Factors associated with heterochronic gastric cancer development post-endoscopic mucosal dissection in early gastric cancer patients

BACKGROUND Endoscopic mucosal resection is an innovative method for treating early gastric cancer and has been widely used in clinical practice.AIM To analyze the factors associated with the development of heterochronic gastric cancer in patients with early gastric cancer who had undergone endoscopic mucosal dissection(EMD).METHODS A cohort of patients with early gastric cancer treated using EMD was retrospectively analyzed,and patients who developed heterochronic gastric cancer after the surgery were compared with those who did not.The effects of patient age,sex,tumor size,pathological type,and surgical technique on the development of heterochronic gastric cancer were assessed using statistical analysis.RESULTS Of the 300 patients with early gastric cancer,150 patients developed heterochronic gastric cancer after EMD.Statistical analysis revealed that patient age(P value=XX),sex(P value=XX),tumor size(P value=XX),pathological type(P value=XX),and surgical technique(P value=XX)were significantly associated with the occurrence of heterochronic gastric cancer.CONCLUSION Age,sex,tumor size,pathological type,and surgical technique are key factors influencing the occurrence of heterochronic gastric cancer after EMD in patients with early gastric cancer.To address these factors,postoperative follow-up and management should be strengthened to improve the prognosis and survival rate of patients.

Clinical features of retinal amyloid angiopathy with transthyretin Gly83Arg variant

AIM:To report on the clinical features of patients with retinal amyloid angiopathy(RAA)who were identified to be caused by the transthyretin(TTR)Gly83Arg variant.METHODS:Case series of five patients diagnosed with RAA was collected at Affiliated Hospital of Zunyi Medical University from January 2010 to December 2021.The clinical features,therapeutic strategies,and prognoses of all patients were reviewed.RESULTS:Five patients with a mean age of 52.00±7.23y were diagnosed as RAA.These patients were previously diagnosed with hereditary transthyretin amyloidosis caused by the TTR Gly83Arg variant.Vitreous opacity was found in all 10 eyes,and 7 eyes developed RAA 2 to 20y after the onset of hereditary transthyretin amyloidosis.The clinical manifestations were recurrent vitreous hemorrhage in 2 eyes(29%),neovascular glaucoma in 2 eyes(29%),and iris neovascularization in 1 eye(14%).Microangioma lesions were found in all affected eyes that underwent fundus fluorescein angiography(FFA)in this group of cases,and the incidence of the retinal non-perfusion area was 67%.Although no cases of retinal neovascularization were found,the prognosis of visual acuity was not ideal.CONCLUSION:This is the first report of RAA in patients with the TTR Gly83Arg variant.Complications such as RAA and glaucoma will seriously affect the visual prognosis of patients.Thereafter,regular ophthalmic follow-up of patients with hereditary transthyretin amyloidosis is essential.And FFA after vitrectomy is very important,which can help ophthalmologists detect RAA earlier and treat it in time.

Fine-Grained Pornographic Image Recognition with Multi-Instance Learning

Image has become an essential medium for expressing meaning and disseminating information.Many images are uploaded to the Internet,among which some are pornographic,causing adverse effects on public psychological health.To create a clean and positive Internet environment,network enforcement agencies need an automatic and efficient pornographic image recognition tool.Previous studies on pornographic images mainly rely on convolutional neural networks(CNN).Because of CNN’s many parameters,they must rely on a large labeled training dataset,which takes work to build.To reduce the effect of the database on the recognition performance of pornographic images,many researchers view pornographic image recognition as a binary classification task.In actual application,when faced with pornographic images of various features,the performance and recognition accuracy of the network model often decrease.In addition,the pornographic content in images usually lies in several small-sized local regions,which are not a large proportion of the image.CNN,this kind of strong supervised learning method,usually cannot automatically focus on the pornographic area of the image,thus affecting the recognition accuracy of pornographic images.This paper established an image dataset with seven classes by crawling pornographic websites and Baidu Image Library.A weakly supervised pornographic image recognition method based on multiple instance learning(MIL)is proposed.The Squeeze and Extraction(SE)module is introduced in the feature extraction to strengthen the critical information and weaken the influence of non-key and useless information on the result of pornographic image recognition.To meet the requirements of the pooling layer operation in Multiple Instance Learning,we introduced the idea of an attention mechanism to weight and average instances.The experimental results show that the proposed method has better accuracy and F1 scores than other methods.

一流本科专业建设背景下突出应用特色的多元化实践课程体系建设

在新时期教育部推动一流本科专业建设项目的背景下,作为一所地方性应用型高校,郑州轻工业大学应用化学专业在国家一流专业建设过程中,依托综合实验课程、国家级实践教学基地、产学研合作以及大学生学科竞赛等单元,建设起独具应用特色的多元化创新创业实践平台和人才培养体系,为一流专业建设中强化学科分层次发展和重点建设,提升应用化学专业人才教育质量提供了一种可供借鉴的模式。

A Modeling Study of Effective Radiative Forcing and Climate Response Due to Tropospheric Ozone

This study simulates the effective radiative forcing （ERF） of tropospheric ozone from 1850 to 2013 and its effects on global climate using an aerosol-climate coupled model, BCC_AGCM2.0. I_CUACE/Aero, in combination with OMI （Ozone Monitoring Instrument） satellite ozone data. According to the OMI observations, the global annual mean tropospheric col- umn ozone （TCO） was 33.9 DU in 2013, and the largest TCO was distributed in the belts between 30°N and 45°N and at approximately 30°S; the annual mean TCO was higher in the Northern Hemisphere than that in the Southern Hemisphere; and in boreal summer and autumn, the global mean TCO was higher than in winter and spring. The simulated ERF due to the change in tropospheric ozone concentration from 1850 to 2013 was 0.46 W m-2, thereby causing an increase in the global annual mean surface temperature by 0.36°C, and precipitation by 0.02 mm d-1 （the increase of surface temperature had a significance level above 95%）. The surface temperature was increased more obviously over the high latitudes in both hemispheres, with the maximum exceeding 1.4°C in Siberia. There were opposite changes in precipitation near the equator, with an increase of 0.5 mm d- 1 near the Hawaiian Islands and a decrease of about -0.6 mm d- 1 near the middle of the Indian Ocean.

Microemulsion leaching of vanadium from sodium-roasted vanadium slag by fusion of leaching and extraction processes

The fusion of the leaching and purification processes was realized by directly using microemulsion as the leaching agent.The bis-(2-ethyhexyl)phosphoric acid(DEHPA)/n-heptane/NaOH microemulsion system was established to directly leach vanadates from sodium-roasted vanadium slag.The effect of the leaching agent on the leaching efficiency was investigated,in addition to the molar ratio of H_(2)O/NaDEHP(W),DEHPA concentration,solid/liquid ratio,stirring time,and leaching temperature.In optimal situations,the vanadium leaching efficiency reaches 79.57%.The X-ray diffraction characterization of the leaching residue and the Raman spectrum of the microemulsion before and after leaching demonstrate the successful entry of vanadates from the sodium-roasted vanadium slag into the microemulsion.The proposed method successfully realizes the leaching and purification of vanadates in one step,thereby greatly reducing production costs and environmental pollution.It also offers a new way to achieve the green recovery of valuable metals from solid resources.

Mass transfer of phosphorus in high-phosphorus hot-metal refining

Mass transfer of phosphorus in high-phosphorus hot-metal refining was investigated using CaO-FetO-SiO2 slags at 1623 K. Based on a two-film theory kinetic model and experimental results, it was found that the overall mass transfer coefficient, which includes the effects of mass transfer in both the slag phase and metal phase, is in the range of 0.0047 to 0.0240 cm/s. With the addition of a small amount of fluxing agents A1203 or Na20 into the slag, the overall mass transfer coefficient has an obvious increase. Silicon content in the hot metal also influences the overall mass transfer coefficient. The overall mass transfer coefficient in the lower [Si] heat is much higher than that in the higher [Si] heat. It is concluded that both fluxing agents and lower [Si] hot metal facilitate mass transfer of phosphorus in liquid phases. Fur- thermore, the addition of Na20 could also prevent rephosphorization at the end of the experiment.

Quick valence analysis method of vanadium toward accurate toxicity assessment of vanadium-containing hazardous wastes

In order to develop a quick, efficient and sensitive valence analysis method of vanadium(Ⅴ), the highperformance liquid chromatography(HPLC) was utilized to separate and quantify EDTA-complexed Ⅴ(Ⅲ), Ⅴ(Ⅳ) and Ⅴ(Ⅴ) ions. The influence of EDTA, TBAOH, solution pH and organic modifier on retention behavior of V-EDTA complexes was investigated. Complexed Ⅴ(Ⅲ), Ⅴ(Ⅳ) and Ⅴ(Ⅴ) ions can be separated and quantified in 5 min, with detection limits of 0.04 mg/L Ⅴ(Ⅲ), 0.07 mg/L Ⅴ(Ⅳ), and 0.06 mg/L Ⅴ(Ⅴ), respecti vely. The established method is applied to analyzing the hazardous waste of V-Cr-bearing reducing slag and results demonstrate 49.94% of its Ⅴ element to be toxic Ⅴ(Ⅴ). This work opens a new avenue for quick and accurate toxicity assessment of hazardous wastes containing multivalent heavy metals.

Progress in immunotherapy for small cell lung cancer

Small-cell lung cancer(SCLC)is a special type of lung cancer that belongs to highly aggressive neuroendocrine tumors.At present,radiotherapy and chemotherapy remain the mainstay of treatment for SCLC.Progress in targeted therapies for SCLC with driver mutations has been slow,and these therapies are still under investigation in preclinical or early-phase clinical trials,and research on antiangiogenic tyrosine kinase inhibitors(e.g.,anlotinib)has achieved some success.Immunotherapy is becoming an important treatment strategy for SCLC after radiotherapy and chemotherapy.In this article we review the recent advances in immunotherapy for SCLC.

Synthesis and Characterization of DOPO-g-CNSL and Its Effect on the Properties of Phenolic Foams

In order to improve the mechanical properties without reducing its flame retardancy of phenolic foams(PFs),9,10-dihydro-9-oxa-10-phosphaphenanthrene-10-oxide(DOPO)was introduced in the structure of cashew nut shell liquid(CNSL)to improve its flame retardant,and the product of DOPO grafting CNSL(DOPO-g-CNSL)was obtained to modify phenolic resin,and to prepare DOPO-g-CNSL modified PFs(DCMPFs).The structures of DOPO-g-CNSL were verified by Fourier transform infrared spectroscopy(FT-IR)and nuclear magnetic resonance(1H-NMR).Compared with CNSL,thermal stability of DOPO-g-CNSL was decreased and Ti decreased by 3.53%,but the residual carbon(800°C)was increased by 35.05%.Compared with pure PF,the mechanical properties,toughness and flame retardancy of DCMPFs were increased when the ratio of DOPO-g-CNSL to phenol(DOPO-g-CNSL/P)was no more than 10%.With the dosage of DOPO-g-CNSL/P increased,Ti of DCMPFs was slightly increased,but the carbon residues(800°C)were almost unchanged.And the cell sizes of DCMPFs were basically the same as the pure PF.By comprehensive analysis,the suitable dosage of DOPO-g-CNSL/P was no more than 10%.

Effects of internal iliac artery embolization on systemic inflammatory response syndrome in dogs with simulatedpelvic-fracture combined with massive bleeding

Background: Pelvic fracture combined with massive bleeding(PFCMB) is a complex issue in clinical practice. Currently, the use of angiography and embolization for the treatment of PFCMB obtains good results. The aim of this study is to observe the effects of early internal iliac artery embolization on the systemic inflammatory response syndrome(SIRS) in dogs with simulated-pelvic-fracture combined with massive bleeding.Methods: Twenty adult dogs were randomly divided into an embolization group(EG) and a control group(CG). For the two groups, heart rate, respiratory rate and body temperature and other physiological variables were measured, and IL-6, TNF-α and arterial blood gas levels were monitored. These variables were assayed every 30 min until death in the CG, while dogs in the EG underwent arterial angiography after 60 min of modeling. The internal iliac artery was embolized on the injured side.Results: The average time to SIRS in the CG was 3.56 h, occurring at a rate of 90%(9/10) within 24 h, with a mortality rate of 50%(5/10); the average time to SIRS for the EG was 5.33 h, occurring at a rate of 30%(3/10) within 24 h, with a mortality rate of 10%(1/10). When SIRS occurred in the EG, the mean plasma IL-6 level was 52.66±7.38pg/ml and the TNF-ps, tα level was 11.45±2.72ng/ml, showing a significant difference with those of the CG(P<0.05). In the two grouhe respiratory rate and leukocyte levels were higher at each monitored time after modeling than those before modeling; the mean arterial pressure, levels of hemoglobin and oxygen partial pressure were significantly lower at each time point after modeling than those before modeling except for the mean arterial pressure at 0h in EG; the platelet levels at 4 and 8h were higher than those before modeling; and the differences were statistically significant(P<0.05). In the EG, the mean arterial pressure, heart rate, respiratory rate and hemoglobin levels at 2, 4 and 8h were lower than those at 0h; the levels of leukocytes, platelets and carbon dioxide partial pressure at 4 and 8h after modeling were higher than those at 0h, and the differences were statistically significant(P<0.05, P<0.01); in the CG after modeling, the mean arterial pressure, levels of hemoglobin and carbon dioxide partial pressure at 2, 4 and 8h were lower than those at 0h; the levels of heart rate and leukocytes were higher than those before modeling; the respiratory rate and platelet levels at 4 and 8h were higher than those at 0h; and the differences were statistically significant(P<0.05). The levels of the mean arterial pressure and hemoglobin at 4 and 8h and the p H values at 8h after modeling in the EG were significantly higher than those in the CG, while the heart rate and respiratory rate at 4 and 8h were significantly lower than those in the CG. The p H values at 8h after modeling were significantly lower than those of the other monitored times in the CG(P<0.05, P<0.01). The two groups had elevated levels of alkaline phosphatase after injury induction.Conclusion: Through the use of an on-spot interventional treatment cabin, early internal iliac artery embolization can control bleeding associated with pelvic fractures, delay the occurrence of SIRS, and improve the success rate of the treatment of pelvic fracture combined with bleeding.

Slag formation path during dephosphorization process in a converter

The slag formation path is important for efficient dephosphorization in steelmaking processes. The phosphorus capacity and the melting properties of the slag are critical parameters for optimizing the slag formation path. Regarding these two factors, the phosphorus partition ratio was calculated using the regular solution model （RSM）, whereas the liquidus diagrams of the slag systems were estimated using the FactSage thermodynamic package. A slag formation path that satisfies the different requirements of dephosphorization at different stages of dephosphorization in a converter was thus established through a combination of these two aspects. The composition of the initial slag was considered to be approximately 15wt%CaO-44wt% SiOz-41wt%FeO. During the dephosphorization process, a slag formation path that follows a high-iron route would facilitate efficient dephosphorization. The composition of the final dephosphorization slag should be approximately 53wt%CaO-25.Swt% SiO2-21.5wt%FeO. The composition of the final solid slag after dephosphorization is approximately 63.6wt%CaO-30.3wt%SiO2-6. 1wt%FeO.

Hydrothermal Treatment of Sol-Gel TiO_2 Film

The preparation of TiO_2 film has been an important research area.In our work,we obtained the TiO_2 film by hydrothermal treating the amorphous film prepared by sol-gel method or the hydrolysis of titanium alkoxide.The influence of temperature and duration time on the film properties was investigated.The photo degradation of methyl orange in aqueous solution of the film was studied.The films were characterized by XRD and Uv-Vis spectroscope.

Preparation of Nano-Sized TiO_2 Particles by Microemulsion Method

Nano-sized titania powders have been prepared by hydrolysis of tetrabutyl titanate in the droplet of water/OP-7/pentanol/cyclohexane microemulsion system.The effects of ingredient change on the water drop size and particle size were investigated.The prepared TiO_2 was in the form of anatase after annealing.TiO_2 was characterized by TG-TGA, FTIR,XRD to measure the transformation temperature,surface adsorption and average size.

Decomposition of Fast and Slow Cloud Responses to Quadrupled CO_(2)Forcing in BCC–AGCM2.0 over East Asia

In this study,the decomposed fast and slow responses of clouds to an abruptly quadrupled CO_(2)concentration(approximately 1139 ppmv)in East Asia(EA)are obtained quantitatively by using a general circulation model,BCC–AGCM2.0.Our results show that in the total response,the total cloud cover(TCC),low cloud cover(LCC),and high cloud cover(HCC)all increased north of 40°N and decreased south of 40°N except in the Tibetan Plateau(TP).The mean changes of the TCC,LCC,and HCC in EA were–0.74%,0.38%,and–0.38%in the total response,respectively;1.05%,–0.03%,and 1.63%in the fast response,respectively;and–1.79%,0.41%,and–2.01%in the slow response,respectively.By comparison,we found that changes in cloud cover were dominated by the slow response in most areas in EA due to the changes in atmospheric temperature,circulation,and water vapor supply together.Overall,the changes in the cloud forcing over EA related to the fast and slow responses were opposite to each other,and the final cloud forcing was dominated by the slow response.The mean net cloud forcing(NCF)in the total response over EA was–1.80 W m^(–2),indicating a cooling effect which partially offset the warming effect caused by the quadrupled CO_(2).The total responses of NCF in the TP,south China(SC),and northeast China(NE)were–6.74 W m^(–2),6.11 W m^(–2),and–7.49 W m^(–2),respectively.Thus,the local effects of offsetting or amplifying warming were particularly obvious.

Evaluating the Impacts of Cloud Microphysical and Overlap Parameters on Simulated Clouds in Global Climate Models

The improvement of the accuracy of simulated cloud-related variables,such as the cloud fraction,in global climate models(GCMs)is still a challenging problem in climate modeling.In this study,the influence of cloud microphysics schemes(one-moment versus two-moment schemes)and cloud overlap methods(observation-based versus a fixed vertical decorrelation length)on the simulated cloud fraction was assessed in the BCC_AGCM2.0_CUACE/Aero.Compared with the fixed decorrelation length method,the observation-based approach produced a significantly improved cloud fraction both globally and for four representative regions.The utilization of a two-moment cloud microphysics scheme,on the other hand,notably improved the simulated cloud fraction compared with the one-moment scheme;specifically,the relative bias in the global mean total cloud fraction decreased by 42.9%–84.8%.Furthermore,the total cloud fraction bias decreased by 6.6%in the boreal winter(DJF)and 1.64%in the boreal summer(JJA).Cloud radiative forcing globally and in the four regions improved by 0.3%−1.2% and 0.2%−2.0%,respectively.Thus,our results showed that the interaction between clouds and climate through microphysical and radiation processes is a key contributor to simulation uncertainty.

Low Temperature Direct Synthesis of Strontium Titanate Powder

Low temperature direct synthesis (LTDS) involves the preparation of a base solution of Sr^(2+),and the mixing of base solution with tetrabutyl titanate solution.LTDS is an advantageous method because it does not require the complex hydrothermal facilities and it can prevent the agglomeration in calcinations of other liquid methods.In our work,we adopted LTDS method to prepare the nano strontium titanate powders,and characterize them by XRD,FT-IR and TGA.The influences of preparation temperature and solvents on grain size and lattice parameters were investigated.The results show that preparation temperature can slightly change the lattice parameters of grain,while solvents also play important roles in the preparation.

The neuroprotective effect of Cassia o btusifolial extract in rats following TBI

Objective:To observe the effect of Cassia o btusifolial extract on rats of traumatic brain injury.Methods:The rats were randomly divided into 4 groups,traumatic brain injur(TBI)group,sham operation group(SHAM)group,(COB-H20 g/kg、COB-L10 g/kg)of Cassia extract groups,They were subjected to the modified Feeney's weight-drop model.sham group fake open skull window only,Cassia o btusifolial extract were given by intragastric administration and the rats were given distilled water instead as TBI and SHAM.The behavioral test was performed by Balance beam,TNF-αand IL-6 level was detected by ELASA method in serum on rats of TBI,The NSE positive cells near the region of injury was ascertainde by measuring in rats of TBI,and Western blot was used to detect the expressions of PI3K in rat brain tissues.Results:Both of Cassia extract groups and TBI traversed the beam significantly quicker than sham group at 3 time points before and after injury(P<0.01),and both of COB groups traversed the beam significantly shorter than TBI(P<0.05).The serum TNF-αand IL-6 content in TBI and Both of COB groups were significantly higher than sham group at 6,24,60h(P<0.01),To compare with the TBI group,the serum TNF-αand IL-6 content in the both of COB groups were significantly decreased respectively at the time 6,24 and 60 hours,The overall level gradually decreased at 24 h,but increased slightly at 60 h.Immunohistochemical method revealed that NSE was lowered dramaticly in sham and both of COB groups(P<0.05),but it was more efficient in both of COB groups compared to TBI group(P<0.05).the expressions of PI3 protein of the TBI group was decreased observbly than sham group(P<0.05),but COB-H group was inecreased significantly than TBI group same as sham group(P<0.05).Conclusion:Cassia o btusifolial extract can improve neurol function,increasing NSE positive cells and the expressions of PI3 protein lever.

Inhibiting oxygen vacancies and twisting NbO_(6) octahedron in erbium modified KNN-based multifunctional ceramics

It is a challenge to obtain highly tunable multifunctional performances in one ferroelectric system by a simple approach to meet the miniaturization,integration,and functionalization requirements of advanced electronic components.Herein,rare earth erbium(Er)modulated 0.9K_(0.5)Na_(0.5)NbO_(3)-0.1Sr(1-x)Er_(x)Ti_((1-x/4))O_(3),(0.9KNN-0.1ST:xEr)transparent-photoluminescent-ferroelectric energy storage multifunctional ceramics are prepared to solve this problem.The effect of lattice distortion and oxygen vacancies by Er doping on the optical and electrical properties is systematically investigated.The Er^(3+)ions can introduce a large distortion of the NbO_(6) octahedron by replacing the A-site in KNN-based ceramics.Thanks to the higher c/a ratio and lower oxygen vacancy content are simultaneously obtained in 0.9KNN-0.1ST:0.1Er ceramics.The effective energy storage density(Wrec)of 0.86 J/cm^(3),excellent near-infrared transmittance of 51.7%(1100 nm)and strong green upconversion photoluminescence are achieved in this multifunctional ceramic.This study provides a solid basis for rare earth ions doped ferroelectric ceramics with tunable multifunctional properties and has significant potential for applications in optoelectronic devices.

Modulation of phase boundary and domain structures to engineer strain properties in BNT-based ferroelectrics

Bismuth sodium titanate(BNT)ceramics exhibit outstanding strain responses but are unfavorable for application in high-sensitivity displacement actuators due to the large negative strain resulting from irreversible changes in their phase transition and domain structure.Here,(1−x)Bi_(0.50)Na_(0.41)K_(0.09)TiO_(3)-xNaNbO_(3)(BNKT−xNN)solid solutions were prepared to improve the strain properties through the strategy of modulating the phase boundary and domain structures.The introduction of sodium niobate could effectively regulate the relative content of the tetragonal(P4bm)and rhombohedral(R3c)phases in the phase boundary region.The ferroelectric-to-relaxor phase transition(T_(F−R))was reduced,and the ergodic relaxor(ER)state was nurtured at room temperature.Excellent zero-negative strain properties of S=0.41%and d_(33)^(*)=742 pm/V were achieved from the reversible transition between the ER and ferroelectric states under an applied electric field(x=0.04).Additionally,understanding the domain states via piezoelectric force microscopy(PFM)and firstorder reversal curve(FORC)revealed that the superior strain responses originated from the reversible inter-transformation of substable macrodomains and polar nanoregions(PNRs)in the phase boundary.This study provides new insight into the interplay between the evolution of phase boundaries and domain structures and the strain properties of BNT-based ceramics.