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BackgroundUrothelial carcinoma is a common malignant tumor of the urinary system, with prognosis linked to pathological grade and TNM stage. Alterations in chromosomes 3, 7, and 17, along with the P16 locus on chromosome 9 (CSP3, CSP7, CSP17, and GLPp16), are associated with cancer progression and may serve as important biomarkers. This study aimed to explore the relationships between these chromosomal factors and the pathological grade and TNM stage of UCC, potentially leading to a novel diagnostic approach that enhances patient stratification and treatment planning.MethodsA retrospective analysis was conducted on 149 patients to evaluate the correlation between CSP3, CSP7, CSP17, GLPp16, TNM stage, and pathological grade using chi-square tests and logistic regression. Immunohistochemistry was employed to assess the associated changes.ResultsUnivariate analysis indicated that only CSP7 and GLPp16 were significantly associated with pathological grade. Logistic regression linked GLPp16 and gender to pathological grade in urothelial carcinoma. A nomogram model incorporating these factors demonstrated reliable calibration in the training set (non-significant Hosmer-Lemeshow test, P = 0.436; AUC = 0.785, 95% CI: 0.707 - 0.863) and effective discrimination in the test set (AUC = 0.740, 95% CI: 0.559 - 0.920). Immunohistochemistry revealed P16 gene deletion in low-grade urothelial carcinoma and amplification in high-grade urothelial carcinoma.ConclusionMutations at the GLPp16 were significantly correlated with the pathological grade of urothelial carcinoma. Additionally, the amplification of GLPp16 was recognized as a contributing factor to the development of high-grade urothelial carcinoma.

The objective of this study was to investigate the effect of straw return on the formation of Fe-Mn colloids in arsenic-contaminated soils and its subsequent influence on arsenic behavior. It was observed that organic matter (SD) resulting from straw decomposition interacted with iron/manganese (hydr)oxides (Fe/Mn (hydr)oxides) present in the soil, leading to the formation of colloidal particles. These particles significantly influenced the fixation and release of arsenic. The experimental results indicated that an increase in SD content facilitated the formation of colloidal particles. The highest concentration of colloidal particles was observed at a C/Fe-Mn ratio of 2.2, which significantly reduced the bioavailability and mobility of arsenic in the soil. The increase in SD content also diminished the depositional attachment efficiency of SD/Fe-Mn, thereby enhancing its migration through the soil. The actual field soil-filled column experiments further demonstrated that the content of SD significantly influenced arsenic bioavailability and mobility. Specifically, at a C/Fe-Mn ratio of 2.2, the inhibition of arsenic migration and bioavailability was found to be 1.46 times more effective compared to a C/Fe-Mn ratio of 0.4. Therefore, the return of straw to the field represents an effective soil remediation strategy for mitigating the bioavailability of arsenic by modulating the C/Fe-Mn ratio. This approach offers a novel perspective on strategies for heavy metal remediation.

This study, conducted a spectroscopic analysis of 10 gem-quality blue tourmaline samples from Minas Gerais, Brazil, focused on detailed variations in their infrared, Raman, and UV-VIS spectra. Conventional gemological tests, electron-probe microanalysis, infrared spectroscopy (mid- and near-infrared), Raman spectroscopy, and UV-visible spectroscopy were used to systematically analyze the chemical composition and spectral characteristics of the samples. The infrared spectra revealed vibrations of [YO6], [TO4], [BO3], [OH], and H2O groups, indicating different bonding profiles, with the [OH] vibrational frequency showing a direct correlation with FeO and MnO content. The Raman spectra primarily reflected the stretching vibrations of metal–oxygen bonds and hydroxyl groups, indicating the complexity of the local environment in the crystal structure. The UV-VIS spectra showed that the broad absorption band around 725 nm was due to intermetallic charge transfer between Fe2+ and Fe3+. This work provides new insights into the local bonding environment within the crystal structure by providing precise spectral data of natural blue tourmaline, and a more accurate classification and evaluation of blue tourmaline through fine spectral change characteristics related to crystal chemistry has important implications for both academic research and the gemstone industry.

Abstract Background Intrahepatic cholangiocarcinoma (ICC) is an aggressive malignancy with a poor prognosis. The underlying functions and mechanisms of circular RNA and SUMOylation in the development of ICC remain poorly understood. Methods Circular RNA hsa_circ_0001681 (termed Circ-RAPGEF5 hereafter) was identified by circular RNA sequencing from 19 pairs of ICC and adjacent tissue samples. The biological function of Circ-RAPGEF5 in tumor proliferation and metastasis was examined by a series of in vitro assays. A preclinical model was used to validate the therapeutic effect of targeting Circ-RAPGEF5. RNA pull-down and dual-luciferase reporter assays were used to access the RNA interactions. Western blot and Co-IP assays were used to detect SUMOylation levels. Results Circ-RAPGEF5, which is generated from exons 2 to 6 of the host gene RAPGEF5, was upregulated in ICC. In vitro and in vivo assays showed that Circ-RAPGEF5 promoted ICC tumor proliferation and metastasis, and inhibited apoptosis. Additionally, high Circ-RAPGEF5 expression was significantly correlated with a poor prognosis. Further investigation showed that SAE1, a potential target of Circ-RAPGEF5, was also associated with poor oncological outcomes. RNA pull-down and dual-luciferase reporter assays showed an interaction of miR-3185 with Circ-RAPGEF5 and SAE1. Co-IP and western blot assays showed that Circ-RAPGEF5 is capable of regulating SUMOylation. Conclusion Circ-RAPGEF5 promotes ICC tumor progression and SUMOylation by acting as a sponge for miR-3185 to stabilize SAE1. Targeting Circ-RAPGEF5 or SAE1 might be a novel diagnostic and therapeutic strategy in ICC.

Gem-quality blue octahedral crystalline gahnite was produced in Nigeria. This paper investigated gemological and spectroscopic characteristics by basic gemological experiments, electron probes, infrared reflectance spectroscopy, laser Raman spectroscopy, photoluminescence spectroscopy, and ultraviolet-visible spectroscopy. The results show that the refractive index (RI) of Nigerian gahnite is 1.792∼1.794, and the specific gravity is 4.45∼4.66, with no fluorescence. The main chemical composition is ZnAl2O4, accounting for 93.57%, and the rest is mainly FeAl2O4, which also contains Na, Mg, Co, Mn, Cr, Cu, Si, K, and Ca elements. The infrared spectra showed midinfrared absorption bands near 510 cm−1, 559 cm−1, and 664 cm−1 in the fingerprint region, corresponding to the Zn-O stretching vibration, bending vibration, and Al-O bending vibration, respectively. The Raman spectra showed three of the five Raman active modes of the spinel group, with characteristic Raman absorption peaks located at 418 cm−1, 508 cm−1, and 660 cm−1, corresponding to Eg, T2g(2), and T2g(3) modes, respectively, and the comparison revealed a higher degree of Zn and Al ordering in this paper for gahnite. The photoluminescence spectra show the common Cr3+-activated fluorescence splitting peaks of natural spinel, of which the 686 nm (R-line) fluorescence peak is obvious and sharp. The UV-vis absorption spectra located at 444 nm and 489 nm are the most obvious, which are caused by the d-d electron leap of TFe2+ (5E ⟶ 5T2), and the blue-gray tones of the samples are mainly caused by the spin-forbidden electronic transitions in TFe2+ and MFe2+ ↔ MFe3+; the weak absorption peak at 609 nm was determined to be associated with Co2+ by derivative spectra.

Abstract Background Laparoscopic liver resection (LLR) is controversial in treating intrahepatic cholangiocarcinoma (ICC). Therefore, this study aimed to evaluate the safety and feasibility of LLR for the treatment of ICC and explored the independent factors affecting the long-term prognosis of ICC. Methods We included 170 patients undergoing hepatectomy for ICC from December 2010 to December 2021 and divided them into LLR group and open liver resection (OLR) group. We used propensity score matching (PSM) analysis to reduce the impact of data bias and confounding variables and then compared the short-term and long-term prognosis of LLR and OLR in treating ICC; Cox proportional hazards regression model was adopted to explore the independent factors affecting the long-term prognosis of ICC. Results A total of 105 patients (70 in the LLR group and 35 in the OLR group) were included after 2:1 PSM analysis. There was no difference in demographic characteristics and preoperative indexes between the two groups. The perioperative results of the OLR group were worse than those of the LLR group, that is, the intraoperative blood transfusion rate (24 (68.6) vs 21 (30.0)), blood loss (500 (200–1500) vs 200 (100–525)), and the morbidity of major postoperative complications (9 (25.7) vs 6 (8.5)) in the OLR group were worse than those in LLR group. LLR could enable patients to obtain an equivalent long-term prognosis compared to OLR. The Cox proportional hazards regression model exhibited that no matter before or after PSM, preoperative serum CA12-5 and postoperative hospital stay were independent factors affecting overall survival, while only lymph node metastasis independently influenced recurrence-free survival. Conclusions Compared with ICC treated by OLR, the LLR group obtained superior perioperative period outcomes. In the long run, LLR could enable ICC patients to receive an equivalent long-term prognosis compared to OLR. In addition, ICC patients with preoperative abnormal CA12-5, lymph node metastasis, and more extended postoperative hospital stay might suffer from a worse long-term prognosis. However, these conclusions still need multicenter extensive sample prospective research to demonstrate.

Background: Robotic liver resection is a hot topic in the field of liver surgery in recent years. We report our initial experience with robotic liver caudate lobectomy and discuss its safety. Methods: We retrospectively analyzed the clinical data of 13 patients who underwent the robotic liver caudate lobectomy between May 2018 and May 2021 in a single institution. The details of the surgical strategy were described. Results: All operations were performed robotically, and six operations were combined with other sites resection. The average operation time was 207.69 ​± ​104.81 ​min (single caudate lobectomy: 155.71 ​± ​45.41 ​min); intraoperative bleeding volume was 102.31 ​± ​158.84 ​ml (single: 42.14 ​± ​30.26 ​ml); and the average postoperative hospital stay was 5.08 ​± ​3.04 days (single: 3 ​± ​0.82 days). No deaths or serious surgical complications occurred perioperatively. Conclusion: This study suggests that robotic surgery is safe, effective, and feasible for liver caudate lobectomy.

Abstract Introduction Laparoscopic repeat hepatectomy (LRH) is considered to be a technically challenging procedure which has not been widely applied. This study aimed to assess the accessibility and security of LRH for patients with hepatic tumor recurrence. Methods Between January 2010 and October 2020, we performed 48 LRHs and 31 open repeat hepatectomies (ORHs) for recurrent liver cancer. LRHs were matched to ORHs (1:1) using propensity score matching (PSM) created by comparing preoperative factors. The perioperative data of patients were retrospectively analyzed, including baseline data, operative time, intraoperative blood loss, pathology, days of postoperative stay, complication morbidity, and mortality within 30 days. Overall survival and recurrence-free survival rates with appropriate follow-up were obtained to evaluate the long-term outcomes. Results Compared with the ORH, LRH was related with shorter operative duration (169.9 versus 232.9 ml, p < 0.01), less intraoperative bleeding (100.0 versus 500.0 ml, p < 0.01), lower rate of blood transfusion (8.3% versus 58.1%, p < 0.01), and shorter hospitalization (5.0 versus 11.0 days, p < 0.01). The median follow-up was 31 months. The LRH 1-, 3-, and 5-year overall survival were 77.1%, 61.6%, and 46.2% versus 82.3%, 66.5%, and 29.5% for ORH (p = 0.77). The 1-, 3-, and 5-year disease-free survival rates of the two groups were 73.4%, 62.0%, and 44.3% versus 66.1%, 44.1%, and 14.7%, respectively (p = 0.22). Conclusions Laparoscopic repeated hepatectomy is safe and practicable with great short-term results for selected patients.

Objective: Liver cancer is very common in China, with cumulative five-year tumor recurrence rate after a microscopically margin-negative resection of hepatocellular carcinoma up to 70%. Postoperative recurrent hepatocellular carcinoma presents a challenge for surgeons because of the complexity of postoperative adhesion and the difficulty in of recognizing recurrent lesions. This study aims to introduce a method using an indocyanine green (ICG) fluorescent imaging technique to do repeated laparoscopic liver resection. Method: Patients received repeated laparoscopic liver resection using ICG fluorescent imaging between January 2017 and December 2019 in the Department of General Surgery of Sir Run Run Shaw Hospital were analyzed retrospectively. Basic information, intraoperative information, complications, and follow-up time were collected and analyzed. Results: Totally, 35 patients with a median age of 59 years (ranged 38–82 years) were included. All of the patients received minimally invasive surgery. One case was performed robotically, and only two cases were converted to open surgery due to severe adhesion. The median operating time was 174 minutes, and the median blood loss during surgery was 100 mL. The median hospital stay after surgery was 5 days, with a range of 3–55 days. In total, 32 (91.4%) patients showed staining by ICG fluorescent imaging, and lesions were visible on fluorescent camera. The median follow-up time was 19.7 months, with a range of 1–40.2 months. The median relapse-free survival time was 18.5 months. Conclusion: Repeated laparoscopic liver resection using ICG fluorescent imaging is a safe and promising approach in the treatment of recurrent liver tumors in selected patients.

The evolution of communication technology has driven the demand for intelligent power grids and data analysis in power systems. However, obtaining and annotating electrical data from intelligent terminals is time-consuming and challenging. We propose Meta In-Context Learning (M-ICL), a new approach that harnesses large language models to classify time series electrical data, which largely alleviates the need for annotated data when adapting to new tasks. The proposed M-ICL consists of two stages: meta-training and meta-testing. In meta-training, the model is trained on various tasks that have an adequate amount of training data. The meta-training stage aims to learn the mapping between electrical data and the embedding space of large language models. In the meta-testing stage, the trained model makes predictions on new tasks. By utilizing the in-context learning ability of large language models, M-ICL adapts models to new tasks effectively with only a few annotated instances (e.g., 1–5 training instances per class). Our contributions lie in the new application of large language models to electrical data classification and the introduction of M-ICL to improve the classification performance with the strong in-context learning ability of large language models. Furthermore, we conduct extensive experiments on 13 real-world datasets, and the experimental results show that the proposed M-ICL improves the average accuracy over all datasets by 19.06%, 12.06%, and 6.63% when only one, two, and five training instances for each class are available, respectively. In summary, M-ICL offers a promising solution to the challenges of electrical data classification.

Abstract Objectives This study was designed to evaluate the safety and effectiveness of a two-hand technique combining harmonic scalpel (HS) and laparoscopic Peng’s multifunction operative dissector (LPMOD) in patients who underwent laparoscopic hemihepatectomy (LHH). Methods We designed and conducted a case-control study nested in a prospectively collected laparoscopic liver surgery database. Patients who underwent LHH for liver parenchyma transection using HS + LPMOD were defined as cases (n = 98) and LPMOD only as controls (n = 47) from January 2016 to May 2018. Propensity score matching (1:1) between the case and control groups was used in the analyses. Results The case group had significantly less intraoperative blood loss in milliliters (169.4 ± 133.5 vs. 221.5 ± 176.3, P = 0.03) and shorter operative time in minutes (210.5 ± 56.1 vs. 265.7 ± 67.1, P = 0.02) comparing to the control group. The conversion to laparotomy, postoperative hospital stay, resection margin, the mean peak level of postoperative liver function parameters, bile leakage rate, and others were comparable between the two groups. There was no perioperative mortality. Conclusions We demonstrated that the two-handed technique combing HS and LPMOD in LHH is safe and effective which is associated with shorter operative time and less intraoperative blood loss compared with LPMOD alone. The technique facilitates laparoscopic liver resection and is recommended for use.

Abstract The treatment for hepatocellular carcinoma (HCC) is promising in recent years, but still facing critical challenges. The first targeted therapy, sorafenib, prolonged the overall survival by months. However, resistance often occurs, largely limits its efficacy. Sorafenib was found to target the electron transport chain complexes, which results in the generation of reactive oxygen species (ROS). To maintain sorafenib resistance and further facilitate tumor progression, cancer cells develop strategies to overcome excessive ROS production and obtain resistance to oxidative stress-induced cell death. In the present study, we investigated the roles of ROS in sorafenib resistance, and found suppressed ROS levels and reductive redox states in sorafenib-resistant HCC cells. Mitochondria in sorafenib-resistant cells maintained greater functional and morphological integrity under the treatment of sorafenib. However, cellular oxygen consumption rate and mitochondria DNA content analyses revealed fewer numbers of mitochondria in sorafenib-resistant cells. Further investigation attributed this finding to decreased mitochondrial biogenesis, likely caused by the accelerated degradation of peroxisome proliferator-activated receptor γ coactivator 1β (PGC1β). Mechanistic dissection showed that upregulated UBQLN1 induced PGC1β degradation in a ubiquitination-independent manner to attenuate mitochondrial biogenesis and ROS production in sorafenib-resistant cells under sorafenib treatment. Furthermore, clinical investigations further indicated that the patients with higher UBQLN1 levels experienced worse recurrence-free survival. In conclusion, we propose a novel mechanism involving mitochondrial biogenesis and ROS homeostasis in sorafenib resistance, which may offer new therapeutic targets and strategies for HCC patients.

Abstract Background Hepatobiliary mucinous cystic neoplasms (H-MCNs) are relatively rare cystic neoplasms in the liver. The differential diagnosis of H-MCNs remains big challenging, and the management and prognosis between the hepatic simple cyst (HSC) and H-MCNs are quite different. This study aimed to present our experience in the management of H-MCNs and provide a preoperative H-MCNs risk prediction nomogram to differentiating H-MCNs from liver cystic lesions. Methods 29 patients diagnosed with H-MCNs and 75 patients diagnosed with HSC between June 2011 and June 2019 at Zhejiang University School of medicine, Sir Run-Run Shaw Hospital were reviewed in this study. We analyzed the demographic and clinicopathological variables. Results US, CT, and MRI could accurately diagnose only 3.4%, 46.1%, and 57.1% of H-MCNs, respectively. After univariate analysis and multivariate logistic regression analysis, the variables significantly associated with H-MCNs were enhancement after contrast (p = 0.009), tumour located in the left lobe (p = 0.02) and biliary ductal dilation (p = 0.027). An H-MCNs risk predictive nomogram was constructed, which showed excellent discrimination (areas under the receiver operating characteristic curve were 0.940) and consistent calibration between the predicted probability and actual probability. Conclusion Among patients with H-MCNs, the location of the tumour, enhancement in CT scan, and biliary duct dilation are significantly independent risk factors. The appropriate treatment of H-MCNs is radical resection. Using our Nomogram could facilitate screening and identification of patients with liver cystic lesions.

Background: Laparoscopic repeat hepatectomy (LRH) is a technically challenging procedure, so LRH for recurrent liver cancer has not been widely accepted. The aim of this study was to perform a systematic review of the current literature to identify and evaluate available data of LRH for recurrent hepatocellular carcinoma (rHCC) and metastases tumour of liver, especially of colorectal liver metastases (CRLM), focusing on the safety and feasibility. Methods: A comprehensive search of the PubMed database was performed for all studies published in English evaluating LRH for rHCC and recurrent metastases tumour of liver from 1st January, 2005 to 1st June, 2019. Results: A total of 15 studies which comprised 444 patients and reported outcomes for the efficacy and safety of LRH in the treatment of rHCC or CRLM were included in the present review. Moreover, nine studies compared the perioperative outcomes of LRH versus open repeat hepatectomy (ORH). LRH was superior to ORH with reduced blood loss, shorter operative time, shorter hospital stay and lower morbidity rates. Conclusions: LRH can safely performed in rHCC or CRLM patients with cirrhosis, previous open hepatectomy, multiple recurrent lesions and tumours located in difficult posterosuperior segments.

Minimally invasive surgery is a trend in hepatobiliary surgery. A 56-year-old female patient was admitted to our institution for intrahepatic lithiasis. The CT scan showed multiple calculi in the left liver, dilation of the left intrahepatic bile duct and liver atrophy of the left lobe. Robotic single-incision left hemihepatectomy by the single-site system was successfully applied. With the idea of enhanced recovery after surgery, the patient was discharged on the third day after the operation without any morbidity. Robotic single-incision surgery is more frequent in gynecologic and urological surgery. As far as we know, this is the first robotic single-incision left hemihepatectomy report in the world.

The splenic cyst is a rare disease with unknown etiology. The inner wall of the cyst has lining epithelium. The cyst can be unilocular or multilocular. According to pathology, it can be divided into four types: epidermoid cyst, dermoid cyst, cystic lymphangioma, and cystic hemangioma. Ultrasound examination is often the first choice for splenic cysts because of its nonradiation, low cost, and convenient examination. The images are mostly cystic masses with clear borders and dark areas without echoes, after the detection of splenic space-occupying lesions by ultrasonography, CT, and MRI. Here, we report robot-assisted partial splenectomy for a splenic cyst. Imaging diagnosis of abdominal CT enhancement: the cystic space-occupying of the spleen is considered. We should improve the preoperative examination and exclude operative contraindications. During the operation, there was about 8 cm of the upper pole of the spleen, and the boundary was clear. There was no obvious abnormality in the exploration of the abdominal viscera. The operation was successful. The operative time was 115 minutes, and the blood loss was 20 ml. On the first day after the operation, the patient took a liquid diet. The time of first anal exhaust was on the second day after operation. The patient was discharged at the fourth day. Postoperative pathology revealed epidermoid cyst. The therapy strategy of the splenic cyst is ambiguous. Better understanding of the splenic segmental anatomy and surgical skills has made minimally invasive partial splenectomy a preferred treatment for splenic cysts. In this paper, we report a case of splenic epidermoid cyst managed successfully by robot-assisted partial splenectomy.

The stress of the main tower of a cable-stayed bridge depends on the connection type between the tower and deck. In order to study the most suitable longitudinal damping mode for a long-span cable-stayed bridge. In this article, a nonlinear finite element model is established based on a large span concrete cable-stayed bridge with a main span of 680 m. Without considering the influence of the transverse constraint, the damping effect of the elastic connection device and the viscous damper is simulated when the longitudinal seismic load is input. The results show that the stiffness of the main beam is increased by installing the elastic connection device, so the longitudinal drift frequency of the main beam is increased, but the stiffness of the structure is not changed by installing the viscous damper. Both viscous dampers and elastic connection structures can reduce the longitudinal displacement of the beam end, but viscous dampers are more favorable for the stress of the main tower. In terms of damping effect, viscous dampers are more suitable for long-span cable-stayed bridges, but, in terms of economy and parameter control, elastic connection devices have more advantages.

Recently developed super nested array families have drawn much attention owing to their merits on keeping the benefits of the standard nested arrays while further mitigating coupling in dense subarray portions. In this communication, a new mutual coupling model for nested arrays is constructed. Analyzing the structure of the newly formed mutual coupling matrix, a transformation of the distorted steering vector to separate angular information from the mutual coupling coefficients is revealed. By this property, direction of arrival (DOA) estimates can be determined via a grid search for the minimum of a determinant function of DOA, which is induced by the rank reduction property. We also extend the robust DOA estimation method to accommodate the unknown mutual coupling and gain-phase mismatches in the nested array. Compared with the schemes of super nested array families on reducing the mutual coupling effects, the solutions presented in this paper has two advantages: (a) It is applicable to the standard nested arrays without rearranging the configuration to increase the inter-element spacing, alleviating the cross talk in dense uniform linear arrays (ULAs) as well as gain-phase errors in sparse ULA parts; (b) Perturbations in nested arrays are estimated in colored noise, which is significant but rarely discussed before. Simulations results corroborate the superiority of the proposed methods using fourth-order cumulants.

To effectively find the direction of non-circular signals received by a uniform linear array (ULA) in the presence of non-negligible perturbations between array elements, i.e., mutual coupling, in colored noise, a direction of arrival (DOA) estimation approach in the context of high order statistics is proposed in this correspondence. Exploiting the non-circularity hidden behind a certain class of wireless communication signals to build up an augmented cumulant matrix, and carrying out a reformulation of the distorted steering vector to extract the angular information from the unknown mutual coupling, by exploiting the characteristic of mutual coupling, i.e., a limited operating range and an inverse relation of coupling effects to interspace, we develop a MUSIC-like estimator based on the rank-reduction (RARE) technique to directly determine directions of incident signals without mutual coupling compensation. Besides, we provide a solution to the problem of coherency between signals and mutual coupling between sensors co-existing, by selecting a middle sub-array to mitigate the undesirable effects and exploiting the rotation-invariant property to blindly separate the coherent signals into different groups to enhance the degrees of freedom. Compared with the existing robust DOA methods to the unknown mutual coupling under the framework of fourth-order cumulants (FOC), our work takes advantage of the larger virtual array and is able to resolve more signals due to greater degrees of freedom. Additionally, as the effective aperture is virtually extended, the developed estimator can achieve better performance under scenarios with high degree of mutual coupling between two sensors. Simulation results demonstrate the validity and efficiency of the proposed method.