The continuous enrichment of heavy metals in soils has caused potential harm to groundwater.Quantitative methods to evaluate the harm of heavy metals in soil to groundwater are lacked in previous studies.Based on the ...The continuous enrichment of heavy metals in soils has caused potential harm to groundwater.Quantitative methods to evaluate the harm of heavy metals in soil to groundwater are lacked in previous studies.Based on the theory of groundwater circulation and solid-liquid equilibrium,a simple and easy-touse flux model of soil heavy metals migrating to groundwater is constructed.Based on groundwater environmental capacity,an innovative method for evaluating the harm of heavy metals in soil to groundwater is proposed,which has been applied in Hunchun Basin,Jilin Province,China.The results show that the fluxes of soil heavy metals into groundwater in the study area are Zn,Cu,As,Pb,Cd,Ni,and Hg in descending order.The content of heavy metals in groundwater(As,Hg,Cu,Pb,Zn,Ni,and Cd)in most areas has not risen to the threshold of environmental capacity within 10 years.The harm levels of soil heavy metals to groundwater in the most townships soils are at the moderate level or below.This evaluation method can quantify the flux of soil heavy metals into groundwater simply and quickly,determine the residual capacity of groundwater to heavy metals,evaluate the harm level of soil heavy metals to groundwater,provide support for relevant departments to carry out environmental protection of soil and groundwater,and provide a reference to carry out similar studies for related scholars.展开更多
BACKGROUND Several studies have reported that the walking trail making test(WTMT)completion time is significantly higher in patients with developmental coordination disorders and mild cognitive impairments.We hypothes...BACKGROUND Several studies have reported that the walking trail making test(WTMT)completion time is significantly higher in patients with developmental coordination disorders and mild cognitive impairments.We hypothesized that WTMT performance would be altered in older adults with white matter hyperintensities(WMH).AIM To explore the performance in the WTMT in older people with WMH.METHODS In this single-center,observational study,25 elderly WMH patients admitted to our hospital from June 2019 to June 2020 served as the WMH group and 20 participants matched for age,gender,and educational level who were undergoing physical examination in our hospital during the same period served as the control group.The participants completed the WTMT-A and WTMT-B to obtain their gait parameters,including WTMT-A completion time,WTMT-B completion time,speed,step length,cadence,and stance phase percent.White matter lesions were scored according to the Fazekas scale.Multiple neuropsychological assessments were carried out to assess cognitive function.The relationships between WTMT performance and cognition and motion in elderly patients with WMH were analyzed by partial Pearson correlation analysis.RESULTS Patients with WMH performed significantly worse on the choice reaction test(CRT)(0.51±0.09 s vs 0.44±0.06 s,P=0.007),verbal fluency test(VFT,14.2±2.75 vs 16.65±3.54,P=0.012),and digit symbol substitution test(16.00±2.75 vs 18.40±3.27,P=0.010)than participants in the control group.The WMH group also required significantly more time to complete the WTMT-A(93.00±10.76 s vs 70.55±11.28 s,P<0.001)and WTMT-B(109.72±12.26 s vs 82.85±7.90 s,P<0.001).WTMT-A completion time was positively correlated with CRT time(r=0.460,P=0.001),while WTMT-B completion time was negatively correlated with VFT(r=-0.391,P=0.008).On the WTMT-A,only speed was found to statistically differ between the WMH and control groups(0.803±0.096 vs 0.975±0.050 m/s,P<0.001),whereas on the WTMT-B,the WMH group exhibited a significantly lower speed(0.778±0.111 vs 0.970±0.053 m/s,P<0.001)and cadence(82.600±4.140 vs 85.500±5.020 steps/m,P=0.039),as well as a higher stance phase percentage(65.061±1.813%vs 63.513±2.465%,P=0.019)relative to controls.CONCLUSION Older adults with WMH showed obviously poorer WTMT performance.WTMT could be a potential indicator for cognitive and motor deficits in patients with WMH.展开更多
BACKGROUND Percutaneous transluminal coronary angioplasty,while an effective intervention,can frequently lead to acute occlusion with severe consequences.Although clinical trials have demonstrated the efficacy of drug...BACKGROUND Percutaneous transluminal coronary angioplasty,while an effective intervention,can frequently lead to acute occlusion with severe consequences.Although clinical trials have demonstrated the efficacy of drug-coated balloons(DCB)in treating acute coronary artery occlusion and in preventing restenosis,there has been limited exploration on the use of DCB in treating de novo lesions in large vessels.Currently,DCB are only recommended for patients with small vessel lesions and in-stent restenosis lesions,those at high risk of bleeding,and other special groups of patients.CASE SUMMARY This report presents a case of successful drug-coated balloon treatment of de novo lesions in large coronary vessels.Postoperatively,the patient demonstrated favorable recovery,with subsequent examination results revealing no significant differences from the previous examination.CONCLUSION The successful treatment of the patient in our case highlights the potential of DCB in the treatment of de novo lesions in large coronary vessels.展开更多
AIM:To study the differential expression of Annexin A1(ANXA1)protein in human gastric adenocarcinoma.This study was also designed to analyze the relationship between ANXA1 expression and the clinicopathological parame...AIM:To study the differential expression of Annexin A1(ANXA1)protein in human gastric adenocarcinoma.This study was also designed to analyze the relationship between ANXA1 expression and the clinicopathological parameters of gastric carcinoma.METHODS:Purified gastric adenocarcinoma cells(GAC)and normal gastric epithelial cells(NGEC)were obtained from 15 patients with gastric cancer by laser capture microdissection.All of the peptide specimens were labeled as18O/16O after trypsin digestion.Differential protein expressions were quantitatively identified between GAC and NGEC by nanoliter-reverse-phase liquid chromatography-mass/mass spectrometry(nanoRPLC-MS/MS).The expressions of ANXA1 in GAC and NGEC were verified by western blot analysis.The tissue microarray containing the expressed ANXA1 in 75 pairs of gastric carcinoma and paracarcinoma specimens was detected by immunohistochemistry(IHC).The relationship between ANXA1 expression and clinicopathological parametes of gastric carcinoma was analyzed.RESULTS:A total of 78 differential proteins were identified.Western blotting revealed that ANXA1 expression was significantly upregulated in GAC(2.17/1,P<0.01).IHC results showed the correlations between ANXA1protein expression and the clinicopathological parameters,including invasive depth(T stage),lymph node metastasis(N stage),distant metastasis(M stage)and tumour-lymph node metastasis stage(P<0.01).However,the correlations between ANXA1 protein expression and the remaining clinicopathological parameters,including sex,age,histological differentiation and the size of tumour were not found(P>0.05).CONCLUSION:The upregulated ANXA1 expression may be associated with carcinogenesis,progression,invasion and metastasis of GAC.This protein could be considered as a biomarker of clinical prognostic prediction and targeted therapy of GAC.展开更多
An integral equation approach is utilized to investigate the added mass and damping of floating production,storage and offloading system(FPSO system).Finite water depth Green function and higher-order boundary element...An integral equation approach is utilized to investigate the added mass and damping of floating production,storage and offloading system(FPSO system).Finite water depth Green function and higher-order boundary element method are used to solve integral equation.Numerical results about added mass and damping are presented for odd and even mode motions of FPSO.The results show robust convergence in high frequency range and can be used in wave load analysis for FPSO designing and operation.展开更多
The effect of ultrasonic power and treatment time on degassing of Mg-6Zn-1Ca alloy was studied in this paper. The degassing effect was characterized by measuring densities of ingots. The results show that proper ultra...The effect of ultrasonic power and treatment time on degassing of Mg-6Zn-1Ca alloy was studied in this paper. The degassing effect was characterized by measuring densities of ingots. The results show that proper ultrasonic treatment can remove hydrogen from the melt of the Mg-6Zn-1Ca alloy. The ultrasonic degassing effect is closely related to the ultrasonic power density and treatment time. The degassing efficiency increases with an increase in ultrasonic power density when the melt is treated at 690 °C for 120 s, reaching its highest value at 1.2 W·cm-3. When the power density is 1.2 W·cm-3, with an increase in ultrasonic treatment time, the degassing efficiency increases at first, reaches its peak value at 120 s, then decreases as the ultrasonic treatment is further prolonged. In this experiment, the optimum degassing effect with an efficiency of 67.5 % is obtained by ultrasonic treatment with the power density of 1.2 W·cm-3 for 120 s. The maximum density of ingot can be increased from 1.8069 g·cm-3 to 1.8146 g·cm-3(increased by 0.43%).展开更多
The main goal of spinal cord rehabilitation is to restore walking ability and improve walking quality after spinal cord injury(SCI). The spatiotemporal parameters of walking and the parameters of plantar pressure can ...The main goal of spinal cord rehabilitation is to restore walking ability and improve walking quality after spinal cord injury(SCI). The spatiotemporal parameters of walking and the parameters of plantar pressure can be obtained using a plantar pressure analysis system. Previous studies have reported step asymmetry in patients with bilateral SCI. However, the asymmetry of other parameters in patients with SCI has not been reported. This was a prospective, cross-sectional study, which included 23 patients with SCI, aged 48.1 ± 14.5 years, and 28 healthy subjects, aged 47.1 ± 9.8 years. All subjects underwent bare foot walking on a plantar pressure measurement device to measure walking speed and spatiotemporal parameters. Compared with healthy subjects, SCI patients had slower walking speed, longer stride time and stance time, larger stance phase percentage, and shorter stride length. The peak pressures under the metatarsal heads and toe were lower in SCI patients than in healthy subjects. In the heel, regional impulse and the contact area percentage in SCI patients were higher than those in healthy subjects. The symmetry indexes of stance time, step length, maximum force, impulse and contact area were increased in SCI patients, indicating a decline in symmetry. The results confirm that the gait quality, including spatiotemporal variables and plantar pressure parameters, and symmetry index were lower in SCI patients compared with healthy subjects. Plantar pressure parameters and symmetry index could be sensitive quantitative parameters to improve gait quality of SCI patients. The protocols were approved by the Clinical Research Ethics Committee of Shengjing Hospital of China Medical University(approval No. 2015 PS54 J) on August 13, 2015. This trial was registered in the ISRCTN Registry(ISRCTN42544587) on August 22, 2018. Protocol version: 1.0.展开更多
BACKGROUND Primary trigeminal neuralgia can achieve satisfactory results through clinical treatment and intervention.The pathogenesis of neuralgia caused by varicellazoster virus infection of the trigeminal nerve is m...BACKGROUND Primary trigeminal neuralgia can achieve satisfactory results through clinical treatment and intervention.The pathogenesis of neuralgia caused by varicellazoster virus infection of the trigeminal nerve is more complex,and it is still difficult to relieve the pain in some patients simply by drug treatment or surgical intervention.CASE SUMMARY A 66-year-old woman was hospitalized with herpetic neuralgia after herpes zoster ophthalmicus(varicella-zoster virus infects the ophthalmic branch of the trigeminal nerve).On admission,the patient showed spontaneous,electric shocklike and acupuncture-like severe pain in the left frontal parietal region,and pain could be induced by touching the herpes area.The numerical rating scale(NRS)was 9.There was no significant pain relief after pulsed radiofrequency and thermocoagulation of the ophthalmic branch of the trigeminal nerve.Combined with patient-controlled intravenous analgesia(PCIA)with esketamine,neuralgia was significantly improved.The patient had no spontaneous pain or allodynia at discharge,and the NRS score decreased to 2 points.The results of follow-up 2 mo after discharge showed that the NRS score was≤3,and the Pittsburgh Sleep Quality Index score was 5 points.There were no adverse reactions.CONCLUSION Trigeminal extracranial thermocoagulation combined with esketamine PCIA may be a feasible method for the treatment of refractory herpetic neuralgia after herpes zoster ophthalmicus.展开更多
Damage to synaptic plasticity induced by neurotoxicity of amyloid-beta is regarded to be one of the pathological mechanisms of learning and memory disabilities in Alzheimer's disease patients.This study assumed th...Damage to synaptic plasticity induced by neurotoxicity of amyloid-beta is regarded to be one of the pathological mechanisms of learning and memory disabilities in Alzheimer's disease patients.This study assumed that the damage of amyloid-beta to learning and memory abilities was strongly associated with the changes in the Fyn/N-methyl-D-aspartate receptor 2B(NR2B) expression.An APP695V7171 transgenic mouse model of Alzheimer's disease was used and treatment with tetrahydroxy-stilbene glucoside was administered intragastrically.Results showed that intragastric administration of tetrahydroxy-stilbene glucoside improved the learning and memory abilities of the transgenic mice through increasing NR2 B receptors and Fyn expression.It also reversed parameters for synaptic interface structure of gray type I.These findings indicate that tetrahydroxy stilbene glucoside has protective effects on the brain,and has prospects for its clinical application to improve the learning and memory abilities and treat Alzheimer's disease.展开更多
Phased array ultrasonic testing, an effective ultrasonic testing(UT) technology, has been widely used in steel inspection because of its high accuracy, sensitivity, and efficiency. However, as its application in as-ca...Phased array ultrasonic testing, an effective ultrasonic testing(UT) technology, has been widely used in steel inspection because of its high accuracy, sensitivity, and efficiency. However, as its application in as-cast magnesium alloys has just begun, more research is needed. Considering the important role of the gain compensation in quantifying defects in magnesium alloys by ultrasonic phased array technology, the effects of microstructure, the position, size, and overlap of defects, and boundary distance(distance from the defect position to the side surface of the test casting) on gain compensation of as-cast AZ80 and AZ31 magnesium alloys were studied. Results show the gain compensation increases with the increase of grain size. There is a strict linear positive correlation between gain compensation and defect depth, but such relationship no longer exists due to the defects overlap, orientation and boundary distance. In addition, there is a strict linear negative correlation between the gain compensation and defect size.展开更多
AIM: To determine the dominant predictive factors of postoperative visual recovery for patients with pituitary adenoma.METHODS: PubM ed, Google Scholar, Web of Science and Cochrane Library were searched for relevant h...AIM: To determine the dominant predictive factors of postoperative visual recovery for patients with pituitary adenoma.METHODS: PubM ed, Google Scholar, Web of Science and Cochrane Library were searched for relevant human studies, which investigated the prediction of the postoperative visual recovery of patients with pituitary adenoma, from January 2000 to May 2017. Meta-analyses were performed on the primary outcomes. After the related data were extracted by two independent investigators, pooled weighted mean difference(WMD) and odds ratio(OR) with 95% confidence interval(CI) were estimated using a random-effects or a fixed-effects model.RESULTS: Nineteen studies were included in the literature review, and nine trials were included in the Metaanalysis, which comprised 530 patients(975 eyes) with pituitary adenoma. For the primary outcomes, there was a significant difference between preoperative and postoperative mean deviation(MD) values of the visual field(WMD-5.85; 95%CI:-8.19 to-3.51; P<0.00001). Predictivecharacteristics of four factors were revealed in this Metaanalysis by assigning the patients to sufficient and insufficient groups according to postoperative visual field improvements, including preoperative visual field defect(WMD 10.09; 95%CI: 6.17 to 14.02; P<0.00001), patient age(WMD-12.32; 95%CI:-18.42 to-6.22; P<0.0001), symptom duration(WMD-5.04; 95%CI:-9.71 to-0.37; P=0.03), and preoperative peripapillary retinal nerve fiber layer(pR NFL) thickness(OR 0.1; 95% CI: 0.04 to 0.23; P<0.00001).CONCLUSION: Preoperative visual field defect, symptom duration, patient age, and preoperative pR NFL thickness are the dominant predictive factors of the postoperative recovery of the visual field for patients with pituitary adenoma.展开更多
Dasiphora fruticosa comprises male,female and hermaphrodite plants,which are distributed sympatrically in some populations on the Qinghai-Tibet Plateau.To explore what governs the coexistence of these three sexual phe...Dasiphora fruticosa comprises male,female and hermaphrodite plants,which are distributed sympatrically in some populations on the Qinghai-Tibet Plateau.To explore what governs the coexistence of these three sexual phenotypes,we investigated the DNA contents,pollen and ovule production,pollen deposition,and performed hand-pollination in both hermaphroditic and dioecious individuals of D.fruticosa.Flow cytometry confirmed that the DNA content of males and females were almost twice as much as that of the hermaphrodites.Male and female flowers produced more pollen grains and ovules than hermaphroditic flowers.Hand-pollinated treatments showed that unisexual flowers were sterile in one sexual function and bisexual flowers were fertile for both functions,but no sterile seeds were produced between unisexual and bisexual flowers.Our findings imply that polyploidy is related to gender dimorphism,and both are likely to play a strong role in the coexistence of two cryptic biological species of D.fruticosa(low ploidy hermaphroditic species and high ploidy dioecious species)in the Qinghai-Tibet Plateau.展开更多
BACKGROUND Kissing molars(KMs)are a scarcely reported form of molar impaction in which the occlusal surfaces contact each other within a single dental follicle and the roots point in opposite directions.The direction ...BACKGROUND Kissing molars(KMs)are a scarcely reported form of molar impaction in which the occlusal surfaces contact each other within a single dental follicle and the roots point in opposite directions.The direction of KMs impaction is generally tilted.KMs with vertical direction impaction have not been reported in the literature.CASE SUMMARY A 25-year-old female visited a dentist for right maxillary wisdom teeth extraction and was diagnosed with two vertically impacted KMs in the left mandible on panoramic radiography.After cone-beam computed tomography examination confirmed no secondary complication,the patient chose to undergo observation and regular follow-up.A literature review of KMs revealed that vertical impacted KMs are rare;high-quality evidence regarding their prevalence is still lacking.At present,the causality of KMs is controversial.In this study,we have tried to provide a detailed definition of KMs to allow an accurate evaluation of their prevalence and classification based on their impaction direction which may be related to their pathogenesis.The treatment plan of KMs depends on the condition and location of the affected teeth and associated complications;they may be either directly extracted or treated using a multidisciplinary approach including maxillofacial surgeons and orthodontists.CONCLUSION KMs are a rare clinical condition of impacted teeth with unclear pathogenesis.Vertically impacted KMs were seldom reported.Reasonable definition and classification of KMs can help in the understanding of their causes and prevalence.展开更多
Variations of nectar spur length allow pollinators to utilize resources in novel ways,leading to the different selective pressures on spurs and allowing taxa to diversify.However,the mechanisms underlying spur length ...Variations of nectar spur length allow pollinators to utilize resources in novel ways,leading to the different selective pressures on spurs and allowing taxa to diversify.However,the mechanisms underlying spur length variation remain unclear.Interspecific comparisons of spur length suggest that both cell division and anisotropic expansion could explain the changes of spur length,and that hormone-related genes contribute to the process of spur formation.In contrast,little is known about intraspecific spur length variation.In Aquilegia rockii,spur length varies strikingly,ranging from 1 mm to 18 mm.To examine the potential mechanisms underlying spur length variation in A.rockii,we observed cell morphology and analyzed RNA-seq of short-and long-spurred flowers.Scanning electron microscopy revealed that at two positions on spurs there were no differences in either cell density or cell anisotropy between short-and long-spurred flowers,suggesting that in A.rockii changes in cell number may explain variations in spur length.In addition,we screened transcriptomes of short-and long-spurred flowers for differentially expressed genes;this screen identified several genes linked to cell division(e.g.,F-box,CDKB2-2,and LST8),a finding which is consistent with our analysis of the cellular morphology of spurs.However,we did not find any highly expressed genes involved in the hormone pathway in long-spurred flowers.In contrast to previous hypotheses that anisotropic cell expansion leads to interspecific spur variation in Aquilegia,our results suggest that cell number changes and related genes are mainly responsible for spur length variations of A.rockii.Furthermore,the underlying mechanisms of similar floral traits in morphology may be quite different,enriching our understanding of the mechanisms of flower diversity in angiosperms.展开更多
In analogy to real magnetic field, the pseudo-magnetic field (PMF) induced by inhomogeneous strain can also formthe Landau levels and edge states. In this paper, the transport properties of graphene under inhomogeneou...In analogy to real magnetic field, the pseudo-magnetic field (PMF) induced by inhomogeneous strain can also formthe Landau levels and edge states. In this paper, the transport properties of graphene under inhomogeneous strain arestudied. We find that the Landau levels have non-zero group velocity, and construct one-dimensional conducting channels.In addition, the edge states and the Landau level states in PMF are both fragile under disorder. We also confirm that thebackscattering of these states could be suppressed by applying a real magnetic filed (MF). Therefore, the transmissioncoefficient for each conducting channel can be manipulated by adjusting the MF strength, which indicates the applicationof switching devices.展开更多
BACKGROUND Horseshoe kidney(HK)with renal stones is challenging for urologists.Although both retroperitoneal and transperitoneal laparoscopic approaches have been reported in some case reports,the therapeutic outcome ...BACKGROUND Horseshoe kidney(HK)with renal stones is challenging for urologists.Although both retroperitoneal and transperitoneal laparoscopic approaches have been reported in some case reports,the therapeutic outcome of retroperitoneal compared with transperitoneal laparoscopic lithotripsy is unknown.AIM To assess the efficacy of laparoscopic lithotripsy for renal stones in patients with HK.METHODS This was a retrospective study of 12 patients with HK and a limited number(n≤3)of 20-40 mm renal stones treated with either retroperitoneal or transperitoneal laparoscopic lithotripsy(June 2012 to May 2019).The perioperative data of both groups were compared including operation time,estimated blood loss,postoperative fasting time,perioperative complications and stone-free rate(SFR).RESULTS No significant difference was observed for age,gender,preoperative symptoms,body mass index,preoperative infection,hydronephrosis degree,largest stone diameter,stone number and isthmus thickness.The mean postoperative fasting time of the patients in the retroperitoneal group and the transperitoneal group was 1.29±0.49 and 2.40±0.89 d,respectively(P=0.019).There was no significant difference in operation time(194.29±102.48 min vs 151.40±39.54 min,P=0.399),estimated blood loss(48.57±31.85 m L vs 72.00±41.47 m L,P=0.292)and length of hospital stay(12.14±2.61 d vs 12.40±3.21 d,P=0.881)between the retroperitoneal and transperitoneal groups.All patients in both groups had a complete SFR and postoperative renal function was within the normal range.The change in estimated glomerular filtration rate(e GFR)from the preoperative stage to postoperative day 1 in the retroperitoneal group and the transperitoneal group was-3.86±0.69 and-2.20±2.17 m L/(min·1.73 m2),respectively(P=0.176).From the preoperative stage to the 3-mo follow-up,the absolute change in e GFR values for patients in the retroperitoneal group and the transperitoneal group was-3.29±1.11 and-2.40±2.07 m L/(min·1.73 m2),respectively(P=0.581).CONCLUSION Both retroperitoneal and transperitoneal laparoscopic lithotripsy seem to be safe and effective for HK patients with a limited number of 20-40 mm renal stones.展开更多
基金supported by the project of China Geology Survey(12120115032801,DD20190340)。
文摘The continuous enrichment of heavy metals in soils has caused potential harm to groundwater.Quantitative methods to evaluate the harm of heavy metals in soil to groundwater are lacked in previous studies.Based on the theory of groundwater circulation and solid-liquid equilibrium,a simple and easy-touse flux model of soil heavy metals migrating to groundwater is constructed.Based on groundwater environmental capacity,an innovative method for evaluating the harm of heavy metals in soil to groundwater is proposed,which has been applied in Hunchun Basin,Jilin Province,China.The results show that the fluxes of soil heavy metals into groundwater in the study area are Zn,Cu,As,Pb,Cd,Ni,and Hg in descending order.The content of heavy metals in groundwater(As,Hg,Cu,Pb,Zn,Ni,and Cd)in most areas has not risen to the threshold of environmental capacity within 10 years.The harm levels of soil heavy metals to groundwater in the most townships soils are at the moderate level or below.This evaluation method can quantify the flux of soil heavy metals into groundwater simply and quickly,determine the residual capacity of groundwater to heavy metals,evaluate the harm level of soil heavy metals to groundwater,provide support for relevant departments to carry out environmental protection of soil and groundwater,and provide a reference to carry out similar studies for related scholars.
基金Supported by The Wu Jieping Medical Foundation,No.320.6750.18456.
文摘BACKGROUND Several studies have reported that the walking trail making test(WTMT)completion time is significantly higher in patients with developmental coordination disorders and mild cognitive impairments.We hypothesized that WTMT performance would be altered in older adults with white matter hyperintensities(WMH).AIM To explore the performance in the WTMT in older people with WMH.METHODS In this single-center,observational study,25 elderly WMH patients admitted to our hospital from June 2019 to June 2020 served as the WMH group and 20 participants matched for age,gender,and educational level who were undergoing physical examination in our hospital during the same period served as the control group.The participants completed the WTMT-A and WTMT-B to obtain their gait parameters,including WTMT-A completion time,WTMT-B completion time,speed,step length,cadence,and stance phase percent.White matter lesions were scored according to the Fazekas scale.Multiple neuropsychological assessments were carried out to assess cognitive function.The relationships between WTMT performance and cognition and motion in elderly patients with WMH were analyzed by partial Pearson correlation analysis.RESULTS Patients with WMH performed significantly worse on the choice reaction test(CRT)(0.51±0.09 s vs 0.44±0.06 s,P=0.007),verbal fluency test(VFT,14.2±2.75 vs 16.65±3.54,P=0.012),and digit symbol substitution test(16.00±2.75 vs 18.40±3.27,P=0.010)than participants in the control group.The WMH group also required significantly more time to complete the WTMT-A(93.00±10.76 s vs 70.55±11.28 s,P<0.001)and WTMT-B(109.72±12.26 s vs 82.85±7.90 s,P<0.001).WTMT-A completion time was positively correlated with CRT time(r=0.460,P=0.001),while WTMT-B completion time was negatively correlated with VFT(r=-0.391,P=0.008).On the WTMT-A,only speed was found to statistically differ between the WMH and control groups(0.803±0.096 vs 0.975±0.050 m/s,P<0.001),whereas on the WTMT-B,the WMH group exhibited a significantly lower speed(0.778±0.111 vs 0.970±0.053 m/s,P<0.001)and cadence(82.600±4.140 vs 85.500±5.020 steps/m,P=0.039),as well as a higher stance phase percentage(65.061±1.813%vs 63.513±2.465%,P=0.019)relative to controls.CONCLUSION Older adults with WMH showed obviously poorer WTMT performance.WTMT could be a potential indicator for cognitive and motor deficits in patients with WMH.
基金Supported by Shandong Provincial TCM Science and Technology Development Program Project,No.2019-0481Jining City Science and Technology Key Research and Development Program,No.2021YXNS069.
文摘BACKGROUND Percutaneous transluminal coronary angioplasty,while an effective intervention,can frequently lead to acute occlusion with severe consequences.Although clinical trials have demonstrated the efficacy of drug-coated balloons(DCB)in treating acute coronary artery occlusion and in preventing restenosis,there has been limited exploration on the use of DCB in treating de novo lesions in large vessels.Currently,DCB are only recommended for patients with small vessel lesions and in-stent restenosis lesions,those at high risk of bleeding,and other special groups of patients.CASE SUMMARY This report presents a case of successful drug-coated balloon treatment of de novo lesions in large coronary vessels.Postoperatively,the patient demonstrated favorable recovery,with subsequent examination results revealing no significant differences from the previous examination.CONCLUSION The successful treatment of the patient in our case highlights the potential of DCB in the treatment of de novo lesions in large coronary vessels.
基金Supported by National Natural Science Foundation of China,No.81001101Natural Science Foundation of Xinjiang Uygur Autonomous Region,China,No.2010211B20
文摘AIM:To study the differential expression of Annexin A1(ANXA1)protein in human gastric adenocarcinoma.This study was also designed to analyze the relationship between ANXA1 expression and the clinicopathological parameters of gastric carcinoma.METHODS:Purified gastric adenocarcinoma cells(GAC)and normal gastric epithelial cells(NGEC)were obtained from 15 patients with gastric cancer by laser capture microdissection.All of the peptide specimens were labeled as18O/16O after trypsin digestion.Differential protein expressions were quantitatively identified between GAC and NGEC by nanoliter-reverse-phase liquid chromatography-mass/mass spectrometry(nanoRPLC-MS/MS).The expressions of ANXA1 in GAC and NGEC were verified by western blot analysis.The tissue microarray containing the expressed ANXA1 in 75 pairs of gastric carcinoma and paracarcinoma specimens was detected by immunohistochemistry(IHC).The relationship between ANXA1 expression and clinicopathological parametes of gastric carcinoma was analyzed.RESULTS:A total of 78 differential proteins were identified.Western blotting revealed that ANXA1 expression was significantly upregulated in GAC(2.17/1,P<0.01).IHC results showed the correlations between ANXA1protein expression and the clinicopathological parameters,including invasive depth(T stage),lymph node metastasis(N stage),distant metastasis(M stage)and tumour-lymph node metastasis stage(P<0.01).However,the correlations between ANXA1 protein expression and the remaining clinicopathological parameters,including sex,age,histological differentiation and the size of tumour were not found(P>0.05).CONCLUSION:The upregulated ANXA1 expression may be associated with carcinogenesis,progression,invasion and metastasis of GAC.This protein could be considered as a biomarker of clinical prognostic prediction and targeted therapy of GAC.
基金supported by the Fundamental Research Funds forthe Central Universities (DVT10LK43)the Returned Overseas Chinese Scholars,State Education Ministry (2007[24])
文摘An integral equation approach is utilized to investigate the added mass and damping of floating production,storage and offloading system(FPSO system).Finite water depth Green function and higher-order boundary element method are used to solve integral equation.Numerical results about added mass and damping are presented for odd and even mode motions of FPSO.The results show robust convergence in high frequency range and can be used in wave load analysis for FPSO designing and operation.
基金supported by the Major State Basic Research Development Program of China(2013CB632203)the National Key Technology R&D Program of China(2012BAF09B01)+2 种基金the Liaoning Provincial Natural Science Foundation(Grant No.201202072)the Program for Liaoning Excellent Talents in University(Grant No.LJQ2012023)the Fundamental Research Foundation of Central Universities(N120509002 and N120309003)
文摘The effect of ultrasonic power and treatment time on degassing of Mg-6Zn-1Ca alloy was studied in this paper. The degassing effect was characterized by measuring densities of ingots. The results show that proper ultrasonic treatment can remove hydrogen from the melt of the Mg-6Zn-1Ca alloy. The ultrasonic degassing effect is closely related to the ultrasonic power density and treatment time. The degassing efficiency increases with an increase in ultrasonic power density when the melt is treated at 690 °C for 120 s, reaching its highest value at 1.2 W·cm-3. When the power density is 1.2 W·cm-3, with an increase in ultrasonic treatment time, the degassing efficiency increases at first, reaches its peak value at 120 s, then decreases as the ultrasonic treatment is further prolonged. In this experiment, the optimum degassing effect with an efficiency of 67.5 % is obtained by ultrasonic treatment with the power density of 1.2 W·cm-3 for 120 s. The maximum density of ingot can be increased from 1.8069 g·cm-3 to 1.8146 g·cm-3(increased by 0.43%).
基金supported by the New Technique Project of Shengjing Hospital of China Medical University,China,No.2015-117(to XNY)
文摘The main goal of spinal cord rehabilitation is to restore walking ability and improve walking quality after spinal cord injury(SCI). The spatiotemporal parameters of walking and the parameters of plantar pressure can be obtained using a plantar pressure analysis system. Previous studies have reported step asymmetry in patients with bilateral SCI. However, the asymmetry of other parameters in patients with SCI has not been reported. This was a prospective, cross-sectional study, which included 23 patients with SCI, aged 48.1 ± 14.5 years, and 28 healthy subjects, aged 47.1 ± 9.8 years. All subjects underwent bare foot walking on a plantar pressure measurement device to measure walking speed and spatiotemporal parameters. Compared with healthy subjects, SCI patients had slower walking speed, longer stride time and stance time, larger stance phase percentage, and shorter stride length. The peak pressures under the metatarsal heads and toe were lower in SCI patients than in healthy subjects. In the heel, regional impulse and the contact area percentage in SCI patients were higher than those in healthy subjects. The symmetry indexes of stance time, step length, maximum force, impulse and contact area were increased in SCI patients, indicating a decline in symmetry. The results confirm that the gait quality, including spatiotemporal variables and plantar pressure parameters, and symmetry index were lower in SCI patients compared with healthy subjects. Plantar pressure parameters and symmetry index could be sensitive quantitative parameters to improve gait quality of SCI patients. The protocols were approved by the Clinical Research Ethics Committee of Shengjing Hospital of China Medical University(approval No. 2015 PS54 J) on August 13, 2015. This trial was registered in the ISRCTN Registry(ISRCTN42544587) on August 22, 2018. Protocol version: 1.0.
文摘BACKGROUND Primary trigeminal neuralgia can achieve satisfactory results through clinical treatment and intervention.The pathogenesis of neuralgia caused by varicellazoster virus infection of the trigeminal nerve is more complex,and it is still difficult to relieve the pain in some patients simply by drug treatment or surgical intervention.CASE SUMMARY A 66-year-old woman was hospitalized with herpetic neuralgia after herpes zoster ophthalmicus(varicella-zoster virus infects the ophthalmic branch of the trigeminal nerve).On admission,the patient showed spontaneous,electric shocklike and acupuncture-like severe pain in the left frontal parietal region,and pain could be induced by touching the herpes area.The numerical rating scale(NRS)was 9.There was no significant pain relief after pulsed radiofrequency and thermocoagulation of the ophthalmic branch of the trigeminal nerve.Combined with patient-controlled intravenous analgesia(PCIA)with esketamine,neuralgia was significantly improved.The patient had no spontaneous pain or allodynia at discharge,and the NRS score decreased to 2 points.The results of follow-up 2 mo after discharge showed that the NRS score was≤3,and the Pittsburgh Sleep Quality Index score was 5 points.There were no adverse reactions.CONCLUSION Trigeminal extracranial thermocoagulation combined with esketamine PCIA may be a feasible method for the treatment of refractory herpetic neuralgia after herpes zoster ophthalmicus.
基金supported by the National Natural Science Foundation of China,No.81303097,81373794
文摘Damage to synaptic plasticity induced by neurotoxicity of amyloid-beta is regarded to be one of the pathological mechanisms of learning and memory disabilities in Alzheimer's disease patients.This study assumed that the damage of amyloid-beta to learning and memory abilities was strongly associated with the changes in the Fyn/N-methyl-D-aspartate receptor 2B(NR2B) expression.An APP695V7171 transgenic mouse model of Alzheimer's disease was used and treatment with tetrahydroxy-stilbene glucoside was administered intragastrically.Results showed that intragastric administration of tetrahydroxy-stilbene glucoside improved the learning and memory abilities of the transgenic mice through increasing NR2 B receptors and Fyn expression.It also reversed parameters for synaptic interface structure of gray type I.These findings indicate that tetrahydroxy stilbene glucoside has protective effects on the brain,and has prospects for its clinical application to improve the learning and memory abilities and treat Alzheimer's disease.
基金financially supported by the National Key Research and Development Program of China(Grant No.2017YFB0305504)the National Natural Science Foundation of China(Grant No.51771043)
文摘Phased array ultrasonic testing, an effective ultrasonic testing(UT) technology, has been widely used in steel inspection because of its high accuracy, sensitivity, and efficiency. However, as its application in as-cast magnesium alloys has just begun, more research is needed. Considering the important role of the gain compensation in quantifying defects in magnesium alloys by ultrasonic phased array technology, the effects of microstructure, the position, size, and overlap of defects, and boundary distance(distance from the defect position to the side surface of the test casting) on gain compensation of as-cast AZ80 and AZ31 magnesium alloys were studied. Results show the gain compensation increases with the increase of grain size. There is a strict linear positive correlation between gain compensation and defect depth, but such relationship no longer exists due to the defects overlap, orientation and boundary distance. In addition, there is a strict linear negative correlation between the gain compensation and defect size.
基金Supported in part by the National Basic Research Program of China (973 Program) (No.2014CB748600)the National Natural Science Foundation of China (No.81371629+4 种基金 No.81401472 No.61401293 No.61401294 No.61622114)the Natural Science Foundation of the Jiangsu Province (No.BK20140052)
文摘AIM: To determine the dominant predictive factors of postoperative visual recovery for patients with pituitary adenoma.METHODS: PubM ed, Google Scholar, Web of Science and Cochrane Library were searched for relevant human studies, which investigated the prediction of the postoperative visual recovery of patients with pituitary adenoma, from January 2000 to May 2017. Meta-analyses were performed on the primary outcomes. After the related data were extracted by two independent investigators, pooled weighted mean difference(WMD) and odds ratio(OR) with 95% confidence interval(CI) were estimated using a random-effects or a fixed-effects model.RESULTS: Nineteen studies were included in the literature review, and nine trials were included in the Metaanalysis, which comprised 530 patients(975 eyes) with pituitary adenoma. For the primary outcomes, there was a significant difference between preoperative and postoperative mean deviation(MD) values of the visual field(WMD-5.85; 95%CI:-8.19 to-3.51; P<0.00001). Predictivecharacteristics of four factors were revealed in this Metaanalysis by assigning the patients to sufficient and insufficient groups according to postoperative visual field improvements, including preoperative visual field defect(WMD 10.09; 95%CI: 6.17 to 14.02; P<0.00001), patient age(WMD-12.32; 95%CI:-18.42 to-6.22; P<0.0001), symptom duration(WMD-5.04; 95%CI:-9.71 to-0.37; P=0.03), and preoperative peripapillary retinal nerve fiber layer(pR NFL) thickness(OR 0.1; 95% CI: 0.04 to 0.23; P<0.00001).CONCLUSION: Preoperative visual field defect, symptom duration, patient age, and preoperative pR NFL thickness are the dominant predictive factors of the postoperative recovery of the visual field for patients with pituitary adenoma.
基金supported by the Natural Science Foundation of China (31570385)
文摘Dasiphora fruticosa comprises male,female and hermaphrodite plants,which are distributed sympatrically in some populations on the Qinghai-Tibet Plateau.To explore what governs the coexistence of these three sexual phenotypes,we investigated the DNA contents,pollen and ovule production,pollen deposition,and performed hand-pollination in both hermaphroditic and dioecious individuals of D.fruticosa.Flow cytometry confirmed that the DNA content of males and females were almost twice as much as that of the hermaphrodites.Male and female flowers produced more pollen grains and ovules than hermaphroditic flowers.Hand-pollinated treatments showed that unisexual flowers were sterile in one sexual function and bisexual flowers were fertile for both functions,but no sterile seeds were produced between unisexual and bisexual flowers.Our findings imply that polyploidy is related to gender dimorphism,and both are likely to play a strong role in the coexistence of two cryptic biological species of D.fruticosa(low ploidy hermaphroditic species and high ploidy dioecious species)in the Qinghai-Tibet Plateau.
基金Supported by Strategic Cooperation Project between Sichuan University and Luzhou Municipal Government,No. 2018CDLZ-14Aba Tibetan and Qiang Autonomous Prefecture Science and Technology Bureau,No. 21YYJSYJ0052
文摘BACKGROUND Kissing molars(KMs)are a scarcely reported form of molar impaction in which the occlusal surfaces contact each other within a single dental follicle and the roots point in opposite directions.The direction of KMs impaction is generally tilted.KMs with vertical direction impaction have not been reported in the literature.CASE SUMMARY A 25-year-old female visited a dentist for right maxillary wisdom teeth extraction and was diagnosed with two vertically impacted KMs in the left mandible on panoramic radiography.After cone-beam computed tomography examination confirmed no secondary complication,the patient chose to undergo observation and regular follow-up.A literature review of KMs revealed that vertical impacted KMs are rare;high-quality evidence regarding their prevalence is still lacking.At present,the causality of KMs is controversial.In this study,we have tried to provide a detailed definition of KMs to allow an accurate evaluation of their prevalence and classification based on their impaction direction which may be related to their pathogenesis.The treatment plan of KMs depends on the condition and location of the affected teeth and associated complications;they may be either directly extracted or treated using a multidisciplinary approach including maxillofacial surgeons and orthodontists.CONCLUSION KMs are a rare clinical condition of impacted teeth with unclear pathogenesis.Vertically impacted KMs were seldom reported.Reasonable definition and classification of KMs can help in the understanding of their causes and prevalence.
基金financially supported by National Natural Science Foundation of China (31760104, 41461014, 31460040, and 31870183)
文摘Variations of nectar spur length allow pollinators to utilize resources in novel ways,leading to the different selective pressures on spurs and allowing taxa to diversify.However,the mechanisms underlying spur length variation remain unclear.Interspecific comparisons of spur length suggest that both cell division and anisotropic expansion could explain the changes of spur length,and that hormone-related genes contribute to the process of spur formation.In contrast,little is known about intraspecific spur length variation.In Aquilegia rockii,spur length varies strikingly,ranging from 1 mm to 18 mm.To examine the potential mechanisms underlying spur length variation in A.rockii,we observed cell morphology and analyzed RNA-seq of short-and long-spurred flowers.Scanning electron microscopy revealed that at two positions on spurs there were no differences in either cell density or cell anisotropy between short-and long-spurred flowers,suggesting that in A.rockii changes in cell number may explain variations in spur length.In addition,we screened transcriptomes of short-and long-spurred flowers for differentially expressed genes;this screen identified several genes linked to cell division(e.g.,F-box,CDKB2-2,and LST8),a finding which is consistent with our analysis of the cellular morphology of spurs.However,we did not find any highly expressed genes involved in the hormone pathway in long-spurred flowers.In contrast to previous hypotheses that anisotropic cell expansion leads to interspecific spur variation in Aquilegia,our results suggest that cell number changes and related genes are mainly responsible for spur length variations of A.rockii.Furthermore,the underlying mechanisms of similar floral traits in morphology may be quite different,enriching our understanding of the mechanisms of flower diversity in angiosperms.
基金Project supported by the National Basic Research Program of China(Grant No.2019YFA0308403)the National Natural Science Foundation of China(Grant No.11822407)。
文摘In analogy to real magnetic field, the pseudo-magnetic field (PMF) induced by inhomogeneous strain can also formthe Landau levels and edge states. In this paper, the transport properties of graphene under inhomogeneous strain arestudied. We find that the Landau levels have non-zero group velocity, and construct one-dimensional conducting channels.In addition, the edge states and the Landau level states in PMF are both fragile under disorder. We also confirm that thebackscattering of these states could be suppressed by applying a real magnetic filed (MF). Therefore, the transmissioncoefficient for each conducting channel can be manipulated by adjusting the MF strength, which indicates the applicationof switching devices.
基金the National Natural Science Foundation of China,No.81572507。
文摘BACKGROUND Horseshoe kidney(HK)with renal stones is challenging for urologists.Although both retroperitoneal and transperitoneal laparoscopic approaches have been reported in some case reports,the therapeutic outcome of retroperitoneal compared with transperitoneal laparoscopic lithotripsy is unknown.AIM To assess the efficacy of laparoscopic lithotripsy for renal stones in patients with HK.METHODS This was a retrospective study of 12 patients with HK and a limited number(n≤3)of 20-40 mm renal stones treated with either retroperitoneal or transperitoneal laparoscopic lithotripsy(June 2012 to May 2019).The perioperative data of both groups were compared including operation time,estimated blood loss,postoperative fasting time,perioperative complications and stone-free rate(SFR).RESULTS No significant difference was observed for age,gender,preoperative symptoms,body mass index,preoperative infection,hydronephrosis degree,largest stone diameter,stone number and isthmus thickness.The mean postoperative fasting time of the patients in the retroperitoneal group and the transperitoneal group was 1.29±0.49 and 2.40±0.89 d,respectively(P=0.019).There was no significant difference in operation time(194.29±102.48 min vs 151.40±39.54 min,P=0.399),estimated blood loss(48.57±31.85 m L vs 72.00±41.47 m L,P=0.292)and length of hospital stay(12.14±2.61 d vs 12.40±3.21 d,P=0.881)between the retroperitoneal and transperitoneal groups.All patients in both groups had a complete SFR and postoperative renal function was within the normal range.The change in estimated glomerular filtration rate(e GFR)from the preoperative stage to postoperative day 1 in the retroperitoneal group and the transperitoneal group was-3.86±0.69 and-2.20±2.17 m L/(min·1.73 m2),respectively(P=0.176).From the preoperative stage to the 3-mo follow-up,the absolute change in e GFR values for patients in the retroperitoneal group and the transperitoneal group was-3.29±1.11 and-2.40±2.07 m L/(min·1.73 m2),respectively(P=0.581).CONCLUSION Both retroperitoneal and transperitoneal laparoscopic lithotripsy seem to be safe and effective for HK patients with a limited number of 20-40 mm renal stones.
