个体化诊疗模式在胃肠道恶性肿瘤中预防中度致吐性化疗方案的临床观察

目的:分析真实世界中化疗引起的恶心和呕吐(chemotherapy-induced nausea and vomiting,CINV)的个体化诊疗模式对胃肠道恶性肿瘤患者的CINV控制效果及对生存质量的影响。方法:选取2018年10月至2020年10月就诊于河北医科大学第四医院接受中度致吐风险化疗方案的289例胃肠道恶性肿瘤患者,按照CINV评估治疗方法分为CINV个体化诊疗组(A组)和医师选择诊疗组(B组),分析比较两组CINV控制效果及对生存质量的影响。结果:289例患者中A组146例,B组143例。A组全程恶心(74.66%vs.34.27%,P<0.001)、呕吐(87.67%vs.55.94%,P<0.001)完全控制率均明显优于B组,A组急性期及延迟期恶心、呕吐完全控制率优于B组。同时,A组患者在生存质量的功能领域(躯体功能、角色功能、社会功能),症状领域(恶心呕吐、疲倦、失眠、厌食),以及总体健康状况方面均表现出显著的优势。结论:个体化CINV诊疗模式可显著改善真实世界中胃肠道恶性肿瘤患者的CINV控制率和生存质量。

Polycystic ovary syndrome patients with high BMI tend to have functional disorders of androgen excess:a prospective study

Biochemical or clinical changes of hyperandrogenism are important elements of polycystic ovary syndrome （PCOS）. There is currently no consensus on the definition and diagnostic criteria of hyperandrogenism in PCOS. The aim of this study was to investigate the complex symptoms of hyperandrogenic disorders and the correlations between metabolism and hyperandrogenism in patients with PCOS from an outpatient reproductive medicine clinic in China. We conducted a case control study of 125 PCOS patients and 130 controls to evaluate differences in body mass index （BMI）, total testosterone （TT）, modified Ferriman-Gallwey hirsutism score, sex hormone binding globulin （SHBG）, homeostasis model assessment-estimated insulin resistance （HOMA-IR） and free androgen index （FAI） between PCOS patients and controls and subgroups of PCOS. The prevalence of acne and hirsutism did not differ significantly between the hyperandrogenic and non-hyperandrogenic subgroup. Patients with signs of hyper- androgenism had significantly higher BMI （P 〈 0.05）, but differences in TT, SHBG, FAI and waist/hip ratio were insignificant. The odds ratio of overweight was calculated for all PCOS patients. Our results suggest that PCOS patients with high BMI tend to have functional disorders of androgen excess; therefore, BMI may be a strong pre-dictor of hyperandrogenism in PCOS.

Blockchain-Based Cognitive Computing Model for Data Security on a Cloud Platform

Cloud storage is widely used by large companies to store vast amounts of data and files,offering flexibility,financial savings,and security.However,information shoplifting poses significant threats,potentially leading to poor performance and privacy breaches.Blockchain-based cognitive computing can help protect and maintain information security and privacy in cloud platforms,ensuring businesses can focus on business development.To ensure data security in cloud platforms,this research proposed a blockchain-based Hybridized Data Driven Cognitive Computing(HD2C)model.However,the proposed HD2C framework addresses breaches of the privacy information of mixed participants of the Internet of Things(IoT)in the cloud.HD2C is developed by combining Federated Learning(FL)with a Blockchain consensus algorithm to connect smart contracts with Proof of Authority.The“Data Island”problem can be solved by FL’s emphasis on privacy and lightning-fast processing,while Blockchain provides a decentralized incentive structure that is impervious to poisoning.FL with Blockchain allows quick consensus through smart member selection and verification.The HD2C paradigm significantly improves the computational processing efficiency of intelligent manufacturing.Extensive analysis results derived from IIoT datasets confirm HD2C superiority.When compared to other consensus algorithms,the Blockchain PoA’s foundational cost is significant.The accuracy and memory utilization evaluation results predict the total benefits of the system.In comparison to the values 0.004 and 0.04,the value of 0.4 achieves good accuracy.According to the experiment results,the number of transactions per second has minimal impact on memory requirements.The findings of this study resulted in the development of a brand-new IIoT framework based on blockchain technology.

The remedial effect of soluble interleukin-1 receptor type Ⅱ on endometriosis in the nude mouse model

Objective： Recent studies have shown that the local expression of soluble interleukin （IL） -1 receptor type Ⅱ （slL-1 R Ⅱ ） in endometrial tissue of women with endometriosis is decreased, and the depression of IL-1 R Ⅱ was more significant in infertile women than that in fertile women with endometriosis. In this research, we investigated the remedial effect of slL-1-R Ⅱ administration on endometriosis in the nude mouse model. Methods： Nineteen nude model mice with endometriosis were randomly divided into three groups： group A was treated by intraperitoneal administration with only slL-1 R Ⅱ for two weeks, group B was similarly treated with only IL- 1, and group C （control） was administered saline. After 2 weeks, the size of the ectopic endometrial lesions was calculated, and the expression of vascular endothelial growth factor （VEGF） and B-cell lymphoma leukemia-2 （Bcl- 2） were detected by immunohistochemistry. The IL-8 and VEGF levels in the peritoneal fluid （PF） and serum were also measured by enzyme-linked immunosorbent assay （ELISA）. Results： The mean size of ectopic endometrial lesion did not differ between the three groups （P 〉 0.05）. Compared with the control, the expression of VEGF and Bcl-2 was significantly lower in group A, and higher in group B. In the three groups, the levels of IL-8 in the PF and serum were highest in group A, and lowest in group B. Conclusion： slL-1 R Ⅱ may suppresse hyperplasia of ectopic endometriosis, perhaps by reducing the expression of certain cytokines, such as VEGF, IL-8, and Bcl-2, which could provide a new clinical strategy for the treatment of endometriosis.

New SAR Imaging Algorithm via the Optimal Time-Frequency Transform Domain

To address the low-resolution imaging problem in relation to traditional Range Doppler(RD)algorithm,this paper intends to propose a new algorithm based on Fractional Fourier Transform(FrFT),which proves highly advantageous in the acquisition of high-resolution Synthetic Aperture Radar(SAR)images.The expression of the optimal order of SAR range signals using FrFT is deduced in detail,and the corresponding expression of the azimuth signal is also given.Theoretical analysis shows that,the optimal order in range(azimuth)direction,which turns out to be very unique,depends on the known imaging parameters of SAR,therefore the engineering practicability of FrFT-RD algorithm can be greatly improved without the need of order iteration.The FrFT-RD algorithm is established after an analysis of the optimal time-frequency transform.Experimental results demonstrate that,compared with traditional RD algorithm,the main-lobe width of the peak-point target of FrFT-RD algorithm is narrow in both range and azimuth directions.While the peak amplitude of the first side-lobe is reduced significantly,those of other side-lobes also drop in various degrees.In this way,the imaging resolution of range and azimuth can be increased considerably.

Follicular hyperandrogenism and insulin resistance in polycystic ovary syndrome patients with normal circulating testosterone levels

Polycystic ovary syndrome（PCOS） is a common reproductive disease with high heterogeneity. The role of excess androgen in PCOS etiology remains disputed, since around 20%-50% of PCOS women do not display hyperandrogenemia. The microenvironment of the ovary critically influences follicular development. In the present study, we assessed the role of androgen in PCOS by investigating whether excessive follicular fluid androgen was present in PCOS patients with normal serum androgen levels and influenced by follicular fluid insulin resistance（IR）.Follicular fluid samples of 105 women with PCOS and 105 controls were collected. Levels of steroid hormones,glucose and insulin in the follicular fluid were examined and compared with data from serum biochemistry tests. We found that 64.9%（63/97） of PCOS patients with normal serum androgen levels displayed abnormally high follicular fluid androgen level. The follicular fluid androgen level was positively correlated with follicular fluid IR within a certain range and follicular fluid estrogen-to-testosterone（E2/T） ratio was significantly reduced in these patients.These results indicated that there existed a subgroup of PCOS patients who displayed excessive follicular fluid androgen and IR despite their normal circulating testosterone（T） levels. Our study highlights the importance of ovary hyperandrogenism and IR in the etiology of PCOS.

An Improved Q-RRT^(*) Algorithm Based on Virtual Light

The Rapidly-exploring Random Tree(RRT)algorithm is an efficient path-planning algorithm based on random sampling.The RRT^(*)algorithm is a variant of the RRT algorithm that can achieve convergence to the optimal solution.However,it has been proven to take an infinite time to do so.An improved Quick-RRT^(*)(Q-RRT^(*))algorithm based on a virtual light source is proposed in this paper to overcome this problem.The virtual light-based Q-RRT^(*)(LQRRT^(*))takes advantage of the heuristic information generated by the virtual light on the map.In this way,the tree can find the initial solution quickly.Next,the LQRRT^(*)algorithm combines the heuristic information with the optimization capability of the Q-RRT^(*)algorithm to find the approximate optimal solution.LQRRT^(*)further optimizes the sampling space compared with the Q-RRT^(*)algorithm and improves the sampling efficiency.The efficiency of the algorithm is verified by comparison experiments in different simulation environments.The results show that the proposed algorithm can converge to the approximate optimal solution in less time and with lower memory consumption.

Current Status and Analysis on Space Service in East China Public Libraries: A Case Study

This paper provides references for the space service of public libraries in China. 51 public libraries in East China were investigated in terms of space type, space facilities and space service reconstruction;the current situation of space service was analyzed and some problems were revealed. Based on the investigation, the characteristics of public libraries’ space service in East China are summarized from the perspective of space type, space service concept and space service mode. And the problems in the aspects of new space service level, space service facility construction and space service evaluation mechanism are pointed out. Through the analysis, space service strategies of public libraries in China are proposed: libraries’ overall quality should be strengthened;space service based on information technology should be promoted;users’ needs should be respected and evaluation mechanism should be developed.

New Measures of Chinese University Library Knowledge Service under the Cloudization Background

This article mainly explores and analyzes the application of network broadcast in the lecture service of university library under the cloudization background. By using the online survey method to investigate the lectures in some universities, it introduces the classification and characteristics of the network broadcast and obtains the advantage of network broadcast applied to lecture training through making contrast between the means of network multimedia. The result shows that the introduction of network broadcast can realize more customized, virtual and specialized lecture services, and facilitate the transformation of university library services in the digital era.

Association of Single Nucleotide Polymorphisms in IRF6 and TGFA Genes With Nonsyndromic Cleft Lip With Or Without Cleft Palate in Chinese Patients

Objective： Nonsyndromic cleft lip with or without cleft palate（NSCL/P） is a common birth defect with unclear etiology. Both genetic and environmental factors may contribute to NSCL/P. Many genes have been identified as candidate genes associated with this disease. Interferon regulatory factor 6（IRF6） gene and transforming growth factor-a（TGFA） gene seem to be crucial in the predisposition of NSCL/ P. Here we evaluated some single nucleotide polymorphisms（SNPs） loci of TGFA and IRF6 genes in Chinese nuclear families consisting of fathers, mothers and affected offspring with NSCL/P. Methods：Fifty patients of NSCL/P were confirmed by the plastic surgeons. They and their parents were included in the study, all with the informed consents. SNPs loci of TGFA and IRF6 genes were analyzed by microarray technology. Some PCR products were randomly chosen and sequenced to check microarray results. The distribution of gene type and allele frequency between patient group and parents group were compared. Then a Haplotype Relative Risk（HRR） and Transmission Disequilibrium Test（TDT） were performed. Results：The sequences of randomly selected PCR products were all consistent with the microarray results. All loci were in Hardy-Weinberg equilibrium. There were no significant differences in the distribution of genotypes and alleles between patients and their parents. Using HRR and TDT analyses the V274I of IRF6 was associated with NSCL/P, while another SNP locus oflRF6 was not. Strong evidence of linkage disequilibrium was found between the 2 SNP loci of TGFA and disease with the HRR analysis, but not with the TDT analysis. Conclusion：Our study confirms the contribution of IRF6 in the etiology of NSCL/P in populations of Asian ancestry. The association of TGFA with NSCL/P requires further research.

Analysis and Prediction of New Media Information Dissemination of Police Microblog

This paper aims to analyze the microblog data published by the official account in a certain province of China,and finds out the rule of Weibo that is easier to be forwarded in the new police media perspective.In this paper,a new topic-based model is proposed.Firstly,the LDA topic clustering algorithm is used to extract the topic categories with forwarding heat from the microblogs with high forwarding numbers,then the Naive Bayesian algorithm is used to topic categories.The sample data is processed to predict the type of microblog forwarding.In order to evaluate this method,a large number of microblog online data is used to analysis.The experimental results show that the proposed method can accurately predict the forwarding of Weibo.

A Study on the Difference of Information Acquisition Ability among Students in Higher Vocational Colleges

The explosive growth of all kinds of online information brought by mobile Internet has brought challenges to the information acquisition ability of students in higher education institutions. In order to explore the differences, influencing factors and ways to improve the information acquisition of college students in higher education institutions, 306 questionnaires from students in five higher vocational colleges were collected and analyzed. It was found that there was no significant difference in the information acquisition ability of students by gender. However, the majors of higher vocational college students have a significant impact on their information acquisition ability. It was suggested to taking comprehensive measures to improve the information acquisition ability of students in higher vocational colleges according to their characteristics.

BMI对早卵泡期长效长方案IVF/ICSI患者新鲜周期胚胎移植妊娠结局的影响

目的探究体质指数(BMI)对于进行早卵泡期长效长方案体外受精或卵母细胞胞质内单精子注射法(IVF/ICSI)治疗患者的治疗过程以及新鲜周期胚胎移植妊娠结局的影响。方法回顾性分析2018年1月1日至2020年7月1日于南京医科大学第一附属医院首次行早卵泡期长效长方案的IVF/ICSI治疗患者的临床资料。按照患者的BMI分为低BMI组(BMI<18.5 kg/m^(2),141例)、正常BMI组(18.5≤BMI<24.0 kg/m^(2),1663例)、超重肥胖组(BMI≥24.0 kg/m^(2),453例),分析各组患者的诱导排卵指标有无差异;再从3组中筛选出进行新鲜胚胎移植的患者分别命名为低BMI新鲜组(102例)、正常BMI新鲜组(1266例)、超重肥胖新鲜组(373例),比较各组的诱导排卵情况和妊娠结局。结果本研究共纳入2257例患者,低BMI组、正常BMI组及超重肥胖组患者的促性腺激素(Gn)启动剂量、Gn总天数、Gn总剂量均有显著差异(P均<0.01),超重肥胖组Gn启动剂量[(162±40)U]、Gn总剂量[(2159±668)U]均最多、Gn总天数[(12.3±2.5)d]最长。超重肥胖组hCG日雌二醇及孕酮水平[分别为(7474±4852)pmol/L、(3.4±1.9)nmol/L]均显著低于低BMI组及正常BMI组(P均<0.01),获卵数[(8.4±4.1)个]较正常BMI组减少(P<0.05)。超重肥胖组患者的正常受精数、可移植胚胎数、高评分卵裂期胚胎数均较其他2组略减少,但差异均无统计学意义(P均>0.05)。进行新鲜胚胎移植的1741例患者中,低BMI新鲜组的移植胚胎数[(1.2±0.4)个]较其他2组减少(P<0.05),正常BMI新鲜组患者的生化妊娠率、临床妊娠率、活产率较其他2组增高,但差异均无统计学意义(P均>0.05)。结论在进行早卵泡期长方案lVF/ICSI治疗的患者中,BMI升高可能会影响诱导排卵反应,导致Gn用量增加、Gn诱导排卵的时间延长。虽然不同BMI的各组新鲜周期胚胎移植的妊娠结局尚无统计学差异,但考虑超重、肥胖患者后续妊娠后围产期不良风险增高,故临床工作中对于行早卵泡期长方案治疗的患者仍应重视控制BMI。

A novel long-term intravenous combined with local treatment with human amnion-derived mesenchymal stem cells for a multidisciplinary rescued uremic calciphylaxis patient and the underlying mechanism

Calciphylaxis is a rare disease characterized histologically by microvessel calcification and microthrombosis,with high mortality and no proven therapy.Here,we reported a severe uremic calciphylaxis patient with progressive skin ischemia,large areas of painful malodorous ulcers,and mummified legs.Because of the worsening symptoms and signs refractory to conventional therapies,treatment with human amnion-derived mesenchymal stem cells(hAMSCs)was approved.Preclinical release inspections of hAMSCs,efficacy,and safety assessment,including cytokine secretory ability,immunocompetence,tumorigenicity,and genetics analysis in vitro,were introduced.We further performed acute and long-term hAMSC toxicity evaluations in C57BL/6 mice and rats,abnormal immune response tests in C57BL/6 mice,and tumorigenicity tests in neonatal Balbc-nu nude mice.After the preclinical research,the patient was treated with hAMSCs by intravenous and local intramuscular injection and external supernatant application to the ulcers.When followed up to 15 months,the blood-based markers of bone and mineral metabolism improved,with skin soft tissue regeneration and a more favorable profile of peripheral blood mononuclear cells.Skin biopsy after 1-month treatment showed vascular regeneration with mature noncalcified vessels within the dermis,and 20 months later,the re-epithelialization restored the integrity of the damaged site.No infusion or local treatment-related adverse events occurred.Thus,this novel long-term intravenous combined with local treatment with hAMSCs warrants further investigation as a potential regenerative treatment for uremic calciphylaxis due to effects of inhibiting vascular calcification,stimulating angiogenesis and myogenesis,anti-inflammatory and immune modulation,multidifferentiation,re-epithelialization,and restoration of integrity.