Land subsidence is a major factor that affects metro line （ML） stability. In this study, an improved multi- temporal interferometric synthetic aperture radar （InSAR） （MTI） method to detect land subsidence near M...Land subsidence is a major factor that affects metro line （ML） stability. In this study, an improved multi- temporal interferometric synthetic aperture radar （InSAR） （MTI） method to detect land subsidence near MLs is presented. In particular, our multi-temporal InSAR method provides surface subsidence measurements with high observation density. The MTI method tracks both point-like targets and distributed targets with temporal radar back- scattering steadiness. First, subsidence rates at the point targets with low-amplitude dispersion index （ADI） values are extracted by applying a least-squared estimator on an optimized freely connected network. Second, to reduce error propagation, the pixels with high-ADI values are classified into several groups according to ADI intervals and processed using a Pearson correlation coefficient and hierarchical analysis strategy to obtain the distributed targets. Then, nonlinear subsidence components at all point-like and distributed targets are estimated using phase unwrapping and spatiotemporal filtering on the phase residuals. The proposed MTI method was applied to detect land subsidence near MLs of No. 1 and 3 in the Baoshan district of Shanghai using 18 TerraSAR-X images acquired between April 21, 2008 and October 30, 2010. The results show that the mean subsidence rates of the stations distributed along the two MLs are -12.9 and -14.0 ram/year. Furthermore, three subsidence funnels near the MLs are discovered through the hierarchical analysis. The testing results demonstrate the satisfactory capacity of the proposed MTI method in providing detailed subsidence information near MLs.展开更多
Resource exploitation in the Clarion-Clipperton Zone(CCZ)is of major research interest worldwide,but its influence on the environment is poorly understood,especially due to the lack of baseline values for metals in th...Resource exploitation in the Clarion-Clipperton Zone(CCZ)is of major research interest worldwide,but its influence on the environment is poorly understood,especially due to the lack of baseline values for metals in the surrounding sediment.This work aimed to establish the baseline values of 17 metals(Ba,Ca,K,Mg,Mn,Na,Ag,As,B,Cd,Co,Cr,Cu,Hg,Ni,Pb,and Zn)using normalization,the cumulative frequency curve method considering a total of 172 samples taken from 8 multitube cores and 1 box sediment core collected in the western CCZ during the COMRA-45 cruise campaign from August to September 2017.The baseline values of the evaluated metals were as follows:1932 mg/kg for Ba,29512 mg/kg for Ca,18150 mg/kg for K,17120 mg/kg for Mg,6747 mg/kg for Mn,28546 mg/kg for Na,0.571 mg/kg for Ag,5.00 mg/kg for As,94.4 mg/kg for B,0.626 mg/kg for Cd,104 mg/kg for Co,76.1 mg/kg for Cr,370 mg/kg for Cu,0.028 mg/kg for Hg,190 mg/kg for Ni,27.5 mg/kg for Pb and 156 mg/kg for Zn.Our findings would fill the baseline value gap in the study area and further improve accuracy of environmental impact assessments on the impact of resource exploitation.展开更多
目的对我国循证针灸临床实践指南透明度及报告完整度进行评价,以期进一步提升针灸临床实践指南的科学性与临床适用性。方法以我国循证针灸临床实践指南为研究对象,利用临床实践指南透明度评价工具及RIGHT for acupuncture进行评价。结...目的对我国循证针灸临床实践指南透明度及报告完整度进行评价,以期进一步提升针灸临床实践指南的科学性与临床适用性。方法以我国循证针灸临床实践指南为研究对象,利用临床实践指南透明度评价工具及RIGHT for acupuncture进行评价。结果共纳入指南28部,其中4部在人员遴选阶段达到透明,2部在推荐意见形成过程达到透明,1部在指南报告过程达到透明,其余指南未达到透明;RIGHT for acupuncture结果显示,各领域平均报告率依次为基本信息(50.00%)、评审和质量保证(50.00%)、背景(46.75%)、推荐意见(40.18%)、证据(40.00%)、资助与利益冲突声明及管理(7.14%)、其他(4.76%)。结论我国循证针灸临床实践指南存在过程报告不清、方法学不完善或利益冲突管理欠缺的情况。在今后指南制定过程中,应不断完善针灸指南制定方法,提高指南质量和透明度。展开更多
The biogeochemical processes of marine sediments are influenced by bioturbation and organic carbon decomposition,which is crucial for understanding global element cycles and climate change.Two sediment cores were acqu...The biogeochemical processes of marine sediments are influenced by bioturbation and organic carbon decomposition,which is crucial for understanding global element cycles and climate change.Two sediment cores were acquired in 2017 from abyssal basins in the central-eastern tropical Pacific to determine the bioturbation and organic carbon degradation processes.The radioactivity concentrations of 210Pb and 226Ra in the sediment cores were measured,indicating the presence of significant excess 210Pb(210Pbex)signals in the sediment cores.Besides,a manganese nodule was discovered in one core,which had a substantial influence on the distribution of 210Pbex.With the exception of this anomalous finding,the bioturbation coefficients in the remaining core were estimated to be 10.6 cm^(2)/a using a steady-state diffusion model,greater than most of the deep-sea sediments from the equatorial eastern Pacific.By using a bio-diffusion model,we further calculated the degradation rates of organic carbon(8.02 ka-1),which is also higher than other areas of the Pacific.Our findings displayed the presence of a biologically active benthic ecosystem in the central-eastern tropical Pacific.展开更多
Optical imaging in the second near-infrared(NIR-II;900-1880 nm)window is currently a popular research topic in the field of biomedical imaging.This study aimed to explore the application value of NIR-II fluorescence i...Optical imaging in the second near-infrared(NIR-II;900-1880 nm)window is currently a popular research topic in the field of biomedical imaging.This study aimed to explore the application value of NIR-II fluorescence imaging in foot and ankle surgeries.A lab-established NIR-II fluorescence surgical navigation system was developed and used to navigate foot and ankle surgeries which enabled obtaining more high-spatial-frequency information and a higher signal-to-background ratio(SBR)in NIR-II fluorescence images compared to NIR-I fluorescence images;our result demonstrates that NIR-II imaging could provide higher-contrast and larger-depth images to surgeons.Three types of clinical application scenarios(diabetic foot,calcaneal fracture,and lower extremity trauma)were included in this study.Using the NIR-II fluorescence imaging technique,we observed the ischemic region in the diabetic foot before morphological alterations,accurately determined the boundary of the ischemic region in the surgical incision,and fully assessed the blood supply condition of the flap.NIR-II fluorescence imaging can help surgeons precisely judge surgical margins,detect ischemic lesions early,and dynamically trace the perfusion process.We believe that portable and reliable NIR-II fluorescence imaging equipment and additional functional fluorescent probes can play crucial roles in precision surgery.展开更多
BACKGROUND Gestational diabetes mellitus(GDM)is characterized by glucose intolerance that is first diagnosed during pregnancy,making it the most common complication associated with this period.Early detection and targ...BACKGROUND Gestational diabetes mellitus(GDM)is characterized by glucose intolerance that is first diagnosed during pregnancy,making it the most common complication associated with this period.Early detection and targeted treatment of GDM can minimize foetal exposure to maternal hyperglycaemia and subsequently reduce the associated adverse pregnancy outcomes.Previous studies have inconsistently suggested that the level of glycated albumin(GA)might predict GDM.AIM To review and synthesize existing evidence to evaluate the relationship between GA levels and the development of GDM.METHODS We sought to compare GA levels between GDM and control groups in this metaanalysis by systematically searching the Web of Science,PubMed,Cochrane Library,and Embase databases for articles published up to June 2023.The analysis utilized the weighted mean difference(WMD)as the primary metric.The data were meticulously extracted,and the quality of the included studies was assessed.Additionally,we conducted a subgroup analysis based on study region and sample size.We assessed heterogeneity using I2 statistics and evaluated publication bias through funnel plots.Additionally,trim-and-fill analysis was employed to detect and address any potential publication bias.RESULTS The meta-analysis included a total of 11 studies involving 5477 participants,comprising 1900 patients with GDM and 3577 control individuals.The synthesized results revealed a notable correlation between elevated GA levels and increased susceptibility to GDM.The calculated WMD was 0.42,with a 95%confidence interval(95%CI)ranging from 0.11 to 0.74,yielding a P value less than 0.001.Concerning specific GA levels,the mean GA level in the GDM group was 12.6,while for the control group,it was lower,at 11.6.This discrepancy underscores the potential of GA as a biomarker for assessing GDM risk.Moreover,we explored the levels of glycated haemoglobin(HbA1c)in both cohorts.The WMD for HbA1c was 0.19,with a 95%CI ranging from 0.15 to 0.22 and a P value less than 0.001.This observation suggested that both GA and HbA1c levels were elevated in individuals in the GDM group compared to those in the control group.CONCLUSION Our meta-analysis revealed a substantial correlation between elevated GA levels and increased GDM risk.Furthermore,our findings revealed elevated levels of HbA1c in GDM patients,emphasizing the significance of monitoring both GA and HbA1c levels for early GDM detection and effective management.展开更多
AIM:To assess the diagnostic value of a combination of intragastric bile acids and hepatobiliary scintigraphy in the detection of duodenogastric reflux(DGR).METHODS:The study contained 99 patients with DGR and 70 heal...AIM:To assess the diagnostic value of a combination of intragastric bile acids and hepatobiliary scintigraphy in the detection of duodenogastric reflux(DGR).METHODS:The study contained 99 patients with DGR and 70 healthy volunteers who made up the control group.The diagnosis was based on the combination of several objective arguments:a long history of gastric symptoms(i.e.,nausea,epigastric pain,and/or bilious vomiting) poorly responsive to medical treatment,gastroesophageal reflux symptoms unresponsive to protonpump inhibitors,gastritis on upper gastrointestinal(GI) endoscopy and/or at histology,presence of a bilious gastric lake at > 1 upper GI endoscopy,pathologic 24-h intragastric bile monitoring with the Bilitec device.Gas-tric juice was aspirated in the GI endoscopy and total bile acid(TBA),total bilirubin(TBIL) and direct bilirubin(DBIL) were tested in the clinical laboratory.Continuous data of gastric juice were compared between each group using the independent-samples Mann-Whitney U-test and their relationship was analysed by Spearman's rank correlation test and Fisher's linear discriminant analysis.Histopathology of DGR patients and 23 patients with chronic atrophic gastritis was compared by clinical pathologists.Using the Independent-samples Mann-Whitney U-test,DGR index(DGRi) was calculated in 28 patients of DGR group and 19 persons of control group who were subjected to hepatobiliary scintigraphy.Receiver operating characteristic curve was made to determine the sensitivity and specificity of these two methods in the diagnosis of DGR.RESULTS:The group of patients with DGR showed a statistically higher prevalence of epigastric pain in comparison with control group.There was no significant difference between the histology of gastric mucosa with atrophic gastritis and duodenogastric reflux.The bile acid levels of DGR patients were significantly higher than the control values(Z:TBA:-8.916,DBIL:-3.914,TBIL:-6.197,all P < 0.001).Two of three in the DGR group have a significantly associated with each other(r:TBA/DBIL:0.362,TBA/TBIL:0.470,DBIL/TBIL:0.737,all P < 0.001).The Fisher's discriminant function is followed:Con:Y = 0.002TBA + 0.048DBIL + 0.032TBIL 0.986;Reflux:Y = 0.012TBA + 0.076DBIL + 0.089TBIL-2.614.Eighty-four point zero five percent of original grouped cases were correctly classified by this method.With respect to the DGR group,DGRi were higher than those in the control group with statistically significant differences(Z =-5.224,P < 0.001).Twenty eight patients(59.6%) were deemed to be duodenogastric reflux positive by endoscopy,as compared to 37 patients(78.7%) by hepatobiliary scintigraphy.CONCLUSION:The integrated use of intragastric bile acid examination and scintigraphy can greatly improve the sensitivity and specificity of the diagnosis of DGR.展开更多
Biomanufacturing of tissues/organs in vitro is our big dream,driven by two needs:organ transplantation and accurate tissue models.Over the last decades,3D bioprinting has been widely applied in the construction of man...Biomanufacturing of tissues/organs in vitro is our big dream,driven by two needs:organ transplantation and accurate tissue models.Over the last decades,3D bioprinting has been widely applied in the construction of many tissues/organs such as skins,vessels,hearts,etc.,which can not only lay a foundation for the grand goal of organ replacement,but also be served as in vitro models committed to pharmacokinetics,drug screening and so on.As organs are so complicated,many bioprinting methods are exploited to figure out the challenges of different applications.So the question is how to choose the suitable bioprinting method?Herein,we systematically review the evolution,process and classification of 3D bioprinting with an emphasis on the fundamental printing principles and commercialized bioprinters.We summarize and classify extrusion-based,dropletbased,and photocuring-based bioprinting methods and give some advices for applications.Among them,coaxial and multi-material bioprinting are highlighted and basic principles of designing bioinks are also discussed.展开更多
Postoperative radiotherapy (PRT) is widely advocated for patients with squamous cell carcinomas of the head and neck that are considered to be at high risk of recurrence after surgical resection. The aims of this stud...Postoperative radiotherapy (PRT) is widely advocated for patients with squamous cell carcinomas of the head and neck that are considered to be at high risk of recurrence after surgical resection. The aims of this study were to evaluate the treatment outcomes of PRT for patients with laryngeal carcinoma and to identify the value of several prognostic factors. We reviewed the records of 256 patients treated for laryngeal squamous cell carcinoma between January 1993 and December 2005. Disease-free survival (DFS) and overall survival (OS) were estimated using the Kaplan-Meier method. Log-rank test was employed to identify significant prognostic factors for DFS and OS. The Cox proportional hazards model was applied to identify covariates significantly associated with the aforementioned endpoints. Our results showed the 3-, 5-, and 10-year DFS for all patients were 69.9%, 59.5%, and 34.9%, respectively. The 3-, 5-, and 10-year OS rates were 80.8%, 68.6%, and 38.8%, respectively. Significant prognostic factors for both DFS and OS on univariate analysis were grade, primary site, T stage, N stage, overall stage, lymph node metastasis, overall treatment times of radiation, the interval between surgery and radiotherapy, and radiotherapy equipment. Favorable prognostic factors for both DFS and OS on multivariate analysis were lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment. In conclusion, our data suggest that lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment are favorable prognostic factors for DFS and OS and that reducing the overall treatment times of radiation to 6 weeks or less and the interval between surgery and radiotherapy to less than 3 weeks are simple measures to remarkably improve treatment outcome.展开更多
For the robustness problem of open-loop P-type iterative learning control under the influence of measurement noise which is inevitable in actual systems, an adaptive adjustment algorithm of iterative learning nonlinea...For the robustness problem of open-loop P-type iterative learning control under the influence of measurement noise which is inevitable in actual systems, an adaptive adjustment algorithm of iterative learning nonlinear gain matrix based on error amplitude is proposed and two nonlinear gain functions are given. Then with the help of Bellman-Gronwall lemma, the robustness proof is derived. At last, an example is simulated and analyzed. The results show that when there exists measurement noise, the proposed learning law adjusts the learning gain matrix on line based on error amplitude, thus can make a compromise between learning convergence rate and convergence accuracy to some extent： the fast convergence rate is achieved with high gain in initial learning stage, the strong robustness and high convergence accuracy are achieved at the same time with small gain in the end learning stage, thus better learning results are obtained.展开更多
文摘Land subsidence is a major factor that affects metro line （ML） stability. In this study, an improved multi- temporal interferometric synthetic aperture radar （InSAR） （MTI） method to detect land subsidence near MLs is presented. In particular, our multi-temporal InSAR method provides surface subsidence measurements with high observation density. The MTI method tracks both point-like targets and distributed targets with temporal radar back- scattering steadiness. First, subsidence rates at the point targets with low-amplitude dispersion index （ADI） values are extracted by applying a least-squared estimator on an optimized freely connected network. Second, to reduce error propagation, the pixels with high-ADI values are classified into several groups according to ADI intervals and processed using a Pearson correlation coefficient and hierarchical analysis strategy to obtain the distributed targets. Then, nonlinear subsidence components at all point-like and distributed targets are estimated using phase unwrapping and spatiotemporal filtering on the phase residuals. The proposed MTI method was applied to detect land subsidence near MLs of No. 1 and 3 in the Baoshan district of Shanghai using 18 TerraSAR-X images acquired between April 21, 2008 and October 30, 2010. The results show that the mean subsidence rates of the stations distributed along the two MLs are -12.9 and -14.0 ram/year. Furthermore, three subsidence funnels near the MLs are discovered through the hierarchical analysis. The testing results demonstrate the satisfactory capacity of the proposed MTI method in providing detailed subsidence information near MLs.
基金The Eastern Pacific Eco-environment Monitoring and Protection Project under contract No.DY135-E2-5-02the Scientific Research Foundation of Third Institute of Oceanography,Ministry of Natural Resources of China under contract No.2017014+1 种基金the Global Change and Air-Sea InteractionⅡunder contract No.GASI-01-NPAC-STsumthe Fund of COMRA-45 Cruise under contract No.DYHC-135-45。
文摘Resource exploitation in the Clarion-Clipperton Zone(CCZ)is of major research interest worldwide,but its influence on the environment is poorly understood,especially due to the lack of baseline values for metals in the surrounding sediment.This work aimed to establish the baseline values of 17 metals(Ba,Ca,K,Mg,Mn,Na,Ag,As,B,Cd,Co,Cr,Cu,Hg,Ni,Pb,and Zn)using normalization,the cumulative frequency curve method considering a total of 172 samples taken from 8 multitube cores and 1 box sediment core collected in the western CCZ during the COMRA-45 cruise campaign from August to September 2017.The baseline values of the evaluated metals were as follows:1932 mg/kg for Ba,29512 mg/kg for Ca,18150 mg/kg for K,17120 mg/kg for Mg,6747 mg/kg for Mn,28546 mg/kg for Na,0.571 mg/kg for Ag,5.00 mg/kg for As,94.4 mg/kg for B,0.626 mg/kg for Cd,104 mg/kg for Co,76.1 mg/kg for Cr,370 mg/kg for Cu,0.028 mg/kg for Hg,190 mg/kg for Ni,27.5 mg/kg for Pb and 156 mg/kg for Zn.Our findings would fill the baseline value gap in the study area and further improve accuracy of environmental impact assessments on the impact of resource exploitation.
文摘目的对我国循证针灸临床实践指南透明度及报告完整度进行评价,以期进一步提升针灸临床实践指南的科学性与临床适用性。方法以我国循证针灸临床实践指南为研究对象,利用临床实践指南透明度评价工具及RIGHT for acupuncture进行评价。结果共纳入指南28部,其中4部在人员遴选阶段达到透明,2部在推荐意见形成过程达到透明,1部在指南报告过程达到透明,其余指南未达到透明;RIGHT for acupuncture结果显示,各领域平均报告率依次为基本信息(50.00%)、评审和质量保证(50.00%)、背景(46.75%)、推荐意见(40.18%)、证据(40.00%)、资助与利益冲突声明及管理(7.14%)、其他(4.76%)。结论我国循证针灸临床实践指南存在过程报告不清、方法学不完善或利益冲突管理欠缺的情况。在今后指南制定过程中,应不断完善针灸指南制定方法,提高指南质量和透明度。
基金The Scientific Research Foundation of Third Institute of Oceanography,Ministry of Natural Resources under contract No.2020012the Natural Science Foundation of Xiamen,China under contract No.3502Z20227246the Guiding Project of the Science and Technology Plan of Fujian Province under contract No.2020Y0081.
文摘The biogeochemical processes of marine sediments are influenced by bioturbation and organic carbon decomposition,which is crucial for understanding global element cycles and climate change.Two sediment cores were acquired in 2017 from abyssal basins in the central-eastern tropical Pacific to determine the bioturbation and organic carbon degradation processes.The radioactivity concentrations of 210Pb and 226Ra in the sediment cores were measured,indicating the presence of significant excess 210Pb(210Pbex)signals in the sediment cores.Besides,a manganese nodule was discovered in one core,which had a substantial influence on the distribution of 210Pbex.With the exception of this anomalous finding,the bioturbation coefficients in the remaining core were estimated to be 10.6 cm^(2)/a using a steady-state diffusion model,greater than most of the deep-sea sediments from the equatorial eastern Pacific.By using a bio-diffusion model,we further calculated the degradation rates of organic carbon(8.02 ka-1),which is also higher than other areas of the Pacific.Our findings displayed the presence of a biologically active benthic ecosystem in the central-eastern tropical Pacific.
基金supported by the Fundamental Research Fund for the Central Universities(K20220220)the National Key Research and Development Program of China(2018YFC1005003,2018YFE0190200,and 2022YFB3206000)+4 种基金the National Natural Science Foundation of China(U23A20487,82001874,61975172,and 82102105)the Zhejiang Engineering Research Center of Cognitive Healthcare(2017E10011)the Natural Science Foundation of Zhejiang Province(LQ22H160017)the Zhejiang Province Science and Technology Plan Project(2022C03134)the Science and Technology Innovation 2030 Plan Project(2022ZD0160703).
文摘Optical imaging in the second near-infrared(NIR-II;900-1880 nm)window is currently a popular research topic in the field of biomedical imaging.This study aimed to explore the application value of NIR-II fluorescence imaging in foot and ankle surgeries.A lab-established NIR-II fluorescence surgical navigation system was developed and used to navigate foot and ankle surgeries which enabled obtaining more high-spatial-frequency information and a higher signal-to-background ratio(SBR)in NIR-II fluorescence images compared to NIR-I fluorescence images;our result demonstrates that NIR-II imaging could provide higher-contrast and larger-depth images to surgeons.Three types of clinical application scenarios(diabetic foot,calcaneal fracture,and lower extremity trauma)were included in this study.Using the NIR-II fluorescence imaging technique,we observed the ischemic region in the diabetic foot before morphological alterations,accurately determined the boundary of the ischemic region in the surgical incision,and fully assessed the blood supply condition of the flap.NIR-II fluorescence imaging can help surgeons precisely judge surgical margins,detect ischemic lesions early,and dynamically trace the perfusion process.We believe that portable and reliable NIR-II fluorescence imaging equipment and additional functional fluorescent probes can play crucial roles in precision surgery.
文摘BACKGROUND Gestational diabetes mellitus(GDM)is characterized by glucose intolerance that is first diagnosed during pregnancy,making it the most common complication associated with this period.Early detection and targeted treatment of GDM can minimize foetal exposure to maternal hyperglycaemia and subsequently reduce the associated adverse pregnancy outcomes.Previous studies have inconsistently suggested that the level of glycated albumin(GA)might predict GDM.AIM To review and synthesize existing evidence to evaluate the relationship between GA levels and the development of GDM.METHODS We sought to compare GA levels between GDM and control groups in this metaanalysis by systematically searching the Web of Science,PubMed,Cochrane Library,and Embase databases for articles published up to June 2023.The analysis utilized the weighted mean difference(WMD)as the primary metric.The data were meticulously extracted,and the quality of the included studies was assessed.Additionally,we conducted a subgroup analysis based on study region and sample size.We assessed heterogeneity using I2 statistics and evaluated publication bias through funnel plots.Additionally,trim-and-fill analysis was employed to detect and address any potential publication bias.RESULTS The meta-analysis included a total of 11 studies involving 5477 participants,comprising 1900 patients with GDM and 3577 control individuals.The synthesized results revealed a notable correlation between elevated GA levels and increased susceptibility to GDM.The calculated WMD was 0.42,with a 95%confidence interval(95%CI)ranging from 0.11 to 0.74,yielding a P value less than 0.001.Concerning specific GA levels,the mean GA level in the GDM group was 12.6,while for the control group,it was lower,at 11.6.This discrepancy underscores the potential of GA as a biomarker for assessing GDM risk.Moreover,we explored the levels of glycated haemoglobin(HbA1c)in both cohorts.The WMD for HbA1c was 0.19,with a 95%CI ranging from 0.15 to 0.22 and a P value less than 0.001.This observation suggested that both GA and HbA1c levels were elevated in individuals in the GDM group compared to those in the control group.CONCLUSION Our meta-analysis revealed a substantial correlation between elevated GA levels and increased GDM risk.Furthermore,our findings revealed elevated levels of HbA1c in GDM patients,emphasizing the significance of monitoring both GA and HbA1c levels for early GDM detection and effective management.
基金Supported by Grants from the National Natural Science Foundation of China,No.81061120521and No.81270470Shanghai Science and Technology Commission,No.12XD1404000
文摘AIM:To assess the diagnostic value of a combination of intragastric bile acids and hepatobiliary scintigraphy in the detection of duodenogastric reflux(DGR).METHODS:The study contained 99 patients with DGR and 70 healthy volunteers who made up the control group.The diagnosis was based on the combination of several objective arguments:a long history of gastric symptoms(i.e.,nausea,epigastric pain,and/or bilious vomiting) poorly responsive to medical treatment,gastroesophageal reflux symptoms unresponsive to protonpump inhibitors,gastritis on upper gastrointestinal(GI) endoscopy and/or at histology,presence of a bilious gastric lake at > 1 upper GI endoscopy,pathologic 24-h intragastric bile monitoring with the Bilitec device.Gas-tric juice was aspirated in the GI endoscopy and total bile acid(TBA),total bilirubin(TBIL) and direct bilirubin(DBIL) were tested in the clinical laboratory.Continuous data of gastric juice were compared between each group using the independent-samples Mann-Whitney U-test and their relationship was analysed by Spearman's rank correlation test and Fisher's linear discriminant analysis.Histopathology of DGR patients and 23 patients with chronic atrophic gastritis was compared by clinical pathologists.Using the Independent-samples Mann-Whitney U-test,DGR index(DGRi) was calculated in 28 patients of DGR group and 19 persons of control group who were subjected to hepatobiliary scintigraphy.Receiver operating characteristic curve was made to determine the sensitivity and specificity of these two methods in the diagnosis of DGR.RESULTS:The group of patients with DGR showed a statistically higher prevalence of epigastric pain in comparison with control group.There was no significant difference between the histology of gastric mucosa with atrophic gastritis and duodenogastric reflux.The bile acid levels of DGR patients were significantly higher than the control values(Z:TBA:-8.916,DBIL:-3.914,TBIL:-6.197,all P < 0.001).Two of three in the DGR group have a significantly associated with each other(r:TBA/DBIL:0.362,TBA/TBIL:0.470,DBIL/TBIL:0.737,all P < 0.001).The Fisher's discriminant function is followed:Con:Y = 0.002TBA + 0.048DBIL + 0.032TBIL 0.986;Reflux:Y = 0.012TBA + 0.076DBIL + 0.089TBIL-2.614.Eighty-four point zero five percent of original grouped cases were correctly classified by this method.With respect to the DGR group,DGRi were higher than those in the control group with statistically significant differences(Z =-5.224,P < 0.001).Twenty eight patients(59.6%) were deemed to be duodenogastric reflux positive by endoscopy,as compared to 37 patients(78.7%) by hepatobiliary scintigraphy.CONCLUSION:The integrated use of intragastric bile acid examination and scintigraphy can greatly improve the sensitivity and specificity of the diagnosis of DGR.
基金sponsored by the National Natural Science Foundation of China(No.U1609207)。
文摘Biomanufacturing of tissues/organs in vitro is our big dream,driven by two needs:organ transplantation and accurate tissue models.Over the last decades,3D bioprinting has been widely applied in the construction of many tissues/organs such as skins,vessels,hearts,etc.,which can not only lay a foundation for the grand goal of organ replacement,but also be served as in vitro models committed to pharmacokinetics,drug screening and so on.As organs are so complicated,many bioprinting methods are exploited to figure out the challenges of different applications.So the question is how to choose the suitable bioprinting method?Herein,we systematically review the evolution,process and classification of 3D bioprinting with an emphasis on the fundamental printing principles and commercialized bioprinters.We summarize and classify extrusion-based,dropletbased,and photocuring-based bioprinting methods and give some advices for applications.Among them,coaxial and multi-material bioprinting are highlighted and basic principles of designing bioinks are also discussed.
基金supported by a grant from the Natural Science Foundation of Guangdong Province, P. R. China (No. 9151008901000223)
文摘Postoperative radiotherapy (PRT) is widely advocated for patients with squamous cell carcinomas of the head and neck that are considered to be at high risk of recurrence after surgical resection. The aims of this study were to evaluate the treatment outcomes of PRT for patients with laryngeal carcinoma and to identify the value of several prognostic factors. We reviewed the records of 256 patients treated for laryngeal squamous cell carcinoma between January 1993 and December 2005. Disease-free survival (DFS) and overall survival (OS) were estimated using the Kaplan-Meier method. Log-rank test was employed to identify significant prognostic factors for DFS and OS. The Cox proportional hazards model was applied to identify covariates significantly associated with the aforementioned endpoints. Our results showed the 3-, 5-, and 10-year DFS for all patients were 69.9%, 59.5%, and 34.9%, respectively. The 3-, 5-, and 10-year OS rates were 80.8%, 68.6%, and 38.8%, respectively. Significant prognostic factors for both DFS and OS on univariate analysis were grade, primary site, T stage, N stage, overall stage, lymph node metastasis, overall treatment times of radiation, the interval between surgery and radiotherapy, and radiotherapy equipment. Favorable prognostic factors for both DFS and OS on multivariate analysis were lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment. In conclusion, our data suggest that lower overall stage, no cervical lymph node metastasis, and using 60Co as radiotherapy equipment are favorable prognostic factors for DFS and OS and that reducing the overall treatment times of radiation to 6 weeks or less and the interval between surgery and radiotherapy to less than 3 weeks are simple measures to remarkably improve treatment outcome.
基金supported by the Specialized Research Fund for the Doctoral Program of Higher Education(20106102110032)
文摘For the robustness problem of open-loop P-type iterative learning control under the influence of measurement noise which is inevitable in actual systems, an adaptive adjustment algorithm of iterative learning nonlinear gain matrix based on error amplitude is proposed and two nonlinear gain functions are given. Then with the help of Bellman-Gronwall lemma, the robustness proof is derived. At last, an example is simulated and analyzed. The results show that when there exists measurement noise, the proposed learning law adjusts the learning gain matrix on line based on error amplitude, thus can make a compromise between learning convergence rate and convergence accuracy to some extent： the fast convergence rate is achieved with high gain in initial learning stage, the strong robustness and high convergence accuracy are achieved at the same time with small gain in the end learning stage, thus better learning results are obtained.
文摘AIM: To conduct a meta-analysis to evaluate the prognostic role of hypoxia inducible factor-1α (HIF-1α) expression in gastric cancer.
