Cutaneous neurofibroma(cNF)is a prevalent clinical manifestation of neurofibromatosis type 1,significantly affecting the well-being and quality of life of the affected individuals.The adoption of reliable and reproduc...Cutaneous neurofibroma(cNF)is a prevalent clinical manifestation of neurofibromatosis type 1,significantly affecting the well-being and quality of life of the affected individuals.The adoption of reliable and reproducible volumetric measurement techniques is essential for precisely evaluating tumor burden and plays a critical role in the development of effective treatments for cNF.This study focuses on widely used volumetric measurement techniques,including vernier calipers,ultrasound,computed tomography,magnetic resonance imaging,and three-dimensional scanning imaging.It outlines the merits and drawbacks of each technique in assessing the cNF load,providing an overview of their current applications and ongoing research advancements in this domain.展开更多
Claudin 14 has been shown to promote nerve repair and regeneration in the early stages of Wallerian degeneration (0-4 days) in rats with sciatic nerve injury, but the mechanism underlying this process remains poorly...Claudin 14 has been shown to promote nerve repair and regeneration in the early stages of Wallerian degeneration (0-4 days) in rats with sciatic nerve injury, but the mechanism underlying this process remains poorly understood. This study reported the effects of claudin 14 on nerve degeneration and regeneration during early Wallerian degeneration. Claudin 14 expression was up-regulated in sciatic nerve 4 days after Wallerian degeneration. The altered expression of claudin 14 in Schwann cells resulted in expression changes of cytokines in vitro. Expression of claudin 14 affected c-Jun, but not Akt anal ERK1/2 patl^ways, l^urther studies reve^ed that enhanced expression of claudin 14 could promote Schwann cell proliferation and migration. Silencing of claudin 14 expression resulted in Schwann cell apoptosis and reduction in Schwann cell proliferation. Our data revealed the role of claudin 14 in early Wallerian degeneration, which may provide new insights into the molecular mechanisms of Wallerian degeneration.展开更多
Objectives: Professional identity and self-efficacy are important for the education and career develop-ment of students. However, how to improve these factors among Chinese nursing students needs further study. This q...Objectives: Professional identity and self-efficacy are important for the education and career develop-ment of students. However, how to improve these factors among Chinese nursing students needs further study. This quasi-randomized control trial was designed to explore the effect of medical documentaries on professional self-efficacy and identity among nursing students in Chinese technical schools. Methods: A total of 277 nursing students were enrolled in this study and divided into an experimental group (n = 135) and a control group (n = 142). The experimental group was invited to watch Chinese medical documentaries, whereas the control group remained on a waiting list. A self-designed general questionnaire, along with professional identity and professional self-efficacy questionnaires, was completed by the nursing students. Results: No significant change in professional self-efficacy was observed (-3.55 ± 14.23, P=0.173) in the experimental group, while professional identity significantly declined (-6.24 ± 12.85, P = 0.002) after the intervention. No significant change was found in the two aspects in the control group. Conclusion: Medical documentaries negatively affect professional identity but do not affect professional self-efficacy. Further researches should be conducted to explore the real reasons.展开更多
A new alkaline pressure oxidative leaching process(with NaNO3 as the oxidant and NaOH as the alkaline reagent)is proposed herein to remove arsenic,antimony,and lead from bismuth-rich and arsenic-rich lead anode slime ...A new alkaline pressure oxidative leaching process(with NaNO3 as the oxidant and NaOH as the alkaline reagent)is proposed herein to remove arsenic,antimony,and lead from bismuth-rich and arsenic-rich lead anode slime for bismuth,gold,and silver enrichment.The effects of the temperature,liquid-to-solid ratio,leaching time,and reagent concentration on the leaching ratios of arsenic,antimony,and lead were investigated to identify the optimum leaching conditions.The experimental results under optimized conditions indicate that the average leaching ratios of arsenic,antimony and lead are 95.36%,79.98%,63.08%,respectively.X-ray diffraction analysis indicated that the leaching residue is composed of Bi,Bi2O3,Pb2Sb2O7,and trace amounts of NaSb(OH)6.Arsenic,antimony,and lead are thus separated from lead anode slime as Na3AsO4·10H2O and Pb2Sb2O7.Scanning electron microscopy and energy-dispersive spectrometry imaging revealed that the samples undergo appreciable changes in their surface morphology during leaching and that the majority of arsenic,lead,and antimony is removed.X-ray photoelectron spectroscopy was used to demonstrate the variation in the valence states of the arsenic,lead,and antimony.The Pb(IV)and Sb(V)content was found to increase substantially with the addition of NaNO3.展开更多
In order to illustrate the thermodynamic characteristics of arsenic during alkaline pressure oxidation leaching process oflead anode slime(NaNO3as oxidant;NaOH as alkaline reagent),theφ-pH diagrams of As-Na-H2O,N-H2O...In order to illustrate the thermodynamic characteristics of arsenic during alkaline pressure oxidation leaching process oflead anode slime(NaNO3as oxidant;NaOH as alkaline reagent),theφ-pH diagrams of As-Na-H2O,N-H2O,As-N-Na-H2Osystems at ionic mass concentration of0.1mol/kg and temperatures of298,373,423and473K were established according tothermodynamic calculation.The results show that the existence forms of arsenic are associated with pH value,which mainly exists inthe forms of H3AsO4,24H AsO-,24HAsO-,H2AsO2-and As2O3in lower pH region,while it mainly exists in the form of3AsO4-when pH>11.14.High alkali concentration and high temperature are advantageous to the arsenic leaching.The alkaline pressureoxidation leaching experiments display that the tendency of arsenic leaching rate confirms the thermodynamic analysis resultsobtained from theφ-pH diagrams of As-N-Na-H2O system,and the highest leaching rate of arsenic reaches95.85%at453K.展开更多
In order to accommodate the variety of algorithms with different performance in specific application and improve power efficiency,reconfigurable architecture has become an effective methodology in academia and industr...In order to accommodate the variety of algorithms with different performance in specific application and improve power efficiency,reconfigurable architecture has become an effective methodology in academia and industry.However,existing architectures suffer from performance bottleneck due to slow updating of contexts and inadequate flexibility.This paper presents an H-tree based reconfiguration mechanism(HRM)with Huffman-coding-like and mask addressing method in a homogeneous processing element(PE)array,which supports both programmable and data-driven modes.The proposed HRM can transfer reconfiguration instructions/contexts to a particular PE or associated PEs simultaneously in one clock cycle in unicast,multicast and broadcast mode,and shut down the unnecessary PE/PEs according to the current configuration.To verify the correctness and efficiency,we implement it in RTL synthesis and FPGA prototype.Compared to prior works,the experiment results show that the HRM has improved the work frequency by an average of 23.4%,increased the updating speed by 2×,and reduced the area by 36.9%;HRM can also power off the unnecessary PEs which reduced 51%of dynamic power dissipation in certain application configuration.Furthermore,in the data-driven mode,the system frequency can reach 214 MHz,which is 1.68×higher compared with the programmable mode.展开更多
Neurotrophic factors,currently administered orally or by intravenous drip or intramuscular injection,are the main method for the treatment of peripheral nerve crush injury.However,the low effective drug concentration ...Neurotrophic factors,currently administered orally or by intravenous drip or intramuscular injection,are the main method for the treatment of peripheral nerve crush injury.However,the low effective drug concentration arriving at the injury site results in unsatisfactory outcomes.Therefore,there is an urgent need for a treatment method that can increase the effective drug concentration in the injured area.In this study,we first fabricated a gelatin modified by methacrylic anhydride hydrogel and loaded it with vascular endothelial growth factor that allowed the controlled release of the neurotrophic factor.This modified gelatin exhibited good physical and chemical properties,biocompatibility and supported the adhesion and proliferation of RSC96 cells and human umbilical vein endothelial cells.When injected into the epineurium of crushed nerves,the composite hydrogel in the rat sciatic nerve crush injury model promoted nerve regeneration,functional recovery and vascularization.The results showed that the modified gelatin gave sustained delivery of vascular endothelial growth factors and accelerated the repair of crushed peripheral nerves.展开更多
Esophageal squamous cell carcinoma(ESCC)is a highly malignant disease that has a poor prognosis.Its high lethality is mainly due to the lack of symptoms at early stages,which culminates in diagnosis at a late stage wh...Esophageal squamous cell carcinoma(ESCC)is a highly malignant disease that has a poor prognosis.Its high lethality is mainly due to the lack of symptoms at early stages,which culminates in diagnosis at a late stage when the tumor has already metastasized.Unfortunately,the common cancer biomarkers have low sensitivity and specificity in esophageal cancer.Therefore,a better understanding of the molecular mechanisms underlying ESCC progression is needed to identify novel diagnostic markers and therapeutic targets for intervention.The invasion of cancer cells into the surrounding tissue is a crucial step for metastasis.During metastasis,tumor cells can interact with extracellular components and secrete proteolytic enzymes to remodel the surrounding tumor microenvironment.Proteoglycans are one of the major components of extracellular matrix.They are involved in multiple processes of cancer cell invasion and metastasis by interacting with soluble bioactive molecules,surrounding matrix,cell surface receptors,and enzymes.Apart from having diverse functions in tumor cells and their surrounding microenvironment,proteoglycans also have diagnostic and prognostic significance in cancer patients.However,the functional significance and underlying mechanisms of proteoglycans in ESCC are not well understood.This review summarizes the proteoglycans that have been studied in ESCC in order to provide a comprehensive view of the role of proteoglycans in the progression of this cancer type.A long term goal would be to exploit these molecules to provide new strategies for therapeutic intervention.展开更多
AIM:To investigate time trends in myopia and high myopia prevalence over 6y among young university adults in China.METHODS:This is a 6-year series cross-sectional study from 2016 to 2021.Totally 4910 freshmen were enr...AIM:To investigate time trends in myopia and high myopia prevalence over 6y among young university adults in China.METHODS:This is a 6-year series cross-sectional study from 2016 to 2021.Totally 4910 freshmen were enrolled and completed a questionnaire concerning age,gender,and disease history.Students with eye diseases were excluded after a detailed eye examination.The refractive status was measured by non-cycloplegic objective refraction and ocular parameters were measured by Lenstar 900.The examination followed the same protocol each year.Trends over time in myopia and high myopia prevalence,as well as ocular biometry parameters,were analyzed.RESULTS:From 2016 to 2021,the axial length(AL)and corneal radius(CR)increased significantly(P=0.002 for AL;P=0.04 for CR).However,the spherical equivalent(SE)and the ratio of axial length to the corneal radius(AL/CR)did not change significantly(P=0.59 for SE;P=0.24 for AL/CR).The frequency of AL≥26.0 mm increased from 26.6%in 2016 to 29.3%in 2021(P=0.05 for trend).The prevalence of myopia and high myopia did not change significantly in our study(P≥0.18).Compared to a similar cross-sectional study conducted 10 years ago,the prevalence of myopia decreased significantly(94.9%vs 91.8%,P<0.001).Whereas the prevalence of high myopia increased largely(18.12%vs 27.6%,P<0.001).CONCLUSION:The prevalence of high myopia increases in young university adults during 10y period.Myopia control should begin earlier in childhood.However,these interventions are still needed for high myopia even in young adulthood.展开更多
AIM:To evaluate the prevalence of refractive errors and ocular biometry in 3573 freshman students at Tianjin Medical University for 4 consecutive years.METHODS:In this university-based, cross-sectional study, comprisi...AIM:To evaluate the prevalence of refractive errors and ocular biometry in 3573 freshman students at Tianjin Medical University for 4 consecutive years.METHODS:In this university-based, cross-sectional study, comprising 3573 students, visual acuity(VA), slitlamp examination, non-cycloplegic auto-refraction, and ocular biometry were recorded.RESULTS:The prevalence of myopia increased annually, from 2017 to 2020 were 93.5%, 94.5%, 95.9%, and 96.2%, respectively(P=0.03), and the prevalence of high myopia was 25.7%, 26.9%, 28.6%, and 28.6%, respectively. Males tended to have a higher percentage of total astigmatism than females, with astigmatism ≥0.75 and ≥1.0 D criteria. The percentage of with-the-rule astigmatism, against-therule astigmatism, and oblique astigmatism was 90.3%, 5.8%, and 3.9%, respectively, with astigmatism ≥1.00 D criteria. The mean spherical equivalent, axial length(AL), central corneal thickness(CCT), anterior chamber depth(ACD), lens thickness(LT), corneal radius(CR), and lens position(LP) were 4.37±2.52 D, 25.28±1.24 mm, 539.49±34.98 μm, 3.31±0.34 mm, 3.47±0.21 mm, 7.8±0.28 mm, and 5.04±0.32 mm, respectively. With diopter increase in myopia, the AL became longer, CR became steeper, ACD became deeper, LT became thinner, and LP became more posterior(all P<0.01). Females had a shorter AL, thinner CCT, smaller CR, shallower ACD, thicker lens, and more anterior LP than males(P<0.01). The 64% of high myopia had AL≥26 mm, meanwhile, 5.8% mild myopia and 21.1% moderate myopia had AL≥26 mm. With AL≥26 mm, mild and moderate myopia compared to high myopia, AL was shorter(26.51±0.46 vs 26.87±0.70 mm), CR was larger(8.10±0.3 vs 7.85±0.23 mm) and LT was thinner(3.39±0.19 vs 3.45±0.19 mm, P<0.001).CONCLUSION:The prevalence of myopia and high myopia is significantly high in freshman students. The majority of astigmatism is with-the-rule. Inconformity of refractive errors and ocular biometry existed in some students. Attention should be paid to the ocular biometry of myopia.展开更多
Objective:Leptin(LEP)is an obesity-associated adipokine associated with tumor cell growth.We examined the relevance of genetic variants of LEP and leptin receptor(LEPR)to colorectal cancer(CRC)survival by using data f...Objective:Leptin(LEP)is an obesity-associated adipokine associated with tumor cell growth.We examined the relevance of genetic variants of LEP and leptin receptor(LEPR)to colorectal cancer(CRC)survival by using data from the Newfoundland Familial Colorectal Cancer Study.Methods:A total of 532 patients newly diagnosed with CRC between 1997 and 2003 were followed up until April 2010.Data on their demographics and lifestyles were collected via questionnaires.Genotyping of blood samples was performed with the Illumina Human Omni-Quad Bead chip.Multivariable Cox models were used to assess the relationships of 35 tag single-nucleotide polymorphisms(SNPs)in LEP and LEPR with overall survival(OS),disease-free survival(DFS),and CRC-specific survival.Results:At the gene level,LEP was associated with DFS(P=0.017),and LEPR was associated with both DFS(P=0.021)and CRCspecific survival(P=0.013)in patients with CRC.In single-SNP analysis,LEP rs11763517,LEPR rs9436301,and LEPR rs7602 were associated with DFS after adjustment for multiple testing.The LEPR haplotypes G-C-T(rs7534511-rs9436301-rs1887285)and A-A-G(rs7602-rs970467-rs9436748)were associated with prolonged OS among patients with CRC overall(G-C-T:HR,0.63;95%CI,0.43–0.93;A-A-G:HR,0.59;95%CI,0.38–0.91)and those diagnosed with colon cancer(G-C-T:HR,0.54;95%CI,0.34–0.86;A-A-G:HR,0.49;95%CI,0.29–0.83).Similar results were observed for DFS.Moreover,significant interactions were found among LEPR rs7602(A vs.G),LEPR rs1171278(T vs.C),red meat intake,and BMI status:the associations between these variants and prolonged DFS were limited to patients with below-median red meat consumption and body mass index(BMI)<25 kg/m2.Conclusions:Polymorphic variations in the LEP and LEPR genes were associated with survival of patients after CRC diagnosis.The LEP/LEPR-CRC survival association was modified by participants’red meat intake and BMI.展开更多
为了缓解锂硫电池的穿梭效应,提高其电化学性能,本研究利用橘皮为碳源合成了一种氮掺杂的纳米片状多孔碳(NNPC),并通过超临界二氧化碳沉积技术合成了硫碳复合材料(C-S-CO2)作为电池的正极材料,其载硫量达到64%。通过XRD、XPS、SEM、TEM...为了缓解锂硫电池的穿梭效应,提高其电化学性能,本研究利用橘皮为碳源合成了一种氮掺杂的纳米片状多孔碳(NNPC),并通过超临界二氧化碳沉积技术合成了硫碳复合材料(C-S-CO2)作为电池的正极材料,其载硫量达到64%。通过XRD、XPS、SEM、TEM、以及拉曼等方法对材料的表面形貌和特性进行了表征。电化学测试表明,在0.2 C的电流密度下,C-S-CO2复合正极材料的初始比容量达到1065 mAh g?1,远高于熔融渗透法合成的硫碳材料(C-S-M)的初始比容量773 mAh g?1;并且经过200次循环之后,C-S-CO2的保持率能达到70%左右。展开更多
The effect of NaNO_3 concentration on the anodic electrochemical behavior of antimony in 4 M NaOH solution was investigated using cyclic voltammetry(CV) and electrochemical impedance spectroscopy(EIS) analyses. The me...The effect of NaNO_3 concentration on the anodic electrochemical behavior of antimony in 4 M NaOH solution was investigated using cyclic voltammetry(CV) and electrochemical impedance spectroscopy(EIS) analyses. The mechanism of NO_3^-concentration effect on the anodic electrochemical behavior of antimony was proposed, and its availability was confirmed by experimental results. The effect of NaNO_3 on the anodic behavior of antimony in Na OH solution can be interpreted as a stepwise formation of different antimony compounds with different NaNO_3 concentrations. Metallic antimony is apt to be oxidized into Sb_2O_3 within the NaNO_3 concentration range of 0–0.48 M. NaSbO_3 can be found on the antimony surface when the NaNO_3 concentration increases gradually. Insoluable NaSbO_3 inhibits the anodic oxidation of antimony due to its shielding effect on the mass transport of the reactants and products. Surface morphology and composition were analyzed by X-ray photoelectron spectroscopy(XPS), scanning electronic microscopy(SEM), and electron dispersion spectroscopy(EDS) analyses. Results indicate that the anodic oxidation layer is composed of Sb_2O_3, NaSbO_3, and Sb. The atomic proportion of antimony in the form of NaSbO_3 increases with increasing NaNO_3 concentration due to the powerful oxidizing property of NaNO_3.展开更多
The ambient air quality standard(AAQS)is a vital policy instrument for protecting the environment and human health.Hainan Province is at the forefront of China's efforts to protect its ecological environment,with ...The ambient air quality standard(AAQS)is a vital policy instrument for protecting the environment and human health.Hainan Province is at the forefront of China's efforts to protect its ecological environment,with an official goal to achieve world-leading air quality by 2035.However,neither the national AAQS nor the World Health Organization guideline offers sufficient guidance for improving air quality in Hainan because Hainan has well met the former while the latter is excessively stringent.Consequently,the establishment of Hainan's local AAQS becomes imperative.Nonetheless,research regarding the development of local AAQS is scarce,especially in comparatively more polluted countries such as China.The relatively high background values and significant interannual fluctuations in air pollutant concentrations in Hainan present challenges in the development of local AAQS.Our research proposes a world-class local AAQS of Hainan Province by reviewing the AAQS in major countries or regions worldwide,analyzing the influence of different statistical forms,and carefully evaluating the attainability of the standard.In the proposed AAQS,the annual mean concentration limit for PM2.5,the annual 95th percentile of daily maximum 8-h mean(MDA8)concentration limit for O_(3),and the peak season concentration limit for O_(3) are set at 10,120,and 85μg/m^(3),respectively.Our study indicates that,with effective control policies,Hainan is projected to achieve compliance with the new standard by 2035.The implementation of the local AAQS is estimated to avoid 1,526(1,253–1,789)and 259(132–501)premature deaths attributable to longterm exposure to PM2.5 and O_(3) in Hainan in 2035,respectively.展开更多
Respiratory syncytial virus(RSV)is a significant cause of acute lower respiratory tract infection(ALRTI)in children underfive years of age.Between 2017 and 2021,396 complete sequences of the RSV F gene were obtained fro...Respiratory syncytial virus(RSV)is a significant cause of acute lower respiratory tract infection(ALRTI)in children underfive years of age.Between 2017 and 2021,396 complete sequences of the RSV F gene were obtained from 500 RSV-positive throat swabs collected from ten hospitals across nine provinces in China.In addition,151 sequences from China were sourced from GenBank and GISAID,making a total of 549 RSV F gene sequences subjected to analysis.Phylogenetic and genetic diversity analyses revealed that the RSV F genes circulating in China from 2017 to 2021 have remained relatively conserved,although some amino acids(AAs)have undergone changes.AA mutations with frequencies10%were identified at six sites and the p27 region:V384I(site I),N276S(site II),R213S(siteØ),and K124N(p27)for RSV A;F45L(site I),M152I/L172Q/S173 L/I185V/K191R(site V),and R202Q/I206M/Q209R(siteØ)for RSV B.Comparing mutational frequencies in RSV-F before and after 2020 revealed minor changes for RSV A,while the K191R,I206M,and Q209R frequencies increased by over 10%in RSV B.Notably,the nirsevimab-resistant mutation,S211N in RSV B,increased in frequency from 0%to 1.15%.Both representative strains aligned with the predicted RSV-F structures of their respective prototypes exhibited similar conformations,with low root-mean-square deviation values.These results could provide foundational data from China for the development of RSV mAbs and vaccines.展开更多
Backgrounds:Past epidemiological and experimental studies in rodents have demonstrated that chronic kidney disease(CKD)leads to cognitive impairment.However,the underlying mechanism requires further investigation.Here...Backgrounds:Past epidemiological and experimental studies in rodents have demonstrated that chronic kidney disease(CKD)leads to cognitive impairment.However,the underlying mechanism requires further investigation.Herein,a mouse model of CKD was established using conventional 5/6 nephrectomy.We aimed to examine the relationship between CKD and cognitive impairment and elucidate the underlying mechanisms.Methods:Cognitive behavior was assessed using the Morris water maze,novel object recognition test,and fear conditioning test.Further experiments were also conducted to investigate the underlying molecular mechanisms.Results:Our clinical data revealed a decrease in cognitive function among patients with CKD,accompanied by elevated plasma levels of pro-inflammatory cytokines.A positive correlation between cytokine concentrations and serum creatinine levels,as well as a significant positive correlation with cognitive dysfunction,were observed.Correlation analyzes demonstrated that hippocampal cytokine levels were positively correlated with serum creatinine levels and cognitive dysfunction in CKD model mice.Furthermore,20 mg/mL interleukin-6(IL-6)significantly decreased HT22 cell activity in vitro.Further,HT22 cells treated with IL-6 showed increased expression levels of toll-like receptor 4(TLR4)and myeloid differentiation primary response gene 88(MyD88),thereby inducing the nuclear factor kappa-B p65 inflammatory pathway and mitochondria-dependent apoptosis.The CKD mouse model showed increased expression of TLR4 and cytokines in the hippocampus.TLR4 knockdown antagonized the IL-6-mediated pro-inflammatory and pro-apoptotic effects in HT22 cells.TLR4 knockdown in the CKD model mice decreased hippocampal inflammation and increased the number of neuron dendrites,thus ameliorated cognitive impairment.Conclusion:These results suggest that IL-6 triggers TLR4 activation to induce neuroinflammation and neurodegeneration in CKD,ultimately culminate in cognitive impairment.展开更多
文摘Cutaneous neurofibroma(cNF)is a prevalent clinical manifestation of neurofibromatosis type 1,significantly affecting the well-being and quality of life of the affected individuals.The adoption of reliable and reproducible volumetric measurement techniques is essential for precisely evaluating tumor burden and plays a critical role in the development of effective treatments for cNF.This study focuses on widely used volumetric measurement techniques,including vernier calipers,ultrasound,computed tomography,magnetic resonance imaging,and three-dimensional scanning imaging.It outlines the merits and drawbacks of each technique in assessing the cNF load,providing an overview of their current applications and ongoing research advancements in this domain.
基金supported by grants from the National Natural Science Foundation of China,Grant No.81370982,31170946Key Program,Grant No.81130080+1 种基金the Scientific Research Foundation for Returned Scholars,Ministry of Education of Chinathe Priority Academic Program Development of Jiangsu Higher Education Institutions
文摘Claudin 14 has been shown to promote nerve repair and regeneration in the early stages of Wallerian degeneration (0-4 days) in rats with sciatic nerve injury, but the mechanism underlying this process remains poorly understood. This study reported the effects of claudin 14 on nerve degeneration and regeneration during early Wallerian degeneration. Claudin 14 expression was up-regulated in sciatic nerve 4 days after Wallerian degeneration. The altered expression of claudin 14 in Schwann cells resulted in expression changes of cytokines in vitro. Expression of claudin 14 affected c-Jun, but not Akt anal ERK1/2 patl^ways, l^urther studies reve^ed that enhanced expression of claudin 14 could promote Schwann cell proliferation and migration. Silencing of claudin 14 expression resulted in Schwann cell apoptosis and reduction in Schwann cell proliferation. Our data revealed the role of claudin 14 in early Wallerian degeneration, which may provide new insights into the molecular mechanisms of Wallerian degeneration.
文摘Objectives: Professional identity and self-efficacy are important for the education and career develop-ment of students. However, how to improve these factors among Chinese nursing students needs further study. This quasi-randomized control trial was designed to explore the effect of medical documentaries on professional self-efficacy and identity among nursing students in Chinese technical schools. Methods: A total of 277 nursing students were enrolled in this study and divided into an experimental group (n = 135) and a control group (n = 142). The experimental group was invited to watch Chinese medical documentaries, whereas the control group remained on a waiting list. A self-designed general questionnaire, along with professional identity and professional self-efficacy questionnaires, was completed by the nursing students. Results: No significant change in professional self-efficacy was observed (-3.55 ± 14.23, P=0.173) in the experimental group, while professional identity significantly declined (-6.24 ± 12.85, P = 0.002) after the intervention. No significant change was found in the two aspects in the control group. Conclusion: Medical documentaries negatively affect professional identity but do not affect professional self-efficacy. Further researches should be conducted to explore the real reasons.
基金financially supported by the National Natural Science Foundation of China(No.51564031)Independent Research Project of the State Key Laboratory of Complex Nonferrous Metal Resources Clean Utilization(No.CNMRCUTS1707)the Cooperation project between School and Enterprise of China(No.0201352042)
文摘A new alkaline pressure oxidative leaching process(with NaNO3 as the oxidant and NaOH as the alkaline reagent)is proposed herein to remove arsenic,antimony,and lead from bismuth-rich and arsenic-rich lead anode slime for bismuth,gold,and silver enrichment.The effects of the temperature,liquid-to-solid ratio,leaching time,and reagent concentration on the leaching ratios of arsenic,antimony,and lead were investigated to identify the optimum leaching conditions.The experimental results under optimized conditions indicate that the average leaching ratios of arsenic,antimony and lead are 95.36%,79.98%,63.08%,respectively.X-ray diffraction analysis indicated that the leaching residue is composed of Bi,Bi2O3,Pb2Sb2O7,and trace amounts of NaSb(OH)6.Arsenic,antimony,and lead are thus separated from lead anode slime as Na3AsO4·10H2O and Pb2Sb2O7.Scanning electron microscopy and energy-dispersive spectrometry imaging revealed that the samples undergo appreciable changes in their surface morphology during leaching and that the majority of arsenic,lead,and antimony is removed.X-ray photoelectron spectroscopy was used to demonstrate the variation in the valence states of the arsenic,lead,and antimony.The Pb(IV)and Sb(V)content was found to increase substantially with the addition of NaNO3.
基金Project(51564031) supported by the National Natural Science Foundation of ChinaProject(0201352042) supported by the Cooperation between School and Enterprise of China
文摘In order to illustrate the thermodynamic characteristics of arsenic during alkaline pressure oxidation leaching process oflead anode slime(NaNO3as oxidant;NaOH as alkaline reagent),theφ-pH diagrams of As-Na-H2O,N-H2O,As-N-Na-H2Osystems at ionic mass concentration of0.1mol/kg and temperatures of298,373,423and473K were established according tothermodynamic calculation.The results show that the existence forms of arsenic are associated with pH value,which mainly exists inthe forms of H3AsO4,24H AsO-,24HAsO-,H2AsO2-and As2O3in lower pH region,while it mainly exists in the form of3AsO4-when pH>11.14.High alkali concentration and high temperature are advantageous to the arsenic leaching.The alkaline pressureoxidation leaching experiments display that the tendency of arsenic leaching rate confirms the thermodynamic analysis resultsobtained from theφ-pH diagrams of As-N-Na-H2O system,and the highest leaching rate of arsenic reaches95.85%at453K.
基金supported by the National Natural Science Foundation of China (Nos. 61834005, 61602377, 61772417, 61802304, 61874087)the Shaanxi International Science and Technology Cooperation Program No. 2018KW-006+1 种基金Shaanxi Provincial Key R&D Plan under Grant No. 2017GY-060Shaanxi Province Co-ordination Innovation Project of Science and Technology under Grant No. 2016KTZDGY02-04-02
文摘In order to accommodate the variety of algorithms with different performance in specific application and improve power efficiency,reconfigurable architecture has become an effective methodology in academia and industry.However,existing architectures suffer from performance bottleneck due to slow updating of contexts and inadequate flexibility.This paper presents an H-tree based reconfiguration mechanism(HRM)with Huffman-coding-like and mask addressing method in a homogeneous processing element(PE)array,which supports both programmable and data-driven modes.The proposed HRM can transfer reconfiguration instructions/contexts to a particular PE or associated PEs simultaneously in one clock cycle in unicast,multicast and broadcast mode,and shut down the unnecessary PE/PEs according to the current configuration.To verify the correctness and efficiency,we implement it in RTL synthesis and FPGA prototype.Compared to prior works,the experiment results show that the HRM has improved the work frequency by an average of 23.4%,increased the updating speed by 2×,and reduced the area by 36.9%;HRM can also power off the unnecessary PEs which reduced 51%of dynamic power dissipation in certain application configuration.Furthermore,in the data-driven mode,the system frequency can reach 214 MHz,which is 1.68×higher compared with the programmable mode.
基金supported by the Interdisciplinary Program of Shanghai Jiao Tong University,China,No.YG2021QN60(both to WL)Fundamental Research Program Funding of Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,China,No.JYZZ086B(both to WL).
文摘Neurotrophic factors,currently administered orally or by intravenous drip or intramuscular injection,are the main method for the treatment of peripheral nerve crush injury.However,the low effective drug concentration arriving at the injury site results in unsatisfactory outcomes.Therefore,there is an urgent need for a treatment method that can increase the effective drug concentration in the injured area.In this study,we first fabricated a gelatin modified by methacrylic anhydride hydrogel and loaded it with vascular endothelial growth factor that allowed the controlled release of the neurotrophic factor.This modified gelatin exhibited good physical and chemical properties,biocompatibility and supported the adhesion and proliferation of RSC96 cells and human umbilical vein endothelial cells.When injected into the epineurium of crushed nerves,the composite hydrogel in the rat sciatic nerve crush injury model promoted nerve regeneration,functional recovery and vascularization.The results showed that the modified gelatin gave sustained delivery of vascular endothelial growth factors and accelerated the repair of crushed peripheral nerves.
基金Supported by Research Grants Council of the Hong Kong SAR,China,No.17111016 and No.17100819.
文摘Esophageal squamous cell carcinoma(ESCC)is a highly malignant disease that has a poor prognosis.Its high lethality is mainly due to the lack of symptoms at early stages,which culminates in diagnosis at a late stage when the tumor has already metastasized.Unfortunately,the common cancer biomarkers have low sensitivity and specificity in esophageal cancer.Therefore,a better understanding of the molecular mechanisms underlying ESCC progression is needed to identify novel diagnostic markers and therapeutic targets for intervention.The invasion of cancer cells into the surrounding tissue is a crucial step for metastasis.During metastasis,tumor cells can interact with extracellular components and secrete proteolytic enzymes to remodel the surrounding tumor microenvironment.Proteoglycans are one of the major components of extracellular matrix.They are involved in multiple processes of cancer cell invasion and metastasis by interacting with soluble bioactive molecules,surrounding matrix,cell surface receptors,and enzymes.Apart from having diverse functions in tumor cells and their surrounding microenvironment,proteoglycans also have diagnostic and prognostic significance in cancer patients.However,the functional significance and underlying mechanisms of proteoglycans in ESCC are not well understood.This review summarizes the proteoglycans that have been studied in ESCC in order to provide a comprehensive view of the role of proteoglycans in the progression of this cancer type.A long term goal would be to exploit these molecules to provide new strategies for therapeutic intervention.
基金Supported by China Scholarship Council(CSC,No.202006945002)Chunhui Project of China Education Ministry(No.HZKY20220587)+1 种基金Tianjin Health Technology Research Project(No.TJWJ2022MS014)Tianjin Municipal Education Commission Scientific Research Program(Mental Health Education,No.2022ZDGX20).
文摘AIM:To investigate time trends in myopia and high myopia prevalence over 6y among young university adults in China.METHODS:This is a 6-year series cross-sectional study from 2016 to 2021.Totally 4910 freshmen were enrolled and completed a questionnaire concerning age,gender,and disease history.Students with eye diseases were excluded after a detailed eye examination.The refractive status was measured by non-cycloplegic objective refraction and ocular parameters were measured by Lenstar 900.The examination followed the same protocol each year.Trends over time in myopia and high myopia prevalence,as well as ocular biometry parameters,were analyzed.RESULTS:From 2016 to 2021,the axial length(AL)and corneal radius(CR)increased significantly(P=0.002 for AL;P=0.04 for CR).However,the spherical equivalent(SE)and the ratio of axial length to the corneal radius(AL/CR)did not change significantly(P=0.59 for SE;P=0.24 for AL/CR).The frequency of AL≥26.0 mm increased from 26.6%in 2016 to 29.3%in 2021(P=0.05 for trend).The prevalence of myopia and high myopia did not change significantly in our study(P≥0.18).Compared to a similar cross-sectional study conducted 10 years ago,the prevalence of myopia decreased significantly(94.9%vs 91.8%,P<0.001).Whereas the prevalence of high myopia increased largely(18.12%vs 27.6%,P<0.001).CONCLUSION:The prevalence of high myopia increases in young university adults during 10y period.Myopia control should begin earlier in childhood.However,these interventions are still needed for high myopia even in young adulthood.
基金Science&Technology Development Fund of Tianjin Education Commission for Higher Education of China (No.2018KJ056)。
文摘AIM:To evaluate the prevalence of refractive errors and ocular biometry in 3573 freshman students at Tianjin Medical University for 4 consecutive years.METHODS:In this university-based, cross-sectional study, comprising 3573 students, visual acuity(VA), slitlamp examination, non-cycloplegic auto-refraction, and ocular biometry were recorded.RESULTS:The prevalence of myopia increased annually, from 2017 to 2020 were 93.5%, 94.5%, 95.9%, and 96.2%, respectively(P=0.03), and the prevalence of high myopia was 25.7%, 26.9%, 28.6%, and 28.6%, respectively. Males tended to have a higher percentage of total astigmatism than females, with astigmatism ≥0.75 and ≥1.0 D criteria. The percentage of with-the-rule astigmatism, against-therule astigmatism, and oblique astigmatism was 90.3%, 5.8%, and 3.9%, respectively, with astigmatism ≥1.00 D criteria. The mean spherical equivalent, axial length(AL), central corneal thickness(CCT), anterior chamber depth(ACD), lens thickness(LT), corneal radius(CR), and lens position(LP) were 4.37±2.52 D, 25.28±1.24 mm, 539.49±34.98 μm, 3.31±0.34 mm, 3.47±0.21 mm, 7.8±0.28 mm, and 5.04±0.32 mm, respectively. With diopter increase in myopia, the AL became longer, CR became steeper, ACD became deeper, LT became thinner, and LP became more posterior(all P<0.01). Females had a shorter AL, thinner CCT, smaller CR, shallower ACD, thicker lens, and more anterior LP than males(P<0.01). The 64% of high myopia had AL≥26 mm, meanwhile, 5.8% mild myopia and 21.1% moderate myopia had AL≥26 mm. With AL≥26 mm, mild and moderate myopia compared to high myopia, AL was shorter(26.51±0.46 vs 26.87±0.70 mm), CR was larger(8.10±0.3 vs 7.85±0.23 mm) and LT was thinner(3.39±0.19 vs 3.45±0.19 mm, P<0.001).CONCLUSION:The prevalence of myopia and high myopia is significantly high in freshman students. The majority of astigmatism is with-the-rule. Inconformity of refractive errors and ocular biometry existed in some students. Attention should be paid to the ocular biometry of myopia.
基金grants from the National Natural Science Foundation of China(Grant No.82003533)the CNS-ZD Tizhi and Health Fund(Grant No.CNS-ZD2020-82)+3 种基金funded by the Canadian Institutes of Health Research Team grant(Grant No.CIHR-CPT79845)Canadian Institutes of Health Research Team in Interdisciplinary Research on Colorectal Cancer Studentship(Grant No.205835)the National Cancer Institutes of Health under RFA#CA-08-502cooperative agreements with members of the Colon Cancer Family Registry and principal investigators:Ontario Registry for Studies of Familial Colorectal Cancer(Grant No.U01 CA074783)。
文摘Objective:Leptin(LEP)is an obesity-associated adipokine associated with tumor cell growth.We examined the relevance of genetic variants of LEP and leptin receptor(LEPR)to colorectal cancer(CRC)survival by using data from the Newfoundland Familial Colorectal Cancer Study.Methods:A total of 532 patients newly diagnosed with CRC between 1997 and 2003 were followed up until April 2010.Data on their demographics and lifestyles were collected via questionnaires.Genotyping of blood samples was performed with the Illumina Human Omni-Quad Bead chip.Multivariable Cox models were used to assess the relationships of 35 tag single-nucleotide polymorphisms(SNPs)in LEP and LEPR with overall survival(OS),disease-free survival(DFS),and CRC-specific survival.Results:At the gene level,LEP was associated with DFS(P=0.017),and LEPR was associated with both DFS(P=0.021)and CRCspecific survival(P=0.013)in patients with CRC.In single-SNP analysis,LEP rs11763517,LEPR rs9436301,and LEPR rs7602 were associated with DFS after adjustment for multiple testing.The LEPR haplotypes G-C-T(rs7534511-rs9436301-rs1887285)and A-A-G(rs7602-rs970467-rs9436748)were associated with prolonged OS among patients with CRC overall(G-C-T:HR,0.63;95%CI,0.43–0.93;A-A-G:HR,0.59;95%CI,0.38–0.91)and those diagnosed with colon cancer(G-C-T:HR,0.54;95%CI,0.34–0.86;A-A-G:HR,0.49;95%CI,0.29–0.83).Similar results were observed for DFS.Moreover,significant interactions were found among LEPR rs7602(A vs.G),LEPR rs1171278(T vs.C),red meat intake,and BMI status:the associations between these variants and prolonged DFS were limited to patients with below-median red meat consumption and body mass index(BMI)<25 kg/m2.Conclusions:Polymorphic variations in the LEP and LEPR genes were associated with survival of patients after CRC diagnosis.The LEP/LEPR-CRC survival association was modified by participants’red meat intake and BMI.
文摘为了缓解锂硫电池的穿梭效应,提高其电化学性能,本研究利用橘皮为碳源合成了一种氮掺杂的纳米片状多孔碳(NNPC),并通过超临界二氧化碳沉积技术合成了硫碳复合材料(C-S-CO2)作为电池的正极材料,其载硫量达到64%。通过XRD、XPS、SEM、TEM、以及拉曼等方法对材料的表面形貌和特性进行了表征。电化学测试表明,在0.2 C的电流密度下,C-S-CO2复合正极材料的初始比容量达到1065 mAh g?1,远高于熔融渗透法合成的硫碳材料(C-S-M)的初始比容量773 mAh g?1;并且经过200次循环之后,C-S-CO2的保持率能达到70%左右。
基金financially supported by the National Natural Science Foundation of China (No. 51564031)the Independent Research Project of State Key Laboratory of Complex Nonferrous Metal Resources Clean Utilizationthe Cooperation between School and Enterprise of China (No. 0201352042)
文摘The effect of NaNO_3 concentration on the anodic electrochemical behavior of antimony in 4 M NaOH solution was investigated using cyclic voltammetry(CV) and electrochemical impedance spectroscopy(EIS) analyses. The mechanism of NO_3^-concentration effect on the anodic electrochemical behavior of antimony was proposed, and its availability was confirmed by experimental results. The effect of NaNO_3 on the anodic behavior of antimony in Na OH solution can be interpreted as a stepwise formation of different antimony compounds with different NaNO_3 concentrations. Metallic antimony is apt to be oxidized into Sb_2O_3 within the NaNO_3 concentration range of 0–0.48 M. NaSbO_3 can be found on the antimony surface when the NaNO_3 concentration increases gradually. Insoluable NaSbO_3 inhibits the anodic oxidation of antimony due to its shielding effect on the mass transport of the reactants and products. Surface morphology and composition were analyzed by X-ray photoelectron spectroscopy(XPS), scanning electronic microscopy(SEM), and electron dispersion spectroscopy(EDS) analyses. Results indicate that the anodic oxidation layer is composed of Sb_2O_3, NaSbO_3, and Sb. The atomic proportion of antimony in the form of NaSbO_3 increases with increasing NaNO_3 concentration due to the powerful oxidizing property of NaNO_3.
基金supported by the National Key R&D Program of China(2022YFC3700702)the Energy Foundation,and the Tsinghua-Toyota Joint Research Institute Inter-disciplinary Program.
文摘The ambient air quality standard(AAQS)is a vital policy instrument for protecting the environment and human health.Hainan Province is at the forefront of China's efforts to protect its ecological environment,with an official goal to achieve world-leading air quality by 2035.However,neither the national AAQS nor the World Health Organization guideline offers sufficient guidance for improving air quality in Hainan because Hainan has well met the former while the latter is excessively stringent.Consequently,the establishment of Hainan's local AAQS becomes imperative.Nonetheless,research regarding the development of local AAQS is scarce,especially in comparatively more polluted countries such as China.The relatively high background values and significant interannual fluctuations in air pollutant concentrations in Hainan present challenges in the development of local AAQS.Our research proposes a world-class local AAQS of Hainan Province by reviewing the AAQS in major countries or regions worldwide,analyzing the influence of different statistical forms,and carefully evaluating the attainability of the standard.In the proposed AAQS,the annual mean concentration limit for PM2.5,the annual 95th percentile of daily maximum 8-h mean(MDA8)concentration limit for O_(3),and the peak season concentration limit for O_(3) are set at 10,120,and 85μg/m^(3),respectively.Our study indicates that,with effective control policies,Hainan is projected to achieve compliance with the new standard by 2035.The implementation of the local AAQS is estimated to avoid 1,526(1,253–1,789)and 259(132–501)premature deaths attributable to longterm exposure to PM2.5 and O_(3) in Hainan in 2035,respectively.
基金supported by the National Key Research and Development Program of China(grant number 2023YFC2306002)National Science and Technology Major Projects(grant number 2017ZX10104001-005-010)CAMS Innovation Fund for Medical Sciences(CIFMS)(Grant Number 2019-I2M-5-026)and Funding for Reform and Development of Beijing Municipal Health Commission.
文摘Respiratory syncytial virus(RSV)is a significant cause of acute lower respiratory tract infection(ALRTI)in children underfive years of age.Between 2017 and 2021,396 complete sequences of the RSV F gene were obtained from 500 RSV-positive throat swabs collected from ten hospitals across nine provinces in China.In addition,151 sequences from China were sourced from GenBank and GISAID,making a total of 549 RSV F gene sequences subjected to analysis.Phylogenetic and genetic diversity analyses revealed that the RSV F genes circulating in China from 2017 to 2021 have remained relatively conserved,although some amino acids(AAs)have undergone changes.AA mutations with frequencies10%were identified at six sites and the p27 region:V384I(site I),N276S(site II),R213S(siteØ),and K124N(p27)for RSV A;F45L(site I),M152I/L172Q/S173 L/I185V/K191R(site V),and R202Q/I206M/Q209R(siteØ)for RSV B.Comparing mutational frequencies in RSV-F before and after 2020 revealed minor changes for RSV A,while the K191R,I206M,and Q209R frequencies increased by over 10%in RSV B.Notably,the nirsevimab-resistant mutation,S211N in RSV B,increased in frequency from 0%to 1.15%.Both representative strains aligned with the predicted RSV-F structures of their respective prototypes exhibited similar conformations,with low root-mean-square deviation values.These results could provide foundational data from China for the development of RSV mAbs and vaccines.
基金Zhejiang Provincial Outstanding Youth Science Foundation,Grant/Award Numbers:2023C35009,LTGY23H050003,LTGY24H050004Scienceand Technology Plan Project of Wenzhou Municipality,Grant/Award Numbers:Y2020024,Y20210162,Y2023065Wenzhou Medical University,Grant/Award Number:XY2022007。
文摘Backgrounds:Past epidemiological and experimental studies in rodents have demonstrated that chronic kidney disease(CKD)leads to cognitive impairment.However,the underlying mechanism requires further investigation.Herein,a mouse model of CKD was established using conventional 5/6 nephrectomy.We aimed to examine the relationship between CKD and cognitive impairment and elucidate the underlying mechanisms.Methods:Cognitive behavior was assessed using the Morris water maze,novel object recognition test,and fear conditioning test.Further experiments were also conducted to investigate the underlying molecular mechanisms.Results:Our clinical data revealed a decrease in cognitive function among patients with CKD,accompanied by elevated plasma levels of pro-inflammatory cytokines.A positive correlation between cytokine concentrations and serum creatinine levels,as well as a significant positive correlation with cognitive dysfunction,were observed.Correlation analyzes demonstrated that hippocampal cytokine levels were positively correlated with serum creatinine levels and cognitive dysfunction in CKD model mice.Furthermore,20 mg/mL interleukin-6(IL-6)significantly decreased HT22 cell activity in vitro.Further,HT22 cells treated with IL-6 showed increased expression levels of toll-like receptor 4(TLR4)and myeloid differentiation primary response gene 88(MyD88),thereby inducing the nuclear factor kappa-B p65 inflammatory pathway and mitochondria-dependent apoptosis.The CKD mouse model showed increased expression of TLR4 and cytokines in the hippocampus.TLR4 knockdown antagonized the IL-6-mediated pro-inflammatory and pro-apoptotic effects in HT22 cells.TLR4 knockdown in the CKD model mice decreased hippocampal inflammation and increased the number of neuron dendrites,thus ameliorated cognitive impairment.Conclusion:These results suggest that IL-6 triggers TLR4 activation to induce neuroinflammation and neurodegeneration in CKD,ultimately culminate in cognitive impairment.