BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to...BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to ensure therapeutic efficacy.AIM To investigate the effect of integrated traditional Chinese medicine and Western medicine(TCM-WM)under the multidisciplinary team(MDT)model on the postoperative recovery of patients undergoing arthroscopic surgery for RCIs.METHODS This study enrolled 100 patients who underwent arthroscopic rotator cuff repair for RCIs at the Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine between June 2021 and May 2024.They were divided into a control group(n=48)that received routine rehabilitation treatment and an experimental group(n=52)that received TCM-WM under the MDT model(e.g.,acupuncture,TCM traumatology and orthopedics,and rehabilitation).The results of the Constant–Murley Shoulder Score(CMS),Visual Analogue Scale(VAS),Shoulder Pain and Disability Index(SPADI),muscular strength evaluation,and shoulder range of motion(ROM)assessments were analyzed.RESULTS After treatment,the experimental group showed significantly higher CMS scores in terms of pain,functional activity,shoulder joint mobility,and muscular strength than the baseline and those of the control group.The experimental group also exhibited significantly lower VAS and SPADI scores than the baseline and those of the control group.In addition,the experimental group showed significantly enhanced muscular strength(forward flexor and external and internal rotator muscles)and shoulder ROM(forward flexion,abduction,and lateral abduction)after treatment compared with the control group.CONCLUSION TCM-WM under the MDT model improved shoulder joint function,relieved postoperative pain,promoted postoperative functional recovery,and facilitated the recovery of muscular strength and shoulder ROM in patients with RCIs who underwent arthroscopic rotator cuff repair.展开更多
A record-breaking heavy rainfall event that occurred in Zhengzhou,Henan province during 19–21 July 2021 is simulated using the Weather Research and Forecasting Model,and the large-scale precipitation efficiency(LSPE)...A record-breaking heavy rainfall event that occurred in Zhengzhou,Henan province during 19–21 July 2021 is simulated using the Weather Research and Forecasting Model,and the large-scale precipitation efficiency(LSPE)and cloud-microphysical precipitation efficiency(CMPE)of the rainfall are analyzed based on the model results.Then,the key physical factors that influenced LSPE and CMPE,and the possible mechanisms for the extreme rainfall over Zhengzhou are explored.Results show that water vapor flux convergence was the key factor that influenced LSPE.Water vapor was transported by the southeasterly winds between Typhoon In-Fa(2021)and the subtropical high,and the southerly flow of Typhoon Cempaka(2021),and converged in Zhengzhou due to the blocking by the Taihang and Funiu Mountains in western Henan province.Strong moisture convergence centers were formed on the windward slope of the mountains,which led to high LSPE in Zhengzhou.From the perspective of CMPE,the net consumption of water vapor by microphysical processes was the key factor that influenced CMPE.Quantitative budget analysis suggests that water vapor was mainly converted to cloud water and ice-phase particles and then transformed to raindrops through melting of graupel and accretion of cloud water by rainwater during the heavy precipitation stage.The dry intrusion in the middle and upper levels over Zhengzhou made the high potential vorticity descend from the upper troposphere and enhanced the convective instability.Moreover,the intrusion of cold and dry air resulted in the supersaturation and condensation of water vapor,which contributed to the heavy rainfall in Zhengzhou.展开更多
This study investigates the bond between seawater scoria aggregate concrete(SSAC)and stainless reinforcement(SR)through a series of pull-out tests.A total of 39 specimens,considering five experimental parameters—con-...This study investigates the bond between seawater scoria aggregate concrete(SSAC)and stainless reinforcement(SR)through a series of pull-out tests.A total of 39 specimens,considering five experimental parameters—con-crete type(SSAC,ordinary concrete(OC)and seawater coral aggregate concrete(SCAC)),reinforcement type(SR,ordinary reinforcement(OR)),bond length(3,5 and 8 times bar diameter),concrete strength(C25 and C30)and concrete cover thickness(42 and 67 mm)—were prepared.The typical bond properties(failure pattern,bond strength,bond-slip curves and bond stress distribution,etc.)of seawater scoria aggregate concrete-stainless rein-forcement(SSAC-SR)specimen were systematically studied.Generally,the failure pattern changed with the con-crete type used,and the failure surface of SSAC specimen was different from that of OC specimen.SSAC enhanced the bond strength of specimen,while its effect on the deformation of SSAC-SR was negative.On aver-age,the peak slip of SSAC specimens was 20%lower while the bond strength was 6.7%higher compared to OC specimens under the similar conditions.The effects of variables on the bond strength of SSAC–SR in increasing order are concrete type,bond length,concrete strength and cover thickness.The bond-slip curve of SSAC-SR specimen consisted of micro-slipping,slipping and declining stages.It can be obtained that SSAC reduced the curve curvature of bond-slip,and the decline of curve became steep after adopting SR.The typical distribution of bond stress along bond length changed with the types of concrete and reinforcement used.Finally,a specific expression of the bond stress-slip curve considering the effects of various variables was established,which could provide a basis for the practical application of reinforced SSAC.展开更多
The solution strategy of the heuristic algorithm is pre-set and has good performance in the conventional cloud resource scheduling process.However,for complex and dynamic cloud service scheduling tasks,due to the diff...The solution strategy of the heuristic algorithm is pre-set and has good performance in the conventional cloud resource scheduling process.However,for complex and dynamic cloud service scheduling tasks,due to the difference in service attributes,the solution efficiency of a single strategy is low for such problems.In this paper,we presents a hyper-heuristic algorithm based on reinforcement learning(HHRL)to optimize the completion time of the task sequence.Firstly,In the reward table setting stage of HHRL,we introduce population diversity and integrate maximum time to comprehensively deter-mine the task scheduling and the selection of low-level heuristic strategies.Secondly,a task computational complexity estimation method integrated with linear regression is proposed to influence task scheduling priorities.Besides,we propose a high-quality candidate solution migration method to ensure the continuity and diversity of the solving process.Compared with HHSA,ACO,GA,F-PSO,etc,HHRL can quickly obtain task complexity,select appropriate heuristic strategies for task scheduling,search for the the best makspan and have stronger disturbance detection ability for population diversity.展开更多
AIM: To clarify whether histone deacetylase inhibitors histone deacetylase inhibitors (HDACIs) can sensitize hepatocellular carcinoma (HCC) cells to sorafenib treatment. METHODS: Bax, Bcl-2, ATG5-ATG12, p21, and p27 p...AIM: To clarify whether histone deacetylase inhibitors histone deacetylase inhibitors (HDACIs) can sensitize hepatocellular carcinoma (HCC) cells to sorafenib treatment. METHODS: Bax, Bcl-2, ATG5-ATG12, p21, and p27 protein levels in Hep3B, HepG2, and PLC/PRF/5 cells were examined by Western blot. CCK8 and a fluoro-metric caspase-3 assay were used to examine cellular viability and apoptosis levels. The effect of Beclin-1 on sensitization of HCC cells to sorafenib was examined by transfecting Beclin-1 siRNA into Hep3B, HepG2, and PLC/PRF/5 cells. RESULTS: Autophagy inhibition enhances the inhibitory effects of vorinostat and sorafenib alone or in combination on HCC cell growth. Vorinostat and sorafenib synergistically induced apoptosis and cell cycle alterations. Western blot data indicated that HDACIs and Beclin- 1 knockdown increased the p53 acetylation level. The knockdown of Beclin-1 enhanced the synergistic effect of the combination of vorinostat with sorafenib. CONCLUSION: HDACIs can sensitize HCC cells to sorafenib treatment by regulating the acetylation level of Beclin-1. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.展开更多
A rapid and sensitive method based on liquid chromatographtandem mass spectrometry （LC-MS/MS） for the determination of a novel anticoagulant peptide bivalirudin in human plasma has been developed and validated. Plas...A rapid and sensitive method based on liquid chromatographtandem mass spectrometry （LC-MS/MS） for the determination of a novel anticoagulant peptide bivalirudin in human plasma has been developed and validated. Plasma samples were precipitated protein with acetonitrile and reextracted with dichloromethane, after which the analyte and triptorelin as an internal standard （IS） were separated on a 300SB-Cl8 column （150 mm x 4.6 mm i.d., 5 gm particle size） using 0.1% formic acid：methanol （45：55, v/v） as mobile phase. The triple-quadrupole mass spectrometer, equipped with electrospray ionization （ESI） interface, was operated in the positive ion mode, and the multiplereaction monitoring （MRM） transitions of bivalirudin and IS were at m/z 1091.0-650.4 and m/z656.5 - 249.3, respectively. The lower limit of quantification （LLOQ） was 1 ng/mL for 100 ng/mL plasma sample and the assay was linear over the concentration range 1 1000 ng/mL. The accuracy was within a range from -0.4% to 0.5% in terms of relative error （RE） and the intra- and inter-day precisions in terms of relative standard deviation （RSD） were 〈2.92 and 〈 3.36, respectively. The method was successfully applied to a pharmacokinetic study involving intravenous administration of bivalirudin （0.5 mg/kg） to Chinese volunteers.展开更多
A simple and high throughput method was developed and validated for simultaneous determination of valproic acid and its two toxicant ene-metabolites, 2-enevalproic acid and 4-enevalproic acid in epilepsy patient plasm...A simple and high throughput method was developed and validated for simultaneous determination of valproic acid and its two toxicant ene-metabolites, 2-enevalproic acid and 4-enevalproic acid in epilepsy patient plasma using liquid chromatography-tandem mass spectrometry. Probenecid was used as in- ternal standard and solid-phase extraction was selected for sample preparation. A chromatographic separation was performed on an Agilent Poroshell SB-C18 column （50 mm × 4.6 mm i.d., 2.7μm） by an optimized gradient elution at a flow rate of 0.9 mL/min. The total run time was 7 rain. Electrospray ionization was used in negative ion mode by multiple reaction monitoring of the precursor-to-product ion transitions at m/z 143.0→143.0 for valproic acid, m/z 140.9 →140.9 for 2-enevalproic acid and 4-enevalproic acid for their poor fragments, and m/z 283.9→239,9 for probenecid. The results showed good linearity ofvalproic acid, 2-enevalproic acid and 4-enevalproic acid in their respective linear ranges. The correlation coefficients were more than 0.998, The intra- and inter-day precision of the assay was less than 11.0% and the accuracy ranged from 2% to 12%. This analytical method was successfully applied to assay plasma concentrations of valproic acid and its two ene-metabolites in epilepsy patient plasma and used for therapeutic drug monitoring.展开更多
基金supported by the Basic Scientific Program of the Institute of Atmospheric Physics supporting the 14th Five-Year Plan[Grant No.7-224151]Youth Innovation Team of China Meteorological Administration[Grant No.CMA2023QN10]+4 种基金the National Natural Science Foundation of China[Grant Nos.42175010,41965010,U223321842275010]Beijing Municipal Science and Technology Commission[Grant No.Z221100005222012]the Department of Science and Technology of Hebei Province[Grant No.22375404D]the Open subjects of the Key Open Laboratory of Cloud Physical Environment,China Meteorological Administration[Grant No.2020Z00715]。
基金General Project of Health and Family Planning Scientific Research of Pudong New Area Health Commission:Evaluation of the Clinical Effectiveness of the Integrated Traditional Chinese and Western Medicine Clinical Program for Accelerating Postoperative Recovery of Patients with Rotator cuff Injury under the Multidisciplinary Team Mode,No.PW2021A-66Shanghai Municipal Health Commission Key Department of Integrated Traditional Chinese and Western MedicinePeak Discipline of Traditional Chinese Medicine(Orthopedics and Traumatology Department of Integrated Traditional Chinese and Western Medicine),Shanghai Pudong New Area Health Commission,No.YC-2023-0601.
文摘BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to ensure therapeutic efficacy.AIM To investigate the effect of integrated traditional Chinese medicine and Western medicine(TCM-WM)under the multidisciplinary team(MDT)model on the postoperative recovery of patients undergoing arthroscopic surgery for RCIs.METHODS This study enrolled 100 patients who underwent arthroscopic rotator cuff repair for RCIs at the Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine between June 2021 and May 2024.They were divided into a control group(n=48)that received routine rehabilitation treatment and an experimental group(n=52)that received TCM-WM under the MDT model(e.g.,acupuncture,TCM traumatology and orthopedics,and rehabilitation).The results of the Constant–Murley Shoulder Score(CMS),Visual Analogue Scale(VAS),Shoulder Pain and Disability Index(SPADI),muscular strength evaluation,and shoulder range of motion(ROM)assessments were analyzed.RESULTS After treatment,the experimental group showed significantly higher CMS scores in terms of pain,functional activity,shoulder joint mobility,and muscular strength than the baseline and those of the control group.The experimental group also exhibited significantly lower VAS and SPADI scores than the baseline and those of the control group.In addition,the experimental group showed significantly enhanced muscular strength(forward flexor and external and internal rotator muscles)and shoulder ROM(forward flexion,abduction,and lateral abduction)after treatment compared with the control group.CONCLUSION TCM-WM under the MDT model improved shoulder joint function,relieved postoperative pain,promoted postoperative functional recovery,and facilitated the recovery of muscular strength and shoulder ROM in patients with RCIs who underwent arthroscopic rotator cuff repair.
基金supported by the National Key Research and Development Program of China(Grant Nos.2018YFC1506801 and 2018YFF0300102)the National Natural Science Foundation of China(NSFC)(Grant No.42105013).
文摘A record-breaking heavy rainfall event that occurred in Zhengzhou,Henan province during 19–21 July 2021 is simulated using the Weather Research and Forecasting Model,and the large-scale precipitation efficiency(LSPE)and cloud-microphysical precipitation efficiency(CMPE)of the rainfall are analyzed based on the model results.Then,the key physical factors that influenced LSPE and CMPE,and the possible mechanisms for the extreme rainfall over Zhengzhou are explored.Results show that water vapor flux convergence was the key factor that influenced LSPE.Water vapor was transported by the southeasterly winds between Typhoon In-Fa(2021)and the subtropical high,and the southerly flow of Typhoon Cempaka(2021),and converged in Zhengzhou due to the blocking by the Taihang and Funiu Mountains in western Henan province.Strong moisture convergence centers were formed on the windward slope of the mountains,which led to high LSPE in Zhengzhou.From the perspective of CMPE,the net consumption of water vapor by microphysical processes was the key factor that influenced CMPE.Quantitative budget analysis suggests that water vapor was mainly converted to cloud water and ice-phase particles and then transformed to raindrops through melting of graupel and accretion of cloud water by rainwater during the heavy precipitation stage.The dry intrusion in the middle and upper levels over Zhengzhou made the high potential vorticity descend from the upper troposphere and enhanced the convective instability.Moreover,the intrusion of cold and dry air resulted in the supersaturation and condensation of water vapor,which contributed to the heavy rainfall in Zhengzhou.
基金funded by the National Natural Science Foundation of China(Nos.51408346,51978389)the Systematic Project of Guangxi Key Laboratory of Disaster Prevention and Structural Safety(2019ZDK035)the Opening Foundation of Shandong Key Laboratory of Civil Engineering Disaster Prevention and Mitigation(No.CDPM2019KF12).
文摘This study investigates the bond between seawater scoria aggregate concrete(SSAC)and stainless reinforcement(SR)through a series of pull-out tests.A total of 39 specimens,considering five experimental parameters—con-crete type(SSAC,ordinary concrete(OC)and seawater coral aggregate concrete(SCAC)),reinforcement type(SR,ordinary reinforcement(OR)),bond length(3,5 and 8 times bar diameter),concrete strength(C25 and C30)and concrete cover thickness(42 and 67 mm)—were prepared.The typical bond properties(failure pattern,bond strength,bond-slip curves and bond stress distribution,etc.)of seawater scoria aggregate concrete-stainless rein-forcement(SSAC-SR)specimen were systematically studied.Generally,the failure pattern changed with the con-crete type used,and the failure surface of SSAC specimen was different from that of OC specimen.SSAC enhanced the bond strength of specimen,while its effect on the deformation of SSAC-SR was negative.On aver-age,the peak slip of SSAC specimens was 20%lower while the bond strength was 6.7%higher compared to OC specimens under the similar conditions.The effects of variables on the bond strength of SSAC–SR in increasing order are concrete type,bond length,concrete strength and cover thickness.The bond-slip curve of SSAC-SR specimen consisted of micro-slipping,slipping and declining stages.It can be obtained that SSAC reduced the curve curvature of bond-slip,and the decline of curve became steep after adopting SR.The typical distribution of bond stress along bond length changed with the types of concrete and reinforcement used.Finally,a specific expression of the bond stress-slip curve considering the effects of various variables was established,which could provide a basis for the practical application of reinforced SSAC.
基金supported in part by the National Key R&D Program of China under Grant 2017YFB1302400the Jinan“20 New Colleges and Universities”Funded Scientific Research Leader Studio under Grant 2021GXRC079+2 种基金the Major Agricultural Applied Technological Innovation Projects of Shandong Province underGrant SD2019NJ014the Shandong Natural Science Foundation under Grant ZR2019MF064the Beijing Advanced Innovation Center for Intelligent Robots and Systems under Grant 2019IRS19.
文摘The solution strategy of the heuristic algorithm is pre-set and has good performance in the conventional cloud resource scheduling process.However,for complex and dynamic cloud service scheduling tasks,due to the difference in service attributes,the solution efficiency of a single strategy is low for such problems.In this paper,we presents a hyper-heuristic algorithm based on reinforcement learning(HHRL)to optimize the completion time of the task sequence.Firstly,In the reward table setting stage of HHRL,we introduce population diversity and integrate maximum time to comprehensively deter-mine the task scheduling and the selection of low-level heuristic strategies.Secondly,a task computational complexity estimation method integrated with linear regression is proposed to influence task scheduling priorities.Besides,we propose a high-quality candidate solution migration method to ensure the continuity and diversity of the solving process.Compared with HHSA,ACO,GA,F-PSO,etc,HHRL can quickly obtain task complexity,select appropriate heuristic strategies for task scheduling,search for the the best makspan and have stronger disturbance detection ability for population diversity.
基金Supported by Eastern Hepatobiliary Surgery Hospital of the Second Military Medical University
文摘AIM: To clarify whether histone deacetylase inhibitors histone deacetylase inhibitors (HDACIs) can sensitize hepatocellular carcinoma (HCC) cells to sorafenib treatment. METHODS: Bax, Bcl-2, ATG5-ATG12, p21, and p27 protein levels in Hep3B, HepG2, and PLC/PRF/5 cells were examined by Western blot. CCK8 and a fluoro-metric caspase-3 assay were used to examine cellular viability and apoptosis levels. The effect of Beclin-1 on sensitization of HCC cells to sorafenib was examined by transfecting Beclin-1 siRNA into Hep3B, HepG2, and PLC/PRF/5 cells. RESULTS: Autophagy inhibition enhances the inhibitory effects of vorinostat and sorafenib alone or in combination on HCC cell growth. Vorinostat and sorafenib synergistically induced apoptosis and cell cycle alterations. Western blot data indicated that HDACIs and Beclin- 1 knockdown increased the p53 acetylation level. The knockdown of Beclin-1 enhanced the synergistic effect of the combination of vorinostat with sorafenib. CONCLUSION: HDACIs can sensitize HCC cells to sorafenib treatment by regulating the acetylation level of Beclin-1. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
基金the National Natural Science Foundation (30973587)the China Postdoctoral Science Foundation (20110491328)the National Natural Science Funds for Young Scholar (81102383)for financial support
文摘A rapid and sensitive method based on liquid chromatographtandem mass spectrometry （LC-MS/MS） for the determination of a novel anticoagulant peptide bivalirudin in human plasma has been developed and validated. Plasma samples were precipitated protein with acetonitrile and reextracted with dichloromethane, after which the analyte and triptorelin as an internal standard （IS） were separated on a 300SB-Cl8 column （150 mm x 4.6 mm i.d., 5 gm particle size） using 0.1% formic acid：methanol （45：55, v/v） as mobile phase. The triple-quadrupole mass spectrometer, equipped with electrospray ionization （ESI） interface, was operated in the positive ion mode, and the multiplereaction monitoring （MRM） transitions of bivalirudin and IS were at m/z 1091.0-650.4 and m/z656.5 - 249.3, respectively. The lower limit of quantification （LLOQ） was 1 ng/mL for 100 ng/mL plasma sample and the assay was linear over the concentration range 1 1000 ng/mL. The accuracy was within a range from -0.4% to 0.5% in terms of relative error （RE） and the intra- and inter-day precisions in terms of relative standard deviation （RSD） were 〈2.92 and 〈 3.36, respectively. The method was successfully applied to a pharmacokinetic study involving intravenous administration of bivalirudin （0.5 mg/kg） to Chinese volunteers.
文摘A simple and high throughput method was developed and validated for simultaneous determination of valproic acid and its two toxicant ene-metabolites, 2-enevalproic acid and 4-enevalproic acid in epilepsy patient plasma using liquid chromatography-tandem mass spectrometry. Probenecid was used as in- ternal standard and solid-phase extraction was selected for sample preparation. A chromatographic separation was performed on an Agilent Poroshell SB-C18 column （50 mm × 4.6 mm i.d., 2.7μm） by an optimized gradient elution at a flow rate of 0.9 mL/min. The total run time was 7 rain. Electrospray ionization was used in negative ion mode by multiple reaction monitoring of the precursor-to-product ion transitions at m/z 143.0→143.0 for valproic acid, m/z 140.9 →140.9 for 2-enevalproic acid and 4-enevalproic acid for their poor fragments, and m/z 283.9→239,9 for probenecid. The results showed good linearity ofvalproic acid, 2-enevalproic acid and 4-enevalproic acid in their respective linear ranges. The correlation coefficients were more than 0.998, The intra- and inter-day precision of the assay was less than 11.0% and the accuracy ranged from 2% to 12%. This analytical method was successfully applied to assay plasma concentrations of valproic acid and its two ene-metabolites in epilepsy patient plasma and used for therapeutic drug monitoring.
