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Context The use of traditional Chinese medicine (TCM) for breast cancer patients inhibits tumor cell growth and proliferation, alleviates adverse reactions, and inhibits tumor recurrence and metastasis post-surgery. An assessment of its historical efficacy and an examination of the latest research trends are imperative to thoroughly leverage the potential of TCM for breast cancer treatment.Objective This study analyzes the published literature on TCM for breast cancer treatment using bibliometric analysis to determine the current state, identify hot spots, and discern trends, providing insight into research in this field.Methods TCM-based breast cancer treatment publications between 2003 and 2022 were retrieved from the Web of Science, China National Knowledge Infrastructure, Wanfang, and Duxiu databases. Visual analysis was performed using VOSviewer (V1.6.19) and CiteSpace (V6.3.R1) software. Examined metrics included the annual publication count, literature and journal, national and institutional contributions, author co-occurrence, keyword co-occurrence, keywords timeline, and keywords with citation bursts in this research field.Results and conclusion A total of 1080 English publications and 2617 Chinese publications were included in the analysis. China was the leading contributor of publications. High-frequency keywords such as ‘apoptosis’, ‘expression’, ‘in vivo’, ‘chemotherapy’, ‘triple-negative breast cancer’, and ‘lymphedema’ were identified from English and Chinese publications; ‘epithelial mesenchymal transition’ and ‘network pharmacology’ emerged as hotspots. The development of modern science, technology, and in-depth research can result in broader prospects for the research and application of TCM in breast cancer treatment, resulting in more effective solutions for the treatment of breast cancer and other malignant tumors.

When a fire occurs in an underground shield tunnel, it can result in substantial property damage and cause permanent harm to the tunnel lining structure. This is especially true for large-diameter shield tunnels that have numerous segments and joints, and are exposed to specific fire conditions in certain areas. This paper constructs a full-scale shield tunnel fire test platform and conducts a non-uniform fire test using the lining system of a three-ring large-diameter shield tunnel with an inner diameter of 10.5 m. Based on the tests, the temperature field distribution, high-temperature bursting, cracking phenomena, and deformation under fire conditions are observed. Furthermore, the post-fire damage forms of tunnel lining structures are obtained through the post-fire ultimate loading test, and the corresponding mechanism is explained. The test results illustrate that the radial and circumferential distribution of internal temperature within the tunnel lining, as well as the radial temperature gradient distribution on the inner surface of the lining, have non-uniform distribution characteristics. As a result, the macroscopic phenomena of lining concrete bursting and crack development during the fire test mainly occur near the fire source, where the temperature rise gradient is the highest. In addition, the lining structure has a deformation characteristic of local outward expansion and cannot recover after the fire load is removed. The ultimate form of damage after the fire is dominated by crush damage from the inside out of the lining joints in the fire-exposed area. The above results serve as a foundation for future tunnel fire safety design and evaluation.

In order to investigate the effect of porosity on the comprehensive performance of bioactive coatings， a TiO2 coating was prepared on the surface of TA2 pure titanium using micro-arc oxidation.By varying the concentrations of Na2B4O7 and NaOH in the electrolyte， the effects of electrolyte composition on the phase composition， microstructure， hardness， thickness and hydrophilicity of the micro-arc oxidation coating were examined under constant current mode.Results showed that the coating phase was primarily rutile TiO2.The phase composition， morphology， thickness， hardness and wear resistance of the coating were significantly affected by the concentrations of sodium hydroxide and sodium tetraborate.Moderate addition of NaOH can enhance the thickness， porosity， hardness， wear resistance and corrosion resistance of the coating.However， when the concentration of sodium hydroxide was too high， porosity decreased and coating performance was reduced.When the electrolyte formula was 0.15 mol/L NaOH and 0.10 mol/L Na2B4O7， a porous coating with a "trabecular bone-like" structure was prepared， exhibiting high porosity and good comprehensive performance.

Three newly discovered Melanogaster species, namely M. cyaneus, M. diqingensis, and M. truncatisporus, are introduced and illustrated based on both morphological and molecular data from Sichuan and Yunnan provinces in China. A multigene phylogenetic analysis (nrITS, nrLSU, and rpb2) was performed mainly to verify the placement of the new species in Melanogaster. A second, nrITS-only phylogenetic analysis comprising more Melanogaster species for which only ITS sequences were available, was used to infer the relationship between the new species and as many known Melanogaster species as possible. Specimens of M. cyaneus, M. diqingensis, and M. truncatisporus formed three independent clades in a phylogenetic tree inferred from the ITS data set. The robust support from ITS for these clades and genetic similarity with other species being lower than 93.2% suggest that these three species are indeed distinct from the other Melanogaster species in the phylogeny. Morphologically, M. cyaneus is characterized by its blue or bluish gleba, light brown to yellowish brown peridium, and subglobose to globose basidiospores, 6.2–15 × 4.6–9.0 μm. Melanogaster diqingensis is distinguished from other Melanogaster species by its pale yellow to brown-yellow peridium and obovate to subglobose basidiospores, 3.0–5.1 × 2.0–4.0 μm. Melanogaster truncatisporus is diagnosed by its subglobose to globose or irregularly elongate-pyriform basidiomata, pale yellow to deeply orange-yellow peridium, and subglobose to globose or pyriform, truncate basidiospores. Additionally, infrageneric classification based on the number of peridium layers, the average thickness of the peridium, and the average length and width of basidiospores was tested with M. cyaneus, M. diqingensis, and M. truncatisporus. Orthogonal partial least squares discriminant (OPLS-DA) analysis placed the three new species within the Melanogaster, Rivulares, and Variegati sections, respectively. However, the morphologically circumscribed sections were not monophyletic in the phylogenetic tree. Therefore, the current infrageneric classification should be abandoned.

Objectives: This study aimed to investigate the factors associated with the spontaneous clearance of Chlamydia trachomatis, a phenomenon that, despite a growing body of literature, remains understudied in the context of women in China. Methods: Spontaneous clearance was defined as the transition from a positive to negative Chlamydia status over time without the use of antichlamydial therapy. Data from 5935 women aged 18 years and older who participated in the Clinical-Based Health Check program were analyzed. Eligible participants had no history of Neisseria gonorrhoeae infection, pelvic inflammatory disease, recent antibiotic use, or pregnancy and had an interval between the screening and follow-up visits of more than 3 days. Logistic regression was used to identify factors influencing spontaneous clearance. Results: Spontaneous clearance occurred in 23.9% (50/209) of the participants, typically with a median interval of 27 days. Significant factors included an interval >45 days, an age >35 years, the use of an intrauterine device (IUD), and the presence of clue cells. Conclusion: Spontaneous clearance of C. trachomatis is significantly affected by age, the interval between two tests, IUD use, and the presence of clue cells. Screening strategies should prioritize women under 35 years of age who do not use IUDs and test negative for clue cells for more effective chlamydia prevention and management.

IntroductionNon-small cell lung cancer (NSCLC) is a prominent lung cancer disease worldwide. Currently, commonly used methods, such as surgery and radiotherapy, have significant side effects. Traditional Chinese medicine (TCM) has become a research hotspot because of its safe and effective characteristics. The branches and leaves of Taxus media are abundant in antitumor active compounds, and there has been no research conducted as yet regarding its anti–lung cancer molecular mechanism.ObjectiveThe aim of this study is to investigate the antitumor activity of two samples before and after fermentation of T. media, and to research the molecular mechanism of its inhibitory effect on NSCLC.MethodsThe chemical composition of pre-fermentation T. media (TM) and post-fermentation T. media qu (TMQ) were investigated using UHPLC-Q-Qrbitrap HRMS and high-performance liquid chromatography (HPLC). The anti-lung cancer activities of TM and TMQ were compared using an A549-induced tumor mouse model. An enzyme-linked immunosorbent assay (ELISA), hematoxylin and eosin (H&E) staining, immunohistochemistry, and immunofluorescence were used to determine the of TMQ mechanism of action.ResultsThe results indicated that TM and TMQ contained 83 compounds, consisting primarily of flavonoids, organic acids, and taxanes. Both taxanes and flavonoids in TMQ were higher than that in TM. Both TM and TMQ effectively inhibited the tumor growth in non-small cell lung cancer (NSCLC), and the inhibition rate was greater in TMQ (57.24%) than in TM (49.62%). TMQ administration downregulated the tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and the glutathione (GSH) level and upregulated interferon-γ (IFN-γ), reactive oxygen species (ROS), and malondialdehyde (MDA) levels in the serum of tumor mice. TMQ treatment also increased the protein expression of Bax, Caspase-3, and Beclin-1 in tumor tissues. In contrast, the bcl-2, PI3K, Ki67, ULK1, and mTOR protein levels were suppressed by TMQ. Protein assay analyses reemphasized the superior antitumor effect of TMQ over TM. These cumulative findings demonstrated that the mechanism of action of TMQ was closely related to the activation of transcriptional misregulation in the cancer pathway that inhibited the cholinergic synaptic, AMPK, and PI3K/Akt/mTOR signaling pathways.ConclusionThis study demonstrated that fermentation increased the active ingredient contents and antitumor effects of T. media. In addition, post-fermentation TMQ was superior to TM as a herbal medicine for NSCLC treatment.

Abstract Chirality and luminescence are important for both chemistry and biology, which are highly influenced by aggregation. In this work, a pair of metalated tetraphenylethylene(TPE)‐based organic cage enantiomers are reported, which feature a quadrangular prismatic cage structure. These homochiral cages exhibit concentration‐dependent chiral behaviors alongside a propensity for thermodynamic aggregation. Aggregation caused quench effect is found for these cages accompanying the increasing of the concentrations. When a poor solvent is added to produce a kinetical aggregation, the aggregation‐annihilation circular dichroism and aggregation‐induced emission behaviors are observed for these enantiomeric cages. By comparing these observations with the photophysical behaviors of a pair of structurally similar organic molecular enantiomers, the unique photophysical properties observed are intricately linked to the metal‐integrated TPE‐functionalized cage structures.

Abstract Rice seeds of different varieties exhibited distinct metabolic profiles in our study. We analyzed the metabolites in seeds of six rice varieties (CH, HM, NX, YX, HY, and MX) using non-targeted GC–MS. Our findings revealed that amino acids, sugars, and organic acids were predominant in all varieties, with significant differences observed in CH compared to the others. Specifically phenylalanine and glycine content differed notably in NX and YX, respectively. Additionally, 1,5-anhydroglucitol content in NX, and glutamate, aspartate, and lactulose in NX, YX, HM, HY, and MX were up-regulated. Due to the biological functions of these amino acids and sugars, these indicated that compared to CH, rice of NX were more conducive to metabolism of carbohydrate and fat, and healthy growth maintenance in the human body, but mightThese variations suggest that NX rice may be more beneficial for carbohydrate and fat metabolism and overall health maintenance compared to CH. However, it may not be suitable for diabetic patients. YX rice may not be an ideal glycine supplement, rice ofwhile HM, HY, and MX rice could serve as potential lactulose sources. Furthermore, NX and YX rice exhibited higher levels of main storage proteins compared to CH. This study offers valuable insights into the metabolic differences among various rice varieties.

ObjectiveTo establish an indicator system for multi-point trigger surveillance and early warning of infectious diseases, providing valuable evidence to improve the overall prevention and control framework. MethodsThe pool of indicators was initially developed through a literature review and focus group discussions, followed by two rounds of Delphi expert consultations with 21 experts nationwide. Based on the experts' ratings of the importance, usability and familiarity of the indicators, the indicators were screened, statistically analyzed and their final weights determined. ResultsThe positive coefficients of experts in the two rounds of consultation were both 100%, the authority coefficients of experts were both ≥ 0.79, and the coordination coefficients of expert opinions were 0.34 – 0.46 (all P < 0.001). According to the occurrence and development process of infectious diseases and the requirements of related multi-source data fusion and collision, the indicator system was divided into three dimensions: single-source data, multi-source data fusion and risk factors. Finally, 82 indicators for multi-point trigger surveillance and early warning of infectious diseases were established. ConclusionThe index system developed in this study for multi-point trigger surveillance and early warning of infectious diseases is based on sound scientific principles and reasoning. It has the potential to expand the channels of infectious disease monitoring and achieve multi-point trigger surveillance and early warning.

C6H8N2O3, monoclinic, P21/n (no. 14) a = 5.2014(4) Å, b = 13.4511(9) Å, c = 9.6808(6) Å, β = 97.867(3)∘, V = 670.94(8) Å3, Z = 4, R gt(F) = 0.0451, wR ref(F 2) = 0.1308, T = 170 K.

BackgroundTo identify the cognitive load of different turning tasks in simulated flight, a flight experiment was designed based on real “preliminary screening” training modules for pilots.MethodsHeart Rate Variability (HRV) and flight data were collected during the experiments using a flight simulator and a heart rate sensor bracelet. The turning behaviors in flight were classified into climbing turns, descending turns, and level flight turns. A recognition model for the cognitive load associated with these turning behaviors was developed using machine learning and deep learning algorithms.Resultspnni_20, range_nni, rmssd, sdsd, nni_20, sd1, triangular_index indicators are negatively correlated with different turning load. The LSTM-Attention model excelled in recognizing turning tasks with varying cognitive load, achieving an F1 score of 0.9491.ConclusionSpecific HRV characteristics can be used to analyze cognitive load in different turn-ing tasks, and the LSTM-Attention model can provide references for future studies on the selection characteristics of pilot cognitive load, and offer guidance for pilot training, thus having significant implications for pilot training and flight safety.

During the service of asphalt pavement, it is affected by natural environmental factors for a long time, and the pavement performance declined. In order to simulate the cumulative effects of multiple aging components, the indoor ''ultraviolet radiation, high temperature and water'' multi-factor cyclic coupling aging test was designed. The properties of asphalt during cyclic coupled aging were measured by conventional physical properties tests, photoelectric colorimetric tests, and Fourier Transform Infrared Spectroscopy test. Then the surface morphology of asphalt was observed by camera and optical microscope. After asphalt aged, a large number of oxidation functional groups were formed, causing asphalt to become hard and brittle, adhesion to diminish, and surface roughness to increase. Ultraviolet light and high temperatures led to the exudation and dissolution of the liquid constituents within the asphalt, which were subsequently washed away by water. The thermal stress induced the shrinkage and wrinkle of the asphalt film, resulting in the formation of cracks. Under high temperatures, a limited number of cracks could potentially self-repair during the early stages of aging. Nevertheless, as the aging process progressed, the self-healing capacity of the asphalt diminished, leading to the widening and deepening of cracks. Concurrently, water infiltrated along the cracks into the inner layers of the asphalt, exacerbating the degradation of its properties.

Abstract Three‐dimensional (3D) echocardiography is an emerging technique for assessing right ventricular (RV) volume and function, but 3D‐RV normal values from a large Chinese population are still lacking. The aim of the present study was to establish normal values of 3D‐RV volume and function in healthy Chinese volunteers. A total of 1117 Han Chinese volunteers from 28 laboratories in 20 provinces of China were enrolled, and 3D‐RV images of 747 volunteers with optimal image quality were ultimately analyzed by a core laboratory. Both vendor‐dependent and vendor‐independent software platforms were used to analyze the 3D‐RV images. We found that men had larger RV volumes than women did in the whole population, even after indexing to body surface area, and older individuals had smaller RV volumes. The normal RV volume was significantly smaller than that recommended by the American Society of Echocardiography/European Association of Cardiovascular Imaging guidelines in both sexes. There were significant differences in 3D‐RV measurements between the two vendor ultrasound systems and the different software platforms. The echocardiographic measurements in normal Chinese adults II study revealed normal 3D‐RV volume and function in a large Chinese population, and there were significant differences between the sexes, ages, races, and vendor groups. Thus, normal 3D‐RV values should be stratified by sex, age, race, and vendor.

Abstract Objective The aim of this study was to investigate the clinical, imaging and pathological features of extraskeletal osteosarcoma (EOS) and to improve the understanding of this disease and other similar lesions. Methods The data for 11 patients with pathologically confirmed extraosseous osteosarcoma, including tumour site and size and imaging and clinical manifestations, were analysed retrospectively. Results Six patients were male (60%), and 5 were female (40%); patient age ranged from 23 to 76 years (average age 47.1 years). Among the 11 patients, 7 had clear calcifications or ossification with different morphologies, and 2 patients showed a massive mature bone tumour. MRI showed a mixed-signal mass with slightly longer T1 and T2 signals in the tumour parenchyma. Enhanced CT and MRI scans showed enhancement in the parenchyma. Ten patients had different degrees of necrosis and cystic degeneration in the mass, 2 of whom were complicated with haemorrhage, and MRI showed “fluid‒fluid level” signs. Of the 11 patients, five patients survived after surgery, and no obvious recurrence or metastasis was found on imaging examination. One patient died of lung metastasis after surgery, and 2 patients with open biopsy died of disease progression. One patient died of respiratory failure 2 months after operation. 2 patients had positive surgical margins, and 1 had lung metastasis 6 months after operation and died 19 months after operation. Another patient had recurrence 2 months after surgery. Conclusion The diagnosis of EOS requires a combination of clinical, imaging and histological examinations. Cystic degeneration and necrosis; mineralization is common, especially thick and lumpy mineralization. Extended resection is still the first choice for localized lesions. For patients with positive surgical margins or metastases, adjuvant chemoradiotherapy is needed.

PURPOSE: Through three neurocritical care unit (NCCU) surveys in China, we tried to understand the development status of neurocritical care and clarify its future development. METHODS: Using a cross-sectional survey method and self-report questionnaires, the number and quality of NCCUs were investigated through three steps: administering the questionnaire, sorting the survey data, and analyzing the survey data. RESULTS: At the second and third surveys, the number of NCCUs (76/112/206) increased by 47% and 84%, respectively. The NCCUs were located in tertiary grade A hospitals or teaching hospitals (65/100/181) in most provinces (24/28/29). The numbers of full-time doctors (359/668/1337) and full-time nurses (904/1623/207) in the NCCUs increased, but the doctor–bed ratio and nurse–bed ratio were still insufficient (0.4:1 and 1.3:1). CONCLUSION: In the past 20 years, the growth rate of NCCUs in China has accelerated, while the allocation of medical staff has been insufficient. Although most NCCU hospital bed facilities and instruments and equipment tend to be adequate, there are obvious defects in some aspects of NCCUs.

In response to the issue of reduced horizontal bearing capacity due to inadequate compaction of backfill soil in traditional grillage foundations, a novel grillage root foundation is proposed in this study. That is, the root is introduced into undisturbed soil at a traditional grillage foundation base plate. To assess the applicability of this innovative foundation under horizontal loading conditions, on-site experimental research was conducted. It was employed to comparatively analyze the load–displacement curves, changes in internal forces of steel components, and the development patterns of soil cracks around the foundation between traditional grillage foundations and various sizes of grillage root foundations subjected to horizontal loading. The results indicate that the horizontal bearing capacity of the grillage root foundation increased by 1.3 times compared to traditional grillage foundations, with economic benefits surpassing those of the traditional counterparts. The determination of the “m” value serves as the proportional coefficient of the horizontal resistance coefficient of the foundation soil, and the synthesis of the reactive force provided by the soil to the roots contribute to enhancements in soil resistance and the horizontal bearing capacity of the foundation. The horizontal load at which cracks appear in the grillage root foundation exceeds that of the traditional metal grillage foundation, with a slower rate of development. Finite element analysis was conducted to optimize the arrangement of roots, maximizing the foundation’s bearing capacity. This research provides certain references in terms of enhancing foundation bearing capacity, reducing ground treatment costs, and promoting sustainable development.

China has been continuously improving its monitoring methods and strategies to address key infectious diseases (KIDs). After the severe acute respiratory syndrome epidemic in 2003, China established a comprehensive reporting system for infectious diseases (IDs) and public health emergencies. The relatively lagging warning thresholds, limited warning information, and outdated warning technology are insufficient to meet the needs of comprehensive monitoring for modern KIDs. Strengthening early monitoring and warning capabilities to enhance the public health system has become a top priority, with increasing demand for early warning thresholds, information, and techniques, thanks to constant innovation and development in molecular biology, bioinformatics, artificial intelligence, and other identification and analysis technologies. A panel of 31 experts has recommended a fourth-generation comprehensive surveillance system targeting KIDs (41 notifiable diseases and emerging IDs). The aim of this surveillance system is to systematically monitor the epidemiology and causal pathogens of KIDs in hosts such as humans, animals, and vectors, along with associated environmental pathogens. By integrating factors influencing epidemic spread and risk assessment, the surveillance system can serve to detect, predict, and provide early warnings for the occurrence, development, variation, and spread of known or novel KIDs. Moreover, we recommend comprehensive ID monitoring based on the fourth-generation surveillance system, along with a data-integrated monitoring and early warning platform and a consortium pathogen detection technology system. This series of considerations is based on systematic and comprehensive monitoring across multiple sectors, dimensions, factors, and pathogens that is supported by data integration and connectivity. This expert consensus will provides an opportunity for collaboration in various fields and relies on interdisciplinary application to enhance comprehensive monitoring, prediction, and early warning capabilities for the next generation of ID surveillance. This expert consensus will serve as a reference for ID prevention and control as well as other related activities.

Purpose: Determining the impact of air gap errors on the skin dose in postoperative breast cancer radiotherapy under dynamic intensity-modulated radiation therapy (IMRT) techniques. Methods: This was a retrospective study that involved 55 patients who underwent postoperative radiotherapy following modified radical mastectomy. All plans employed tangential IMRT, with a prescription dose of 50 Gy, and bolus added solely to the chest wall. Simulated air gap depth errors of 2 mm, 3 mm, and 5 mm were introduced at depression or inframammary fold areas on the skin, resulting in the creation of air gaps named Air2, Air3, and Air5. Utilizing a multivariable GEE, the average dose ( D mean ) of the local skin was determined to evaluate its relationship with air gap volume and the lateral beam's average angle (AALB). Additionally, an analysis was conducted on the impact of gaps on local skin. Results: When simulating an air gap depth error of 2 mm, the average D mean in plan2 increased by 0.46 Gy compared to the initial plan (planO) ( p

Purpose: To evaluate the dosimetric effects of intrafraction baseline shifts combined with rotational errors on Four-dimensional computed tomography-guided stereotactic body radiotherapy for multiple liver metastases (MLMs). Methods: A total of 10 patients with MLM (2 or 3 lesions) were selected for this retrospective study. Baseline shift errors of 0.5, 1.0, and 2.0 mm; and rotational errors of 0.5°, 1°, and 1.5°, were simulated about all axes. All of the baseline shifts and rotation errors were simulated around the planned isocenter using a matrix transformation of 6° of freedom. The coverage degradation of baseline shifts and rotational errors were analyzed according to the dose to 95% of the planning target volume (D95) and the volume covered by 95% of the prescribed dose (V95), and related changes in gross tumor volume were also analyzed. Results: At the rotation error of 0.5° and the baseline offset of less than 0.5 mm, the D95 and V95 values of all targets were >95%. For rotational errors of 1.0° (combined with all baseline shift errors), 36.3% of targets had D95 and V95 values of 95% for about 77.3% of the targets. Only 11.4% of the D95 and V95 values were >95% when the baseline shift errors were increased to 2.0 mm. When the rotational error was increased to 1.5° and baseline shift errors increased to 1.0 mm, the D95 and V95 values were >95% in only 3 cases. Conclusions: The multivariate regression model analysis in this study showed that the coverage of the target decreased further with reduced target volume, increasing the baseline drift, the rotation error, and the distance to the target.

The early-age cracking sensitivity of cement-based materials containing alkalis with different metal ions (Na+ and K+) is investigated. The results indicate that alkalis containing both Na+ and K+ can promote the early cracking sensitivity of cement-based materials, in which K+ having a higher promoting effect than Na+. By exploring the shrinkage properties, hydration process, pore structure and micromechanics, the mechanism of the cracking performance of cement-based materials containing alkalis with different metal ions are revealed. According to the experimental results and the analysis of mechanism, alkali enhances the cracking sensitivity of cement-based materials by increasing their shrinkage rate, promoting hydration process, and refining pore structure. But the improvement of cracking sensitivity of cement-based materials containing alkalis with Na+ or K+ is related to cohesive force and structure of calcium silicate hydrates clusters.

Aims:This study aimed to synthesize the evidence of the comparative effectiveness and safety of Ophiocordyceps sinensis (OS) preparations combined with renin–angiotensin system inhibitors (RASi) for diabetic kidney disease (DKD).Methods:Eight databases were searched from their inception to May 2023. Systematic reviews (SRs) of OS preparations combined with RASi for DKD were identified. Randomized controlled trials (RCTs) from the included SRs and additional searching were performed for data pooling. Cochrane risk-of-bias 2 (RoB 2) tool and AMSTAR 2 were used to evaluate the methodological quality of RCTs and SRs, respectively. A Bayesian network meta-analysis was performed to compare the add-on effect and safety of OS preparations for DKD. The certainty of evidence was graded using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.Results:Fourteen SRs were included, whose methodological quality was assessed as high (1/14) or critically low (13/14). After combining additional searching, 157 RCTs were included, involving 13,143 participants. The quality of the RCTs showed some concerns (155/157) or high risk (2/157). Jinshuibao capsules and tablets, Bailing capsules and tablets, and Zhiling capsules were evaluated. Compared to RASi, adding either of the OS capsular preparations resulted in a decreased 24-h urinary total protein levels. OS preparations ranked differently in each outcome. Jinshuibao capsules plus RASi were beneficial in reducing urinary protein, serum creatinine, serum urea nitrogen, and blood glucose levels, with moderate-certainty evidence. No serious adverse events were observed after adding OS to RASi.Conclusion:Combining OS capsular preparations with RASi appeared to be associated with decreased urinary total protein levels in DKD patients. Further high-quality studies are needed to confirm.Systematic Review Registration:INPASY202350066.

AbstractSemiothisa cinerearia Bremer & Grey, 1853 belongs to the lepidopteran family Geometridae, subfamily Ennominae. We sequenced the complete mitochondrial genome of S. cinerearia by PCR and Sanger sequencing method. The mitochondrial genome of S. cinerearia is 15,523 bp in length and contains a typical set of 37 genes with ‘MIQ’ type gene arrangement and a 394 bp AT-rich regions. Except for cox1 using CGA as initiation codon, all protein-coding genes (PCGs) start with ATN codons and except for nad2 and nad4l using TAG as termination codon, all PCGs terminated with TAA codon. A phylogenetic tree including 39 genus of subfamily Ennominae was first reconstructed based on the mitochondrial genome sequences with nucleotide substitution model GTR + G + I, which showed that the genera Amraica, Jankowskia, and Ectropis are not monophyletic and S. cinerearia and Macaria notata are classified together.

Abstract Cracking furnaces, operating under high temperatures and in a hydrocarbon medium, subject their tubes to complex stresses such as internal pressure, self-weight, fatigue, and thermal shock during start-up and shutdown. As a result, these furnace tubes frequently experience failures characterized by cracks and corrosion perforation. The high-temperature environment, constantly evolving structure of the tubes, and the close arrangement of the cracks within the tube box hinder detecting the cracks using conventional single-detection methods is challenging. This paper breaks through the limitations of the traditional single detection method and studies the effectiveness of the combination of ultrasonic-guided wave and low-frequency electromagnetic detection methods. The experiment was carried out by deliberately making cracks and thinning defects caused by corrosion on the cracking furnace tube of Cr35Ni45Nb after two years of service. The experimental results show that the ultrasonic guided wave detection technology can quickly detect the defects running through the whole furnace tube and effectively identify the manufacturing defects. On the other hand, low-frequency electromagnetic detection makes it possible to scan suspicious local defects and make qualitative and quantitative analyses of defect signals. The combination of ultrasonic guided wave and low-frequency electromagnetic detection can realize the rapid location and comprehensive qualitative and quantitative analysis of furnace tube defects, thus making up for the defects missed detection caused by the lack of effectiveness of single detection and the resulting safety problems. The research results have great popularization value in practical engineering applications.

Multi-carrier modulation technology is an advanced modulation method commonly used in broadband communication systems. However, multi-carrier signals will produce a very large Peak to Average Power Ratio (PAPR) in the time domain, which will lead to non-linear damage and seriously affects the performance of system. In this paper, a joint PAPR reduction technology enabled by neural network-based coding and companding is proposed. The frequency-domain coding is implemented by a fully connected layer, which greatly reduces the complexity and difficulty of network training. A small proportion of spread spectrum is introduced to provide coding gain, and the time-domain companding network uses a nonlinear convolutional neural network to reduce PAPR. The effect of the scheme is shown through simulation under various parameter conditions, and compared with various schemes. The simulation results show that the scheme can reduce PAPR by 5 dB while introducing rare distortion. Finally, the scheme is experimentally verified. The experimental results show that the Bit Error Ratio (BER) is reduced by 75% compared with the clipping scheme when the PAPR is reduced by 5 dB, which verifies the feasibility of the scheme.

Reducing agricultural carbon emissions is important to enable carbon emission peaking by 2030 in China. However, China's transformation towards large-scale farming brings uncertainties to carbon emission reduction. This study quantifies the carbon emissions from cropping based on life cycle assessment and estimates the effects of farm size on carbon emissions using a fixed effects model. Furthermore, the variations of the carbon emissions from cropping driven by the changes in farm size in future years are projected through scenario analysis. Results demonstrate an inverted U-shaped change in total carbon emission from cropping as farm size increases, which is dominated by the changes in the carbon emission from fertilizer. Projections illustrate that large-scale farming transformation will postpone the peak year of total carbon emission from cropping until 2048 if the change in farm size follows a historical trend, although it is conducive to reducing total carbon emission in the long run. The findings indicate that environmental regulations to reduce fertilizer usages should be strengthened for carbon emission abatement in the early stage of large-scale farming transformation, which are also informative to other developing countries with small farm size.

Solar photovoltaics is a direct use of solar resources to generate electricity, which is one of the most important renewable energy application approaches. Regional PV output could be affected by the regional patterns of temperature and irradiance, which are impacted by climate change. This study examines the impact of climate change on the energy yields from solar PV across China in the future under the medium-emission scenario (SSP245) and high-emission scenario (SSP585) by calculating PV potential using the data of solar radiation on a tilted surface and temperature. Generally, under the SSP245 scenario, solar radiation increased by 0.8% and 2.15%, and PV energy yields increased by 0.28% and 1.21% in 2020–2060 and 2061–2099, respectively; under the SSP585 scenario, solar radiation increased by 0.73% and 1.35%, and PV energy yields increased by 0.04% and −1.21% in 2020–2060 and 2061–2099, respectively. Under both scenarios, PV energy potential showed an obvious increase in southeast and central China and a significant decrease in northwest China, Tibet, and Inner Mongolia. Therefore, it is suggested that under the medium-emission scenario, climate change could increase the PV energy potential, while under the high-emission scenario, it could inhibit the PV energy potential in China.