Intervention control of aerobic exercise in maintaining quality of life and pulmonary hypertension in hemodialysis patients

BACKGROUND Pulmonary hypertension is a serious complication in the treatment of maintenance hemodialysis patients,which seriously affects the quality of life of patients and threatens their life safety.Prevention,treatment and improvement of pulmonary hypertension are of great significance to improve the quality of life of patients.AIM To investigate the intervention and control of pedal-powered bicycle in maintaining quality of life and pulmonary hypertension in hemodialysis patients.METHODS 73 patients with maintenance hemadialysis combined with pulmonary arterial hypertension at a hemodialysis center in a certain hospital from May 2021 to May 2022 are selected.Patients are divided into two groups,37 cases in the control group(group C)and 36 cases in the intervention group(group I).Patients are divided into two groups,group C is treated with oral administration of betaglandin sodium combined with routine nursing care.Based on group C,group I conducts power cycling exercises.RESULTS After treatment,group I patients had higher muscle strength,36-Item Short Form Health Survey scores,and Kidney Disease Targets Areas scores;The 6-minute walk distance test index level was higher and the Borg score was lower;The group I had lower systolic blood pressure,greater vital capacity,higher positive emotion,lower systolic pulmonary artery pressure index level,higher arterial partial oxygen pressure level,lower pulmonary vascular resistance index level,and higher blood oxygen saturation level[158.91±11.89 vs 152.56±12.81,1795.01±603.18 vs 1907.20±574.15,24.00(22.00,29.00)vs 24.00(22.00,28.00),P<0.001].CONCLUSION Aerobic exercise combined with Western medicine treatment can effectively improve patients'pulmonary hypertension,alleviate their negative emotions,and enable them to achieve a higher level of quality of life.

Impact of thoracic paravertebral block and sufentanil on outcomes and postoperative cognitive dysfunction in thoracoscopic lung cancer surgery

BACKGROUND Postoperative pain management and cognitive function preservation are crucial for patients undergoing thoracoscopic surgery for lung cancer(LC).This is achieved using either a thoracic paravertebral block(TPVB)or sufentanil(SUF)-based multimodal analgesia.However,the efficacy and impact of their combined use on postoperative pain and postoperative cognitive dysfunction(POCD)remain unclear.AIM To explore the analgesic effect and the influence on POCD of TPVB combined with SUF-based multimodal analgesia in patients undergoing thoracoscopic radical resection for LC to help optimize postoperative pain management and improve patient outcomes.METHODS This retrospective analysis included 107 patients undergoing thoracoscopic radical resection for LC at The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital between May 2021 and January 2023.Patients receiving SUF-based multimodal analgesia(n=50)and patients receiving TPVB+SUF-based multimodal analgesia(n=57)were assigned to the control group and TPVB group,respectively.We compared the Ramsay Sedation Scale and visual analog scale(VAS)scores at rest and with cough between the two groups at 2,12,and 24 h after surgery.Serum levels of epinephrine(E),angio-tensin Ⅱ(Ang Ⅱ),norepinephrine(NE),superoxide dismutase(SOD),vascular endothelial growth factor(VEGF),transforming growth factor-β1(TGF-β1),tumor necrosis factor-α(TNF-α),and S-100 calcium-binding proteinβ(S-100β)were measured before and 24 h after surgery.The Mini-Mental State Examination(MMSE)was administered 1 day before surgery and at 3 and 5 days after surgery,and the occurrence of POCD was monitored for 5 days after surgery.Adverse reactions were also recorded.RESULTS There were no significant time point,between-group,and interaction effects in Ramsay sedation scores between the two groups(P>0.05).Significantly,there were notable time point effects,between-group differences,and interaction effects observed in VAS scores both at rest and with cough(P<0.05).The VAS scores at rest and with cough at 12 and 24 h after surgery were lower than those at 2 h after surgery and gradually decreased as postoperative time increased(P<0.05).The TPVB group had lower VAS scores than the control group at 2,12,and 24 h after surgery(P<0.05).The MMSE scores at postoperative days 1 and 3 were markedly higher in the TPVB group than in the control group(P<0.05).The incidence of POCD was significantly lower in the TPVB group than in the control group within 5 days after surgery(P<0.05).Both groups had elevated serum E,Ang Ⅱ,and NE and decreased serum SOD levels at 24 h after surgery compared with the preoperative levels,with better indices in the TPVB group(P<0.05).Marked elevations in serum levels of VEGF,TGF-β1,TNF-α,and S-100β were observed in both groups at 24 h after surgery,with lower levels in the TPVB group than in the control group(P<0.05).CONCLUSION TPVB combined with SUF-based multimodal analgesia further relieves pain in patients undergoing thoracoscopic radical surgery for LC,enhances analgesic effects,reduces postoperative stress response,and inhibits postoperative increases in serum VEGF,TGF-β1,TNF-α,and S-100β levels.This scheme also reduced POCD and had a high safety profile.

Whole exome sequencing identifies risk variants associated with intracranial epidermoid cyst deterioration:A case report

BACKGROUND Intracranial epidermoid cyst(IEC)transformation to malignant squamous cell carcinoma(SCC)is extremely rare,and its etiology is yet unknown.Currently,SCC is treated by performing surgery,followed by a combination of radiotherapy and chemotherapy.It is crucial to identify efficient and trustworthy therapeutic targets for SCC to improve its diagnosis,prognosis,and treatment.CASE SUMMARY In this study,we report the case of a 47-year-old female patient with SCC,which progressed from IEC in the left internal capsule region.The patient was sought treatment at our hospital for severe diplopic vision,accompanied with speech disorder and memory loss.Based on the clinical and postoperative pathology,this patient was finally diagnosed with SCC.To identify disease-causing variants,whole exome sequencing(WES)was performed on the proband.WES revealed two pathogenic missense mutations on Gap junction protein beta 2(GJB2)(c.257C>T)and Toll-like receptor 2(TLR2)(c.1039A>G),respectively.CONCLUSION This study provided the first clinical evidence for demonstrating the role of GJB2 and TLR2 in IEC development and treatment.We further confirmed WES as a robust and reliable technique for underlying rare and complex disease-related genetic factor identification.

Clinical-radiomics predictors to identify the suitability of transarterial chemoembolization treatment in intermediate-stage hepatocellular carcinoma:A multicenter study

Background: Although transarterial chemoembolization(TACE) is the first-line therapy for intermediatestage hepatocellular carcinoma(HCC), it is not suitable for all patients. This study aimed to determine how to select patients who are not suitable for TACE as the first treatment choice. Methods: A total of 243 intermediate-stage HCC patients treated with TACE at three centers were retrospectively enrolled, of which 171 were used for model training and 72 for testing. Radiomics features were screened using the Spearman correlation analysis and the least absolute shrinkage and selection operator(LASSO) algorithm. Subsequently, a radiomics model was established using extreme gradient boosting(XGBoost) with 5-fold cross-validation. The Shapley additive explanations(SHAP) method was used to visualize the radiomics model. A clinical model was constructed using univariate and multivariate logistic regression. The combined model comprising the radiomics signature and clinical factors was then established. This model’s performance was evaluated by discrimination, calibration, and clinical application. Generalization ability was evaluated by the testing cohort. Finally, the model was used to analyze overall and progression-free survival of different groups. Results: A third of the patients(81/243) were unsuitable for TACE treatment. The combined model had a high degree of accuracy as it identified TACE-unsuitable cases, at a sensitivity, specificity, and area under the receiver operating characteristic curve(AUC) of 0.759, 0.885, 0.906 [95% confidence interval(CI): 0.859-0.953] in the training cohort and 0.826, 0.776, and 0.894(95% CI: 0.815-0.972) in the testing cohort, respectively. Conclusions: The high degree of accuracy of our clinical-radiomics model makes it clinically useful in identifying intermediate-stage HCC patients who are unsuitable for TACE treatment.

Reabsorption of intervertebral disc prolapse after conservative treatment with traditional Chinese medicine:A case report

BACKGROUND Conservative treatments have been reported to diminish or resolve clinical symptoms of lumbar intervertebral disc herniation(LIDH)within a few weeks.CASE SUMMARY Computed tomography and magnetic resonance imaging(MRI)of the lumbar region of a 25-yearold male diagnosed with LIDH showed prolapse of the L5/S2 disc.The disc extended 1.0 cm beyond the vertebral edge and hung along the posterior vertebral edge.The patient elected a conservative treatment regimen that included traditional Chinese medicine(TCM),acupuncture,and massage.During a follow-up period of more than 12 mo,good improvement in pain was reported without complications.MRI of the lumbar region after 12 mo showed obvious reabsorption of the herniation.CONCLUSION A conservative treatment regimen of TCM,acupuncture,and massage promoted reabsorption of a prolapsed disc.

Salidroside attenuates oxygen and glucose deprivation-induced neuronal injury by inhibiting ferroptosis

Objective: To evaluate the effect of salidroside on oxygen and glucose deprivation(OGD)-treated NT2 cells and its underlying mechanisms of action.Methods: Retinoic acid was used to induce the differentiation of NT2 cells into neurons. The effects of salidroside on survival, apoptosis, inflammatory response, and oxidative stress of neurons undergoing OGD were evaluated. Using precursor cells as controls, the effect of salidroside on the differentiation progression of OGDtreated cells was evaluated. In addition, the effect of erastin, a ferroptosis inducer, on NT2 cells was examined to investigate the underlying mechanisms of neuroprotective action of salidroside.Results: Salidroside alleviated the effects of OGD on neuronal survival, apoptosis, inflammation, and oxidative stress, and promoted NT2 cell differentiation. Moreover, salidroside prevented ferroptosis of OGD-treated cells, which was abolished following erastin treatment, indicating that ferroptosis mediated the regulatory pathway of salidroside.Conclusions: Salidroside attenuates OGD-induced neuronal injury by inhibiting ferroptosis and promotes neuronal differentiation.

Hemophagocytic lymphohistiocytosis with jaundice as first manifestation:A case report

BACKGROUND Hemophagocytic lymphohistiocytosis(HLH)is a rare but life-threatening condition.It is an immune-mediated disease that has a wide range of causes,elicits a hyperinflammatory response,and results in multiple organ damage.Clinical presentations vary,and in some cases,jaundice occurs as the first symptom.CASE SUMMARY We report the case of a 71-year-old female patient who presented with jaundice.She was admitted to our hospital because of the occurrence of“jaundice for half a month”,and upon examination,obstructive jaundice with choledocholithiasis and gallstones was suggested.Cholecystectomy and choledocholithotomy were performed.However,the jaundice did not improve after surgery.We found splenomegaly,cytopenia,hypertriglyceridemia,hypofibrinogenemia,and elevated ferritin.Bone marrow biopsy revealed hemophagocytosis.Later,cardiac arrest occurred when she returned 3 wk after the surgery.We considered that HLH was triggered by septic shock.The patient’s condition deteriorated rapidly,with multiple organ dysfunction and severe gastrointestinal bleeding.Corticosteroid therapy and symptomatic treatment failed to save her life.CONCLUSION Jaundice rarely presents as the first symptom in HLH patients.The HLH in this case was triggered by septic shock with jaundice as the first symptom.Clinicians should try hard to reduce missed diagnoses and misdiagnoses.

腕踝针在老年无痛胃镜检查中对丙泊酚用量的影响

目的探讨腕踝针灸法对老年患者无痛胃镜检查中丙泊酚用量的影响。方法收集胃镜检查患者120例,年龄70~85岁,美国麻醉医师协会(ASA)分级Ⅱ级或病情稳定Ⅲ级,按随机数字表法分为对照组和腕踝针组,各60例。腕踝针组入室前在相应区域穿刺留针,入室后两组静脉给予纳布啡0.1 mg/kg,静脉靶控输注丙泊酚,待睫毛反应消失、呼之不应时进行胃镜操作,根据术中体动情况,酌情追加丙泊酚。记录丙泊酚总用量、胃镜操作时间、唤醒时间、离室时间、呼吸抑制、低血压和恶心呕吐等不良反应情况。结果腕踝针组丙泊酚用量、唤醒时间和离室时间明显低于对照组(P<0.05),呼吸抑制、低血压和术后恶心呕吐的发生率低于对照组(P<0.05)。结论腕踝针在丙泊酚无痛胃镜检查中,可有效减少丙泊酚用量,降低不良反应,缩短恢复时间。

不同近视程度患儿戴角膜塑形镜前后角膜滞后量和角膜阻力因子的动态变化

目的:分析不同近视程度患儿戴角膜塑形(OK)镜前后角膜滞后量(CH)和角膜阻力因子(CRF)的动态变化。方法:回顾性分析2019-01/2020-01于我院收治的近视儿童40例80眼,依据等效球镜度数(SE)水平将试验对象分为低度组、中度组,均选择夜戴型OK镜配戴治疗,分别于戴镜前、戴镜1wk,1、6mo,1a检测并记录患儿的裸眼视力(LogMAR),眼部A超监测患儿中央角膜厚度(CCT)和眼轴长度(AL)水平,综合验光仪验光测量SE水平,角膜地形图测量角膜曲率(K)值,采用ORA分析仪测量角膜补偿眼压(IOPcc)水平,同时计算出CH和CRF数值。结果:戴镜后1wk,1、6mo,1a裸眼视力(LogMAR)水平明显低于戴镜前(均P<0.05),SE、角膜曲率明显低于戴镜前(均P<0.05)。戴镜后1wk,1、6mo,1a CH及CRF明显低于戴镜前(均P<0.05)。与戴镜后1wk相比,戴镜后1、6mo,1a CH明显升高(t=6.010、6.447、6.556,均P<0.05)、CRF明显升高(t=6.429、6.786、7.143,均P<0.05)。戴镜后1wk,1mo,CH、CRF分别与K、CCT呈明显正相关(P<0.05)。戴镜后1wk,1、6mo,1a低度组CH明显低于戴镜前(t=8.330、3.922、3.432、3.334,均P<0.05)、中度组CH明显低于戴镜前(t=13.276、4.964、4.052、4.387,均P<0.05)。与戴镜后1wk相比,戴镜后1、6mo,1a低度组CH明显升高(t=4.413、4.903、5.001,均P<0.05)、中度组CH明显升高(t=8.312、8.773、8.889,均P<0.05)。戴镜后1wk,中度组患儿CH水平明显低于低度组(t=2.089,P<0.05)。戴镜后1wk,1、6mo,1a低度组CRF明显低于戴镜前(t=8.684、3.928、3.618、3.308,均P<0.05)、中度组CRF明显低于戴镜前(t=15.432、5.576、5.057、4.668,均P<0.05);与戴镜后1wk相比,戴镜后1、6mo,1a低度组CRF明显升高(t=4.755、5.065、5.376,均P<0.05)、中度组CRF明显升高(t=9.856、10.374、10.764,均P<0.05)。戴镜后1wk,中度组患儿CRF水平明显低于低度组(t=2.610,P<0.05)。结论:配戴OK镜后CH及CRF水平均出现不同程度的降低,其中戴镜后1wk时CH及CRF水平最低,戴镜后1mo恢复至稳定状态,配戴OK镜不影响角膜生物学性能。随着近视度数的增加,CH及CRF水平下降更为明显,以达到最佳矫正效果,此现象与角膜曲率存在一定联系。

Topographic distribution features of the choroidal and retinal nerve fiber layer thickness in Chinese school-aged children

AIM:To explore the topographic distribution features of choroidal thickness(CT)and retinal nerve fiber layer thickness(RNFLT),and determine the relationship between CT and ocular parameters in school-aged children.METHODS:The healthy school-aged children with low ametropia or emmetropia in Wenzhou were recruited for this cross-sectional study.With high-density optical coherence tomography(HD-OCT)combined with MATLAB software,the CT and RNFLT values in the macular area were measured at different locations and compared.Statistical analyses were performed to evaluate the correlation between CT and ophthalmic parameters,such as spherical equivalent(SE)and the axial length(AL).RESULTS:A total of 279 school-aged children with8.00±1.35 years of mean age(range,6-10 y)were included.The mean AL was 23.66±0.86 mm.The mean CT in CT-C(264.31±48.93μm)was thicker than that in CT-N1(249.54±50.52μm),and the average CT in the parafoveal region was also thicker than that in CT-N2(235.65±50.63μm).The subfoveal CT also varied substantially across refractive errors(P<0.001),and those with myopia(250.59±47.01μm)exhibited a thinner choroid compared with those with emmetropia(278.74±48.06μm).CT negatively correlated with AL(y=-21.72 x+779.17;R^2=0.1458),and positively correlated with SE(y=15.76 x+271.9;R^2=0.0727.OD;y=18.31 x+269.8;R^2=0.1007.OS).The average RNFLT was thickest in the peripapillary region(236.35±19.03μm),the mean RNFLT-S(131.10±15.16μm)was thicker than the RNFLT-I(128.20±16.59μm),and the mean RNFLT-T(76.54±11.99μm)was thicker than the RNFLT-N(64.28±8.55μm).The variations in the RNFLT between quadrants did differ between those with myopia and emmetropia(P<0.05).CONCLUSION:We establish demographic information for the choroid and RNFLT.These findings provide information that should be considered in future analyses of the CT and RNFLT in OCT studies in school-aged children.

Benign giant-cell tumor of the common bile duct:A case report

Primary giant-cell tumors rarely arise in the common bile duct. We herein report a case of primary giant-cell tumor of the common bile duct. The patient was an 81-year-old male who was diagnosed with a well-defined 1.2-cm mass projecting into the lumen of the middle common bile duct. Excision of the gallbladder and extrahepatic bile duct and a Roux-en-Y cholangiojejunostomy were performed. Histologically, the tumor had no association with carcinomas of epithelial origin and was similar to giant-cell tumors of the bone. The tumor consisted of a mixture of mononuclear and multinucleated osteoclast-like giant cells. The mononuclear cells showed no atypical features, and their nuclei were similar to those of the multinucleated giant cells. CD68 was expressed on the mononuclear and multinucleated osteoclast-like giant cells, whereas CD163 immunoreactivity was restricted to the mononuclear cells. Six months after the operation, the patient was still alive and had no recurrence. The interest of this case lies in the rarity of this entity, the difficulty of preoperative diagnosis, and this tumor&#x02019;s possible confusion with other malignant tumors.

An ultra-sensitive and easy-to-use assay for sensing human UGT1A1 activities in biological systems

The human UDP-glucuronosyltransferase 1A1(UGT1A1),one of the most essential conjugative enzymes,is responsible for the metabolism and detoxification of bilirubin and other endogenous substances,as well as many different xenobiotic compounds.Deciphering UGT1A1 relevance to human diseases and characterizing the effects of small molecules on the activities of UGT1A1 requires reliable tools for probing the function of this key enzyme in complex biological matrices.Herein,an easy-to-use assay for highly-selective and sensitive monitoring of UGT1A1 activities in various biological matrices,using liquid chromatography with fluorescence detection(LC-FD),has been developed and validated.The newly developed LC-FD based assay has been confirmed in terms of sensitivity,specificity,precision,quantitative linear range and stability.One of its main advantages is lowering the limits of detection and quantification by about 100-fold in comparison to the previous assay that used the same probe substrate,enabling reliable quantification of lower amounts of active enzyme than any other method.The precision test demonstrated that both intra-and inter-day variations for this assay were less than 5.5%.Furthermore,the newly developed assay has also been successfully used to screen and characterize the regulatory effects of small molecules on the expression level of UGT1A1 in living cells.Ove rall,an easy-to-use LC-FD based assay has been developed for ultra-sensitive UGT1A1 activities measurements in various biological systems,providing an inexpensive and practical approach for exploring the role of UGT1A1 in human diseases,interactions with xenobiotics,and characterization modulatory effects of small molecules on this conjugative enzyme.

Topographic distribution features of the choroidal and retinal nerve fiber layer thickness in Wenzhou schoolaged children

AIM:To explore the topographic distribution features of choroidal thickness(CT)and retinal nerve fiber layer thickness(RNFLT),and determine the relationship between CT and ocular parameters in school-aged children.METHODS:The healthy school-aged children with low myopia or emmetropia in Wenzhou were recruited for this cross-sectional study.With high-density optical coherence tomography(HD-OCT)combined with MATLAB software,the CT and RNFLT values in the macular area were measured at different locations and compared.Statistical analyses were performed to evaluate the correlation between CT and ophthalmic parameters,such as spherical equivalent(SE)and the axial length(AL).RESULTS:A total of 279 school-aged children with 8.00±1.35 years of mean age(range,6-10 y)were included.The mean AL was 23.66±0.86 mm.The mean CT in CT-C(264.31±48.93μm)was thicker than that in CT-N1(249.54±50.52μm),and the average CT in the parafoveal region was also thicker than that in CT-N2(235.65±50.63μm).The subfoveal CT also varied substantially across refractive errors(P<0.001),and those with myopia(250.59±47.01μm)exhibited a thinner choroid compared with those with emmetropia(278.74±48.06μm).CT positively correlated with AL(y=11.12 x-4.15;R^2=0.18),and positively correlated with SE(y=90.07 x+17.916;R^2=14.2).The average RNFLT was thickest in the peripapillary region(236.35±19.03μm),the mean RNFLT-S(131.10±15.16μm)was thicker than the RNFLT-I(128.20±16.59μm),and the mean RNFLT-T(76.54±11.99μm)was thicker than the RNFLT-N(64.28±8.55μm).The variations in the RNFLT between quadrants did differ between those with myopia and emmetropia(P<0.05).CONCLUSION:We establish demographic information for the choroid and RNFLT.These findings provide information that should be considered in future analyses of the CT and RNFLT in OCT studies in school-aged children.

Recurrent postmenopausal bleeding - just endometrial disease or ovarian sex cord-stromal tumor? A case report

BACKGROUND Postmenopausal bleeding(PMB)is a common gynecologic complaint among elderly women,and endometrial hyperplasia is a common cause of this bleeding.Ovarian fibromas are the most common type of ovarian sex cord-stromal tumor(SCST).They arise from non-functioning stroma,rarely show estrogenic activity,and stimulate endometrial hyperplasia,causing abnormal vaginal bleeding.CASE SUMMARY We report herein the case of a 64-year-old Chinese woman who presented with recurrent PMB.A sex hormone test revealed that her estrogen level was significantly higher than normal,and other causes of hyperestrogenism had been excluded.The patient had undergone four curettage and hysteroscopy procedures in the past 7 years due to recurrent PMB and endometrial hyperplasia.The culprit behind the increase in estrogen level—an ovarian cellular fibroma with estrogenic activity—was eventually found during the fifth operation.CONCLUSION Ovarian cellular fibromas occur insidiously,and some may have endocrine functions.Postmenopausal patients with recurrent PMB and endometrial thickening observed on ultrasonography are recommended to undergo sex hormone testing while waiting for results regarding the pathology of the endometrium.If the estrogen level remains elevated,the clinician should consider the possibility of an ovarian SCST and follow-up the patient closely,even if the imaging results do not indicate ovarian tumors.Once the tumor is found,it should be removed as soon as possible no matter the size to avoid endometrial lesions due to long-term estrogen stimulation.More studies are needed to confirm whether preventive total hysterectomy with bilateral salpingo-oophorectomy should be recommended for women with recurrent PMB exhibiting elevated estrogen levels,despite the auxiliary examination results not indicating ovarian mass.The physical and psychological burden caused by repeated curettage could be prevented using this technique.

Observation on the quality of life before and after the injection of antiangiogenic drug in the vitreous cavity of patients with wet age-related macular degeneration

Objective: To explore the vision-related quality of life ( VRQL) before and after the injection of antiangiogenic drug into the vitreous cavity of patients with wet age-related macular degeneration ( AMD) . Methods: The 2000 edition of the Visual Functioning Questionnaire 25 that was issued by the Na-tional Eye Institute was applied, and the VRQL evaluation was conducted on the initially diagnosed patients with wet-AMD before and after the injection of ranibizumab into the vitreous cavity. Results: Among the wet-AMD patients, patients with better distance visual acuity before the in-travitreal injection had a lower VFQ-25 score. After the vitreous cavity injection, the VFQ-25 questionnaire score was related to patient care and education from the doctors and nurses; specific-ally, the better the nursing, the higher the score. Conclusions: Before the vitreous cavity injection, the degree of distance visual acuity is an im-portant factor affecting the VRQL of wet-AMD patients. In addition, patient care and education from the doctors and nurses toward patients during the pre-, intra-and post-operation of the intrav-itreal injection are also important factors affecting the VRQL.

Discovery of Hesigewula Sag on the western margin of Da Hinggan Mountains in China and its significance in petroleum geology

With Songliao Basin in northeast China entering the middle-late stage of the exploration and development of oil and gas resources,it is urgent to open up new areas for oil and gas exploration on the periphery of the basin.Five sedimentary sags have been discovered in the western margin of the Da Hinggan Mountains through high-precision gravity,magnetic,and electrical prospecting engineering.According to the conditions of the 5 sags such as buried depth,area,and the scale of source rock,Hesigewula Sag was preferentially selected to deploy two-dimensional seismic prospecting and drilling.As a result,the stratigraphic distribution and structure of Hesigewula Sag were preliminarily ascertained,the main sedimentary facies developed in Aershan Formation-Tengger Formation of the Lower Cretaceous was summarized,and the assessment parameters of source rock of Hesigewula Sag were obtained.According to the research results,the Hesigewula Sag can be divided into 3 second-order tectonic units including the western bulge,the central sag,and the eastern bulge respectively,and the sag was formed mainly subject to the west fractures.Three sedimentary facies including fan delta facies,braided river delta facies,and lacustrine facies have been identified in the Aershan Formation-Tengger Formation of the sag.The source rock in the first member and second member of Tengger Formation in the sag features high abundance of organic matter,meeting the standards of good source rocks.The kerogen of the source rock is mainly of type Ⅱ1-Ⅱ2.The organic matter in the source rock is characterized by low maturity and it entered the evolution stage of low maturity from the second member of Tengger Formation.Furthermore,Hesigewula Sag bears a strong similarity to other petroliferous sags in Erlian Basin in structure,sedimentation,source rock,and other characteristics.Therefore,it can be preliminarily determined that Hesigewula Sag boasts great potential for oil and gas resources.

Network pharmacological approach to explore the mechanisms of Lianhua Qingwen capsule in coronavirus disease 2019

Background:This study aimed to explore the molecular mechanisms of the active compounds of Lianhua Qingwen capsule in the treatment of coronavirus disease 2019 by using systemic pharmacology approach.Methods:In this study,network pharmacology methodology was applied,including active chemical component screening,target gene prediction,herbal-compound and compound-target gene network construction,gene enrichment analysis,pathway enrichment analysis and network analysis.Results:Network analysis showed that 3 bioactive ingredients(quercetin,kaempferol,AC1LIUG4)were screened as pivotal ingredients.30 target genes were identified as the anti-coronavirus disease 2019 of Lianhua Qingwen capsule.Among the targets,tumor necrosis factor,JUN(transcription factor AP-1),interleukin 6,vascular endothelial growth factor A,interleukin 1B,interleukin 2,mitogen-activated protein kinases 1 were regulated by various compounds and screened as the core genes of protein-protein interaction network.Nineteen signaling pathways screened by Kyoto Encyclopedia of Genes and Genomes pathway enrichment(P<0.05)were enriched on various inflammatory signaling pathways such as interleukin 17 signaling pathway,NF-κB signaling pathway,tumor necrosis factor signaling pathway and C-type lectin receptor signaling pathway.Conclusion:The bioactive compounds in Lianhua Qingwen capsule may have a therapeutic effect on coronavirus disease 2019 by inhibiting cytokine storms by regulating multiple inflammatory signaling pathways.

Fabrication and properties of silver-based composites reinforced with carbon-coated Ti_(3)AlC_(2)

Ti_(3)AlC_(2)-reinforced Ag-based composites,which are used as sliding current collectors,electrical contacts,and electrode materials,exhibit remarkable performances.However,the interfacial reactions between Ag and Ti_(3)AlC_(2) significantly degrade the electrical and thermal properties of these composites.To diminish these interfacial reactions,we fabricated carbon-coated Ti_(3)AlC_(2) particles(C@Ti_(3)AlC_(2))as reinforcement and prepared Ag–10wt%C@Ti_(3)AlC_(2) composites with carbon-layer thicknesses ranging from 50–200 nm.Compared with the uncoated Ag–Ti_(3)AlC_(2) composite,Ag–C@Ti_(3)AlC_(2) was found to have a better distribution of Ti_(3)AlC_(2) particles.With increases in the carbon-layer thickness,the Vickers hardness value and relative density of Ag–C@Ti_(3)AlC_(2) gradually decreases.With a carbon-layer thickness of 150 nm,we obtained the lowest resistivity of Ag–C@Ti_(3)AlC_(2) of 29.4135.5×10^(−9)Ω·m,which is half that of Ag–Ti_(3)AlC_(2)(66.7×10^(−9)Ω·m).The thermal conductivity of Ag–C@Ti_(3)AlC_(2) reached a maximum value of 135.5 W·m^(−1)·K^(−1) with a 200-nm carbon coating(~1.8 times that of Ag–Ti_(3)AlC_(2)).These results indicate that the carbon-coating method is a feasible strategy for improving the performance of Ag–C@Ti_(3)AlC_(2) composites.

Long noncoding RNA TNFRSF10A-AS1 promotes colorectal cancer through upregulation of HuR

BACKGROUND Recent studies have emphasized the emerging importance of long noncoding RNAs(lncRNAs)in colorectal cancer(CRC).However,the functions and regulatory mechanisms of numerous lncRNAs in CRC have not been fully elucidated.AIM To explore the functional role and underlying molecular mechanisms of lncRNA TNFRSF10A-AS1 in CRC.METHODS TNFRSF10A-AS1 expression was measured by quantitative real-time polymerase chain reaction in CRC,and the relationship between TNFRSF10A-AS1 levels and the clinicopathological features of CRC patients was analyzed.The effect of TNFRSF10A-AS1 expression on CRC proliferation and metastasis was examined in vitro and in vivo.Mechanistically,we investigated how TNFRSF10A-AS1 is involved in CRC as a competitive endogenous RNA.RESULTS TNFRSF10A-AS1 was expressed at a high level in CRC and the upregulation of TNFRSF10A-AS1 was associated with advanced T grade and tumor size in CRC patients.A functional investigation revealed that TNFRSF10A-AS1 enhanced the proliferation,migration ability and invasion ability of colon cancer cells in vitro and in vivo.A mechanistic analysis demonstrated that TNFRSF10A-AS1 acted as a miR-3121-3p molecular sponge to regulate HuR expression,ultimately promoting colorectal tumorigenesis and progression.CONCLUSION TNFRSF10A-AS1 exerts a tumor-promoting function through the miR-3121-3p/HuR axis in CRC,indicating that it may be a novel target for CRC therapy.

Synchronous quadruple primary malignancies of the cervix,endometrium, ovary, and stomach in a single patient: A case report and review of literature

BACKGROUND The diagnosis of multiple primary malignancies(MPMs)has increased due to the improvements and development of diagnostic techniques,in conjunction with extended life span.Notably however,reports of synchronous quadruple primary malignancies remain extremely rare.CASE SUMMARY Herein we describe the case of a 56-year-old woman who was diagnosed with synchronous quadruple multiple primary cancers,namely an endocervical adenocarcinoma admixed with neuroendocrine features,localized endometrial endometrioid adenocarcinoma,unilateral endometrioid ovarian carcinoma,and gastric adenocarcinoma.All four of these tumors were removed in one combined surgical procedure.CONCLUSION To our knowledge the above-described combination of multiple synchronous primary malignancies has not been previously reported.The nature of the association between them is unknown.Further research should focus on the etiology and mechanisms involved in MPMs.