目的系统评价延续护理促进老年人关节功能恢复的有效性及安全性。方法检索Cochrane Library、Web of Science、PubMed、Embase数据库中有关延续护理应用于老年关节置换患者的随机对照试验和队列研究,检索时间从建库到2023年10月25日。2...目的系统评价延续护理促进老年人关节功能恢复的有效性及安全性。方法检索Cochrane Library、Web of Science、PubMed、Embase数据库中有关延续护理应用于老年关节置换患者的随机对照试验和队列研究,检索时间从建库到2023年10月25日。2名研究员独立完成文献筛选、数据提取,随机对照试验通过Cochrane偏倚风险工具进行文献偏倚分析,队列研究通过纽卡斯尔-渥太华标准进行文献质量评价。结果共纳入15篇文献,包括34186例膝关节和髋关节置换患者。促进老年髋关节置换患者功能改善的主要指标包括髋关节评分、出院后日常生活指数评分(Barthel Index)及生活质量;对老年膝关节置换患者进行延续护理明显改善的指标包括膝关节运动范围、骨关节炎指数、关节损伤和骨关节炎结果评分;延续护理对术后并发症并没有明显作用。文献质量评价显示纳入文献总体质量较高,但仅1项针对髋关节置换术后患者的研究运用了理论框架。结论延续护理在缓解膝关节疼痛、改善关节活动度及髋关节功能方面发挥了重要作用,但是对生活质量、患者满意度、经济、减少关节置换术后并发症和再次入院率方面的有效性尚需进一步明确。展开更多
Background:Esophageal cancer(EC)remains a global health challenge due to its poor prognosis.China and the United States of America(USA)represent two distinct epicenters of EC burden.Understanding the EC disparities in...Background:Esophageal cancer(EC)remains a global health challenge due to its poor prognosis.China and the United States of America(USA)represent two distinct epicenters of EC burden.Understanding the EC disparities in these two countries is vital for tailoring prevention strategies,optimizing treatment,and enhancing outcomes in both countries.Yet,there lacks a comprehensive comparison of EC characteristics between the two countries.Methods:In this multicenter,retrospective hospital-based study,we enrolled primary EC patients who received their initial treatment at one of 23 hospitals in China during 2016-2017.Using electronic medical records and cancer registration records,information on demographics,lifestyle,and clinicopathological characteristics(in-cluding tumor site,pathology,stage,metastases,differentiation,and treatment)were collected.Additionally,we compared these data with the clinicopathological information of invasive EC patients diagnosed in 2016-2017 from the Surveillance,Epidemiology,and End Results(SEER)database in the USA.Results:A total of 6,658 EC patients in China and 8,555 EC patients in the USA were included finally.85.5%(n=5,694)of EC were esophageal squamous cell carcinoma(ESCC)in China,while esophageal adenocarcinoma(EAC)was prominent in the USA(58.9%,n=5,041).Among EC patients with known staging,the proportion of early stage was higher in China compared to the USA(48.3%vs.30.5%).Among ESCC patients,early-stage cases were higher in China than in the USA(49.8%vs.31.8%),while among EAC patients,late-stage cases were higher in China than in the USA(77.3%vs.68.5%)(all P<0.001).In China,EC mainly occurred in the middle third(60.2%)of the esophagus,whereas in the USA,it was more common in the lower third(59.9%)of the organ.Compared with EC patients with known metastatic status in the USA,China had fewer cases of lymph node metastases(51.4%vs.57.7%)and distant metastases(7.9%vs.33.8%).Regarding treatment,China had more surgical therapy(53.7%vs.22.6%),less radiotherapy(35.6%vs.53.3%),and less chemotherapy(46.7%vs.59.7%)compared to the USA.Conclusions:This study reveals notable disparities in EC between China and the USA,encompassing epidemi-ological,clinicopathological,and treatment dimensions.These findings provide insight for tailored strategies addressing regional variations in clinicopathological and therapeutic characteristics.展开更多
<b>Objective:</b> 120 patients with severe pneumonia who were kept in the comprehensive ICU of our hospital in 2018 were selected, and 16s rDNA sequencing was performed to analyze the composition of pathog...<b>Objective:</b> 120 patients with severe pneumonia who were kept in the comprehensive ICU of our hospital in 2018 were selected, and 16s rDNA sequencing was performed to analyze the composition of pathogenic bacteria in the sputum of severe pneumonia. <b>Methods:</b> The sputum samples of patients with severe bacterial pneumonia were collected, and the diversity of pathogens in the samples was analyzed by polymerase chain reaction (PCR) amplification and high-throughput sequencing (16s rDNA PCR-DGGE). <b>Results:</b> Sequence showed that sputum samples contained a relatively large number of species, and there were many species that were not detected by sequencing. The dominant bacteria were <i>Streptococcus, Sphingomonas, Corynebacterium, Denatobacteria, Aquobacteria, Acinetobacteria, Prevotella, Klebsiella, Pseudomonas</i>, etc. <b>Conclusion:</b> Bacteria caused by sputum of severe bacterial pneumonia are complex and diverse, which provides new methods and ideas for individualized treatment of patients with severe pneumonia.展开更多
The diagnosis of pathogenic bacteria in severe pneumonia is difficult and the prognosis is poor. Its outcome is closely related to bacterial pathogenicity and the timeliness and pertinence of antibiotic treatment. The...The diagnosis of pathogenic bacteria in severe pneumonia is difficult and the prognosis is poor. Its outcome is closely related to bacterial pathogenicity and the timeliness and pertinence of antibiotic treatment. Therefore, early diagnosis is of great significance to the prognosis of patients. Sputum examination and culture is the gold standard for the diagnosis of pathogens of severe pneumonia. However, due to the long time of bacterial culture, the early use of antibiotics, the change of bacteria species, mixed infection and other problems, the results of bacterial culture in sputum are often false negative. With the continuous application of new molecular biology techniques in clinical detection, the classification of bacteria and microorganisms has deepened from the identification of phenotypic characteristics to the classification of gene characteristics. Sequencing analysis with 16S rDNA sequencing technology has the characteristics of high sequencing flux, large amount of data obtained, short cycle, and can more comprehensively reflect the species composition of microbial community, real species distribution and abundance information. In this paper, 16S rDNA sequencing technology was used to analyze the bacterial population composition in the sputum of severe pneumonia, and to explore a new method of etiological diagnosis.展开更多
The granulation behavior of iron ores is essential for subsequent parameter optimization and efficient granulation, especially under changing material conditions. In this study, the effects of surface properties and p...The granulation behavior of iron ores is essential for subsequent parameter optimization and efficient granulation, especially under changing material conditions. In this study, the effects of surface properties and particle size were analyzed using a laboratory granulation method; an estimation of the granulation of sintering blends was subsequently conducted for the base ores. Circularity and porosity were observed to negatively affect the granulation of iron ores, whereas wettability positively affected the granulation and was the most influential factor, indicating that wetting of iron ores is desirable during granulation. When iron ores with complex size distributions were granulated, the equivalent surface area was the main influencing factor for coarse particles larger than 1 mm and the ratio of adhering fines to intermediates was the main factor for fine particles smaller than 1 mm. By combining the granulation of coarse and fine particles with their proportioning, we proposed a calculation method for estimating the granulation ability of sintering blends. Good verification was demonstrated with the designed schemes. The results suggest that the developed method is effective for predicting the granulation of iron ore mixtures.展开更多
Linearized shallow water perturbation equations with approximation in an equatorial β plane are used to obtain the analytical solution of wave packet anomalies in the upper bounded equatorial ocean. The main results ...Linearized shallow water perturbation equations with approximation in an equatorial β plane are used to obtain the analytical solution of wave packet anomalies in the upper bounded equatorial ocean. The main results are as follows. The wave packet is a superposition of eastward travelling Kelvin waves and westward travelling Rossby waves with the slowest speed, and satisfies the boundary conditions of eastern and western coasts, respectively.The decay coefficient of this solution to the north and south sides of the equator is inversely proportional only to the phase velocity of Kelvin waves in the upper water. The oscillation frequency of the wave packet, which is also the natural frequency of the ocean, is proportional to its mode number and the phase velocity of Kelvin waves and is inversely proportional to the length of the equatorial ocean in the east-west direction. The flow anomalies of the wave packet of Mode 1 most of the time appear as zonal flows with the same direction. They reach the maximum at the center of the equatorial ocean and decay rapidly away from the equator, manifested as equatorially trapped waves. The flow anomalies of the wave packet of Mode 2 appear as the zonal flows with the same direction most of the time in half of the ocean, and are always 0 at the center of the entire ocean which indicates stagnation, while decaying away from the equator with the same speed as that of Mode 1. The spatial structure and oscillation period of the wave packet solution of Mode 1 and Mode 2 are consistent with the changing periods of the surface spatial field and time coefficient of the first and second modes of complex empirical orthogonal function(EOF)analysis of flow anomalies in the actual equatorial ocean. This indicates that the solution does exist in the real ocean, and that El Ni?o-Southern Oscillation(ENSO) and Indian Ocean dipole(IOD) are both related to Mode 2.After considering the Indonesian throughflow, we can obtain the length of bounded equatorial ocean by taking the sum of that of the tropical Indian Ocean and the tropical Pacific Ocean, thus this wave packet can also explain the decadal variability(about 20 a) of the equatorial Pacific and Indian Oceans.展开更多
AIM: To evaluate the clinical outcome of re-operation for recurrent abdominal liposarcoma following multidis-ciplinary team cooperation. METHODS: Nineteen consecutive patients who had re-current abdominal liposarcoma ...AIM: To evaluate the clinical outcome of re-operation for recurrent abdominal liposarcoma following multidis-ciplinary team cooperation. METHODS: Nineteen consecutive patients who had re-current abdominal liposarcoma underwent re-operation by the retroperitoneal sarcoma team at our institution from May 2009 to January 2012. Patient demographic and clinical data were reviewed retrospectively. Multidisciplinary team discussions were held prior to treatment, and re-operation was deemed the best treatment. The categories of the extent of resection were as follows: gross total resection (GTR), palliative resection and partial resection. Surgical techniques were divided into discrete lesion resection and combined contiguous multivisceral resection (CMR). Tumor size was determined as the largest diameter of the specimen. Patients were followed up at approximately 3-monthly intervals. For survival analysis, a univariate analysis was performed using the Kaplan-Meier method, and a multivariate analysis was performed using the Cox pro-portional hazards model. RESULTS: Nineteen patients with recurrent abdominal liposarcoma (RAL) underwent 32 re-operations at our institute. A total of 51 operations were reviewed with a total follow-up time ranging from 4 to 120 (47.4 ± 34.2) mo. The GTR rate in the CMR group was higher than that in the non-CMR group (P = 0.034). CMR was positively correlated with intra-operative bleeding (correlation coefficient = 0.514, P = 0.010). Six cases with severe postoperative complications were recorded. Patients with tumor sizes greater than 20 cm carried a significant risk of profuse intra-operative bleeding (P = 0.009). The ratio of a highly malignant subtype (de-differentiated or pleomorphic) in recurrent cases was higher compared to primary cases (P = 0.027). Both single-factor survival using the Kaplan-Meier model and multivariate analysis using the Cox proportional hazards model showed that overall survival was corre-lated with resection extent and pathological subtype (P < 0.001 and P = 0.02), however, relapse-free interval (RFI) was only correlated with resection extent (P = 0.002). CONCLUSION: Close follow-up should be conducted in patients with RAL. Early re-operation for relapse is preferred and gross resection most likely prolongs the RFI.展开更多
Lithium-sulfur(Li-S)batteries with high theoretical energy density are promising advanced energy storage devices.However,shuttling of dissolute lithium polysulfide(LiPSs)and sluggish conversion kinetics impede their a...Lithium-sulfur(Li-S)batteries with high theoretical energy density are promising advanced energy storage devices.However,shuttling of dissolute lithium polysulfide(LiPSs)and sluggish conversion kinetics impede their applications.Herein,single nickel(Ni)atoms on two-dimensional(2D)nitrogen(N)-doped carbon with Ni-N_(4)-O overcoordinated structure(SANi-N_(4)-O/NC)are prepared and firstly used as a sulfur host of Li-S batteries.Due to the efficient polysulfides traps and highly LiPSs conversion effect of SANi-N_(4)-O/NC,the electrochemical performance of Li-S batteries obviously improved.The batteries can well operate even under high sulfur loading(5.8 mg cm^(-2))and lean electrolyte(6.1μL mg^(-1))condition.Meanwhile,density functional theory(DFT)calculations demonstrate that Ni single atom’s active sites decrease the energy barriers of conversion reactions from Li_(2)S_(8)to Li2S due to the strong interaction between SANi-N_(4)-O/NC and LiPSs.Thus,the kinetic conversion of LiPSs was accelerated and the shuttle effect is suppressed on SANi-N_(4)-O/NC host.This study provides a new design strategy for a 2D structure with single-atom overcoordinated active sites to facilitate the fast kinetic conversion of LiPSs for Li-S cathode.展开更多
The appropriate content and distribution of sinter moisture play an important role in the granulation of iron ores. In this study, the effects of porosity, size distribution, and particle shape on the water absorption...The appropriate content and distribution of sinter moisture play an important role in the granulation of iron ores. In this study, the effects of porosity, size distribution, and particle shape on the water absorption rate （WAR） of four types of iron ores were analyzed by using the immersion method and capillary water absorption method. In addition, the mechanism underlying the water absorption process in iron ores was unraveled. It is found that the WARs of iron ores decrease quickly with the increase in water absorption time at the initial stages of water absorption. With further increase in absorption time, the WARs decrease gradually, until near 0. Iron ores with higher porosity, smaller particle size, and plate-like structure have the higher WARs. Compared with pores in the single-particle iron ore, voids among particles in the multi-particle iron oxide play an important role at the initial stages of water absorption. The water absorption mechanism of all single-particle and multi-particle iron ores analyzed in this study includes four steps, wherein the first three steps play a significant role in the sintering pro-cess.展开更多
AIM： To observe the status of tumor-associated B7 molecule mRNA expression in human colorectal cancer tissue by/n situ hybridization. METHODS： The mRNA expression patterns of cancer- associated B7-1,B7H1t,B7H2, ICOS...AIM： To observe the status of tumor-associated B7 molecule mRNA expression in human colorectal cancer tissue by/n situ hybridization. METHODS： The mRNA expression patterns of cancer- associated B7-1,B7H1t,B7H2, ICOS in 22 specimens of human colorectal cancer tissue were monitored by in situ hybridization （ISH） with digoxin-labeled oligonucleotide probes. RESULTS： B7-1, B7H1,B7H2,ICOS mRNA were detected in both cancer cells and tumor infiltrating lymphocytes （TIL）. The mRNA expression level of these molecules in tumor cells was higher than that in TIL （0.76±0.54-1.62±0.82 vs 0.38±0.19-0.65±0.33, P〈0.001）. There was no relationship between expression level of tested B7 family molecules and patients＇ sex, age, differentiation status of cancer and regional lymph node metastasis. CONCLUSION： Th2 cytokine predominant in tumor microenvironment might be related to the expression of B7H1t B7H2 co-signal molecules in tumor cells and TIL. 2005 The WJG Press and Elsevier Inc. All rights reserved展开更多
Leaf development underlies crop growth and productivity and has been a major target of crop domestication and improvement.However,most genes controlling leaf development in barley remain unknown.We identified a dwarf ...Leaf development underlies crop growth and productivity and has been a major target of crop domestication and improvement.However,most genes controlling leaf development in barley remain unknown.We identified a dwarf and liguleless(dl)mutant derived by ethylmethane sulfonate mutagenesis.The dl mutant showed dramatic changes in shoot architecture compared with wild-type(Yangnongpi 5)plants.Besides lacking ligules,the dl mutant showed much shorter plant height(28 cm)than Yangnongpi 5(78 cm).By map-based cloning,the dl gene was localized to a 56.58-kb genomic interval on the long arm of chromosome 7.A C-to-T single-nucleotide substitution was identified at exon position 790,and is a functional mutation resulting in a proline-to-serine substitution at the 264th amino acid residue of HORVU7Hr1G106960.Consequently,HORVU7Hr1G106960 was identified as the DL gene,encoding 269 amino acids and containing the Arabidopsis LSH1 and Oryza G1(ALOG)domain.DL is highly similar to rice OsG1-LIKE 1/2(OsG1L1/2)and sorghum AWN1/AWN1-10 at the amino acid level.Although the dl mutant allele showed no expression changes in selected tissues by real-time PCR,we propose HORVU7Hr1G106960 as a candidate gene conferring the dwarf and liguleless phenotype in barley.展开更多
Dear Editor,I am writing this letter to present an unusual case of orbital inflammatory myofibroblastic tumor(IMT)diagnosed due to high intraocular pressure(IOP).IMT is a rare mesenchymal,low-grade malignant or border...Dear Editor,I am writing this letter to present an unusual case of orbital inflammatory myofibroblastic tumor(IMT)diagnosed due to high intraocular pressure(IOP).IMT is a rare mesenchymal,low-grade malignant or borderline tumor,composed of differentiated myofibroblastic spindle cells,often accompanied by plasma cells and lymphocyte infiltration[1].The onset in most patients is insidious.展开更多
Citation:Xu QQ,Wang WW,Zhu J,Liu JR.An unusual case of malignant glaucoma with ciliary detachment.Int J Ophthalmol 2021;14(12):1988-1992 Dear Editor,I am writing this letter to present an unusual case of malignant gla...Citation:Xu QQ,Wang WW,Zhu J,Liu JR.An unusual case of malignant glaucoma with ciliary detachment.Int J Ophthalmol 2021;14(12):1988-1992 Dear Editor,I am writing this letter to present an unusual case of malignant glaucoma with ciliary detachment.Malignant glaucoma has an incidence of 0.6%-4%and mostly occurs after filtering surgery for primary angle-closure glaucoma.After surgery,the intraocular pressure(IOP)does not decrease but increases,and the anterior chamber(AC)becomes shallower or disappears.There is an obvious ophthalmodynia,and the disease rapidly worsens,thus seriously threatening the visual function of patients[1-3].So far,no cases of malignant glaucoma combined with ciliary detachment have been reported.Complete comprehension of the symptoms of malignant glaucoma with ciliary detachment is crucial for preserving the patients’visual function,diagnosing the disease at the early stage,and conducting correct and effective treatment.展开更多
Developing highly efficient and low-cost electrocatalysts towards oxygen evolution reaction(OER)is essential for practical application in water electrolyzers and rechargeable metal-air batteries.Although Fe-based oxyh...Developing highly efficient and low-cost electrocatalysts towards oxygen evolution reaction(OER)is essential for practical application in water electrolyzers and rechargeable metal-air batteries.Although Fe-based oxyhydroxides are regarded as state-of-the-art non-noble OER electrocatalysts,the origin of performance enhancement derived from Fe doping remains a hot topic of considerable discussion.Herein,we demonstrate that in situ generated Fe vacancies in the pristine CoFeOOH catalyst through a pre-conversion process during alkaline OER result from dynamic Fe dissolution,identifying the origin of Fe-vacancy-induced enhanced OER kinetics.Density functional theory(DFT)calculations and experimental results including X-ray absorption fine-structure spectroscopy,in situ UV-Vis spectroscopy,and in situ Raman spectroscopy reveal that the Fe vacancies could significantly promote the d-band center and valence states of adjacent Co sites,alter the active site from Fe atom to Co atom,accelerate the formation of high-valent active Co^(4+)species,and reduce the energy barrier of the potential-determining step,thereby contribute to the significantly enhanced OER performance.展开更多
Aims Dioecious plants present sexual dimorphism,but how the root traits and nutrient uptake of female and male plants in dioecious species response to the sexual identity change of the neighbor plants are poorly under...Aims Dioecious plants present sexual dimorphism,but how the root traits and nutrient uptake of female and male plants in dioecious species response to the sexual identity change of the neighbor plants are poorly understood.Methods Mulberry(Morus alba L.),a dioecious plant widely distributed in China,was employed in our study.Male and female plants were grown with neighbors of the same and opposite sex for 3 months.At harvest,the root anatomy,root morphology,nutrient concentrations and biomass accumulation were measured.Important Findings When grown with the opposite sex,the males showed decreases in root xylem size,biomass of root and stem and increases in root N,P and K concentrations compared with grown with the same sex.By contrast,females showed significant increases in xylem size,fine root system(e.g.fine root length,root surface area and root volume),root carbon isotope composition(δ13C)and root N,P and K concentrations.The changes in theδ13C and N,P and K concentrations in male and female plants were associated with the changes of root traits.These results demonstrated that the sexual identity of the neighboring plants affected root anatomy and morphology of female and male mulberry plants.Meanwhile,the responses of female and male plants to the sex change of the neighboring plants showed sexual dimorphism,which influenced water-use efficiency and resource acquisition.These findings are important for understanding the population dynamics of other dioecious species in forestry and natural systems.展开更多
文摘目的系统评价延续护理促进老年人关节功能恢复的有效性及安全性。方法检索Cochrane Library、Web of Science、PubMed、Embase数据库中有关延续护理应用于老年关节置换患者的随机对照试验和队列研究,检索时间从建库到2023年10月25日。2名研究员独立完成文献筛选、数据提取,随机对照试验通过Cochrane偏倚风险工具进行文献偏倚分析,队列研究通过纽卡斯尔-渥太华标准进行文献质量评价。结果共纳入15篇文献,包括34186例膝关节和髋关节置换患者。促进老年髋关节置换患者功能改善的主要指标包括髋关节评分、出院后日常生活指数评分(Barthel Index)及生活质量;对老年膝关节置换患者进行延续护理明显改善的指标包括膝关节运动范围、骨关节炎指数、关节损伤和骨关节炎结果评分;延续护理对术后并发症并没有明显作用。文献质量评价显示纳入文献总体质量较高,但仅1项针对髋关节置换术后患者的研究运用了理论框架。结论延续护理在缓解膝关节疼痛、改善关节活动度及髋关节功能方面发挥了重要作用,但是对生活质量、患者满意度、经济、减少关节置换术后并发症和再次入院率方面的有效性尚需进一步明确。
基金supported by the National Key R&D Program of China(grant number:2022YFC3600805,2016YFC1302502).
文摘Background:Esophageal cancer(EC)remains a global health challenge due to its poor prognosis.China and the United States of America(USA)represent two distinct epicenters of EC burden.Understanding the EC disparities in these two countries is vital for tailoring prevention strategies,optimizing treatment,and enhancing outcomes in both countries.Yet,there lacks a comprehensive comparison of EC characteristics between the two countries.Methods:In this multicenter,retrospective hospital-based study,we enrolled primary EC patients who received their initial treatment at one of 23 hospitals in China during 2016-2017.Using electronic medical records and cancer registration records,information on demographics,lifestyle,and clinicopathological characteristics(in-cluding tumor site,pathology,stage,metastases,differentiation,and treatment)were collected.Additionally,we compared these data with the clinicopathological information of invasive EC patients diagnosed in 2016-2017 from the Surveillance,Epidemiology,and End Results(SEER)database in the USA.Results:A total of 6,658 EC patients in China and 8,555 EC patients in the USA were included finally.85.5%(n=5,694)of EC were esophageal squamous cell carcinoma(ESCC)in China,while esophageal adenocarcinoma(EAC)was prominent in the USA(58.9%,n=5,041).Among EC patients with known staging,the proportion of early stage was higher in China compared to the USA(48.3%vs.30.5%).Among ESCC patients,early-stage cases were higher in China than in the USA(49.8%vs.31.8%),while among EAC patients,late-stage cases were higher in China than in the USA(77.3%vs.68.5%)(all P<0.001).In China,EC mainly occurred in the middle third(60.2%)of the esophagus,whereas in the USA,it was more common in the lower third(59.9%)of the organ.Compared with EC patients with known metastatic status in the USA,China had fewer cases of lymph node metastases(51.4%vs.57.7%)and distant metastases(7.9%vs.33.8%).Regarding treatment,China had more surgical therapy(53.7%vs.22.6%),less radiotherapy(35.6%vs.53.3%),and less chemotherapy(46.7%vs.59.7%)compared to the USA.Conclusions:This study reveals notable disparities in EC between China and the USA,encompassing epidemi-ological,clinicopathological,and treatment dimensions.These findings provide insight for tailored strategies addressing regional variations in clinicopathological and therapeutic characteristics.
文摘<b>Objective:</b> 120 patients with severe pneumonia who were kept in the comprehensive ICU of our hospital in 2018 were selected, and 16s rDNA sequencing was performed to analyze the composition of pathogenic bacteria in the sputum of severe pneumonia. <b>Methods:</b> The sputum samples of patients with severe bacterial pneumonia were collected, and the diversity of pathogens in the samples was analyzed by polymerase chain reaction (PCR) amplification and high-throughput sequencing (16s rDNA PCR-DGGE). <b>Results:</b> Sequence showed that sputum samples contained a relatively large number of species, and there were many species that were not detected by sequencing. The dominant bacteria were <i>Streptococcus, Sphingomonas, Corynebacterium, Denatobacteria, Aquobacteria, Acinetobacteria, Prevotella, Klebsiella, Pseudomonas</i>, etc. <b>Conclusion:</b> Bacteria caused by sputum of severe bacterial pneumonia are complex and diverse, which provides new methods and ideas for individualized treatment of patients with severe pneumonia.
文摘The diagnosis of pathogenic bacteria in severe pneumonia is difficult and the prognosis is poor. Its outcome is closely related to bacterial pathogenicity and the timeliness and pertinence of antibiotic treatment. Therefore, early diagnosis is of great significance to the prognosis of patients. Sputum examination and culture is the gold standard for the diagnosis of pathogens of severe pneumonia. However, due to the long time of bacterial culture, the early use of antibiotics, the change of bacteria species, mixed infection and other problems, the results of bacterial culture in sputum are often false negative. With the continuous application of new molecular biology techniques in clinical detection, the classification of bacteria and microorganisms has deepened from the identification of phenotypic characteristics to the classification of gene characteristics. Sequencing analysis with 16S rDNA sequencing technology has the characteristics of high sequencing flux, large amount of data obtained, short cycle, and can more comprehensively reflect the species composition of microbial community, real species distribution and abundance information. In this paper, 16S rDNA sequencing technology was used to analyze the bacterial population composition in the sputum of severe pneumonia, and to explore a new method of etiological diagnosis.
基金The financial supports of the National Natural Science Foundation of China (U1260202)the Fundamental Research Funds for the Central Universities of China (FRF-MP-12-003B)
文摘The granulation behavior of iron ores is essential for subsequent parameter optimization and efficient granulation, especially under changing material conditions. In this study, the effects of surface properties and particle size were analyzed using a laboratory granulation method; an estimation of the granulation of sintering blends was subsequently conducted for the base ores. Circularity and porosity were observed to negatively affect the granulation of iron ores, whereas wettability positively affected the granulation and was the most influential factor, indicating that wetting of iron ores is desirable during granulation. When iron ores with complex size distributions were granulated, the equivalent surface area was the main influencing factor for coarse particles larger than 1 mm and the ratio of adhering fines to intermediates was the main factor for fine particles smaller than 1 mm. By combining the granulation of coarse and fine particles with their proportioning, we proposed a calculation method for estimating the granulation ability of sintering blends. Good verification was demonstrated with the designed schemes. The results suggest that the developed method is effective for predicting the granulation of iron ore mixtures.
基金The National Major Research High Performance Computing Program of China under contract 2016YFB0200800the Strategic Priority Research Program of Chinese Academy of Sciences under contract No.XDA20060501
文摘Linearized shallow water perturbation equations with approximation in an equatorial β plane are used to obtain the analytical solution of wave packet anomalies in the upper bounded equatorial ocean. The main results are as follows. The wave packet is a superposition of eastward travelling Kelvin waves and westward travelling Rossby waves with the slowest speed, and satisfies the boundary conditions of eastern and western coasts, respectively.The decay coefficient of this solution to the north and south sides of the equator is inversely proportional only to the phase velocity of Kelvin waves in the upper water. The oscillation frequency of the wave packet, which is also the natural frequency of the ocean, is proportional to its mode number and the phase velocity of Kelvin waves and is inversely proportional to the length of the equatorial ocean in the east-west direction. The flow anomalies of the wave packet of Mode 1 most of the time appear as zonal flows with the same direction. They reach the maximum at the center of the equatorial ocean and decay rapidly away from the equator, manifested as equatorially trapped waves. The flow anomalies of the wave packet of Mode 2 appear as the zonal flows with the same direction most of the time in half of the ocean, and are always 0 at the center of the entire ocean which indicates stagnation, while decaying away from the equator with the same speed as that of Mode 1. The spatial structure and oscillation period of the wave packet solution of Mode 1 and Mode 2 are consistent with the changing periods of the surface spatial field and time coefficient of the first and second modes of complex empirical orthogonal function(EOF)analysis of flow anomalies in the actual equatorial ocean. This indicates that the solution does exist in the real ocean, and that El Ni?o-Southern Oscillation(ENSO) and Indian Ocean dipole(IOD) are both related to Mode 2.After considering the Indonesian throughflow, we can obtain the length of bounded equatorial ocean by taking the sum of that of the tropical Indian Ocean and the tropical Pacific Ocean, thus this wave packet can also explain the decadal variability(about 20 a) of the equatorial Pacific and Indian Oceans.
文摘AIM: To evaluate the clinical outcome of re-operation for recurrent abdominal liposarcoma following multidis-ciplinary team cooperation. METHODS: Nineteen consecutive patients who had re-current abdominal liposarcoma underwent re-operation by the retroperitoneal sarcoma team at our institution from May 2009 to January 2012. Patient demographic and clinical data were reviewed retrospectively. Multidisciplinary team discussions were held prior to treatment, and re-operation was deemed the best treatment. The categories of the extent of resection were as follows: gross total resection (GTR), palliative resection and partial resection. Surgical techniques were divided into discrete lesion resection and combined contiguous multivisceral resection (CMR). Tumor size was determined as the largest diameter of the specimen. Patients were followed up at approximately 3-monthly intervals. For survival analysis, a univariate analysis was performed using the Kaplan-Meier method, and a multivariate analysis was performed using the Cox pro-portional hazards model. RESULTS: Nineteen patients with recurrent abdominal liposarcoma (RAL) underwent 32 re-operations at our institute. A total of 51 operations were reviewed with a total follow-up time ranging from 4 to 120 (47.4 ± 34.2) mo. The GTR rate in the CMR group was higher than that in the non-CMR group (P = 0.034). CMR was positively correlated with intra-operative bleeding (correlation coefficient = 0.514, P = 0.010). Six cases with severe postoperative complications were recorded. Patients with tumor sizes greater than 20 cm carried a significant risk of profuse intra-operative bleeding (P = 0.009). The ratio of a highly malignant subtype (de-differentiated or pleomorphic) in recurrent cases was higher compared to primary cases (P = 0.027). Both single-factor survival using the Kaplan-Meier model and multivariate analysis using the Cox proportional hazards model showed that overall survival was corre-lated with resection extent and pathological subtype (P < 0.001 and P = 0.02), however, relapse-free interval (RFI) was only correlated with resection extent (P = 0.002). CONCLUSION: Close follow-up should be conducted in patients with RAL. Early re-operation for relapse is preferred and gross resection most likely prolongs the RFI.
基金financial support from the National Natural Science Foundation of China(21878270,21878267,21922811,21978258 and 21961160742)the Leading Innovative and Entrepreneur Team Introduction Program of Zhejiang(2019R01006)+3 种基金the Zhejiang Provincial Natural Science Foundation of China(LR19B060002)the Fundamental Research Funds for the Central Universities(2020XZZX002-09)the Startup Foundation for Hundred-Talent Program of Zhejiang Universitythe Zhejiang Key Laboratory of Marine Materials and Protective Technologies(2020K10)。
文摘Lithium-sulfur(Li-S)batteries with high theoretical energy density are promising advanced energy storage devices.However,shuttling of dissolute lithium polysulfide(LiPSs)and sluggish conversion kinetics impede their applications.Herein,single nickel(Ni)atoms on two-dimensional(2D)nitrogen(N)-doped carbon with Ni-N_(4)-O overcoordinated structure(SANi-N_(4)-O/NC)are prepared and firstly used as a sulfur host of Li-S batteries.Due to the efficient polysulfides traps and highly LiPSs conversion effect of SANi-N_(4)-O/NC,the electrochemical performance of Li-S batteries obviously improved.The batteries can well operate even under high sulfur loading(5.8 mg cm^(-2))and lean electrolyte(6.1μL mg^(-1))condition.Meanwhile,density functional theory(DFT)calculations demonstrate that Ni single atom’s active sites decrease the energy barriers of conversion reactions from Li_(2)S_(8)to Li2S due to the strong interaction between SANi-N_(4)-O/NC and LiPSs.Thus,the kinetic conversion of LiPSs was accelerated and the shuttle effect is suppressed on SANi-N_(4)-O/NC host.This study provides a new design strategy for a 2D structure with single-atom overcoordinated active sites to facilitate the fast kinetic conversion of LiPSs for Li-S cathode.
基金financially supported by the National Natural Science Foundation of China(No.U1260202)the Fundamental Research Funds for the Central Universities(No.FRF-MP-12-003B)
文摘The appropriate content and distribution of sinter moisture play an important role in the granulation of iron ores. In this study, the effects of porosity, size distribution, and particle shape on the water absorption rate （WAR） of four types of iron ores were analyzed by using the immersion method and capillary water absorption method. In addition, the mechanism underlying the water absorption process in iron ores was unraveled. It is found that the WARs of iron ores decrease quickly with the increase in water absorption time at the initial stages of water absorption. With further increase in absorption time, the WARs decrease gradually, until near 0. Iron ores with higher porosity, smaller particle size, and plate-like structure have the higher WARs. Compared with pores in the single-particle iron ore, voids among particles in the multi-particle iron oxide play an important role at the initial stages of water absorption. The water absorption mechanism of all single-particle and multi-particle iron ores analyzed in this study includes four steps, wherein the first three steps play a significant role in the sintering pro-cess.
基金Supported by the National Natural Science Foundation of China, No. 30370549
文摘AIM： To observe the status of tumor-associated B7 molecule mRNA expression in human colorectal cancer tissue by/n situ hybridization. METHODS： The mRNA expression patterns of cancer- associated B7-1,B7H1t,B7H2, ICOS in 22 specimens of human colorectal cancer tissue were monitored by in situ hybridization （ISH） with digoxin-labeled oligonucleotide probes. RESULTS： B7-1, B7H1,B7H2,ICOS mRNA were detected in both cancer cells and tumor infiltrating lymphocytes （TIL）. The mRNA expression level of these molecules in tumor cells was higher than that in TIL （0.76±0.54-1.62±0.82 vs 0.38±0.19-0.65±0.33, P〈0.001）. There was no relationship between expression level of tested B7 family molecules and patients＇ sex, age, differentiation status of cancer and regional lymph node metastasis. CONCLUSION： Th2 cytokine predominant in tumor microenvironment might be related to the expression of B7H1t B7H2 co-signal molecules in tumor cells and TIL. 2005 The WJG Press and Elsevier Inc. All rights reserved
基金supported by the Open Project Program of Joint International Research Laboratory of Agriculture and Agri-Product Safety, the Ministry of Education of China, Yangzhou University (JILARKF202002)Natural Science Foundation of the Jiangsu Higher Education Institutions of China (19KJA560005)+1 种基金China Agriculture Research System of MOF and MARA (CARS-05)a Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions
文摘Leaf development underlies crop growth and productivity and has been a major target of crop domestication and improvement.However,most genes controlling leaf development in barley remain unknown.We identified a dwarf and liguleless(dl)mutant derived by ethylmethane sulfonate mutagenesis.The dl mutant showed dramatic changes in shoot architecture compared with wild-type(Yangnongpi 5)plants.Besides lacking ligules,the dl mutant showed much shorter plant height(28 cm)than Yangnongpi 5(78 cm).By map-based cloning,the dl gene was localized to a 56.58-kb genomic interval on the long arm of chromosome 7.A C-to-T single-nucleotide substitution was identified at exon position 790,and is a functional mutation resulting in a proline-to-serine substitution at the 264th amino acid residue of HORVU7Hr1G106960.Consequently,HORVU7Hr1G106960 was identified as the DL gene,encoding 269 amino acids and containing the Arabidopsis LSH1 and Oryza G1(ALOG)domain.DL is highly similar to rice OsG1-LIKE 1/2(OsG1L1/2)and sorghum AWN1/AWN1-10 at the amino acid level.Although the dl mutant allele showed no expression changes in selected tissues by real-time PCR,we propose HORVU7Hr1G106960 as a candidate gene conferring the dwarf and liguleless phenotype in barley.
基金Supported by the Xi’an Science and Technology Plan Project(No.21YXYJ0044)the Research Incubaiton of Xi’an People’s Hospital(Xi’an Fourth Hospital,No.BS-2)。
文摘Dear Editor,I am writing this letter to present an unusual case of orbital inflammatory myofibroblastic tumor(IMT)diagnosed due to high intraocular pressure(IOP).IMT is a rare mesenchymal,low-grade malignant or borderline tumor,composed of differentiated myofibroblastic spindle cells,often accompanied by plasma cells and lymphocyte infiltration[1].The onset in most patients is insidious.
基金the National Natural ScienceFoundation of China (No.81500719)Shaanxi ProvinceInnovation Talents Promotion Plan (No.2018KJXX-091)Research Incubaiton of Xi’an People’s Hospital (Xi’an FourthHospital) (No.BS-2).
文摘Citation:Xu QQ,Wang WW,Zhu J,Liu JR.An unusual case of malignant glaucoma with ciliary detachment.Int J Ophthalmol 2021;14(12):1988-1992 Dear Editor,I am writing this letter to present an unusual case of malignant glaucoma with ciliary detachment.Malignant glaucoma has an incidence of 0.6%-4%and mostly occurs after filtering surgery for primary angle-closure glaucoma.After surgery,the intraocular pressure(IOP)does not decrease but increases,and the anterior chamber(AC)becomes shallower or disappears.There is an obvious ophthalmodynia,and the disease rapidly worsens,thus seriously threatening the visual function of patients[1-3].So far,no cases of malignant glaucoma combined with ciliary detachment have been reported.Complete comprehension of the symptoms of malignant glaucoma with ciliary detachment is crucial for preserving the patients’visual function,diagnosing the disease at the early stage,and conducting correct and effective treatment.
基金supported by the National Natural Science Foundation of China(22272121,21972107)the Fundamental Research Funds for the Central Universities(2042022kf1179).
文摘Developing highly efficient and low-cost electrocatalysts towards oxygen evolution reaction(OER)is essential for practical application in water electrolyzers and rechargeable metal-air batteries.Although Fe-based oxyhydroxides are regarded as state-of-the-art non-noble OER electrocatalysts,the origin of performance enhancement derived from Fe doping remains a hot topic of considerable discussion.Herein,we demonstrate that in situ generated Fe vacancies in the pristine CoFeOOH catalyst through a pre-conversion process during alkaline OER result from dynamic Fe dissolution,identifying the origin of Fe-vacancy-induced enhanced OER kinetics.Density functional theory(DFT)calculations and experimental results including X-ray absorption fine-structure spectroscopy,in situ UV-Vis spectroscopy,and in situ Raman spectroscopy reveal that the Fe vacancies could significantly promote the d-band center and valence states of adjacent Co sites,alter the active site from Fe atom to Co atom,accelerate the formation of high-valent active Co^(4+)species,and reduce the energy barrier of the potential-determining step,thereby contribute to the significantly enhanced OER performance.
基金This research was supported by the Scientific and Technological Cooperation Project for Provincial Colleges and Universities of Sichuan Province(2018JZ0027)the National Natural Science Foundation of China(31870579).
文摘Aims Dioecious plants present sexual dimorphism,but how the root traits and nutrient uptake of female and male plants in dioecious species response to the sexual identity change of the neighbor plants are poorly understood.Methods Mulberry(Morus alba L.),a dioecious plant widely distributed in China,was employed in our study.Male and female plants were grown with neighbors of the same and opposite sex for 3 months.At harvest,the root anatomy,root morphology,nutrient concentrations and biomass accumulation were measured.Important Findings When grown with the opposite sex,the males showed decreases in root xylem size,biomass of root and stem and increases in root N,P and K concentrations compared with grown with the same sex.By contrast,females showed significant increases in xylem size,fine root system(e.g.fine root length,root surface area and root volume),root carbon isotope composition(δ13C)and root N,P and K concentrations.The changes in theδ13C and N,P and K concentrations in male and female plants were associated with the changes of root traits.These results demonstrated that the sexual identity of the neighboring plants affected root anatomy and morphology of female and male mulberry plants.Meanwhile,the responses of female and male plants to the sex change of the neighboring plants showed sexual dimorphism,which influenced water-use efficiency and resource acquisition.These findings are important for understanding the population dynamics of other dioecious species in forestry and natural systems.
