399 results on '"Dan GA"'
Search Results
2. First-Order Comprehensive Adjoint Sensitivity Analysis Methodology for Neural Ordinary Differential Equations: Mathematical Framework and Illustrative Application to the Nordheim–Fuchs Reactor Safety Model
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Dan Gabriel Cacuci
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neural ordinary differential equations (NODE) ,comprehensive adjoint sensitivity analysis methodology for NODE (1st-CASAM-NODE) ,Nordheim–Fuchs reactor safety model ,sensitivity analysis for model features (1st-FASAM-N) ,exact sensitivities ,Nuclear engineering. Atomic power ,TK9001-9401 - Abstract
This work introduces the mathematical framework of the novel “First-Order Comprehensive Adjoint Sensitivity Analysis Methodology for Neural Ordinary Differential Equations” (1st-CASAM-NODE) which yields exact expressions for the first-order sensitivities of NODE decoder responses to the NODE parameters, including encoder initial conditions, while enabling the most efficient computation of these sensitivities. The application of the 1st-CASAM-NODE is illustrated by using the Nordheim–Fuchs reactor dynamics/safety phenomenological model, which is representative of physical systems that would be modeled by NODE while admitting exact analytical solutions for all quantities of interest (hidden states, decoder outputs, sensitivities with respect to all parameters and initial conditions, etc.). This work also lays the foundation for the ongoing work on conceiving the “Second-Order Comprehensive Adjoint Sensitivity Analysis Methodology for Neural Ordinary Differential Equations” (2nd-CASAM-NODE) which aims at yielding exact expressions for the second-order sensitivities of NODE decoder responses to the NODE parameters and initial conditions while enabling the most efficient computation of these sensitivities.
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- 2024
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3. Effects of long-term continuous cultivation on the structure and function of soil bacterial and fungal communities of Fritillaria Cirrhosa on the Qinghai-Tibetan Plateau
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Dan Gao, Xusheng Gao, Ye Wang, Huimin Huo, Yuhan Wu, Zemin Yang, Haobo Zhang, Xinyu Yang, Fengfu Li, and Xiwen Li
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Soil enzymes ,Continuous cropping ,Soil health, bacterial and fungal communities, co-occurrence networks ,Medicine ,Science - Abstract
Abstract Fritillaria cirrhosa, an endangered medicinal plant in the Qinghai-Tibet Plateau, is facing resource scarcity. Artificial cultivation has been employed to address this issue, but problems related to continuous cultivation hinder successful transplantation. Imbalanced microbial communities are considered a potential cause, yet the overall changes in the microbial community under continuous cropping systems remain poorly understood. Here, we investigated the effects of varying durations of continuous cropping on the bacterial and fungal communities, as well as enzymatic activities, in the rhizospheric soil of F. cirrhosa. Our findings revealed that continuous cropping of F. cirrhosa resulted in soil acidification, nutrient imbalances, and increased enzyme activity. Specifically, after 10 years of continuous cropping, there was a notable shift in the abundance and diversity (e.g., Chao1 index) of soil bacteria and fungi. Moreover, microbial composition analyses revealed a significant accumulation of harmful microorganisms associated with soil-borne diseases (e.g., Luteimonas, Parastagonospora, Pseudogymnoascus) in successively cropped soils, in contrast to the significant reduction of beneficial microorganisms (e.g., Sphingomonas, Lysobacter, Cladosporium) that promote plant growth and development and protect against diseases such as Fusarium sp.These changes led to decreased connectivity and stability within the soil microbial community. Structural equation modeling and redundancy analysis revealed that alkaline hydrolytic nitrogen and available phosphorus directly influenced soil pH, which was identified as the primary driver of soil microbial community changes and subsequently contributed to soil health deterioration. Overall, our results highlight that soil acidification and imbalanced rhizosphere microbial communities are the primary challenges associated with continuous cropping of F. cirrhosa. These findings establish a theoretical foundation for standardized cultivation practices of F. cirrhosa and the bioremediation of continuously cultivated soils.
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- 2024
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4. Adherence to the “Atrial fibrillation Better Care” (ABC) pathway in patients with atrial fibrillation and cancer: A report from the ESC-EHRA EURObservational Research Programme in atrial fibrillation (EORP-AF) General Long-Term Registry
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Vitolo, Marco, primary, Proietti, Marco, additional, Malavasi, Vincenzo L., additional, Bonini, Niccolo’, additional, Romiti, Giulio Francesco, additional, Imberti, Jacopo F., additional, Fauchier, Laurent, additional, Marin, Francisco, additional, Nabauer, Michael, additional, Potpara, Tatjana S., additional, Dan, Gheorghe-Andrei, additional, Kalarus, Zbigniew, additional, Maggioni, Aldo Pietro, additional, Lane, Deirdre A., additional, Lip, Gregory Y H, additional, Boriani, Giuseppe, additional, Boriani Chair, G., additional, Lip, G.Y.H., additional, Tavazzi, L., additional, Maggioni, A.P., additional, Dan, GA., additional, Potpara, T., additional, Nabauer, M., additional, Marin, F., additional, Kalarus, Z., additional, Fauchier, L., additional, Goda, A., additional, Mairesse, G., additional, Shalganov, T., additional, Antoniades, L., additional, Taborsky, M., additional, Riahi, S., additional, Muda, P., additional, Bolao, I. García, additional, Piot, O., additional, Etsadashvili, K., additional, Simantirakis, EN., additional, Haim, M., additional, Azhari, A., additional, Najafian, J., additional, Santini, M., additional, Mirrakhimov, E., additional, Kulzida, K., additional, Erglis, A., additional, Poposka, L., additional, Burg, MR., additional, Crijns, H., additional, Erküner, Ö., additional, Atar, D., additional, Lenarczyk, R., additional, Oliveira, M. Martins, additional, Shah, D., additional, Serdechnaya, E., additional, Dan, G-A., additional, Diker, E., additional, and Lane, D., additional
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- 2022
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5. Bridging gaps in ophthalmology residency programs: the link between practice, training and confidence in ocular examination and gonioscopy for diagnosing glaucoma, a blinding disease
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Ortal Fogel Tempelhof, Daphna Mezad-Koursh, Assaf Hilely, Dan Gaton, and Shimon Kurtz
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Ophthalmology teaching ,Glaucoma ,Gonioscopy ,Residency curriculum ,Special aspects of education ,LC8-6691 ,Medicine - Abstract
Abstract Background To evaluate real-world utilization of gonioscopy for diagnosing glaucoma among ophthalmologists with diverse subspecialties, and understand current perceptions of teaching, training, and confidence in gonioscopy. Methods A nationwide anonymous online survey was conducted among practicing ophthalmologists, querying about demographics, professional experience, practice of routine ocular examination for glaucoma and perceptions of confidence in performing them. Results 136 ophthalmologists participated in the survey, with various levels of experience from residency to over twenty years of ophthalmology practice. Glaucoma specialists comprised 23 (16.9%) of the participants. Of the non-glaucoma-specialist respondents, only 33 (29.2%) expressed being highly confident in interpreting gonioscopic findings, which correlated significantly with their self-reported inadequate level of training in gonioscopy during residency (p
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- 2024
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6. nth-order feature adjoint sensitivity analysis methodology for response-coupled forward/adjoint linear systems: II. Illustrative application to a paradigm energy system
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Dan Gabriel Cacuci
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arbitrarily high-order adjoint sensitivity analysis ,nth-order feature adjoint sensitivity analysis methodology for response-coupled forward/adjoint linear systems ,response-coupled forward/adjoint systems ,neutron-slowing down ,sensitivity of responses to model features ,General Works - Abstract
This work presents a representative application of the newly developed “nth-order feature adjoint sensitivity analysis methodology for response-coupled forward/adjoint linear systems” (abbreviated as “nth-FASAM-L”), which enables the most efficient computation of exactly obtained mathematical expressions of arbitrarily high-order (nth-order) sensitivities of a generic system response with respect to all of the parameters (including boundary and initial conditions) underlying the respective forward/adjoint systems. The nth-FASAM-L has been developed to treat responses of linear systems that simultaneously depend on both the forward and adjoint state functions. Such systems cannot be considered particular cases of nonlinear systems, as illustrated in this work by analyzing an analytically solvable model of the energy distribution of the “contributon flux” of neutrons in a mixture of materials. The unparalleled efficiency and accuracy of the nth-FASAM-L stem from the maximal reduction in the number of adjoint computations (which are “large-scale” computations) for determining the exact expressions of arbitrarily high-order sensitivities since the number of large-scale computations when applying the nth-FASAM-N is proportional to the number of model features as opposed to the number of model parameters (which are considerably more than the number of features). Hence, the higher the order of computed sensitivities, the more efficient the nth-FASAM-N becomes compared to any other methodology. Furthermore, as illustrated in this work, the probability of encountering identically vanishing sensitivities is much higher when using the nth-FASAM-L than other methods.
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- 2024
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7. The effect of multi-scale second-phases on the microstructure evolution of a Mg–Al–Sn–Ca alloy during friction-stir processing
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Jin-Ming Liu, Hai-Long Jia, Jia-Wang Song, Xiao-Li Zhou, Dan Gao, Pin-Kui Ma, and Min Zha
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Magnesium alloy ,Sub-rapid solidification ,Dynamic recrystallization ,Aging treatment ,Friction stir processing ,Mining engineering. Metallurgy ,TN1-997 - Abstract
In the present work, the type, morphology and size of secondary phase particles in a Mg–4Al–2Sn-0.5Ca (ATX420) alloy are tailored through sub-rapid solidification (SRS) and aging treatment before friction stir processing (FSP) to systematically investigate their impact on microstructures and mechanical properties of the FSP ATX420 Mg alloy. The smaller eutectic CaMgSn phase with micro-defects in the as-cast SRS alloy is more likely to be broken during FSP, compared to the as-cast conventional solidification (CS) alloy. Additionally, nano-sized CaMgSn and Mg17Al12 particles precipitate in as-aged SRS alloy due to a high supersaturation solubility of solutes in the as-cast SRS alloy. These densely-distributed nano-sized precipitates in the as-aged SRS alloy increase the processing temperature by 60 °C during FSP, which results in less nano-sized precipitates in the stirring zone and grain growth of the α-Mg matrix. This leads to a decrease in hardness in the FSP-aged-SRS alloy (∼10 HV). Besides, the grain structure evolutions in the stirring zone and transition zone are systematically investigated for understanding the microstructure evolution during FSP in Mg alloys with eutectic phase.
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- 2024
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8. The effect of B and Sb on the corrosion behavior of T6-treated Al–Si–Mg alloys
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Shan-Liang Xu, Hai-Long Jia, Min Zha, Xiao-Li Zhou, Dan Gao, Pin-Kui Ma, and Dawei Wang
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Al-Si-Mg alloy ,Passive film ,Mg3Sb2 phase ,Micro-galvanic corrosion ,Mining engineering. Metallurgy ,TN1-997 - Abstract
The influence of B and Sb on the microstructure and corrosion behavior of T6-treated Al–Si–Mg alloys has been specifically studied. It is found that the addition of 0.03 wt% B to Al–Si–Mg alloys results in the lowest corrosion rate (0.02451 mm/y) when immersed in 3.5 wt% NaCl solution for 3 days. This improvement can be attributed to the transformation of coarse dendritic α-Al grains into refined equiaxed grains, which is beneficial for the formation of uniform and compact passive film. In contrast, the Al–Si–Mg alloy with addition of 0.2 wt% Sb shows the highest corrosion rate (0.05795 mm/y), which can be attributed to two reasons. First, the addition of Sb contributes to the transformation of rod-like eutectic Si particles into a spherical morphology, increasing the number of micro-galvanic corrosion sites and thus accelerating the corrosion process. Second, the generated Mg3Sb2 phase, being more noble than the eutectic Si phase, strengthens the micro-galvanic corrosion.
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- 2024
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9. A nomogram prediction model for hungry bone syndrome in dialysis patients with secondary hyperparathyroidism after total parathyroidectomy
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Dan Gao, Yali Liu, Wenpeng Cui, Xuehong Lu, and Yan Lou
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Nomogram ,Parathyroidectomy ,Secondary hyperparathyroidism ,Hungry bone syndrome ,Risk factors ,Medicine - Abstract
Abstract Objective Secondary hyperparathyroidism (SHPT) is a common complication of chronic kidney disease (CKD). Hungry bone syndrome (HBS) after parathyroidectomy (PTX) is a serious complication, which can lead to diarrhea, convulsion, arrhythmia and even death. This study was aimed to determine the risk factors for HBS after PTX in dialysis patients with SHPT and construct a nomogram prediction model to predict the incidence of postoperative complications. Methods Clinical data were collected from 80 maintenance hemodialysis (MHD) patients with SHPT who received total PTX in the Second Hospital of Jilin University from January 2018 to September 2021. In line with the inclusion and exclusion criteria, totally 75 patients were finally enrolled for analysis. Patients were divided into two groups for retrospective analysis according to the severity of postoperative HBS, including HBS group and non-HBS (N-HBS) group. Univariate and multivariate logistic regression analyses were conducted to determine the risk factors for postoperative HBS. Afterwards, the receiver operating characteristic (ROC) curves were plotted based on the statistical analysis results, aiming to compare the prediction effects of different predicting factors. Finally, the nomogram was established to evaluate the occurrence probability of postoperative complications predicted by the risk factors. Results Among the 75 patients, 32 had HBS (HBS group), while 43 did not have HBS (N-HBS group). Univariate analysis results indicated that, the preoperative intact parathyroid hormone (iPTH) and serum alkaline phosphatase (ALP) levels in HBS group were significantly higher than those in N-HBS group, while preoperative hemoglobin and preoperative albumin (Alb) levels were significantly lower than those in N-HBS group. As discovered by multivariate logistic regression analysis, preoperative iPTH (OR = 1.111, P = 0.029) and ALP (OR = 1.010, P
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- 2024
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10. SOX4 promotes vascular abnormality in glioblastoma and is a novel target to improve drug delivery
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Kunhua Yao, Mingbiao Yang, Mi Shu, Tian Wang, Dan Gao, Liqi Zhou, Guangwei Wang, Zaiqi Zhang, and Jiefu Tang
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SOX4 ,Glioblastoma ,Drug delivery ,Vascular abnormality ,Tumor angiogenesis ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Glioblastoma (GBM) is the most common and aggressive primary brain tumor in adults with dismal prognosis. Vascular abnormality is a hallmark of GBM, and aggravates diseases progression by increasing hypoxia, inducing life-threaten edema and hindering drug delivery. Nonetheless, the intricate mechanism underlying vascular abnormality remains inadequately understood. Here, we revealed a key role of SOX4 on vascular abnormality in GBM. SOX4 expression was increased in endothelial cells (ECs) from human brain tumors compared with ECs from paired normal brain tissue. Knockdown of SOX4 in mouse brain ECs restrained cell migration and proliferation. Furthermore, in vitro suppression of SOX4 in brain ECs and in vivo conditional knockout of SOX4 in tumor ECs led to the downregulation of genes linked with vascular abnormality. Notably, specific depletion of SOX4 in ECs enhanced drug delivery and sensitive tumor to chemotherapeutic drugs in GBM. Taken together, these results demonstrated that SOX4 is a novel regulator for tumor angiogenesis and vascular abnormality in GBM. Our findings identify SOX4 as a potential vascular therapeutic target to improve drug delivery for GBM treatment.
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- 2024
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11. Promoting carbon neutrality in China: do financial development, foreign direct investment, and industrialization play a material role?
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Jun Yan, Kaodui Li, Mohammed Musah, Lijuan Zhang, Yutong Zhou, Dan Gao, Joseph Akwasi Nkyi, Frank Gyimah Sackey, Emmanuel Attah Kumah, Siqi Cao, and Linnan Yao
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foreign direct investment ,industrialization ,financial development ,environmental sustainability ,China ,Environmental sciences ,GE1-350 - Abstract
One of the crucial issues confronting China is high carbon dioxide (CO2) emissions. Despite the numerous measures outlined to promote the country’s carbon neutrality target, CO2 emissions in the nation continue to increase. This means that more policy options are needed to help improve environmental sustainability (ES) in the nation. Hence, examining the relationship between financial development (FD), foreign direct investment, industrialization, and environmental sustainability in China to provide proper recommendations to drive the carbon neutrality agenda of the nation is deemed fitting. In attaining this goal, time-series data from the period 1990 to 2018 is employed. According to the results, foreign direct investment deteriorates environmental sustainability by promoting more CO2 emissions. This validates the pollution haven hypothesis (PHH). In addition, industrialization and financial development are not friendly to the nation’s environmental quality. Furthermore, economic growth and urbanization escalate environmental pollution in the nation. In addition, the interactions between financial development and foreign direct investment and between financial development and industrialization deteriorate the environment in China. Moreover, foreign direct investment and financial development have an inverted U-shaped association with environmental degradation, but industrialization and environmental pollution are not nonlinearly related. The study advocated for the implementation of measures that could help advance the carbon-neutrality targets of the nation.
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- 2024
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12. The nth-order features adjoint sensitivity analysis methodology for response-coupled forward/adjoint linear systems (nth-FASAM-L): I. mathematical framework
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Dan Gabriel Cacuci
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response-coupled forward/adjoint model ,features of model parameters ,adjoint operators in Hilbert spaces ,exact sensitivities of arbitrarily high order ,most efficient computation of high order response sensitivities ,General Works - Abstract
This work presents the mathematical/theoretical framework of the “nth-Order Feature Adjoint Sensitivity Analysis Methodology for Response-Coupled Forward/Adjoint Linear Systems” (abbreviated as “nth-FASAM-L”), which enables the most efficient computation of exactly obtained mathematical expressions of arbitrarily-high-order (nth-order) sensitivities of a generic system response with respect to all of the parameters (including boundary and initial conditions) underlying the respective forward/adjoint systems. Responses of linear models can depend simultaneously on both the forward and the adjoint state functions. This is in contradistinction to responses for nonlinear systems, which can depend only on the forward state functions since nonlinear operators do not admit bona-fide adjoint operators. Among the best-known model responses that depend simultaneously on both the forward and adjoint state functions are Lagrangians used for system optimization, the Schwinger and Roussopoulos functionals for analyzing reaction rates and ratios thereof, and the Rayleigh quotient for analyzing eigenvalues and/or separation constants. The sensitivity analysis of such responses makes it necessary to treat linear models/systems in their own right, rather than treating them just as particular cases of nonlinear systems. The unparalleled efficiency and accuracy of the nth-FASAM-L methodology stems from the maximal reduction of the number of adjoint computations (which are “large-scale” computations) for computing high-order sensitivities, since the number of large-scale computations when applying the nth-FASAM-N methodology is proportional to the number of model features as opposed to the number of model parameters (which are considerably more than the number of features). The mathematical framework underlying the nth-FASAM-L is developed in linearly increasing higher-dimensional Hilbert spaces, as opposed to the exponentially increasing “parameter-dimensional” spaces in which response sensitivities are computed by other methods (statistical, finite differences, etc.), thus providing the basis for overcoming the curse of dimensionality in sensitivity analysis and all other fields (uncertainty quantification, predictive modeling, etc.) which need such sensitivities.
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- 2024
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13. Investigation of mechanisms of shock wave generation by collapse of cavitation bubbles near particles
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Jinsen Hu, Yifan Liu, Jingfei Duan, Jiaxin Yu, Yuning Zhang, and Dan Gao
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Cavitation bubble dynamics ,Shock waves ,Particle-bubble interaction ,Jet dynamics ,Chemistry ,QD1-999 ,Acoustics. Sound ,QC221-246 - Abstract
The mechanism of generation of shock waves by the collapse of a cavitation bubble near a single particle or dual particles is numerically investigated using OpenFOAM. For the single-particle case, shock waves during bubble inception and jet impacting on the particle surface are revealed in detail. The pressure induced on the particle by the inception shock wave of the bubble decreases with increasing bubble-particle distance, and the pressure is proportional to 1/r1.26 (r being the distance from the center of the shock wave). For the dual particles, the evolution of the neck structure is closely related to the generation mechanism of the shock wave. At extremely close particle–bubble distances, two shock waves propagating in opposite directions are emitted outside and inside the bubble after two necks collide. At long particle–bubble distances, a shock wave is emitted after the neck contracts, and simultaneously the bubble splits into two daughter bubbles. The energy of the shock wave generated by the neck constriction (i.e., the pressure at its generation location) first increases and then decreases with increasing bubble-particle distance. For unequal-sized double particles, the size of the daughter bubble depends on the bubble-particle distance and the particle size. These findings provide new perspectives for understanding the damage sustained by hydro-mechanical components operating in sand-laden water flows.
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- 2024
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14. Jet dynamics of a cavitation bubble near unequal-sized dual particles
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Jinsen Hu, Jingfei Duan, Yifan Liu, Jiaxin Yu, Yuning Zhang, and Dan Gao
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Jet dynamics ,Cavitation bubble–particle interactions ,OpenFOAM ,Cavitation bubble dynamics ,Chemistry ,QD1-999 ,Acoustics. Sound ,QC221-246 - Abstract
The jet dynamics of a cavitation bubble near unequal-sized dual particles is investigated employing OpenFOAM, and the effects of the jets on the particles are quantitatively analyzed in terms of their pressure impacts. Different from single-particle cases, the necks that evolve between dual particles are closely linked to the formation mechanism of the jets. Based on the simulation results, the jet dynamics can be divided into five scenarios: (1) the contraction of the annular depression produced by the collision of the two necks causes the bubble to split into two daughter bubbles and generates a single jet inside each daughter bubble; (2) the annular depression impacts the particle, leading to the bubble to fracture and producing a single jet inside a daughter bubble; (3) the bubble is split by a single neck constriction and produces a single jet; (4) the bubble is split by a single neck constriction and generates two jets; and (5) the bubble is split by the contraction of two necks and produces four jets together with three daughter bubbles. As the bubble–particle distance or the radius ratio of the dual particles increases, the maximum force on the small particle generated by the bubble decreases.
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- 2024
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15. Clinical and hematological characteristics of children infected with the omicron variant of SARS-CoV-2: role of the combination of the neutrophil: lymphocyte ratio and eosinophil count in distinguishing severe COVID-19
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Qiaoyan Jin, Wenxian Ma, Wei Zhang, Huiyuan Wang, Yiongxiang Geng, Yan Geng, Yang Zhang, Dan Gao, Jing Zhou, Lin Li, Yaping Gou, Bo Zhong, Jing Li, Wei Hou, and Shemin Lu
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COVID-19 ,children ,neutrophil: lymphocyte ratio ,eosinophil count ,severe infection ,Pediatrics ,RJ1-570 - Abstract
PurposeInvestigate the clinical/hematological characteristics of children infected with the Omicron variant of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) and identify an effective indicator to distinguish coronavirus disease 2019 (COVID-19) severity in children.MethodsA retrospective study was conducted through electronic medical records from pediatric patients. The demographic, clinical, and routine blood test (RBT) features of children diagnosed by real-time PCR for SARS-CoV-2 were collected.ResultsData of 261 patients were analyzed. The most common abnormality shown by RBTs was increased monocyte count (68%). Children had “mild-moderate” or “severe” forms of COVID-19. Prevalence of abnormal neutrophil count (p = 0.048), eosinophil count (p = 0.006), mean corpuscular volume (p = 0.033), mean platelet volume (p = 0.006), platelet-large cell ratio (p = 0.043), and red blood cell distribution width-standard deviation (p = 0.031) were significantly different in the two types. A combination of the neutrophil: lymphocyte ratio (NLR) and eosinophil count for diagnosing severe COVID-19 presented the largest AUC (0.688, 95% CI = 0.599–0.777; p
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- 2024
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16. A computed tomography-based nomogram for neoadjuvant chemotherapy plus immunotherapy response prediction in patients with advanced esophageal squamous cell carcinoma
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Wen-wen Guo, Chuanqinyuan Zhou, Dan Gao, Min Xu, Yan Gui, Hai-ying Zhou, Tian-wu Chen, and Xiao-ming Zhang
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esophagus ,squamous cell carcinoma ,immunotherapy ,chemotherapy ,computed tomography ,nomogram ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
ObjectiveTo develop a CT-based nomogram to predict the response of advanced esophageal squamous cell carcinoma (ESCC) to neoadjuvant chemotherapy plus immunotherapy.MethodsIn this retrospective study, 158 consecutive patients with advanced ESCC receiving contrast-enhanced CT before neoadjuvant chemotherapy plus immunotherapy were randomized to a training cohort (TC, n = 121) and a validation cohort (VC, n = 37). Response to treatment was assessed with response evaluation criteria in solid tumors. Patients in the TC were divided into the responder (n = 69) and non-responder (n = 52) groups. For the TC, univariate analyses were performed to confirm factors associated with response prediction, and binary analyses were performed to identify independent variables to develop a nomogram. In both the TC and VC, the nomogram performance was assessed by area under the receiver operating characteristic curve (AUC), calibration slope, and decision curve analysis (DCA).ResultsIn the TC, univariate analysis showed that cT stage, cN stage, gross tumor volume, gross volume of all enlarged lymph nodes, and tumor length were associated with the response (all P < 0.05). Binary analysis demonstrated that cT stage, cN stage, and tumor length were independent predictors. The independent factors were imported into the R software to construct a nomogram, showing the discriminatory ability with an AUC of 0.813 (95% confidence interval: 0.735–0.890), and the calibration curve and DCA showed that the predictive ability of the nomogram was in good agreement with the actual observation.ConclusionThis study provides an accurate nomogram to predict the response of advanced ESCC to neoadjuvant chemotherapy plus immunotherapy.
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- 2024
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17. Role of ferroptosis in chronic kidney disease
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Shiyang Li, Qiuxia Han, Chang Liu, Yixue Wang, Fengxun Liu, Shaokang Pan, Lihua Zuo, Dan Gao, Kai Chen, Qi Feng, Zhangsuo Liu, and Dongwei Liu
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Chronic kidney disease (CKD) ,Ferroptosis ,Molecular mechanisms ,Regulators ,Treatment progress ,Medicine ,Cytology ,QH573-671 - Abstract
Abstract Chronic kidney disease (CKD) has historically been a significant global health concern, profoundly impacting both life and well-being. In the process of CKD, with the gradual loss of renal function, the incidence of various life-threatening complications, such as cardiovascular diseases, cerebrovascular accident, infection and stroke, is also increasing rapidly. Unfortunately, existing treatments exhibit limited ability to halt the progression of kidney injury in CKD, emphasizing the urgent need to delve into the precise molecular mechanisms governing the occurrence and development of CKD while identifying novel therapeutic targets. Renal fibrosis, a typical pathological feature of CKD, plays a pivotal role in disrupting normal renal structures and the loss of renal function. Ferroptosis is a recently discovered iron-dependent form of cell death characterized by lipid peroxide accumulation. Ferroptosis has emerged as a potential key player in various diseases and the initiation of organ fibrosis. Substantial evidence suggests that ferroptosis may significantly contribute to the intricate interplay between CKD and its progression. This review comprehensively outlines the intricate relationship between CKD and ferroptosis in terms of iron metabolism and lipid peroxidation, and discusses the current landscape of pharmacological research on ferroptosis, shedding light on promising avenues for intervention. It further illustrates recent breakthroughs in ferroptosis-related regulatory mechanisms implicated in the progression of CKD, thereby providing new insights for CKD treatment. Video Abstract
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- 2024
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18. Contrast-enhanced CT radiomics features to preoperatively identify differences between tumor and proximal tumor-adjacent and tumor-distant tissues of resectable esophageal squamous cell carcinoma
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Dan Gao, Bang-guo Tan, Xiao-qian Chen, Chuanqinyuan Zhou, Jing Ou, Wen-wen Guo, Hai-ying Zhou, Rui Li, Xiao-ming Zhang, and Tian-wu Chen
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Esophagus ,Squamous cell carcinoma ,Tomography ,X-ray computed ,Tumor-adjacent tissue ,Tumor-distant tissue ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Esophagectomy is the main treatment for esophageal squamous cell carcinoma (ESCC), and patients with histopathologically negative margins still have a relatively higher recurrence rate. Contrast-enhanced CT (CECT) radiomics might noninvasively obtain potential information about the internal heterogeneity of ESCC and its adjacent tissues. This study aimed to develop CECT radiomics models to preoperatively identify the differences between tumor and proximal tumor-adjacent and tumor-distant tissues in ESCC to potentially reduce tumor recurrence. Methods A total of 529 consecutive patients with ESCC from Centers A (n = 447) and B (n = 82) undergoing preoperative CECT were retrospectively enrolled in this study. Radiomics features of the tumor, proximal tumor-adjacent (PTA) and proximal tumor-distant (PTD) tissues were individually extracted by delineating the corresponding region of interest (ROI) on CECT and applying the 3D-Slicer radiomics module. Patients with pairwise tissues (ESCC vs. PTA, ESCC vs. PTD, and PTA vs. PTD) from Center A were randomly assigned to the training cohort (TC, n = 313) and internal validation cohort (IVC, n = 134). Univariate analysis and the least absolute shrinkage and selection operator were used to select the core radiomics features, and logistic regression was performed to develop radiomics models to differentiate individual pairwise tissues in TC, validated in IVC and the external validation cohort (EVC) from Center B. Diagnostic performance was assessed using area under the receiver operating characteristics curve (AUC) and accuracy. Results With the chosen 20, 19 and 5 core radiomics features in TC, 3 individual radiomics models were developed, which exhibited excellent ability to differentiate the tumor from PTA tissue (AUC: 0.965; accuracy: 0.965), the tumor from PTD tissue (AUC: 0.991; accuracy: 0.958), and PTA from PTD tissue (AUC: 0.870; accuracy: 0.848), respectively. In IVC and EVC, the models also showed good performance in differentiating the tumor from PTA tissue (AUCs: 0.956 and 0.962; accuracy: 0.956 and 0.937), the tumor from PTD tissue (AUCs: 0.990 and 0.974; accuracy: 0.952 and 0.970), and PTA from PTD tissue (AUCs: 0.806 and 0.786; accuracy: 0.760 and 0.786), respectively. Conclusion CECT radiomics models could differentiate the tumor from PTA tissue, the tumor from PTD tissue, and PTA from PTD tissue in ESCC.
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- 2024
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19. Gut check: Unveiling the influence of acute exercise on the gut microbiota
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Gregory J. Grosicki, Sean P. Langan, James R. Bagley, Andrew J. Galpin, Dan Garner, Jarrad T. Hampton‐Marcell, Jacob M. Allen, and Austin T. Robinson
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gut ,human ,microbiome ,physical activity ,Physiology ,QP1-981 - Abstract
Abstract The human gastrointestinal microbiota and its unique metabolites regulate a diverse array of physiological processes with substantial implications for human health and performance. Chronic exercise training positively modulates the gut microbiota and its metabolic output. The benefits of chronic exercise for the gut microbiota may be influenced by acute changes in microbial community structure and function that follow a single exercise bout (i.e., acute exercise). Thus, an improved understanding of changes in the gut microbiota that occur with acute exercise could aid in the development of evidence‐based exercise training strategies to target the gut microbiota more effectively. In this review, we provide a comprehensive summary of the existing literature on the acute and very short‐term (
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- 2023
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20. Parathyroid preservation in total endoscopic thyroid surgeries via the mammary areolas approach: Real-world data from a single center
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Chen Chen, Dan Gao, Libo Luo, Rui Qu, Xiaochi Hu, Yixiao Wang, and Youming Guo
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Endoscopic thyroidectomy ,Parathyroid preservation ,Parathyroid hormone ,Endoscopic versus open ,Surgery ,RD1-811 - Abstract
Background: Preserving parathyroid glands in situ is crucial to avoid surgical hypoparathyroidism, but it is also one of the greatest challenges during thyroid surgery. Magnified endoscopic imaging has been proposed as a way to improve parathyroid preservation. Methods: 2,603 consecutive patients who underwent thyroid surgery at the First People’s Hospital of Zunyi from January 2018 to July 2022 were screened. 1,355 patients were eligible, including 965 endoscopic and 390 open cases. Parathyroid hormone (PTH) loss levels and severe parathyroid injury rates were compared between endoscopic and open cases. Meanwhile, factors that contribute to parathyroid injuries were assessed, including surgical extent, tumor size, carbon nanoparticle guidance, and surgical proficiency. Results: PTH loss levels were similar between endoscopic and open cases (P = 0.440). The incidence of severe parathyroid injuries was also comparable (7.8% for endoscopic vs. 6.9% for open, P = 0.592). The endoscopic group had higher rates of autologous parathyroid transplantation (39.5% vs. 24.4%, P = 0.000), while accidental parathyroidectomy rates were similar (11.4% vs. 10.8%, P = 0.739). Among patients who received the same extent of thyroid surgeries, no significant difference was found in PTH loss levels and severe parathyroid injury rates, except for a higher risk of severe parathyroid injuries in endoscopic bilateral thyroidectomy (18.52% vs. 11.52%, P = 0.033). Conclusions: Despite the magnified endoscopic imaging facilitating the identification of parathyroid tissues, endoscopic approaches are not superior to open ones for the in-situ preservation of parathyroid glands. For a bilateral thyroidectomy, open approaches are safer for parathyroid preservation.
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- 2023
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21. Association between thromboembolic and bleeding risk with adverse outcomes in contemporary European atrial fibrillation patients: final analysis from the ESC-EHRA EORP AF general long-term registry
- Author
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Boriani, G, primary, Proietti, M, additional, Laroche, C, additional, Fauchier, L, additional, Marin, F, additional, Nabauer, M, additional, Potpara, T, additional, Dan, GA, additional, Kalarus, Z, additional, Tavazzi, L, additional, Maggioni, AP, additional, and Lip, GYH, additional
- Published
- 2021
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22. Impact on outcomes in Europe: a cluster analysis from the ESC-EHRA EORP AF general long-term registry
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Proietti, M, primary, Vitolo, M, additional, Harrison, S, additional, Lane, DA, additional, Fauchier, L, additional, Marin, F, additional, Nabauer, M, additional, Potpara, TS, additional, Dan, GA, additional, Boriani, G, additional, and Lip, GYH, additional
- Published
- 2021
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23. Molecular Interaction and Solubilization Efficiency of Neohesperidin in Ternary Systems with Hydroxypropyl-β-cyclodextrin and Meglumine
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Na Xia, Yanquan Liu, Dan Gao, and Siming Zhu
- Subjects
Neohesperidin ,HP-β-CD ,meglumine ,complex ,solubility ,Chemical technology ,TP1-1185 - Abstract
The solubilization of poorly water-soluble natural bioactive compounds remains a significant challenge. This study aims to design a ternary inclusion system to enhance the solubility of the poorly water-soluble compound Neohesperidin (NH). Soluble ternary cyclodextrin complexations (t-CDs) containing NH, 2-hydroxypropyl-β-cyclodextrin (HP-β-CD), and meglumine (MEG) were prepared and optimized. The optimized t-CDs were further characterized using Scanning Electron Microscopy (SEM), Powder X-ray Diffraction (PXRD), Differential Scanning Calorimetry (DSC), Fourier Transform Infrared Spectroscopy (FTIR), Nuclear Magnetic Resonance (NMR), and molecular docking (MD) techniques. The results suggested that NH formed was associated with MEG through hydrogen bonds with MEG, and was subsequently incorporated into the hydrophobic cavity of HP-β-CD, which may be a key factor in improving its solubility. The solubility of NH in water at 37 °C increased significantly from 0.16 mg/mL to 5.81 mg/mL in the optimized t-CDs (NH/MEG/HP-β-CD).
- Published
- 2024
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24. Dietary Shift in a Barn Owl (Tyto alba) Population Following Partial Abandonment of Cultivated Fields (Central Apennine Hills, Italy)
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Gabriele Achille, Dan Gafta, Csaba Szabó, Fadia Canzian, and Nazzareno Polini
- Subjects
abandoned fields ,barn owl ,diet similarity ,pellets ,prey feeding guilds ,prey taxon evenness ,Veterinary medicine ,SF600-1100 ,Zoology ,QL1-991 - Abstract
While most studies focused on the impact of intensive agriculture on the barn owl’s diet, little is known about the effect of cropland abandonment. We compared the taxon composition/evenness and feeding guild structure of small mammal prey identified in pellets collected before (2004) and after (2012) the abandonment of 9% of cultivated fields within a cultural landscape. Data on prey abundance per pellet were analysed through non-metric multidimensional scaling and permutational, paired tests. Prey taxon evenness in 2012 was significantly lower than in 2004. That induced a shift in prey taxon composition as indicated by the significantly lower dietary similarity compared with the random expectation. The increasing and declining abundance of Murinae and Crocidurinae, respectively, had the largest contribution to the differentiation of the diet spectrum. Insectivorous prey was significantly more abundant in 2004 compared to 2012, while the opposite was true for omnivorous prey. Our results suggest that even a small fraction of abandoned crops in the landscape might induce a detectable shift in the barn owl’s food niche. The dietary effects are similar to those observed after agricultural intensification, that is, an increase in the abundance of generalists to the detriment of specialist mammal prey.
- Published
- 2024
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25. Poster Session: Right ventricular systolic function
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Daha, IC, Stanescu, C M, Chirila, L, Baicus, C, Vlase, A, and Dan, GA
- Published
- 2012
26. Poster session Friday 7 December - PM: Effect of systemic illnesses on the heart
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Stanescu, CM, Manoliu, V, Branidou, K, Daha, I, Baicus, C, Adam, C, Ene, I, and Dan, GA
- Published
- 2012
27. Modified Gaussian Mixture Probability Hypothesis Density Filtering using Clutter Density Estimation for Multiple Target Tracking
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Lifan Sun, Wenhui Xue, and Dan Gao
- Subjects
Gaussian mixture probability hypothesis density ,Complex clutter environments ,Clutter density estimation ,Technology ,Motor vehicles. Aeronautics. Astronautics ,TL1-4050 - Abstract
Gaussian mixture probability hypothesis density (GM-PHD) filtering often assumes a uniform distribution of clutter in the observation area. However, in practice, clutter is often unknown and non-uniform, necessitating accurate estimation of its spatial distribution, non-uniformity, and temporal variations. To address this problem, we proposed a modified GM-PHD filtering method with clutter density estimation for multiple target tracking. In the proposed method, first, potential target measurements within the tracking gate are eliminated to obtain the clutter measurement set. Next, the clutter density around each target is estimated. Finally, the estimated clutter density is incorporated into GM-PHD filtering, to estimate the target state and clutter density in complex clutter environments. Simulation results demonstrated that the proposed filtering method improves the performance of the GM-PHD filter in multi-target tracking scenarios with unknown clutter density.
- Published
- 2024
28. ESG actions, corporate discourse, and market assessment nexus: evidence from the oil and gas sector
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Alexandra Horobet, Vlad Bulai, Magdalena Radulescu, Lucian Belascu, and Dan Gabriel Dumitrescu
- Subjects
ESG scores ,corporate discourse ,sustainability ,technology ,corporate performance ,stock returns ,Business ,HF5001-6182 - Abstract
This paper focuses on the oil and gas sector because of its direct exposure to the complete range of ESG challenges, as well as strong pressure to change business models due to the energy transition. We investigate the ESG scores of a sample of global companies in this sector and their relationship to stock market performance and to the ESG intensity of corporate reports. As an original contribution, we incorporate the intensity of corporate discourse on technology-related sustainability topics for the first time in the literature. Our findings reveal that investors examine both sustainability discourse and results when determining a company’s value and validate the role of ESG scores and rankings in providing investors with an accurate and meaningful assessment of companies’ sustainability actions. Moreover, companies’ disclosure of their sustainable actions and technological developments related to sustainability is positively related to stock returns. This implies that a focus on sustainable practices and constant communication with investors might result in higher market performance. Furthermore, encouraging companies, particularly those in sectors and industries sensitive to ESG factors, to invest in ESG initiatives, is accompanied by improved performance, which makes them more attractive and better positioned to attract financing.
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- 2024
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29. Role of STAT3 activated NLRP3 inflammasomes in BV2 cell inflammatory response induced by maltol aluminum
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Tianshu WANG, Dan GAO, Dan ZHAO, Jiaping HUAN, Xiao HAN, Jing SONG, Linping WANG, Huifang ZHANG, Qiao NIU, and Xiaoting LU
- Subjects
maltol aluminum ,bv2 cell ,signal transducer and activator of transcription 3 ,nucleotide-binding and oligomerization domain-like receptors protein 3 ,Medicine (General) ,R5-920 ,Toxicology. Poisons ,RA1190-1270 - Abstract
BackgroundAluminum activates signal transducer and activator of transcription 3 (STAT3), causing microglial nucleotide-binding and oligomerization domain-like receptors protein 3 (NLRP3) inflammasome activation and inflammatory responses and producing neurotoxicity.ObjectiveTo explore the role of STAT3 regulated NLRP3 inflammasomes in the inflammatory response of mouse microglia cell line (BV2) cells induced by maltol aluminum [Al(mal)3].MethodsBV2 cells were assigned to five groups: one control group, three Al(mal)3 exposure groups (low, medium, and high doses at 40, 80, and 160 μmol·L−1 Al(mal)3 respectively), and one C188-9 (STAT3 antagonist) intervention group [10 μmol·L−1 C188-9 +160 μmol·L−1 Al(mal)3]. Cell viability was detected by CCK8. The expression of M1/M2 type markers, i.e. CD68/CD206, STAT3, p-STAT3, NLRP3, cleaved-casepase-1, and apoptosis-associated speck-like protein (ASC) in BV2 cells were detected by Western blotting, and proinflammatory cytokines interleukin (IL)-1β and IL-18, and anti-inflammatory cytokine IL-10 were determined by ELISA.ResultsThe results of cell viability assay showed that cell viability gradually decreased with the increase of Al(mal)3 dose. Compared with the control group, the cell viability of the Al(mal)3 high-dose group was decreased by 18% (P0.05). Compared with the control group, the expression level of NLRP3 protein increased by 75% in the Al(mal)3 high-dose group (P0.05).ConclusionAluminum can induce inflammatory responses in BV2 microglia and is predominantly pro-inflammatory, and the mechanism may involve STAT3 regulation of NLRP3 inflammasome secretion of inflammatory factors.
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- 2023
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30. Chromosome level genome assembly of colored calla lily (Zantedeschia elliottiana)
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Yi Wang, Tuo Yang, Di Wang, Rongxin Gou, Yin Jiang, Guojun Zhang, Yuhong Zheng, Dan Gao, Liyang Chen, Xiuhai Zhang, and Zunzheng Wei
- Subjects
Science - Abstract
Abstract The colored calla lily is an ornamental floral plant native to southern Africa, belonging to the Zantedeschia genus of the Araceae family. We generated a high-quality chromosome-level genome of the colored calla lily, with a size of 1,154 Mb and a contig N50 of 42 Mb. We anchored 98.5% of the contigs (1,137 Mb) into 16 pseudo-chromosomes, and identified 60.18% of the sequences (694 Mb) as repetitive sequences. Functional annotations were assigned to 95.1% of the predicted protein-coding genes (36,165). Additionally, we annotated 469 miRNAs, 1,652 tRNAs, 10,033 rRNAs, and 1,677 snRNAs. Furthermore, Gypsy-type LTR retrotransposons insertions in the genome are the primary factor causing significant genome size variation in Araceae species. This high-quality genome assembly provides valuable resources for understanding genome size differences within the Araceae family and advancing genomic research on colored calla lily.
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- 2023
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31. Radial Artery Spasm—A Review on Incidence, Prevention and Treatment
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Adrian Sebastian Zus, Simina Crișan, Silvia Luca, Daniel Nișulescu, Mihaela Valcovici, Oana Pătru, Mihai-Andrei Lazăr, Cristina Văcărescu, Dan Gaiță, and Constantin-Tudor Luca
- Subjects
radial artery spasm ,transradial access ,coronary interventions ,prevention ,treatment methods ,incidence ,Medicine (General) ,R5-920 - Abstract
Radial artery spasm (RAS) is a common complication associated with transradial access (TRA) for coronary interventions, particularly affecting elderly patients in whom radial access is preferred due to its benefits in reducing bleeding complications, improving clinical outcomes, and lowering long-term costs. This review examines the incidence, prevention, and treatment of RAS. Methods included an online search of PubMed and other databases in early 2024, analyzing meta-analyses, reviews, studies, and case reports. RAS is characterized by a sudden narrowing of the radial artery due to psychological and mechanical factors with incidence reports varying up to 51.3%. Key risk factors include patient characteristics like female sex, age, and small body size as well as procedural factors such as emergency procedures and the use of multiple catheters. Preventive measures include using distal radial access, hydrophilic sheaths, and appropriate catheter sizes. Treatments involve the intraarterial administration of nitroglycerine and verapamil as well as mechanical methods like balloon-assisted tracking. This review underscores the need for standardizing RAS definitions and emphasizes the importance of operator experience and patient management in reducing RAS incidence and improving procedural success.
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- 2024
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32. UHPLC-QTOF-MS-Based Targeted Metabolomics Provides Novel Insights into the Accumulative Mechanism of Soil Types on the Bioactive Components of Salvia miltiorrhiza
- Author
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Mengmeng Hou, Dan Gao, Weixu Chen, Wenjun Jiang, Dade Yu, and Xiwen Li
- Subjects
HPLC ,soil and plant ecological processes ,active plant constituents ,soil fertility ,heavy metals ,Organic chemistry ,QD241-441 - Abstract
The root of Salvia miltiorrhiza Bunge (SMB) has been widely used to treat cardiovascular diseases. However, the contents of secondary metabolites in the roots from different production areas are significantly different, and the impact of soil factors on this accumulation remains unclear. Therefore, this study aimed to elucidate the regularity of variation between the active components and soil factors through targeted metabolomics and chemical dosimetry. Soils were collected from five different cities (A, B, C, D, and E) and transplanted into the study area. The results showed that there were significant differences in the soil fertility characteristics and heavy metal pollution levels in different soils. Ten water- and twelve lipid-soluble metabolites were identified in SMBs grown in all soil types. SMBs from D cities exhibited the highest total tanshinone content (p < 0.05). The salvianolic acid B content in SMBs from E cities was the highest (p < 0.05). Interestingly, correlation analysis revealed a significant negative correlation between the accumulation of lipid-soluble and water-soluble metabolites. Double-matrix correlation analysis demonstrated that available potassium (AK) was significantly negatively correlated with salvianolic acid B (r = −0.80, p = 0.0004) and positively correlated with tanshinone IIA (r = 0.66, p = 0.008). Conversely, cadmium (Cd) and cuprum (Cu) were significantly positively and negatively correlated with salvianolic acid B (r = 0.96, p < 0.0001 and r = 0.72, p = 0.0024) and tanshinone IIA (r = 0.40, p = 0.14 and r = 0.73, p = 0.0018), respectively. Mantel’s test indicated that AK (r > 0.52, p < 0.001), Cu (r > 0.60, p < 0.005), and Cd (r > 0.31, p < 0.05) were the primary drivers of the differences in the active components of SMBs. These findings provide a theoretical framework for modulating targeted metabolites of SMB through soil factors, with significant implications for the cultivation and quality control of medicinal plants.
- Published
- 2024
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33. Review of Fourth-Order Maximum Entropy Based Predictive Modeling and Illustrative Application to a Nuclear Reactor Benchmark: II. Best-Estimate Predicted Values and Uncertainties for Model Responses and Parameters
- Author
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Dan Gabriel Cacuci and Ruixian Fang
- Subjects
predictive modeling ,sensitivity analysis ,uncertainty quantification ,data assimilation ,model calibration ,skewness ,Technology - Abstract
This work continues the review and illustrative application to energy systems of the “Fourth-Order Best-Estimate Results with Reduced Uncertainties Predictive Modeling” (4th-BERRU-PM) methodology. The 4th-BERRU-PM methodology uses the Maximum Entropy (MaxEnt) principle to incorporate fourth-order experimental and computational information, including fourth (and higher) order sensitivities of computed model responses with respect to model parameters. The 4th-BERRU-PM methodology yields the fourth-order MaxEnt posterior distribution of experimentally measured and computed model responses and parameters in the combined phase space of model responses and parameters. The 4th-BERRU-PM methodology encompasses fourth-order sensitivity analysis (SA) and uncertainty quantification (UQ), which were reviewed in the accompanying work (Part 1), as well as fourth-order data assimilation (DA) and model calibration (MC) capabilities, which will be reviewed and illustrated in this work (Part 2). The applicability of the 4th-BERRU-PM methodology to energy systems is illustrated by using the Polyethylene-Reflected Plutonium (acronym: PERP) OECD/NEA reactor physics benchmark, which is modeled using the linear neutron transport Boltzmann equation, involving 21,976 imprecisely known parameters. This benchmark is representative of “large-scale computations” such as those involved in the modeling of energy systems. The result (“response”) of interest for the PERP benchmark is the leakage of neutrons through the outer surface of this spherical benchmark, which can be computed numerically and measured experimentally. The impact of the high-order sensitivities of the response with respect to the PERP model parameters is quantified for “high-precision” parameters (2% standard deviations) and “typical-precision” parameters (5% standard deviations). Analyzing the best-estimate results with reduced uncertainties for the 1st—through 4th-order moments (mean values, covariance, skewness, and kurtosis) produced by the 4th-BERRU-PM methodology for the PERP benchmark indicates that, even for systems modeled by linear equations (e.g., the PERP benchmark), retaining only first-order sensitivities is insufficient for reliable predictive modeling (including SA, UQ, DA, and MC). At least second-order sensitivities should be retained in order to obtain reliable predictions.
- Published
- 2024
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34. Review of Fourth-Order Predictive Modeling and Illustrative Application to a Nuclear Reactor Benchmark. I. Typical High-Order Sensitivity and Uncertainty Analysis
- Author
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Dan Gabriel Cacuci and Ruixian Fang
- Subjects
predictive modeling ,sensitivity analysis ,uncertainty quantification ,data assimilation ,model calibration ,reducing predicted uncertainties ,Technology - Abstract
This work (in two parts) will review the recently developed predictive modeling methodology called “4th-BERRU-PM” and its applicability to nuclear energy systems as exemplified by an illustrative application to the Polyethylene-Reflected Plutonium (acronym: PERP) OECD/NEA reactor physics benchmark. The acronym 4th-BERRU-PM designates the “Fourth-Order Best-Estimate Results with Reduced Uncertainties Predictive Modeling” methodology, which uses the Maximum Entropy (MaxEnt) principle to incorporate fourth-order experimental and computational information, including fourth (and higher) order sensitivities of computed model responses to model parameters, while yielding best-estimate results with reduced uncertainties for the first fourth-order moments (mean values, covariance, skewness, and kurtosis) of the optimally predicted posterior distribution of model results and calibrated model parameters. The 4th-BERRU-PM methodology encompasses the scopes of high-order sensitivity analysis (SA), uncertainty quantification (UQ), data assimilation (DA) and model calibration (MC), as will be illustrated in this work by means of the above-mentioned OECD/NEA reactor physics benchmark. This benchmark is modeled using the neutron transport Boltzmann equation involving 21,976 imprecisely known parameters, the solution of which is representative of “large-scale computations”. The model result (“response”) of interest is the leakage of neutrons through the outer surface of this spherical benchmark, which can be computed numerically and measured experimentally. Part 1 of this work illustrates the impact of high-order sensitivities, in conjunction with parameter standard deviations of various magnitudes, on the determination of the expected value and variance of the computed response in terms of the first four moments of the distribution of the uncertain model parameters. Part 2 of this work will illustrate the capabilities of the 4th-BERRU-PM methodology for combining computational and experimental information, up to and including forth-order sensitivities and distributional moments, for producing best-estimate values for the predicted responses and model parameters while reducing their accompanying uncertainties.
- Published
- 2024
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35. The Triglyceride/HDL Ratio as a Surrogate Biomarker for Insulin Resistance
- Author
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Petru Baneu, Cristina Văcărescu, Simona-Ruxanda Drăgan, Liviu Cirin, Alexandra-Iulia Lazăr-Höcher, Andreea Cozgarea, Adelina-Andreea Faur-Grigori, Simina Crișan, Dan Gaiță, Constantin-Tudor Luca, and Dragoș Cozma
- Subjects
TG/HDL ratio ,insulin resistance ,surrogate biomarker ,metabolic syndrome ,Biology (General) ,QH301-705.5 - Abstract
Given the widespread occurrence of insulin resistance, a key factor in metabolic syndrome and a distinct condition altogether, there is a clear need for effective, surrogate markers. The triglyceride-to-high-density lipoprotein (TG/HDL) ratio stands out as a viable option, indicative of changes in lipid metabolism associated with insulin resistance, offering a cost-effective and straightforward alternative to traditional, more complex biomarkers. This review, in line with PRISMA guidelines, assesses the TG/HDL ratio’s potential as an indirect indicator of insulin resistance. Analysing 32 studies over 20 years, involving 49,782 participants of diverse ethnic backgrounds, including adults and children, this review primarily uses a cross-sectional analysis with the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) to gauge insulin resistance. It reveals the TG/HDL ratio’s varied predictive power across ethnicities and sexes, with specific thresholds providing greater accuracy for Caucasians, Asians, and Hispanics over African Americans and for men over women. Valid across different weights and ages, for adults and children, it suggests average cutoffs of 2.53 for women and 2.8 for men. The analysis supports the TG/HDL ratio as a simple, accessible marker for insulin resistance, though it advises further research on tailored cutoffs reflecting ethnic and gender differences.
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- 2024
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36. Correction: Bridging gaps in ophthalmology residency programs: the link between practice, training and confidence in ocular examination and gonioscopy for diagnosing glaucoma, a blinding disease
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Ortal Fogel Tempelhof, Daphna Mezad-Koursh, Assaf Hilely, Dan Gaton, and Shimon Kurtz
- Subjects
Special aspects of education ,LC8-6691 ,Medicine - Published
- 2024
- Full Text
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37. Visual Object Tracking Based on the Motion Prediction and Block Search in UAV Videos
- Author
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Lifan Sun, Xinxiang Li, Zhe Yang, and Dan Gao
- Subjects
object tracking ,block search ,motion prediction ,dynamic templates ,evaluation metrics ,Motor vehicles. Aeronautics. Astronautics ,TL1-4050 - Abstract
With the development of computer vision and Unmanned Aerial Vehicles (UAVs) technology, visual object tracking has become an indispensable core technology for UAVs, and it has been widely used in both civil and military fields. Visual object tracking from the UAV perspective experiences interference from various complex conditions such as background clutter, occlusion, and being out of view, which can easily lead to tracking drift. Once tracking drift occurs, it will lead to almost complete failure of the subsequent tracking. Currently, few trackers have been designed to solve the tracking drift problem. Thus, this paper proposes a tracking algorithm based on motion prediction and block search to address the tracking drift problem caused by various complex conditions. Specifically, when the tracker experiences tracking drift, we first use a Kalman filter to predict the motion state of the target, and then use a block search module to relocate the target. In addition, to improve the tracker’s ability to adapt to changes in the target’s appearance and the environment, we propose a dynamic template updating network (DTUN) that allows the tracker to make appropriate template decisions based on various tracking conditions. We also introduce three tracking evaluation metrics: namely, average peak correlation energy, size change ratio, and tracking score. They serve as prior information for tracking status identification in the DTUN and the block prediction module. Extensive experiments and comparisons with many competitive algorithms on five aerial benchmarks, UAV20L, UAV123, UAVDT, DTB70, and VisDrone2018-SOT, demonstrate that our method achieves significant performance improvements. Especially in UAV20L long-term tracking, our method outperforms the baseline in terms of success rate and accuracy by 19.1% and 20.8%, respectively. This demonstrates the superior performance of our method in the task of long-term tracking from the UAV perspective, and we achieve a real-time speed of 43 FPS.
- Published
- 2024
- Full Text
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38. European Heart Rhythm Association (EHRA) consensus document on management of arrhythmias and cardiac electronic devices in the critically ill and post-surgery patient, endorsed by Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Cardiac Arrhythmia Society of Southern Africa (CASSA), and Latin American Heart Rhythm Society (LAHRS)
- Author
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Boriani, G, Fauchier, L, Aguinaga, L, Beattie, J, Blomstrom Lundqvist, C, Cohen, A, Dan, G, Genovesi, S, Israel, C, Joung, B, Kalarus, Z, Lampert, R, Malavasi, V, Mansourati, J, Mont, L, Potpara, T, Thornton, A, Lip, G, Beattie, JM, Dan, GA, Malavasi, VL, Lip, GYH, Boriani, G, Fauchier, L, Aguinaga, L, Beattie, J, Blomstrom Lundqvist, C, Cohen, A, Dan, G, Genovesi, S, Israel, C, Joung, B, Kalarus, Z, Lampert, R, Malavasi, V, Mansourati, J, Mont, L, Potpara, T, Thornton, A, Lip, G, Beattie, JM, Dan, GA, Malavasi, VL, and Lip, GYH
- Published
- 2019
39. A survey of hybrid energy devices based on supercapacitors
- Author
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Dan Gao, Zhiling Luo, Changhong Liu, and Shoushan Fan
- Subjects
Hybrid supercapacitors ,Pseudocapacitors ,Electric double layer capacitor ,Self-charging ,Carbon materials ,Renewable energy sources ,TJ807-830 ,Ecology ,QH540-549.5 - Abstract
Developing multifunctional energy storage systems with high specific energy, high specific power and long cycling life has been the one of the most important research directions. Compared to batteries and traditional capacitors, supercapacitors possess more balanced performance with both high specific power and long cycle-life. Nevertheless, regular supercapacitors can only achieve energy storage without harvesting energy and the energy density is still not very high compared to batteries. Therefore, combining high specific energy and high specific power, long cycle-life and even fast self-charging into one cell has been a promising direction for future energy storage devices. The multifunctional hybrid supercapacitors like asymmetric supercapacitors, batteries/supercapacitors hybrid devices and self-charging hybrid supercapacitors have been widely studied recently. Carbon based electrodes are common materials used in all kinds of energy storage devices due to their fabulous electrical and mechanical properties. In this survey, the research progress of all kinds of hybrid supercapacitors using multiple effects and their working mechanisms are briefly reviewed. And their advantages and disadvantages are discussed. The hybrid supercapacitors have great application potential for portable electronics, wearable devices and implantable devices in the future.
- Published
- 2023
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40. TOPK promotes the growth of esophageal cancer in vitro and in vivo by enhancing YB1/eEF1A1 signal pathway
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Wenjie Wu, Jialuo Xu, Dan Gao, Zhenliang Xie, Wenjing Chen, Wenjing Li, Qiang Yuan, Lina Duan, Yuhan Zhang, Xiaoxiao Yang, Yingying Chen, Ziming Dong, Kangdong Liu, and Yanan Jiang
- Subjects
Cytology ,QH573-671 - Abstract
Abstract T-LAK-originated protein kinase (TOPK), a dual specificity serine/threonine kinase, is up-regulated and related to poor prognosis in many types of cancers. Y-box binding protein 1 (YB1) is a DNA/RNA binding protein and serves important roles in multiple cellular processes. Here, we reported that TOPK and YB1 were both highly expressed in esophageal cancer (EC) and correlated with poor prognosis. TOPK knockout effectively suppressed EC cell proliferation and these effects were reversible by rescuing YB1 expression. Notably, TOPK phosphorylated YB1 at Thr 89 (T89) and Ser 209 (S209) amino acid residues, then the phosphorylated YB1 bound with the promoter of the eukaryotic translation elongation factor 1 alpha 1 (eEF1A1) to activate its transcription. Consequently, the AKT/mTOR signal pathway was activated by up-regulated eEF1A1 protein. Importantly, TOPK inhibitor HI-TOPK-032 suppressed the EC cell proliferation and tumor growth by TOPK/YB1/eEF1A1 signal pathway in vitro and in vivo. Taken together, our study reveals that TOPK and YB1 are essential for the growth of EC, and TOPK inhibitors may be applied to retard cell proliferation in EC. This study highlights the promising therapeutic potential of TOPK as a target for treatment of EC.
- Published
- 2023
- Full Text
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41. Management of patients with ventricular arrhythmias and prevention of sudden cardiac death-translating guidelines into practice: results of the European Heart Rhythm Association survey
- Author
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Haugaa, KH, Dan, GA, Iliodromitis, K, Lenarczyk, R, Marinskis, G, Osca, J, Scherr, D, and Dagres, N
- Subjects
Sudden cardiac death ,Ventricular arrhythmias ,European Society of Cardiology guidelines ,hemic and lymphatic diseases ,Prevention ,cardiovascular diseases ,Survey ,European Heart Rhythm Association - Abstract
Prevention of sudden cardiac death (SCD) remains a partly unsolved task in cardiology. The European Society of Cardiology (ESC) guidelines on management of patients with ventricular arrhythmias and prevention of SCD published in 2015 considered the new insights of the natural history of diseases predisposing to SCD. The guidelines improved strategies for management of patients at risk of SCD and included both drug and device therapies. The intention of this survey was to evaluate the extent of the disparities between daily clinical practice and the 2015 SCD ESC guidelines among electrophysiology centres in Europe. The results suggest that the adherence to guidelines is reasonably high and strategies for the management of ischaemic disease are well-established. Implantable cardioverter-defibrillator indications for primary prevention are a difficult topic, particularly in non-ischaemic dilated cardiomyopathy. Disparities in the use of genetic testing are probably due to differences in local availability.
- Published
- 2018
42. Optimization of chromosome preparation and chromosome number and ploidy in Hemiboea
- Author
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Dan GAO, Xiaoguo XIANG, Qiang ZHANG, Yanjie ZHANG, and Weitao JIN
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gesneriaceae ,hemiboea ,hydroponic rooting for cutting leaves ,chromosome number ,genome ploidy ,Botany ,QK1-989 - Abstract
Chromosome number and genome ploidy are crucial basic information for systematic evolutionary biology and genetics. Hemiboea, a genus of Gesneriaceae, with about 44 species, is mainly distributed in southern China, which have important medicinal and ornamental values. It is difficult to obtain suitable root tips for the chromosome preparation because of their small twining roots and small chromosomes. So far, only the chromosome numbers from three species of Hemiboea have been reported, while the chromosome numbers and ploidy of most species are unknown. The relationship between the pattern of chromosome number evolution and species evolution is also unclear. In this study, in order to explore the optimal conditions for chromosome preparation and the relationship between chromosome numbers and species evolution of Hemiboea, firstly, the root tips of six species (including H. subcapitata, H. longgangensis, H. longzhouensis, H. subacaulis var. jiangxiensis, H. follicularis and H. yongfuensis), which were generated by the method of hydroponic rooting for cutting leaves based on the characteristics of leaf cuttage propagation of plants in Hemboea, were used for the chromosome preparation experiments. Then, the effects of different experimental conditions on chromosome preparation were assessed. Next, the conditions were optimized and the chromosome counting was performed. Finally, the evolutionary history of chromosome numbers in Hemiboea and the related genera including Anna and Loxostigma were traced based on the molecular phylogenetic relationships, and the evolutionary pattern of chromosome numbers and relationships with species evolution were studied. The results were as follows: (1) The optimal conditions for karyotype preparation of the plants in Hemiboea were sampling during 9:30-10:00, dissociating for 10 min, and dyeing for 15 min. (2) All the six species of Hemiboea were diploid and with 32 chromosome numbers (2n=2x=32). (3) Except for a few species in the genus, the chromosome numbers of most species might be 2n=2x=32, and the variation of chromosome numbers might be caused by aneuploidy, which had no obvious relationship with the species evolution. This study sheds light on chromosome preparation of Hemiboea and other groups with similar leaf regeneration characteristics, and provides implications for the classification and phylogeny of this group.
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- 2023
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43. Effects of total daily light integral from blue and broad-band red LEDs on flowering of saffron (Crocus sativus L.)
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Dan Gao, Xinyu Ji, Qing Yuan, Weizhong Pei, Xue Zhang, Fusheng Li, Qiuyi Han, and Shanduan Zhang
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Medicine ,Science - Abstract
Abstract Present indoor cultivation of saffron (Crocus sativus L.) only depends on artificial planting experience, so that flower number and stigma yield are seriously affected in case of cloudy or rainy days and temperature changes. In this study, a luminaire was used at 10-h photoperiod combined 450 nm blue LEDs with 660 nm broad-band red LEDs, which respectively had full width at half maximum (FWHM) of 15 nm and 85 nm, in a ratio of blue: red: far-red light = 20%: 62%: 18%. The influence of total daily light integral (TDLI) was evaluated on flowering characteristics, stigma quality, as well as leaf morphological characteristics. The results showed that flower number, daily flowering proportion, stigma dry weight and crocetin esters content were significantly correlated with TDLI (P
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- 2023
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44. Recent advances in diverse nanosystems for nitric oxide delivery in cancer therapy
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Dan Gao, Sajid Asghar, Rongfeng Hu, Su Chen, Ruixin Niu, Jia Liu, Zhipeng Chen, and Yanyu Xiao
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Nitric oxide ,Nitric oxide donor ,Nitric oxide-based delivery system ,Anti-cancer ,Binding mechanisms ,Synergistic treatment strategy ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Gas therapy has been proven to be a promising and advantageous treatment option for cancers. Studies have shown that nitric oxide (NO) is one of the smallest structurally significant gas molecules with great potential to suppress cancer. However, there is controversy and concern about its use as it exhibits the opposite physiological effects based on its levels in the tumor. Therefore, the anti-cancer mechanism of NO is the key to cancer treatment, and rationally designed NO delivery systems are crucial to the success of NO biomedical applications. This review summarizes the endogenous production of NO, its physiological mechanisms of action, the application of NO in cancer treatment, and nano-delivery systems for delivering NO donors. Moreover, it briefly reviews challenges in delivering NO from different nanoparticles and the issues associated with its combination treatment strategies. The advantages and challenges of various NO delivery platforms are recapitulated for possible transformation into clinical applications.
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- 2023
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45. Mediating role of brain functional connectivity in cognitive decline induced by occupational aluminum exposure in workers
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Dan ZHAO, Dan GAO, Jiaping HUAN, Xiao HAN, Jing SONG, Linping WANG, Qiao NIU, and Xiaoting LU
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occupational aluminum exposure ,cognitive decline ,magnetic resonance imaging ,functional connectivity ,mediating effect ,Medicine (General) ,R5-920 ,Toxicology. Poisons ,RA1190-1270 - Abstract
BackgroundOccupational aluminum exposure may associate with cognitive impairment in workers. At present, brain functional imaging data are not available for evaluating cognitive dysfunction in workers with occupational exposure to aluminum. The role of brain functional connectivity in cognitive decline associated with occupational aluminum exposure is not clear yet. ObjectiveTo explore potential mediating effect of brain functional connectivity value on cognitive decline induced by occupational aluminum exposure, to assess the relationship between cognitive impairment and brain functional connectivity, and to identify appropriate imaging evidence of early cognitive changes induced by occupational aluminum exposure. MethodsThis study used a subset data from a previous cross-sectional survey. Based on the data of aluminum-exposed workers, over 40 years old, aluminum-exposed working years >1 year, Montreal International Cognitive Assessment (MoCA) (Beijing version) score
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- 2023
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46. Study on Spectral Response of Saffron (Crocus sativus L.) at Different Leaf Ages and Evaluation of Photosynthetic Energy Efficiency of Narrow-Band LED Spotlights
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Dan Gao, Qing Yuan, Weizhong Pei, Xue Zhang, Fusheng Li, Qiuyi Han, and Shanduan Zhang
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leaf photosynthesis ,spectral dependence ,absorptance ,LED lighting ,green light ,Plant culture ,SB1-1110 - Abstract
Leaf photosynthesis largely determines the daughter corm yields in vegetative growth for saffron (Crocus sativus L.). Most of the previous researches focus on the spectral response in various species, but research on saffron leaves at different leaf ages is lacking. In this study, the action spectrum based on photosynthetic photon flux density (PPFD) and irradiance were distinguished and interpreted. The optical properties and photosynthetic performances of leaves were, respectively, investigated at two leaf ages, dependent on customized narrow-band LED spotlights from 380 nm to 780 nm with an interval of 20 nm and a band width of 10 nm. The younger leaves were characterized by higher reflectance and transmittance values at 500−600 nm, resulting in lower absorptance compared to the older leaves. The spectral response curves including the action spectrum and quantum yield for younger leaves were higher than the older, but their relative curves displayed coincidence. The spectral response curves exhibited two peaks at 440 and 640 nm, but no obvious troughs between 500 and 600 nm were observed. Nevertheless, the photosynthetic energy efficiencies of spotlights demonstrated very low values in the green/yellow region. Accordingly, more attention should be paid to green and yellow LED lighting during the vegetative stage for saffron, as well as improving their manufacturing technology.
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- 2024
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47. Changes of Active Substances in Ganoderma lucidum during Different Growth Periods and Analysis of Their Molecular Mechanism
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Xusheng Gao, Huimin Huo, Haiying Bao, Jialu Wang, and Dan Gao
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Ganoderma lucidum ,metabolomics ,proteomics ,Ganoderenic acids ,Organic chemistry ,QD241-441 - Abstract
Ganoderma lucidum, renowned as an essential edible and medicinal mushroom in China, remains shrouded in limited understanding concerning the intrinsic mechanisms governing the accumulation of active components and potential protein expression across its diverse developmental stages. Accordingly, this study employed a meticulous integration of metabolomics and proteomics techniques to scrutinize the dynamic alterations in metabolite accumulation and protein expression in G. lucidum throughout its growth phases. The metabolomics analysis unveiled elevated levels of triterpenoids, steroids, and polyphenolic compounds during the budding stage (BS) of mushroom growth, with prominent compounds including Diplazium and Ganoderenic acids E, H, and I, alongside key steroids such as cholesterol and 4,4-dimethyl-5alpha-cholesta-8,14,24-trien-3beta-ol. Additionally, nutrients such as polysaccharides, flavonoids, and purines exhibited heightened presence during the maturation stage (FS) of ascospores. Proteomic scrutiny demonstrated the modulation of triterpenoid synthesis by the CYP450, HMGR, HMGS, and ERG protein families, all exhibiting a decline as G. lucidum progressed, except for the ARE family, which displayed an upward trajectory. Therefore, BS is recommended as the best harvesting period for G. lucidum. This investigation contributes novel insights into the holistic exploitation of G. lucidum.
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- 2024
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48. The Second-Order Features Adjoint Sensitivity Analysis Methodology for Response-Coupled Forward/Adjoint Linear Systems (2nd-FASAM-L): Mathematical Framework and Illustrative Application to an Energy System
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Dan Gabriel Cacuci
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exact computation of first- and second-order sensitivities of model responses to features of model parameters ,first- and second-level adjoint sensitivity systems ,neutron slowing down and transport ,Technology - Abstract
The Second-Order Features Adjoint Sensitivity Analysis Methodology for Response-Coupled Forward/Adjoint Linear Systems (abbreviated as “2nd-FASAM-L”), presented in this work, enables the most efficient computation of exactly obtained mathematical expressions of first- and second-order sensitivities of a generic system response with respect to the functions (“features”) of model parameters. Subsequently, the first- and second-order sensitivities with respect to the model’s uncertain parameters, boundaries, and internal interfaces are obtained analytically and exactly, without needing large-scale computations. Within the 2nd-FASAM-L methodology, the number of large-scale computations is proportional to the number of model features (defined as functions of model parameters), as opposed to being proportional to the number of model parameters. This characteristic enables the 2nd-FASAM-L methodology to maximize the efficiency and accuracy of any other method for computing exact expressions of first- and second-order response sensitivities with respect to the model’s features and/or primary uncertain parameters. The application of the 2nd-FASAM-L methodology is illustrated using a simplified energy-dependent neutron transport model of fundamental significance in nuclear reactor physics.
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- 2024
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49. Seasonal Variation in Short-Term Ambient Air Pollutants and ST-Elevation Myocardial Infarction Admissions: An Innovative Exploration of Air Pollution’s Health Consequences
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Andreea-Alexandra Rus, Raluca Şoşdean, Mihai-Andrei Lazăr, Marius Simonescu, Silvia-Ana Luca, Ciprian Nicuşor Dima, Alexandra-Cătălina Frişan, Dan Gaiţă, and Cristian Mornoş
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ST-elevation myocardial infarction ,seasonal variation ,ambient air pollutants ,short-term exposure ,acute coronary syndrome ,vulnerable populations ,Meteorology. Climatology ,QC851-999 - Abstract
Cardiovascular diseases (CVDs) persist as a significant contributor to global morbidity and mortality despite advances in medical technology. Air pollution has emerged as a significant contemporary challenge due to increased energy consumption and rapid economic development. The study utilized multivariable Poisson regression and Distributed Lag Models (DLM) to assess the link between brief exposure to outdoor air pollutants (PM10—particulate matter with a diameter ≤ 10 μm, NO2—nitrogen dioxide, and O3—ozone) and the risk of acute myocardial infarction with ST-segment elevation (STEMI) hospitalization, stratified by season. The research was conducted from January 2019 to December 2021 at the University Hospital in Timisoara, Romania, and daily records were collected for STEMI admissions, atmospheric pollutant levels, and meteorological parameters. The most pronounced impacts were observed with each 10 μg/m3 increase at lag 07 for PM10 during summer, leading to a 2% increase in STEMI admissions, and for NO2 during spring at lag 07, resulting in a 0.9% rise in CVD incidence. Men, middle-aged adults, and older adults exhibited greater susceptibility to elevated NO2 and PM10 concentrations than women and younger individuals. Brief exposure to diverse air pollutants heightens the likelihood of hospitalization due to STEMI, particularly among men and adults over 45. Effective measures must be implemented to mitigate these impacts, especially for vulnerable populations.
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- 2024
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50. Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups
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Andreea-Alexandra Rus, Mihai-Andrei Lazăr, Romeo Negrea, Alina-Ramona Cozlac, Cristina Văcărescu, Raluca Şoşdean, Silvia-Ana Luca, Dan Gaiţă, and Cristian Mornoş
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acute coronary syndrome ,climate changes ,meteorological factors ,older adult patients ,vulnerable subgroups ,environmental risk factors ,Medicine (General) ,R5-920 - Abstract
Background and Objectives: Acute coronary syndrome (ACS), a prevalent global cardiovascular disease and leading cause of mortality, is significantly correlated with meteorological factors. This study aims to analyze the impact of short-term changes in meteorological factors on the risk of ACS, both with and without ST-segment elevation, and to identify vulnerable subgroups. Materials and Methods: Daily ACS admissions and meteorological variables were collected from October 2016 to December 2021. A generalized linear model (GLM) with a Poisson distribution was employed to examine how short-term fluctuations in meteorological parameters influence ACS hospitalizations. Subgroup analyses were conducted to identify the populations most vulnerable to climate change. Results: Multiple regression analyses showed that short-term fluctuations in atmospheric pressure (≥10 mbar) and air temperature (≥5 °C) seven days prior increased the number of ACS hospitalizations by 58.7% (RR: 1.587; 95% CI: 1.501–1.679) and 55.2% (RR: 1.552; 95% CI: 1.465–1.644), respectively, notably impacting ST-segment elevation myocardial infarctions (STEMIs). The least pronounced association was observed between the daily count of ACS and the variation in relative air humidity (≥20%), resulting in an 18.4% (RR: 1.184; 95% CI: 1.091–1.286) increase in the risk of hospitalization. Subgroup analysis revealed an increased susceptibility among men and older adults to short-term variations in weather parameters. Conclusions: The findings indicate that short-term changes in weather conditions are associated with an increased risk of ACS hospitalizations, particularly STEMIs. Male and older adult patients exhibit heightened susceptibility to variations in climatic factors. Developing effective preventive strategies is imperative to alleviate the adverse consequences of these environmental risk factors.
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- 2024
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