To study the formation and transformation mechanism of long-period stacked ordered(LPSO)structures,a systematic atomic scale analysis was conducted for the structural evolution of long-period stacked ordered(LPSO)stru...To study the formation and transformation mechanism of long-period stacked ordered(LPSO)structures,a systematic atomic scale analysis was conducted for the structural evolution of long-period stacked ordered(LPSO)structures in the Mg-Gd-Y-Zn-Zr alloy annealed at 300℃~500℃.Various types of metastable LPSO building block clusters were found to exist in alloy structures at different temperatures,which precipitate during the solidification and homogenization process.The stability of Zn/Y clusters is explained by the first principles of density functional theory.The LPSO structure is distinguished by the arrangement of its different Zn/Y enriched LPSO structural units,which comprises local fcc stacking sequences upon a tightly packed plane.The presence of solute atoms causes local lattice distortion,thereby enabling the rearrangement of Mg atoms in the different configurations in the local lattice,and local HCP-FCC transitions occur between Mg and Zn atoms occupying the nearest neighbor positions.This finding indicates that LPSO structures can generate necessary Schockley partial dislocations on specific slip surfaces,providing direct evidence of the transition from 18R to 14H.Growth of the LPSO,devoid of any defects and non-coherent interfaces,was observed separately from other precipitated phases.As a result,the precipitation sequence of LPSO in the solidification stage was as follows:Zn/Ycluster+Mg layers→various metastable LPSO building block clusters→18R/24R LPSO;whereas the precipitation sequence of LPSO during homogenization treatment was observed to be as follows:18R LPSO→various metastable LPSO building block clusters→14H LPSO.Of these,14H LPSO was found to be the most thermodynamically stable structure.展开更多
We study a generalized higher-order nonlinear Schr¨odinger equation in an optical fiber or a planar waveguide.We obtain the Lax pair and N-fold Darboux transformation(DT)with N being a positive integer.Based on L...We study a generalized higher-order nonlinear Schr¨odinger equation in an optical fiber or a planar waveguide.We obtain the Lax pair and N-fold Darboux transformation(DT)with N being a positive integer.Based on Lax pair obtained by us,we derive the infinitely-many conservation laws.We give the bright one-,two-,and N-soliton solutions,and the first-,second-,and Nth-order breather solutions based on the N-fold DT.We conclude that the velocities of the bright solitons are influenced by the distributed gain function,g(z),and variable coefficients in equation,h1(z),p1(z),r1(z),and s1(z)via the asymptotic analysis,where z represents the propagation variable or spatial coordinate.We also graphically observe that:the velocities of the first-and second-order breathers will be affected by h1(z),p1(z),r1(z),and s1(z),and the background wave depends on g(z).展开更多
Currently,human health due to corona virus disease 2019(COVID-19)pandemic has been seriously threatened.The coronavirus severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)spike(S)protein plays a crucial role i...Currently,human health due to corona virus disease 2019(COVID-19)pandemic has been seriously threatened.The coronavirus severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)spike(S)protein plays a crucial role in virus transmission and several S-based therapeutic approaches have been approved for the treatment of COVID-19.However,the efficacy is compromised by the SARS-CoV-2 evolvement and mutation.Here we report the SARS-CoV-2 S protein receptor-binding domain(RBD)inhibitor licorice-saponin A3(A3)could widely inhibit RBD of SARS-CoV-2 variants,including Beta,Delta,and Omicron BA.1,XBB and BQ1.1.Furthermore,A3 could potently inhibit SARS-CoV-2 Omicron virus in Vero E6 cells,with EC50 of 1.016μM.The mechanism was related to binding with Y453 of RBD determined by hydrogen-deuterium exchange mass spectrometry(HDX-MS)analysis combined with quantum mechanics/molecular mechanics(QM/MM)simulations.Interestingly,phosphoproteomics analysis and multi fluorescent immunohistochemistry(mIHC)respectively indicated that A3 also inhibits host inflammation by directly modulating the JNK and p38 mitogen-activated protein kinase(MAPK)pathways and rebalancing the corresponding immune dysregulation.This work supports A3 as a promising broad-spectrum small molecule drug candidate for COVID-19.展开更多
Hamilton energy,which reflects the energy variation of systems,is one of the crucial instruments used to analyze the characteristics of dynamical systems.Here we propose a method to deduce Hamilton energy based on the...Hamilton energy,which reflects the energy variation of systems,is one of the crucial instruments used to analyze the characteristics of dynamical systems.Here we propose a method to deduce Hamilton energy based on the existing systems.This derivation process consists of three steps:step 1,decomposing the vector field;step 2,solving the Hamilton energy function;and step 3,verifying uniqueness.In order to easily choose an appropriate decomposition method,we propose a classification criterion based on the form of system state variables,i.e.,type-I vector fields that can be directly decomposed and type-II vector fields decomposed via exterior differentiation.Moreover,exterior differentiation is used to represent the curl of low-high dimension vector fields in the process of decomposition.Finally,we exemplify the Hamilton energy function of six classical systems and analyze the relationship between Hamilton energy and dynamic behavior.This solution provides a new approach for deducing the Hamilton energy function,especially in high-dimensional systems.展开更多
The present study proposes a sub-grid scale model for the one-dimensional Burgers turbulence based on the neuralnetwork and deep learning method.The filtered data of the direct numerical simulation is used to establis...The present study proposes a sub-grid scale model for the one-dimensional Burgers turbulence based on the neuralnetwork and deep learning method.The filtered data of the direct numerical simulation is used to establish thetraining data set,the validation data set,and the test data set.The artificial neural network(ANN)methodand Back Propagation method are employed to train parameters in the ANN.The developed ANN is applied toconstruct the sub-grid scale model for the large eddy simulation of the Burgers turbulence in the one-dimensionalspace.The proposed model well predicts the time correlation and the space correlation of the Burgers turbulence.展开更多
Skin is one of the most vulnerable tissues,but there is a lack of injectable bioactive hydrogel dressings,which possess high strength,antiswelling capacity,and wet tissue adhesiveness,but also a rapid gelling process ...Skin is one of the most vulnerable tissues,but there is a lack of injectable bioactive hydrogel dressings,which possess high strength,antiswelling capacity,and wet tissue adhesiveness,but also a rapid gelling process to enable rapid hemostasis,sutureless wound closure,and scarless healing of infected skin wounds[1e5].A new injectable,antibacterial,and multifunctional hydrogel dressings based on poly(citric acid-co-polyethylene glycol)-g-dopamine(PCPD)and amino-terminated Pluronic F127(APF)mi-celles loaded with astragaloside IV(AS)was developed for this pur-pose,as shown in Fig.1A[6].展开更多
BACKGROUND Congenital sideroblastic anemia(CSA)is a rare and heterogeneous group of genetic disorders.Conventional treatment include pyridoxine(vitamin B6)and allogeneic hematopoietic stem cell transplantation(allo-HS...BACKGROUND Congenital sideroblastic anemia(CSA)is a rare and heterogeneous group of genetic disorders.Conventional treatment include pyridoxine(vitamin B6)and allogeneic hematopoietic stem cell transplantation(allo-HSCT),and can alleviate anemia in the majority of cases.Nevertheless,some CSA cases remain unresponsive to pyridoxine or are unable to undergo allo-HSCT.Novel management approaches is necessary to be developed.To explore the response of luspatercept in treating congenital sideroblastic anemia.CASE SUMMARY We share our experience in luspatercept in a 4-year-old male patient with CSA.Luspatercept was administered subcutaneously at doses of 1.0 mg/kg/dose to 1.25 mg/kg/dose every 3 wk,three consecutive doses,evaluating the hematological response.Luspatercept leading to a significant improvement in the patient's anemia.The median hemoglobin during the overall treatment with three doses of luspatercept was 90(75-101)g/L,the median absolute reticulocyte count was 0.0593(0.0277-0.1030)×10^(12)/L,the median serum ferritin was 304.3(234.4-399)ng/mL,and the median lifespan of mature red blood cells was 80(57-92)days.Notably,no adverse reactions,such as headaches,dizziness,vomiting,joint pain,or back pain,were observed during the treatment period.CONCLUSION We believe that luspatercept might emerge as a viable therapeutic option for the maintenance treatment of CSA or as a bridging treatment option before hematopoietic stem cell transplantation.展开更多
Objective:To summarize the clinical features,imaging manifestations,therapeutic options,and prognosis of the primary angiitis of the central nervous system(PACNS)and to explore the role of high-resolution magnetic res...Objective:To summarize the clinical features,imaging manifestations,therapeutic options,and prognosis of the primary angiitis of the central nervous system(PACNS)and to explore the role of high-resolution magnetic resonance imaging(HR-MRI)in the PACNS diagnosis and treatment.Methods:One patient with PACNS treated by HR-MRI was retrospectively analyzed and summarized by combining relevant literature.Results:The patient was a young female who was hospitalized with progressive cerebral infarction and multiple intracranial arterial stenosis.HR-MRI indicated vasculitic changes.After excluding other diseases,hormone shock combined with immunosuppression was given,followed by long-term rehabilitation treatment.The patient’s condition tended to stabilize,and the prognosis was satisfactory.Conclusion PACNS is challenging to diagnose and is characterized by poor prognosis and easy recurrence.HR-MRI plays an important role in the clinical diagnosis and treatment adjustment for PACNS.展开更多
To elucidate the high temperature rheological capability of graphene modified rubber asphalt,three contents of graphene and crumb rubber were prepared by a combination of mechanical agitation and high speed shearing m...To elucidate the high temperature rheological capability of graphene modified rubber asphalt,three contents of graphene and crumb rubber were prepared by a combination of mechanical agitation and high speed shearing machine,then used dynamic shear rheological test(DSR)and multiple stress creep recovery(MSCR)tests to evaluate.The hardness and softening point with rotational viscosity of samples raised with the addition of graphene,especially the addition of 0.04%.Dynamic shear rheological test revealedthat the dynamic shear modulus G*,rutting factor G*/Sin δ,and zero shear viscosity(ZSV)of graphene-modified rubber asphalt were greatly influenced along with graphene-increased,on the contrary,phase angle δ which characterize the viscoelastic ratio of asphalt decreased.Multiple stress creep recovery(MSCR)tests showed that the graphene-enhanced rubber asphalt had high-temperature stability through non-recoverable creep compliance(Jnr).Based on these findings,graphene-modified rubber asphalt binders with the addition of 0.04% graphene had good viscoelastic properties as well as high temperature rutting resistance performance.In the meantime,G*/Sin δ,ZSV,and Jnr100,Jnr3200 have good correlation,which can reveal the excellent high-temperature stability performance of asphalt.展开更多
脆性X综合征(Fragile X syndrome)是一种最常见的遗传性智力低下疾病,并且伴有语言和行为障碍等。该疾病是由脆性X智力低下基因(Fragile X mental retardation 1,FMR1)突变而导致脆性X智力低下蛋白(Fragile X mental retardation protei...脆性X综合征(Fragile X syndrome)是一种最常见的遗传性智力低下疾病,并且伴有语言和行为障碍等。该疾病是由脆性X智力低下基因(Fragile X mental retardation 1,FMR1)突变而导致脆性X智力低下蛋白(Fragile X mental retardation protein,FMRP)表达异常造成的。近年来,研究发现FMRP参与非编码RNA通路,并发挥多种重要生物学功能,这对理解脆性X综合征发病机理具有重要的推动作用。首先发现FMRP与siRNA和miRNA通路中Dicer酶、Ago1和Ago2蛋白相互作用,参与神经活动及生殖干细胞命运决定等重要过程。随后又发现FMRP与piRNA通路中Aub、Ago1和Piwi蛋白相互作用,维持了染色体正常结构和基因组稳定性。最新研究结果发现FMRP与lncRNA相互作用,其功能和价值正引起关注。本文从FMRP与非编码RNA通路的关系展开,着重介绍了FMRP与piRNA之间的相互作用,以期为深入理解非编码RNA通路在脆性X综合征的发病过程中作用提供参考,同时期望与临床医学领域尽快形成交叉研究,早日促进理论成果转化为临床应用。展开更多
In this study,we have summarized the coordination of operating room nurses participating in the multidisciplinary team in diagnosing and treating a patient with a large abdominal tumor and multiple pelvic fractures.To...In this study,we have summarized the coordination of operating room nurses participating in the multidisciplinary team in diagnosing and treating a patient with a large abdominal tumor and multiple pelvic fractures.To perform surgical treatment on patients with various conditions,it is crucial to consider the patients from a holistic perspective.Thus,the existing medical model has shifted from a“disease-centered”approach focusing on single-disciplinary diagnosis and treatment,to a“patient-centered”approach that involves multiple disciplines in diagnosis and therapy.Operating room nurses,as crucial collaborators of surgeons,should make necessary adjustments to enhance their comprehension of patients,improving the overall quality of surgical coordination.展开更多
目的:探讨抗血管内皮生长因子(VEGF)联合全视网膜光凝术(PRP)治疗重度非增殖期糖尿病视网膜病变(sNPDR)合并黄斑水肿(DME)对黄斑区血流密度变化的影响。方法:回顾性选取2018-10/2019-04在我院确诊的sNPDR合并DME患者30例30眼,根据治疗...目的:探讨抗血管内皮生长因子(VEGF)联合全视网膜光凝术(PRP)治疗重度非增殖期糖尿病视网膜病变(sNPDR)合并黄斑水肿(DME)对黄斑区血流密度变化的影响。方法:回顾性选取2018-10/2019-04在我院确诊的sNPDR合并DME患者30例30眼,根据治疗方案进行分组,其中A组15例15眼采用“1+PRN”方案采用玻璃体腔内注射雷珠单抗7d后行PRP治疗,B组15例15眼采用单纯PRP治疗。对比两组治疗前后黄斑区6mm×6mm浅层毛细血管(SCP)和深层毛细血管(DCP)血流密度、黄斑中心凹厚度(CMT)、最佳矫正视力(BCVA)变化情况。结果:与术前相比,A组患者术后2wk,1mo DCP血流密度显著增加、CMT明显降低、BCVA明显改善(均P<0.05),B组患者术后1mo CMT降低、BCVA改善(均P<0.05)。术后2wk、1mo,A组患者DCP血流密度较B组明显增加(43.37%±2.72%vs 41.03%±2.60%,45.01%±2.28%vs 41.20%±2.43%,均P<0.05),CMT较B组明显降低(303.4±30.36μm vs 329.60±31.47μm,268.67±30.27μm vs 319.40±28.63μm,均P<0.05),BCVA(LogMAR)较B组明显改善(0.28±0.11 vs 0.40±0.13,0.23±0.14 vs 0.38±0.15,均P<0.05)。结论:抗VEGF联合PRP治疗sNPDR合并DME患者短期内可有效增加DCP血流密度,减轻黄斑水肿,改善视力。展开更多
基金financially funded by Natural Science Basic Research Program of Shaanxi(grant number 2022JM-239)Key Research and Development Project of Shaanxi Provincial(grant number 2021LLRH-05–08)。
文摘To study the formation and transformation mechanism of long-period stacked ordered(LPSO)structures,a systematic atomic scale analysis was conducted for the structural evolution of long-period stacked ordered(LPSO)structures in the Mg-Gd-Y-Zn-Zr alloy annealed at 300℃~500℃.Various types of metastable LPSO building block clusters were found to exist in alloy structures at different temperatures,which precipitate during the solidification and homogenization process.The stability of Zn/Y clusters is explained by the first principles of density functional theory.The LPSO structure is distinguished by the arrangement of its different Zn/Y enriched LPSO structural units,which comprises local fcc stacking sequences upon a tightly packed plane.The presence of solute atoms causes local lattice distortion,thereby enabling the rearrangement of Mg atoms in the different configurations in the local lattice,and local HCP-FCC transitions occur between Mg and Zn atoms occupying the nearest neighbor positions.This finding indicates that LPSO structures can generate necessary Schockley partial dislocations on specific slip surfaces,providing direct evidence of the transition from 18R to 14H.Growth of the LPSO,devoid of any defects and non-coherent interfaces,was observed separately from other precipitated phases.As a result,the precipitation sequence of LPSO in the solidification stage was as follows:Zn/Ycluster+Mg layers→various metastable LPSO building block clusters→18R/24R LPSO;whereas the precipitation sequence of LPSO during homogenization treatment was observed to be as follows:18R LPSO→various metastable LPSO building block clusters→14H LPSO.Of these,14H LPSO was found to be the most thermodynamically stable structure.
基金Project supported by the the Fundamental Research Funds for the Central Universities(Grant No.2023MS163).
文摘We study a generalized higher-order nonlinear Schr¨odinger equation in an optical fiber or a planar waveguide.We obtain the Lax pair and N-fold Darboux transformation(DT)with N being a positive integer.Based on Lax pair obtained by us,we derive the infinitely-many conservation laws.We give the bright one-,two-,and N-soliton solutions,and the first-,second-,and Nth-order breather solutions based on the N-fold DT.We conclude that the velocities of the bright solitons are influenced by the distributed gain function,g(z),and variable coefficients in equation,h1(z),p1(z),r1(z),and s1(z)via the asymptotic analysis,where z represents the propagation variable or spatial coordinate.We also graphically observe that:the velocities of the first-and second-order breathers will be affected by h1(z),p1(z),r1(z),and s1(z),and the background wave depends on g(z).
基金supported by National Natural Science Foundation of China(Grant Nos.:81891010/81891011,81725023,82003614,82173950,31770192,32070187,32161133003 and 82003681)China Postdoctoral Science Foundation(Grant No:2022T150029).
文摘Currently,human health due to corona virus disease 2019(COVID-19)pandemic has been seriously threatened.The coronavirus severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)spike(S)protein plays a crucial role in virus transmission and several S-based therapeutic approaches have been approved for the treatment of COVID-19.However,the efficacy is compromised by the SARS-CoV-2 evolvement and mutation.Here we report the SARS-CoV-2 S protein receptor-binding domain(RBD)inhibitor licorice-saponin A3(A3)could widely inhibit RBD of SARS-CoV-2 variants,including Beta,Delta,and Omicron BA.1,XBB and BQ1.1.Furthermore,A3 could potently inhibit SARS-CoV-2 Omicron virus in Vero E6 cells,with EC50 of 1.016μM.The mechanism was related to binding with Y453 of RBD determined by hydrogen-deuterium exchange mass spectrometry(HDX-MS)analysis combined with quantum mechanics/molecular mechanics(QM/MM)simulations.Interestingly,phosphoproteomics analysis and multi fluorescent immunohistochemistry(mIHC)respectively indicated that A3 also inhibits host inflammation by directly modulating the JNK and p38 mitogen-activated protein kinase(MAPK)pathways and rebalancing the corresponding immune dysregulation.This work supports A3 as a promising broad-spectrum small molecule drug candidate for COVID-19.
基金the National Natural Science Foundation of China(Grant Nos.12305054,12172340,and 12371506)。
文摘Hamilton energy,which reflects the energy variation of systems,is one of the crucial instruments used to analyze the characteristics of dynamical systems.Here we propose a method to deduce Hamilton energy based on the existing systems.This derivation process consists of three steps:step 1,decomposing the vector field;step 2,solving the Hamilton energy function;and step 3,verifying uniqueness.In order to easily choose an appropriate decomposition method,we propose a classification criterion based on the form of system state variables,i.e.,type-I vector fields that can be directly decomposed and type-II vector fields decomposed via exterior differentiation.Moreover,exterior differentiation is used to represent the curl of low-high dimension vector fields in the process of decomposition.Finally,we exemplify the Hamilton energy function of six classical systems and analyze the relationship between Hamilton energy and dynamic behavior.This solution provides a new approach for deducing the Hamilton energy function,especially in high-dimensional systems.
基金supported by the National Key R&D Program of China(Grant No.2022YFB3303500).
文摘The present study proposes a sub-grid scale model for the one-dimensional Burgers turbulence based on the neuralnetwork and deep learning method.The filtered data of the direct numerical simulation is used to establish thetraining data set,the validation data set,and the test data set.The artificial neural network(ANN)methodand Back Propagation method are employed to train parameters in the ANN.The developed ANN is applied toconstruct the sub-grid scale model for the large eddy simulation of the Burgers turbulence in the one-dimensionalspace.The proposed model well predicts the time correlation and the space correlation of the Burgers turbulence.
文摘Skin is one of the most vulnerable tissues,but there is a lack of injectable bioactive hydrogel dressings,which possess high strength,antiswelling capacity,and wet tissue adhesiveness,but also a rapid gelling process to enable rapid hemostasis,sutureless wound closure,and scarless healing of infected skin wounds[1e5].A new injectable,antibacterial,and multifunctional hydrogel dressings based on poly(citric acid-co-polyethylene glycol)-g-dopamine(PCPD)and amino-terminated Pluronic F127(APF)mi-celles loaded with astragaloside IV(AS)was developed for this pur-pose,as shown in Fig.1A[6].
基金National Natural Science Foundation of China,No.81890992.
文摘BACKGROUND Congenital sideroblastic anemia(CSA)is a rare and heterogeneous group of genetic disorders.Conventional treatment include pyridoxine(vitamin B6)and allogeneic hematopoietic stem cell transplantation(allo-HSCT),and can alleviate anemia in the majority of cases.Nevertheless,some CSA cases remain unresponsive to pyridoxine or are unable to undergo allo-HSCT.Novel management approaches is necessary to be developed.To explore the response of luspatercept in treating congenital sideroblastic anemia.CASE SUMMARY We share our experience in luspatercept in a 4-year-old male patient with CSA.Luspatercept was administered subcutaneously at doses of 1.0 mg/kg/dose to 1.25 mg/kg/dose every 3 wk,three consecutive doses,evaluating the hematological response.Luspatercept leading to a significant improvement in the patient's anemia.The median hemoglobin during the overall treatment with three doses of luspatercept was 90(75-101)g/L,the median absolute reticulocyte count was 0.0593(0.0277-0.1030)×10^(12)/L,the median serum ferritin was 304.3(234.4-399)ng/mL,and the median lifespan of mature red blood cells was 80(57-92)days.Notably,no adverse reactions,such as headaches,dizziness,vomiting,joint pain,or back pain,were observed during the treatment period.CONCLUSION We believe that luspatercept might emerge as a viable therapeutic option for the maintenance treatment of CSA or as a bridging treatment option before hematopoietic stem cell transplantation.
基金Basic and Applied Basic Research Fund Project of Guangdong Province(2022A1515220161).
文摘Objective:To summarize the clinical features,imaging manifestations,therapeutic options,and prognosis of the primary angiitis of the central nervous system(PACNS)and to explore the role of high-resolution magnetic resonance imaging(HR-MRI)in the PACNS diagnosis and treatment.Methods:One patient with PACNS treated by HR-MRI was retrospectively analyzed and summarized by combining relevant literature.Results:The patient was a young female who was hospitalized with progressive cerebral infarction and multiple intracranial arterial stenosis.HR-MRI indicated vasculitic changes.After excluding other diseases,hormone shock combined with immunosuppression was given,followed by long-term rehabilitation treatment.The patient’s condition tended to stabilize,and the prognosis was satisfactory.Conclusion PACNS is challenging to diagnose and is characterized by poor prognosis and easy recurrence.HR-MRI plays an important role in the clinical diagnosis and treatment adjustment for PACNS.
文摘To elucidate the high temperature rheological capability of graphene modified rubber asphalt,three contents of graphene and crumb rubber were prepared by a combination of mechanical agitation and high speed shearing machine,then used dynamic shear rheological test(DSR)and multiple stress creep recovery(MSCR)tests to evaluate.The hardness and softening point with rotational viscosity of samples raised with the addition of graphene,especially the addition of 0.04%.Dynamic shear rheological test revealedthat the dynamic shear modulus G*,rutting factor G*/Sin δ,and zero shear viscosity(ZSV)of graphene-modified rubber asphalt were greatly influenced along with graphene-increased,on the contrary,phase angle δ which characterize the viscoelastic ratio of asphalt decreased.Multiple stress creep recovery(MSCR)tests showed that the graphene-enhanced rubber asphalt had high-temperature stability through non-recoverable creep compliance(Jnr).Based on these findings,graphene-modified rubber asphalt binders with the addition of 0.04% graphene had good viscoelastic properties as well as high temperature rutting resistance performance.In the meantime,G*/Sin δ,ZSV,and Jnr100,Jnr3200 have good correlation,which can reveal the excellent high-temperature stability performance of asphalt.
文摘脆性X综合征(Fragile X syndrome)是一种最常见的遗传性智力低下疾病,并且伴有语言和行为障碍等。该疾病是由脆性X智力低下基因(Fragile X mental retardation 1,FMR1)突变而导致脆性X智力低下蛋白(Fragile X mental retardation protein,FMRP)表达异常造成的。近年来,研究发现FMRP参与非编码RNA通路,并发挥多种重要生物学功能,这对理解脆性X综合征发病机理具有重要的推动作用。首先发现FMRP与siRNA和miRNA通路中Dicer酶、Ago1和Ago2蛋白相互作用,参与神经活动及生殖干细胞命运决定等重要过程。随后又发现FMRP与piRNA通路中Aub、Ago1和Piwi蛋白相互作用,维持了染色体正常结构和基因组稳定性。最新研究结果发现FMRP与lncRNA相互作用,其功能和价值正引起关注。本文从FMRP与非编码RNA通路的关系展开,着重介绍了FMRP与piRNA之间的相互作用,以期为深入理解非编码RNA通路在脆性X综合征的发病过程中作用提供参考,同时期望与临床医学领域尽快形成交叉研究,早日促进理论成果转化为临床应用。
文摘In this study,we have summarized the coordination of operating room nurses participating in the multidisciplinary team in diagnosing and treating a patient with a large abdominal tumor and multiple pelvic fractures.To perform surgical treatment on patients with various conditions,it is crucial to consider the patients from a holistic perspective.Thus,the existing medical model has shifted from a“disease-centered”approach focusing on single-disciplinary diagnosis and treatment,to a“patient-centered”approach that involves multiple disciplines in diagnosis and therapy.Operating room nurses,as crucial collaborators of surgeons,should make necessary adjustments to enhance their comprehension of patients,improving the overall quality of surgical coordination.
文摘目的:探讨抗血管内皮生长因子(VEGF)联合全视网膜光凝术(PRP)治疗重度非增殖期糖尿病视网膜病变(sNPDR)合并黄斑水肿(DME)对黄斑区血流密度变化的影响。方法:回顾性选取2018-10/2019-04在我院确诊的sNPDR合并DME患者30例30眼,根据治疗方案进行分组,其中A组15例15眼采用“1+PRN”方案采用玻璃体腔内注射雷珠单抗7d后行PRP治疗,B组15例15眼采用单纯PRP治疗。对比两组治疗前后黄斑区6mm×6mm浅层毛细血管(SCP)和深层毛细血管(DCP)血流密度、黄斑中心凹厚度(CMT)、最佳矫正视力(BCVA)变化情况。结果:与术前相比,A组患者术后2wk,1mo DCP血流密度显著增加、CMT明显降低、BCVA明显改善(均P<0.05),B组患者术后1mo CMT降低、BCVA改善(均P<0.05)。术后2wk、1mo,A组患者DCP血流密度较B组明显增加(43.37%±2.72%vs 41.03%±2.60%,45.01%±2.28%vs 41.20%±2.43%,均P<0.05),CMT较B组明显降低(303.4±30.36μm vs 329.60±31.47μm,268.67±30.27μm vs 319.40±28.63μm,均P<0.05),BCVA(LogMAR)较B组明显改善(0.28±0.11 vs 0.40±0.13,0.23±0.14 vs 0.38±0.15,均P<0.05)。结论:抗VEGF联合PRP治疗sNPDR合并DME患者短期内可有效增加DCP血流密度,减轻黄斑水肿,改善视力。