极低与低危险度胃肠间质瘤的病理及预后分析

目的分析极低、低危险度胃肠间质瘤(gastrointestinal stromal tumors,GISTs)患者的预后情况及临床病理特征和基因突变特点。方法回顾性收集2011年1月至2020年12月于天津医科大学肿瘤医院经手术或内镜切除并经病理确诊的433例极低、低危GIST,进行病理和预后分析。结果与低危GIST相比,极低危GIST中胃部GIST、Ki-67指数≤3%、核分裂象0~1个/5 mm2的患者所占比例较高,而小肠GIST所占比例较低(均P<0.05)。118例进行了基因检测,极低危GIST与低危GIST的突变类型及KIT突变类型比较无显著性差异(均P>0.05)。对无其他伴发疾病的87例极低危和210例低危GIST病例进行随访,中位随访时间为86(27~158)个月。全部极低危GIST患者均未发现进展;3例低危GIST发现复发/转移,无进展生存期(progression-free survival,PFS)为27~84个月。此3例原发肿瘤的核分裂象均为4个/5 mm2,接近低与中危险度GIST核分裂象的临界值,均检测到KIT exon11突变;首次进展后经伊马替尼治疗,在随访结束时均生存,总生存期(overall survival,OS)为116~155个月。结论在低危险度GIST患者中,极少数核分裂象偏高的患者存在复发/转移的可能性,但复发/转移后通过靶向治疗、手术等治疗手段,仍可维持长时间、高质量的生存。极低危GIST患者术后进展的可能性极小,可适当延长随访间隔时间,以减少医疗成本、减轻患者和家属的心理负担。

Two‑Dimensional Cr_(5)Te_(8)@Graphite Heterostructure for Efficient Electromagnetic Microwave Absorption

Two-dimensional(2D)transition metal chalcogenides(TMCs)hold great promise as novel microwave absorption materials owing to their interlayer interactions and unique magnetoelectric properties.However,overcoming the impedance mismatch at the low loading is still a challenge for TMCs due to the restricted loss pathways caused by their high-density characteristic.Here,an interface engineering based on the heterostructure of 2D Cr_(5)Te_(8) and graphite is in situ constructed via a one-step chemical vapor deposit to modulate impedance matching and introduce multiple attenuation mechanisms.Intriguingly,the Cr_(5)Te_(8)@EG(ECT)heterostructure exhibits a minimum reflection loss of up to−57.6 dB at 15.4 GHz with a thin thickness of only 1.4 mm under a low filling rate of 10%.The density functional theory calculations confirm that the splendid performance of ECT heterostructure primarily derives from charge redistribution at the abundant intimate interfaces,thereby reinforcing interfacial polarization loss.Furthermore,the ECT coating displays a remarkable radar cross section reduction of 31.9 dB m^(2),demonstrating a great radar microwave scattering ability.This work sheds light on the interfacial coupled stimulus response mechanism of TMC-based heterogeneous structures and provides a feasible strategy to manipulate high-quality TMCs for excellent microwave absorbers.

Anti-aging performance improvement and enhanced combustion efficiency of boron via the coating of PDA

Boron is an ambitious fuel in energetic materials since its high heat release values,but its application is prohibited by low combustion efficiency and oxidization during storage.The polydopamine(PDA)was introduced into boron particles,investigating the impact of PDA content on the energetic behavior of boron.The results indicated that the PDA coating formed a fishing net structure on the surface of boron particles.The heat release results showed that the combustion calorific value of B@PDA was higher than that of the raw boron.Specifically,the actual combustion heat of boron powder in B@10%PDA increased by 38.08%.Meanwhile,the DSC peak temperature decreased by 100.65℃under similar oxidation rate compared to raw boron.Simultaneously,the B@PDA@AP and B@AP composites were prepared,and their combustion properties were evaluated.It was demonstrated that B@10%PDA@AP exhibited superior performance in terms of peak pressure and burning time,respectively.The peak pressure is 12.43 kPa more than B@AP and burning time is 2.22 times higher than B@AP.Therefore,the coating of PDA effectively inhibits the oxidization of boron during storage and enhances the energetic behavior of boron and corresponding composites.

Clinical efficacy of Baijin pills in the treatment of generalized tonicclonic seizure epilepsy with cognitive impairment

BACKGROUND The generalized tonic-clonic seizure(GTCS)is the most usual variety of epileptic seizure.It is mainly characterized by strong body muscle rigidity,loss of consciousness,a disorder of plant neurofunction,and significant damage to cognitive function.The effect of antiepileptic drugs on cognition should also be considered.At present,there is no effective treatment for patients with epilepsy,but traditional Chinese medicine has shown a significant effect on chronic disease with fewer harmful side effects and should,therefore,be considered for the therapy means of epilepsy with cognitive dysfunction.AIM To investigate the clinical efficacy of Baijin pills for treating GTCS patients with cognitive impairment.METHODS This prospective study enrolled patients diagnosed with GTCS between January 2020 and December 2023 and separate them into two groups(experimental and control)using random number table method.The control group was treated with sodium valproate,and the experimental group was Baijin pills and sodium valproate for three months.The frequency and duration of each seizure,the Montreal Cognitive Assessment Scale(MoCA),and the Quality of Life Rating Scale(QOLIE-31)were recorded before and after treatment.RESULTS There were 85 patients included(42 in the control group and 43 in the experimental group).After treatment,the seizure frequency in the experimental group was significantly reduced(P<0.05),and seizure duration was shortened(P<0.01).The total MoCA score in the experimental group significantly increased compared to before treatment(P<0.01),and the sub-item scores,except naming and abstract generalization ability,significantly increased(P<0.05),whereas the total MoCA score in the control group significantly decreased after treatment(P<0.05).The QOLIE-31 score of the experimental group increased significantly after treatment compared to before treatment(P<0.01).CONCLUSION Baijin pills have a good clinical effect on epilepsy with cognitive dysfunction.

Research on Bolt Support Technology in Soft Coal Seam Roadway

In order to solve the problem of surrounding rock control in soft coal seam roadway, taking the centralized return airway of No. 2 coal seam in Liangdu Coal Industry as the research background, the mechanical conditions of roadway surrounding rock were analyzed by means of field investigation, rock mechanics experiment and numerical simulation. The design principles of roadway support in soft coal seam were put forward: high strength anchor cable support, high preload support and high stiffness support. The bearing capacity of surrounding rock was strengthened by anchor cable support, and the deformation and failure of surrounding rock were effectively controlled. Through the numerical simulation method, the deformation and plastic failure range of roadwaysunder different support schemes are compared and analyzed. The support scheme of centralized transportation roadway is studied and determined, and the field test is carried out, which effectively controls the deformation of surrounding rock of roadway in weak coal seam.

A hybrid attention deep learning network for refined segmentation of cracks from shield tunnel lining images

This research developed a hybrid position-channel network (named PCNet) through incorporating newly designed channel and position attention modules into U-Net to alleviate the crack discontinuity problem in channel and spatial dimensions. In PCNet, the U-Net is used as a baseline to extract informative spatial and channel-wise features from shield tunnel lining crack images. A channel and a position attention module are designed and embedded after each convolution layer of U-Net to model the feature interdependencies in channel and spatial dimensions. These attention modules can make the U-Net adaptively integrate local crack features with their global dependencies. Experiments were conducted utilizing the dataset based on the images from Shanghai metro shield tunnels. The results validate the effectiveness of the designed channel and position attention modules, since they can individually increase balanced accuracy (BA) by 11.25% and 12.95%, intersection over union (IoU) by 10.79% and 11.83%, and F1 score by 9.96% and 10.63%, respectively. In comparison with the state-of-the-art models (i.e. LinkNet, PSPNet, U-Net, PANet, and Mask R–CNN) on the testing dataset, the proposed PCNet outperforms others with an improvement of BA, IoU, and F1 score owing to the implementation of the channel and position attention modules. These evaluation metrics indicate that the proposed PCNet presents refined crack segmentation with improved performance and is a practicable approach to segment shield tunnel lining cracks in field practice.

Structure optimization of the organ-pipe cavitating nozzle and its erosion ability test on hydrate-bearing sediments

Cavitating jet is a promising drilling rate improvement technology in both the marine natural gas hydrate (NGH) fluidization exploitation method and the integrated radial jet drilling and completion method. In present study, we aim to improve the efficiency of jet erosion and extracting NGH. With a computational fluid dynamics (CFD) method, the pressure, velocity and cavitation field characteristics of organ-pipe cavitating jet (OPCJ) are analysed. The divergent angle, throat length, and divergent length of OPCJ nozzle are preferred to obtain stronger jet cavitation erosion effect. Laboratory experiments of gas hydrate-bearing sediments (GHBS) erosion by OPCJ and conical jet (CJ) are conducted to compare and validate the jet erosion performance. The impinging models of OPCJ and CJ are constructed to study the impact characteristics. Results show that the preferred values of divergent angle, throat length, and divergent length are 15°, 1d, and 3d, respectively, in present simulation conditions. For GHBS, the OPCJ possesses the advantages of high efficiency and low energy consumption. Moreover, the OPCJ has higher penetration efficiency, while showing equivalent penetration ability compared to CJ. During the impinging process, the OPCJ can induce stronger impact pressure and turbulence effect, and also shows stronger chambering effect and bottom cleaning ability compared to CJ. This study presents the erosion performance of OPCJ and CJ on GHBS, and provides preliminary insights on the potential field applications in NGH exploitation.

Impact of cognition-related single nucleotide polymorphisms on brain imaging phenotype in Parkinson’s disease

Multiple single nucleotide polymorphisms may contribute to cognitive decline in Parkinson’s disease. However, the mechanism by which these single nucleotide polymorphisms modify brain imaging phenotype remains unclear. The aim of this study was to investigate the potential effects of multiple single nucleotide polymorphisms on brain imaging phenotype in Parkinson’s disease. Forty-eight Parkinson’s disease patients and 39 matched healthy controls underwent genotyping and 7 T magnetic resonance imaging. A cognitive-weighted polygenic risk score model was designed, in which the effect sizes were determined individually for 36 single nucleotide polymorphisms. The correlations between polygenic risk score, neuroimaging features, and clinical data were analyzed. Furthermore, individual single nucleotide polymorphism analysis was performed to explore the main effects of genotypes and their interactive effects with Parkinson’s disease diagnosis. We found that, in Parkinson’s disease, the polygenic risk score was correlated with the neural activity of the hippocampus, parahippocampus, and fusiform gyrus, and with hippocampal-prefrontal and fusiform-temporal connectivity, as well as with gray matter alterations in the orbitofrontal cortex. In addition, we found that single nucleotide polymorphisms in α-synuclein(SNCA) were associated with white matter microstructural changes in the superior corona radiata, corpus callosum, and external capsule. A single nucleotide polymorphism in catechol-O-methyltransferase was associated with the neural activities of the lingual, fusiform, and occipital gyri, which are involved in visual cognitive dysfunction. Furthermore, DRD3 was associated with frontal and temporal lobe function and structure. In conclusion, imaging genetics is useful for providing a better understanding of the genetic pathways involved in the pathophysiologic processes underlying Parkinson’s disease. This study provides evidence of an association between genetic factors, cognitive functions, and multi-modality neuroimaging biomarkers in Parkinson’s disease.

武钢6号高炉“平台+漏斗”操作模式探索

对武钢6号高炉由中心加焦操作模式向“平台+漏斗”操作模式转变的探索过程及主要经验进行了总结。6号高炉开炉后,延用上一代炉役的中心加焦操作模式,但高炉频繁出现炉身黏结,操作炉型不合理,炉况稳定性差,利用系数及煤气利用率明显下滑。通过采取调整送风制度、优化装料制度和加强高炉操作管理等手段,成功实现了由中心加焦操作模式向“平台+漏斗”操作模式的转换,进入高产低耗的生产节奏,炉况稳定性提升,生产技术指标大幅提升,单日产铁量最高10326 t/d,单日燃料比最低453.3 kg/t。

117例胃神经内分泌肿瘤的临床病理特征和预后分析

目的:探讨胃神经内分泌肿瘤(neuroendocrine neoplasm,NEN)的临床病理特征和预后因素。方法:收集天津医科大学肿瘤医院2011年3月至2017年12月收治的胃NEN病例,依据WHO(2010年版)分类复核,分析不同分类胃NEN临床病理特征,并进行生存分析。结果:在117例胃NEN中,神经内分泌瘤(neuroendocrine tumor,NET)G1、NET G2、神经内分泌癌(neuroendocrine car-cinoma,NEC)和混合性腺神经内分泌癌(mixed adenoneuroendocrine carcinoma,MANEC)分别为13例(11.1%)、6例(5.1%)、57例(48.7%)和41例(35.1%)。胃NET G1/G2以多发肿物为主,肿物直径小,浸润深度浅,淋巴结和远处转移少见,确诊时分期较早;治疗方式包括胃镜黏膜下剥离术和根治性手术;大多数胃NET G1/G2包含NET的前驱病变;患者的预后较好。胃NEC和MANEC以单发肿物为主,肿物直径大,浸润深度深,淋巴结和远处转移多见,确诊时多为进展期;全部患者行手术切除,且大部分进行了辅助治疗。胃NEC以大细胞型和分化差为主,胃MANEC的神经内分泌和腺癌成分组成形式多样;胃NEC和MANEC患者的预后均较差,但影响两者无进展生存期和总体生存期的预后因素不同。结论:胃NEN是一组异质性肿瘤,不同分类的胃NEN具有不同的临床病理特征,并且预后也存在差异。需要多中心大样本研究来完善胃NEN的分类,并探索预后相关因素。

In Situ Synthesis of Fluorescent Mesoporous Silica–Carbon Dot Nanohybrids Featuring Folate Receptor-Overexpressing Cancer Cell Targeting and Drug Delivery

Multifunctional nanocarrier-based theranostics is supposed to overcome some key problems in cancer treatment.In this work,a novel method for the preparation of a fluorescent mesoporous silica–carbon dot nanohybrid was developed.Carbon dots(CDs),from folic acid as the raw material,were prepared in situ and anchored on the surface of amino-modified mesoporous silica nanoparticles(MSNs–NH2) via a microwave-assisted solvothermal reaction.The as-prepared nanohybrid(designated MSNs–CDs) not only exhibited strong and stable yellow emission but also preserved the unique features of MSNs(e.g.,mesoporous structure,large specific surface area,and good biocompatibility),demonstrating a potential capability for fluorescence imagingguided drug delivery.More interestingly,the MSNs–CDs nanohybrid was able to selectively target folate receptor-overexpressing cancer cells(e.g.,HeLa),indicating that folic acid still retained its function even after undergoing the solvothermal reaction.Benefited by these excellent properties,the fluorescent MSNs–CDs nanohybrid can be employed as a fluorescence-guided nanocarrier for the targeted deliveryof anticancer drugs(e.g.,doxorubicin),thereby enhancing chemotherapeutic efficacy and reducing side effects.Our studies may provide a facile strategy for the fabrication of multifunctional MSN-based theranostic platforms,which is beneficial in the diagnosis and therapy of cancers in future.

Hot ductility behavior of a Fe-0.3C-9Mn-2Al medium Mn steel

The hot ductility of a Fe-0.3C-9Mn-2Al medium Mn steel was investigated using a Gleeble3800 thermo-mechanical simulator.Hot tensile tests were conducted at different temperatures(600-1300℃)under a constant strain rate of 4×10^(−3)s^(−1).The fracture behavior and mechanism of hot ductility evolution were discussed.Results showed that the hot ductility decreased as the temperature was decreased from 1000℃.The reduction of area(RA)decreased rapidly in the specimens tested below 700℃,whereas that in the specimen tested at 650℃was lower than 65%.Mixed brittle-ductile fracture feature is reflected by the coexistence of cleavage step,intergranular facet,and dimple at the surface.The fracture belonged to ductile failure in the specimens tested between 720-1000℃.Large and deep dimples could delay crack propagation.The change in average width of the dimples was in positive proportion with the change in RA.The wide austenite-ferrite intercritical temperature range was crucial for the hot ductility of medium Mn steel.The formation of ferrite film on austenite grain boundaries led to strain concentration.Yield point elongation occurred at the austenite-ferrite intercritical temperature range during the hot tensile test.

Effect of annealing temperature on microstructure and mechanical properties of cold-rolled commercially pure titanium sheets

The strength of traditional commercially pure titanium(CP-Ti) alloys often fails to meet the demand of structural materials. In order to enhance their mechanical properties, the cold-rolled CP-Ti alloys were annealed at different temperatures, and the recrystallization behavior and texture evolution were investigated. It was found that the bimodal microstructure(equiaxed and elongated grains) was formed after partial recrystallization, and the corresponding sample exhibited an excellent combination of ultimate tensile strength(702 MPa) and total elongation(36.4%). The recrystallization nucleation of CP-Ti sheets occurred preferentially in the high strain and the high-angle grain boundaries(HAGBs) regions. Meanwhile, the internal misorientations of the deformed heterogeneous grains increased and transformed into HAGBs, which further promoted the recrystallization nucleation. The main recrystallization texture was basal TD-split texture transformed from cold-rolled basal RD-split texture, and the oriented nucleation played a dominated role during recrystallization.

消化系统神经内分泌肿瘤的临床病理特征与生存分析

目的:探讨消化系统不同部位神经内分泌肿瘤(neuroendocrine neoplasms,NENs)的临床病理特征及预后因素。方法:收集天津医科大学肿瘤医院2011年3月至2015年12月收治的284例消化系统NENs,分析比较不同部位NENs临床病理特征的异同,并进行生存分析。结果:本研究中,消化系统NENs以胰腺部位最多见,其次为结直肠、胃。在胰腺NENs中,以G1(51.8%)和G2(35.8%)型为主,WHO分类与淋巴结转移、周围器官侵犯、神经侵犯有关(均P<0.05),但与患者的总生存无关;有远处转移的胰腺NENs患者总生存期更短(P<0.05)。结直肠NENs以NET G1为主(82.5%),大多经内镜下切除或经肛门直肠肿物切除;神经内分泌癌、有淋巴结转移、有远处转移和进展期患者的总生存期更短(均P<0.05)。与胰腺和结直肠相比,胃NENs中男性患者、年龄>40岁的患者更多;神经内分泌癌和混合性腺神经内分泌癌比例更高、淋巴结转移和远处转移的比例更高;进展期的患者更多(均P<0.05)。WHO分类和有无淋巴结转移与胃NENs的总生存期有关(均P<0.05)。结论:消化系统NENs是一组异质性肿瘤,不同部位的肿瘤具有不同的临床病理特征,并与欧美国家存在差异。仍需要大样本多中心研究来了解不同部位消化系统NENs的生物学行为及预后因素。

Properties,combustion behavior,and kinetic triplets of coke produced by low-temperature oxidation and pyrolysis:Implications for heavy oil in-situ combustion

This work aimed at investigating the crucial factor in building and maintaining the combustion front during in-situ combustion(ISC),oxidized coke and pyrolyzed coke.The surface morphologies,elemental contents,and non-isothermal mass losses of the oxidized and pyrolyzed cokes were thoroughly examined.The results indicated that the oxidized coke could be combusted at a lower temperature compared to the pyrolyzed coke due primarily to their differences in the molecular polarity and microstructure.Kinetic triplets of coke combustion were determined using iso-conversional models and one advanced integral master plots method.The activation energy values of the oxidized and pyrolyzed cokes varied in the range of 130-153 k J/mol and 95-120 kJ/mol,respectively.The most appropriate reaction model of combustion of the oxidized and pyrolyzed cokes followed three-dimensional diffusion model(D_(3)) and random nucleation and subsequent growth model(F_(1)),respectively.These observations assisted in building the numerical model of these two types of cokes to simulate the ISC process.

Electrically triggered dual-band tunable terahertz metamaterial band-pass filter based on Si_3N_4–VO_2–Si_3N_4 sandwich

We experimentally demonstrate an electrically triggered terahertz(THz) dual-band tunable band-pass filter based on Si_3 N_4–VO_2–Si_3 N_4 sandwich-structured hybrid metamaterials. The insulator–metal phase transition of VO_2 film is induced by the Joule thermal effect of the top metal layer. The finite-integration-time-domain(FITD) method and finite element method(FEM) are used for numerical simulations. The sample is fabricated using a surface micromachining process,and characterized by a THz time-domain-spectrometer(TDS). When the bias current is 0.225 A, the intensity modulation depths at two central frequencies of 0.56 THz and 0.91 THz are about 81.7% and 81.3%, respectively. This novel design can achieve dynamically electric–thermo–optic modulation in the THz region, and has potential applications in the fields of THz communications, imaging, sensing, and astronomy exploration.

Influence of non-uniform electric field distribution on the atmospheric pressure air dielectric barrier discharge

The dielectric barrier discharge(DBD)in air at atmospheric pressure is not suitable for industrial applications due to its randomly distributed discharge filaments.In this paper,the influence of the electric field distribution on the uniformity of DBD is theoretically analyzed and experimentally verified.It is found that a certain degree of uneven electric field distributions can control the development of electron avalanches and regulate their transition to streamers in the gap.The discharge phenomena and electrical characteristics prove that an enhanced Townsend discharge can be formed in atmospheric-pressure air with a curved-plate electrode.The spectral analysis further confirms that the gas temperature of the plasma produced by the curved-plate electrode is close to room temperature,which is beneficial for industrial applications.This paper presents the relationship between the electron avalanche transition and the formation of a uniform DBD,which can provide some references for the development and applications of the DBD in the future.

Effect of Female Reproduction and Mate Choice on Sexual Size Dimorphism in the Northeast Treefrog Hyla ussuriensis (Anura:Hylidae) in China

Sexual size dimorphism(SSD) plays a significant role in understanding the evolution of life history and mating behavior. In this study,we analyzed the morphological data from a treefrog,Hyla ussuriensis,in northeastern China and found that there are significant differences between males and females. Females that are larger in body size increase fecundity as the total number of eggs is positively correlated to female body size. Males are smaller in body size due to the mate choice by females based on the size dimorphism index(SVL mean of female divided by that of male) for the population,which may be an evolutionary stable strategy(ESS). SSD can be influenced not only through mate choice,but also reproductive behavior by analyzing the female reproduction output in the field. Our data are consistent with many previous studies,indicating that fecundity selection and sexual selection may be the common cause for sexual dimorphism in this species. Furthermore,there are no significant morphological differences between mated and unmated frogs of both sexes,which suggests that any frog can obtain a breeding chance when it matures. It further indicates that males may not affect female choice except by their snout-vent length(SVL) and body mass. It is,of course,possible that females adopt a mating strategy to mate with males whose SVL and body mass are smaller than paired females. Our research provides unequivocal evidence for effective female choice and information on the evolution of SSD in the production of anuran pairing patterns.

Lightweight SOA-Based Twin-Engine Architecture for Enterprise Systems in Fixed and Mobile Environments

Mobile devices as a popular computing platform for enterprise systems have enabled certain tasks to be executed out of office.However,the work may be interrupted due to the server shutdown or network disconnection when employees access traditional single-engine Business Process Management System.To overcome this defect,we present a lightweight twin-engine architecture based on Service Oriented Architecture(SOA).In this paper,we discuss in detail the design and implementation of the architecture,and present a trigger mechanism to activate engines according to the states of hybrid environments since it is critical for the two types of engines to cooperate closely in hybrid environments with fixed and mobile computing resources.The experimental results validate the usability of the architecture.

Influence of Ti_(3)C_(2)T_(x)(MXene)on the generation of dielectric barrier discharge in air

The formation of homogeneous dielectric barrier discharge(DBD)in air is a key scientific problem and core technical problem to be solved for the application of plasmas.Here,we report the effect of two-dimensional(2D)nanomaterial Ti_(3)C_(2)T_(x)(Tx=-F,-O and/or-OH)on regulating the electrical discharge characteristics.The field emission and weak bound state property of Ti_(3)C_(2)T_(x)can effectively increase the seed electrons and contribute to the generation of atmospheric pressure homogeneous air DBD.The electron avalanche development for the uneven electrode structure is calculated,and the discharge mode transition is modeled.The comparative analyses of discharge phenomena validate the regulation of Ti_(3)C_(2)T_(x)on the discharge characteristics of DBD.The light emission capture and the voltage and current waveforms verify that the transition of Townsend discharge to streamer discharge is effectively inhibited.The optical emission spectra are used to characterize the plasma and confirm that it is in a non-equilibrium state and the gas temperature is at room temperature.This is the first exploration of Ti_(3)C_(2)T_(x)on the regulation of electrical discharge characteristics as far as we know.This work proves the feasibility of Ti_(3)C_(2)T_(x)as a source of seed electrons to form homogeneous DBD,establishing a preliminary foundation for promoting the application of atmospheric pressure non-equilibrium plasma.