“通关利窍”针刺法治疗卒中后吞咽困难立法辨证及机制探讨

由国医大师、中国工程院院士石学敏创立的"通关利窍"针刺法衍生于著名的"醒脑开窍"针刺法,以"调神"为立法辨证取穴的根本。选用内关、人中、三阴交作为主穴,以调神醒脑、滋补肝肾,此为治"本";选用了颈项部的廉泉、翳风、完骨、风池穴以"利窍",此为治"标"。该针刺法以深刺为特色,契合了现代吞咽功能解剖。该针法能够通过改善脑供血及代谢、促进神经功能重塑等促进卒中后吞咽困难功能的改善。

Pairing correlation of the kagome-lattice Hubbard model with the nearest-neighbor interaction

A recently discovered family of kagome lattice materials,AV_(3)Sb_(5)(A=K,Rb,Cs),has attracted great interest,especiallyin the debate over their dominant superconducting pairing symmetry.To explore this issue,we study the superconductingpairing behavior within the kagome-lattice Hubbard model through the constrained path Monte Carlo method.It isfound that doping around the Dirac point generates a dominant next-nearest-neighbor-d pairing symmetry driven by on-siteCoulomb interaction U.However,when considering the nearest-neighbor interaction V,it may induce nearest-neighbor-ppairing to become the preferred pairing symmetry.Our results provide useful information to identify the dominant superconductingpairing symmetry in the AV_(3)Sb_(5)family.

Ghrelin inhibits autophagy mediated by AKT/mTOR pathway to ameliorate retinal angiogenesis induced by high glucose stress

AIM:To observe the effect of ghrelin,a growth hormonereleasing peptide,on retinal angiogenesis in vitro under high glucose(HG)stress and to explore the possible mechanism of autophagy.METHODS:Human retinal microvascular endothelial cells(HRMECs)were treated with high concentration of glucose alone or in combination with ghrelin.The cell migration,tube formation and the expression of the autophagy-related proteins LC3-II/I,Beclin-1,p62,phosphorylated AKT(p-AKT)/AKT and phosphorylated mammalian target of rapamycin(p-mTOR)/mTOR were detected.Then,to clarify the correlation between ghrelin effect and autophagy,AKT inhibitor VIII was adopted to treat HRMECs,and cell migration,tube formation as well as the protein expressions of LC3-II/I,Beclin-1 and p62 were observed.RESULTS:Under HG stress,ghrelin inhibited migration and tube formation of HRMECs.Ghrelin inhibited the increases in the protein levels of LC3-II/I,Beclin-1 and the decreases in the protein levels of p62,p-AKT/AKT and p-mTOR/mTOR induced by HG stress.Moreover,under the action of AKT/mTOR pathway inhibitors,the effects of ghrelin on migration and tube formation were both reduced.In addition,the expression of LC3-II/I and Beclin-1 were significantly up-regulated and the expression of p62 was down-regulated.CONCLUSION:Retinal angiogenesis under in vitro HG stress can be inhibited by ghrelin through activating AKT/mTOR pathway to inhibit autophagy.

Image Recognition Model of Fraudulent Websites Based on Image Leader Decision and Inception-V3 Transfer Learning

The fraudulent website image is a vital information carrier for telecom fraud.The efficient and precise recognition of fraudulent website images is critical to combating and dealing with fraudulent websites.Current research on image recognition of fraudulent websites is mainly carried out at the level of image feature extraction and similarity study,which have such disadvantages as difficulty in obtaining image data,insufficient image analysis,and single identification types.This study develops a model based on the entropy method for image leader decision and Inception-v3 transfer learning to address these disadvantages.The data processing part of the model uses a breadth search crawler to capture the image data.Then,the information in the images is evaluated with the entropy method,image weights are assigned,and the image leader is selected.In model training and prediction,the transfer learning of the Inception-v3 model is introduced into image recognition of fraudulent websites.Using selected image leaders to train the model,multiple types of fraudulent websites are identified with high accuracy.The experiment proves that this model has a superior accuracy in recognizing images on fraudulent websites compared to other current models.

Exploring the Roles of Single Atom in Hydrogen Peroxide Photosynthesis

This comprehensive review provides a deep exploration of the unique roles of single atom catalysts(SACs)in photocatalytic hydrogen peroxide(H_(2)O_(2))production.SACs offer multiple benefits over traditional catalysts such as improved efficiency,selectivity,and flexibility due to their distinct electronic structure and unique properties.The review discusses the critical elements in the design of SACs,including the choice of metal atom,host material,and coordination environment,and how these elements impact the catalytic activity.The role of single atoms in photocatalytic H_(2)O_(2)production is also analysed,focusing on enhancing light absorption and charge generation,improving the migration and separation of charge carriers,and lowering the energy barrier of adsorption and activation of reactants.Despite these advantages,several challenges,including H_(2)O_(2)decomposition,stability of SACs,unclear mechanism,and low selectivity,need to be overcome.Looking towards the future,the review suggests promising research directions such as direct utilization of H_(2)O_(2),high-throughput synthesis and screening,the creation of dual active sites,and employing density functional theory for investigating the mechanisms of SACs in H_(2)O_(2)photosynthesis.This review provides valuable insights into the potential of single atom catalysts for advancing the field of photocatalytic H_(2)O_(2)production.

Physiological and Biochemical Responses of Perennial Ryegrass Mixed Planting with Legumes under Heavy Metal Pollution

In artificially controlled pot experiments,perennial ryegrass was mixed with other leguminous plants(white clo-ver and alfalfa)and treated with lead,zinc and cadmium(337 mg·kg^(-1),648 mg·kg^(-1),and 9 mg·kg^(-1),respectively)to simulate compound pollution conditions.The results showed that the concentrations of heavy metals,trans-port factors,and bioconcentration factors in mixed planting of ryegrass decreased compared with those in mono-culture.Regardless of whether heavy metal pollution was introduced,mixed planting increased the aboveground and underground biomasses of ryegrass.The different mixed planting treatments had no significant impact on the chlorophyll concentration of ryegrass.The mowing time,mixed planting treatment,and heavy metal treatment had impacts on antioxidant and osmotic adjustment substances,and there were some interactions.The mixed planting treatment did not significantly affect glutathione concentration,cysteine concentration,or nonprotein thiol.Mixed planting generally increased the nitrogen and phosphorus concentrations of ryegrass while reducing the stoichiometric ratio of carbon,nitrogen,and phosphorus.These results suggest that the mixed planting of ryegrass with legumes promotes the growth of ryegrass in the presence of high concentrations of heavy metal pollution.However,it does not enhance the ability of ryegrass to remediate heavy metal pollution in the soil.

Manipulating the Spatial Structure of Second-Order Quantum Coherence Using Entangled Photons

High-order quantum coherence reveals the statistical correlation of quantum particles. Manipulation of quantum coherence of light in the temporal domain enables the production of the single-photon source, which has become one of the most important quantum resources. High-order quantum coherence in the spatial domain plays a crucial role in a variety of applications, such as quantum imaging, holography, and microscopy. However, the active control of second-order spatial quantum coherence remains a challenging task. Here we predict theoretically and demonstrate experimentally the first active manipulation of second-order spatial quantum coherence,which exhibits the capability of switching between bunching and anti-bunching, by mapping the entanglement of spatially structured photons. We also show that signal processing based on quantum coherence exhibits robust resistance to intensity disturbance. Our findings not only enhance existing applications but also pave the way for broader utilization of higher-order spatial quantum coherence.

Delayed neurological dysfunction following posterior laminectomy with lateral mass screw fixation:A case report and review of literature

BACKGROUND While most complications of cervical surgery are reversible,some,such as symptomatic postoperative spinal epidural hematoma(SEH),which generally occurs within 24 h,are associated with increased morbidity and mortality.Delayed neurological dysfunction is diagnosed in cases when symptoms present>3 d postoperatively.Owing to its rarity,the risk factors for delayed neurological dysfunction are unclear.Consequently,this condition can result in irreversible neurological deficits and serious consequences.In this paper,we present a case of postoperative SEH that developed three days after hematoma evacuation.CASE SUMMARY A 68-year-old man with an American Spinal Injury Association(ASIA)grade C injury was admitted to our hospital with neck pain and tetraplegia following a fall.The C3-C7 posterior laminectomy and the lateral mass screw fixation surgery were performed on the tenth day.Postoperatively,the patient showed no changes in muscle strength or ASIA grade.The patient experienced neck pain and subcutaneous swelling on the third day postoperatively,his muscle strength decreased,and his ASIA score was grade A.Magnetic resonance imaging showed hypointense signals on T1 weighted image(T1WI)and T2WI located behind the epidural space,with spinal cord compression.Emergency surgical intervention for the hematoma was performed 12 h after onset.Although hypoproteinemia and pleural effusion did not improve in the perioperative period,the patient recovered to ASIA grade C on day 30 after surgery,and was transferred to a functional rehabilitation exercise unit.CONCLUSION This case shows that amelioration of low blood albumin and pleural effusion is an important aspect of the perioperative management of cervical surgery.Surgery to relieve the pressure on the spinal cord should be performed as soon as possible to decrease neurological disabilities.

Dynamic changes and clinical value of lipocalin 2 in liver diseases caused by microbial infections

Lipocalin 2(LCN2)plays a pivotal role in iron metabolism,particularly in the context of microbial infection resistance(e.g.,viruses,bacteria,parasites,etc.).LCN2 combats microbial infection by directly assisting the body in competing with microorganisms for iron,inducing immune cells to secrete various cytokines to enhance systemic immune responses,or recruiting neutrophils to infectious sites.The liver serves as the primary organ for LCN2 secretion during microbial infections.This review encapsulates recent advances in dynamic changes,clinical values,and the effects of LCN2 in infectious liver diseases caused by various microbial microorganisms.

孔结构对电子束粉末床熔融多孔钽支架变形行为及力学性能的影响

采用电子束粉末床熔融技术制备菱形十二面体、G7及简单立方3种孔结构的多孔钽支架。通过压缩试验、拉伸试验、三点弯曲试验及有限元模拟,研究孔结构对多孔钽支架变形行为和力学性能的影响。在压缩试验中,G7和简单立方结构的多孔钽支架以杆筋的屈服变形为主,而菱形十二面体支架以弯曲变形为主,导致菱形十二面体多孔钽支架的压缩强度较低。另一方面,菱形十二面体多孔钽支架具有较好的拉伸性能和弯曲性能。在拉伸变形和弯曲变形中,菱形十二面体多孔钽支架的最大应力分布均匀,均匀的结构变形使得杆筋断裂延缓;而G7和简单立方结构多孔钽支架由于应力集中在横杆上,变形初期即出现杆筋断裂。因此,应根据不同的力学性能需求,合理选择电子束选区熔化多孔钽支架的孔结构。

失效铝合金平底无铆连接接头的原位固相修复方法

为了修复失效平底无铆连接接头并提高其力学性能,提出一种原位固相修复方法。通过对比研究平底无铆连接接头和修复接头的显微组织、力学性能和断裂失效行为,验证修复方法的可行性和有效性。结果表明,失效平底无铆连接接头的断裂颈部被成功地原位修复。焊核的显微组织被充分细化,使得修复接头的力学性能得到提升。转速和持续加热时间对修复接头的力学性能起着至关重要的作用。与平底无铆连接接头相比,冶金结合使修复接头的力学性能得到加强。修复接头的最大拉剪强度提高了409.90%,最大断裂伸长量提高了68.92%。断裂失效行为表明,修复接头的强度明显高于原始平底无铆连接接头,这说明失效平底无铆连接接头的修复方法是可行有效的。

A Review of Influencing Factors of Damping Properties of High Manganese Steel

High manganese steel has wide prospects in industry due to their excellent mechanical and damping properties. The quenching structures of high manganese steel are ε-martensite, γ-austenite and α'-martensite. Researches show that the damping properties of high manganese steel are related to these microstructures. Besides, there are many ways to improve the damping property of damping alloys. This paper reviews the damping mechanism and the influences of the ad-dition of alloying elements, heat treatment, pre-deformation and other factors on their damping performance, hoping to provide methods and ideas for the study of damping properties of high manganese steel. .

虎杖利胆退黄药理作用机制的研究进展

虎杖已被证实具有利胆退黄的药理作用,且在临床上被用于治疗胆汁淤积性肝病和黄疸型肝炎,探究虎杖利胆退黄药理作用机制对拓展其在临床上的应用以及开展后续研究都至关重要。目前对于虎杖利胆退黄的药理机制已有部分研究,主要是从胆汁酸代谢和胆红素代谢这两条代谢通路作为切入点进行。本文通过调研有关文献,从虎杖的活性成分和复方制剂两个层面出发,发现目前的研究多聚焦于影响体内胆汁酸和胆红素稳态的酶或受法尼醇X受体调控的转运蛋白上,另外也有研究发现炎症和氧化应激也与胆汁淤积有关,所以从这些角度综述了虎杖利胆退黄药理作用机制研究进展,以期为后续虎杖进一步研究奠定基础。

重症监护室多发肋骨骨折患者胸腔镜内固定治疗时机分析

目的分析不同手术时机胸腔镜内固定对重症监护室(ICU)多发肋骨骨折(MRF)患者机体免疫因子、炎症因子、氧化应激因子、并发症以及骨折愈合的影响,评估不同手术时机的利弊。方法回顾性分析2017年12月-2021年2月该院105例行胸腔镜内固定治疗的MRF患者的临床资料,据手术时机不同分为观察组(发病72 h内进行手术)和对照组(发病≥72 h进行手术),对比两组患者手术指标和术后短期恢复情况,记录术后7 d相关损伤指标、免疫因子、炎症因子和氧化应激因子水平,记录并发症发生率和术后3个月骨折愈合情况。结果与对照组比较,观察组下床时间和拔管时间更早,疼痛时间和住院时间更短,术后合并伤程度评分更高,损伤严重程度评分(ISS)更低,差异均有统计学意义(P<0.05);术后7 d,两组患者CD4^(+)、CD3^(+)和CD4^(+)/CD8^(+)升高,且观察组高于对照组,两组患者CD8^(+)降低,且观察组低于对照组,差异均有统计学意义(P<0.05);术后7 d,两组患者白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、晚期氧化蛋白产物(AOPP)和丙二醛(MDA)降低,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组并发症总发生率(3.64%)低于对照组(28.00%),差异有统计学意义(P<0.05);术后3个月观察组愈合率(87.27%)高于对照组(68.00%),差异有统计学意义(P<0.05)。结论与发病72 h后行胸腔镜内固定术比较,更早治疗能使ICU中的MRF患者术后恢复更快,能更快缓解机体应激、疼痛和炎症反应,减少胸肺损伤,解除免疫抑制,降低并发症发生率。

血清甲胎蛋白阳性胃癌患者临床病理特征与预后关系的研究

目的:探讨血清AFP阳性胃癌(alpha-fetoprotein producing gastric cancer,AFPGC)与普通型胃癌的差异以及其临床病理特征和预后的关系。方法:回顾性分析2013年1月至2018年12月在中国人民解放军联勤保障部队第九四〇医院行胃癌手术的患者1321例,经筛选纳入研究1144例,分为血清AFP阳性组(53例)与血清AFP阴性组(1091例)。结果:AFPGC占同期胃癌患者的4.6%,AFPGC与血清AFP阴性胃癌1、3、5年累计生存率分别为64.2%与92.2%、20.8%与45.1%、13.2%与25.7%,两者术前血清AFP、肿瘤大小、免疫组织化学HER2、肿瘤部位、浸润深度、淋巴结转移、临床分期、脉管侵犯、手术方式、术后肝转移相比,均差异具有统计学意义(P<0.05)。AFPGC单因素以及Cox多因素生存分析显示:临床分期、脉管侵犯、手术方式、术后肝转移以及术后血清AFP再次升高是影响AFPGC预后的危险因素。结论:AFPGC是一种特殊性的胃癌,具有临床分期晚、易发生术后肝转移和脉管侵犯且预后差,AFPGC患者即使肿瘤原发灶被切除后,仍有较高的肝转移风险,且术前血清AFP水平与患者预后无关,而术后监测血清AFP水平可及时发现肿瘤复发及术后肝转移,此外,早期行胃癌根治术有助于改善患者预后。

Tetrandrine Represses Inflammation and Attenuates Osteoarthritis by Selective Inhibition of COX-2

Objective There is a lack of effective and long-term safe drugs for the treatment of osteoarthritis(OA).Tetrandrine(Tet)has been approved and used to treat rheumatoid arthritis for several decades,but its effect on OA has not been investigated.Herein,we explored the effect of Tet on OA and its underlying mechanism.Methods OA was induced using destabilization of the medial meniscus(DMM)in C57BL/6J mice.The animals were randomly divided into sham,DMM,Tet,celecoxib(CXB),and indomethacin(INDO)groups.Each group was given solvent or corresponding drugs by gavage for 7 weeks after convalescence.Pathological staining,OARSI scores,micro-computed tomography and behavior tests were performed to evaluate the effects of Tet.Results Tet remarkably alleviated cartilage injury in the knee joint,limited bone remodeling in the subchondral bone,and delayed progression of OA.Tet also significantly relieved joint pain and maintained function.Further mechanistic studies revealed that Tet lowered inflammatory cytokine levels and selectively suppressed gene and protein expression of cyclooxygenase(COX)-2 but not COX-1(P<0.01).Tet also reduced the production of prostaglandin E2 without damaging the gastric mucosa.Conclusion We found that Tet could selectively inhibit COX-2 gene expression and decrease cytokine levels in mice,thus reducing inflammation and improving OA without obvious gastric adverse events.These results provide a scientific basis for the clinical application of Tet in the treatment of OA.

Effect of gas blowing nozzle angle on multiphase flow and mass transfer during RH refining process

A three-dimensional mathematical model was developed to investigate the effect of gas blowing nozzle angles on multiphase flow,circulation flow rate,and mixing time during Ruhrstahl-Heraeus(RH) refining process.Also,a water model with a geometric scale of 1:4 from an industrial RH furnace of 260 t was built up,and measurements were carried out to validate the mathematical model.The results show that,with a conventional gas blowing nozzle and the total gas flow rate of 40 L·min^(-1),the mixing time predicted by the mathematical model agrees well with the measured values.The deviations between the model predictions and the measured values are in the range of about 1.3%–7.3% at the selected three monitoring locations,where the mixing time was defined as the required time when the dimensionless concentration is within 3% deviation from the bath averaged value.In addition,the circulation flow rate was 9 kg·s^(-1).When the gas blowing nozzle was horizontally rotated by either 30° or 45°,the circulation flow rate was found to be increased by about 15% compared to a conventional nozzle,due to the rotational flow formed in the up-snorkel.Furthermore,the mixing time at the monitoring point 1,2,and 3 was shortened by around 21.3%,28.2%,and 12.3%,respectively.With the nozzle angle of 30° and 45°,the averaged residence time of 128 bubbles in liquid was increased by around 33.3%.

Construction of N,O co-doped carbon anchored with Co nanoparticles as efficient catalyst for furfural hydrodeoxygenation in ethanol

Hydrodeoxygenation of furfural(FF)into 2-methylfuran(MF)is a significant biomass utilization route.However,designing efficient and stable non-noble metal catalyst is still a huge challenge.Herein,we reported the N,O co-doped carbon anchored with Co nanoparticles(Co-SFB)synthesized by employing the organic ligands with the target heteroatoms.Raman,electron paramagnetic resonance(EPR),electrochemical impedance spectroscopy(EIS),and X-ray photoelectron spectroscopy(XPS)characterizations showed that the co-doping of N and O heteroatoms in the carbon support endows Co-SFB with enriched lone pair electrons,fast electron transfer ability,and strong metal-support interaction.These electronic properties resulted in strong FF adsorption as well as lower apparent reaction activation energy.At last,the obtained N,O co-doped Co/C catalyst showed excellent catalytic activity(nearly 100 mol%FF conversion and 94.6 mol%MF yield)and stability for in-situ dehydrogenation of FF into MF.This N,O co-doping strategy for the synthesis of highly efficient catalytic materials with controllable electronic state will provide an excellent opportunity to better understand the structure-function relationship.

Erratum to:Tetrandrine Represses Inflammation and Attenuates Osteoarthritis by Selective Inhibition of COX-2

The authors examined the original data of their work and noticed misuse of images in fig.1 and fig.3(as shown below on the upper panels,red box).The correct images are shown on the lower panels(red box).The authors sincerely apologize for the mistake and confirm the change does not affect the scientific conclusion of the published work.

Boost activation of peroxymonosulfate by iron doped K_(2-x)Mn_(8)O_(16):Mechanism and properties

Among the numerous transition metal catalysts,manganese-based compounds are considered as promising peroxymonosulfate(PMS)catalysts due to their low cost and environmental friendliness,such as cryptomelane manganese oxide(K_(2-x)Mn_(8)O_(16):abbreviation KMnO).However,the limited catalytic performance of KMnO limits its practical application.In this work,iron-doped KMnO(Fe-KMnO)was prepared by one-step hydrothermal method to optimize its catalytic performance.Compared with KMnO/PMS system,Fe-KMnO/PMS system possessed more excellent removal efficiency of tetracycline(TC).Meanwhile,the Fe-KMnO/PMS system also exhibited good practical application potential and excellent stability.The mechanism of Fe-KMnO activation of PMS was further analyzed in detail.It was found that Fe participated in the redox of high-valent Mn,which promoted the activation of PMS.Moreover,The Fe site as an adsorption site enhanced the TC enrichment ability of the catalyst,reducing the mass transfer resistance and further enhancing the TC removal ability of Fe-KMnO/PMS system.This work not only provides an excellent PMS catalyst,but also offers new insights into the mechanism of PMS activation by bimetallic manganese-based catalysts.