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"ObjectiveTo investigate the impact of low-dose pegylated recombinant human granulocyte colony-stimulating factor (PEG-rhG-CSF) on grade Ⅲ/Ⅳ myelosuppression following chemotherapy. Methods A total of 80 patients with malignant tumors admitted to the First Affiliated Hospital of Anhui University of Science and Technology from April 2022 to September 2023 were selected as research subjects. The patients were randomly divided into the control group (n=40) and the observation group (n=40). The observation group and the control group received subcutaneous injections of 3.0 mg and 6.0 mg PEG-rhG-CSF, respectively, within 24 to 48 hours after chemotherapy. The incidence and duration of grade Ⅲ/Ⅳ neutropenia, febrile neutropenia (FN), adverse reactions, as well as changes in quality of life ［European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)］ scores before and after treatment were observed in both groups after medication. Results After medication, there was no significant difference in the incidence of grade Ⅲ/Ⅳ neutropenia or FN between the two groups (P＞0.05). The observation group exhibited higher levels for neutrophils compared to control group ［(1.77±0.70)×109/L vs (1.50±0.41)×109/L, t=2.071, P=0.042］. Grade Ⅲ/Ⅳ neutropenia occurred in 1 case in the control group, which lasted for 1 day, while 3 cases occurred in the observation group, which lasted for 2-4 days. Compared with the control group, the occurrence rate of adverse reactions was lower in the observation group (72.50% vs 90.00%, χ2=4.021, P=0.045), and EORTC QLQ-C30 were higher for patients in the observation group (P＜0.05). Conclusion Low-dose PEG-rhG-CSF demonstrates similar efficacy rates as standard doses for prophylactic managing gradeⅢ/Ⅳ myelosuppression following chemotherapy, but it exhibits a lower incidence rate of adverse reactions and improves quality-of-life of patients."

The effectiveness of classroom teaching is deeplyinfluenced by teachers' emotional states. Teachers' keen awareness, precise regulation, and efficient management of their own emotions are undoubtedly indispensable core elements for fostering a positive classroom atmosphere. Teachers' emotion regulation constitutes a meticulous processthat integrates value assessmentand strategic deployment, adhering to a progressive logic of identification, screening, and implementation. This process aids teachers in marking their emotional states, activating, and implementing specific emotion regulation strategies. The various stages of teachers' emotion regulation continuously iterate and optimize with the dynamic changes in educational contexts and the passage of time. The value of this implicates that, in terms of instrumental value, it can effectively enhance teaching effectiveness; in terms of intrinsic value, it can bolster teachers' professional well-being; and in terms of communicative value, it can facilitate friendly interactions between teachers and students. Looking ahead, to enhance teachers' emotion regulation abilities, it is imperative to attach great importance to and strengthen emotional education in the pre-service stage, while providing systematic emotional skills training for teachers in the in-service stage. Based on these efforts, continuous exploration into fostering teachers' emotion regulation abilities should be undertaken to establish a long-term development mechanism.

Abstract Background Growing evidence indicated that to develop of atherosclerosis observed more often by people with Alzheimer’s disease (AD), but the underlying mechanism is not fully clarified. Considering that amyloid-β (Aβ) deposition in the brain is the key pathophysiology of AD and plasma Aβ is closely relate to Aβ deposition in the brain, in the present study, we investigated the relationships between atherosclerosis and plasma Aβ levels. Methods This was a population based cross-sectional study. Patients with high risk of atherosclerosis from Qubao Village, Xi’an were underwent carotid ultrasound for assessment of atherosclerosis. Venous blood was collected on empty stomach in the morning and plasma Aβ1−40 and Aβ1−42 levels were measured using ELISA. Multivariate logistic regression analysis was performed to investigate the relationships between carotid atherosclerosis (CAS) and plasma Aβ levels. Results Among 344 patients with high risk of atherosclerosis, 251(73.0%) had CAS. In the univariate analysis, the plasma Aβ levels had no significant differences between CAS group and non-CAS group (Aβ1−40: 53.07 ± 9.24 pg/ml vs. 51.67 ± 9.11pg/ml, p = 0.211; Aβ1−42: 40.10 ± 5.57 pg/ml vs. 40.70 pg/ml ± 6.37pg/ml, p = 0.285). Multivariate logistic analysis showed that plasma Aβ levels were not associated with CAS (Aβ1−40: OR = 1.019, 95%CI: 0.985–1.054, p = 0.270;Aβ1−42: OR = 1.028, 95%CI: 0.980–1.079, p = 0.256) in the total study population. After stratified by hypertension, CAS was associated with plasma Aβ1−40 positively (OR = 1.063, 95%CI: 1.007–1.122, p = 0.028) in the non-hypertension group, but not in hypertensive group. When the plasma Aβ concentrations were classified into four groups according to its quartile, the highest level of plasma Aβ1−40 group was associated with CAS significantly (OR = 4.465, 95%CI: 1.024–19.474, p = 0.046). Conclusion Among patients with high risk of atherosclerosis, CAS was associated with higher plasma Aβ1−40 level in non-hypertension group, but not in hypertension group. These indicated that atherosclerosis is associated with plasma Aβ level, but the relationship may be confounded by hypertension.

Abstract Background Acute retinal necrosis (ARN) is a relatively rare but highly damaging and potentially sight-threatening type of uveitis caused by infection with the human herpesvirus. Without timely diagnosis and appropriate treatment, ARN can lead to severe vision loss. We aimed to develop a deep learning framework to distinguish ARN from other types of intermediate, posterior, and panuveitis using ultra-widefield color fundus photography (UWFCFP). Methods We conducted a two-center retrospective discovery and validation study to develop and validate a deep learning model called DeepDrARN for automatic uveitis detection and differentiation of ARN from other uveitis types using 11,508 UWFCFPs from 1,112 participants. Model performance was evaluated with the area under the receiver operating characteristic curve (AUROC), the area under the precision and recall curves (AUPR), sensitivity and specificity, and compared with seven ophthalmologists. Results DeepDrARN for uveitis screening achieved an AUROC of 0.996 (95% CI: 0.994–0.999) in the internal validation cohort and demonstrated good generalizability with an AUROC of 0.973 (95% CI: 0.956–0.990) in the external validation cohort. DeepDrARN also demonstrated excellent predictive ability in distinguishing ARN from other types of uveitis with AUROCs of 0.960 (95% CI: 0.943–0.977) and 0.971 (95% CI: 0.956–0.986) in the internal and external validation cohorts. DeepDrARN was also tested in the differentiation of ARN, non-ARN uveitis (NAU) and normal subjects, with sensitivities of 88.9% and 78.7% and specificities of 93.8% and 89.1% in the internal and external validation cohorts, respectively. The performance of DeepDrARN is comparable to that of ophthalmologists and even exceeds the average accuracy of seven ophthalmologists, showing an improvement of 6.57% in uveitis screening and 11.14% in ARN identification. Conclusions Our study demonstrates the feasibility of deep learning algorithms in enabling early detection, reducing treatment delays, and improving outcomes for ARN patients.

AIM: To assess the gap between the peak of the base curve to the surface of the cornea, as well as examines the correlation between the thickness of the tear film and the fitting of the orthokeratology lens through optical coherence tomography(OCT), providing an intuitive and quantitative clinical evaluation method for the fitting of the orthokeratology lens.METHODS: Myopia patients who fitted orthokeratology at our hospital from January to December 2023 were included. Examinations, including naked vision, slit lamp, non-contact intraocular pressure, ocular fundus, eye position, corneal diameter, corneal topography, tear film rupture time, optometry, etc., were performed on all patients before fitting. The trial lens parameter was selected according to the examination results, and fluorescein staining was performed to evaluate lens fitting state after patients adapted to wearing glasses. According to the performance of fluorescein staining, the inspected eyes are divided into three groups: lens loose group, lens fitting group, and lens tight group. In addition, the tear film thickness of three groups of subjects was measured by OCT, and the differences between the three groups of data were evaluated.RESULTS: A total of 49 myopic patients(77 eyes)were included. The average sphere degree was -3.10±1.25 D, the average cylinder degree was -0.43(-0.75, 0)D, the average horizontal keratometry(HK)was 42.48±0.81 D, and vertical keratometry(VK)was 42.98(42.25, 43.50)D. There were 21 cases(34 eyes)in the lens fitting group, with 13 cases of bilateral eyes, 8 cases of one eye, 14 cases(22 eyes)in the lens loose group, with 8 cases of bilateral eyes, 6 cases of one eye, and 14 cases(21 eyes)in the lens tight group, with 7 cases of bilateral eyes, 7 cases of one eye. There was no statistical difference in the main basic data of the subjects in the three groups(all P>0.05). OCT showed that the tear film thickness of the lens fitting group, the lens loose group, and the lens tight group was 231.18(219.0, 243.0), 220.41(214.0, 224.3), and 249.00(241.5, 258.0)μm, respectively, and there was statistical significance in the thickness among the three groups(P

The natural vegetable oil known as Korean pine seed oil is well-known for its high content of being various unsaturated fatty acids, including oleic, linoleic and pinopuric acid. It has been proved that Korean pine seed oil has several physiological benefits such as lowering blood lipids, enhanceing immunity, anti-inflammation, anti-oxidation, enhancing insulin sensitivity, and anti-tumor. This review summarized the extraction methods and pharmacological effects of Korean pine seed oil in recent years, and put forward good suggestions for its application in edible oil and industrial production.

Pain is one of the most common symptoms in cancer patients. Apart from causing patients to suffer from unpleasant feelings and negative emotional experiences, uncontrolled pain may also influence patients' function and quality of life, and may be associated with poorer prognosis. Poor management of chronic cancer-related pain may be related to its complicated mechanisms, limitations of current clinical treatment and clinicians' and patients' insufficient understanding of the symptom. Therefore, this review summarizes the definitions, classifications, evaluation and treatment principles of chronic cancer-related pain, and emphasises the importance of multidisciplinary management and patient education in cancer pain management to provide clinicians with the overall idea of pain management in adult cancer patients.

Immobilized microorganism technology has been widely used in the field of heavy metal wastewater treatment due to its advantages of high treatment efficiency and low input cost. However，the related mechanism of heavy metal removal is still unclear. In this paper，a strain of acid-resistant Aspergillus sp. MF1 screened from acid mine drainage was used as the research object for immobilization treatment. Subcellular separation technology and five-step extraction method were used to preliminarily reveal the mechanism of Pb2+ removal from immobilized Aspergillus sp. MF1 through SEM and FTIR characterization. The results showed that under the condition of pH 3.5 and initial Pb2+ mass concentration 10 mg/L，the removal rate of Pb2+ could reach 78.26%. The removal mechanism of Pb2+ from immobilized Aspergillus sp. MF1 could be summarized into two aspects. On the one hand，it was attributed to high specific surface area of carrier and adsorption of Pb2+ by surface active groups of polyvinyl alcohol and sodium alginate. On the other hand，it was attributed the chelation，adsorption and ion exchange from cell wall，and the compartmentalization of vacuole and other organelles. In addition，immobilized Aspergillus sp. MF1 could be used continuously for 5 cycles，and the removal rate of Pb2+ could reach more than 30%，and no rupture or cell leakage occurred during the removal process.

DOI: 10.3969/j.issn.1672‑6731.2024.03.014

Fusarium infection of wheat can lead to scab, mycotoxin contamination and yield reduction. Fusarium is a serious threat to food security. In this study, the Fusarium strains in wheat were isolated and identified. The three strains N1, N2 and N3 belonged to Fusarium graminearum, Fusarium asiaticum and Fusarium culmatum, respectively. The production of zearalenone, vomitoxin and fumonisin by the three strains was analyzed by toxin-producing gene detection and mycotoxin detection. The results showed that N1 and N3 could produce zearalenone and vomitoxin, but did not produce fumonisin, while N2 did not produce these three toxins. In this study, ozone and chlorine dioxide were further used for gas fumigation to explore the effect of gas fumigation on the three strains isolated. By observing the spore morphology, mycelium length and mycelium morphology, the results showed that chlorine dioxide fumigation could effectively inhibit the growth of mycelium and spore germination, while ozone could only inhibit spore germination and had no obvious inhibitory effect on the growth of mycelium.

Diagnosis of intracranial tuberculoma remains a challenge due to its rarity, non-specific clinical presentation, and radiological findings. Herein, we describe a case of intracranial tuberculomas in a male diabetic patient who presented headache and vomiting on admission. Neuroimaging findings indicated multiple ring contrast-enhanced lesions with extensive perilesional edema. However, a cerebrospinal fluid (CSF) examination was normal. When a biopsy of brain lesions was performed, pathological characteristics of tuberculosis were absent and acid-fast staining was negative. A tuberculosis diagnosis was subsequently obtained from an Xpert MTB/RIF Ultra assay of formalin-fixed paraffin-embedded brain tissue. The patient was treated with an optimized anti-tuberculosis regimen which included high-dose intravenous administration of rifampicin and isoniazid, and oral administration of linezolid. The patient recovered well and exhibited marked clinical improvement. This case report demonstrates that when CSF analysis does not indicate the presence of intracranial tuberculomas, analysis of formalin-fixed paraffin-embedded brain tissue specimens with the Xpert MTB/RIF Ultra assay may be able to confirm a diagnosis. Furthermore, a high dose of rifampicin and isoniazid plus linezolid may improve patient outcome.

Objective To mine the adverse drug events (ADE) signal of avatrombopag, an effective drug for thrombocytopenia treatment, based on real world data in order to provide reference for its clinical safety application. Methods The OpenVigil2.1 pharmacovigilance platform was used to obtain the ADE report data of avatrombopag from May 2018 to March 2023 in the database of FDA adverse event reporting system (FAERS).The ADE signals were classified and described by the system organ class (SOC) and preferred term (PT) of the ADE terminology set in the Medical Dictionary for Regulatory Activities (MedDRA), and reporting odds ratio (ROR) and UK Medicines and Healthcare Products Regulatory Agency (MHRA) comprehensive standard were used to detect the positive ADE signals. Results A total of 1 879 ADE reports related to avatrombopag were obtained, 24 SOCs were involved, and 28 positive ADE signals were detected at PT level.Among these signals, the strongest ones were renal vein thrombosis, portal vein thrombosis and graft versus host disease, while the reports accounting for the largest numbers were headache, fatigue and asthenia.There were 8 ADE signals discovered newly, that is, seasonal allergy, back disorder, musculoskeletal discomfort, flatulence, hypersomnia, rash macular, emotional disorder, and rhinorrhoea. Conclusion For clinical use of avatrombopag, clinicians should not only concern the risk of thrombosis, but also pay close attention to ADE signals such as seasonal allergy, back disorder, musculoskeletal discomfort, flatulence, hypersomnia, rash macular, emotional disorder, and rhinorrhoea that are not documented in the instructions.

Objective To investigate the current status and training requirements of pain medicine among non-anesthetic residents rotating in the Department of Anesthesiology at a tertiary hospital in Beijing. Methods A self-designed questionnaire of “pain medicine education requirements of rotating residents” was administered to each resident on their first day of rotation, and voluntary responses were collected. Results A total of 108 questionnaires were collected (87.1% response rate), comprising 45 from surgical residents, 42 from internal medicine residents, and 21 from emergency and intensive care residents. The results showed that surgical residents encountered a higher prevalence of surgery-related pain as compared to internal medicine residents or emergency and intensive care residents(P＜0.001). Internal medicine residents experienced a greater incidence of inflammatory pain than surgical residents(P＜0.05) or emergency and intensive care residents(P＜0.01). All residents expressed continuing education requirements on pain management. Regarding training modalities, surgical residents favored medical course (86.7%); internal medicine residents preferred outpatient clinic rotation (88.1%); and emergency and intensive care residents preferred interventional treatment rotations (90.5%). Conclusions There are a wide need for continuing medical education on pain management. The training should be tailored diversely based on the specific clinical needs of each department to improve the overall quality of continuing medical education and accelerate the development of integrative pain management.

In person re-identification, most prevalent models are predominantly designed for cloud computing environments which introduces complexities that limit their effectiveness in edge computing scenarios. Person re-identification systems optimized for edge computing can achieve real-time or near-real-time responses, providing substantial practical value. Addressing this gap, this paper presents the Attention Knowledge-aided Distillation Lightweight Network (ADLN), a network architecture expressly crafted for edge computing. The ADLN enhances inference speed while maintaining accuracy, which is essential for real-time applications. The core innovation of the ADLN lies in its dimension interaction attention mechanism, strategically integrated into the network to boost recognition performance. This mechanism is complemented by a self-distillation approach, transferring attention knowledge from deeper to shallower layers, thereby streamlining the network and accelerating inference. Moreover, the ADLN employs an optimization strategy combining cross-entropy loss, weighted triplet loss regularization, and center loss, effectively reducing intra-class variances. Tested on Market1501 and DukeMTMC-ReID datasets, experiments indicate that the ADLN significantly reduces the model’s parameter count and identification latency, while largely maintaining accuracy.

Objective: A new technical idea was provided for the study of biogenic amine formation mechanism and food safety risk assessment. Methods: An analytical method was established for determination of tyramine, phenylethylamine, tryptamine, octopamine and cadaverine in cheeses with high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS). Biogenic amines were extracted by ultrasonic-assisted solvent extraction from cheeses, and were separated by HILIC column, determined by positive electrospray ionization (ESI) with multiple reaction monitoring (MRM) mode, quantified by the internal standard method. The effect of extraction solvent type, ultrasonic time and matrix effect on the peak area was studied, and the performance of the method was validated and evaluated. Results: Using 0.1% formic acid (acetonitrile/water) as the extraction solvent, the samples were extracted by ultrasound for 15 min. Ammonium acetate of 5 mmol/L (pH value was adjusted to 4 by formic acid) and acetonitrile were used as the mobile phase，biogenic amines without derivatization were detected by HPLC-MS/MS. The recoveries of 5 biogenic amines were 78.6%~113.8% and relative standard deviations were 2.41%~7.12% at three spiked levels. The limit of detection of tryptamine, phenylethylamine, tyramine and octopamine was 0.75 μg/kg and the limit of quantification was 2.5 μg/kg; The limit of detection of cadaverine was 1.50 μg/kg and the limit of quantification was 5.0 μg/kg. The linear relationship was good in the respective linear ranges, and the correlation coefficient was greater than 0.99. The method was used for the determination of commercially available cheese samples. The contents of different biogenic amines in different samples varied greatly, ranging from 4.45 to 2 863.00 μg/kg, which was within the safe range. Conclusion: The proposed method was suitable for fast determination of 5 kinds of biogenic amines in cheese.

an era of increased sustainable transport, the European inland navigation industry has received significant attention to attain sustainable transport. Tremendous opportunities to substantially move freight on waterways are present in the UK; however, several challenges have been appropriately addressed, including infrastructural gaps and various institutional support programs. The paper addresses the UK’s current situation of inland navigation and the key challenges affecting the sectors as a viable alternative transport solution. The article explores and summarises the geographic opportunities, commercial feasibility, and the current condition of the UK’S inland navigation sector. From the practical scenario of the UK’s experience, an attempt was made by the authors to find the critical challenges and issues faced by the industry. The emerging themes from the analysis of this paper indicated governance and leadership issues, cooperation, and coordination mechanism between establishments with various functions and responsibilities, merged with infrastructural investment, are strategic elements for expansion in the UK. Conclusively, the authors presented recommendations for improvement and sustainable development.

Functional movement disorder (FMD) is a common type of conversion/dissociative disorder. In recent years, the continuous development of imaging techniques such as fMRI, DTI and PET, as well as analytical methods such as morphological analysis and fiber tract tracking, not only provides technical support for the study of neurobiological mechanisms of FMD, but also has important value for its differential diagnosis, efficacy evaluation and prognosis prediction. This article reviews the progress of imaging research on FMD, so as to provide basis for diagnosis, treatment and pathophysiological mechanism of the disease.

Objective To explore changes of brain structure in patients with functional movement disorder (FMD) and their correlation with disease severity. Methods Nine patients with FMD (FMD group) as well as 10 gender⁃ and age⁃matched healthy volunteers (control group) were recruited in Ruijin Hospital, Shanghai Jiaotong University School of Medicine, from May to October 2023, and then they underwent MRI. Simplified Functional Movement Disorder Rating Scale (S ⁃FMDRS) was used to assess movement disorder symptoms and severity. Clinical Global Impression ⁃ Severity (CGI ⁃ S) was used to evaluate disease severity. Somatoform Dissociation Questionnaire ⁃ 20 (SDQ ⁃20) was used to assess body dissociation. Chinese version of Maltreatment and Abuse Chronology of Exposure (MACE) was used to assess childhood abuse situation. 36⁃Item Short Form of Health Survey (SF⁃36) was used to assess health status. Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale 17 (HAMD⁃17) were used to evaluate anxiety and depression. Results Compared with the control group, the FMD group exhibited higher scores on SDQ⁃20 (Z = 2.259, P = 0.028) and Chinese version of MACE (t = ⁃ 3.570, P = 0.002) as well as HAMA (t = ⁃ 3.999, P = 0.001), while SF⁃36 scores for vitality (t = 3.091, P = 0.009) and social functioning (t = 2.275, P = 0.046) were lower in the FMD group. Cortical thickness was greater in the FMD group in the right inferior occipital gyrus and sulcus cortex (t = ⁃ 2.924, P = 0.009), right anterior cingulate gyrus and sulcus cortex (t = ⁃ 3.286, P = 0.004), right orbitofrontal cortex (t = ⁃ 2.381, P = 0.029), while thickness in the left subcallosal area (t = 2.492, P = 0.023) and left paracentral lobule gyrus and sulcus (t = 2.139, P = 0.047), as well as volume of the right cerebellar white matter (t = 2.685, P = 0.016), left cerebellar white matter (t = 2.121, P = 0.049), and the middle posterior region of the corpus callosum (t = 2.550, P = 0.021) were smaller than those of the control group. Correlation analysis revealed left cerebellar white matter were positively correlated with disease duration (r = 0.837, P = 0.038), while cortical thickness in the left subcallosal area were negatively correlated with disease duration (r = ⁃ 0.831, P = 0.040). Conclusions There are structural changes in the limbic system, sensorimotor area, visual cortex, and certain white matter regions in the brains of FMD patients, and several regions were correlated with the disease duration.

Objective To preliminarily summarize the epidemiological and clinical characteristics of functional movement disorder (FMD) based on movement disorders clinic in China. Methods and Results A total of 593 patients with movement disorders newly diagnosed in movement disorders clinic of 22 clinical medical centers from August to September in 2023 were included, including 37 patients (6.24%) with FMD and 556 patients (93.76%) with organic movement disorder. Comparison of the epidemiological characteristics of the 2 groups, the proportions of corona virus disease (COVID⁃19) infection (χ2 = 4.217, P = 0.040) and psychopsychological symptoms (χ2 = 18.694, P = 0.000) in the FMD group were higher than those in the organic movement disorder group, while age (t = 3.757, P = 0.000), age of onset (t = 3.720, P = 0.000) and proportion of hypertension (χ2 = 4.736, P = 0.030) were lower than those in the organic movement disorder group. Comparison of the clinical characteristics of the 2 groups, the FMD group had higher proportions of tremor (χ2 = 3.955, P = 0.047) and myoclonus (Fisher′s exact probability: P = 0.011) than the organic movement disorder group, and the proportions of parkinsonism (χ2 = 8.491, P = 0.004) and gait disorder (χ2 = 5.028, P = 0.025) were lower than those in the organic movement disorder group. Conclusions The age and age of onset, as well as the proportions of COVID⁃19 infection, hypertension, psychopsychological symptoms, tremor, myoclonus, parkinsonism and gait disorder with FMD were different from those with organic movement disorder in China.

This study aimed to design an evaluation scale of traditional Chinese medicine (TCM) confidence and then evaluate its validity and reliability.

ObjectiveTo determine the prevalence of avian influenza viruses in the external environment of poultry in Anqing City， Anhui Province， and provide scientific evidence for prevention and control of animal-derived influenza in humans.MethodsA total of 28 farmers’ markets/farms in 10 counties （cities， districts） of Anqing City， Anhui Province， were selected as surveillance sites by simple random sampling strategy. Poultry faeces and other related samples were collected for 6 consecutive weeks. Real-time fluorescence quantitative PCR was used to examine the nucleic acids of influenza A virus. Subtypes H5， H7， and H9 of avian influenza virus were further tested in the positive samples.ResultsA total of 426 specimens were collected， among which 113 tested positive with a positive rate of 26.53%. Among the positive specimens， 104 were determined to be subtype H9， accounting for 92.04%. It did not significantly differ in the positive rate between the main and non-main urban areas （χ20.05） or among the specimens collected in different weeks （χ2=7.57， P>0.05）. However， it significantly differed in the positive rate among the specimens collected in the third week and other weeks （χ2=6.89， P

Objective: In order to improve the energy efficiency of the transcritical two stage CO2 refrigeration system, the conventional exergy analysis and advanced exergy analysis of the system were conducted. Methods: Advanced exergy analysis provides more valuable information on the interaction between system components and the potential for component improvement by splitting the exergy destruction into endogenous/exogenous and unavoidable/avoidable parts. Results: The results indicated that the transcritical two stage CO2 refrigeration system had significant potential for efficiency improvement. The priority of the optimized components from conventional and advanced exergy analysis was different. The advanced exergy analysis showed that performance optimization of the high-pressure stage compressor, low-pressure stage compressor and evaporator were the focus of improving system energy efficiency. Conclusion: The endogenous avoidable exergy destruction of the high-pressure stage compressor, low-pressure stage compressor and evaporator accounted for 20.9%, 15.2% and 36.5% of the endogenous avoidable exergy destruction of the system, respectively. The improvement of the high-pressure stage compressor, low-pressure stage compressor and evaporator are able to reduce their exergy destruction by 58.8%, 49.3% and 90.2%, respectively. The conventional exergy analysis cannot provide such recommendations.

Myocardial infarction (MI) results in high mortality. The size of fibrotic scar tissue following MI is an independent predictor of MI outcomes. Thioredoxin-interacting protein (TXNIP) is involved in various fibrotic diseases. Its role in post-MI cardiac fibrosis, however, remains poorly understood. In the present study, we investigate the biological role of TXNIP in post-MI cardiac fibrosis and the underlying mechanism using mouse MI models of the wild-type (WT), Txnip-knockout (Txnip-KO) type and Txnip-knock-in (Txnip-KI) type. After MI, the animals present with significantly upregulated TXNIP levels, and their fibrotic areas are remarkably expanded with noticeably impaired cardiac function. These changes are further aggravated under Txnip-KI conditions but are ameliorated in Txnip-KO animals. MI also leads to increased protein levels of the fibrosis indices Collagen I, Collagen III, actin alpha 2 (ACTA2), and connective tissue growth factor (CTGF). The Txnip-KI group exhibits the highest levels of these proteins, while the lowest levels are observed in the Txnip-KO mice. Furthermore, Txnip-KI significantly upregulates the levels of transforming growth factor (TGF)B1, p-Smad3, NOD-, LRR- and pyrin domain-containing protein 3 (NLRP3), Cleaved Caspase-1, and interleukin (IL)1B after MI, but these effects are markedly offset by Txnip-KO. In addition, after MI, the Smad7 level significantly decreases, particularly in the Txnip-KI mice. TXNIP may aggravate the progression of post-MI fibrosis and cardiac dysfunction by activating the NLRP3 inflammasome, followed by IL1B generation and then the enhancement of the TGFB1/Smad3 pathway. As such, TXNIP might serve as a novel potential therapeutic target for the treatment of post-MI cardiac fibrosis.

Objective·To investigate the status of early mobilization and influencing factors of the patients undergoing laparoscopic radical resection of colorectal cancer (CRC).Methods·The convenience sampling method was used to select patients undergoing laparoscopic radical resection of CRC in the Department of Colorectal Surgery and Department of General Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine from January to December, 2022. The patients′ general information, disease-, surgery- and postoperation-related information, and the situation of postoperative early mobilization were collected by bedside interview and electronic medical record system at 24 h, 48 h and 72 h after surgery. The influencing factors were analyzed by univariate analyses and binary Logistic regression.Results·A total of 277 patients were included. Within 24 h after surgery, 47 patients got out of bed with the early mobilization rate of 16.97%. The walking distance of these patients was 55.46 (18.28, 145.60) m within 24 h after surgery, with a minimum of 2.60 m and a maximum of 803.68 m. The average scores of Brown rating of mobility within 24 h, >24－48 h, and >48－72 h after surgery were 2 (0, 4) points, 8 (0, 10) points, and 8 (8, 10) points, which respectively belonged to the low level, moderate level, and moderate level. There were statistical differences in age, preoperative hemoglobin level, anesthesia duration, and the number of indwelling catheters between the early mobilization group and the non-early mobilization group (all P

This paper summarized the practice of integrated medical and nursing ward rounds for a case of severe pneumonia. An integrated ward rounds team was set up to determine key issues of nursing based on the prognosis, clinical lab examination and symptoms diagnosis. Targeted nursing interventions were carried out to reduce the risk of complications and improve the recovery of the patient. (本文总结1例重症肺炎患者进行医护一体化护理查房经验。由护理部组织建立医护一体化查房小组, 各专科学组就患者疾病转归、化验指标以及临床症状提出护理要点, 针对性实施护理措施, 以降低患者并发症风险, 促进早日康复。)

The differences in the chemical composition of Morus nigra (M. nigra) extracts from four different extraction methods, ultrasound-assisted extraction with pure water (WU), pure water decoction extraction (WD), ultrasonic-assisted extraction with formic acid water (FAU), and pure water heat reflux extraction (WHR), were identified using ultra-high performance liquid chromatography-quadrupole time-of-flight tandem mass spectrometry (UPLC-Q-TOF-MS/MS) technology.

Obesity-related cardiovascular diseases are associated with overactivation of the renin-angiotensin system (RAS). However, the underlying mechanisms remain elusive. In this study, we investigate the role of angiotensin II (Ang II) in high-fat diet (HFD)-induced cardiac dysfunction by focusing on cardiac glucose and lipid metabolism and energy supply. Ang II plays a role in cardiovascular regulation mainly by stimulating angiotensin II type 1 receptor (AT1R), among which AT1aR is the most important subtype in regulating the function of the cardiovascular system. AT1aR gene knockout (AT1aR‒/‒) rats and wild-type (WT) rats are randomly divided into four groups and fed with either a normal diet (ND) or a HFD for 12 weeks. The myocardial lipid content, Ang II level and cardiac function are then evaluated. The expressions of a number of genes involved in glucose and fatty acid oxidation and mitochondrial dynamics are measured by quantitative polymerase chain reaction and western blot analysis. Our results demonstrate that AT1aR knockout improves HFD-induced insulin resistance and dyslipidemia as well as lipid deposition and left ventricular dysfunction compared with WT rats fed a HFD. In addition, after feeding with HFD, AT1aR‒/‒ rats not only show further improvement in glucose and fatty acid oxidation but also have a reverse effect on increased mitochondrial fission proteins. In conclusion, AT1aR deficiency ameliorates HFD-induced cardiac dysfunction by enhancing glucose and fatty acid oxidation, regulating mitochondrial dynamics-related protein changes, and further promoting cardiac energy supply.

ObjectiveTo understand the internet media information of COVID-19 in Shanghai in 2022， to provide evidence for health administration departments to respond to public health emergencies， and to establish a comprehensive public health media surveillance system.MethodsData on internet media information and the local COVID-19 epidemic data in Shanghai from January 1 to June 30， 2022 were collected and analyzed.ResultsA total of 90.197 3 million pieces of internet media information were monitored. The top four sources of the information were Weibo （36.84%）， short videos （26.19%）， internet media （14.47%）， and forums （13.31%）. The variation trend of daily internet media surveillance information was identified with the number of newly reported cases per day， and a correlation was found （r＝0.770. After the seven-day moving average，r＝0.796）. Frequent keywords included Shanghai， cheer up， nucleic acid， new cases， local， asymptomatic， prevention and control， gratitude， isolation， epidemic prevention， supplies， pandemic response， patient， seeking help， and clearing the cases. Within the information on Weibo， in addition to netizens in Shanghai （7 823 100） who were highly concerned about the pandemic， netizens from Beijing （2 749 100）， Guangdong Province （2 352 300）， Jiangsu Province （2 189 100） and Zhejiang Province （1 532 100） also posted a relatively high amount of information related to COVID-19 in Shanghai.ConclusionThe outbreak of major infectious diseases triggers significant online activity， and platforms such as Weibo and short video platforms play crucial roles in disseminating internet media information. Weibo， short videos etc. are important platforms for current internet media information. Strengthening media information monitoring and analysis， paying close attention to hot events， taking timely response measures and actively engaging in risk communication contribute to the response and management of public health emergencies.

Granulomatous polyangiitis (GPA) is a rare systemic autoimmune vasculitis disease that is highly correlated with anti-neutrophil cytoplasmic antibodies (ANCAs). It was formerly called as “Wegener’s granulomatosis.” The clinical manifestations are diverse, mainly involving the upper respiratory tract, lungs, and kidneys, and this disease can involve the brain parenchyma as an isolated solid mass. Only one case has been reported thus far. To provide further information on this rare case, we report a case of GPA involving the fourth ventricle and review the relevant literature. A 32-year-old Chinese female developed fever, cough, and shortness of breath for 20 days. An 80 mm × 80 mm skin ulcer was seen on the right lower limb. CT showed multiple large patches of increased density in both lungs. The patient’s serological ANCA was positive. Later, the patient developed dizziness and headache. Magnetic resonance imaging of the head showed a mass of approximately 21 mm × 24 mm in the fourth ventricle. The patient had a craniotomy for mass resection, and macroscopically, the mass was gray–red and measured 25 mm × 20 mm × 20 mm, was soft, had local hemorrhage and necrosis, and had no capsule. The main microscopic features included necrotizing granulomatous vasculitis, the patient’s immunohistochemistry was positive for CD68 and negative for glial fibrillary acidic protein, and the acid-fast staining and hexaamine silver staining were negative. Combined with the clinical history, serology, and imaging, the pathological diagnosis was GPA in the fourth ventricle. The patient was switched to rituximab combined with steroid therapy because she did not tolerate cyclophosphamide. After 5 months of follow-up, the patient’s lung lesions and skin ulcers had completely improved, but the brain lesions had further progressed. When a patient has multiple system diseases, abnormal clinical manifestations, and positive serological ANCAs, a diagnosis of GPA should be carefully considered, and biopsies of easy-to-access sites should be performed. If the patient’s histopathological manifestations include vasculitis, granuloma, and necrosis, a diagnosis of GPA is more likely. If a patient subsequently develops an intraventricular mass, the clinicians should consider a diagnosis of GPA, which can rarely involve the cerebral ventricle to avoid an unnecessary biopsy or surgical treatment of intracranial lesions. When a patient is intolerant to the traditional treatment drug cyclophosphamide and needs to be switched to rituximab, the treatment effect of intracerebral lesions is not ideal; therefore, the treatment of lesions involving GPA in the ventricle is worthy of further exploration.

Objective To investigate the clinical and pathological characteristics of KDSS with heart failure. Methods The clinical data of a child with KDSS complicated with heart failure were analyzed, and the related literature was reviewed. Results KDSS is uncommon in Kawasaki disease, and it always attended with serious performance, which can lead to circulatory failure in the acute stage. manifested as systemic circulatory failure with tachycardia, prolonged capillary filling time, chills at the end of limbs, weak pulse, reduced urine volume or disturbance of consciousness. Early identification and timely comprehensive treatment of human immunoglobulin and hormones can significantly improve the condition of shock. Conclusion KDSS is a rare but serious clinical manifestation of Kawasaki disease, and it is easy to be complicated with heart failure. Early identification and comprehensive clinical treatment are effective measures to reduce KDSS complicated with heart failure.

In the context of the increasingly severe world climate form, how to rationally arrange and dispatch energy has become an urgent need. This paper proposes a deep learning-based power system scheduling model based on the concept of perfect scheduling, using GRU to learn scheduling data. A different training set is constructed to train the model according to the load characteristics at different moments, and the model is updated in real time based on the data at the current moment. The analysis of the algorithms reveals that the scheduling error rate of this model ranges from −-3% to 2%, and the average RMSE of the scheduling scheme is 2.72, placing it in close proximity to the optimal scheduling strategy. Due to a 6.5% reduction in scheduling cost compared to the average cost of the two analyzed algorithms, the average time reduction is 76.3%. The scheduling optimization model proposed in this paper exhibits excellent performance.

Objective To investigate the role and mechanism of bone formation caused by the ratio of advanced platelet-rich fibrin (A-PRF) and β-tricalcium phosphate (β-TCP) in rabbit femur defect model, which provides a new idea for clinical treatment of bone defect. Methods Twenty-four New Zealand white rabbits were divided into model group, 1∶1 complex group (A-PRF∶β-TCP=1∶1), 2∶1 complex group (A-PRF∶β- TCP=2∶1) and 4∶1 complex group (A-PRF∶β- TCP=4∶1）, with 6 rabbits in each group. Femoral defect models were constructed in each group. In the composite group, the bone defect was filled with composite material, while in the model group, no material was filled. After 8 weeks, the animals were euthanized and specimens were collected. Bone mineral density (BMD), bone volume fraction (BV/TV), trabecular thickness (Tb.Th), trabecular separation (Tb.SP) and trabecular number (Tb.N) in femoral defect tissue were measured by micro-CT and photographed. Hematoxylin - eosin staining was used to detect the pathological changes of new bone tissue. The morphological changes of the new bone tissue were observed by scanning electron microscopy. Determination of phospho-mitogen activated protein kinase p38 (p-p38MAPK), CCAAT/enhancer binding protein homologous protein (CHOP) and phospho-cysteine aspartic protease-3 (p-Caspase3) in newborn femur by ELISA. The mRNA expressions of osteoprotegerin (OPG), bone morphogenetic protein-2 (BMP-2), receptor activator of nuclear factor kappa-B ligand (RANKL) and p38MAPK were detected by real-time quantitative PCR. The expression of OPG, BMP-2, RANKL, p-p38MAPK and p-Caspase3 protein in the new bone tissue was observed by immunohistochemistry. Results In the model group, bone formation in the femoral defect area was slow and osteogenic quality was poor. Compared with the model group, the bone formation and neocapillaries of femoral defect area in the complex group was good, BMD, BV.TV, Tb.Th, Tb.N were increased, and Tb.Sp were decreased, the expressions of p-p38MAPK, CHOP and p-Caspase3 were decreased, and the mRNA and protein expressions of OPG and BMP-2 were increased. The mRNA expression of RANKL and p38MAPK was decreased. Apoptosis in new bone tissue of each group showed the lowest apoptosis rate in samples of the 2∶1 complex group (P

Congential biliary dilitation (CBD) is rare biliary tract disease in clinic. Clinical classification and disease characteristics of CBD is the key of accurate treatment. Surgical treatment was regarded as the first choice for adult patients with CBD including traditional surgery. There is still a controversy in the strategy of reconstruction of bile duct during operation. In this article the progress in diagnosis and treatment of CBD was reviewed.

In order to rapidly determine aflatoxin B1 (AFB1), zearalenone (ZEN) and deoxynivalenol (DON) in maize, a AFB1-ZEN-DON three-in-one combined detection method has been established. This quantitative immunofluorescence assay based on superconductor coating was used to detect multiple maize samples. Combined with the recovery rate, stability, detection limit, precision and other indexes, the applicability of the method were evaluated and compared with the results of liquid chromatography. The results showed that the AFB1-ZEN-DON three-in-one combined detection method had the good linearity in the range of 0.5~30 µg/mL for AFB1, 5~200 µg/kg for ZEN and 100~2 500 µg/mL for DON, respectively. The relative deviation of AFB1, ZEN and DON detected by this method was –2.84%~11.91%, –3.43%~18.12% and 1.83%~12.91%, respectively, which were within the allowable deviation of 20%, 15% and 23%. The detection limit of AFB1 was 0.41 μg/kg and the corresponding limit of quantification was 1.12 μg/kg. The limit of detection of ZEN was 3.22 μg/kg and the corresponding limit of quantitation was 9.15 μg/kg. The detection limit of DON was 35.42 μg/kg and the corresponding limit of quantitation was 100.84 μg/kg. Compared with the results of liquid chromatography, the superconductor coated immunofluorescence test strip method is an effective, practical, rapid and quantitative analysis method within the allowable deviation range, suggesting that it could meet the requirements of simultaneous detection of AFB1, ZEN and DON in maize.

Objective To explore the biological effects of electromagnetic pulse (EMP) with different high intensities on condylar cartilage in rats. Methods SD rats were randomly divided into a sham group (Sham) and an irradiation group (EMP1: 500 kV/m, 10 Hz; EMP2: 270 kV/m, 10 Hz). Then, they were sacrificed at 1 h, 3 h, 12 h, 24 h and 3 d after irradiation. The degree of cartilage degeneration was evaluated by HE, safranine O-fast green, type Ⅱ collagen immunohistochemistry and TUNEL staining. Immunohistochemistry and western blot were performed to detect the expression of the matrix degradation factors: matrix metalloproteinase-13 (MMP-13), a disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS-5) and the apoptosis key factor cleaved-cysteinyl aspartate specific proteinase (cleaved-Caspase3) in condylar cartilage. Results HE staining showed that, compared with the Sham group, a small amount of exfoliation was found on the fibrous surface layer of the cartilage after irradiation in the EMP1 and EMP2 groups. Compared with the Sham group, the percentage of safranine O-fast green-positive area decreased significantly at 12 h and 24 h (both P

Objective: This study aimed to control the degree of crosslinking and etherification in the preparation process of crosslinked hydroxypropyl starch and improve the product performance. Methods: Waxy corn starch was used as a raw material to prepare the composite modified starch （hydroxypropyl distarch phosphate, HDP） under alkaline conditions, during which process sodium trimetaphosphate （STMP） and propylene oxide （PO） was used as the cross-linker and etherifying agent, respectively. The effects of the addition level of STMP and PO on the properties of the Brabender viscosity behavior, transparency and freeze-thaw stability of waxy corn starch were investigated. Results: Combined with the preliminary laboratory exploration and the optimization of this study, a HDP with improved thermal stability, transparency and freeze-thaw stability and lowered gelatinization temperature was obtained. The preparation conditions of HDP were as follows: in the case that the amount of sodium trimetaphosphate was 0.30 g/100 g and cross-linking reaction time was 45 minutes, and the amount of propylene oxide added was 6 mL/100 g and the etherification time was 90 minutes. Conclusion: Compared to raw waxy corn starch, the cross-linked and etherified starches with decreased gelatinization temperature and improved freeze-thaw stability, thermal stability and gelling properties are observed.

With urbanization and anthropogenic pressures, the eco-environmental quality of East and Southeast Asian coastal regions has undergone drastic changes in the 21st century. To assess these environmental variations and realize regional sustainable development goals, a quantitative monitoring of the eco-environment is necessary, but challenging. The remote sensing ecological index (RSEI) was recently proposed and applied to quantitatively monitor the eco-environmental quality, but bias during multitemporal observations is a major limitation. Thus, a novel method, Continuous Remote Sensing Ecological Index (CRSEI), was developed in this study to enable constant and objective monitoring of large-scale and long-term environmental changes in the coastal regions of East and Southeast Asia. To reduce the multitemporal bias of pixels caused by imaging conditions and sensor status, a change detection algorithm requiring limited auxiliary data was developed. High-resolution images show that the CRSEI enables adequate multitemporal monitoring of eco-environmental changes with fewer false fluctuations on the local scale. The proposed CRSEI should deepen the current understanding of environmental changes and provide a solid scientific reference for environmental protection on multiple scales. The results of this research indicate that the eco-environmental quality of the east and southeast Asian coast remained generally stable during the studied period (2001–2019), with the mean CRSEI changed slightly from 5918 to 5856. However, on a regional level, each area revealed different conditions. First, the Korean Peninsula had relatively stable and well-maintained eco-environmental quality with a CRSEI of around 5500 during 2001–2019. Second, The North China coast had lower eco-environmental quality compared to other regions, but it showed the most improvement, with the CRSEI increasing from 2719 to 2807. Third, the eco-environmental quality of South China and Myanmar's coastal region remained relatively stable, with a CRSEI of around 5730 and 6720, respectively. Fourth, the continental coast of some Southeast Asian countries, particularly Vietnam and Cambodia, experienced a significant decline in eco-environmental quality, as indicated by a dramatic decrease in the CRSEI from 6751 to 6527. Notably, the areas with declining eco-environmental quality were concentrated in the western border regions of Cambodia, where unrestricted cultivation has led to the destruction of tropical rainforests.

Fe-based stents have been made a figure in biodegradable stents by their good mechanical capacity and biocompatibility, appropriate strength–ductility combination. Although the iron corrosion rate was not ideal, which had been optimized by iron alloy and polymer coating introduction. As a long-term implanted biodegradable material, the real concern about iron-based stents mainly laid in long-term biosafety. In this work, rats were used as an animal model to study the chronic toxicity and carcinogenicity of iron-based stents. Two years later, the changes in body weight and the physiological status during the experiment were monitored, and the blood routine and blood analysis combined with the health of major organs and histopathological tests were performed. The results demonstrated that there was no significant difference compared with the control group (316L SS) in body weight, blood routine index, blood biochemical index, and carcinogenic rate that further confirmed the biosafety of iron-based material.

Functional neurological disorder (FND) is a disorder of the autonomic motor or sensory system with well⁃defined symptoms, which covers functional movement disorder, psychogenic non⁃epileptic seizures, functional sensory disorder, functional cognitive disorder, persistent postural perceptual dizziness and so on. Its complex and diverse characteristics make the diagnosis and treatment of the disease and research difficult, so FND has long been a "gray area", but its high incidence, disability rate and high consumption of medical resources remind us that FND cannot be ignored. This paper reviews the current clinical classification of FND and the diagnostic criteria in order to improve the diagnosis and treatment by domestic colleagues.

In order to rapidly determine deoxynivalenol (DON) and Zearalenone (ZEN) in maize, a rapid quantitative immunofluorescence assay based on superconductor coating was used to detect multiple maize samples. Combined with the recovery rate, stability, detection limit, precision and other indexes, the applicability of the method was evaluated and compared with the results of liquid chromatography. The results showed that the superconductor coated immunofluorescence diaper method had the good linearity in the range of 100 ng/mL~2 500 ng/mL for DON and 5~200 µg/kg for ZEN. The recoveries of DON were 103.72%~108.17% in the range of 500~2 000 µg/kg, and 97.81%~111.27% in the range of ZEN 50~150 µg/kg. Compared with the results of liquid chromatography, the superconductor coated immunofluorescence diaper method is an effective, practical, rapid and quantitative analysis method within the allowable deviation range, which can meet the requirements of simultaneous detection of DON and ZEN in maize.

Functional neurological disorder (FND) is a kind of autonomic motor or sensory system disease with well⁃defined clinical symptoms. It has attracted the attention of many scientists due to its high incidence and heavy social burden, and many studies have promoted the development of FND. However, due to the late start of related research in China, clinicians, patients and their families have relatively weak understanding of the concept of FND and related knowledge. This article analyzes the current status of FND diagnosis and treatment in China, proposed the suggestions to improve the level of diagnosis and treatment for FND in details and enhance related study.

This network meta-analysis (NMA) aims to investigate the efficacy and safety of different pharmacological treatments for idiopathic membranous nephropathy (IMN). Thirty-four relevant studies were extracted from PubMed, Embase, Cochrane database, and MEDLINE. Treatment with tacrolimus (TAC), cyclophosphamide (CTX), mycophenolate mofetil, chlorambucil (CHL), cyclosporin A (CSA), steroids, rituximab (RTX), and conservative therapy were compared. Outcomes were measured using remission rate and incidence of side effects. Summary estimates were expressed as the odds ratio (OR) and 95% confidence intervals (CIs). The quality of findings was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach. In the direct meta-analysis for comparison of complete remission (CR) rate, the curative effect of RTX is inferior to CTX (OR 0.37; CI 0.18, 0.75). In the NMA of CR rate, the results showed that the curative effects of CTX, CHL, and TAC were significantly higher than those of the control group. The efficacy of RTX is not inferior to the CTX (OR 0.81; CI 0.32, 2.01), and the level of evidence was moderate; CSA was not as effective as RTX, and the difference was statistically significant with moderate evidence (OR 2.98, CI 1.00, 8.91). In summary, we recommend CTX and RTX as the first-line drug for IMN treatment.

Objective: To evaluate the prognostic significance of 18F-fluorodeoxyglucose-positron emission computed tomography(18F-FDG PET/CT) detection in extranodal natural killer/T-cell lymphoma, nasal type(ENKTL). Methods: Forty-one pathologically confirmed ENKTL patients (from October, 2014 to June, 2021) received methotrexate, etoposide, dexamethasone and pegaspargase(MESA) regimen and pre-, mid-, and end-treatment 18F-FDG PET/CT scans were retrospectively analyzed. Deauville score (DS), maximal standardized uptake values (SUVmax) and the change of SUVmax (ΔSUVmax) were recorded for response assessment. Univariate and multivariate analysis were performed to assess the effects on overall survival (OS) and progression-free survival (PFS). Results: The median follow-up period was 45 months (range, 3-64 months). The rates of 2-year OS and PFS were 83.0%±6.0% and 76.0%±7.0%, respectively. The rates of 5-year OS and PFS were 61.0%±12.0% and 53.0%±10.0%,respectively. Univariate analysis revealed that pre-treatment Ann Arbor stage (P=0.002), mid-treatment DS (P=0.021), mid-SUVmax (P

Strip optical waveguides were realized in Yb3+-doped silicate glass with ultrashort pulse laser ablation assisted He+ ion implantation. Planar waveguides were first prepared near the glass surface by He+ ion implantation (450 keV + 500 keV + 550 keV), followed by annealing at 260℃. After that, under the processing parameters of 3 μJ energy and 50 μm/s ablation velocity, two parallel tracks with separation of 15, 20, and 25 μm were, respectively, inscribed on the sample, which confine the light in lateral direction to form a strip waveguide. The near-field intensity measurement indicates that the strip waveguides maintain the single-mode propagation characteristics with 976 nm laser injection, and present the multi-mode characteristics with 632.8 nm laser injection, showing that the guided modes are well supported in the strip waveguides. The minimum propagation loss of strip waveguide is 1.35 dB/cm. Fluorescence emission spectra indicate that the gain properties of waveguide core were maintained well after waveguide preparation, revealing that the strip waveguide device in Yb3+-doped silicate glass has the potential to become an active device as waveguide laser or waveguide amplifier.

BACKGROUND Multi-collector inductively coupled plasma-mass spectrometry (MC-ICP-MS) has been widely applied to accurate and precise measurements of isotope ratios due to its high sample throughput, strong ionization ability of ICP sources and high mass resolution. For decades, the standard-sample bracketing (SSB) method has been used to correct for instrumental mass bias during the measurement to achieve accurate results. When the content of the target isotope in samples is low, the measurement results are easily influenced by the background signals. "On Peak Zero" correction deducts the background signal from the total signal, which is an effective method to eliminate the background interference and has been widely used, but no research has been conducted to systematically explore the mathematical principles behind this correction. OBJECTIVES To establish a mathematical model for the "On Peak Zero" correction, and verify its confidence by applying it to isotope measurements of different concentrations of Li, S, Fe, Sr, Nd and Pb standard solutions. METHODS In this study, a mathematical model of the influence by the background signal on isotopic composition was established by mathematical reasoning and approximate substitution. Standard solutions of different concentrations of Li, S, Fe, Sr, Nd and Pb were prepared for the application of the "On Peak Zero" method through experimental analysis. Two types of blank signals were subtracted separately from the aggregate signals to simulate isotope measurements without and with "On Peak Zero" correction. RESULTS The results indicate that the lower the concentration of the target element, the greater is the blank solution signal influence on the accuracy of the sample to be tested, and the "On Peak Zero" method can better eliminate the influence of the blank solution on the sample measurements. The simulation results based on this model were consistent with the real experimental results in this study. CONCLUSIONS The mathematical model and the data explain well the effect of background concentration on the experimental isotope values, and are useful for understanding the application of the "On Peak Zero" method in MC-ICP-MS isotope analysis.

The development of renewable energy is one of the most important guarantees to achieve carbon peak and carbon neutrality. However, the instability of solar energy, wind energy and other new energy sources has shown higher requirements on energy characteristic and power characteristic of energy storage devices. This paper firstly discussed the technical characteristics of traditional lithium-ion batteries and supercapacitors, and put forward the necessity of developing battery-capacitors technology under the new grid energy storage requirements. Then, the technical development trend of key materials for battery-capacitors was discussed in detail from three aspects: the improvement of cathode materials, improvement of anode materials, and innovation of electrode sheet structures, current collectors and electrode tabs. Finally, the three key elements of energy storage devices and their “two-in-one” or “three-in-one” effects were proposed to meet the diversified demands of cost, safety, power characteristic and energy characteristic, and the development trend of battery-capacitors was prospected.

Objective: In order to efficiently extract resveratrol and to maintain the good antioxidant capacity. Methods: Resveratrol was extracted from grape skin residue using intermittent ultrasonic assisted enzymatic extraction. The response surface method （RSM） was utilized to optimize the extraction process, and the antioxidant capacity of resveratrol were analyzed. Results: The experiment results indicated that under the condition of buffer solution pH of 5.0, cellulase dosage of 1.3% and enzymolysis temperature of 57 ℃, the resveratrol obtained better extraction effect after intermittent assisted treatment with 300 W ultrasonic waves for accumulatively 43 min, and the average yield could reach 0.293%. The antioxidant analysis found that the resveratrol had obvious scavenging effect on DPPH·, ·OH and ABTS·, as well the total antioxidant capacity was better. Conclusion: The resveratrol extracted by intermittent ultrasonic assisted cellulase method, both the yield and antioxidant capacity have been greatly improved comparing with the single enzymatic method or continuous ultrasonic extraction.