Postoperative serum tumor markers-based nomogram predicting early recurrence for patients undergoing radical resections of pancreatic ductal adenocarcinoma

BACKGROUND Early recurrence(ER)is associated with dismal outcomes in patients undergoing radical resection for pancreatic ductal adenocarcinoma(PDAC).Approaches for predicting ER will help clinicians in implementing individualized adjuvant therapies.Postoperative serum tumor markers(STMs)are indicators of tumor progression and may improve current systems for predicting ER.AIM To establish an improved nomogram based on postoperative STMs to predict ER in PDAC.METHODS We retrospectively enrolled 282 patients who underwent radical resection for PDAC at our institute between 2019 and 2021.Univariate and multivariate Cox regression analyses of variables with or without postoperative STMs,were performed to identify independent risk factors for ER.A nomogram was constructed based on the independent postoperative STMs.Receiver operating characteristic curve analysis was used to evaluate the area under the curve(AUC)of the nomogram.Survival analysis was performed using Kaplan-Meier survival plot and log-rank test.RESULTS Postoperative carbohydrate antigen 19-9 and carcinoembryonic antigen levels,preoperative carbohydrate antigen 125 levels,perineural invasion,and pTNM stage III were independent risk factors for ER in PDAC.The postoperative STMs-based nomogram(AUC:0.774,95%CI:0.713-0.835)had superior accuracy in predicting ER compared with the nomogram without postoperative STMs(AUC:0.688,95%CI:0.625-0.750)(P=0.016).Patients with a recurrence nomogram score(RNS)>1.56 were at high risk for ER,and had significantly poorer recurrence-free survival[median:3.08 months,interquartile range(IQR):1.80-8.15]than those with RNS≤1.56(14.00 months,IQR:6.67-24.80),P<0.001).CONCLUSION The postoperative STMs-based nomogram improves the predictive accuracy of ER in PDAC,stratifies the risk of ER,and identifies patients at high risk of ER for tailored adjuvant therapies.

Recurrence scoring system predicting early recurrence for patients with pancreatic ductal adenocarcinoma undergoing pancreatectomy and portomesenteric vein resection

BACKGROUND Pancreatectomy with concomitant portomesenteric vein resection(PVR)enables patients with portomesenteric vein(PV)involvement to achieve radical resection of pancreatic ductal adenocarcinoma,however,early recurrence(ER)is frequently observed.AIM To predict ER and identify patients at high risk of ER for individualized therapy.METHODS Totally 238 patients undergoing pancreatectomy and PVR were retrospectively enrolled and were allocated to the training or validating cohort.Univariate Cox and LASSO regression analyses were performed to construct serum recurrence score(SRS)based on 26 serum-derived parameters.Uni-and multivariate Cox regression analyses of SRS and 18 clinicopathological variables were performed to establish a Nomogram.Receiver operating characteristic curve analysis was used to evaluate the predictive accuracy.Survival analysis was performed using Kaplan-Meier method and log-rank test.RESULTS Independent serum-derived recurrence-relevant factors of LASSO regression model,including postoperative carbohydrate antigen 19-9,postoperative carcinoembryonic antigen,postoperative carbohydrate antigen 125,preoperative albumin(ALB),preoperative platelet to ALB ratio,and postoperative platelets to lymphocytes ratio,were used to construct SRS[area under the curve(AUC):0.855,95%CI:0.786–0.924].Independent risk factors of recurrence,including SRS[hazard ratio(HR):1.688,95%CI:1.075-2.652],pain(HR:1.653,95%CI:1.052-2.598),perineural invasion(HR:2.070,95%CI:0.827-5.182),and PV invasion(HR:1.603,95%CI:1.063-2.417),were used to establish the recurrence nomogram(AUC:0.869,95%CI:0.803-0.934).Patients with either SRS>0.53 or recurrence nomogram score>4.23 were considered at high risk for ER,and had poor long-term outcomes.CONCLUSION The recurrence scoring system unique for pancreatectomy and PVR,will help clinicians in predicting recurrence efficiently and identifying patients at high risk of ER for individualized therapy.

公立医院运营可控成本核算与绩效考核的整合研究

随着我国公立医院绩效改革加速推进,结合医院战略规划及行业相关政策,建立完善综合性绩效考核管理制度对促进公立医院长期可持续发展愈发重要。运营可控成本核算体系作为绩效考核制度中的重要组成部分,通过统筹优化和高效运行,能够切实强化优绩优酬机制保障,有力促进医院运营能力持续提升,依托精细化管理手段进一步释放医院创新发展的强劲动能。本文旨在探讨医院内部运营可控成本核算工作,研究探索公立医院在市场经济形势下如何通过加强运营可控成本控制、精细化绩效考核闭环管理流程,以此推动提升医院综合竞争力和实现高质量发展。

Thermodynamic and Experimental Analysis of an Ammonia-Water Absorption Chiller

A single stage ammonia-water absorption chiller with complete condensation is designed, built and tested. The apparatus is designed for a cooling capacity of 2814 W, which is obtained using electric heater as heating source. The thermodynamic models have been derived using the First and Second Laws. Calculated results are compared with experimental data. The results show that the cooling capacity of experimental apparatus is found between 1900 and 2200 W with the actual coefficient of performance (COP) between 0.32 and 0.36. The contribution of the components to internal entropy production is analyzed. It shows that the larger irreversibility is caused by spanning the largest temperature and dissipated thermal energy by heat transfer losses at the generator and evaporator. In the experimentation, the low pressure is lower than the designed value. This is a consequence of a large capacity in the falling film absorber which performs as expected. This decreases the evaporation pressure, and the evaporating temperature could be reduced to the designed value.

Antimicrobial activities and analysis of the crude extract,fractions and compounds from the Lomatogonium rotatum

This study was evaluated the antimicrobial activities of the crude extract,different fractions,and compounds from the plant of Lomatogonium carinthiacum.The fractions of chloroform and compounds 5,2 and 6 exhibited stronger antimicrobial activities.Compound 5 was the most active while Staphylococcus aureus and Candida albicans were sensitive to all the tested compounds.The existence of a relationship between the xanthone structures and inhibition of microorganism activity.The antimicrobial activity of this plant was reported here firstly.The results provided evidence that the studied plant extract,fractions as well as some of the isolated compounds might be potential sources of new antimicrobial drug.

Unique Double Carbon Protection Structured Co₃O₄Anode for Lithium Ion Battery

In this study, novel Carbon aerogel (CA)/Co3O4/Carbon (C) composites with a double protective structure are synthesized through a solvothermal method and in-situ polymerization. The morphology and structure are characterized by X-ray diffraction, scanning electron microscopy (SEM), high-resolution transmission electron microscopy (HRTEM), and Fourier transform infrared spectroscopy (FTIR). The loading content of active anode material Co3O4 in the composite is investigated by thermogravimetry, and the electrochemical properties of the composite are characterized by electrochemical impedance spectroscopy (EIS). The SEM results show that the nano-sized spherical Co3O4 particle is adhered to the inner Carbon aerogel (CA). The HRTEM result indicates the thickness of the prepared Carbon (C) up to 40 nm. Nano-sheet is coated on the surface of the Co3O4 particle. Compared with the pure Co3O4 anode materials, the Carbon aerogel (CA)/Co3O4/Carbon (C) composites have better transport kinetics for both electron and lithium-ion in EIS testing results, which may contribute to its higher specific capacity and higher first coulomb efficiency. Due to the unique structure of the composite material with double protection against the volume expansion of Co3O4 when charged, the Carbon aerogel (CA)/Co3O4/Carbon (C) composite material exhibits better cycle stability with a discharge capacity of 1180 mAh/g after 50 cycles. Therefore, the double protection strategy is verified as an effective method to improve the electrochemical performance of transition metal oxide with carbon composite as an anode material in lithium battery.

立足大国农业,培养“养猪达人”“猪生产技术”课程思政教学改革探索

文章以畜牧兽医类专业核心课程“猪生产技术”育人目标为出发点,结合“课程思政”的教育理念,阐述“猪生产技术”课程思政实施必要性,探索课程思政元素挖掘和教学实施,将爱国情怀、生态保护、责任担当、职业素养、团队协作、食品安全等思政元素融入课程教学过程中,旨在探索专业课程内容与思政内容融合要点,从而提高学生的专业素养、职业素养和道德水平。

Two haplotype-resolved,gap-free genome assemblies for Actinidia latifolia and Actinidia chinensis shed light on the regulatory mechanisms of vitamin C and sucrose metabolism in kiwifruit

Kiwifruit is a recently domesticated horticultural fruit crop with substantial economic and nutritional value,especially because of the high content of vitamin C in its fruit.In this study,we de novo assembled two telomere-to-telomere kiwifruit genomes from Actinidia chinensis var.‘Donghong’(DH)and Actinidia latifolia‘Kuoye’(KY),with total lengths of 608327852 and 640561626 bp for 29 chromosomes,respectively.With a burst of structural variants involving inversion,translocations,and duplications within 8.39 million years,the metabolite content of DH and KY exhibited differences in saccharides,lignans,and vitamins.A regulatory ERF098 transcription factor family has expanded in KY and Actinidia eriantha,both of which have ultra-high vitamin C content.With each assembly phased into two complete haplotypes,we identified allelic variations between two sets of haplotypes,leading to protein sequence variations in 26494 and 27773 gene loci and allele-specific expression of 4687 and 12238 homozygous gene pairs.Synchronized metabolome and transcriptome changes during DH fruit development revealed the same dynamic patterns in expression levels and metabolite contents;free fatty acids and flavonols accumulated in the early stages,but sugar substances and amino acids accumulated in the late stages.The AcSWEET9b gene that exhibits allelic dominance was further identified to positively correlate with high sucrose content in fruit.Compared with wild varieties and other Actinidia species,AcSWEET9b promoters were selected in red-flesh kiwifruits that have increased fruit sucrose content,providing a possible explanation on why red-flesh kiwifruits are sweeter.Collectively,these two gap-free kiwifruit genomes provide a valuable genetic resource for investigating domestication mechanisms and genome-based breeding of kiwifruit.

A functional characterization of TaMs1 orthologs in Poaceae plants

TaMs1 encodes a non-specific lipid transfer protein(nsLTP) and is required for pollen development in wheat. Although MS1 is a Poaceae-specific gene, the roles of MS1 genes in other Poaceae plants are unknown, especially in rice and maize. Here, we identified one ortholog in rice(OsLTPg29) and two orthologs in maize(ZmLTPg11 and ZmLTPx2). Similar to TaMs1, both OsLTPg29 and ZmLTPg11 genes are specifically expressed in the microsporocytes, and both OsLTPg29 and ZmLTPg11 proteins showed lipid-binding ability to phosphatidic acid and several phosphoinositides. To determine their roles in pollen development, we created osltpg29 mutants and zmltpg11 zmltpx2 double mutants by CRISPR/Cas9.osltpg29, not zmltpg11 zmltpx2, is defective in pollen development, and only OsLTPg29, not ZmLTPg11,can rescue the male sterility of tams1 mutant. Our results demonstrate that the biological function of MS1 in pollen development differs in the evolution of Poaceae plants.

Vulnerability of Regional Aviation Networks Based on DBSCAN and Complex Networks

To enhance the accuracy of performance analysis of regional airline network,this study applies complex network theory and Density-Based Spatial Clustering of Applications with Noise(DBSCAN)algorithm to investigate the topology of regional airline network,constructs node importance index system,and clusters 161 airport nodes of regional airline network.Besides,entropy power method and approximating ideal solution method(TOPSIS)is applied to comprehensively evaluate the importance of airport nodes and complete the classification of nodes and identification of key points;adopt network efficiency,maximum connectivity subgraph and network connectivity as vulnerability measurement indexes,and observe the changes of vulnerability indexes of key nodes under deliberate attacks and 137 nodes under random attacks.The results demonstrate that the decreasing trend of the maximum connectivity subgraph indicator is slower and the decreasing trend of the network efficiency and connectivity indicators is faster when the critical nodes of the regional airline network are deliberately attacked.Besides,the decreasing trend of the network efficiency indicator is faster and the decreasing trend of the maximum connectivity subgraph indicator is slower when the nodes of four different categories are randomly attacked.Finally,it is proposed to identify and focus on protecting critical nodes in order to better improve the security level of regional airline system.

浅析安徽省工业能源消费对二氧化碳排放的影响

基于安徽省2004~2018年工业能源消费及经济社会指标,采用环境库兹涅茨曲线和因素分解法分析了CO2排放量变化趋势。结果表明:安徽省工业能源消费导致CO2排放量逐年增加,CO2排放贡献由2004年的66.2%增加至2013年的77.8%,而后缓慢下降至2018年的77.3%;能源结构碳强度是安徽省CO2排放量的主要因素;CO2排放拐点在人均GDP产值为3.25~3.59万元之间;规模效应-人均GDP、结构效应和技术效应是影响安徽省工业碳排放的主要因素。预测结果表明:2022年安徽省二氧化碳排放强度将下降至0.283 tCO2/万元。

A knowledge graph for standard carbonate microfacies and its application in the automatical reconstruction of the relative sea-level curve

The reconstruction of high-resolution sea-level variation curves in deep time based on the standard car-bonate microfacies knowledge graph(SMFKG)is of great scientific significance for exploring the Earth system evolution and predicting future sea-level and climate changes.In this study,the concepts,attri-butes,and relationships among standard carbonate microfacies(SMF)are comprehensively analyzed;an ontology layer is established and its data layer is constructed using thin-section descriptions;and finally,the SMFKG is established.Additionally,based on the knowledge graph,an application for automatically identifying SMF using identification markers and reconstructing the high-resolution relative sea-level variation curve using the SMF and facies zones is compiled.Then,all thin sections of the late Ediacaran Dengying Formation in the western margin of the Yangtze Platform are observed and described in detail,the SMF and facies zones are identified automatically,and the relative sea-level curve is recon-structed automatically using the SMFKG.The reconstruction results show that the Yangtze Platform experienced four sea-level rise and fall cycles in the late Ediacaran,of which two intense regressions led to subaerial-exposed unconformities in the interior and top of the Dengying Formation,which is highly consistent with previous research results.This shows that the high-resolution relative sea-level variation curve in deep time can be reconstructed efficiently and intelligently using the SMFKG.Additionally,in the near future,the combination of an automatic digital slide-scanning system,machine-learning techniques,and the SMFKG can achieve one-stop fully automatic SMF recognition and reconstruction of high-resolution relative sea-level variation curves in deep time,which has a high application value.

Novel and supplementary management of pancreatic fluid collections:Endoscopic ultrasound-guided drainage

AIM To compare efficacy and safety of endoscopic ultrasound (EUS)-guided and surgical drainage in pancreatic fluid collection management.METHODS Data were obtained retrospectively from January 2012 to December 2016.Patients with pancreatic fluid collection were performed EUS-guided or surgical procedure.Main outcome measures including clinical efficiency,complication,duration of procedures,hospital stay and cost were analyzed.RESULTS Thirty-six patients were enrolled into the study,including 14 in endoscopic group while 22 in the surgical group.Twelve (86%) patients were treated successfully by endoscopic approach while 21 (95%) patients benefited through surgical procedure.Endoscopic treatment had higher recurrence and complication rates than surgery,resulting in more re-interventions.Meanwhile,duration of procedure,hospital stay and cost were significantly lower in endoscopic group.CONCLUSION Both approaches were effective and safe.EUS-guided approach should be the first-line treatment in mild and simple cases,while surgical approach should be considered as priority in severe and complex cases.

Community Detection in Aviation Network Based on K-means and Complex Network

With the increasing number of airports and the expansion of their scale,the aviation network has become complex and hierarchical.In order to investigate the complex network characteristics of aviation networks,this paper constructs a Chinese aviation network model and carries out related research based on complex network theory and K-means algorithm.Initially,the P-space model is employed to construct the Chinese aviation network model.Then,complex network indicators such as degree,clustering coefficient,average path length,betweenness and coreness are selected to investigate the complex characteristics and hierarchical features of aviation networks and explore their causes.Secondly,using K-means clustering algorithm,five values are obtained as the initial clustering parameter K values for each of the aviation network hierarchies classified according to five complex network indicators.Meanwhile,clustering simulation experiments are conducted to obtain the visual clustering results of Chinese aviation network nodes under different K values,as well as silhouette coefficients for evaluating the clustering effect of each indicator in order to obtain the hierarchical classification of aviation networks under different indicators.Finally,the silhouette coefficient is optimal when the K value is 4.Thus,the clustering results of the four layers of the aviation network can be obtained.According to the experimental results,the complex network association discovery method combined with K-means algorithm has better applicability and simplicity,while the accuracy is improved.

横琴粤澳深度合作区建筑行业制度创新研究

通过澳门与内地建筑行业制度对比,并参考内地改革试点情况,提出粤澳深度合作区建筑行业制度创新建议,包括取消行业资质、提高个人资格及执业条件、落实个人全过程执业、建立工程项目技术负责制和建筑师主导项目实施制度、适度放宽技术标准体系、完善监管体系和保障体系、实行工程价格市场形成机制、推行过程结算、改进招标承包制度等。

Activity of xanthones isolated from Lomatogonium rotatum

Thirteen xanthones were isolated from L.rotatum,which were established as l,8-dihydroxy-3,4,5-trimethoxyxanthone(1);l-hydroxy-3异,8-trimethoxyxanthone(2);8-hydroxy-l,3?5-trimethoxyxaiithone(3);l-hydroxy-3,4,5-trimethoxyxanthone(4);l-hydroxy-3,5,8-trimethoxyxanthone(5);l,4,8-trihydroxy-5,6-dimethoxyxanthone(6);l,3,8-trihydroxy-4,7-dimethoxyxanthone(;7)l,8-dihydroxy-3,7-dimethoxyxanthone(8);l-hydroxy-3,5-dimethoxyxanthone(9);l-hydroxy-2,3,4,5-tetramethoxyxanthone(;10)l-hydroxy-2,3,4,7-tetramethoxyxanthone(11);l,7-dihydroxy-3,8-dimethoxyxanthone(12);rel-l,3,5,8-tetrahydroxy-2,4,6,7-tetrahydroxanthen-9-one(13).Compounds 4,6,7,9,10,11,12 and 13 are reported for the first time from Lomatogonium.Furthermore,the activity of xanthones was assessed.

Low Resource Chinese Geological Text Named Entity Recognition Based on Prompt Learning

Geological reports are a significant accomplishment for geologists involved in geological investigations and scientific research as they contain rich data and textual information.With the rapid development of science and technology,a large number of textual reports have accumulated in the field of geology.However,many non-hot topics and non-English speaking regions are neglected in mainstream geoscience databases for geological information mining,making it more challenging for some researchers to extract necessary information from these texts.Natural Language Processing(NLP)has obvious advantages in processing large amounts of textual data.The objective of this paper is to identify geological named entities from Chinese geological texts using NLP techniques.We propose the RoBERTa-Prompt-Tuning-NER method,which leverages the concept of Prompt Learning and requires only a small amount of annotated data to train superior models for recognizing geological named entities in low-resource dataset configurations.The RoBERTa layer captures context-based information and longer-distance dependencies through dynamic word vectors.Finally,we conducted experiments on the constructed Geological Named Entity Recognition(GNER)dataset.Our experimental results show that the proposed model achieves the highest F1 score of 80.64%among the four baseline algorithms,demonstrating the reliability and robustness of using the model for Named Entity Recognition of geological texts.

Increased long-distance and homo-trans interactions related to H3K27me3 in Arabidopsis hybrids

In plants,the genome structure of hybrids changes compared with their parents,but the effects of these changes in hybrids remain elusive.Comparing reciprocal crosses between Col×C24 and C24×Col in Arabidopsis using high-throughput chromosome conformation capture assay(Hi-C)analysis,we found that hybrid three-dimensional(3D)chromatin organization had more long-distance interactions relative to parents,and this was mainly located in promoter regions and enriched in genes with heterosis-related pathways.The interactions between euchromatin and heterochromatin were increased,and the compartment strength decreased in hybrids.In compartment domain(CD)boundaries,the distal interactions were more in hybrids than their parents.In the hybrids of CURLY LEAF(clf)mutants clfCol×clfC24and clfC24×clfCol,the heterosis phenotype was damaged,and the long-distance interactions in hybrids were fewer than in their parents with lower H3K27me3.ChIP-seq data revealed higher levels of H3K27me3 in the region adjacent to the CD boundary and the same interactional homo-trans sites in the wild-type(WT)hybrids,which may have led to more long-distance interactions.In addition,the differentially expressed genes(DEGs)located in the boundaries of CDs and loop regions changed obviously in WT,and the functional enrichment for DEGs was different between WT and clf in the longdistance interactions and loop regions.Our findings may therefore propose a new epigenetic explanation of heterosis in the Arabidopsis hybrids and provide new insights into crop breeding and yield increase.

The HuangZaoSi Maize Genome Provides Insights into Genomic Variation and Improvement History of Maize

Maize is a globally important crop that was a classic model plant for genetic studies. Here, we report a 2.2 Gb draft genome sequence of an elite maize line, HuangZaoSi (HZS). Hybrids bred from HZS-improved lines (HILs) are planted in more than 60% of maize fields in China. Proteome clustering of six completed sequeneed maize genomes show that 638 proteins fall into 264 HZS-specific gene families with the majority of contributions from tandem duplication events. Resequencing and comparative analysis of 40 HZSrelated lines reveals the breeding history of HILs. More than 60% of identified selective sweeps were clustered in identity.by.descent conserved regions, and yield-related genes/QTLs were enriched in HZS characteristic selected regions. Furthermore, we dem on strated that HZS-specific family genes were not uniformly distributed in the genome but enriched in improvement/function.related genomic regions. This study provides an important and novel resource for maize genome research and expands our knowledge on the breadth of genomic variation and improvement history of maize.

The DTH8-Hd1 Module Mediates Day-Length-Dependent Regulation of Rice Flowering

Photoperiodic flowering is one of the most important pathways to govern flowering in rice （Oryza sativa）, in which Heading date 1 （Hdl）, an ortholog of the Arabidopsis CONSTANS gene, encodes a pivotal regulator. Hdl promotes flowering under short-day conditions （SD） but represses flowering under long-day conditions （LD） by regulating the expression of Heading date 3a （Hd3a）, the FLOWERING LOCUS T （FT） ortholog in rice. However, the molecular mechanism of how Hdl changes its regulatory activity in response to day length remains largely unknown. In this study, we demonstrated that the repression of flowering in LD by Hdl is dependent on the transcription factor DAYS TO HEADING 8 （DTHS）. Loss of DTH8 function results in the activation of Hd3a by Hdl, leading to early flowering. We found that Hdl directly interacts with DTH8 and that the formation of the DTH8-Hd1 complex is necessary for the transcriptional repression of Hd3a by Hdl in LD, implicating that the switch of Hdl function is mediated by DTH8 in LD rather than in SD. Furthermore, we revealed that DTH8 associates with the Hd3a promoter to modulate the level of H3K27 trimethylation （H3K27me3） at the Hd3a locus. In the presence of the DTH8-Hdl complex, the H3K27me3 level was increased at Hd3a, whereas loss of DTH8 function resulted in decreased H3K27me3 level at Hd3a. Taken together, our findings indicate that, in response to day length, DTH8 plays a critical role in mediating the transcriptional regulation of Hd3a by Hdl through the DTH8-Hd1 module to shape epigenetic modifications in photoperiodic flowering.