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Abstract Background Some recent studies have shown that female subclinical hypothyroidism (SCH) is associated with diminished ovarian reserve (DOR). In this study, we aimed to investigate whether serum-free thyroxine (fT4) concentrations within the reference range are associated with ovarian reserve in women. Methods This cross-sectional study included 4933 infertile women with normal-range fT4 concentrations who received assisted reproductive technology treatment in our clinic. The data of women in different fT4 concentration tertiles (namely 12–15.33, 15.34–18.67, and 18.68–22 pmol/L) were compared with ovarian reserve markers, namely the anti-Müllerian hormone (AMH) concentration, the antral follicle count (AFC), and the number of aspirated oocytes. The primary outcomes were the AMH concentration and the risk of DOR, diagnosed as an AMH concentration

The significant accumulation of snow and ice in the bogie region severely compromises operational quality and poses a safety hazard to high-speed trains. To enhance testing capabilities for assessing ice and snow accumulation within bogie regions, this study conducts numerical investigations into the influence of contraction section configuration and deflector layout density on wind-snow flow quality within an ice and snow wind tunnel. The predictive accuracy of the numerical method is comprehensively validated against wind-snow wind tunnel tests, involving a comparison of airflow velocity in the test section and snow accumulation thickness on the channel's floor. The results demonstrate that the coupled numerical method of Improved Delayed Detached Eddy Simulation (IDDES) and Discrete Phase Model (DPM) is a reliable tool for analyzing wind-snow flow characteristics within an ice and snow wind tunnel. Furthermore, compared to the vickers curve and bicubic curve, quintic curves applied to the contraction section consistently compress and accelerate airflow. This contributes to a more uniform flow characterized by lower stream-wise fluctuation levels, pitch angles, and yaw angles in the test section, thereby significantly enhancing the overall flow quality of wind and snow. Thus, the quintic curves or smoother curves are recommended for the design of the contraction section in ice and snow wind tunnels. Moreover, increasing the deflector number leads to a noticeable improvement in flow quality inside the test section, while resulting in increased snow accretion on the windward surfaces of deflectors. Hence, a medium-level deflector density is suggested for designing ice and snow wind tunnels to achieve a better balance between flow quality and the additional snow accretion inside the channel.

Abstract Background To evaluate the outcome of shoulder arthroscopy-assisted implantation of three-dimensional (3D)-printed titanium pads for recurrent shoulder dislocation with glenoid bone defects. Methods From June 2019 to May 2020, the clinical efficacy of 3D printed titanium pad implantation assisted by shoulder arthroscopy, for the treatment of recurrent shoulder dislocations with shoulder glenoid defects was retrospectively analyzed. The American Shoulder and Elbow Surgeons (ASES) shoulder, Rowe, and Constant scores were recorded before surgery and at 3 months, 6 months, 1 year, and 2 years after surgery. 3D computed tomography (CT) and magnetic resonance imaging were used to evaluate the location of the glenoid pad, bone ingrowth, joint degeneration, and osteochondral damage. Results The mean age of the 12 patients was 21.4 (19–24) years and the mean follow-up time was 27.6 (24–35) months. The Visual Analog Scale score significantly improved from 5.67 ± 1.98 preoperatively to 0.83 ± 0.58 postoperatively (p = 0.012). The postoperative ASES score was significantly increased to 87.91 ± 3.47 compared with preoperative ASES score (46.79 ± 6.45) (p

Background: The purpose of this study was to investigate the effect of 3D-printed technology to repair glenoid bone defect on shoulder joint stability. Methods: The shoulder joints of 25 male cadavers were tested. The 3D-printed glenoid pad was designed and fabricated. The specimens were divided into 5 groups. Group A: no bone defect and the structure of the glenoid labrum and joint capsule was intact; Group B: Anterior inferior bone defect of the shoulder glenoid; Group C: a pad with a width of 2 mm was installed; Group D: a pad with a width of 4 mm was installed; Group E: a pad with a width of 6 mm was installed. This study measured the distance the humeral head moved forward at the time of glenohumeral dislocation and the maximum load required to dislocate the shoulder. Results: The shoulder joint stability and humerus displacement was significantly lower in groups B and C compared with group A ( p < .05). Compared with group A, the stability of the shoulder joint of group D was significantly improved ( p < .05). However, there was no significant difference in humerus displacement between groups D and A ( p > .05). In addition, compared with group A, shoulder joint stability was significantly increased and humerus displacement was significantly decreased in group E ( p < .05). Conclusion: The 3D-printed technology can be used to make the shoulder glenoid pad to perfectly restore the geometric shape of the shoulder glenoid articular surface. Moreover, the 3D-printed pad is 2 mm larger than the normal glenoid width to restore the initial stability of the shoulder joint.

Biochar application has received much attention because biochar can be used as an organic amendment. The nutrient release patterns and interactions in straw biochar produced at different temperatures are not well understood. In this study, we observed the release patterns of carbon (C), nitrogen (N), phosphorus (P), and potassium (K) and the interaction between released C, N, P, and K from straw biochar prepared from 225 to 600 °C through a 180-day degradation experiment. The results showed that the degradation rate of the two kinds of straw biochar was faster in the first 30 days at different temperatures, and that of the straw biochar prepared before 300 °C was more rapid, indicating that 300 °C is an important turning point. The rule of nutrient release in the straw biochar showed that the K release rate was the highest and most rapid and was more than 60% in the first 30 days. The nutrient release rates for the two kinds of straw biochar were in the order K > N > P > C. The release of nutrients accompanied the decomposition of the straw biochar, and there was an exponential relationship between the amount of nutrients released from straw biochar and its degradation mass. There were collaborative or similar release processes indicated by significant positive correlations between the released C and N (R2 = 0.96) and P and K (R2 = 0.94) in the tobacco straw biochar and an obvious correlation between the released C and N (R2 = 0.76) in the rice straw biochar. These results indicated that the released C and N, P, and K in tobacco straw biochar, as well as C and N in rice straw biochar, have synergistic effects and the same degradation path. The application of straw biochar can provide a source of P and N in the short term and a source of P and C in the long term. This study suggests that returning straw biochar to the soil could appropriately reduce the input of K fertilizer in the early stage.

As two significant pollutants, the increased concentrations of copper ions and microplastics in coastal waters pose a substantial threat to the health of marine ecosystems. This study explored the individual and combined toxic effects of copper ions and microplastics on the marine diatom Skeletonema costatum. The results indicated that copper ions at a concentration of 0.05 mg/L exerted a negative impact on the growth of S. costatum; however, the influence of microplastics on algal cell growth was more complex: there was no significant inhibition of algal cell growth observed within the first 72 h of cultivation, but a pronounced negative effect on cell growth was noted between 72 and 96 h, with high concentrations (10.00 mg/L) of microplastics even causing a premature stagnation phase in algal cell growth. When both pollutants were present simultaneously, their impact on cell growth was similar to that of the microplastic pollution group, yet the growth condition was better than that of the copper ion pollution group. Through investigation of adsorption rates and toxicity mitigation rates, it was found that the adsorption of copper ions by microplastics was a significant reason for the improved growth condition of algal cells in the mixed pollution group compared to the copper ion pollution group. However, in the later stages of cultivation, the inhibitory effect of microspheres on algal cell growth counteracted their mitigating effect on copper ion toxicity. This study provides a reference for evaluating the impact of microplastics and heavy metals on coastal ecosystem health and for revealing the interactions between different pollutants.

Honeycomb-like AZ31 matrix composites with 1, 2, and 4 wt% submicron-MgO were prepared using low-energy milling and extrusion. The composites consist of fine-grained and coarse-grained zones. The fine-grained zones enriched with submicron MgO form a honeycomb-like structure, and the coarse grains without MgO are filled into unit cells. Both the strengths and elongations of the newly developed MgO/AZ31 composites are enhanced compared with AZ31. Specifically, the tensile strength of composites containing 1 wt% MgO is improved to 344.1 MPa, and at the same time, its elongation is increased up to 21.5%. The excellent strength-ductility combination is due to the introduction of submicron-MgO reinforcements with unique distribution. Such achievements could be beneficial to the structural design of composites.

Since China joined the WTO, its economy has experienced rapidly growth, resulting in significantly increase in fossil fuel consumption and corresponding rise in CO2 emissions. Currently, China is the world's largest emitter of CO2, the regional distribution is also extremely uneven. so, it is important to identify the factors influence CO2 emissions in the three regions and predict future trends based on these factors. This paper proposes 14 carbon emission factors and uses the random forest feature ranking algorithm to rank the importance of these factors in three regions. The main factors affecting CO2 emissions in each region are identified. Additionally, an ARIMA + LSTM carbon emission predict model based on the inverse error combination method is developed to address the linear and nonlinear relationships of carbon emission data. The findings suggest that the ARIMA + LSTM is more accurate in predicting the trend of CO2 emissions in China. Moreover, the ARIMA + LSTM is employed to forecast the future CO2 emission trends in China's east, central, and west regions, which can serve as a foundation for China's CO2 emission reduction initiatives.

With the rapid development of profile processing industry, the processing shape, efficiency, and consistency of profiles are more and more demanding. In this case, the progress of bending machine tools was very important. In this study, the disadvantages and shortcomings of traditional three-roll bending machine are investigated, and a new design of three-roll bending machine is proposed, including a new mechanical structure, hydraulic pressure, and control system. ABAQUS was used to analyze the constrained mode of the table, and the first six order natural frequencies and natural vibration modes were obtained. A mathematical model was established to analyze the relationship between the pressure displacement and the forming radius under ideal working conditions, and the limit position of the downward movement of the lower press roll and the speed relationship between the lower press roll and the support roll are discussed. Based on the experimental data, the nonlinear curve fitting was carried out on the rebound compensation algorithm of asymmetric rolling bending forming. The fitting rebound compensation algorithm was carried out on the symmetric rolling bending forming experiment. The experimental results show that this algorithm can be applied to both symmetric rolling bending and asymmetric rolling bending.

Objective Acromioclavicular joint dislocation is one of the most common shoulder injuries in young men. With the advancement of minimally invasive technology, arthroscopy of acromioclavicular joint dislocation has been recognized for its good curative effect. This study aimed to explore the technical details and clinical efficacy of a modified minimally invasive endoscopic treatment for acromioclavicular joint dislocation. Methods Clinical data of patients receiving the three‐incision endoscopic treatment were retrospectively reviewed between July 2013 and July 2019. A total of 72 patients with acromioclavicular joint dislocation of Rockwood type III (n = 42) and type V (n = 30) were included in this study. Postoperative routine radiography was performed to evaluate acromioclavicular joint reduction and fixation. In addition, functional recovery of the shoulder joint was assessed using the American Shoulder and Elbow Surgeons (ASES) and Constant–Murley scores. Differences between the preoperative and postoperative data were compared using paired t‐tests. Results All patients underwent loop plate elastic fixation under endoscopy during 24 to 48 months of follow‐up. Postoperative radiography showed that the acromioclavicular joint achieved anatomical reduction. The ASES score (91.1 ± 4.2) was significantly improved compared to the preoperative ASES score (62.4 ± 3.1) (t = 46.65, P

Abstract The freeze-thaw of early spring in China’s Qinghai-Tibet Plateau is often accompanied by severe droughts. Artemisia annua, widely distributed in China, releases allelopathic substances, mainly artemisinin, to the environment and exerts a wide range of effects on crops. This paper studied the physiological effects of highland barley under freeze-thaw, drought, and artemisinin stress through indoor simulation experiments. The physiological response characteristics of superoxide dismutase (SOD) activity, catalase (POD) activity, net photosynthetic rate, relative water content (RWC), relative electrical conductivity, malondialdehyde (MDA) content, and soluble protein content in highland barley were analyzed. The results showed that artemisinin and drought contributed to the increase of SOD activity and the decrease of POD activity. Under the freeze-thaw stress, the SOD and POD activities both decreased firstly and then increased, but the effect of compound stress on POD was more complicated. Either artemisinin, drought, or low temperature could reduce the net photosynthetic rate of highland barley. Low temperature had more significant impacts on photosynthesis, and compound stress would show a single stress superimposed effect. Artemisinin, drought, and low temperature could reduce the RWC of highland barley, and increase the relative electrical conductivity and the concentration of soluble protein (except for low temperature stress above zero, which reduces the concentration of soluble protein). However, the effect of compound stress on soluble protein is more complex. The single stress of artemisinin and drought had no obvious effect on MDA content, while the MDA content was increased significantly under the freeze-thaw stress and the compound stress of artemisinin and drought, and the MDA content reached its peak at T1. The results are helpful to explore the effects of freeze-thaw, drought and artemisinin stress on the growth of highland barley under the background of the aridification of the Qinghai-Tibet Plateau, and provide ideas for rational agricultural management.

BackgroundBrucellosis is a zoonotic disease that threatens public health and creates an economic burden. Unfortunately, it is often overlooked in developing countries, with misdiagnosis causing negative impacts on those with low income. Although the symptoms of brucellosis are commonly reported as fever and fatigue, rare pulmonary, and psychiatric involvements should also be considered. We present the first brucellosis patient in China with multiple pulmonary nodules and depression. Furthermore, this report highlights the importance of collecting patient history in epidemic areas of brucellosis.Case presentationWe report the case of a 40-year-old woman with intermittent fever for 2 months and gradually accompanied by chills, dry cough, arthralgia, and fatigue. The patient was also diagnosed with depression after fever. She received symptomatic treatment at a regional hospital; however, there was no significant symptom relief. She suddenly developed hemoptysis 1 day prior to arrival at our hospital, where we discovered that her liver, spleen, neck, and axillary lymph nodes were enlarged, and there were multiple nodules in both lungs. The patient was eventually diagnosed with brucellosis after the serum agglutination test and received antibiotic therapy, which provided symptom relief.ConclusionThis report describes a case of brucellosis with uncommon multipulmonary nodules and depression in China. This study has widened the evidence of respiratory involvement due to brucellosis. Second, it demonstrates the importance of collecting a comprehensive medical history, especially in epidemic areas. In conclusion, for febrile patients with pulmonary nodules and depression, especially in endemic areas, brucellosis should be considered.

Interactions among society, water resources, and environment systems have become increasingly prominent with the progressively far-reaching impact of human activities. Therefore, this paper aims to construct a co-evolution model to establish the mutual feedback relationship among society, water resources, and environment from the perspective of socio-hydrology. Firstly, social factors such as environmental sensitivity, environmental protection awareness, and technological level are introduced to this model to describe the coevolutionary trajectory of society, water resources and environment subsystems. Then, this model is implemented in 11 provincial administrative regions in the Yangtze River Economic Belt, and the degree of coordination of their coupling is evaluated. Results show that the water-use efficiency of each provincial administrative region in the Yangtze River Economic Belt gradually increases during the forecast period. The coupling-coordinated degree of each provincial administrative region of the Yangtze River Economic Belt has greatly improved during the 14th Five-Year Plan period, reflecting that policy support has played a significant role in the coordinated development of the Yangtze River Economic Belt. The dynamic fluctuation process of environmental sensitivity effectively depicts the co-evolution process of the coupling system, which provides a reference for the subsequent exploration and cognition of the human-water coevolutionary mechanism.

Osteoarthritis is a chronic, systemic and inflammatory disease. However, the pathogenesis and understanding of RA are still limited. Ubiquitin-specific protease 13 (USP13) belongs to the deubiquitinating enzyme (DUB) superfamily, and has been implicated in various cellular events. Nevertheless, its potential on RA progression has little to be investigated. In the present study, we found that USP13 expression was markedly up-regulated in synovial tissue samples from patients with RA, and was down-regulated in human fibroblast-like synoviocytes (H-FLSs) stimulated by interleukin-1β (IL-1β), tumor necrosis factor alpha (TNF-α) or lipopolysaccharide (LPS). We then showed that over-expressing USP13 markedly suppressed inflammatory response, oxidative stress and apoptosis in H-FLSs upon IL-1β or TNF-α challenge, whereas USP13 knockdown exhibited detrimental effects. In addition, USP13-induced protective effects were associated with the improvement of nuclear factor erythroid 2-related factor 2 (Nrf-2) and the repression of Casapse-3. Furthermore, phosphatase and tensin homolog (PTEN) expression was greatly improved by USP13 in H-FLSs upon IL-1β or TNF-α treatment, whereas phosphorylated AKT expression was diminished. In response to IL-1β or TNF-α exposure, nuclear transcription factor κB (NF-κB) signaling pathway was activated, whereas being significantly restrained in H-FLSs over-expressing USP13. Mechanistically, USP13 directly interacted with PTEN. Of note, we found that USP13-regulated cellular processes including inflammation, oxidative stress and apoptotic cell death were partly dependent on AKT activation. Furthermore, USP13 over-expression effectively inhibited osteoclastogenesis and osteoclast-associated gene expression. The in vivo experiments finally confirmed that USP13 dramatically repressed synovial hyperplasia, inflammatory cell infiltration, cartilage damage and bone loss in collagen-induced arthritis (CIA) mice via the same molecular mechanisms detected in vitro. Taken together, these findings suggested that targeting USP13 may provide feasible therapies for RA.

Some immune system cells express type A and/or type B γ-aminobutyric acid receptors (GABAA-Rs and/or GABAB-Rs). Treatment with GABA, which activates both GABAA-Rs and GABAB-Rs), and/or a GABAA-R-specific agonist inhibits disease progression in mouse models of type 1 diabetes (T1D), multiple sclerosis, rheumatoid arthritis, and COVID-19. Little is known about the clinical potential of specifically modulating GABAB-Rs. Here, we tested lesogaberan, a peripherally restricted GABAB-R agonist, as an interventive therapy in diabetic NOD mice. Lesogaberan treatment temporarily restored normoglycemia in most newly diabetic NOD mice. Combined treatment with a suboptimal dose of lesogaberan and proinsulin/alum immunization in newly diabetic NOD mice or a low-dose anti-CD3 in severely hyperglycemic NOD mice greatly increased T1D remission rates relative to each monotherapy. Mice receiving combined lesogaberan and anti-CD3 displayed improved glucose tolerance and, unlike mice that received anti-CD3 alone, had some islets with many insulin+ cells, suggesting that lesogaberan helped to rapidly inhibit β-cell destruction. Hence, GABAB-R-specific agonists may provide adjunct therapies for T1D. Finally, the analysis of microarray and RNA-Seq databases suggested that the expression of GABAB-Rs and GABAA-Rs, as well as GABA production/secretion-related genes, may be a more common feature of immune cells than currently recognized.

Based on advanced 3D finite element modelling, this paper analyses the stress paths experienced by soil elements in the vicinity of a monopile foundation for offshore wind turbines subjected to cyclic loading with the aim of informing soil laboratory testing in support of monopile foundation design. It is shown that the soil elements in front of the laterally loaded monopile are subjected to complex stress variations, which gradually evolve towards steady stress cycles as the cyclic lateral pile loading proceeds. The amplitude, direction and average value of such steady stress cycles are dependent on the depth and radial distance from the pile of the soil element, but it also invariably involves the cyclic rotation of principal stress axes. Complementary laboratory testing using the hollow-cylinder torsional apparatus was carried out on granular soil samples imposing cyclic stress paths (with up to about 3 × 104 cycles) which resemble those determined after 3D finite element analysis. The importance of considering the cyclic rotation of principal stress axes when investigating the response of soil elements under stress conditions mimicking those around a monopile foundation subjected to cyclic lateral loading is emphasised.