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The thermal expansion behavior, microstructure evolution and β → ωiso phase transformation kinetics of the low cost Ti–3Al–5Mo–4Cr–2Zr–1Fe (Ti-35421, wt.%) titanium alloy during continuous heating have been investigated by using dilatometric (DIL) method. The results revealed that corresponding transformation sequence can be verified as β → ωiso, β + ωiso → α + β, β → α and α → β using TEM and SEM analysis during the heating process. The microstructure and local composition distribution was detected by STEM mapping. The phase transition curve exhibited a typical S-type pattern, indicating the phase transformation was controlled by the nucleation and growth mechanism. It was found that the S-curve shifted to a higher temperature and the phase transition interval became shorter as the heating rate increased. Furthermore, the average activation energy required for the β → ωiso phase transition was calculated by Kissinger–Akahira–Sunose (KAS) equation is about 90.21 kJ/mol. The Avrami exponent n in the Kolmogorov–Johnson–Mehl–Avrami (KJMA) model was used to study the nucleation growth mechanism of the ω phase during continuous heating. The exponent n can be divided into three stages: the initial phase transition (0.02

In the present study, the stress corrosion cracking (SCC) of ultrafine-grained (UFG) Ti-2Fe-0.1B prepared by equal channel angular pressing (ECAP) was investigated by a slow strain rate test (SSRT) with in-site electrochemical equipment. In comparison with the atmosphere, results indicated that the mechanical properties of Ti-2Fe-0.1B alloy degraded in the simulated sea water, and the SCC sensitivity of UFG Ti-2Fe-0.1B alloy is much lower than the initial coarse-grained (CG) state. The enhanced SCC resistance of UFG Ti-2Fe-0.1B alloy could be attributed to the mechanical and corrosive aspects simultaneously. First of all, the strength of UFG Ti-2Fe-0.1B alloy is much higher than the CG state, but the elongation to failure of UFG Ti-2Fe-0.1B alloy decreased more than 1.8 times. The UFG sample suffered crack initiation until failure with a relative short time and low plastic deformation, which weakened the effect of corrosion during SSRT. In addition, X-ray photoelectron spectroscopy (XPS) revealed that the thickness of the passivation film of the UFG Ti-2Fe-0.1B alloy is thicker and that the component of the passivation film possesses a higher proportion of TiO2 in the same etched depth, which is beneficial to the corrosion resistance. Furthermore, according to the in-site electrochemical experiment curves, it is believed that the passivation film has a higher repair ability after cracking during SSRT for the UFG Ti-2Fe-0.1B alloy due to the decrease in grain size and the increase in dislocation density.

In recent decades, the effect of Fe element addition on titanium alloy has been investigated extensively due to the development of low-cost titanium alloys, as well as B microalloying, which could decrease the grain size of titanium alloys during the casting process. As a key structural material, the study of the fatigue behavior of titanium alloys is crucial and always attractive for scientists. Hence, in this paper, the low cycle fatigue (LCF) behavior and fracture characteristics of a low-cost Ti-2Fe-0.1B alloy with a lamellar structure were investigated systematically, five different strain amplitudes (Δεt/2) in the range from 0.6% to 1.4% were selected to control the LCF process. It was found that the Ti-2Fe-0.1B alloy exhibits continuous cyclic softening behavior in the cycle as a whole at Δεt/2 ≤ 1.2%, while at Δεt/2 = 1.4%, it exhibits slight cyclic hardening at the initial stage of the cycle, then shows cyclic softening. Compared with pure titanium and other typical titanium alloys, the Ti-2Fe-0.1B alloy indicated maximum fatigue life under the same strain amplitude, it can be attributed to the fine grain size result from the effect of Fe element and trace B, which could hinder the dislocation movement and crack propagation.

The way that males and females react to environmental exposures and negative impacts on their neurological systems is often different. Although previous research has examined the cognitively impairing effects of solitary metal exposures, the relationship between metal mixtures and cognitive function, particularly when considering an individual’s sex, remains elusive. This study aimed to investigate the sex differences in the association between multiple metal combinations and cognitive function in older Americans. This research employed the 2011–2014 NHANES survey of elderly Americans. The association between five mixed metals and four cognitive tests (the animal fluency test (AFT), the digit symbol substitution test (DSST), the instant recall test (IRT), and the delayed recall test (DRT)) were investigated with generalized linear regression model (GLM), Bayesian kernel machine regression model (BKMR), weighted quantile sum regression model (WQS), and quantile g-computation regression model (Qgcomp). A total of 1833 people, including 883 males and 950 females, enrolled in this cross-sectional study. We discovered that blood lead and blood cadmium were negatively associated with cognitive performance, while blood selenium demonstrated a positive association with cognitive function in older people. The negative relationship of heavy metal combinations on cognitive function might be somewhat reduced or even reversed via selenium. The IRT, AFT, and DSST are three of the four cognitive tests where men had more dramatic positive or negative results. There was a sex-specific connection between blood metal ratios and cognitive function among older Americans, as evidenced by the more significant relationship between mixed metals and cognitive performance in men (either positively or negatively). These results emphasize the impacts of ambient heavy metal exposure on cognitive function by employing sex-specific methods.

The acidity and basicity of the solvents can influence the reaction outcome notably, and hence the precise measurement of pH is important for reaction. However, not all the pH values of organic solvents can be determined with a classic pH meter straightly. In this research, the acidity and basicity of environmentally friendly green solvents, such as ZnCl2 molten salt hydrate, ionic liquids (ILs) and deep eutectic solvents (DESs), were characterized by 31P and 1H NMR spectroscopy using trimethylphosphine oxide (TMPO) and pyrrole as probe molecules at 298 K. For the ZnCl2 molten salt hydrate, the acidic strength of the ZnCl2 molten salt hydrate increased with the concentration of ZnCl2. By using the 1H-pyrrole NMR approach, it was found that the base strength of amino acid-based ILs follows the order: [Ch][Lys] > [Ch][His].

Peer assessment (PA) is employed as one fundamental practice of classroom-based assessment in terms of its learning-oriented and formative nature. The exercise of peer assessment has multiple and additional benefits for student learning. However, research into the learning processes in peer assessment is scarce both in theory and in practice, making it difficult to evaluate and pinpoint its value as a tool in assessment as learning (AaL). This study focuses both on the learning process and outcome through assessment activities. We set out with three goals in mind: (1) to examine students' assessment performance in context, (2) to evaluate its impact on student progress, and (3) to illuminate teachers on organizing assessment activities. Three specific research questions are answered in this study: (1) How do student raters perform in the process of PA in an advanced English class? (2) To what extent do assessment activities influence the students' speaking ability? (3) What are students' perceptions of PA regarding its benefits and caveats? A total of 29 undergraduate students participated in two assessment activities on argumentative speaking. Many-Facet Rasch Model analysis was conducted to measure the rater effects both at the group level and the individual level. Bias/interaction analyses were performed to diagnose rater behavior in different contexts including the rating session, speaking session, and peer assessment vs. self-assessment. Questionnaire and semi-structured interview data were also collected to explore factors and strategies that could interfere with PA as AaL. Results show that students exhibited stable rating behavior and made progress in argumentative speaking in all dimensions, including delivery, organization, and language use. They are more stringent with themselves than with peers although there is one rare case with a bias against peers. Participants acknowledged the benefits of PA but also shared reasonable concerns in practice. This study validated the feasibility and the effectiveness of PA for student learning. Discussion on findings and guidelines for effective implementation of PA as AaL are provided.

Abstract In the past two decades, algorithms for multiple‐point statistics (MPS) have been applied in many fields. However, 3D training datum or data (TD) is difficult to be obtained. Two‐dimensional geological cross‐sections from boreholes or geophysical data with high reliability are usually used to explain geological phenomena and are relatively easier to be acquired. In this study, a step‐wise algorithm that combines sequential process and global optimization is presented. Constructing 3D TD set and corresponding pattern databases that extended from 2D cross‐sections at each scale is one of the key steps after presetting the simulation parameters. The following step is constructing an initial model at the coarsest scale with the pattern databases. The iterative Expectation Maximum‐like (EM‐like) optimization process is implemented to obtain the final realization. Each iteration is conducted with a multiscale strategy. Simulation examples of the regional geological structures show that the stratigraphic sequence can be reasonably kept and reproduced. Also, the randomness and effectiveness of the microstructure model are verified by calculating the proportion of grains, fractal dimension and the curve of two‐point connectivity probability function.

Based on 6,407 speech perception research articles published between 2000 and 2020, a bibliometric analysis was conducted to identify leading countries, research institutes, researchers, research collaboration networks, high impact research articles, central research themes and trends in speech perception research. Analysis of highly cited articles and researchers indicated three foundational theoretical approaches to speech perception, that is the motor theory, the direct realism and the computational approach as well as four non-native speech perception models, that is the Speech Learning Model, the Perceptual Assimilation Model, the Native Language Magnet model, and the Second Language Linguistic Perception model. Citation networks, term frequency analysis and co-word networks revealed several central research topics: audio-visual speech perception, spoken word recognition, bilingual and infant/child speech perception and learning. Two directions for future research were also identified: (1) speech perception by clinical populations, such as hearing loss children with cochlear implants and speech perception across lifespan, including infants and aged population; (2) application of neurocognitive techniques in investigating activation of different brain regions during speech perception. Our bibliometric analysis can facilitate research advancements and future collaborations among linguists, psychologists and brain scientists by offering a bird view of this interdisciplinary field.

In this work, CNTs-wrapped ZnCo2S4 nanoparticle composites were constructed by a simple hydrothermal process. This process allows to wrap ZnCo2S4 nanoparticle in an interconnected CNT matrix that combines excellent electronic conductivity with good mechanical stability. The CNTs wrapping suppresses the aggregation of ZnCo2S4 nanoparticle, and assures an effective contact between electrolyte and ZnCo2S4 particles, then promotes rapid ion transportation. Specifically, ZnCo2S4@CNTs (5 wt%) composite shows the highest specific surface area, lowest polarization and the highest reversibility during cycling among all samples. ZnCo2S4@CNTs (0, 2.5, 5 and 10 wt%) electrodes deliver specific capacitances of 360.4, 1012.8, 1190.4 and 1015.6 F g−1 with capacitance retentions of 32.9%, 81.3%, 84.2% and 79.3% at 10 A g−1 after 10,000 cycles. Even at higher current density of 30 A g−1, ZnCo2S4@CNTs (5 wt%) composite also delivers a specific capacitance of about 880 F g−1 with a capacitance retention of 93% after 30,000 cycles, revealing outstanding cycling stability. The above results exhibit that ZnCo2S4@CNTs composites can be promising candidates as electrode materials for pseudocapacitors with excellent electrochemical property in future applications.

Abstract Background Patients with locally advanced sigmoid colon cancer (LASCC) have limited treatment options and a dismal prognosis with poor quality of life. This retrospective study aimed to further evaluate the feasibility and efficacy of neoadjuvant chemoradiotherapy (NACRT) followed by surgery as treatment for select patients with unresectable LASCC. Methods We studied patients with unresectable LASCC who received NACRT between November 2010 and April 2019. The NACRT regimen consisted of intensity modulated radiotherapy (IMRT) of 50 Gy to the gross tumor and positive lymphoma node and 45 Gy to the clinical target volume. Capecitabine‑based chemotherapy was administered every 2 (mFOLFOX6) or 3 weeks (CAPEOX). Surgery was scheduled 6–8 weeks after radiotherapy. Results Seventy‑two patients were enrolled in this study. Patients had a regular follow-up (median, 41.1 months; range, 8.3–116.5 months). Seventy‑one patients completed NACRT, and sixty-five completed surgery. Resection with microscopically negative margins (R0 resection) was achieved in 64 patients (88.9%). Pathologic complete response was observed in 15 patients (23.1%), and multivisceral resection was necessary in 38 patients (58.3%). The cumulative probability of 3-year overall survival (OS) and progression-free survival (PFS) were 75.8 and 70.7%, respectively. Conclusions For patients with unresectable LASCC, neoadjuvant chemoradiotherapy is feasible, surgery can be performed safely and may result in increased survival and organ preservation rates.

In the present study, a novel Ti-2Fe-0.1B alloy was processed using equal channel angular pressing (ECAP) via route Bc for four passes. The isochronal annealing of the ultrafine-grained (UFG) Ti-2Fe-0.1B alloy was conducted at various temperatures between 150 and 750 °C with holding times of 60 min. The isothermal annealing was performed at 350–750 °C with different holding times (15 min–150 min). The results indicated that no obvious changes in the microhardness of the UFG Ti-2Fe-0.1B alloy are observed when the annealing temperature (AT) is up to 450 °C. Compared to the UFG state, it was found that excellent strength (~768 MPa) and ductility (~16%) matching can be achieved for the UFG Ti-2Fe-0.1B alloy when annealed at 450 °C. The microstructure of the UFG Ti-2Fe-0.1B alloy before and after the various annealing treatments was characterized using electron backscatter diffraction (EBSD) and transmission electron microscopy (TEM). It was found that the average grain size remained at an ultrafine level (0.91–1.03 μm) when the annealing temperature was below 450 °C. The good thermal stability of the UFG Ti-2Fe-0.1B alloy could be ascribed to the pinning of the TiB needles and the segregation of the Fe solute atoms at the grain boundaries, which is of benefit for decreasing grain boundary energy and inhibiting the mobility of grain boundaries. For the UFG Ti-2Fe-0.1B alloy, a recrystallization activation energy with an average value of ~259.44 KJ/mol was analyzed using a differential scanning calorimeter (DSC). This is much higher than the lattice self-diffusion activation energy of pure titanium.

Abstract Background The management of unresectable locally advanced colon cancer (LACC) remains controversial, as resection is not feasible. The goal of this study was to evaluate the treatment outcomes and toxicity of neoadjuvant chemoradiotherapy (NACRT) followed with surgery and adjuvant chemotherapy in patients with unresectable radically LACC. Methods We included patients who were diagnosed at our institution, 2010–2018. The neoadjuvant regimen consisted of radiotherapy and capecitabine/ 5-fluorouracil-based chemotherapy. Results One hundred patients were identified. The median follow-up time was 32 months. The R0 resection rate, adjusted nonmultivisceral resection rate and bladder preservation rate were 83.0, 43.0 and 83.3%, respectively. The pCR and clinical-downstaging rates were 18, and 81.0%%, respectively. The 3-year PFS and OS rates for all patients were 68.6 and 82.1%, respectively. Seventeen patients developed grade 3–4 myelosuppression, which was the most common adverse event observed after NACRT. Tumor perforation occurred in 3 patients during NACRT. The incidence of grade 3–4 surgery-related complications was 7.0%. Postoperative anastomotic leakage was observed in 3 patients. Conclusions NACRT followed by surgery was feasible and safe for selected patients with LACC, and can be used as a conversion treatment to achieve satisfactory downstaging, long-term survival and quality of life, with acceptable toxicities.

Abstract Background The watch-and-wait strategy offers a non-invasive therapeutic alternative for rectal cancer patients who have achieved a clinical complete response (cCR) after chemoradiotherapy. This study aimed to investigate the long-term clinical outcomes of this strategy in comparation to surgical resection. Methods Stage II/III rectal adenocarcinoma patients who received neoadjuvant chemoradiotherapy and achieved a cCR were selected from the databases of three centers. cCR was evaluated by findings from digital rectal examination, colonoscopy, and radiographic images. Patients in whom the watch-and-wait strategy was adopted were matched with patients who underwent radical resection through 1:1 propensity score matching analyses. Survival was calculated and compared in the two groups using the Kaplan–Meier method with the log rank test. Results A total of 117 patients in whom the watch-and-wait strategy was adopted were matched with 354 patients who underwent radical resection. After matching, there were 94 patients in each group, and no significant differences in term of age, sex, T stage, N stage or tumor location were observed between the two groups. The median follow-up time was 38.2 months. Patients in whom the watch-and-wait strategy was adopted exhibited a higher rate of local recurrences (14.9% vs. 1.1%), but most (85.7%) were salvageable. Three-year non-regrowth local recurrence-free survival was comparable between the two groups (98% vs. 98%, P = 0.506), but the watch-and-wait group presented an obvious advantage in terms of sphincter preservation, especially in patients with a tumor located within 3 cm of the anal verge (89.7% vs. 41.2%, P

Rhizomes of the Polygonatum species are well-known in traditional Chinese medicine. The 2020 edition of Chinese Pharmacopoeia includes three different species that possess different pharmacological effects. Due to the lack of standardized discriminant compounds there has often been inadvertently incorrect prescriptions given for these medicines, resulting in serious consequences. Therefore, it is critical to accurately distinguish these herbal Polygonatum species. For this study, UPLC-Q-TOF-MS/MS based metabolomics was employed for the first time to discriminate between three Polygonatum species. Partial least squares discriminant analysis (PLS-DA) models were utilized to select the potential candidate discriminant compounds, after which MS/MS fragmentation patterns were used to identify them. Meanwhile, metabolic correlations were identified using the R language package corrplot, and the distribution of various metabolites was analyzed by box plot and the Z-score graph. As a result, we found that adenosine, sucrose, and pyroglutamic acid were suitable for the identification of different Polygonatum species. In conclusion, this study articulates how various herbal Polygonatum species might be more accurately and efficiently distinguished.

Abstract Background Radiation-induced choanal stenosis (RICS) severely decreases life quality of patients with nasopharyngeal carcinoma (NPC) and originates from nasal mucositis, which depends on radiation dose. This self-controlled study aimed to find the correlations between dosimetric parameters and RICS. Methods Totally 49 NPC patients treated with intensity-modulated radiotherapy from May 2010 to Aug. 2013 and diagnosed with RICS during follow-up were enrolled into this study. Minimum point dose, maximum point dose, mean dose (Dmean), dose covering ≥33% volume (D33), dose covering ≥66% volume (D66), and volume receiving ≥60 Gy (V60) were compared between the nasal cavities with and without RICS, through paired t-test. The parameters with difference would enter receiver operating characteristic analysis to determine their cutoff values. Then predicting abilities of the cutoff values were tested by Chi-square test. Result The nasal cavities with RICS appeared to have higher Dmean, D33, D66 and V60, compared with those without RICS (P values were 0.014, 0.003, 0.006 and 0.010). Dmean ≥54.22 Gy, D33 ≥ 61.96 Gy, D66 ≥ 46.50 Gy and V60 ≥ 48.13% were demonstrated to be related with a higher risk of RICS. Conclusion Dmean, D33, D66 and V60 of nasal cavity might be used as predictors of RICS. Their values needed to be controlled whenever possible, for ameliorating life quality of NPC patients.

Abstract Background Addition of oxaliplatin to capecitabine remains controversial for locally advanced rectal cancer (LARC). And cumulative oxaliplatin dose (COD) varied among clinical trials showing different therapeutic effects of this regimen. The objective of this study was to explore how COD affected tumor metastasis and patient survival. Methods Totally 388 patients diagnosed with stage cII-III rectal cancer and treated with neoadjuvant chemoradiotherapy followed by radical surgery plus adjuvant chemotherapy were consecutively enrolled into this study and retrospectively reviewed. After grouping by total chemotherapy cycle (TCC), influences of COD on adverse effects and patients’ survivals were analyzed in each group. Univariate and multivariate survival analyses were performed through Kaplan-Meier approach and COX proportional hazards model, respectively. Age, gender, anemia, differentiation, carcinoembryonic antigen, carbohydrate antigen 19–9, pretreatment clinical stage and postsurgical pathologic stage were used as covariates. Results COD

Abstract Background Several studies have suggested that drug resistance in colon cancer patients with diabetes may be associated with long‐term insulin administration, which in turn decreases the survival rate. Metformin is a commonly used drug to treat diabetes but has been recently demonstrated to have a potential therapeutic effect on colon cancer. This study aimed to elucidate the underlying mechanism by which metformin reverts insulin‐induced oxaliplatin resistance in human colon cancer HCT116 cells. Methods Two colon cancer cell lines (HCT116 and LoVo) were used to verify whether the expression of insulin receptor substrate 1 (IRS‐1) could impact the half maximal inhibitory concentration (IC50) of oxaliplatin after chronic insulin treatment. The IC50 of oxaliplatin in both cell lines was measured to identify metformin sensitization to oxaliplatin. The adenosine monophosphate‐activated protein kinase (AMPK) inhibitor, namely AMPK small interfering RNA, was used to block AMPK activation to identify critical proteins in the AMPK/Erk signaling pathway. Bcl‐2 is a vital antiapoptotic protein involved in the mitochondrial apoptosis pathway. Finally, immunofluorescence and electron microscopy were performed to investigate how metformin affects the ultrastructural integrity of mitochondria. Results The IC50 of oxaliplatin in HCT116 cells was noticeably increased. After the cells were treated with metformin, oxaliplatin resistance was reversed. According to the results of the western blotting assay of vital proteins involved in the classical apoptosis pathway, cleaved caspase‐9 was noticeably upregulated, suggesting that the mitochondrial apoptosis pathway was activated. These results were verified by imaging of mitochondria using electron microscopy. The AMPK/Erk signaling pathway experiments revealed that the upregulation of Bcl‐2 induced by insulin through Erk phosphorylation was inhibited by metformin and that such inhibition could be mitigated by the inhibition of AMPK. Conclusions Insulin‐induced oxaliplatin resistance was reversed by metformin‐mediated AMPK activation. Accordingly, metformin is likely to sensitize patients with diabetes to chemotherapeutic drugs used to treat colon cancer.

Background: Association between ambient air pollution and congenital heart diseases (CHDs) remains inconclusive, and the critical exposure windows has not been well studied. Objectives: This case-control study aimed to assess the effect of ambient air pollution exposure on the risk of CHDs and the subtypes in Henan, China, and further to explore potential susceptible windows. Methods: Daily average particulate matter with an aerodynamic diameter of ≤2.5 µm (PM2.5) and ≤10 µm (PM10), nitrogen dioxide (NO2), sulfur dioxide (SO2), carbon monoxide (CO) and ozone (O3) were collected by Chinese Air Quality Reanalysis datasets. Binary logistic regression was used to examine trimester-specific associations between per 10 μg/m3 increase in air pollutants and CHDs as well as the major subtypes. Distributed lag models incorporating logistic regression were applied to explore weekly-specific associations. Results: A total of 196,069 singleton live births were included during 2013–2018, 643 CHDs were identified (3.3‰). We found that first and second trimester CO exposure increased overall CHDs risk, the adjusted odds ratio (aOR) and 95% confidence interval (CI) were 1.066 (1.010–1.125) and 1.065 (1.012–1.122). For CHDs subtypes, we observed that NO2 and CO in first trimester, PM2.5 and PM10 in the second trimester exposure were associated with the risk of atrial septal defect (ASD), the susceptible windows of air pollutants and ASD mainly occurred in the 1st- 6th gestational weeks. No positive association was observed for air pollution and tetralogy of Fallot. Conclusion: Our findings suggest that ambient air pollution exposure is associated with the risk of CHDs especially for ASD, and the susceptible windows generally occurred in first trimester. Further well-designed longitudinal studies are warranted to confirm our findings.

A large number of aerospace practices have confirmed that the aerospace microgravity environment can lead to cognitive function decline. Mitochondria are the most important energy metabolism organelles, and some studies demonstrate that the areospace microgravity environment can cause mitochondrial dysfunction. However, the relationships between cognitive function decline and mitochondrial dysfunction in the microgravity environment have not been elucidated. In this study, we simulated the microgravity environment in the Sprague-Dawley (SD) rats by -30° tail suspension for 28 days. We then investigated the changes of mitochondrial morphology and proteomics in the hippocampus. The electron microscopy results showed that the 28-day tail suspension increased the mitochondria number and size of rat hippocampal neuronal soma. Using TMT-based proteomics analysis, we identified 163 differentially expressed proteins (DEPs) between tail suspension and control samples, and among them, 128 proteins were upregulated and 35 proteins were downregulated. Functional and network analyses of the DEPs indicated that several of mitochondrial metabolic processes including the tricarboxylic acid (TCA) cycle were altered by simulating microgravity (SM). We verified 3 upregulated proteins, aconitate hydratase (ACO2), dihydrolipoamide S-succinyltransferase (DLST), and citrate synthase (CS), in the TCA cycle process by western blotting and confirmed their differential expressions between tail suspension and control samples. Taken together, our results demonstrate that 28-day tail suspension can cause changes in the morphology and metabolic function of hippocampus mitochondria, which might represent a mechanism of cognitive disorder caused by aerospace microgravity.

Objective: Intrinsic capacity is recognized as an important determinant of healthy aging and well-being of older adults; however, relatively little is known about the intrinsic capacity of older adults to predict adverse health outcomes. The study aimed to examine which adverse health outcomes of older adults can be predicted by intrinsic capacity. Methods: The study was conducted using the scoping review methodological framework of Arksey and O’Malley. A systematic literature search of nine electronic databases (i.e., Pubmed, Embase, Cochrane library, Web of science, CINAHL, China National Knowledge Infrastructure, VIP, Wanfang, and the Chinese Biological Medical Literature Database) were performed from the database’s inception to 1 March 2022. Results: Fifteen longitudinal studies were included. A series of adverse health outcomes were assessed, including physical function (n = 12), frailty (n = 3), falls (n = 3), mortality (n = 6), quality of life (n = 2) and other adverse health outcomes (n = 4). Conclusions: Intrinsic capacity could predict some adverse health outcomes of different follow-up times for older adults; however, due to the small number of studies and sample size, more high-quality studies are necessary to explore the longitudinal relationships between intrinsic capacity and adverse health outcomes in the future.

According to the shallow structure hypothesis (SSH), adult L2 learners rely more on lexical-semantic and pragmatic information but less so on syntactic information in online language processing, ending up with shallower syntactic representation. To test the SSH, we conducted an eye-tracking experiment on L1-Korean L2-Chinese learners with native Chinese speakers as the baseline, investigating their processing of Chinese base-generated-topic sentences (BGT). The results show that both the intermediate and advanced Korean learners of Chinese are sensitive to and can make use of syntactic information, but only the advanced learners are sensitive to the semantic constraint when processing Chinese BGT sentences, providing evidence against the SSH.

In this study, the dynamic compression properties of a new high-strength (>1000 MPa) and ductile (>15%) near-α titanium Ti-6Al-1Mo-2Zr-0.55Fe-0.1B alloy were investigated at high strain rates of 1620 s−1~2820 s−1 by a split Hopkinson pressure bar (SHPB). The microstructural evolution of the samples before and after the dynamic deformation was analyzed by electron backscatter diffraction (EBSD). The results indicated that the strength of the alloy enhanced significantly under the dynamic loading compared with the quasi-static compression and increased with the increase in the strain rate. An abundance of deformation twins released the dislocation pile-up and coordinated the plastic deformation of alloy during the dynamic loading. The dynamic plasticity constitutive equation of the alloy was obtained by fitting high strain rate experimental data at room temperature by the Johnson–Cook constitutive equation with the modified temperature term.

Hibernators are a natural model of vascular ischemia–reperfusion injury; however, the protective mechanisms involved in dealing with such an injury over the torpor–arousal cycle are unclear. The present study aimed to clarify the changes in the thoracic aorta and serum in summer-active (SA), late-torpor (LT) and interbout-arousal (IBA) Daurian ground squirrels (Spermophilus dauricus). The results show that total antioxidant capacity (TAC) was unchanged, but malondialdehyde (MDA), hydrogen peroxide (H2O2), interleukin-1β (IL-1β) and tumor necrosis factor α (TNFα) were significantly increased for the LT group, whereas the levels of superoxide dismutase (SOD) and interleukin-10 (IL-10) were significantly reduced in the LT group as compared with the SA group. Moreover, the levels of MDA and IL-1β were significantly reduced, whereas SOD and IL-10 were significantly increased in the IBA group as compared with the SA group. In addition, the lumen area of the thoracic aorta and the expression of the smooth muscle cells (SMCs) contractile marker protein 22α (SM22α) were significantly reduced, whereas the protein expression of the synthetic marker proteins osteopontin (OPN), vimentin (VIM) and proliferating cell nuclear antigen (PCNA) were significantly increased in the LT group as compared with the SA group. Furthermore, the smooth muscle layer of the thoracic aorta was significantly thickened, and PCNA protein expression was significantly reduced in the IBA group as compared with the SA group. The contractile marker proteins SM22α and synthetic marker protein VIM underwent significant localization changes in both LT and IBA groups, with localization of the contractile marker protein α-smooth muscle actin (αSMA) changing only in the IBA group as compared with the SA group. In tunica intima, the serum levels of heparin sulfate (HS) and syndecan-1 (Sy-1) in the LT group were significantly reduced, but the serum level of HS in the IBA group increased significantly as compared with the SA group. Protein expression and localization of endothelial nitric oxide synthase (eNOS) was unchanged in the three groups. In summary, the decrease in reactive oxygen species (ROS) and pro-inflammatory factors and increase in SOD and anti-inflammatory factors during the IBA period induced controlled phenotypic switching of thoracic aortic SMCs and restoration of endothelial permeability to resist ischemic and hypoxic injury during torpor of Daurian ground squirrels.

ObjectiveThis article aimed to investigate whether serum magnesium is associated with insulin resistance index and testosterone level in women with polycystic ovary syndrome (PCOS).Materials and MethodsOverall 1000 women with PCOS were enrolled in a randomized controlled trial and a cross-sectional analysis of the association of serum magnesium with glucose metabolism markers and testosterone was performed. Serum magnesium, glucose metabolism markers and testosterone were measured. Insulin resistance was evaluated by homeostatic model assessment of insulin resistance (HOMA-IR) and quantitative insulin-sensitivity check index (QUICKI). Multivariable linear regression and logistic regression models were used to estimate the association between serum magnesium, insulin resistance and testosterone.ResultsIn comparative analyses, women with higher quartile of serum magnesium had significantly lower fasting glucose, HOMA-IR and testosterone. Multiple linear regression showed serum magnesium was independently negatively associated with insulin, glucose, HOMA-IR, testosterone and positively associated with QUICKI (P for trend

Educational chatbots are gaining momentum due to their distinctive affordances of interactivity, immediacy, ease of use, and individualized experience. However, a fairly limited body of literature discusses how a chatbot can facilitate collaborative learning among peers in extensive reading contexts to encourage more vibrant interactions supporting further interest development. Therefore, this research aimed to analyze the affordances and limitations of a chatbot to facilitate human-human interactions by incorporating the refined Academically Productive Talk framework for nurturing a learning community, forming accurate knowledge, fostering rigorous thinking, and encouraging affective responses for elementary school learners. Specifically, the purpose of the research was to observe the situational interest of the learners, their interaction patterns, and their social learning behaviors. This research developed a chatbot stored with 64 children's storybooks to initiate and facilitate peer dialogues. A group of 30 learners were paired up to conduct two chatbot-facilitated dialogic reading activities. A total of 30 discourse logs and students' feedback on a survey of situational interest were analyzed. The discourse analysis of this research supports the affordances of the chatbot acting as an effective dialogue initiator and discussion facilitator to support both human-chatbot and human-human social learning. The chatbot encourages a diverse interactive dialogic climate, and four interaction patterns were identified. The situational interest of the initial encounter with the chatbot was boosted; however, their interest was unable to be sustained. The implications for the affordances and limitations of educational chatbots are discussed.

Reading requires appropriate strategies to spark initial interest and sustain engagement. One promising strategy is the pedagogical approach of learning-by-teaching, transforming learners into active participants. Integrating this approach into digitalized and individualized reading contexts has the potential to foster the development of young readers. Currently, AI techniques are primarily used in chatbots as tutors, with limited focus on tutee chatbots that employ the learning-by-teaching pedagogy. Therefore, this study adopted a teachable Q&A agent and probed into the effect of chatbot training, employing AI techniques and utilizing student-generated questions and answers, with the aim of enhancing students' reading interest and engagement. Ninety-five fifth graders participated in a 9-week reading program. A quasi-experimental design was conducted. The results proved that incorporating a learning-by-teaching approach into the chatbot training activity significantly enhanced their reading interest and engagement. However, the quantity of certain question types is negatively correlated with interest and engagement. This implies that asking diverse questions poses a certain level of challenge to young readers, which requires deliberate training and incubation. Additionally, the identification of four distinct student clusters exhibited the affordances and limitations of tutee chatbots for reading.

Abstract Concurrent chemotherapy (CCT) is used in locally advanced nasopharyngeal carcinoma (NPC) for improved local control, which could also be achieved by intensity‐modulated radiotherapy (IMRT). And for N2‐3 NPC, distant metastasis is the more important cause of death. This study aims to evaluate the value of CCT in N2‐3 NPC when neoadjuvant chemotherapy (NACT) of sufficient cycles is performed to eradicate distant metastasis. It enrolled 959 patients diagnosed with TxN2‐3M0 NPC from July 2011 to December 2015 and treated with NACT of 3‐4 cycles and IMRT. A propensity score matching (PSM) was made between patients treated with and without CCT (called the CCT and non‐CCT groups, respectively), using a series of clinical characteristics (age, gender, T stage, N stage, NACT regimen, and EBV DNA) as covariates. After PSM, the two groups of patients were compared on survivals and acute toxicities. The results indicated that no difference was seen in the overall, disease‐free, recurrence‐free or metastasis‐free survivals between the two groups. But compared with the CCT group, the non‐CCT group had a lower patient proportion of myelosuppression, nausea/vomiting, oral mucositis, cervical dermatitis, xerostomia, and grade 3/4 myelosuppression and oral mucositis (all P values were

Abstract Background Whether PD-L1/PD-1 expression plays a significant role in the prognosis of NPC is still controversial. The present study mainly aimed to investigate the prognostic significance of PD-L1/PD-1 expression in patients with NPC. Methods A systematical research was performed in the PubMed, Web of Science, EMBASE, and the Cochrane Library databases up to January 06, 2019. Eighteen studies met eligible criteria were included in the meta-analysis. Quality assessment of included articles was evaluated by Newcastle–Ottawa quality assessment scale (NOS). Pooled hazard ratios (HRs) and their corresponding 95% confidence intervals (95% CIs) were used to elucidated the primary endpoint, overall survival (OS), and the secondary endpoints. Furthermore, the relationship between clinicopathological features of NPC and PD-L1/PD-1 expression was estimated by relative ratios (RRs) and 95% CIs. Results A total of 1836 patients from 15 included studies concerning PD-L1 and 678 patients from six studies regarding PD-1 were included in the meta-analysis. Pooled results revealed that PD-L1 expression in NPC did not correlate with OS (HR 1.34 95% CI 0.93–1.93, p = 0.11), DFS (HR 1.82, 95% CI 0.86–3.85, p = 0.12), PFS (HR 1.19, 95% CI 0.46–3.08, p = 0.72), and DMFS (HR 2.26, 95% CI 0.60–8.56, p = 0.23). Meanwhile, no statistically significant differences existed between the expression level of PD-1 in tumor infiltrating lymphocytes (TILs) and the OS in NPC, with the pooled HR 1.29 (95% CI 0.68–2.42, p = 0.44). In subgroup analysis, higher expression of PD-L1 in immune cells correlated with better OS in patients with NPC, with a pooled HR 0.68 (95% CI 0.47–0.99, p = 0.04). Among the clinicopathological features included in our study, we found that the positive expression of PD-L1 in NPC associated with the higher expression of PD-1 (RR 1.25, 95% CI 1.02–1.52, p = 0.03). Conclusions Our meta-analysis indicated that higher/positive expression of PD-L1/PD-1 may not serve as suitable biomarkers for the prognosis of NPC, which was not in consistent with some previous studies about the prognostic value of PD-L1/PD-1 in other types of tumors. Despite the positive results in subgroup analysis and study about clinicopathological features, it may still need corroboration of prospective and large-scale studies.

Complex network is the quantitative expression of a complex process, which reflects the interactivity and relevance of nodes in the network. The financing of technology-based small and medium-sized enterprises (SMEs) in the new third board market may be affected by multifold factors. Therefore, their financing decision-making is a complex process. Financing complex networks are built on the basis of selected financing data from 2015 to 2017 of technology-based SMEs which are the nodes of financing complex networks. This paper explores whether the introduction and enforcement of relevant laws and regulations will affect the financing decisions of SMEs based on the analysis of the distribution of degree value in financing complex networks. We also research into the impact of relevant regulatory changes on the critical factors of enterprises' financing decisions. Nodes with distinct characteristics are selected through analyzing and comparing the degree values of the nodes, whose financing data in different financial disclosure cycles are used. This paper provides a new perspective for quantitative analysis of the empirical study on the effective regulation state of the financing law for technology-based SMEs.

Background: Both pathological conditions and hibernation can affect the barrier function of small intestine mucosa. However, the effect of hibernation on the barrier function of colonic mucosa remains unclear. Methods: We investigated morphological changes in colonic mucosa, the concentrations of specific proteins and molecules, and the enzymatic activity of diamine oxidase (DAO), in serum and colonic tissue; the expression of tight junction proteins and mucin, and the changes in inflammatory, farnesoid X receptor (FXR)–small heterodimer partner (SHP), and apoptosis-related molecules that could play a role in gut permeability changes in Daurian ground squirrels in summer active (SA), late torpor (LT), and interbout arousal (IBA) periods. Results: The results show that hibernation reduced the thickness of the colonic mucosa and the depth of the crypt, decreased the number of goblet cells (GCs), and damaged the structure of some microvilli. The concentrations of proteins and molecules, and the enzymatic activity of DAO, were all increased in the serum and colon, and the localization of tight junction proteins and mucin in the colonic mucosa were altered (compensatory response). Although the ground squirrels ate during the interbout arousal period, the changes remained similar to the response to torpor. Inflammation, apoptosis–anti-apoptosis, and FXR–SHP signaling may be involved in the possible changes in intestinal gut permeability during the torpor–arousal cycle in Daurian ground squirrels. In addition, periodic interbout arousal may play an inflammation-correcting role during the long hibernation season of Daurian ground squirrels.

Abstract Acrylonitrile (C3H3N) widely used in chemical raw materials has biological toxicity with –CN bond, so it is the key to removal of cyanide from acrylonitrile wastewater. In our previous research and investigation, a strain was identified as Arthrobacter nitroguajacolicus named ZJUTB06-99 and was proved to be capable of degrading acrylonitrile. In this paper, the strain ZJUTB06-99 was domesticated with acrylonitrile-containing medium and its decyanidation and denitrification in simulated acrylonitrile wastewater were studied. The intermediate product of acrylonitrile in degradation process was identified through gas chromatography–mass spectrometer, as well as the biodegradation pathway of acrylonitrile in wastewater was deduced tentatively. The kinetics equation of biodegradation of acrylonitrile was lnC = − 0.1784t + 5.3349, with the degradation half-life of acrylonitrile in wastewater by 3.885 h. The results of this study showed that the optimum levels of temperature, pH and bacteria concentration to attain the maximum biodegradation were obtained as 30 °C, 6 and 100 g/L, respectively. The disadvantages of the biodegradation with this strain and its possible enhanced method to degrade acrylonitrile in wastewater were also discussed.

Objective To explore the association between clinical leadership and quality of work life, as well as the mediating role of coping style in this relationship.Setting Three tertiary-level hospitals in Liaoning Province, China.Participants A total of 1209 nurses were recruited for this study. Registered nurses who work full time with at least 1 year of work experience were eligible as subjects. Exclusion criteria were nurses who work indirectly with patients, such as in education, administration or research.Primary and secondary outcome measures Questionnaires consisting of the work-related Quality of Life Scale, the Nurse Leadership Scale and the Simplified Coping Style Questionnaire, as well as a demographic data sheet, were used to collect participant information. Pearson’s correlation analysis, hierarchical multiple regression analysis, and asymptotic and resampling strategies were used to analyse the data.Results The mean overall quality of work life score among Chinese nurses was 3.50±0.60. After adjusting for demographic characteristics, clinical leadership was positively associated with the score of quality of work life (β=0.55, p

To explore the possible mechanism of the sarcoplasmic reticulum (SR) in the maintenance of cytoplasmic calcium (Ca2+) homeostasis, we studied changes in cytoplasmic Ca2+, SR Ca2+, and Ca2+-handling proteins of slow-twitch muscle (soleus, SOL), fast-twitch muscle (extensor digitorum longus, EDL), and mixed muscle (gastrocnemius, GAS) in different stages in hibernating Daurian ground squirrels (Spermophilus dauricus). Results showed that the level of cytoplasmic Ca2+ increased and SR Ca2+ decreased in skeletal muscle fiber during late torpor (LT) and inter-bout arousal (IBA), but both returned to summer active levels when the animals aroused from and re-entered into torpor (early torpor, ET), suggesting that intracellular Ca2+ is dynamic during hibernation. The protein expression of ryanodine receptor1 (RyR1) increased in the LT, IBA, and ET groups, whereas the co-localization of calsequestrin1 (CSQ1) and RyR1 in GAS muscle decreased in the LT and ET groups, which may increase the possibility of RyR1 channel-mediated Ca2+ release. Furthermore, calcium pump (SR Ca2+-ATPase 1, SERCA1) protein expression increased in the LT, IBA, and ET groups, and the signaling pathway-related factors of SERCA activity [i.e., β-adrenergic receptor2 protein expression (in GAS), phosphorylation levels of phospholamban (in GAS), and calmodulin kinase2 (in SOL)] all increased, suggesting that these factors may be involved in the up-regulation of SERCA1 activity in different groups. The increased protein expression of Ca2+-binding proteins CSQ1 and calmodulin (CaM) indicated that intracellular free Ca2+-binding ability also increased in the LT, IBA, ET, and POST groups. In brief, changes in cytoplasmic and SR Ca2+ concentrations, SR RyR1 and SERCA1 protein expression levels, and major RyR1 and SERCA1 signaling pathway-related factors were unexpectedly active in the torpor stage when metabolic functions were highly inhibited.

High temperature resistant coating is becoming a key technique to improve the heat resistance of aerospace heat-resistant components. In this paper, Ti6Al4V/Inconel625 gradient coating was fabricated by laser melting deposition. The results show that the microstructure changes with composition gradient, from lamellar structure consisting of lamellar α and β phases to equiaxed structure. With the increase of the proportion for nickel-based alloy, alloying elements and concentration of solute increase in molten pool. Furthermore, the nucleation rate increases due to the increase of alloying elements, which leads to the microstructure refinement. The phase composition of gradient coating changes in the sequence of α + β → α + β + Ti2Ni → Ti2Ni + β → Ti2Ni + CrNi2 + γ-Ni. The hardness of gradient coating increases as the relative percentage of Inconel625 correspondingly. When the relative percentage of nickel-based alloy reaches 100%, the hardness reaches a peak of 855 HV1. The hardness is attributed to the contribution from the formation of Ti2Ni precipitates, CrNi2 compounds as well as the solid solution hardening. For the high temperature properties, there is a diffusion zone at the interface between Ti6Al4V base layer and transition layer. The transverse microcracks are produced between layers at 800 °C.

Radiotherapy (RT) is a key component of neoadjuvant chemoradiotherapy to treat locally advanced rectal cancer (LARC). However, the therapeutic effect is limited due to radioresistance. Investigating the biomarkers of radioresistance might assist in the development of more effective therapeutic strategies for LARC.In this study, we investigated the different gene expressions in tumor samples from 110 patients using transcriptome analysis and immunohistochemistry (IHC), and identified serum- and glucocorticoid-regulated kinase 1 (SGK1) as a modulator of LARC radioresistance. We evaluated the impact of genetic and pharmacologic inhibition of the gene associated with radioresistance in vitro and in vivo. We found that the expression of SGK1 was upregulated in non-pathological complete response (non-pCR) patients. A high SGK1 expression was associated with radioresistance, whereas the genetic or pharmacologic inhibition of SGK1 expression reduced the radioresistance. We found that activate transcription factor 3 (ATF3) is a regulator of SGK1 in radioresistance.In conclusion, our findings indicate that SGK1 is a key player in LARC radioresistance, and drives radioresistance in an ATF3 dependent manner, which provides insights for future radio-sensitizer design.

For face recognition systems, liveness detection can effectively avoid illegal fraud and improve the safety of face recognition systems. Common face attacks include photo printing and video replay attacks. This paper studied the differences between photos, videos, and real faces in static texture and motion information and proposed a living detection structure based on feature fusion and attention mechanism, Dynamic and Texture Fusion Attention Network (DTFA-Net). We proposed a dynamic information fusion structure of an interchannel attention block to fuse the magnitude and direction of optical flow to extract facial motion features. In addition, for the face detection failure of HOG algorithm under complex illumination, we proposed an improved Gamma image preprocessing algorithm, which effectively improved the face detection ability. We conducted experiments on the CASIA-MFSD and Replay Attack Databases. According to experiments, the DTFA-Net proposed in this paper achieved 6.9% EER on CASIA and 2.2% HTER on Replay Attack that was comparable to other methods.

Short-term traffic flow has the characteristics of complex, changeable, strong timeliness, and so on. So the traditional prediction algorithm is difficult to meet its high real-time and accuracy requirements. In this paper, a multiscale and high-precision LSTM-GASVR short-term traffic flow prediction algorithm is proposed. This method uses 15 min traffic flow data of the first 16 sections as input and completes the data preprocessing operation through reconstruction, normalization, and rising dimension by working day factor; establishing the prediction model based on the long- and short-term memory network (LSTM) and inverse normalization; and proposing the GA-SVR model to optimize the prediction results, so as to realize the real-time high-precision prediction of traffic flow. The prediction experiment is carried out according to the charge data of a toll station in Xi’an, Shaanxi Province, from May 2018 to May 2019. The comparison and analysis of various algorithms show that the prediction algorithm proposed in this paper is 20% higher than the LSTM, GRU, CNN, SAE, ARIMA, and SVR, and the R2 can reach 0.982, the explanatory variance is 0.982, and the MAPE is 0.118. The proposed traffic flow prediction algorithm provides strong support for traffic managers to judge the state of the road network to control traffic and guide traffic flow.

Objective. To investigate the relationships between sex hormone-binding globulin (SHBG) and comprehensive metabolic parameters including biometric, glycemic, lipid, liver, and renal functions of women with polycystic ovary syndrome (PCOS). Study Design and Methods. A total of 1000 women diagnosed as PCOS by modified Rotterdam criteria were enrolled in a randomized controlled trial. SHBG and comprehensive metabolic parameters were measured at the baseline visit. Metabolic parameters included biometric parameters, glucose and lipid panels, and liver and renal function parameters. An independent t-test and linear regression were performed to investigate the associations between SHBG and metabolic parameters. Logistic regression was used to detect the relationship between SHBG and the presence of metabolic syndrome. Results. In comparative analyses, PCOS women with lower SHBG levels had higher body mass index, waist circumference, insulin, homeostatic model assessment-insulin resistance (HOMA-IR) index, systolic and diastolic blood pressure, triglycerides, apolipoprotein B (APOB), low-density lipoprotein (LDL), aspartate transferase (AST), alanine transferase (ALT), and blood urea nitrogen (BUN), but lower high-density lipoprotein (HDL) and apolipoprotein A1 (APOA1). In linear regression, SHBG was inversely associated with waist circumference, systolic blood pressure, triglyceride, LDL, APOB, ALT, AST, and BUN but positively associated with HDL and APOA1 after adjusting the BMI. In logistic regression, SHBG is a protective predictor for metabolic syndrome (odds ratio = 0.96; 95% confidence interval: 0.95–0.97). The area under the receiver-operator characteristic curve is 0.732 with a 95% confidence interval of 0.695–0.770. SHBG

The widely used Ti–6Al–4V (TC4) titanium alloy has been modified through the micro-alloying of Fe. The microstructural features and mechanical properties of the designed alloy, TC4F, are compared with other alloys in Ti–6Al–4V class by combining experimental characterizations and thermodynamic calculations. TC4F alloy not only maintains strength, hardness, and elongation similar to baseline TC4 but also exhibits improved fracture toughness comparable to TC4_ELI and even superior to TC4_DT under the heat-treated condition. It opens up a new cost-reducing way to enhance fracture toughness in place of controlling interstitial contents, showing potential in engineering applications. The discerned mechanisms indicate that the trace addition of Fe gives rise to composition redistribution between V and Fe in the β phase, boosts the lattice distortion and vibration, thereafter enhances Young's modulus and fracture toughness. It has been validated and verified by experiments, thermodynamic calculations, and Hahn-Rosenfield empirical research. The enhanced fracture toughness also benefits from the kinked β+α lamellar microstructure at crack tip as well as the improved fracture surface due to the Fe addition. The enlarged plastic zone, redirected crack propagation, and more dimples with even-distributed size additionally contribute to the improvement of fracture toughness. Keywords: Micro-alloying of Fe, Ti–6Al–4V, Fracture toughness, Enhanced modulus, Composition redistribution of V and Fe

Abstract Background Neoadjuvant chemoradiotherapy followed by surgery is recommended as the standard of care for locally advanced rectal cancer, reducing local recurrence but not distant metastasis. Intensified systemic therapy is warranted to reduce the risk of distant metastasis. The present study aimed to evaluate the safety and efficacy of neoadjuvant oxaliplatin and capecitabine (XELOX) combined with bevacizumab plus radiotherapy for locally advanced rectal cancer. Methods Patients with stages II to III rectal cancer received one cycle of induction chemotherapy and concurrent chemoradiotherapy with XELOX plus bevacizumab. Surgery was performed 6–8 weeks after completion of radiotherapy, and postoperative chemotherapy with three cycles of XELOX and two cycles of capecitabine were given. The primary endpoints were pathologic complete response (pCR) rate and safety, and the secondary endpoints were 3-year overall survival and progression-free survival. Results Forty-five patients were enrolled between February 2013 and April 2015. All completed the neoadjuvant therapy. Seven patients (15.6%) refused subsequent surgical therapy for personal reasons, and the other 38 patients received radical resection, with a sphincter preservation rate of 84.2% and a pCR rate of 39.5%. Toxicity was acceptable, with grades 3–4 hematological toxicity and diarrhea observed in six and two patients, respectively. Incidence of anastomotic leak that required surgical intervention was 13.3%. After a median follow-up period of 37 months, five patients developed disease progression and two died of cancer. The 3-year overall survival rate and 3-year progression-free survival rate were 95.3% and 88.6%, respectively. Conclusions The addition of bevacizumab to neoadjuvant chemoradiotherapy resulted in a satisfying pCR rate and 3-year survival, but also may increase the risk of anastomotic leak, thus this regimen is not suitable to be considered for regular recommendation for locally advanced rectal cancer. Trial registration Clinicaltrials.govidentifierNCT01818973

It is well known that adding elements, especially β-Ti stabilizers, are holding a significant effect on titanium alloy strength due to the solution and precipitate strengthening mechanisms. In order to reveal the Fe strengthening mechanism in titanium, this study investigate the effect of Fe on the stability of β-Ti and the phase transition between α, β and ω phase with first-principle calculations. According to our study, Fe is a strong β-Ti phase stabilizer could owe to the 3d orbital into eg and t2g states which results in strong hybridization between Fe-d orbital and Ti-d orbital. The phase transition from ω to β or from α to β becomes easier for Fe-doped Ti compared to pure titanium. Based on our results, it is found that one added Fe atom can lead the phase transition (ω → β) of at least nine titanium atoms, which further proves that Fe has a strong stabilizing effect on β-Ti phase. This result provides a solid guide for the future design of high-strength titanium with the addition of Fe.

The synthesis of lightweight yet strong-ductile materials has been an imperative challenge in alloy design. In this study, the CoCrNi-based medium-entropy alloys (MEAs) with added Al and Si were manufactured by vacuum arc melting furnace subsequently followed by cool rolling and anneal process. The mechanical responses of CoCrNiAl0.1Si0.1 MEAs under quasi-static (1 × 10−3 s−1) tensile strength showed that MEAs had an outstanding balance of yield strength, ultimate tensile strength, and elongation. The yield strength, ultimate tensile strength, and elongation were increased from 480 MPa, 900 MPa, and 58% at 298 K to 700 MPa, 1250 MPa, and 72% at 77 K, respectively. Temperature dependencies of the yield strength and strain hardening were investigated to understand the excellent mechanical performance, considering the contribution of lattice distortions, deformation twins, and microbands. Severe lattice distortions were determined to play a predominant role in the temperature-dependent yield stress. The Peierls barrier height increased with decreasing temperature, owing to thermal vibrations causing the effective width of a dislocation core to decrease. Through the thermodynamic formula, the stacking fault energies were calculated to be 14.12 mJ/m2 and 8.32 mJ/m2 at 298 K and 77 K, respectively. In conclusion, the enhanced strength and ductility at cryogenic temperature can be attributed to multiple deformation mechanisms including dislocations, extensive deformation twins, and microbands. The synergistic effect of multiple deformation mechanisms lead to the outstanding mechanical properties of the alloy at room and cryogenic temperature.

Abstract Background Breast cancer is the common cancer in China. In previous study, we determined that 3,6-dihydroxyflavone (3,6-DHF) increases miR-34a significantly in breast carcinogenesis, but the mechanism remains unclear. Methods We used qRT-PCR to analyze miR-34a and ten-eleven translocation (TET)1, TET2, TET3 levels in breast cancer cells. With a cellular breast carcinogenesis model and an experimental model of carcinogenesis in rats, TET1 levels were evaluated by western blot analysis and immunofluorescence. TET1 and 5hmC (5-hydroxymethylcytosine) levels were evaluated by immunofluorescence in nude mouse xenografts of MDA-MB-231 cells. Chromatin immunoprecipitation(ChIP) assayed for TET1 on the TET1 promoter, and dot blot analysis of DNA 5hmC was performed in MDA-MB-231 cells. We evaluated the mechanism of 3,6-DHF on the expression of tumor suppressor miR-34a by transfecting them with DNA methyltransferase (DNMT)1 plasmid and TET1 siRNA in breast cancer cells. Methylation-specific PCR detected methylation of the miR-34a promoter. Results First, we found that 3,6-DHF promotes the expression of TET1 during carcinogen-induced breast carcinogenesis in MCF10A cells and in rats. 3,6-DHF also increased TET1 and 5hmC levels in MDA-MB-231 cells. Further study indicated that TET1 siRNA and pcDNA3/Myc-DNMT1 inhibited the 3,6-DHF reactivation effect on expression of miR-34a in breast cancer cells. Methylation-specific PCR assays indicated that TET1 siRNA and pcDNA3/Myc-DNMT1 inhibit the effect of 3,6-DHF on the demethylation of the miR-34a promoter. Conclusions Our study showed that 3,6-DHF effectively increases TET1 expression by inhibiting DNMT1 and DNA hypermethylation, and consequently up-regulates miR-34a in breast carcinogenesis.

Hibernating mammals experience conditions of extreme oxidative stress, such as fasting, muscle disuse, and repeated hypoxic ischemia-reperfusion, during the torpor-arousal cycle. Despite this, they experience little oxidative injury and are thus an interesting model of anti-oxidative damage. Thus, in the current study, we explored the levels and underlying mechanism of oxidative stress and antioxidant capacity in three skeletal muscles [slow-twitch soleus (SOL), fast-twitch extensor digitorum longus (EDL), and mixed gastrocnemius (GAS)] of Daurian ground squirrels (Spermophilus dauricus) during hibernation. Results showed that hydrogen peroxide content in the EDL and GAS decreased significantly during pre-hibernation (PRE) and late torpor (LT) compared to levels in the summer active (SA) group. Furthermore, relative to SA levels, malondialdehyde content decreased significantly during interbout arousal (IBA) and early torpor (ET) in all three skeletal muscles and decreased in the EDL and GAS during LT. Compared with the SA group, glutathione peroxidase 1 (GPx1) and catalase (CAT) protein expression in the SOL and superoxide dismutase 1 (SOD1) and SOD2 expression in the GAS increased significantly during the entire hibernation season. Furthermore, SOD1 in the IBA group and CAT and GPx1 in the ET and LT groups increased significantly in the EDL. The activities of most tested antioxidant enzymes were higher in the IBA group than in the LT group, whereas CAT remained highly active throughout the hibernation season in all three muscles. Nrf2 and p-Nrf2 protein levels were significantly elevated in the SOL and EDL during hibernation, and increased during the PRE, IBA, and ET states in the GAS. Thus, activation of the Nrf2/Keap1 antioxidant pathway resulted in the elimination of excess reactive oxygen species (ROS). Specifically, ROS levels were maintained at physiological levels by the up-regulation of antioxidant enzyme expression in skeletal muscles under oxidative stress during hibernation, thus preventing oxidative injury over the torpor-arousal cycle. Different antioxidant patterns and oxidative stress levels were also observed among the different skeletal muscles of hibernating Daurian ground squirrels.

A loading crushing test of recycled mixed coarse aggregates in the same particle diameter range is carried out, and the crushed coarse aggregates are screened, manually sorted, and weighed to study the crushing characteristics of recycled mixed coarse aggregates. The results show that the effect of “reinforcing the strong and discarding the weak” exists between two types of recycled mixed coarse aggregates with different strength in the course of crushing. After crushing, the cumulative mass content under each sieve at all levels and the sieve diameter ratio conform to the geometric fractal characteristics, and the fractal dimension is influenced by the material strength, the initial mixing ratio, and the initial void ratio. On this basis, the fractal dimension of recycled mixed coarse aggregates is determined by the crushing test, and the gradation of recycled mixed coarse aggregates for pavement base or subbase is then determined by fractal dimension. Finally, the mixing amount of recycled clay bricks in recycled mixed coarse aggregates for pavement base or subbase is discussed.

In laser systems, beam pointing usually drifts as a consequence of various disturbances, e.g., inherent drift, airflow, transmission medium variation, mechanical vibration, and elastic deformation. In this paper, we develop a laser beam pointing control system with Fast Steering Mirrors (FSMs) and Position Sensitive Devices (PSDs), which is capable of stabilizing both the position and angle of a laser beam. Specifically, using the ABCD matrix, we analyze the kinematic model governing the relationship between the rotation angles of two FSMs and the four degree-of-freedom (DOF) beam vector. Then, we design a Jacobian matrix feedback controller, which can be conveniently calibrated. Since disturbances vary significantly in terms of inconsistent physical characteristics and temporal patterns, great challenges are imposed to control strategies. In order to improve beam pointing control performance under a variety of disturbances, we propose a data-driven disturbance classification method by using a Recurrent Neural Network (RNN). The trained RNN model can classify the disturbance type in real time, and the corresponding type can be subsequently used to select suitable control parameters. This approach can realize the universality of the beam stabilization pointing system under various disturbances. Experiments on beam pointing control under several typical external disturbances are carried out to verify the effectiveness of the proposed control system.

In the present study, the unique bimodal grain size distribution microstructure with the ultrafine substrate and embedded macro grains was fabricated by a traditional hot-rolling process in a novel low-cost Ti-2Fe-0.1B titanium alloy, which possesses a good combination of strength (around 663 MPa) and ductility (around 30%) without any post heat treatment. Meanwhile, the mechanical behavior and corrosion resistance of hot-rolled Ti-2Fe-0.1B alloy after equal channel angular pressing (ECAP) deformation were studied. Results indicated that the average grain size decreased to 0.24 μm after 4 passes ECAP deformation, which led to the enhancement of tensile strength to around 854 MPa and good ductility to around 15%. In addition, corrosion resistance was also improved after ECAP due to the rapid self-repairing and thicker passivation film. Our study revealed that the novel low-cost titanium alloy after hot-rolling and ECAP could be used instead of Ti-6Al-4V in some industrial applications due to similar mechanical behavior and better corrosion resistance.

In order to reduce the cost of titanium alloys, a novel low-cost Ti-3Al-5Mo-4Cr-2Zr-1Fe (Ti-35421) titanium alloy was developed. The influence of heat treatment on the microstructure characteristics and mechanical properties of the new alloy was investigated. The results showed that the microstructure of Ti-35421 alloy consists of a lamina primary α phase and a β phase after the solution treatment at the α + β region. After aging treatment, the secondary α phase precipitates in the β matrix. The precipitation of the secondary α phase is closely related to heat treatment parameters—the volume fraction and size of the secondary α phase increase when increasing the solution temperature or aging time. At the same solution temperature and aging time, the secondary α phase became coarser, and the fraction decreased with increasing aging temperature. When Ti-35421 alloy was solution-treated at the α + β region for 1 h with aging surpassing 8 h, the tensile strength, yield strength, elongation and reduction of the area were achieved in a range of 1172.7–1459.0 MPa, 1135.1–1355.5 MPa, 5.2–11.8%, and 7.5–32.5%, respectively. The novel low-cost Ti-35421 alloy maintains mechanical properties and reduces the cost of materials compared with Ti-3Al-5Mo-5V-4Cr-2Zr (Ti-B19) alloy.