In the implementation of the rural revitalization strategy,the banking and financial institutions in Jingzhou City,Hubei Province,under the guidance of the Jingzhou Branch of the People's Bank of China,strive to i...In the implementation of the rural revitalization strategy,the banking and financial institutions in Jingzhou City,Hubei Province,under the guidance of the Jingzhou Branch of the People's Bank of China,strive to improve and develop the financial service system adapted to the characteristics of the countryside in the new period.It has innovated financial service products,improved the quality and efficiency of financial services,increased financial support,and achieved remarkable results.On the basis of the investigation,combined with the relevant written materials and statistical data collected,this paper makes an empirical study on the reality of the city's banking and financial institutions serving the revitalization of rural areas.展开更多
Amyloid-beta-induced neuronal cell death contributes to cognitive decline in Alzheimer’s disease.Citri Reticulatae Semen has diverse beneficial effects on neurodegenerative diseases,including Parkinson’s and Hunting...Amyloid-beta-induced neuronal cell death contributes to cognitive decline in Alzheimer’s disease.Citri Reticulatae Semen has diverse beneficial effects on neurodegenerative diseases,including Parkinson’s and Huntington’s diseases,however,the effect of Citri Reticulatae Semen on Alzheimer’s disease remains unelucidated.In the current study,the anti-apoptotic and autophagic roles of Citri Reticulatae Semen extract on amyloid-beta-induced apoptosis in PC12 cells were first investigated.Citri Reticulatae Semen extract protected PC12 cells from amyloid-beta-induced apoptosis by attenuating the Bax/Bcl-2 ratio via activation of autophagy.In addition,Citri Reticulatae Semen extract was confirmed to bind amyloid-beta as revealed by biolayer interferometry in vitro,and suppress amyloid-beta-induced pathology such as paralysis,in a transgenic Caenorhabditis elegans in vivo model.Moreover,genetically defective Caenorhabditis elegans further confirmed that the neuroprotective effect of Citri Reticulatae Semen extract was autophagy-dependent.Most importantly,Citri Reticulatae Semen extract was confirmed to improve cognitive impairment,neuronal injury and amyloid-beta burden in 3×Tg Alzheimer’s disease mice.As revealed by both in vitro and in vivo models,these results suggest that Citri Reticulatae Semen extract is a potential natural therapeutic agent for Alzheimer’s disease via its neuroprotective autophagic effects.展开更多
Photodynamic therapy(PDT)has limited effects in treating metastatic breast cancer.Immune checkpoints can deplete the function of immune cells;however,the expression of immune checkpoints after PDT is unclear.This stud...Photodynamic therapy(PDT)has limited effects in treating metastatic breast cancer.Immune checkpoints can deplete the function of immune cells;however,the expression of immune checkpoints after PDT is unclear.This study investigates whether the limited e±cacy of PDT is due to upregulated immune checkpoints and tries to combine the PDT and immune checkpoint inhibitor to observe the e±cacy.A metastatic breast cancer model was treated by PDT mediated by hematoporphyrin derivatives(HpD-PDT).The anti-tumor effect of HpD-PDT was observed,as well as CD4þT,CD8þT and calreticulin(CRT)by immunohistochemistry and immunofluorescence.Immune checkpoints on T cells were analyzed byflow cytometry after HpD-PDT.When combining PDT with immune checkpoint inhibitors,the antitumor effect and immune effect were assessed.For HpD-PDT at 100 mW/cm2 and 40,60 and 80 J/cm2,primary tumors were suppressed and CD4þT,CD8þT and CRT were elevated;however,distant tumors couldn't be inhibited and survival could not be prolonged.Immune checkpoints on T cells,especially PD1 and LAG-3 after HpD-PDT,were upregulated,which may explain the reason for the limited HpD-PDT effect.After PDT combined with anti-PD1 antibody,but not with anti-LAG-3 antibody,both the primary and distant tumors were signi-cantly inhibited and the survival time was prolonged,additionally,CD4þT,CD8þT,IFN-þCD4þT and TNF-þCD4þT cells were signi-cantly increased compared with HpD-PDT.HpD-PDT could not combat metastatic breast cancer.PD1 and LAG-3 were upregulated after HpD-PDT.Anti-PD1 antibody,but not anti-LAG-3 antibody,could augment the antitumor effect of HpD-PDT for treating metastatic breast cancer.展开更多
<strong>Background:</strong> As a common surgical disease, pressure injury has become a long-standing problem in clinical treatment and nursing process. This research was conducted to explore the feasibili...<strong>Background:</strong> As a common surgical disease, pressure injury has become a long-standing problem in clinical treatment and nursing process. This research was conducted to explore the feasibility of Ji Desheng Snake Pills combined with hypertonic glucose external application in the treatment of stage III and IV pressure injuries. <strong>Methods:</strong> Patients with stage III and IV pressure injuries, who received treatment in our hospital between December 2018 and December 2019 were selected and divided into experimental group, conventional treatment group, and control group, 30 cases for each. The three groups received Ji Desheng Snake Pills combined with hypertonic glucose external application, moist dressing external application and surgical dressing change, respectively. The safety, therapeutic effect and cost benefit of the three treatment methods were compared. <strong>Results:</strong> There were no adverse reactions in the three groups of patients. The PUSH scores of the experimental group and the conventional treatment group were significantly lower than that of the control group on the 14<sup>th</sup>, 21<sup>th</sup>, and 28<sup>th</sup> days, and the result was statistically significant (p < 0.05), while there was no significant difference between the experimental group and the conventional treatment group (p > 0.05). The wound healing rates of the experimental group (70.14 ± 8.27%) and the conventional treatment group (73.99 ± 7.15%) were significantly higher than that of the control group (43.25 ± 8.53%) on the 28<sup>th</sup> day, with statistical significance (p < 0.05);there was no significant difference between the experimental group and the conventional treatment group (p > 0.05). The total treatment costs of the three groups were 569.73 ± 78.12 yuan, 1043.40 ± 135.31 yuan, and 186.47 ± 30.29 yuan. The cost of the conventional treatment group was the highest, followed by the experimental group, and the control group was the lowest. The result was statistically significant (p < 0.05). <strong>Conclusion:</strong> In the treatment of stage III and IV pressure injuries, there was no significant difference in the safety and therapeutic effect between the experimental group (Ji Desheng Snake Pills combined with hypertonic glucose external application) and the conventional treatment group (moist dressing external application), but the experimental group had better cost benefit.展开更多
BACKGROUND Nonalcoholic fatty liver disease(NAFLD)is one of the most common chronic diseases in the world.Nowadays,the percentage of non-obese or lean patients with NAFLD is increasing.NAFLD in non-obese populations,e...BACKGROUND Nonalcoholic fatty liver disease(NAFLD)is one of the most common chronic diseases in the world.Nowadays,the percentage of non-obese or lean patients with NAFLD is increasing.NAFLD in non-obese populations,especially the lean subgroup with a normal waist circumference(WC),might lead to more problems than obese individuals,as these individuals may not visit clinics for NAFLD diagnosis or ignore the diagnosis of NAFLD.If the precise characteristics of these populations,especially the lean subgroup,are identified,the clinicians would be able to provide more appropriate advice and treatment to these populations.AIM To investigate the prevalence,clinical characteristics,risk factors,and possible indicators for NAFLD in lean Chinese adults with a normal WC.METHODS People without diabetes mellitus or significant alcohol consumption who underwent routine health examinations were included.Their fatty liver index(FLI),abdominal ultrasonography results,and controlled attenuation parameter were all assessed.Genotyping for single-nucleotide polymorphisms associated with NAFLD was performed in another small group consisting of biopsy-proven NAFLD subjects and healthy controls.RESULTS A total of 2715 subjects who underwent routine health examinations were included in the study.Among 810 lean participants with a normal WC,142(17.5%)fulfilled the diagnostic criteria for NAFLD.Waist-height ratio,hemoglobin,platelets,and triglycerides were significant factors associated with the presence of NAFLD in these participants.The appropriate cut-off value of the FLI score in screening for NAFLD in the lean subjects with a normal WC was 25.15,which had a 77.8%sensitivity and 75.9%specificity.There was no significant difference in the single-nucleotide polymorphisms in the SIRT1,APOC3,PNPLA3,AGTR1,and PPARGC1A genes between lean subjects with and without NAFLD(P<0.05).CONCLUSION NAFLD is not uncommon in lean Chinese adults even with a normal WC.Metabolic factors,rather than genetic factors,may play important roles in the development of NAFLD in this population.A lower cut-off value of the FLI score in screening for NAFLD should be used for lean Chinese adults with a normal WC.展开更多
Background: Nonalcoholic fatty liver disease(NAFLD) was recently proposed to be renamed metabolic dysfunction-associated fatty liver disease(MAFLD) with the diagnostic criteria revised. We investigated the similaritie...Background: Nonalcoholic fatty liver disease(NAFLD) was recently proposed to be renamed metabolic dysfunction-associated fatty liver disease(MAFLD) with the diagnostic criteria revised. We investigated the similarities and differences in the prevalence and clinical characteristics of MAFLD and NAFLD in Chinese adults. Methods: A cross-sectional study of 9980 Chinese individuals aged 40 years or older was performed between 2011 and 2012 using randomized, stratifed cluster sampling in Shanghai, China. A detailed questionnaire and the results of abdominal ultrasonography, a standardized 2-h 75-g oral glucose tolerance test and blood biochemical examinations were collected. Results: A total of 9927 subjects were included in this study. The prevalence of MAFLD(40.3%) was significantly higher than that of NAFLD(36.9%)( P < 0.05). MAFLD was highly prevalent in type 2 diabetes mellitus(T2DM)(53.8%), impaired fasting glucose(35.7%) and impaired glucose tolerance(40.9%). High risk of advanced fbrosis based on fbrosis-4 was highly prevalent(14.7%) in lean MAFLD with T2DM. Among 9927 subjects, 3481(35.1%) fulflled the diagnostic criteria for MAFLD and NAFLD(MAFLD + NAFLD +), 521(5.2%) MAFLD + NAFLD-, and 181(1.8%) MAFLD-NAFLD +. The MAFLD + NAFLD-group had more signifcant metabolic disorders than those in the MAFLD + NAFLD + group(all P < 0.05). Among MAFLD-NAFLD + subjects, 82.9% had metabolic disorders. Conclusions: The new defnition of MAFLD may better reflect the pathogenesis related to metabolism. Future research should focus on studying the natural history, pathogenesis and treatment effectivity of the overlap and non-overlap of NAFLD and MAFLD subjects.展开更多
A sensitive, rapid, simple and economical ultra-performance liquid chromatography-tandem mass spectrometric method (UPLC-MS/MS) was developed and validated for simultaneous determination of imatinib, dasatinib and n...A sensitive, rapid, simple and economical ultra-performance liquid chromatography-tandem mass spectrometric method (UPLC-MS/MS) was developed and validated for simultaneous determination of imatinib, dasatinib and nilotinib in human plasma using gliquidone as internal standard (IS). Liquid-liquid extraction method with ethyl acetate was used for sample pre-treatment. The separation was performed on an Xtimate Phenyl column using isocratic mobile phase consisting of A (aqueous phase: 0.15% formic acid and 0.05% ammonium acetate) and B (organic phase: aeetonitrile) (A:B=40:60, v/v). The flow rate was 0.25 mL/min and the total run time was 6 min. The multiple reaction monitoring (MRM) transitions, m/z 494.5-394.5 for imatinib, 488.7-401.5 for dasatinib, 530.7-289.5 for nilotinib and 528.5-403.4 for IS, were chosen to achieve high selectivity in the simultaneous analyses. The method exhibited great improvement in sensitivity and good linearity over the concentration range of 2.6-5250.0 ng/mL for imatinib, 2.0-490.0 ng/mL for dasatinib, and 2.4-4700.0 ng/mL for nilotinib. The method showed acceptable results on sensitivity, specificity, recovery, precision, accuracy and stability tests. This UPLC-MS/MS assay was successfully used for human plasma samples analysis and no significant differences were found in imatinib steady-state trough concentrations among the SLC22A5 -1889T 〉 C or SLCOIB3 699G 〉 A genotypes (P 〉 0.05). This validated method can provide support for clinical therapeutic drug monitoring and pharmacokinetic investigations of these three tyrosine kinase inhibitors (TKIs).展开更多
To solve the problem of difficult machining, the near-net shaped Al/SiCP composites with high volume fraction of SiC particles were fabricated by vacuum-pressure infiltration. The SiCP preform with a complex shape was...To solve the problem of difficult machining, the near-net shaped Al/SiCP composites with high volume fraction of SiC particles were fabricated by vacuum-pressure infiltration. The SiCP preform with a complex shape was prepared by gelcasting. Pure Al, Al4Mg, and Al4Mg2Si were used as the matrices, respectively. The results indicate that the optimal parameters of SiCP suspension in gelcasting process are pH value of 10, TMAH content of 0.5 wt.%, and solid loading of 52 vol.%. The Al matrix alloyed with Mg contributes to improving the interfacial wettability of the matrix and SiC particles, which increases the relative density of the composite. The Al matrix alloyed with Si is beneficial to inhibiting the formation of the detrimental Al4C3 phases. The Al4Mg2Si/SiCP composite exhibits high relative density of 99.2%, good thermal conductivity of 150 W·m^-1·K^-1, low coefficient of thermal expansion of 10.1×10^-6 K^-1, and excellent bending strength of 489 MPa.展开更多
As a critical component of the railway vehicle, underframe equipment has a great influence on the ride comfort of railway vehicles due to their big mass and active vibration. Therefore, study on the relationship betwe...As a critical component of the railway vehicle, underframe equipment has a great influence on the ride comfort of railway vehicles due to their big mass and active vibration. Therefore, study on the relationship between suspension parameters of underframe equipment and the modal frequency of carbody is extremely crucial for con trolling the ride quality of railway vehicles. In this paper, a finite element model of the carbody was developed to investigate the effects of the suspension location, the mass of the suspension equipment, and the suspension frequency on the mode of the carbody. Then, the matching relationship between the suspension parameters and the modal frequency of the carbody was studied through the transfer function. In addition, roller rig tests were performed to verify the numerical simulation model of the carbody. The results show that the suspension parameters of the underframe equipment have a great influence on the mode of the carbody, especially for the frequency of the first bending mode. To improve the frequency of carbody highfrequency bending and reduce energy transfer, equipment with a large mass should be suspended toward the middle of the carbody. The weight of the equipment strongly affects the first bending frequency and energy transfer of the carbody. The frequency of heavy suspended equipment should be sufficiently low to increase the transmissibility of high frequencies and improve the vibration characteristics of the carbody. Although the bending frequency of the carbody can be improved effec tively by increasing the suspension stiffness of thesuspension equipment, in order to reduce carbody vibration effectively, the suspension frequency of the equipment should be slightly lower than the carbody bending frequency.展开更多
The wheel-rail force measurement is of great importance to the condition monitoring and safety evaluation of railway vehicles. In this paper, an improved indirect method for wheel-rail force measurement is proposed to...The wheel-rail force measurement is of great importance to the condition monitoring and safety evaluation of railway vehicles. In this paper, an improved indirect method for wheel-rail force measurement is proposed to evaluate the running safety of railway vehicles. In this method, the equilibrium equations of a suspended wheelset are derived and the wheel-rail forces are then be obtained from measured suspension and inertia forces. This indirect method avoids structural modifications to the wheelset and is applicable to the long-term operation of railway vehicles. As the wheel-rail lateral forces at two sides of the wheelset are difficult to separate, a new derailment criterion by combined use of wheelset derailment coefficient and wheel unloading ratio is proposed. To illustrate its effectiveness, the indirect method is applied to safety evaluation of rail- way vehicles in different scenarios, such as the cross wind safety of a high-speed train and the safety of a metro vehicle with hunting motions. Then, the feasibility of using this method to identify wheel-rail forces for low-floor light rail vehicles with resilient wheels is discussed. The values identified by this method is compared with that by Simpack simulation for the same low-floor vehicle, which shows a good coincidence between them in the time domain of the wheelset lateral force and the wheel-rail vertical force. In addition, use of the method to determine the high-frequency wheel-rail interaction forces reveals that it is possible to identify the high-frequency wheel-rail forces through the accelerations on the axle box.展开更多
A dual-shell Si/TiO2/CFs composite was synthesized through a simple method to deal with the intrinsic drawbacks of silicon-based anode,in terms of huge volume change,unstable SEI films,and low electronic and ionic con...A dual-shell Si/TiO2/CFs composite was synthesized through a simple method to deal with the intrinsic drawbacks of silicon-based anode,in terms of huge volume change,unstable SEI films,and low electronic and ionic conductivity.The inner rigid TiO2 shell alleviates the huge volume expansion of the nano silicon,and the outer resilient carbon fiber,which is porous and staggered,is beneficial to the rapid transport of electrons and ions.The as-prepared Si/TiO2/CFs composite displays a superior reversible specific capacity of 583.4 mA·h/g,high rate capability and decent cycling performance.The dual-shell encapsulation method provides a guideline for other anode materials with huge volume expansion during the cycling process.展开更多
Al-containing coatings were prepared on AZ31 magnesium alloy by pack-cementation technology.X-ray diffraction(XRD),backscattered electron imaging(BSEI)and energy dispersive spectroscopy(EDS)were jointly employed to ch...Al-containing coatings were prepared on AZ31 magnesium alloy by pack-cementation technology.X-ray diffraction(XRD),backscattered electron imaging(BSEI)and energy dispersive spectroscopy(EDS)were jointly employed to characterize the phases,microstructure and composition of the coated samples.The results show that the feedstock composition has a significant impact on the phases,microstructure and thickness of the coatings.For the sample with AlCl3 powder as the activator,the coating is very thick and composed of gradient phases and structures from surface to inside,including small amount ofb-Mg2Al3,coarse eutectic-like structure ofγ-Mg17Al12+δ-Mg,and fineγ-Mg17Al12 precipitations.In contrast,for the sample with AlCl3 and pure Al composite powders as the activator,the coating is relatively thin and contains a thin Al2O3 layer and a small amount of fineγ-Mg17Al12 precipitates.For the pack-cementation aluminizing that is not protected by high-vacuum or inert gas,the addition of pure Al powders can easily introduce the Al2O3 layer into the coating to prevent active Al ions further penetrating into the magnesium matrix,resulting in the thin Al-containing coating.The microhardness and corrosion behavior of the two kinds of aluminized coatings were also studied and discussed.展开更多
To study the vibration transmission character istics of a flexible carbody and its suspended equipment, a vertical mathematical model of highspeed electric multiple unit was established with equipment excitation consi...To study the vibration transmission character istics of a flexible carbody and its suspended equipment, a vertical mathematical model of highspeed electric multiple unit was established with equipment excitation considered. And the dynamic unbalance and impact turbulence excita tion from equipment were taken into account in a single stage and twostage vibration isolation system, respectively. Results show that the excitation transferred to carbody increases with suspension stiffness but decreases with the equipment mass increasing; the vibration transmission can be reduced by increasing the equipment mass or reduce the suspension stiffness. To avoid vibration resonance, the dynamic unbalance frequency of equipment should be out of the possible range of the carbody flexible modes, and a small stiffness should be applied to reduce the impact tur bulence. A small stiffness, however, would result in a large movement of the equipment which is limited by the static deflection requirement, while a great stiffness will transfer high frequency vibration. Therefore, a preferred stiffness should make the suspension frequency of equipment a bit greater than the first bending mode of carbody. Additionally, a 3D rigidflexible coupled dynamics model was built to verify the mathematical analysis, and they show good agreements. Results show that a twostage isolation could reduce the excitation transmission and make the vibration of carbody and equipment acceptable.展开更多
The names of many diseases have changed over time,and the criteria of successfully changing the name of a disease should make sense,be easy to say and write,get quick endorsement by professional societies,and keep the...The names of many diseases have changed over time,and the criteria of successfully changing the name of a disease should make sense,be easy to say and write,get quick endorsement by professional societies,and keep the same acronym.In general,a change in the name of a disease usually represents an improve-ment in the understanding of the disease,whether on clinical set-tings and natural history or pathophysiological aspects.The suc-cessful renamed liver diseases in history include from non-A non-B hepatitis,non-B non-C hepatitis,primary biliary cirrhosis to hep-atitis C,hepatitis E and primary biliary cholangitis,respectively.Therefore,the rename of the disease that is finally used usually clearly indicates its main characteristics.展开更多
Vertical MoS2nanosheets were controllably patterned onto graphene as nanoflowers through a two-step hydrothermal method. The interconnected network and intimate contact between MoS2nanosheets and graphene by vertical ...Vertical MoS2nanosheets were controllably patterned onto graphene as nanoflowers through a two-step hydrothermal method. The interconnected network and intimate contact between MoS2nanosheets and graphene by vertical channels enabled a high mechanical integrity of electrode and cycling stability. In particular, MoS2/graphene nanoflowers anode delivered an ultrahigh specific capacity of 901.8 mA·h/g after 700 stable cycles at 1000 mA/g and a corresponding capacity retention as 98.9% from the second cycle onwards.展开更多
BACKGROUND Childhood obesity and fatty liver are associated with adverse outcomes such as diabetes,metabolic syndrome,and cardiovascular diseases in adulthood.It is very important to identify relevant risk factors and...BACKGROUND Childhood obesity and fatty liver are associated with adverse outcomes such as diabetes,metabolic syndrome,and cardiovascular diseases in adulthood.It is very important to identify relevant risk factors and intervene as early as possible.At present,the relationship between maternal and offspring metabolic factors is conflicting.AIM To estimate the association of maternal obesity and gestational diabetes mellitus(GDM)with overweight/obesity and fatty liver risk in offspring at 8 years of age.METHODS The prospective study included mothers who all had a 75-g oral glucose tolerance test at 24-28 wk of gestation and whose offspring completed follow-up at 8 years of age.Offspring birth weight,sex,height,weight,and body mass index(BMI)were measured and calculated.FibroScan-502 examination with an M probe(Echosens,Paris,France)was prospectively conducted in offspring aged 8 years from the Shanghai Prenatal Cohort Study.RESULTS A total of 430 mother-child pairs were included in the analysis.A total of 62(14.2%)mothers were classified as obese,and 48(11.1%)were classified as having GDM.The mean age of the offspring at follow-up was 8 years old.Thirty-seven(8.6%)offspring were overweight,14(3.3%)had obesity,and 60(14.0%)had fatty liver.The prevalence of overweight,obesity and fatty liver in offspring increased significantly across maternal BMI quartiles(all P<0.05).Among offspring of mothers with GDM,12(25.0%)were overweight,4(8.3%)were obese,and 12(25.0%)had fatty liver vs.25(6.5%),10(2.6%)and 48(12.6%),respectively,for offspring of mothers without GDM(all P<0.05).In multiple logistic regression,after adjustment for variables,the OR for fatty liver in offspring was 8.26(95%CI:2.38-28.75)for maternal obesity and GDM.CONCLUSION This study showed that maternal obesity can increase the odds of overweight/obesity and fatty liver in offspring,and GDM status also increases the odds of overweight/obesity in offspring.Weight management and glycemic control before and during pregnancy need to be highlighted in primary prevention of pediatric obesity and fatty liver.展开更多
In order to improve the curving performance of the conventional wheelset in sharp curves and resolve the steering ability problem of the independently rotating wheel in large radius curves and tangent lines, a differe...In order to improve the curving performance of the conventional wheelset in sharp curves and resolve the steering ability problem of the independently rotating wheel in large radius curves and tangent lines, a differential cou- pling wheelset (DCW) was developed in this work. The DCW was composed of two independently rotating wheels (IRWs) coupled by a clutch-type limited slip differential. The differential contains a static pre-stress clutch, which could lock both sides of IRWs of the DCW to ensure a good steering performance in curves with large radius and tangent track. In contrast, the clutch could unlock the two IRWs of the DCW in a sharp curve to endue it with the characteristic of an IRW, so that the vehicles can go through the tight curve smoothly. To study the dynamic performance of the DCW, a multi-body dynamic model of single bogie with DCWs was established. The self-centering capability, hunting stability, and self-steering performance on a curved track were analyzed and then compared with those of the conventional wheelset and IRW. Finally, the effect of coupling parameters of the DCW on the dynamic performance was investigated.展开更多
文摘In the implementation of the rural revitalization strategy,the banking and financial institutions in Jingzhou City,Hubei Province,under the guidance of the Jingzhou Branch of the People's Bank of China,strive to improve and develop the financial service system adapted to the characteristics of the countryside in the new period.It has innovated financial service products,improved the quality and efficiency of financial services,increased financial support,and achieved remarkable results.On the basis of the investigation,combined with the relevant written materials and statistical data collected,this paper makes an empirical study on the reality of the city's banking and financial institutions serving the revitalization of rural areas.
基金supported by FDCT grants from the Macao Science and Technology Development Fund,China,No.002/2023/ALC(to BYKL)Foshan Medicine Dengfeng Project of China 2019-2021(to BYKL)+3 种基金the Science and Technology Program of Sichuan Province,Nos.2022YFS0620(to DQ)and MZGC20230041(to XFW)the TCMs Commission of Sichuan Province,No.2021MS469(to YT)the Science and Technology Program of Luzhou,No.2022-WGR-194(to YT)the Southwest Medical University Science and Technology Program,No.2021NJXNYD04(to DQ).
文摘Amyloid-beta-induced neuronal cell death contributes to cognitive decline in Alzheimer’s disease.Citri Reticulatae Semen has diverse beneficial effects on neurodegenerative diseases,including Parkinson’s and Huntington’s diseases,however,the effect of Citri Reticulatae Semen on Alzheimer’s disease remains unelucidated.In the current study,the anti-apoptotic and autophagic roles of Citri Reticulatae Semen extract on amyloid-beta-induced apoptosis in PC12 cells were first investigated.Citri Reticulatae Semen extract protected PC12 cells from amyloid-beta-induced apoptosis by attenuating the Bax/Bcl-2 ratio via activation of autophagy.In addition,Citri Reticulatae Semen extract was confirmed to bind amyloid-beta as revealed by biolayer interferometry in vitro,and suppress amyloid-beta-induced pathology such as paralysis,in a transgenic Caenorhabditis elegans in vivo model.Moreover,genetically defective Caenorhabditis elegans further confirmed that the neuroprotective effect of Citri Reticulatae Semen extract was autophagy-dependent.Most importantly,Citri Reticulatae Semen extract was confirmed to improve cognitive impairment,neuronal injury and amyloid-beta burden in 3×Tg Alzheimer’s disease mice.As revealed by both in vitro and in vivo models,these results suggest that Citri Reticulatae Semen extract is a potential natural therapeutic agent for Alzheimer’s disease via its neuroprotective autophagic effects.
基金supported by the National Key Research and Development Program of China[2018YFB0407200]National Natural Science Foundation of China[61975239]Medical and Health Technology Innovation Project of the Chinese Academy of Medical Sciences[2019-I2M-5061].
文摘Photodynamic therapy(PDT)has limited effects in treating metastatic breast cancer.Immune checkpoints can deplete the function of immune cells;however,the expression of immune checkpoints after PDT is unclear.This study investigates whether the limited e±cacy of PDT is due to upregulated immune checkpoints and tries to combine the PDT and immune checkpoint inhibitor to observe the e±cacy.A metastatic breast cancer model was treated by PDT mediated by hematoporphyrin derivatives(HpD-PDT).The anti-tumor effect of HpD-PDT was observed,as well as CD4þT,CD8þT and calreticulin(CRT)by immunohistochemistry and immunofluorescence.Immune checkpoints on T cells were analyzed byflow cytometry after HpD-PDT.When combining PDT with immune checkpoint inhibitors,the antitumor effect and immune effect were assessed.For HpD-PDT at 100 mW/cm2 and 40,60 and 80 J/cm2,primary tumors were suppressed and CD4þT,CD8þT and CRT were elevated;however,distant tumors couldn't be inhibited and survival could not be prolonged.Immune checkpoints on T cells,especially PD1 and LAG-3 after HpD-PDT,were upregulated,which may explain the reason for the limited HpD-PDT effect.After PDT combined with anti-PD1 antibody,but not with anti-LAG-3 antibody,both the primary and distant tumors were signi-cantly inhibited and the survival time was prolonged,additionally,CD4þT,CD8þT,IFN-þCD4þT and TNF-þCD4þT cells were signi-cantly increased compared with HpD-PDT.HpD-PDT could not combat metastatic breast cancer.PD1 and LAG-3 were upregulated after HpD-PDT.Anti-PD1 antibody,but not anti-LAG-3 antibody,could augment the antitumor effect of HpD-PDT for treating metastatic breast cancer.
文摘<strong>Background:</strong> As a common surgical disease, pressure injury has become a long-standing problem in clinical treatment and nursing process. This research was conducted to explore the feasibility of Ji Desheng Snake Pills combined with hypertonic glucose external application in the treatment of stage III and IV pressure injuries. <strong>Methods:</strong> Patients with stage III and IV pressure injuries, who received treatment in our hospital between December 2018 and December 2019 were selected and divided into experimental group, conventional treatment group, and control group, 30 cases for each. The three groups received Ji Desheng Snake Pills combined with hypertonic glucose external application, moist dressing external application and surgical dressing change, respectively. The safety, therapeutic effect and cost benefit of the three treatment methods were compared. <strong>Results:</strong> There were no adverse reactions in the three groups of patients. The PUSH scores of the experimental group and the conventional treatment group were significantly lower than that of the control group on the 14<sup>th</sup>, 21<sup>th</sup>, and 28<sup>th</sup> days, and the result was statistically significant (p < 0.05), while there was no significant difference between the experimental group and the conventional treatment group (p > 0.05). The wound healing rates of the experimental group (70.14 ± 8.27%) and the conventional treatment group (73.99 ± 7.15%) were significantly higher than that of the control group (43.25 ± 8.53%) on the 28<sup>th</sup> day, with statistical significance (p < 0.05);there was no significant difference between the experimental group and the conventional treatment group (p > 0.05). The total treatment costs of the three groups were 569.73 ± 78.12 yuan, 1043.40 ± 135.31 yuan, and 186.47 ± 30.29 yuan. The cost of the conventional treatment group was the highest, followed by the experimental group, and the control group was the lowest. The result was statistically significant (p < 0.05). <strong>Conclusion:</strong> In the treatment of stage III and IV pressure injuries, there was no significant difference in the safety and therapeutic effect between the experimental group (Ji Desheng Snake Pills combined with hypertonic glucose external application) and the conventional treatment group (moist dressing external application), but the experimental group had better cost benefit.
基金National Key R&D Program of China,No.2017YFC0908900National Natural Science Foundation of China,No.81873565 and No.81900507Hospital Funded Clinical Research,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,No.17CSK04 and No.15LC06.
文摘BACKGROUND Nonalcoholic fatty liver disease(NAFLD)is one of the most common chronic diseases in the world.Nowadays,the percentage of non-obese or lean patients with NAFLD is increasing.NAFLD in non-obese populations,especially the lean subgroup with a normal waist circumference(WC),might lead to more problems than obese individuals,as these individuals may not visit clinics for NAFLD diagnosis or ignore the diagnosis of NAFLD.If the precise characteristics of these populations,especially the lean subgroup,are identified,the clinicians would be able to provide more appropriate advice and treatment to these populations.AIM To investigate the prevalence,clinical characteristics,risk factors,and possible indicators for NAFLD in lean Chinese adults with a normal WC.METHODS People without diabetes mellitus or significant alcohol consumption who underwent routine health examinations were included.Their fatty liver index(FLI),abdominal ultrasonography results,and controlled attenuation parameter were all assessed.Genotyping for single-nucleotide polymorphisms associated with NAFLD was performed in another small group consisting of biopsy-proven NAFLD subjects and healthy controls.RESULTS A total of 2715 subjects who underwent routine health examinations were included in the study.Among 810 lean participants with a normal WC,142(17.5%)fulfilled the diagnostic criteria for NAFLD.Waist-height ratio,hemoglobin,platelets,and triglycerides were significant factors associated with the presence of NAFLD in these participants.The appropriate cut-off value of the FLI score in screening for NAFLD in the lean subjects with a normal WC was 25.15,which had a 77.8%sensitivity and 75.9%specificity.There was no significant difference in the single-nucleotide polymorphisms in the SIRT1,APOC3,PNPLA3,AGTR1,and PPARGC1A genes between lean subjects with and without NAFLD(P<0.05).CONCLUSION NAFLD is not uncommon in lean Chinese adults even with a normal WC.Metabolic factors,rather than genetic factors,may play important roles in the development of NAFLD in this population.A lower cut-off value of the FLI score in screening for NAFLD should be used for lean Chinese adults with a normal WC.
基金supported by grants from the Collaborative Innovation Program of Shanghai Municipal Health Commission (2020CXJQ01)the National Natural Science Foundation of China (81873565 and 82100605)+2 种基金Shanghai Jiao Tong University Transmed Awards Research (20190104)Star Program of Shanghai Jiao Tong University (YG2021QN54)Hospital Funded Clinical Research,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (17CSK04 and 15LC06)。
文摘Background: Nonalcoholic fatty liver disease(NAFLD) was recently proposed to be renamed metabolic dysfunction-associated fatty liver disease(MAFLD) with the diagnostic criteria revised. We investigated the similarities and differences in the prevalence and clinical characteristics of MAFLD and NAFLD in Chinese adults. Methods: A cross-sectional study of 9980 Chinese individuals aged 40 years or older was performed between 2011 and 2012 using randomized, stratifed cluster sampling in Shanghai, China. A detailed questionnaire and the results of abdominal ultrasonography, a standardized 2-h 75-g oral glucose tolerance test and blood biochemical examinations were collected. Results: A total of 9927 subjects were included in this study. The prevalence of MAFLD(40.3%) was significantly higher than that of NAFLD(36.9%)( P < 0.05). MAFLD was highly prevalent in type 2 diabetes mellitus(T2DM)(53.8%), impaired fasting glucose(35.7%) and impaired glucose tolerance(40.9%). High risk of advanced fbrosis based on fbrosis-4 was highly prevalent(14.7%) in lean MAFLD with T2DM. Among 9927 subjects, 3481(35.1%) fulflled the diagnostic criteria for MAFLD and NAFLD(MAFLD + NAFLD +), 521(5.2%) MAFLD + NAFLD-, and 181(1.8%) MAFLD-NAFLD +. The MAFLD + NAFLD-group had more signifcant metabolic disorders than those in the MAFLD + NAFLD + group(all P < 0.05). Among MAFLD-NAFLD + subjects, 82.9% had metabolic disorders. Conclusions: The new defnition of MAFLD may better reflect the pathogenesis related to metabolism. Future research should focus on studying the natural history, pathogenesis and treatment effectivity of the overlap and non-overlap of NAFLD and MAFLD subjects.
文摘A sensitive, rapid, simple and economical ultra-performance liquid chromatography-tandem mass spectrometric method (UPLC-MS/MS) was developed and validated for simultaneous determination of imatinib, dasatinib and nilotinib in human plasma using gliquidone as internal standard (IS). Liquid-liquid extraction method with ethyl acetate was used for sample pre-treatment. The separation was performed on an Xtimate Phenyl column using isocratic mobile phase consisting of A (aqueous phase: 0.15% formic acid and 0.05% ammonium acetate) and B (organic phase: aeetonitrile) (A:B=40:60, v/v). The flow rate was 0.25 mL/min and the total run time was 6 min. The multiple reaction monitoring (MRM) transitions, m/z 494.5-394.5 for imatinib, 488.7-401.5 for dasatinib, 530.7-289.5 for nilotinib and 528.5-403.4 for IS, were chosen to achieve high selectivity in the simultaneous analyses. The method exhibited great improvement in sensitivity and good linearity over the concentration range of 2.6-5250.0 ng/mL for imatinib, 2.0-490.0 ng/mL for dasatinib, and 2.4-4700.0 ng/mL for nilotinib. The method showed acceptable results on sensitivity, specificity, recovery, precision, accuracy and stability tests. This UPLC-MS/MS assay was successfully used for human plasma samples analysis and no significant differences were found in imatinib steady-state trough concentrations among the SLC22A5 -1889T 〉 C or SLCOIB3 699G 〉 A genotypes (P 〉 0.05). This validated method can provide support for clinical therapeutic drug monitoring and pharmacokinetic investigations of these three tyrosine kinase inhibitors (TKIs).
基金Project (CXZZ20140506150310438) supported by the Science and Technology Program of Shenzhen City, ChinaProject (2017GK2261) supported by the Science and Technology Program of Hunan Province, ChinaProject (2017zzts111) supported by the Fundamental Research Funds for the Central Universities, China。
文摘To solve the problem of difficult machining, the near-net shaped Al/SiCP composites with high volume fraction of SiC particles were fabricated by vacuum-pressure infiltration. The SiCP preform with a complex shape was prepared by gelcasting. Pure Al, Al4Mg, and Al4Mg2Si were used as the matrices, respectively. The results indicate that the optimal parameters of SiCP suspension in gelcasting process are pH value of 10, TMAH content of 0.5 wt.%, and solid loading of 52 vol.%. The Al matrix alloyed with Mg contributes to improving the interfacial wettability of the matrix and SiC particles, which increases the relative density of the composite. The Al matrix alloyed with Si is beneficial to inhibiting the formation of the detrimental Al4C3 phases. The Al4Mg2Si/SiCP composite exhibits high relative density of 99.2%, good thermal conductivity of 150 W·m^-1·K^-1, low coefficient of thermal expansion of 10.1×10^-6 K^-1, and excellent bending strength of 489 MPa.
基金financially supported by the National Natural Science Foundation of China (No. U1334206)the National Basic Research Program of China (No. 2011CB711106)
文摘As a critical component of the railway vehicle, underframe equipment has a great influence on the ride comfort of railway vehicles due to their big mass and active vibration. Therefore, study on the relationship between suspension parameters of underframe equipment and the modal frequency of carbody is extremely crucial for con trolling the ride quality of railway vehicles. In this paper, a finite element model of the carbody was developed to investigate the effects of the suspension location, the mass of the suspension equipment, and the suspension frequency on the mode of the carbody. Then, the matching relationship between the suspension parameters and the modal frequency of the carbody was studied through the transfer function. In addition, roller rig tests were performed to verify the numerical simulation model of the carbody. The results show that the suspension parameters of the underframe equipment have a great influence on the mode of the carbody, especially for the frequency of the first bending mode. To improve the frequency of carbody highfrequency bending and reduce energy transfer, equipment with a large mass should be suspended toward the middle of the carbody. The weight of the equipment strongly affects the first bending frequency and energy transfer of the carbody. The frequency of heavy suspended equipment should be sufficiently low to increase the transmissibility of high frequencies and improve the vibration characteristics of the carbody. Although the bending frequency of the carbody can be improved effec tively by increasing the suspension stiffness of thesuspension equipment, in order to reduce carbody vibration effectively, the suspension frequency of the equipment should be slightly lower than the carbody bending frequency.
基金supported by the National Natural Science Foundation of China (Grant No. U1334206 and No. 51475388)Science & Technology Development Project of China Railway Corporation (Grant No. J012-C)
文摘The wheel-rail force measurement is of great importance to the condition monitoring and safety evaluation of railway vehicles. In this paper, an improved indirect method for wheel-rail force measurement is proposed to evaluate the running safety of railway vehicles. In this method, the equilibrium equations of a suspended wheelset are derived and the wheel-rail forces are then be obtained from measured suspension and inertia forces. This indirect method avoids structural modifications to the wheelset and is applicable to the long-term operation of railway vehicles. As the wheel-rail lateral forces at two sides of the wheelset are difficult to separate, a new derailment criterion by combined use of wheelset derailment coefficient and wheel unloading ratio is proposed. To illustrate its effectiveness, the indirect method is applied to safety evaluation of rail- way vehicles in different scenarios, such as the cross wind safety of a high-speed train and the safety of a metro vehicle with hunting motions. Then, the feasibility of using this method to identify wheel-rail forces for low-floor light rail vehicles with resilient wheels is discussed. The values identified by this method is compared with that by Simpack simulation for the same low-floor vehicle, which shows a good coincidence between them in the time domain of the wheelset lateral force and the wheel-rail vertical force. In addition, use of the method to determine the high-frequency wheel-rail interaction forces reveals that it is possible to identify the high-frequency wheel-rail forces through the accelerations on the axle box.
基金Project(51772331)supported by the National Natural Science Foundation of ChinaProject(2018YFB1106000)supported by the National Key Technologies R&D Program of China
文摘A dual-shell Si/TiO2/CFs composite was synthesized through a simple method to deal with the intrinsic drawbacks of silicon-based anode,in terms of huge volume change,unstable SEI films,and low electronic and ionic conductivity.The inner rigid TiO2 shell alleviates the huge volume expansion of the nano silicon,and the outer resilient carbon fiber,which is porous and staggered,is beneficial to the rapid transport of electrons and ions.The as-prepared Si/TiO2/CFs composite displays a superior reversible specific capacity of 583.4 mA·h/g,high rate capability and decent cycling performance.The dual-shell encapsulation method provides a guideline for other anode materials with huge volume expansion during the cycling process.
基金the National Natural Science Foundation of China(No.51575073)International Cooperation Special Project in Science and Technology of China(No.2015DFR70480)Scientific and Technological Research Program of Chongqing,China(Nos.cstc2017jcyjBX0031,cstc2018jszx-cyzdX0126).
文摘Al-containing coatings were prepared on AZ31 magnesium alloy by pack-cementation technology.X-ray diffraction(XRD),backscattered electron imaging(BSEI)and energy dispersive spectroscopy(EDS)were jointly employed to characterize the phases,microstructure and composition of the coated samples.The results show that the feedstock composition has a significant impact on the phases,microstructure and thickness of the coatings.For the sample with AlCl3 powder as the activator,the coating is very thick and composed of gradient phases and structures from surface to inside,including small amount ofb-Mg2Al3,coarse eutectic-like structure ofγ-Mg17Al12+δ-Mg,and fineγ-Mg17Al12 precipitations.In contrast,for the sample with AlCl3 and pure Al composite powders as the activator,the coating is relatively thin and contains a thin Al2O3 layer and a small amount of fineγ-Mg17Al12 precipitates.For the pack-cementation aluminizing that is not protected by high-vacuum or inert gas,the addition of pure Al powders can easily introduce the Al2O3 layer into the coating to prevent active Al ions further penetrating into the magnesium matrix,resulting in the thin Al-containing coating.The microhardness and corrosion behavior of the two kinds of aluminized coatings were also studied and discussed.
基金supported by the National Science and Technology Support Program of China (No. 2011 BAG10B01)the National Key Basic Research Program of China (No. 2011CB711100)+1 种基金the National Science and Technology Support Program of China (No. U1334206)the New Century Excellent Talents of Ministry of Education funded project (No. NCET-10-0664)
文摘To study the vibration transmission character istics of a flexible carbody and its suspended equipment, a vertical mathematical model of highspeed electric multiple unit was established with equipment excitation considered. And the dynamic unbalance and impact turbulence excita tion from equipment were taken into account in a single stage and twostage vibration isolation system, respectively. Results show that the excitation transferred to carbody increases with suspension stiffness but decreases with the equipment mass increasing; the vibration transmission can be reduced by increasing the equipment mass or reduce the suspension stiffness. To avoid vibration resonance, the dynamic unbalance frequency of equipment should be out of the possible range of the carbody flexible modes, and a small stiffness should be applied to reduce the impact tur bulence. A small stiffness, however, would result in a large movement of the equipment which is limited by the static deflection requirement, while a great stiffness will transfer high frequency vibration. Therefore, a preferred stiffness should make the suspension frequency of equipment a bit greater than the first bending mode of carbody. Additionally, a 3D rigidflexible coupled dynamics model was built to verify the mathematical analysis, and they show good agreements. Results show that a twostage isolation could reduce the excitation transmission and make the vibration of carbody and equipment acceptable.
基金grants from the National Key Research and Development Program of China(2021YFC2700802)the National Natural Science Foundation of China(81873565 and 82170593)Clinical Research Unit,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine(17CSK04).
文摘The names of many diseases have changed over time,and the criteria of successfully changing the name of a disease should make sense,be easy to say and write,get quick endorsement by professional societies,and keep the same acronym.In general,a change in the name of a disease usually represents an improve-ment in the understanding of the disease,whether on clinical set-tings and natural history or pathophysiological aspects.The suc-cessful renamed liver diseases in history include from non-A non-B hepatitis,non-B non-C hepatitis,primary biliary cirrhosis to hep-atitis C,hepatitis E and primary biliary cholangitis,respectively.Therefore,the rename of the disease that is finally used usually clearly indicates its main characteristics.
基金The financial support of the Natural Science Foundation of Changsha,China(No.kq2202094)National Key R&D Program of China(No.2021YFB3701400)。
文摘Vertical MoS2nanosheets were controllably patterned onto graphene as nanoflowers through a two-step hydrothermal method. The interconnected network and intimate contact between MoS2nanosheets and graphene by vertical channels enabled a high mechanical integrity of electrode and cycling stability. In particular, MoS2/graphene nanoflowers anode delivered an ultrahigh specific capacity of 901.8 mA·h/g after 700 stable cycles at 1000 mA/g and a corresponding capacity retention as 98.9% from the second cycle onwards.
基金This work was supported by the National Natural Science Foundation of China (61374054, 61203007), and Natural Science Foundation Research Projection of Shaanxi Province (2013JQ8038).
基金Supported by Collaborative Innovation Program of Shanghai Municipal Health Commission, No. 2020CXJQ01National Natural Science Foundation of China, No. 81873565 and No. 82100605+3 种基金SJTU Trans-med Awards Research, No. 20190104Star Program of Shanghai Jiao Tong University, No. YG2021QN54WBE Liver Fibrosis Foundation, No. CFHPC2020061Hospital Funded Clinical Research, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 17CSK04 and No. 15LC06
文摘BACKGROUND Childhood obesity and fatty liver are associated with adverse outcomes such as diabetes,metabolic syndrome,and cardiovascular diseases in adulthood.It is very important to identify relevant risk factors and intervene as early as possible.At present,the relationship between maternal and offspring metabolic factors is conflicting.AIM To estimate the association of maternal obesity and gestational diabetes mellitus(GDM)with overweight/obesity and fatty liver risk in offspring at 8 years of age.METHODS The prospective study included mothers who all had a 75-g oral glucose tolerance test at 24-28 wk of gestation and whose offspring completed follow-up at 8 years of age.Offspring birth weight,sex,height,weight,and body mass index(BMI)were measured and calculated.FibroScan-502 examination with an M probe(Echosens,Paris,France)was prospectively conducted in offspring aged 8 years from the Shanghai Prenatal Cohort Study.RESULTS A total of 430 mother-child pairs were included in the analysis.A total of 62(14.2%)mothers were classified as obese,and 48(11.1%)were classified as having GDM.The mean age of the offspring at follow-up was 8 years old.Thirty-seven(8.6%)offspring were overweight,14(3.3%)had obesity,and 60(14.0%)had fatty liver.The prevalence of overweight,obesity and fatty liver in offspring increased significantly across maternal BMI quartiles(all P<0.05).Among offspring of mothers with GDM,12(25.0%)were overweight,4(8.3%)were obese,and 12(25.0%)had fatty liver vs.25(6.5%),10(2.6%)and 48(12.6%),respectively,for offspring of mothers without GDM(all P<0.05).In multiple logistic regression,after adjustment for variables,the OR for fatty liver in offspring was 8.26(95%CI:2.38-28.75)for maternal obesity and GDM.CONCLUSION This study showed that maternal obesity can increase the odds of overweight/obesity and fatty liver in offspring,and GDM status also increases the odds of overweight/obesity in offspring.Weight management and glycemic control before and during pregnancy need to be highlighted in primary prevention of pediatric obesity and fatty liver.
基金supported by the National Key Technology R&D Program of China (No. 2009BAG12A02)the National Basic Research Program of China (No. 2011CB711106)+2 种基金the Program for Innovative Research Team in University (No. IRT1178)the Program for New Century Excellent Talents in University (No. NCET-10-0664)the National Key Technology R&D Program (No. 2009BAG12A01)
文摘In order to improve the curving performance of the conventional wheelset in sharp curves and resolve the steering ability problem of the independently rotating wheel in large radius curves and tangent lines, a differential cou- pling wheelset (DCW) was developed in this work. The DCW was composed of two independently rotating wheels (IRWs) coupled by a clutch-type limited slip differential. The differential contains a static pre-stress clutch, which could lock both sides of IRWs of the DCW to ensure a good steering performance in curves with large radius and tangent track. In contrast, the clutch could unlock the two IRWs of the DCW in a sharp curve to endue it with the characteristic of an IRW, so that the vehicles can go through the tight curve smoothly. To study the dynamic performance of the DCW, a multi-body dynamic model of single bogie with DCWs was established. The self-centering capability, hunting stability, and self-steering performance on a curved track were analyzed and then compared with those of the conventional wheelset and IRW. Finally, the effect of coupling parameters of the DCW on the dynamic performance was investigated.