Delayed diagnosis in inflammatory bowel disease:Time to consider solutions

In this editorial,we discuss a recently published manuscript by Blüthner et al in the World Journal of Gastroenterology,with a specific focus on the delayed diagnosis of inflammatory bowel disease(IBD).IBD,which includes Crohn's disease and ulcerative colitis,is a chronic intestinal disorder.A time lag may exist between the onset of inflammation and the appearance of signs and symptoms,potentially leading to an incorrect or delayed diagnosis,a situation referred to as the delayed diagnosis of IBD.Early diagnosis is crucial for effective patient treatment and prognosis,yet delayed diagnosis remains common.The reasons for delayed diagnosis of IBD are numerous and not yet fully understood.One key factor is the nonspecific nature of IBD symptoms,which can easily be mistaken for other conditions.Additionally,the lack of specific diagnostic methods for IBD contributes to these delays.Delayed diagnosis of IBD can result in numerous adverse consequences,including increased intestinal damage,fibrosis,a higher risk of colorectal cancer,and a decrease in the quality of life of the patient.Therefore,it is essential to diagnose IBD promptly by raising physician awareness,enhancing patient education,and developing new diagnostic methods.

Controllable combustion behaviors of the laser-controlled solid propellant

Microsatellites have been widely applied in the fields of communication,remote sensing,navigation and science exploration due to its characteristics of low cost,flexible launch mode and short development period.However,conventional solid-propellant have difficulties in starting and interrupting combustion because combustion is autonomously sustained after ignition Herein,we proposed a new type of solid-propellant named laser-controlled solid propellant,which is sensitive to laser irradiation and can be started or interrupted by switching on/off the continuous wave laser.To demonstrate the feasibility and investigate the controllable combustion behaviors under different laser on/off conditions,the combus tion parameters including burning rate,ignition delay time and platform pressure were tested using pressure sensor,high-speed camera and thermographic camera.The results showed that the increase of laser-on or laser-off duration both will lead to the decrease of propellant combustion performance during re-ignition and re-combustion process.This is mainly attributed to the laser attenuation caused by the accumulation of combustion residue and the change of chamber ambient temperature.Simultaneously the multiple ignition tests revealed that the increased chamber ambient temperature after combustion can make up for the energy loss of laser attenuation and expansion of chamber cavity.However,the laser-controlled combustion performance of solid propellant displayed a decrease trend with the addi-tion of ignition times.Nevertheless,the results still exchibited good laser-controlled agility of laser-controlled solid propellant and manifested its inspiring potential in many aspects of space missions.

Deletion of Krüppel-like factor-4 promotes axonal regeneration in mammals

Axonal regeneration plays an important role in functional recovery after nervous system damage.However,after axonal injury in mammals,regeneration is often poor.The deletion of Krüppel-like factor-4(Klf4)has been shown to promote axonal regeneration in retinal ganglion cells.However,the effects of Klf4 deletion on the corticospinal tract and peripheral nervous system are unknown.In this study,using a mouse model of sciatic nerve injury,we show that the expression of Klf4 in dorsal root ganglion sensory neurons was significantly reduced after peripheral axotomy,suggesting that the regeneration of the sciatic nerve is associated with Klf4.In vitro,dorsal root ganglion sensory neurons with Klf4 knockout exhibited significantly enhanced axonal regeneration.Furthermore,the regeneration of the sciatic nerve was enhanced in vivo following Klf4 knockout.Finally,AAV-Cre virus was used to knockout the Klf4 gene in the cortex.The deletion of Klf4 enhanced regeneration of the corticospinal tract in mice with spinal cord injury.Together,our findings suggest that regulating KLF4 activity in neurons is a potential strategy for promoting axonal regeneration and functional recovery after nervous system injury.This study was approved by the Animal Ethics Committee at Soochow University,China(approval No.SUDA20200316A01).

Correlation between microstructure and corrosion and cavitation erosion behaviors of nickel aluminum bronze

The microstructure,corrosion and cavitation erosion(CE)behaviors of the as-cast and four different heat treated nickel aluminum bronzes(NABs)in 3.5 wt.%NaCl solution were investigated.The results show that after annealing,β′transformed into the eutectoid microstructure,and moreκIV precipitated fromα.Less eutectoid microstructure and moreβ′were obtained after normalizing.The quenched NAB mainly consisted ofαandβ′phases,and fine,acicularαandκphases precipitated insideβ′after subsequent aging.The largest proportion of the eutectoid microstructure,which underwent severe selective phase corrosion,was responsible for the lowest corrosion resistance of the annealed NAB.The quenched NAB possessed the most protective film and hence the highest corrosion resistance.The mechanical attack was primarily responsible for the CE damage for the as-cast,annealed and normarlized NABs.The quenched and quenched+aged NABs exhibited superior CE resistance because of the high hardness.The CE−corrosion synergy dominantly caused CE degradation,and it was largely attributed to corrosion-enhanced-CE.