
文摘In view of the problems that the drilling depth can not be adjusted and the amount of liquid injection can not be accurately modulated in the local test device of maize variety breeding and disease resistance,combining the test technical requirements of drilling,liquid injection and sealing of the penultimate radial pitch of maize straw from the ground,a quantitative adjustable liquid injection device for maize stalk center borehole was designed.Its structure,working principle,key technical parameters and practical application effect were elaborated in detail.The field experiment demonstrated that the quantitative adjustable liquid injection device for maize stalk center borehole could meet the requirements of the local test of maize stalk rot.
基金supported by the National Natural Science Foundation of China(grant number 51576129).
文摘During the highly transient process of the direct-start in a four-cylinder GDI engine,each cylinder exhibits specific characteristics in terms of in-cylinder conditions and energy demands,necessitating different control for each cylinder.However,recent studies have paid insufficient attention to cylinders other than the first starting cylinder.This paper proposes a comprehensive control strategy based on experimental data from the direct-start process of the second,third,and fourth cylinders,aiming to enhance the characteristics of combustion and emission performance through the optimization of injection timing,equivalence ratio,and ignition timing.The research findings indicate that the second cylinder should inject fuel approximately 10 ms after the first cylinder ignites to mix thoroughly the fuel with air.The ignition timing of the second cylinder should be close to the highest point of the piston movement to minimize hindrance to the piston compression process.The third and fourth cylinders should adopt a delayed injection timing strategy to prevent the escape of injected fuel caused by low engine speed.The optimal ignition timing for the third cylinder is 20℃A BTDC,while the fourth cylinder should be ignited earlier due to its stronger airflow and faster formation of a mixture that can be ignited.As the fuel injection quantity increases,the power output of the three cylinders enhances,but at the same time,emissions also increase.Therefore,their optimal equivalence ratios are determined as 1.2,1.4,and 1.2,respectively,striking a balance between combustion and emission performances.
文摘BACKGROUND Sub-acromial injections are a therapeutic option for rotator cuff injuries;however,evidence regarding the most effective drug in this context is unclear,which needs to be investigated.AIM To evaluate the effectiveness of various sub-acromial injections for rotator cuff injuries.METHODS We conducted a systematic review and pair-wise and network meta-analyses of randomized clinical trials(RCTs)comparing sub-acromial injections for rotator cuff injuries.The interventions evaluated were hyaluronic acid(HA),platelet-rich plasma(PRP),prolotherapy,and corticosteroids.The outcomes of interest were pain and functional improvement,which were evaluated with standardized scores.The Risk of Bias 2 tool and the Grading of Recommendations,Assessment,Development and Evaluation methodology were used to assess data quality.RESULTS Twenty RCTs,comprising 1479 participants,were included.In the short term,HA achieved the best outcomes[pain mean difference(MD)=-1.48,95%confidence interval(CI)-2.37 to-0.59;function MD=10.18,95%CI:4.96-15.41].In the medium term,HA,PRP,HA+PRP,and corticosteroids were not superior to placebo in improving pain.Based on function,HA+PRP was superior to placebo,corticosteroids,and PRP(MD=26.72;95%CI:8.02-45.41).In the long term,HA,PRP,and corticosteroids were not superior to placebo in reducing pain.However,based on function,HA+PRP,PRP,and HA were superior to placebo,and HA+PRP had the best result(MD=36.64;95%CI:31.66-33.62).CONCLUSION HA provides satisfactory short-term results,while HA with PRP demonstrates functional improvement in the medium and long terms.However,no intervention maintained the pain-relief effect on>3-month follow-up.
基金the National Nature Science Foundation of China(Grant Nos.42077435 and 42377171).
文摘This study elucidates the findings of a computational investigation into the stimulation characteristics of natural reservoir systems enhanced by high-voltage electropulse-assisted fluid injection.The presented methodology delineates the comprehensive rock-fracturing process induced by electropulse and subsequent fluid injection,encompassing the discharge circuit,plasma channel formation,shockwave propagation,and hydro-mechanical response.A hydromechanical model incorporating an anisotropic plastic damage constitutive law,discrete fracture networks,and heterogeneous distribution is developed to represent the natural reservoir system.The results demonstrate that high-voltage electropulse effectively generates intricate fracture networks,significantly enhances the hydraulic properties of reservoir systems,and mitigates the adverse impact of ground stress on fracturing.The stimulationenhancing effect of electropulse is observed to intensify with increasing discharge voltage,with enhancements of 118.0%,139.5%,and 169.0%corresponding to discharge voltages of 20 kV,40 kV,and 60 kV,respectively.Additionally,a high-voltage electropulse with an initial voltage of U_(0)=80 kV and capacitance C=5μF has been shown to augment the efficiency of injection activation to approximately 201.1%compared to scenarios without electropulse.Under the influence of high-voltage electropulse,the fluid pressure distribution diverges from the conventional single direction of maximum stress,extending over larger areas.These innovative methods and findings hold potential implications for optimizing reservoir stimulation in geo-energy engineering.
文摘Oxygenated fuels can reduce harmful emissions without affecting engine performance,meeting the big challenge in the transportation industry,which keeps the environment safe and reduces global warming.This study investigates the impact of biodiesel injection strategies and fuel injection pressures(FIP)on diesel engine exhaust emission characteristics.The engine is fuelled with 20%Jatropha biodiesel(JB)and 80%diesel,named JB20D.The ratios of fuel injection pressures started with injecting the fuel(diesel and JB20D)from 200 bar to 500 bar.The experimental outcomes indicate that the engine performance of brake-specific fuel consumption increased by 21.36%from the burning of JB20D compared with diesel,while brake thermal efficiency improved by 6.54%for low and high FIP compared to the diesel.The high fuel injection pressures slightly decrease the nitrogen oxide(NOX)emissions for both diesel and biodiesel.The emissions of NOX decreased from the combustion of JB20D by 18.7%under high fuel injection pressures compared to diesel.The concentration of soot particulate decreased by 20.4%form JB20D combustion than those combusted from diesel fuel.
基金Supported by the National Natural Science Foundation of China,No.81774118the Foreign Cooperation Project of Science and Technology Department of Fujian Province,No.2023I0021the Medical Innovation Project of Fujian Province,No.2024CXB013.
文摘BACKGROUND Hemorrhoids,a prevalent chronic condition globally,significantly impact patients'quality of life.While various surgical interventions,such as external stripping and internal ligation,procedure for prolapse and hemorrhoids,and tissue selecting technique,are employed for treatment,they are often associated with postoperative complications,including unsatisfactory defecation,bleeding,and anal stenosis.In contrast,Xiaozhiling injection,a traditional Chinese medicine-based therapy,has emerged as a minimally invasive and effective alternative for internal hemorrhoids.This treatment offers distinct advantages,such as reduced dietary restrictions,broad applicability,and minimal induction of systemic inflammatory responses.Additionally,Xiaozhiling injection effectively eliminates hemorrhoid nuclei,prevents local tissue necrosis,preserves anal cushion integrity,and mitigates postoperative complications,including bleeding and prolapse.Despite its clinical efficacy,the molecular mechanisms underlying its therapeutic effects remain poorly understood,warranting further investigation.AIM To investigate the molecular mechanism underlying the therapeutic effect of Xiaozhiling injection in the treatment of internal hemorrhoids.METHODS An internal hemorrhoid model was established in rats,and the rats were randomly divided into a modeling group[control group(CK group)]and a treatment group.One week after injection,Stereo-seq and electron microscopy were used to study the changes in gene expression and subcellular structures in fibroblasts.RESULTS Single-cell sequencing revealed differences in the expression and transcript levels of the genes collagen 3 alpha 1,decorin,and actin alpha 2 in fibroblasts between the CK group and the treatment group.Spatial transcriptome analysis revealed that genes of the sphingosine kinase 1(Sphk1)/sphingosine-1-phosphate(S1P)pathway spatially overlapped with key genes of the transforming growth factor beta 1 pathway,namely,Sphk1,S1P receptor,and transforming growth factor beta 1,in the treatment group.The proportion of fibroblasts was lower in the treatment group than in the CK group,and Xiaozhiling treatment had a significant effect on the proportion of fibroblasts in hemorrhoidal tissue.Immunohistochemistry revealed a significant increase in the expression of a fibroblast marker.Electron microscopy showed that the endoplasmic reticulum of fibroblasts contained a large amount of glycogen,indicating cell activation.Fibroblast activation and the expression of key genes of the Sphk1-S1P pathway could be observed at the injection site,suggesting that after Xiaozhiling intervention,the Sphk1-S1P pathway could be activated to promote fibrosis.CONCLUSION Xiaozhiling injection exerts its therapeutic effects on internal hemorrhoids by promoting collagen synthesis and secretion in fibroblasts.After Xiaozhiling intervention,the Sphk1-S1P pathway can be activated to promote fibrosis.
基金Our study was funded by the Clinical Research Special Fund of Wu Jieping Medical Foundation(320.6750.2022-25-8)the Fundamental Research Funds for the Cornell University(2024-JYBXJSJJ042 and 2024-JYB-JBZD-058).
文摘Objective:To screen and identify the key active molecules,signaling pathways,and therapeutic targets of Shuxuening(SXN)injection for treating liver cirrhosis(LC)and to evaluate its therapeutic potential using a mouse model.Methods:Target genes of SXN and LC were retrieved from public databases,and enrichment analysis was performed.A proteineprotein interaction(PPI)network was constructed using the Search Tool for the Retrieval of Interacting Genes/Proteins(STRING),and hub genes were identified using Molecular Complex Detection(MCODE).LC was induced in rats and mice via intraperitoneal injections of diethylnitrosamine and carbon tetrachloride(CCl4)for 12 weeks.Starting at week 7,SXN was administered intraperitoneally to the mice in the treatment group.Serum and liver tissues of the mice were collected for the detection of indicators,pathological staining,and expression analysis of hub targets using quantitative real-time polymerase chain reaction(qRT-PCR).Results:We identified 368 overlapping genes(OLGs)between SXN and LC targets.These OLGs were subsequently used to build a PPI network and to screen for hub genes.Enrichment analysis showed that these genes were associated with cancer-related pathways,including phosphoinositide-3-kinase/Akt and mitogen-activated protein kinase signaling and various cellular processes,such as responses to chemicals and metabolic regulation.In vivo experiments demonstrated that SXN treatment significantly improved liver function and pathology in CCl4-induced LC mice by reducing inflammation and collagen deposition.Furthermore,qRT-PCR demonstrated that SXN regulated the expression of MAPK8,AR and CASP3 in the livers of LC mice.Conclusion:This study highlighted the therapeutic effects of SXN in alleviating LC using both bioinformatics and experimental methods.The observed effect was associated with modulation of hub gene expression,particularly MAPK8,and CASP3.
文摘Background Sudden sensorineural hearing loss(SSNHL)is a rapid condition of hearing impairment,typically occurring over 72 hours and affecting the inner ear or auditory nerve pathways.The etiology of SSNHL remains largely idiopathic,with potential causes including viral infections,vascular occlusions,and autoimmune disorders.Traditional treatment primarily involves systemic corticosteroids,but their efficacy is inconsistent,leading to exploring alternative and adjunctive therapies such as intratympanic steroid(ITS)injections.Objective This Systematic Review and Meta-Analysis intends to determine the effectiveness of ITS injections as an initial treatment,combined therapy,or salvage treatment for SSNHL compared to systemic steroids alone.Methods An inclusive study was performed through the PubMed,Scopus,Web of Science,and Cochrane Library databases,encompassing publications published from 2015 to 2024.Case-control studies,cohort studies,randomized controlled trials(RCTs),and systematic reviews were included.Two separate reviewers read the studies and extracted data on steroid administration methods,study outcomes,and risk of bias(ROB)using the Cochrane Collaboration Tool and RevMan 5.4.Results The review included 12 studies with varied designs,including prospective RCTs,systematic reviews,and retrospective analyses.Combined ITS and systemic steroid therapy showed superior hearing recovery compared to systemic steroids alone in several studies.ITS alone demonstrated variable efficacy,with some studies indicating benefits,particularly as a salvage therapy.ROB assessment revealed variability in methodological rigor,with studies like those of Li&Ding et al.(2020)and Devantier et al.(2022)showing low risk,while others exhibited higher risks,particularly in random sequence generation and allocation concealment.Conclusion The findings suggest that ITS injections,particularly when combined with systemic steroids,can enhance hearing recovery in SSNHL patients.However,variability in study outcomes and methodological quality underscores the need for standardized protocols and further high-quality RCTs.This analysis underscores the prospective advantages of ITS therapy while stressing the need for stringent study designs to enhance SSNHL treatment methodologies.
基金supported by the National Key Research and Development Program of China (Grant No.2023YFB2390300)and the National Natural Science Foundation of China (Grant No.42172292)Yinlin Ji is grateful for the support by the Helmholtz Association's Initiative and Networking Fund for the Helmholtz Young Investigator Group ARES (Contract No.VH-NG-1516).
文摘This study aims to understand the effect of injection rate on injection-induced fracture activation in granite.We performed water injection-induced slip tests on samples containing either a smooth or a rough fracture at four different injection rates under undrained conditions and monitored the acoustic emission(AE)signals during the tests.Experimental results reveal that the critical activation fluid pressure is related to the injection rate,pressure diffusion rate,stress state,and fracture roughness.For the smooth fracture,as the injection rate increases,the critical activation fluid pressure increases significantly,while the injection rate has little effect on the critical activation fluid pressure of the rough fracture.The quasi-static slip distance of fractures decreases as the injection rate increases,with rough fractures exhibiting a greater overall slip distance compared to smooth fractures.The number of AE events per unit sliding distance increases with the injection rate,while the global b value decreases.These results indicate that higher injection rates produce more large-magnitude AE events and more severe slip instability and asperity damage.We established a linkage between fluid injection volume,injection rate,and AE events using the seismogenic index(Σ).The smooth fracture exhibits a steadily increasingΣwith the elapse of injection time,and the rate of increase is higher at higher injection rates;while the rough fracture is featured by a fluctuatingΣ,signifying the intermittent occurrence of large-magnitude AE events associated with the damage of larger fracture asperities.Our results highlight the importance of fracture surface heterogeneity on injection-induced fracture activation and slip.
基金supported by Basic and Applied Basic research foundation of Guangdong province(Nos.2021A1515010343 and 2022A1515011582)the Science and Technology Program of Guangdong Province(Nos.2021A0505030026 and 2022A0505050029).
文摘In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-based alloy(typically pure lead or lead-bismuth eutectic(LBE))is used as the coolant.To clarify the pressure build-up characteristics under water-jet injection,this study conducted several experiments by injecting pressurized water into a molten LBE pool at Sun Yat-sen University.To obtain a further understanding,several new experimental parameters were adopted,including the melt temperature,water subcooling,injection pressure,injection duration,and nozzle diameter.Through detailed analyses,it was found that the pressure and temperature during the water-melt interaction exhibited a consistent variation trend with our previous water-droplet injection mode LBE experiment.Similarly,the existence of a steam explosion was confirmed,which typically results in a much stronger pressure build-up.For the non-explosion cases,increasing the injection pressure,melt-pool temperature,nozzle diameter,and water subcooling promoted pressure build-up in the melt pool.However,a limited enhancement effect was observed when increasing the injection duration,which may be owing to the continually rising pressure in the interaction vessel or the isolation effect of the generated steam cavity.Regardless of whether a steam explosion occurred,the calculated mechanical and kinetic energy conversion efficiencies of the melt were relatively small(not exceeding 4.1%and 0.7%,respectively).Moreover,the range of the conversion efficiency was similar to that of previous water-droplet experiments,although the upper limit of the jet mode was slightly lower.
基金supported in part by the National Natural Science Foundation of China under Grant 52105079 and 62103455。
文摘This paper proposes a virtual position-offset injection based permanent magnet temperature estimation approach for permanent magnet synchronous machines(PMSMs). The concept of virtual position-offset injection is mathematically transforming the machine model to a virtual frame with a position-offset. The virtual frame temperature estimation model is derived to calculate the permanent magnet temperature(PMT) directly from the measurements with computation efficiency. The estimation model involves a combined inductance term, which can simplify the establishment of saturation compensation model with less measurements. Moreover, resistance and inverter distorted terms are cancelled in the estimation model, which can improve the robustness to the winding temperature rise and inverter distortion. The proposed approach can achieve simplified computation in temperature estimation and reduced memory usage in saturation compensation. While existing model-based approaches could be affected by either the need of resistance and inverter information or complex saturation compensation. Experiments are conducted on the test machine to verify the proposed approach under various operating conditions.
