Being based on preliminary study of Kunming famous temples during the Ming and Qing dynasties,field investigation was carried out about the framework of landscape,layout of waters,characteristic of structure and plant...Being based on preliminary study of Kunming famous temples during the Ming and Qing dynasties,field investigation was carried out about the framework of landscape,layout of waters,characteristic of structure and plant furnishing in Tanhua temple,Black Dragon Pool,Masijid of Shuncheng,Haiyuan temple and Golden Shrine which are famous temple garden in Kunming. A simple interpretation was drawn of artistic characteristics on temple garden in Kunming during the Ming and Qing dynasties via analytical investigation on many factors which influenced the development of garden of Dynasties of Ming and Qing. Then we have reviewed the elemental traits of temple garden built at that time,put forward some constructive suggestions on how to protect and develop those temple garden now still exist in Kunming.展开更多
Background:Nonalcoholic fatty liver disease(NAFLD)is a global health concern with the acid sphingomyelinase(ASM)/ceramide(CE)pathway and the NOD-like receptor family,pyrin domain-containing protein 3(NLRP3)inflammasom...Background:Nonalcoholic fatty liver disease(NAFLD)is a global health concern with the acid sphingomyelinase(ASM)/ceramide(CE)pathway and the NOD-like receptor family,pyrin domain-containing protein 3(NLRP3)inflammasome identified as pivotal players in lipid disorders and inflammation.This study explores the interaction mechanism between the ASM/CE pathway and NLRP3 in NAFLD cell models,aiming to understand the impact of amitriptyline(Ami),an ASM inhibitor,on lipid deposition and hepatocyte injury by regulating the ASM/CE-NLRP3 pathway.Methods:HepG2 and HL-7702 cells were exposed to free fatty acids(FFAs)to establish the NAFLD model.The cells were divided into 5 groups:control group,model group,Ami group,tumor necrosis factoralpha(TNF-α)group,and Ami+TNF-αgroup.Intracellular lipid droplets were visualized using Oil Red O staining,and Western blot analysis quantified ASM,NLRP3,and caspase 1 protein expression.Enzyme linked immunosorbent assay(ELISA)was measured CE and ASM levels,while qRT-PCR assessed mRNA expression.The apoptotic rate was evaluated by flow cytometry(FCM).Results:Following FFAs incubation,significant increases in ASM and CE levels were observed in HepG2 and HL-7702 cells,accompanied by elevated expression of NLRP3,and caspase 1,and IL-1β.TNF-αtreatment further amplified these indicators.Ami demonstrated a reduction in lipid deposition,suppressed ASM/CE pathway activation,downregulated NLRP3 and caspase 1 expression,and improved apoptosis.Additionally,MCC950,a selective inhibitor of the NLRP3,mitigated NLRP3,caspase 1,and IL-1βexpression,alleviating lipid deposition and apoptosis in the NAFLD cell model.Conclusion:The ASM/CE-NLRP3 pathway in NAFLD cells promotes hepatocyte steatosis,inflammation,and cell damage.Ami emerges as a promising therapeutic agent by inhibiting the ASM/CE-NLRP3 pathway,underscoring its potential as a key target for NAFLD treatment.展开更多
Background Sex hormones play important roles in the estrus return of post-weaning sows.Previous studies have demonstrated a complex and bi-directional regulation between sex hormones and gut microbiota.However,the ext...Background Sex hormones play important roles in the estrus return of post-weaning sows.Previous studies have demonstrated a complex and bi-directional regulation between sex hormones and gut microbiota.However,the extent to which the gut microbiota affects estrus return of post-weaning sows is largely unknown.Results In this study,we first screened 207 fecal samples from well-phenotyped sows by 16S rRNA gene sequencing and identified significant associations between microbes and estrus return of post-weaning sows.Using metagenomic sequencing data from 85 fecal samples,we identified 37 bacterial species that were significantly associated with estrus return.Normally returning sows were characterized by increased abundances of L.reuteri and P.copri and decreased abundances of B.fragilis,S.suis,and B.pseudolongum.The changes in gut microbial composition significantly altered the functional capacity of steroid hormone biosynthesis in the gut microbiome.The results were confirmed in a validation cohort.Significant changes in sex steroid hormones and related compounds were found between normal and non-return sows via metabolome analysis.An integrated analysis of differential bacterial species,metagenome,and fecal metabolome provided evidence that normal return-associated bacterial species L.reuteri and Prevotella spp.participated in the degradation of pregnenolone,progesterone,and testosterone,thereby promoting estrogen biosynthesis.Furthermore,the microbial metabolites related to sow energy and nutrient supply or metabolic disorders also showed relationships with sow estrus return.Conclusions An integrated analysis of differentially abundant bacterial species,metagenome,and fecal metabolome revealed the involvement of L.reuteri and Prevotella spp.in sow estrus return.These findings provide deep insight into the role of gut microbiota in the estrus return of post-weaning sows and the complex cross-talk between gut microbiota and sex hormones,suggesting that the manipulation of the gut microbiota could be an effective strategy to improve sow estrus return after weaning.展开更多
Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization sup...Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization supply center from January 2021 to January 2023.The work situation before January 31,2022,was classified as the control group;a routine quality control management model was implemented,and the work situation after January 31,2022,was classified as the observation group.The quality of medical device management and department satisfaction between the two groups were compared.Results:The timely recovery and supply rate,classification and cleaning pass rate,disinfection pass rate,packaging pass rate,sterilization pass rate,and department satisfaction score in the observation group were all higher than those of the control group(P<0.05).Conclusion:Implementing a refined quality control management model in the sterilization supply center can improve the quality management level of medical devices and department satisfaction and is worthy of promotion.展开更多
Objective:This paper presents an analysis of the concept of patient outcomes.Methods:The present study conducted searches on various databases,including Wanfang,Sinomed,CNKI,Pub Med,Cochrane Library,Embase,Web of Scie...Objective:This paper presents an analysis of the concept of patient outcomes.Methods:The present study conducted searches on various databases,including Wanfang,Sinomed,CNKI,Pub Med,Cochrane Library,Embase,Web of Science,and Ovid.The paper followed the Walker and Avant concept-analysis approach.Results:Initially,899 pieces of literature were identified through the search process,and after screening,41 of them were ultimately included in the analysis.The identified attributes of the concept included(1)capability,(2)decision making,and(3)action.These antecedents were shaped by factors such as illness perception,self-efficacy,and family and social.The consequences included(1)physiological effects,(2)psychological effects,and(3)social influence.Conclusions:The concept analysis of self-management in patients with diabetic foot ulcers(DFUs)not only aids in clinical practice and suppor ts interventions,but also contributes to the development of self-management theory.The common goal of clinical medical staff is to assist DFU patients in improving cognitive ability,making correct self-management decisions,and enhancing self-management behavior.展开更多
Background:Upper respiratory infections(URIs)are common infectious diseases worldwide.Accurate and timely assessment of the disease burden of URIs is crucial for governments to develop comprehensive prevention and con...Background:Upper respiratory infections(URIs)are common infectious diseases worldwide.Accurate and timely assessment of the disease burden of URIs is crucial for governments to develop comprehensive prevention and control strategies,and to allocate and utilize healthcare resources more efficiently.Methods:For URIs in Global Burden of Disease(GBD)2021 database,age-standardized incidence rates(ASIR),age-standardized prevalence rates(ASPR),age-standardized mortality rates(ASMR),disability-adjusted life-years(DALYs),and case numbers for incidence,prevalence,deaths,and DALYs across the globe,five socio-demographic index(SDI)regions,21 geographical regions,and 204 countries and territories were provided and analyzed.Trends from 1990 to 2021 were described using the average annual percentage change(AAPC),and future URIs burden was projected with a Bayesian age-period-cohort(BAPC)model.Results:From 1990 to 2021,there was a significant decline in global ASIR(APCC=-289.86,95%confidence interval[CI]:-298.59 to-281.12),ASPR(AAPC=-4.04,95%CI:-4.16 to-3.92),ASMR(AAPC=-0.02,95%CI:-0.02 to-0.03)and age-standardized DALY rate(AAPC=-0.75,95%CI:-0.76 to-0.74).The ASIR,ASPR,ASMR,and age-standardized DALY rate were high in elderly for both males and females,and both genders.Similarly,the number of incident cases,prevalence cases,deaths,and DALY cases for URIs was highest in children under five years.The ASMR and age-standardized DALY rate exhibited a negative correlation with SDI across 204 countries and territories in 2021.The ASIR and ASPR for URIs will show an upward trend from 2022 to 2050,while ASMR and age-standardized DALY rate are expected to decline.Low birth weight for gestation remains the leading contributor to deaths related to URIs.展开更多
After washing and curing, P is transported from the phosphogypsum to the leachate during the phosphogypsum detoxification process, providing two ideas for phosphorus recovery from phosphogypsum leachate: 1) preparatio...After washing and curing, P is transported from the phosphogypsum to the leachate during the phosphogypsum detoxification process, providing two ideas for phosphorus recovery from phosphogypsum leachate: 1) preparation of calcium hydrogen phosphate for feed;2) preparation of calcium phosphate. A ready-to-use calcium oxide slurry was used to recover P from phosphogypsum leachate at a slurry concentration of 20% and a quantitative link between calcium to phosphorus ratio and fixation rate was fitted by mixed use batch experiments, reaction kinetics and thermodynamics, and theoretical calculations were used to demonstrate that phosphorus cannot be completely reused in the preparation of calcium hydrogen phosphate. The findings demonstrated that: a) the residual phosphorus concentration was in the range of 1300 - 1500 mg/L for the preparation of type I feed grade calcium hydrogen phosphate from phosphogypsum leachate;b) the P removal effect could reach 99.99% for the preparation of calcium phosphate from phosphogypsum using the theoretical equation: fixation rate = 87.91 - 10.96(Ca/P) + 3.22(Ca/P)<sup>2</sup> (R<sup>2</sup> = 0.9954);c) The procedure follows the suggested secondary kinetics, and according to the Freundlich isothermal model, the reaction process is under the control of the chemical reaction, with a reaction index of 0.7605. This study can be used as a theoretical guide for the recovery of P from phosphogypsum leachate, the preparation of products to bring about economic by-products, and the purification of wastewater for reuse.展开更多
文摘Being based on preliminary study of Kunming famous temples during the Ming and Qing dynasties,field investigation was carried out about the framework of landscape,layout of waters,characteristic of structure and plant furnishing in Tanhua temple,Black Dragon Pool,Masijid of Shuncheng,Haiyuan temple and Golden Shrine which are famous temple garden in Kunming. A simple interpretation was drawn of artistic characteristics on temple garden in Kunming during the Ming and Qing dynasties via analytical investigation on many factors which influenced the development of garden of Dynasties of Ming and Qing. Then we have reviewed the elemental traits of temple garden built at that time,put forward some constructive suggestions on how to protect and develop those temple garden now still exist in Kunming.
基金supported by the Initial Scientific Research Fund of the Talents Introduced in Nanjing Lishui People’s Hospital(Project 2021YJ02).
文摘Background:Nonalcoholic fatty liver disease(NAFLD)is a global health concern with the acid sphingomyelinase(ASM)/ceramide(CE)pathway and the NOD-like receptor family,pyrin domain-containing protein 3(NLRP3)inflammasome identified as pivotal players in lipid disorders and inflammation.This study explores the interaction mechanism between the ASM/CE pathway and NLRP3 in NAFLD cell models,aiming to understand the impact of amitriptyline(Ami),an ASM inhibitor,on lipid deposition and hepatocyte injury by regulating the ASM/CE-NLRP3 pathway.Methods:HepG2 and HL-7702 cells were exposed to free fatty acids(FFAs)to establish the NAFLD model.The cells were divided into 5 groups:control group,model group,Ami group,tumor necrosis factoralpha(TNF-α)group,and Ami+TNF-αgroup.Intracellular lipid droplets were visualized using Oil Red O staining,and Western blot analysis quantified ASM,NLRP3,and caspase 1 protein expression.Enzyme linked immunosorbent assay(ELISA)was measured CE and ASM levels,while qRT-PCR assessed mRNA expression.The apoptotic rate was evaluated by flow cytometry(FCM).Results:Following FFAs incubation,significant increases in ASM and CE levels were observed in HepG2 and HL-7702 cells,accompanied by elevated expression of NLRP3,and caspase 1,and IL-1β.TNF-αtreatment further amplified these indicators.Ami demonstrated a reduction in lipid deposition,suppressed ASM/CE pathway activation,downregulated NLRP3 and caspase 1 expression,and improved apoptosis.Additionally,MCC950,a selective inhibitor of the NLRP3,mitigated NLRP3,caspase 1,and IL-1βexpression,alleviating lipid deposition and apoptosis in the NAFLD cell model.Conclusion:The ASM/CE-NLRP3 pathway in NAFLD cells promotes hepatocyte steatosis,inflammation,and cell damage.Ami emerges as a promising therapeutic agent by inhibiting the ASM/CE-NLRP3 pathway,underscoring its potential as a key target for NAFLD treatment.
基金supported by the National Key R&D Program of China(2022YFA1304204)National Natural Science Foundation of China(31772579).
文摘Background Sex hormones play important roles in the estrus return of post-weaning sows.Previous studies have demonstrated a complex and bi-directional regulation between sex hormones and gut microbiota.However,the extent to which the gut microbiota affects estrus return of post-weaning sows is largely unknown.Results In this study,we first screened 207 fecal samples from well-phenotyped sows by 16S rRNA gene sequencing and identified significant associations between microbes and estrus return of post-weaning sows.Using metagenomic sequencing data from 85 fecal samples,we identified 37 bacterial species that were significantly associated with estrus return.Normally returning sows were characterized by increased abundances of L.reuteri and P.copri and decreased abundances of B.fragilis,S.suis,and B.pseudolongum.The changes in gut microbial composition significantly altered the functional capacity of steroid hormone biosynthesis in the gut microbiome.The results were confirmed in a validation cohort.Significant changes in sex steroid hormones and related compounds were found between normal and non-return sows via metabolome analysis.An integrated analysis of differential bacterial species,metagenome,and fecal metabolome provided evidence that normal return-associated bacterial species L.reuteri and Prevotella spp.participated in the degradation of pregnenolone,progesterone,and testosterone,thereby promoting estrogen biosynthesis.Furthermore,the microbial metabolites related to sow energy and nutrient supply or metabolic disorders also showed relationships with sow estrus return.Conclusions An integrated analysis of differentially abundant bacterial species,metagenome,and fecal metabolome revealed the involvement of L.reuteri and Prevotella spp.in sow estrus return.These findings provide deep insight into the role of gut microbiota in the estrus return of post-weaning sows and the complex cross-talk between gut microbiota and sex hormones,suggesting that the manipulation of the gut microbiota could be an effective strategy to improve sow estrus return after weaning.
文摘Objective:To evaluate the application value of a refined quality control management model for a sterilization supply center.Methods:A retrospective analysis was conducted on the work situation of the sterilization supply center from January 2021 to January 2023.The work situation before January 31,2022,was classified as the control group;a routine quality control management model was implemented,and the work situation after January 31,2022,was classified as the observation group.The quality of medical device management and department satisfaction between the two groups were compared.Results:The timely recovery and supply rate,classification and cleaning pass rate,disinfection pass rate,packaging pass rate,sterilization pass rate,and department satisfaction score in the observation group were all higher than those of the control group(P<0.05).Conclusion:Implementing a refined quality control management model in the sterilization supply center can improve the quality management level of medical devices and department satisfaction and is worthy of promotion.
基金supported by the Health Science and Technology Project of Pudong New Area Health Commission(No.PW2023A-09)the Academic Leaders Training Program of Pudong Health Bureau of Shanghai(No.PWRd2022-16)+1 种基金Tongji University“Third Year Action Plan for Discipline Construction of School of Nursing”(No.JS2210328)Important Weak Subject Construction Project of Shanghai Pudong New Area Health Commission(No.PWZbr2022-04)。
文摘Objective:This paper presents an analysis of the concept of patient outcomes.Methods:The present study conducted searches on various databases,including Wanfang,Sinomed,CNKI,Pub Med,Cochrane Library,Embase,Web of Science,and Ovid.The paper followed the Walker and Avant concept-analysis approach.Results:Initially,899 pieces of literature were identified through the search process,and after screening,41 of them were ultimately included in the analysis.The identified attributes of the concept included(1)capability,(2)decision making,and(3)action.These antecedents were shaped by factors such as illness perception,self-efficacy,and family and social.The consequences included(1)physiological effects,(2)psychological effects,and(3)social influence.Conclusions:The concept analysis of self-management in patients with diabetic foot ulcers(DFUs)not only aids in clinical practice and suppor ts interventions,but also contributes to the development of self-management theory.The common goal of clinical medical staff is to assist DFU patients in improving cognitive ability,making correct self-management decisions,and enhancing self-management behavior.
基金supported by the fund of Shanghai Natural Science Foundation(grant number 23ZR1464000)the Talent Fund of Longhua Hospital affiliated to Shanghai University of Traditional Chinese Medicine(grant number LH001.007).
文摘Background:Upper respiratory infections(URIs)are common infectious diseases worldwide.Accurate and timely assessment of the disease burden of URIs is crucial for governments to develop comprehensive prevention and control strategies,and to allocate and utilize healthcare resources more efficiently.Methods:For URIs in Global Burden of Disease(GBD)2021 database,age-standardized incidence rates(ASIR),age-standardized prevalence rates(ASPR),age-standardized mortality rates(ASMR),disability-adjusted life-years(DALYs),and case numbers for incidence,prevalence,deaths,and DALYs across the globe,five socio-demographic index(SDI)regions,21 geographical regions,and 204 countries and territories were provided and analyzed.Trends from 1990 to 2021 were described using the average annual percentage change(AAPC),and future URIs burden was projected with a Bayesian age-period-cohort(BAPC)model.Results:From 1990 to 2021,there was a significant decline in global ASIR(APCC=-289.86,95%confidence interval[CI]:-298.59 to-281.12),ASPR(AAPC=-4.04,95%CI:-4.16 to-3.92),ASMR(AAPC=-0.02,95%CI:-0.02 to-0.03)and age-standardized DALY rate(AAPC=-0.75,95%CI:-0.76 to-0.74).The ASIR,ASPR,ASMR,and age-standardized DALY rate were high in elderly for both males and females,and both genders.Similarly,the number of incident cases,prevalence cases,deaths,and DALY cases for URIs was highest in children under five years.The ASMR and age-standardized DALY rate exhibited a negative correlation with SDI across 204 countries and territories in 2021.The ASIR and ASPR for URIs will show an upward trend from 2022 to 2050,while ASMR and age-standardized DALY rate are expected to decline.Low birth weight for gestation remains the leading contributor to deaths related to URIs.
文摘After washing and curing, P is transported from the phosphogypsum to the leachate during the phosphogypsum detoxification process, providing two ideas for phosphorus recovery from phosphogypsum leachate: 1) preparation of calcium hydrogen phosphate for feed;2) preparation of calcium phosphate. A ready-to-use calcium oxide slurry was used to recover P from phosphogypsum leachate at a slurry concentration of 20% and a quantitative link between calcium to phosphorus ratio and fixation rate was fitted by mixed use batch experiments, reaction kinetics and thermodynamics, and theoretical calculations were used to demonstrate that phosphorus cannot be completely reused in the preparation of calcium hydrogen phosphate. The findings demonstrated that: a) the residual phosphorus concentration was in the range of 1300 - 1500 mg/L for the preparation of type I feed grade calcium hydrogen phosphate from phosphogypsum leachate;b) the P removal effect could reach 99.99% for the preparation of calcium phosphate from phosphogypsum using the theoretical equation: fixation rate = 87.91 - 10.96(Ca/P) + 3.22(Ca/P)<sup>2</sup> (R<sup>2</sup> = 0.9954);c) The procedure follows the suggested secondary kinetics, and according to the Freundlich isothermal model, the reaction process is under the control of the chemical reaction, with a reaction index of 0.7605. This study can be used as a theoretical guide for the recovery of P from phosphogypsum leachate, the preparation of products to bring about economic by-products, and the purification of wastewater for reuse.
