Search

High time resolution and accuracy are of critical importance in the studies of timing analysis and time delay localization of gamma-ray bursts (GRBs), soft gamma-ray repeaters (SGRs) and pulsars. The Gravitational wave high-energy Electromagnetic Counterpart All-sky Monitor (GECAM) consisting of two micro-satellites, GECAM-A and GECAM-B, launched on 2020 December 10, is aimed at monitoring and locating X-ray and GRBs all over the sky. To achieve its scientific goals, GECAM is designed to have the highest time resolution (0.1 $\mu {\rm s}$) among all GRB detectors ever flown. Here, we make a comprehensive time calibration campaign including both on-ground and on-orbit tests to derive not only the relative time accuracy of GECAM satellites and detectors, but also the absolute time accuracy of GECAM-B. Using the on-ground calibration with a $\rm ^{22}Na$ radioactive source, we find that the relative time accuracy between GECAM-A and GECAM-B is about 0.15 $\mu {\rm s}$ (1σ). To measure the relative time accuracy between all detectors of a single GECAM satellite, cosmic-ray events detected on orbit are utilized since they could produce many secondary particles simultaneously record by multiple detectors. We find that the relative time accuracy among all detectors onboard GECAM-B is about 0.12 $\mu {\rm s}$ (1σ). Finally, we use the novel Li-CCF method to perform the absolute time calibration with Crab pulsar and SGR J1935+2154, both of which were jointly observed by GECAM-B and Fermi/GBM, and obtain that the time difference between GECAM-B and Fermi/GBM is 3.06 ± 6.04 $\mu {\rm s}$ (1σ).

日间宫腔镜手术是指患者一日内且不过夜入、出院完成的宫腔镜手术，设置日间宫腔镜手术中心是适应现代医院发展模式的重大转变。全国有资质的各级医疗机构以不同形式和规模在开展日间宫腔镜手术，但尚缺乏统一的制度流程和规范。本共识以国际日间手术学会和中国日间手术合作联盟发布的相关文献为参考，结合中国开展日间手术成熟的医疗机构的制度流程，从日间宫腔镜手术中心的设置、管理制度、管理流程到质量控制以及并发症的处理及转运给予了共识性建议，同时，对医疗、护理和麻醉三个维度的评估和相关问题处理制定了规范化流程。.

To investigate the expression of small dense low-density lipoprotein cholesterol (sdLDL-C) in patients with H-type hypertension and its association with H-type hypertension and methylenetetrahydrofolate reductase (MTHFR) gene polymorphisms. The retrospective study method was used,and a total of 207 hospitalized hypertensive patients (76 males and 131 females, aged 40-82 years, median age 66 years) admitted to the Zibo First Hospital from March 2021 to March 2022 were enrolled in this study. The levels of homocysteine (Hcy), sdLDL-C, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), total cholesterol (TC), triglyceride (TG) and lipoprotein (a) [Lp(a)] were measured. The patients were divided into H-type hypertensive group (探讨小而密低密度脂蛋白胆固醇（sdLDL-C）在H型高血压患者中的表达及其与H型高血压和亚甲基四氢叶酸还原酶（MTHFR）基因多态性间的相关性。采用回顾性研究，选择2021年3月至2022年3月在山东省淄博市第一医院诊治的207例住院高血压患者，男76例，女131例，年龄40~82岁、中位数年龄66岁。检测同型半胱氨酸（Hcy）、sdLDL-C、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）、总胆固醇（TC）、甘油三酯（TG）、脂蛋白（a）［Lp（a）］水平。根据Hcy水平分为H型高血压组（105例，男性40例，女性65例）和非H型高血压组（102例，男性36例，女性66例），检测各组MTHFR C677T多态性，对H型高血压发生相关因素进行logistic回归分析。结果显示，H型高血压组和非H型高血压组血清sdLDL-C水平分别为（0.92±0.31）mmol/L和（0.65±0.28）mmol/L，H型高血压组sdLDL-C水平显著高于非H型高血压组（

OBJECTIVE: To explore the characteristics and clinical phenotypes of rheumatoid arthritis (RA) and provide the basis for further understanding, interventions and outcomes of this disease. METHODS: RA patients attended at Peking University People's Hospital from 2018 to 2021 were enrolled in the study. Data collection included demographic data, the sites and numbers of joints involved, extra-articular manifestations (EAM), comorbidities and laboratory variables. Statistical and bioinformatical analysis was performed to establish clinical subtypes by clustering analysis based on the type of joint involved, EAM involvement and other autoimmune diseases overlapped. The characteristics of each subtype were analyzed. RESULTS: A total of 411 patients with RA were enrolled. The mean age was (48.84±15.17) years, and 346 (84.2%) were females. The patients were classified into 4 subtypes: small joint subtype (74, 18.0%), total joint subtype (154, 37.5%), systemic subtype (100, 24.3%), and overlapping subtype (83, 20.2%). The small joint subtype had no medium or large joint involvement, and 35.1% had systemic involvement. The erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) levels and platelet count (PLT) were lower than those in other subtypes, and the rates of positive rheumatoid factors (RF-IgA and RF-IgG) were significantly higher in the small joint subtype. The total joint subtype had both large and small joint involvement but no systemic involvement. The rate of morning stiffness and positive antinuclear antibodies (ANA) in this subtype were lower than those in other subtypes. In the systemic subtype, interstitial lung disease and secondary Sjögren syndrome were the most common systemic involvements, with prominent levels of disease activity score 28-joint count (DAS28-ESR and DAS28-CRP). The overlapping subtype was commonly combined with Hashimoto's thyroiditis or primary Sjögren syndrome. Female in the overlapping subtype was more common than in other subtypes. This subtype was characterized by hyperglobulinemia, hypocomplementemia and high rate of positive ANA, especially spotting type. CONCLUSION: Based on the clinical features, RA patients could be classified into 4 subtypes: small joint subtype, total joint subtype, systemic subtype, and overlapping subtype. Each subtype had its own clinical characteristics. They help for further understanding and a more individualized treatment strategy of RA.

Pulmonary arterial hypertension (PAH) is a complex disease caused by multiple factors, including idiopathic PAH, heritable PAH, disease related PAH etc. Due to the high genetic heterogeneity, clinical characteristics and prognosis of PAH patients vary greatly. At present, the specific pathogenesis of PAH is unclear, and the diagnosis and treatment of PAH remain to be explored. Therefore, the study of genetic susceptibility to PAH is of great significance for understanding the occurrence and development of the disease. With the development of genome-wide association study (GWAS), a large number of genetic variations related to etiology, clinical manifestations, prognosis and treatment of PAH have been identified. This review summarizes the recent progress in the application of GWAS in the study of genetic susceptibility of PAH, and provides new insights for further exploration of the development and individualized management of PAH.动脉性肺动脉高压（pulmonary arterial hypertension，PAH）是一类多种因素共同作用的复杂性疾病，包括特发性PAH、遗传性PAH和疾病相关的PAH等，由于具有高度遗传异质性，其临床特征及预后也具有较大差异。目前，PAH的具体发病机制尚不明确，疾病负担重，诊治方案仍有待探究，因此，研究PAH的遗传易感性对了解疾病的发生发展具有重要意义。随着全基因组关联研究（genome-wide association study，GWAS）的发展，发现了大量与PAH发病机制、临床表型、治疗和预后相关的遗传变异。本综述总结了近年来，国内外使用GWAS开展PAH遗传易感性相关研究的应用进展，为深入探究PAH的发生发展和个体化防治提供新思路。.

Cynanchum bungei Decne. and its related species C. auriculatum Royle ex Wight. and C. wilfordii (Maxim.) Hemsl. are well known Chinese herbal medicines known by the name Baishouwu, and have a beneficial effect on health. Endophytic fungi exist widely inside host plants and are important components of plant micro-ecosystems. Previous studies have shown that there are significant differences among the isolated fungi from the three species of Baishouwu. To explore the fungal diversity in Cynanchum genus, we characterized and compared the endophytic fungal communities among different plant organs, species and localities of Baishouwu by a High-throughput 18S rDNA gene Illumina MiSeq sequencing technique. The results showed that the main factor affecting the distribution and population structure of endophytes was plant organs, rather than the species and localities. Moreover, Rank abundance curves demonstrated that the richness and evenness of JTG was the highest, while the evenness of JTY was the lowest, the richness of JTJ was the lowest. Furthermore, the samples from three localities had relatively similar fungal communities, as indicated by PCA and UPGMA analysis. The Fusarium, Exophiala, Plectosphaerella, Botryosphaeria, and Filobasidium were the predominant fungal genera in the seven samples, which might play an important role in the plant micro-ecosystems and were beneficial to their host plant. These findings contribute to an understanding of the diversity of the endophyte microbiome of Baishouwu and may be beneficial to the rational development and utilization of the medicinal plants.

尿失禁是严重影响中老年妇女生命质量的慢性疾病之一，治疗方法主要包括手术治疗和非手术治疗。盆底肌训练（PFMT）是主要的非手术治疗方法之一，欧洲泌尿外科协会（EAU）和国际尿失禁咨询委员会（ICI）将PFMT作为尿失禁保守治疗的一线推荐。许多研究报道证实了PFMT对女性尿失禁患者临床治疗的有效性，但其远期效果不确切，可能与训练方法及能否长期坚持有关。目前也缺乏对PFMT锻炼方法的报道。本文主要针对PFMT的研究现状及应用情况进行综述，旨在为临床更好地实施PFMT提供参考依据。.

转甲状腺素蛋白心脏淀粉样变（ATTR-CA）是由转甲状腺素蛋白发生异常解离并聚集在心肌间质所导致，其中野生型（ATTRwt）为无TTR基因突变者。由于该病临床表现缺乏特异性，易被漏诊、误诊。该文报道了1例初诊为肥厚型心肌病最终确诊为ATTRwt患者的诊治过程。.

We present an erratum to our Letter [Opt. Lett.40, 4249 (2015)OPLEDP0146-959210.1364/OL.40.004249]. This erratum corrects the nuclear Lande factor gI in Eq. (2). After correcting the error, the final ground-state hyperfine splitting frequency of the

How superconductivity interacts with charge or nematic order is one of the great unresolved issues at the center of research in quantum materials. ${\mathrm{Ba}}_{1\ensuremath{-}x}{\mathrm{Sr}}_{x}{\mathrm{Ni}}_{2}{\mathrm{As}}_{2}$ (BSNA) is a charge ordered pnictide superconductor recently shown to exhibit a sixfold enhancement of superconductivity due to nematic fluctuations near a quantum phase transition (at ${x}_{c}=0.7$) [1]. The superconductivity is, however, anomalous, with the resistive transition for $0.4lxl{x}_{c}$ occurring at a higher temperature than the specific heat anomaly. Using x-ray scattering, we discovered a new charge density wave (CDW) in BSNA in this composition range. The CDW is commensurate with a period of two lattice parameters, and is distinct from the two CDWs previously reported in this material [1,2]. We argue that the anomalous transport behavior arises from heterogeneous superconductivity nucleating at antiphase domain walls in this CDW. We also present new data on the incommensurate CDW, previously identified as being unidirectional [2], showing that it is a rotationally symmetric ``$4Q$'' state with ${C}_{4}$ symmetry. Our study establishes BSNA as a rare material containing three distinct CDWs, and an exciting test bed for studying coupling between CDW, nematic, and SC orders.

临床常见下颌后牙缺失后垂直骨高度严重不足的患者，如何在避免损伤下牙槽神经的同时进行微创精准的种植手术非常关键。现报道1例采用实时导航技术对下颌后牙区牙槽骨严重吸收垂直距离不足患者进行跨下牙槽神经种植的病例。.

Toxoplasma gondii is a medically and agriculturally important protozoan parasite that can infect virtually all the mammalian and avian species. Previous studies showed that the family of rhoptry proteins (ROPs) plays a key role in the invasion process of T. gondii, and its several members can be potential marker for population genetic researches of Toxoplasma. In order to estimate whether other member is also suitable as the novel genetic marker, the variation of ROP41 gene among 11 T. gondii isolates from different hosts and geographical locations and two reference strains was examined in this study. Our results showed that all the examined sequence of TgROP41 gene was 1473 bp in length, and their A+T contents were between 48.47% and 48.88%. Sequence analysis presented 14 nucleotide mutation positions (0%-0.54%), leading to 5 amino acid substitutions (0%-0.61%) through alignment with T. gondii ME49 strain (ToxoDB: TGME49_266100). Furthermore, phylogenetic analyses by MP and BI methods based on deduced amino acid sequences of TgROP41 gene was only able to distinguish the type I strain, but not able to separate the two classical genotypes (Type II and III) into the respective clusters. These results indicated limited sequence diversity in the TgROP41 gene.

How superconductivity interacts with charge or nematic order is one of the great unresolved issues at the center of research in quantum materials. Ba_{1-x}Sr_{x}Ni_{2}As_{2} (BSNA) is a charge ordered pnictide superconductor recently shown to exhibit a sixfold enhancement of superconductivity due to nematic fluctuations near a quantum phase transition (at x_{c}=0.7) [1]. The superconductivity is, however, anomalous, with the resistive transition for 0.4xx_{c} occurring at a higher temperature than the specific heat anomaly. Using x-ray scattering, we discovered a new charge density wave (CDW) in BSNA in this composition range. The CDW is commensurate with a period of two lattice parameters, and is distinct from the two CDWs previously reported in this material [1,2]. We argue that the anomalous transport behavior arises from heterogeneous superconductivity nucleating at antiphase domain walls in this CDW. We also present new data on the incommensurate CDW, previously identified as being unidirectional [2], showing that it is a rotationally symmetric "4Q" state with C_{4} symmetry. Our study establishes BSNA as a rare material containing three distinct CDWs, and an exciting test bed for studying coupling between CDW, nematic, and SC orders.

The Gravitational Wave highly energetic Electromagnetic Counterpart All-sky Monitor (GECAM) is dedicated to detecting gravitational wave gamma-ray bursts. It is capable of all-sky monitoring over and discovering gamma-ray bursts and new radiation phenomena. GECAM consists of two microsatellites, each equipped with 8 charged particle detectors (CPDs) and 25 gamma-ray detectors (GRDs). The CPD is used to measure charged particles in the space environment, monitor energy and flow intensity changes, and identify between gamma-ray bursts and space charged particle events in conjunction with GRD. CPD uses plastic scintillator as the sensitive material for detection, silicon photomultiplier (SiPM) array as the optically readable device, and the inlaid Am-241 radioactive source as the onboard calibration means. In this paper, we will present the working principle, physical design, functional implementation and preliminary performance test results of the CPD., Comment: accepted to RDTM

The Gravitational wave high-energy Electromagnetic Counterpart All-sky Monitor (GECAM) satellite consists of two small satellites. Each GECAM payload contains 25 gamma ray detectors (GRD) and 8 charged particle detectors (CPD). GRD is the main detector which can detect gamma-rays and particles and localize the Gamma-Ray Bursts (GRB),while CPD is used to help GRD to discriminate gamma-ray bursts and charged particle bursts. The GRD makes use of lanthanum bromide (LaBr3) crystal readout by SiPM. As the all available SiPM devices belong to commercial grade, quality assurance tests need to be performed in accordance with the aerospace specifications. In this paper, we present the results of quality assurance tests, especially a detailed mechanism analysis of failed devices during the development of GECAM. This paper also summarizes the application experience of commercial-grade SiPM devices in aerospace payloads, and provides suggestions for forthcoming SiPM space applications., Comment: 13 pages, 23 figures

The nEXO neutrinoless double beta decay experiment is designed to use a time projection chamber and 5000 kg of isotopically enriched liquid xenon to search for the decay in $^{136}$Xe. Progress in the detector design, paired with higher fidelity in its simulation and an advanced data analysis, based on the one used for the final results of EXO-200, produce a sensitivity prediction that exceeds the half-life of $10^{28}$ years. Specifically, improvements have been made in the understanding of production of scintillation photons and charge as well as of their transport and reconstruction in the detector. The more detailed knowledge of the detector construction has been paired with more assays for trace radioactivity in different materials. In particular, the use of custom electroformed copper is now incorporated in the design, leading to a substantial reduction in backgrounds from the intrinsic radioactivity of detector materials. Furthermore, a number of assumptions from previous sensitivity projections have gained further support from interim work validating the nEXO experiment concept. Together these improvements and updates suggest that the nEXO experiment will reach a half-life sensitivity of $1.35\times 10^{28}$ yr at 90% confidence level in 10 years of data taking, covering the parameter space associated with the inverted neutrino mass ordering, along with a significant portion of the parameter space for the normal ordering scenario, for almost all nuclear matrix elements. The effects of backgrounds deviating from the nominal values used for the projections are also illustrated, concluding that the nEXO design is robust against a number of imperfections of the model., Comment: 26 pages, 19 figures, version accepted by Journal of Phys. G

OBJECTIVE: To detect the serum level of a novel autoantibody, anti-tubulin-α-1C, in patients with systemic sclerosis (SSc) and to investigate its clinical significance. METHODS: Anti-tubulin-α-1C antibody levels were determined by enzyme-linked immunosorbent assay (ELISA) in 62 patients with SSc, 38 systemic lupus erythematosus (SLE), 24 primary Sjögren's syndrome (pSS) patients, and 30 healthy controls (HCs). Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), immunoglobulin A(IgA), immunoglobulin M (IgM), immunoglobulin G (IgG), C3, C4, rheumatoid factor (RF), antinuclear antibody(ANA), anti-centromere antibodies(ACA), anticardiolipin (aCL), anti-dsDNA antibody, anti-Sm antibody, anti-RNP antibody, anti-Scl-70 antibody, anti-Ro52 antibody, anti-SSA antibody, anti-SSB antibody, centromere protein A(CENP-A), centromere protein B (CENP-B) were measured by standard laboratory techniques. Raynaud's phenomenon and modified Rodnan skin score(MRSS) were recorded to evaluate the disease status of SSc. Independent sample t test, Chi square test, Mann-Whitney U test, Spearman rank correlation were used for statistical analyses. RESULTS: The serum anti-tubulin-α-1C antibody concentration in SSc group was 81.24±34.38, the serum anti-tubulin-α-1C antibody concentration in SLE group was 87.84±38.52, the serum anti-tubulin-α-1C antibody concentration in pSS group was 59.79±25.24, and the serum anti-tubulin-α-1C antibody concentration in healthy group was 39.37±18.7. Multivariate analysis revealed that anti-tubulin-α-1C antibody levels were significantly increased in the SSc and SLE patients. The expression level of anti-tubulin-α-1C antibody in SSc was higher compared with the pSS group and the health control group (P < 0.01). Further analysis demonstrated that the elevated anti-tubulin-α-1C antibody were correlated with the SSc inflammation and disease activity markers ESR(r=0.313, P=0.019), The levels of anti-tubulin-α-1C antibody were also significantly correlated with MRSS(r=0.636, P < 0.01). The best cut-off value for the diagnose of SSc was 76.77 as mean+2SD value. The proportion of Raynaud's phenomenon was higher in the group of anti-tubulin-α-1C autoantibody-postive SSc patients than that in anti-tubulin-α-1C autoantibody negative group(71.4% vs. 37.5%, P=0.039). The proportions of anti-Scl-70 antibody, anti-CENP antibody and anti-cardiolipin antibody were higher in the group of anti-tubulin-α-1C autoantibody-postive SSc patients than in the anti-tubulin-α-1C autoantibody negative group (37.9% vs. 15.2%, 34.5% vs. 12.1%, 13.8 vs. 0, respectively, all P < 0.05). CONCLUSION: Based on this explorative stu-dy, the level of anti-tubulin-α-1C antibody increased in the serum of the patients with SSc. There were correlations between anti-tubulin-α-1C autoantibody and clinical and laboratory indicators of the SSc patients. It may become a novel biomarker indicative of active SSc and could be applied in future clinical practice.

OBJECTIVE: To investigate and analyse the clinical and immunological features of patients with myositis complicated with thromboembolism. METHODS: We identified a cohort of 390 myositis patients diagnosed with myositis admitted to People's Hospital of Peking University from 2003 to 2019. The patients were retrospectively enrolled in this investigation. According to the outcome of the color Doppler ultrasound, CT pulmonary angiography, pulmonary ventilation and perfusion scan patients were divided into myositis with and without thromboembolism group. Demographic, clinical (heliotrope rash, Gottron's sign/papules, periungual erythema, skin ulceration, subcutaneous calcinosis, Mechanic's hands, myalgia, interstitial lung disease, pulmonary arterial hypertension), laboratory, immunological [anti-autoantibodies including melanoma differentiation associated gene 5 (anti-MDA5), anti-Mi-2, anti-transcription intermediary factor-1γ (anti-TIF-1γ, anti-nuclear matrix protein 2 (anti-NXP2), anti-small ubiquitin-like modifier activating enzyme (anti-SAE), anti-synthetase], imaging and therapeutic status data of the patients at the diagnosis of myositis with and without thromboembolism were collected and the differences in these data were analyzed. Logistic regressive analysis was used to identify the risk factors of thromboembolism. RESULTS: In the retrospective study, 390 myositis patients were investigated. The mean age of onset was (49.6±13.4) years, male to female ratio was 0.31 :1. Thromboembolism was identified in 4.62% (18/390) of the myositis patients, which was lower than the published reports. Out of 18 patients with thromboembolism, 55.6% (10/18) of them were deep venous thrombosis, followed by cerebral infarction (22.2%, 4/18), pulmonary embolism (11.1%, 2/18), renal artery embolism (5.6%, 1/18) and embolism of upper extremity (5.6%, 1/18). Fifty percent of thromboembolism events occurred 6 months after the diagnosis of myositis, 38.9% of thromboembolism events occurred 6 months within the diagnosis of myositis, 11.1% of thromboembolism events occurred 6 months before the diagnosis of myositis. As compared with the myositis patients without thromboembolism, the myositis patients complicated with thromboembolism were older [(58.3±11.7) years vs. (49.3±13.4) years, P=0.006]. C-reaction protein (CRP) (12.2 mg/L vs. 4.1 mg/L, P < 0.001), ferritin (20 085.5 μg/L vs. 216.6 μg/L, P < 0.001) and D-dimer (529.0 μg/L vs. 268.0 μg/L, P=0.002) were significantly higher in thromboembolism group. Diabetes (44.4% vs. 16.4%, P=0.006), coronary heart disease (22.2% vs. 3.0%, P=0.003) and surgery (16.7% vs. 3.5%, P=0.032) were observed more common in thromboembolism group than those without thromboembolism. Activated partial thromboplastin time (APTT) (26.9 s vs. 28.7 s, P=0.049) and albumin (32.4 g/L vs. 36.5 g/L, P=0.002) was lower in thromboembolism group. The risk factors of thromboembolism in the myositis patients were low level of albumin (OR=0.831, 95%CI: 0.736-0.939, P=0.003), diabetes (OR=4.468, 95%CI: 1.382-14.448, P=0.012), and coronary heart disease (OR=22.079, 95%CI: 3.589-135.837, P=0.001) were independent significant risk factors for thromboembolism in the patients with myositis. There was no significant difference in clinical manifestations, myositis-specific antibodies or myositis-associated antibodies between the two groups. CONCLUSION: Thromboembolism is a complication of myositis. Lower levels of albumin, diabetes, and coronary heart disease might be risk factors of thromboembolism in myositis patients.

多颗上前牙连续缺失的种植单冠修复的美学风险较高。临床采用牙支持式种植导板引导种植体植入，同时采用引导软硬组织再生技术并结合临时修复体即刻修复患者上前牙，获得较理想的效果。术后随访1年，治疗效果稳定。在严格按照诊疗规范操作的基础上，应用数字化辅助技术，能更好地解决临床实际问题。.

About 30% of the breast's ductal carcinoma in situ (DCIS) will be histological upstate according to the postoperative pathology. Sentinel lymph node biopsy (SLNB) is currently recommended on most DCIS excision in order to potentially avoid secondary surgery, which is apparently over-treated for most patients with DCIS. Hence, the decision to perform SLNB before DCIS excision remains controversial. The aim of this study is to establish an improved nomogram including elastography for predicting the risk of the histological upgrade of DCIS preoperatively.The medical records of 147 patients who were preoperatively diagnosed with DCIS and underwent breast surgery were retrospectively reviewed. They were divided into DCIS group (n=99) and DCIS with invasive components (DCIS-IC) group (n=48) according to the postoperative pathology results. The clinicopathologic and multimode ultrasonic records were analyzed and used to develop the nomogram. The difference in performance between the nomogram with and without acoustic radiation force impulse (ARFI) elastography was compared in this study.Patients with high-grade lesions (OR = 4.762, p = 0.032), positive human epidemal growth factor receptor 2 (HER-2) expression (OR = 3.560, p = 0.007), comedo type of DCIS (OR: 3.163, p = 0.041), larger lesion size (OR = 3.253, p = 0.002), and higher mean SWV value (SWVmean) (OR: 5.083, p0.001) were found to be independent factors associated with the histologic upgrade. The discrimination of the nomogram (0.896), including the 5 independent predictors (ARFI elastography included), was higher than that without ARFI elastography (0.788). It could be utilized to predict the probability of the histologic upgrade of DCIS.The developed nomogram incorporating ARFI elastography is expected to predict the risk of the histologic upgrade of DCIS preoperatively and to provide a reference for the decision making for SLNB. It showed improved performance owing to the elastography.

Charge density wave (CDW) correlations are prevalent in all copper-oxide superconductors. While CDWs in conventional metals are driven by coupling between lattice vibrations and electrons, the role of the electron-phonon coupling (EPC) in cuprate CDWs is strongly debated. Using Cu ${L}_{3}$ edge resonant inelastic x-ray scattering, we study the CDW and Cu-O bond-stretching phonons in the stripe-ordered cuprate ${\mathrm{La}}_{1.8\ensuremath{-}x}{\mathrm{Eu}}_{0.2}{\mathrm{Sr}}_{x}{\mathrm{CuO}}_{4+\ensuremath{\delta}}$. We investigate the interplay between charge order and EPC as a function of doping and temperature and find that the EPC is enhanced in a narrow momentum region around the CDW ordering vector. By detuning the incident photon energy from the absorption resonance, we extract an EPC matrix element at the CDW ordering vector of $M\ensuremath{\simeq}0.36\text{ }\text{ }\mathrm{eV}$, which decreases to $M\ensuremath{\simeq}0.30\text{ }\text{ }\mathrm{eV}$ at high temperature in the absence of the CDW. Our results suggest a feedback mechanism in which the CDW enhances the EPC which, in turn, further stabilizes the CDW.

Resonant soft x-ray scattering (RSXS) is a leading probe of valence-band order in materials best known for detecting charge-density-wave order in copper-oxide superconductors. One of the biggest limitations on the RSXS technique is the presence of a severe fluorescence background, which, like the RSXS cross section itself, is enhanced under resonant conditions. This background prevents the study of weak signals such as diffuse scattering from glassy or fluctuating order that is spread widely over momentum space. Recent advances in superconducting transition-edge-sensor (TES) detectors have led to major improvements in energy resolution and detection efficiency in the soft x-ray range. Here, we perform a RSXS study of stripe-ordered ${\mathrm{La}}_{2\ensuremath{-}x}{\mathrm{Ba}}_{x}{\mathrm{Cu}\mathrm{O}}_{4}$ at the $\mathrm{Cu}$ ${L}_{3/2}$ edge (932.2 eV) using a TES detector with 1.5-eV resolution, to evaluate its utility for mitigating the fluorescence-background problem. We find that, for suitable degree of detuning from the resonance, the TES rejects the fluorescence background, leading to a five to ten times improvement in the statistical quality of the data compared to an equivalent, energy-integrated measurement. We conclude that a TES presents a promising approach to reducing background in RSXS studies and may lead to discoveries in materials exhibiting valence-band order that is fluctuating or glassy.

A pair of bisbenzimidazole derivatives as catalytic ligand was evaluated in DNA-based hybrid asymmetric reaction. Similar structure of both ligands induced entirely different stereoselectivity in Diels–Alder reaction and Friedel–Crafts alkylation. The binding mode of the two Cu2+ complexes to st-DNA was elaborated by circular dichroism, UV–vis, IR, Raman spectroscopy, and singular value decomposition analysis. The coordination mode of ligand to Cu2+ substantially impacted on dominant conformation of complex. The major binding mode depended on the steric chemistry of complex, directly regulating chiral microenvironment in hybrid catalytic system. Although the title ligand did not present considerable enantioselectivity in catalysis, the current research provided a feasible approach to insight into catalytic microenvironment of chiral scaffold. It will help to reveal the mechanism of stereo-induction in DNA-based hybrid asymmetric reaction.

Objective Serum soluble CD25 (sCD25) could be used as a biomarker for disease activity in conditions associated with T-cell activation including various autoimmune diseases. This study aimed to explore the role of sCD25 as an indicator of disease activity and organ involvement in patients with systemic lupus erythematosus (SLE). Methods Serum samples were collected from 107 SLE patients and 92 age-matched healthy controls (HCs). All patients were followed up for 24 weeks, and sCD25 was measured by enzyme-linked immunosorbent assay. Clinical and laboratory data were recorded at baseline and then every two weeks until week 24. The Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI)-2K was adopted for assessing disease activity at all visits. Results Serum sCD25 levels were significantly increased in SLE patients compared to those in HCs ( p Conclusions Serum sCD25 is a hallmark of disease activity and a predictor of renal disease in patients with SLE.

Self-assemblies of the flexible ferrocenyl block 2-chloro-4-ferrocenylbenzoate with Cd2+ cations in the presence of N-containing auxiliary ligand result in two coordination complexes, namely, &{[Cd(η2 -OOCClH3C6Fc)2(Mbbz)(CH3OH)] · (H2O)0.5} n (I) and [Cd(η2 -OOCClH3C6Fc)2(Bbbm)] n (II) {Fc = (η5- C5H4)Fe(η5-C5H4), Mbbz = 1,1'-methyl benzimidazole, Bbbm = 1,4-bis(benzimidazol-1-ylmethyl)-benzene}. Their structure has been determined by single-crystal X-ray diffraction analyses (CIF files nos. 1529095 (I), 1529096 (II)) and further characterized by elemental analyses, IR spectra, and thermogravimetric analyses. Crystallographic characterization shows that both I and II are 1D chain structures. Notably, various C–H···π interactions and C–H···Cl interactions are discovered in I and II, and they have significant contributions to self-assembly, which extend 1D complex to infinite 3D supramolecular networks. Moreover, the electrochemical studies of I and II in DMF solution display irreversible redox waves and indicate that the half-wave potentials of the ferrocenyl moieties in I and II are shifted to positive potential compared with that of free 2-chloro-4-ferrocenylbenzoate.

The role of NEAT1 in cancers has been demonstrated. But the role of NEAT1 in cardiac hypertrophy still remains unknown. This study aimed to elucidate the specific function of long non-coding RNA (lncRNA) NEAT1 in cardiac hypertrophy and its underlying mechanism.In this study, the in vivo and in vitro cardiac hypertrophy models were constructed by transverse aortic coarctation (TAC) procedure in rats and phenylephrine (PE) induction in primary cardiomyocytes, respectively. The expression levels of NEAT1, microRNA-19a-3p, SMYD2, and cardiac hypertrophic markers were detected by quantitative Real Time-Polymerase Chain Reaction (qRT-PCR). Cardiac hypertrophy was evaluated as calculating the surface area of hypertrophic cardiomyocyte by fluorescein isothiocyanate (FITC)-Phalloidin staining. Luciferase Reporter Gene Assay was conducted to detect the binding of NEAT1, SMYD2, and microRNA-19a-3p.The results showed that NEAT1 and SMYD2 were highly expressed in myocardium of rats with cardiac hypertrophy and PE-induced primary cardiomyocytes, whereas microRNA-19a-3p was lowly expressed. Besides, NEAT1 overexpression markedly upregulated levels of the cardiac hypertrophic markers. Moreover, FITC-Phalloidin staining also revealed hypertrophic cardiomyocytes overexpressing NEAT1. On the contrary, microRNA-19a-3p overexpression reduced the cardiomyocyte surface area and downregulated the levels of the cardiac hypertrophic markers. As luciferase reporter gene assay demonstrated, NEAT1 and SMYD2 could bind to microRNA-19a-3p. Finally, the gain-of-function experiments were designed to verify whether NEAT1 exerted its functions in cardiac hypertrophy by modulating SMYD2 and microRNA-19a-3p. Furthermore, both microRNA-19a-3p overexpression or SMYD2 knockdown could inhibit and reduce the cardiomyocyte surface area, and downregulate the levels of the cardiac hypertrophic markers.In summary, NEAT1 promotes the occurrence and progression of cardiac hypertrophy by upregulating SMYD2 by binding to microRNA-19a-3p.

Electrons and holes in quantum materials often self-organize into ordered electronic phases, such as charge or spin density waves. These states are widely regarded as competing with superconductivity, and achieving their control could lead to higher superconducting transition temperatures. By using ultrafast optical and soft x-ray pulses, here, the authors observe a novel sliding state of the charge density wave in the cuprate superconductor La${}_{1.875}$Ba${}_{0.125}$CuO${}_{4}$, in which the condensate translates with respect to the lattice due to the ultrafast pump field.

Charge density wave (CDW) correlations are prevalent in all copper-oxide superconductors. While CDWs in conventional metals are driven by coupling between lattice vibrations and electrons, the role of the electron-phonon coupling (EPC) in cuprate CDWs is strongly debated. Using Cu L_{3} edge resonant inelastic x-ray scattering, we study the CDW and Cu-O bond-stretching phonons in the stripe-ordered cuprate La_{1.8-x}Eu_{0.2}Sr_{x}CuO_{4+δ}. We investigate the interplay between charge order and EPC as a function of doping and temperature and find that the EPC is enhanced in a narrow momentum region around the CDW ordering vector. By detuning the incident photon energy from the absorption resonance, we extract an EPC matrix element at the CDW ordering vector of M≃0.36 eV, which decreases to M≃0.30 eV at high temperature in the absence of the CDW. Our results suggest a feedback mechanism in which the CDW enhances the EPC which, in turn, further stabilizes the CDW.

动脉粥样硬化是一类严重危害人类健康的血管慢性炎症性疾病。巨噬细胞在其发生、发展及消退中发挥着重要的调控作用。随着对巨噬细胞起源和功能异质性研究的不断深入，我们对动脉粥样硬化病理生理机制有了新的认识，为靶向巨噬细胞开展动脉粥样硬化的诊断和治疗提供了新的思路。本文对巨噬细胞异质性与动脉粥样硬化的关系进行综述以提供重要的文献支持。.

Charge order is universal among high-Tc cuprates, but its relation to superconductivity is unclear. While static order competes with superconductivity, dynamic order may be favorable and even contribute to Cooper pairing. Using time-resolved resonant soft x-ray scattering at a free-electron laser, we show that the charge order in prototypical La2−xBaxCuO4 exhibits transverse fluctuations at picosecond time scales. These sub–millielectron volt excitations propagate by Brownian-like diffusion and have an energy scale remarkably close to the superconducting Tc. At sub–millielectron volt energy scales, the dynamics are governed by universal scaling laws defined by the propagation of topological defects. Our results show that charge order in La2−xBaxCuO4 exhibits dynamics favorable to the in-plane superconducting tunneling and establish time-resolved x-rays as a means to study excitations at energy scales inaccessible to conventional scattering techniques.

$\mathrm{Ba}({\mathrm{Ni}}_{1\ensuremath{-}x}{\mathrm{Co}}_{x}{)}_{2}{\mathrm{As}}_{2}$ is a structural homologue of the pnictide high temperature superconductor, $\mathrm{Ba}({\mathrm{Fe}}_{1\ensuremath{-}x}{\mathrm{Co}}_{x}{)}_{2}{\mathrm{As}}_{2}$, in which the Fe atoms are replaced by Ni. Superconductivity is highly suppressed in this system, reaching a maximum ${T}_{c}=2.3\text{ }\text{ }\mathrm{K}$, compared to 24 K in its iron-based cousin, and the origin of this ${T}_{c}$ suppression is not known. Using x-ray scattering, we show that $\mathrm{Ba}({\mathrm{Ni}}_{1\ensuremath{-}x}{\mathrm{Co}}_{x}{)}_{2}{\mathrm{As}}_{2}$ exhibits a unidirectional charge density wave (CDW) at its triclinic phase transition. The CDW is incommensurate, exhibits a sizable lattice distortion, and is accompanied by the appearance of $\ensuremath{\alpha}$ Fermi surface pockets in photoemission [B. Zhou et al., Phys. Rev. B 83, 035110 (2011)], suggesting it forms by an unconventional mechanism. Co doping suppresses the CDW, paralleling the behavior of antiferromagnetism in iron-based superconductors. Our study demonstrates that pnictide superconductors can exhibit competing CDW order, which may be the origin of ${T}_{c}$ suppression in this system.

Green leaf volatiles (GLVs) have been reported to play an important role in the host-locating behavior of several folivores that feed on angiosperms. However, next to nothing is known about how the green leafhopper, Empoasca vitis, chooses suitable host plants and whether it detects differing emission levels of GLV components among genetically different tea varieties. Here we found that the constitutive transcript level of the tea hydroperoxide lyase (HPL) gene CsiHPL1, and the amounts of (Z)-3-hexenyl acetate and of total GLV components are significantly higher in tea varieties that are susceptible to E. vitis (Enbiao (EB) and Banzhuyuan (BZY)) than in varieties that are resistant to E. vitis (Changxingzisun (CX) and Juyan (JY)). Moreover, the results of a Y-tube olfactometer bioassay and an oviposition preference assay suggest that (Z)-3-hexenyl acetate and (Z)-3-hexenol offer host and oviposition cues for E. vitis female adults. Taken together, the two GLV components, (Z)-3-hexenol and especially (Z)-3-hexenyl acetate, provide a plausible mechanism by which tea green leafhoppers distinguish among resistant and susceptible varieties. Future research should be carried out to obtain the threshold of the above indices and then assess their reasonableness. The development of practical detection indices would greatly improve our ability to screen and develop tea varieties that are resistant to E. vitis.