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Kaiyang Xue,1 Xianzhu Wang,1 Caihong Xiao,2 Ning Zhang,1 Minghui Liu,3 Jing Fu,1 Jin Cui1 1College of Acupuncture and Massage, Guizhou University of Traditional Chinese Medicine, Guiyang, 550002, People’s Republic of China; 2Department of Acupuncture and Moxibustion, No.1 Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, 550001, People’s Republic of China; 3Department of Acupuncture and Moxibustion, No.2 Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, 550001, People’s Republic of ChinaCorrespondence: Jin Cui, College of Acupuncture and Massage, Guizhou University of Traditional Chinese Medicine, No. 50 Shidong Road, Nanming District, Guiyang, 550002, People’s Republic of China, Email 516260179@qq.comObjective: Our pilot study shows that a modified moxibustion therapy called Ma’s bamboo-based medicinal moxibustion can alleviate the symptoms of low back pain in lumbar disc herniation (LDH), and has the potential to treat LDH. The aim of this study is to evaluate the efficacy and safety of Ma’s bamboo-based medicinal moxibustion for low back pain in LDH.Methods: A total of 312 LDH patients with low back pain were randomized to receive Ma’s bamboo-based medicinal moxibustion (MBMM) or acupuncture (AT). The primary efficacy measure was the change of Visual Analogue Scale (VAS) on the 14th day compared with that at baseline. The secondary efficacy measures included VAS score, Oswestry disability index (ODI), modified Japanese Orthopaedic Association (M-JOA) score, and the content of β-endorphin (β-EP) and substance-P (SP). The safety measures included the occurrence of adverse events and the changes in laboratory indicators.Results: In total, 304 patients were incorporated for the analysis of efficacy, including 96 males and 208 females, aged 21– 65 years. There was no statistically significant difference in the change of VAS score between the two groups on the 14th day [mean difference (95% CI) = − 2.31 (− 2.48, − 2.13) and − 2.28 (− 2.45, − 2.11), respectively; p = 0.819]. The VAS, ODI, and M-JOA scores changed after the intervention in both groups (p < 0.001), with increased β-EP content (p = 0.014, p = 0.032) and decreased SP content (p < 0.001, p = 0.048). The ODI score (p = 0.039) and M-JOA score (p = 0.032) of the MBMM group on the 28th day were lower than those of the AT group.Conclusion: The efficacy of Ma’s bamboo-based medicinal moxibustion therapy in relieving low back pain of LDH patients is comparable to that of acupuncture, and it has post-effect advantages in improving lumbar dysfunction and daily living ability, which can be used as a safe and effective alternative method for LDH treatment.Keywords: LDH, low back pain, Ma’s bamboo-based medicinal moxibustion, acupuncture, randomized controlled trial

Kaming Xue,1 Bobin Mi2 1Department of Integrated Traditional Chinese and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China; 2Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of ChinaCorrespondence: Bobin Mi, Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, People’s Republic of China, Email mibobin@hust.edu.cnAbstract: Chronic kidney diseases (CKD) present a formidable global health challenge, characterized by a deficiency of effective treatment options. Extracellular vesicles (EVs), recognized as multifunctional drug delivery systems in biomedicine, have gained accumulative interest. Specifically, engineered EVs have emerged as a promising therapeutic approach for targeted drug delivery, potentially addressing the complexities of CKD management. In this review, we systematically dissect EVs, elucidating their classification, biogenesis, composition, and cargo molecules. Furthermore, we explore techniques for EV engineering and strategies for their precise renal delivery, focusing on cargo loading and transportation, providing a comprehensive perspective. Moreover, this review also discusses and summarizes the diverse therapeutic applications of engineered EVs in CKD, emphasizing their anti-inflammatory, immunomodulatory, renoprotective, and tissue-regenerating effects. It critically evaluates the challenges and limitations in translating EV therapies from laboratory settings to clinical applications, while outlining future prospects and emerging trends.Keywords: extracellular vesicles, nanomaterials, chronic kidney diseases, drug delivery systems, application

Yizhen Liu,1 Yumei Liu,2 Ping Zhao,3 Qunling Zhang,1 Xiaojian Liu,1 Fangfang Lv,1 Xiaonan Hong,1 Junning Cao,1 Kai Xue1,4 1Department of Medical Oncology, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, People’s Republic of China; 2Department of Endoscopy, Fudan University Shanghai Cancer Center; Shanghai Medical College, Fudan University, Shanghai 200032, People’s Republic of China; 3Department of Biology, University of North Alabama, Florence, AL 35632, USA; 4State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine at Shanghai, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, People’s Republic of ChinaCorrespondence: Kai XueDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, 270 Dongan Road, Shanghai 200032, People’s Republic of ChinaTel +86 21 64175590Email xuekaishanghai@126.comBackground: Primary gastric diffuse large B-cell lymphoma (PG-DLBCL) is a common subtype of extranodal non-Hodgkin lymphoma (NHL), with rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone (R-CHOP) as the commonly used treatment regimen. However, full cycles of standard R-CHOP present the risk of severe bleeding or perforation, even leading to emergency surgery, especially for those with deep lesions in their first 1– 2 cycles of treatment. This study aims to explore the safety and efficacy of fractioned R-CHOP (rituximab d0, 50% dose of CHOP d1 and d5) followed by standard R-CHOP cycles in PG-DLBCL patients guided by endoscopic ultrasonography (EUS).Patients and Methods: Thirty-one PG-DLBCL patients were analyzed in this retrospective study. All patients had lesions infiltrated to at least the 3rd layer of the stomach under EUS at baseline. Patients switched to standard R-CHOP if they showed the reduced infiltrated layers and restricted lesions after fractioned R-CHOP cycles.Results: The overall response rate, 5-year progression-free survival (PFS) and overall survival (OS) of patients in our study were 93.5%, 75% and 84%, respectively. No treatment delay or dosage reduction from gastric adverse event was observed. None of the patients in our study suffered from severe bleeding or perforation during the treatment. Kaplan–Meier analyses showed that PG-DLBCL patients characterized by multiple localization, lesions ≥ 3cm, having B symptoms, lower serum albumin level, and elevated LDH level were associated with worse PFS and OS.Conclusion: Our data indicate that it might be an effective approach in treating deeply infiltrated PG-DLBCL patients by switching fractioned R-CHOP to standard R-CHOP cycles guided by EUS.Keywords: primary gastric diffuse large B-cell lymphoma, endoscopic ultrasonography, R-CHOP, prognosis

Zhenheng Wang,* Kaiwen Xue,* Maosheng Bai, Zhantao Deng, Jingjing Gan, Gang Zhou, Hongbo Qian,* Nirong Bao, Jianning Zhao Department of Orthopaedics, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, People’s Republic of China *These authors contributed equally to this work Abstract: Wear particle-induced inflammatory osteolysis is the primary cause of aseptic loosening, which is the most common reason for total hip arthroplasty (THA) failure in the med- and long term. Recent studies have suggested an important role of gut microbiota (GM) in modulating the host metabolism and immune system, leading to alterations in bone mass. Probiotic bacteria administered in adequate amounts can alter the composition of GM and confer health benefits to the host. Given the inflammatory osteolysis that occurs in wear debris-induced prosthesis loosening, we examined whether the probiotic Lactobacillus casei could reduce osteolysis in a mouse calvarial resorption model. In this study, L. casei markedly protected mice from CoCrMo particles (CoPs)-induced osteolysis. Osteoclast gene markers and the number of osteoclasts were significantly decreased in L. casei-treated mice. Probiotic treatment decreased the M1-like macrophage phenotype indicated by downregulation of tumor necrosis factor α (TNF-α), interleukin (IL)-6 and inducible nitric oxide synthase (iNOS) and increased the M2-like macrophage phenotype indicated by upregulation of IL-4, IL-10 and arginase. Collectively, these results indicated that the L. casei treatment modulated the immune status and suppressed wear particle-induced osteolysis in vivo. Thus, probiotic treatment may represent a potential preventive and therapeutic approach to reduced wear debris-induced osteolysis. Keywords: wear particles, gut microbiota, nanotoxicity, macrophage polarization, inflammatory cytokines, aseptic loosening

In this paper, we investigate the Bloch bands and develop a linear response theory for nonlinear systems, where the interplay between topological parameters and nonlinearity leads to new band structures. The nonlinear system under consideration is described by the Qi–Wu–Zhang model with Kerr-type nonlinearity, which can be treated as a nonlinear version of Chern insulator. We explore the eigenenergies of the Hamiltonian and discuss its Bloch band structures as well as the condition of gap closing. A cone structure in the ground Bloch band and tubed structure in the excited Bloch band is found. We also numerically calculate the linear response of the nonlinear Chern insulator to external fields, finding that these new band structures break the condition of adiabatic evolution and make the linear response not quantized. This feature of response can be understood by examining the dynamics of the nonlinear system. [ABSTRACT FROM AUTHOR]

As a new quantum state, topological insulators have become the focus of condensed matter and material science. The open system research of topological insulators has aroused the interest of many researchers. In this paper, we study the response of topological insulators to a single-mode quantized field with momentum. We solve the ground state of the system after the addition of a single-mode light field with adjustable photon momentum. To be specific, the analytical solution of Hall conductance has an additional correction compared with the closed system, and the Hall conductance can no longer be expressed by the weighted sum of the Chern numbers. Furthermore, the topological properties are analyzed and discussed through the results of an instance with their illustration. The system still has a topological phase transition and the critical point of the topological phase is robust to the single-mode quantized field. [ABSTRACT FROM AUTHOR]

Geogrid is a horizontal reinforcement material that is used in geosynthetic-reinforced pile-supported (GRPS) embankments in freeways with soft soil. Nevertheless, the long-term deformation mechanics of geogrid in the GRPS embankment under cyclic loading is not clear enough. This paper presents a laboratory model study of a GRPS embankment to study the long-term geogrid strain under cyclic loading. The effects of parameters such as number of load cycles, load frequency, geogrid layer numbers, and length of supporting piles on the long-term strain of geogrid were investigated. The results showed that geogrid strain increased with the number of load cycles, mainly developed in the first 10 000 load cycles and increased slowly in the later period. When the frequency was increased from 1 to 5 Hz, geogrid strain increased dramatically. When compared with the condition of a single geogrid layer, the upper layer of two geogrid layers caused a less geogrid strain. Compared with long piles and short piles GRPS embankments, a sufficient membrane effect of geogrid was found for long-short piles GRPS embankments. Finally, the 95% prediction interval proposed in this paper could be expressed using a logarithmic function, providing a theoretical foundation for future engineering applications. [ABSTRACT FROM AUTHOR]

Unidirectional reflectionlessness is investigated in a waveguide quantum electrodynamics system that consists of a cavity and a Λ -type three-level quantum dot coupled to a one-dimensional plasmonic waveguide. Analytical expressions of transmission and reflection coefficients are derived and discussed for both resonant and off-resonant couplings. By appropriately modulating the coupling strength, phase shift and Rabi frequency, unidirectional reflectionlessness is observed at the exceptional points (EPs). And unidirectional coherent perfect absorption is exhibited at the vicinity of the EP. These results might find applications in designing quantum devices of photons, such as optical switches and single-photon transistors. [ABSTRACT FROM AUTHOR]

The generalized wall function by Shih et al. [Report No. M-1999-209398 (1999)], which accounts for non-equilibrium effects by the presence of favorable and adverse pressure gradients in turbulent flows, is addressed with the aim of performing high Reynolds number large-eddy simulations of the wall-bounded flow. The model uses a corrected law of the wall with a pressure gradient contribution to approximate the wall stress and applies to the entire viscous layer, buffer layer, and inertial region. A fully developed channel flow is first tested to validate the solver and model implementation, and then the wall function is assessed for the flow over a periodic hill. Wall-resolved simulations are in good agreement with reference results. A priori investigation with own experimental results corroborates the mathematical form of the model and suggests using different coefficients. The wall-modeled simulations show that the implemented wall model is able to improve the wall shear stress predictions compared to a standard equilibrium wall model. It corrects the underestimation of wall shear stresses by equilibrium models in the favorable pressure gradient region and the overestimation of wall shear stresses in the adverse pressure gradient region. The positions of the separation and reattachment points are also in good agreement with reference results. Furthermore, the prediction of the wall shear stress maximum in the favorable pressure gradient zone at the windward side of the hill is quite robust against coarsening the wall-normal grid spacing. [ABSTRACT FROM AUTHOR]

It has been documented that human activities are causing the rapid loss of taxonomic, phylogenetic, genetic and functional diversity in soils. However, it remains unclear how modern intensive rice cultivation impacts the soil microbiome and its functionality. Here we examined the microbial composition and function differences between a buried Neolithic paddy soil and an adjacent, currently-cultivated paddy soil using high throughput metagenomics technologies. Our results showed that the currently cultivated soil contained about 10-fold more microbial biomass than the buried one. Analyses based on both 16S rRNA genes and functional gene array showed that the currently cultivated soil had significantly higher phylogenetic diversity, but less functional diversity than the buried Neolithic one. The community structures were significantly different between modern and ancient soils, with functional structure shifting towards accelerated organic carbon (C) degradation and nitrogen (N) transformation in the modern soils. This study implies that, modern intensive rice cultivation has substantially altered soil microbial functional structure, leading to functional homogenization and the promotion of soil ecological functions related to the acceleration of nutrient cycling which is necessary for high crop yields.

Microbial decomposition of soil carbon in high-latitude tundra underlain with permafrost is one of the most important, but poorly understood, potential positive feedbacks of greenhouse gas emissions from terrestrial ecosystems into the atmosphere in a warmer world. Using integrated metagenomic technologies, we showed that the microbial functional community structure in the active layer of tundra soil was significantly altered after only 1.5 years of warming, a rapid response demonstrating the high sensitivity of this ecosystem to warming. The abundances of microbial functional genes involved in both aerobic and anaerobic carbon decomposition were also markedly increased by this short-term warming. Consistent with this, ecosystem respiration (R eco) increased up to 38%. In addition, warming enhanced genes involved in nutrient cycling, which very likely contributed to an observed increase (30%) in gross primary productivity (GPP). However, the GPP increase did not offset the extra R eco, resulting in significantly more net carbon loss in warmed plots compared with control plots. Altogether, our results demonstrate the vulnerability of active-layer soil carbon in this permafrost-based tundra ecosystem to climate warming and the importance of microbial communities in mediating such vulnerability.

Abstract Background The deep-sea cold seep zone is characterized by high pressure, low temperature, darkness, and oligotrophy. Vesicomyidae clams are the dominant species within this environment, often forming symbiotic relationships with chemosynthetic microbes. Understanding the mechanisms by which Vesicomyidae clams adapt to the cold seep environment is significant. Acetylation modification of lysine is known to play a crucial role in various metabolic processes. Consequently, investigating the role of lysine acetylation in the adaptation of Vesicomyidae clams to deep-sea environments is worthwhile. So, a comparative study of lysine acetylation in cold seep clam Archivesica marissinica and shallow water shellfish Ruditapes philippinarum was conducted. Results A total of 539 acetylated proteins were identified with 1634 acetylation sites. Conservative motif enrichment analysis revealed that the motifs -KacR-, -KacT-, and -KacF- were the most conserved. Subsequent gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG) enrichment analyses were conducted on significantly differentially expressed acetylated proteins. The GO enrichment analysis indicated that acetylated proteins are crucial in various biological processes, including cellular response to stimulation, and other cellular processes ( p

Abstract Background To establish a three-dimensional finite element model of the lumbar spine and investigate the impact of different fixation techniques on the biomechanical characteristics of oblique lumbar interbody fusion (OLIF). Methods The study aimed to establish and validate a comprehensive three-dimensional model of the lower lumbar spine (L3-S1) using the finite element method. L4-L5 was selected as the surgical segment, and four distinct OLIF surgical models were constructed: Stand-alone (SA), unilateral cortical bone trajectory screw (UCBT), bilateral cortical bone trajectory screw (BCBT), and bilateral pedicle screw (BPS). The models were underwent a pure moment of 10N·m to simulate lumbar extension, flexion, left bending, right bending, left and right rotation movements. Subsequently, the range of motion (ROM), cage stress, and fixation stress were calculated. Results In the L3-L5 segment, the BCBT group showed the most limited range of motion (ROM) under exercise load, indicating superior stability within this group. The ROM and cage stress values were found to be highest in the SA group. In contrast, the cage and internal fixation stress in the BPS group were observed to be lowest (9.91 ~ 53.83MPa, 44.93 ~ 84.85 MPa). With the exception of right bending and right rotation, the UCBT group demonstrated higher levels of internal fixation stress (102.20 ~ 164.62 MPa). Conclusions The study found that OLIF-assisted internal fixation improved segmental stability and reduced cage stress. The BPS group had advantages over the CBT group in preventing endplate damage and reducing the risk of cage subsidence. However, BCBT group has distinct merits in maintaining surgical segment stability, distributing stress load on the spinal motor unit, and reducing the likelihood of adjacent segment degeneration (ASD).

Abstract Objective The objective of this study was to investigate the potential association between the inflammatory burden index (IBI) and the prevalence of chronic inflammatory airway diseases (CIAD), as well as mortality rates among individuals diagnosed with CIAD. Methods Participants were sourced from the National Health and Nutrition Examination Survey (NHANES) conducted between 1999 and 2010. The IBI was calculated using the formula: IBI = C-reactive protein * neutrophils / lymphocytes. CIAD comprised self-reported asthma, chronic bronchitis, and chronic obstructive pulmonary disease (COPD). Mortality outcomes, including all-cause and respiratory disease mortality, were determined through linked data from the National Death Index (NDI) up to December 2019. Results A total of 27,495 adults were included. IBI was divided into quartiles, with the lowest quartile as the reference group. After adjusting for confounding variables, a positive correlation was observed between higher IBI and increased prevalence of total CIAD (OR = 1.383 [1.215–1.575]), asthma (OR = 1.267 [1.096–1.465]), chronic bronchitis (OR = 1.568 [1.263–1.946]), and COPD (OR = 1.907 [1.311–2.774]). Over a median follow-up of 12.33 [9.92-16.00] years, there were 1221 deaths from all causes and 220 deaths from respiratory disease among 4499 patients with CIAD. Following multivariate adjustments, the fourth quartile was significantly associated with increased risk of all-cause mortality (HR = 2.227 [1.714–2.893]) and respiratory disease mortality (HR = 2.748 [1.383–5.459]) compared to the first quartile of IBI in CIAD participants. Moreover, variable importance analysis using a random survival forest model demonstrated the significance of IBI in predicting mortality from both all-cause and respiratory diseases. Conclusion IBI exhibited an association with the prevalence of CIAD, with higher IBI levels correlating with elevated all-cause and respiratory disease mortality among individuals with CIAD.

Abstract Under the wave of Industry 4.0, traditional pharmaceutical manufacturing enterprises are in urgent need of intelligent manufacturing transformation and upgrading, and exploring the optimal realization path of intelligent manufacturing transformation can help accelerate the transformation process of pharmaceutical manufacturing enterprises. This paper uses grounded theory research methods to conduct a multi-case study to summarize six influencing factors of the intelligent manufacturing transformation of Chinese pharmaceutical manufacturing enterprises; and then analyzes the correlation between the intelligent manufacturing influencing factors based on the DEMATEL method and the NK model, and identifies the key influencing factors according to this, and then draws the fitness landscape map of the intelligent manufacturing transformation, and finally arrives at the optimal path selection of the intelligent manufacturing transformation of pharmaceutical manufacturing enterprises. The study enriches and extends the research paradigm of intelligent manufacturing transformation, and provides lessons for pharmaceutical manufacturing enterprises to realize intelligent manufacturing transformation and upgrading.

Abstract This study focuses on optimizing and designing the Delayed-Fix-Later Awaiting Transmission Encoding (DEFLATE) algorithm to enhance its compression performance and reduce the compression time for models, specifically in the context of compressing NX three-dimensional (3D) image models. The DEFLATE algorithm, a dual-compression technique combining the LZ77 algorithm and Huffman coding, is widely employed for compressing multimedia data and 3D models. Three 3D models of varying sizes are selected as subjects for experimentation. The Wavelet algorithm, C-Bone algorithm, and DEFLATE algorithm are utilized for compression, with subsequent analysis of the compression ratio and compression time. The experimental findings demonstrate the DEFLATE algorithm’s exceptional performance in compressing 3D image models. Notably, when compressing small and medium-sized 3D models, the DEFLATE algorithm exhibits significantly higher compression ratios compared to the Wavelet and C-Bone algorithms while also achieving shorter compression times. Compared to the Wavelet algorithm, the DEFLATE algorithm enhances the compression performance of 3D image models by 15% and boosts data throughput by 49%. While the compression ratio of the DEFLATE algorithm for large 3D models is comparable to that of the Wavelet and C-Bone algorithms, it notably reduces the actual compression time. Furthermore, the DEFLATE algorithm enhances data transmission reliability in NX 3D image model compression by 12.1% compared to the Wavelet algorithm. Therefore, the following conclusions are drawn: the DEFLATE algorithm serves as an excellent compression algorithm for 3D image models. It showcases significant advantages in compressing small and medium-sized models while remaining highly practical for compressing large 3D models. This study offers valuable insights for enhancing and optimizing the DEFLATE algorithm, and it serves as a valuable reference for future research on 3D image model compression.