慢性牙周炎对支气管扩张症患者生活质量及严重程度的影响

目的:探讨慢性牙周炎对支气管扩张症患者生活质量和疾病严重程度的影响。方法:随机选择2021年4月—2023年4月长沙市第四医院收治的支气管扩张症患者80例作为研究对象,按照是否伴中重度慢性牙周炎将患者分为2组,分别为支气管扩张伴牙周炎组(n=45)和支气管扩张不伴牙周炎组(n=35)。采用支气管扩张生活质量问卷(QoL-B)调查患者的生活质量,采用支气管扩张严重程度指数(BSI)评估疾病严重程度,并检测患者血清高敏C反应蛋白(hsCRP)、肿瘤坏死因子α(TNF-ɑ)、白细胞介素6(IL-6)的水平。采用SPSS 20.0软件包对数据进行统计学分析。结果:支气管扩张伴牙周炎组QoL-B评分显著低于支气管扩张不伴牙周炎组,BSI评分显著高于支气管扩张不伴牙周炎组(P<0.05)。支气管扩张伴牙周炎组hs-CRP、TNF-ɑ、IL-6水平显著高于支气管扩张不伴牙周炎组(P<0.05)。结论:支气管扩张患者中伴有慢性牙周炎的患者在生活质量和疾病严重程度方面都表现出明显的不利影响,可能与炎症反应在2种疾病之间的共同机制有关。

代谢组学在体外循环心脏手术器官损伤中的研究进展

体外循环(CPB)主要应用于心脏手术,CPB会造成脑、心、肾等重要脏器的损害,产生相关的并发症。代谢组学是研究生物体受外部刺激所产生的全部变化的代谢产物的科学,CPB后机体的代谢物成分会发生变化。研究心脏手术围术期的代谢变化,可以为疾病的发病机制提供重要的见解,并有潜力识别新的生物标志物。本综述主要介绍代谢组学的现状,以及其在CPB心脏手术对脑、心、肾、肺等重要脏器损伤中的研究进展,并就代谢组学在该领域的未来做一展望。

Effectiveness and safety of combined nimotuzumab and S-1 chemotherapy with concurrent radiotherapy for locally advanced esophageal cancer in malnourished and elderly patients:A prospective phaseⅡstudy

Objective:Definitive chemoradiotherapy(dCRT)is the standard treatment for unresectable locally advanced esophageal cancer.However,this treatment is associated with substantial toxicity,and most malnourished or elderly patients are unable to complete this therapy.Therefore,there is a need for a more suitable radiotherapy combination regimen for this population.This study was aimed to evaluate the efficacy and safety of a combination regimen comprising chemotherapy with nimotuzumab and S-1 and concurrent radiotherapy for patients with fragile locally advanced esophageal cancer with a high Nutritional Risk Screening 2002(NRS-2002)score.Methods:Eligible patients with unresectable esophageal carcinoma who had an NRS-2002 score of 2 or higher were enrolled.They were treated with S-1 and nimotuzumab with concurrent radiotherapy,followed by surgery or definitive radiotherapy.The primary endpoint was the locoregional control(LRC)rate.Results:A total of 55 patients who met the study criteria were enrolled.After completion of treatment,surgery was performed in 15 patients and radiotherapy was continued in 40 patients.The median follow-up period was 33.3[95%confidence interval(95%CI,31.4−35.1)]months.The LRC rate was 77.2%(95%CI,66.6%−89.4%)at 1 year in the entire population.The overall survival(OS)rate and event-free survival(EFS)rate were 57.5%and 51.5%at 3 years,respectively.Surgery was associated with better LRC[hazard ratio(HR)=0.16;95%CI,0.04−0.70;P=0.015],OS(HR=0.19;95%CI,0.04−0.80;P=0.024),and EFS(HR=0.25;95%CI,0.08−0.75;P=0.013).Most adverse events were of grade 1 or 2,and no severe adverse events occurred.Conclusions:For malnourished or elderly patients with locally advanced esophageal cancer,radiotherapy combined with nimotuzumab and S-1 is effective and has a good safety profile.

Large-scale self-normalizing neural networks

Self-normalizing neural networks(SNN)regulate the activation and gradient flows through activation functions with the self-normalization property.As SNNs do not rely on norms computed from minibatches,they are more friendly to data parallelism,kernel fusion,and emerging architectures such as ReRAM-based accelerators.However,existing SNNs have mainly demonstrated their effectiveness on toy datasets and fall short in accuracy when dealing with large-scale tasks like ImageNet.They lack the strong normalization,regularization,and expression power required for wider,deeper models and larger-scale tasks.To enhance the normalization strength,this paper introduces a comprehensive and practical definition of the self-normalization property in terms of the stability and attractiveness of the statistical fixed points.It is comprehensive as it jointly considers all the fixed points used by existing studies:the first and second moment of forward activation and the expected Frobenius norm of backward gradient.The practicality comes from the analytical equations provided by our paper to assess the stability and attractiveness of each fixed point,which are derived from theoretical analysis of the forward and backward signals.The proposed definition is applied to a meta activation function inspired by prior research,leading to a stronger self-normalizing activation function named‘‘bi-scaled exponential linear unit with backward standardized’’(bSELU-BSTD).We provide both theoretical and empirical evidence to show that it is superior to existing studies.To enhance the regularization and expression power,we further propose scaled-Mixup and channel-wise scale&shift.With these three techniques,our approach achieves 75.23%top-1 accuracy on the ImageNet with Conv MobileNet V1,surpassing the performance of existing self-normalizing activation functions.To the best of our knowledge,this is the first SNN that achieves comparable accuracy to batch normalization on ImageNet.

Comparative analysis on gas–solid drag models in MFIX-DEM simulations of bubbling fluidized bed

In this study,the open-source software MFIX-DEM simulations of a bubbling fluidized bed(BFB)are applied to assess nine drag models according to experimental and direct numerical simulation(DNS)results.The influence of superficial gas velocity on gas–solid flow is also examined.The results show that according to the distribution of time-averaged particle axial velocity in y direction,except for Wen–Yu and Tenneti–Garg–Subramaniam(TGS),other drag models are consistent with the experimental and DNS results.For the TGS drag model,the layer-by-layer movement of particles is observed,which indicates the particle velocity is not correctly predicted.The time domain and frequency domain analysis results of pressure drop of each drag model are similar.It is recommended to use the drag model derived from DNS or fine grid computational fluid dynamics–discrete element method(CFD-DEM)data first for CFD-DEM simulations.For the investigated BFB,the superficial gas velocity less than 0.9 m·s^(-1) should be adopted to obtain normal hydrodynamics.

Multiscale strain alleviation of Ni-rich cathode guided by in situ environmental transmission electron microscopy during the solid-state synthesis

Ni-rich layered oxides are one of the most promising cathode materials for Li-ion batteries due to their high energy density.However,the chemomechanical breakdown and capacity degradation associated with the anisotropic lattice evolution during lithiation/delithiation hinders its practical application.Herein,by utilizing the in situ environmental transmission electron microscopy(ETEM),we provide a real time nanoscale characterization of high temperature solid-state synthesis of LiNi_(0.8)CO_(0.1)Mn_(0.1)O_(2)(NCM811) cathode,and unprecedentedly reveal the strain/stress formation and morphological evolution mechanism of primary/second ary particles,as well as their influence on electrochemical performance.We show that stress inhomogeneity during solid-state synthesis will lead to both primary/secondary particle pulverization and new grain boundary initiation,which are detrimental to cathode cycling stability and rate performance.Aiming to alleviate this multiscale strain during solid-state synthesis,we introduced a calcination scheme that effectively relieves the stress during the synthesis,thus mitigating the primary/secondary particle crack and the detrimental grain boundaries formation,which in turn improves the cathode structural integrity and Li-ion transport kinetics for long-life and high-rate electrochemical performance.This work remarkably advances the fundamental understanding on mechanochemical properties of transition metal oxide cathode with solid-state synthesis and provides a unified guide for optimization the Ni-rich oxide cathode.

Recoloring tomato fruit by CRISPR/Cas9-mediated multiplex gene editing

Fruit color is an important horticultural trait,which greatly affects consumer preferences.In tomato,fruit color is determined by the accumulation of different pigments,such as carotenoids in the pericarp and f lavonoids in the peel,along with the degradation of chlorophyll during fruit ripening.Since fruit color is a multigenic trait,it takes years to introgress all color-related genes in a single genetic background via traditional crossbreeding,and the avoidance of linkage drag during this process is difficult.Here,we proposed a rapid breeding strategy to generate tomato lines with different colored fruits from red-fruited materials by CRISPR/Cas9-mediated multiplex gene editing of three fruit color-related genes(PSY1,MYB12,and SGR1).Using this strategy,the red-fruited cultivar‘Ailsa Craig’has been engineered to a series of tomato genotypes with different fruit colors,including yellow,brown,pink,light-yellow,pink-brown,yellow-green,and light green.Compared with traditional crossbreeding,this strategy requires less time and can obtain transgene-free plants with different colored fruits in less than 1 year.Most importantly,it does not alter other important agronomic traits,like yield and fruit quality.Our strategy has great practical potential for tomato breeding and serves as a reference for improving multigene-controlled traits of horticultural crops.

挤压铸造态6082铝合金的加工图及热变形行为

研究在不同压力下由挤压铸造工艺制备的6082铝合金的热变形行为和显微组织演化。对合金进行热压缩实验并建立3D热加工图。采用光学显微镜、扫描电子显微镜以及背散射电子衍射技术研究合金的显微组织演化。结果表明,在较高挤压铸造压力下得到的试样在热变形过程中产生较多动态再结晶晶粒。在高温下由于第二相颗粒的溶解,挤压铸造压力对热变形后显微组织的影响减弱。此外,当较高挤压铸造压力下制备的样品在低温及中等应变速率下变形时,不均匀第二相分布容易导致流变失稳的发生。最后,得到挤压铸造态6082铝合金的最优加工区域为430~500℃和0.01~1s^(-1)。

口腔颌面部损伤患者手术感染的相关因素分析与预防控制措施

目的:分析口腔颌面部损伤患者手术感染的相关因素,并提出针对性预防措施。方法:收集2013年1月-2017年12月笔者科室收治的1 960例口腔颌面部损伤行手术的患者,对其临床资料进行研究,如:年龄、性别、手术时间、手术切口、伤口异物、糖尿病、使用抗菌药物等,并进行单因素方差分析和多因素logistic回归分析。结果:年龄、手术时间、手术切口类型、伤口异物、糖尿病及是否使用抗菌药物与口腔颌面部损伤患者手术感染具有强相关性,差异有统计学意义(P<0.05)。进一步对强相关的因素进行多因素分析发现,年龄、手术时间、手术切口类型、伤口异物、糖尿病及是否使用抗菌药物是口腔颌面部损伤患者手术感染的重要危险因素。结论:年龄、手术时间、手术切口类型、伤口异物、糖尿病及是否使用抗菌药物与口腔颌面部损伤患者手术感染具有强相关性,并是其重要危险因素,因此,应当积极给予各项干预提高预防和控制感染的发生。

Advanced Space-based Solar Observatory(ASO-S):an overview

The Advanced Space-based Solar Observatory(ASO-S)is a mission proposed for the 25 th solar maximum by the Chinese solar community.The scientific objectives are to study the relationships between the solar magnetic field,solar flares and coronal mass ejections(CMEs).Three payloads are deployed:the Full-disk vector Magneto Graph(FMG),the Lyman-αSolar Telescope(LST)and the Hard X-ray Imager(HXI).ASO-S will perform the first simultaneous observations of the photospheric vector magnetic field,non-thermal imaging of solar flares,and the initiation and early propagation of CMEs on a single platform.ASO-S is scheduled to be launched into a 720 km Sun-synchronous orbit in 2022.This paper presents an overview of the mission till the end of Phase-B and the beginning of Phase-C.

The Lyman-alpha Solar Telescope (LST) for the ASO-S mission——Ⅰ. Scientific objectives and overview

As one of the payloads for the Advanced Space-based Solar Observatory(ASO-S)mission,the Lyman-alpha(Lyα)Solar Telescope(LST)is aimed at imaging the Sun and the inner corona up to 2.5 R⊙(mean solar radius)in both the Lyα(121.6 nm)and visible wavebands with high temporo-spatial resolution,mainly targeting solar flares,coronal mass ejections(CMEs)and filaments/prominences.LST observations allow us to trace solar eruptive phenomena from the disk center to the inner corona,to study the relationships between eruptive prominences/filaments,solar flares and CMEs,to explore the dynamical processes and evolution of solar eruptions,to diagnose solar winds,and to derive physical parameters of the solar atmosphere.LST is actually an instrument suite,which consists of a Solar Disk Imager(SDI),a Solar Corona Imager(SCI),a White-light Solar Telescope(WST)and two Guide Telescopes(GTs).This is the first paper in a series of LST-related papers.In this paper,we introduce the scientific objectives,present an overview of the LST payload and describe the planned observations.The detailed design and data along with potential diagnostics are described in the second(Paper II)and third(Paper III)papers,respectively,appearing in this issue.

The Lyman-alpha Solar Telescope(LST) for the ASO-S mission——Ⅱ. design of LST

As one of the three payloads for the Advanced Space-based Solar Observatory(ASO-S)mission,the Lyman-alpha(Lyα)Solar Telescope(LST)is composed of three instruments:a Solar Corona Imager(SCI),a LyαSolar Disk Imager(SDI)and a full-disk White-light Solar Telescope(WST).When working in-orbit,LST will simultaneously perform high-resolution imaging observations of all regions from the solar disk to the inner corona up to 2.5 R⊙(R⊙stands for the mean solar radius)with a spatial resolution of 4.8′′and 1.2′′for coronal and disk observations,respectively,and a temporal resolution of 30–120 s and 1–120 s for coronal and disk observations,respectively.The maximum exposure time can be up to20 s due to precise pointing and image stabilization function.Among the three telescopes of LST,SCI is a dual-waveband coronagraph simultaneously and independently observing the inner corona in the HI Lyα(121.6±10 nm)line and white light(WL)(700±40 nm)wavebands by using a narrowband Lyαbeam splitter and has a field of view(FOV)from 1.1 to 2.5 R⊙.The stray-light suppression level can attain<10^-6 B⊙(B⊙is the mean brightness of the solar disk)at 1.1 R⊙and≤5×10^-8 B⊙at 2.5 R⊙.SDI and WST are solar disk imagers working in the Lyαline and 360.0 nm wavebands,respectively,which adopt an off-axis two-mirror reflective structure with an FOV up to 1.2 R⊙,covering the inner coronal edge area and relating to coronal imaging.We present the up-to-date design for the LST payload.

Data reduction and calibration of the FMG onboard ASO-S

The Full-disk vector Magneto Graph(FMG)instrument will carry out polarization observations at one wavelength position of the Fe I 5324.179?spectral line.This paper describes how to choose this single wavelength position,the relevant data-processing and the magnetic field calibrations based on the measured polarization signals at one single wavelength position.It is found that solar radial Doppler velocity,which can cause the spectral line to shift,is a disadvantageous factor for the linear calibration at one wavelength position.Observations at two symmetric wavelength positions may significantly reduce the wavelength shift effect(~75%),but simulations show that such polarization signals located at the solar limbs(e.g.,beyond the longitude range of±30°)are not free from the effect completely.In future work,we plan to apply machine learning techniques to calibrate vector magnetic fields,or employ full Stokes parameter profile inversion techniques to obtain accurate vector magnetic fields,in order to complement the linear calibration at the single wavelength position.

Mutual interference of layer plane and natural fracture in the failure behavior of shale and the mechanism investigation

Shale contains a certain amount of natural fractures,which affects the mechanical properties of shale.In this paper,a bonded-particle model in particle flow code(PFC)is established to simulate the failure process of layered shale under Brazilian tests,under the complex relationship between layer plane and natural fracture.First,a shale model without natural fractures is verified against the experimental results.Then,a natural fracture is embedded in the shale model,where the outcomes indicate that the layer plane angle(marked asα)and the angle(marked asβ)of embedded fracture prominently interfere the failure strength anisotropy and fracture pattern.Finally,sensitivity evaluations suggest that variable tensile/cohesion strength has a changeable influence on failure mechanism of shale,even for sameαor/andβ.To serve this work,the stimulated fractures are categorized into two patterns based on whether they relate to natural fracture or not.Meanwhile,four damage modes and the number of microcracks during the loading process are recognized quantitatively to study the mechanism of shale failure behavior.Considering the failure mechanism determines the outcome of hydraulic fracturing in shale,this work is supposed to provide a significant implication in theory for the engineering operation.

Forest biomass carbon storage from multiple inventories over the past 30 years in Gansu Province, China: implications from the age structure of major forest types

We used the forest inventory data of Gansu Province, China to quantify carbon storage and carbon density changes by regional forest cover and by typical forest types in 1979-2006. Total forest area increased from 1.77 x 106 ha in 1979 to 2.32 x 106 ha in 2006, and the forest carbon storage, estimated by the continuous biomass expansion factor method, increased from 83.14 to 100.66 Tg, equivalent to a carbon accumulation rate of 0.0071 Tg per year during the period. Mean carbon densities were 44.83-48.50 t ha-1 and the values decreased slightly over the time period. Natural forests generated greater car- bon storage and density than did plantations. By regression analysis, forest stand age was an important parameter incarbon density studies. We developed various regression equations between carbon density and stand age for major types of natural forests and plantations in the region. Our results can be used for proper selection of re-forestation species and efficient management of young and middle-aged forests, offering great potential for future carbon sequestra- tion, especially in arid and semi-arid regions.

Radiotherapy combined with nimotuzumab for elderly esophageal cancer patients:A phaseⅡclinical trial

Objective:To investigate the safety and efficacy of nimotuzumab combined with radiotherapy for elderly patients with non-resectable esophageal carcinoma(EC).Methods:Eligible patients were aged 70 years or older and had treatment-naive,histologically proven inoperable locally advanced EC.Enrolled patients received radiotherapy with a total dose of 50-60 Gy in 25-30 fractions,concurrent with weekly infusion of nimotuzumab.The primary end point was the rate of more than grade 3 toxicities.Results:From June 2011 to July 2016,46 patients with stageⅡ-IV EC with a median age of 76.5 years were enrolled.There were 10,28 and 8 patients with stageⅡ,III and IV disease,respectively.The common acute toxicities included esophagitis(grade 1-2,75.4%;grade 3,8.7%),pneumonitis(grade 1,4.3%;grade 2,6.5%;grade3,2.2%),leukopenia(grade 1-2,60.9%;grade 3-4,4.4%),gastrointestinal reaction(grade 1-2,17.3%;grade 3,2.2%),thrombocytopenia(grade 1-2,21.7%;grade 3,2.2%),and radiothermitis(grade 1-2,39.2%).The incidence of grade 3-4 adverse effects was 17.4%.No grade 5 toxicities were observed.Clinical complete response,partial response,stable disease,and progressive disease were observed in 1(2.2%),31(67.4%),12(26.1%),and 2(4.3%)patients,respectively.The median overall survival(OS)and progression-free survival(PFS)were 17 and 10 months,respectively.The 2-,3-,and 5-year OS and PFS rates were 30.4%,21.7%,19.6%,and 26.1%,19.6%,19.6%,respectively.Conclusions:Nimotuzumab combined with radiotherapy is a safe and effective therapy for elderly patients who are not surgical candidates.Further studies are warranted to confirm its therapeutic effects in elderly EC patients.

CHES: A Space-borne Astrometric Mission for the Detection of Habitable Planets of the Nearby Solar-type Stars

The Closeby Habitable Exoplanet Survey(CHES) mission is proposed to discover habitable-zone Earth-like planets of nearby solar-type stars(~10 pc away from our solar system) via microarcsecond relative astrometry.The major scientific objectives of CHES are:to search for Earth Twins or terrestrial planets in habitable zones orbiting100 FGK nearby stars;further to conduct a comprehensive survey and extensively characterize nearby planetary systems.The primary payload is a high-quality,low-distortion,high-stability telescope.The optical subsystem is a coaxial three-mirror anastigmat(TMA) with a 1.2 m-aperture,0°.44 × 0°.44 field of view and 500 nm-900 nm working wave band.The camera focal plane is composed of a mosaic of 81 scientific CMOS detectors each with4 k × 4 k pixels.The heterodyne laser interferometric calibration technology is employed to ensure microarcsecond level(1 μas) relative astrometry precision to meet the requirements for detection of Earth-like planets.The CHES satellite operates at the Sun-Earth L2 point and observes all the target stars for 5 yr.CHES will offer the first direct measurements of true masses and inclinations of Earth Twins and super-Earths orbiting our neighbor stars based on microarcsecond astrometry from space.This will definitely enhance our understanding of the formation of diverse nearby planetary systems and the emergence of other worlds for solar-type stars,and finally provide insights to the evolution of our own solar system.

Sampling Methods for Efficient Training of Graph Convolutional Networks:A Survey

Graph convolutional networks(GCNs)have received significant attention from various research fields due to the excellent performance in learning graph representations.Although GCN performs well compared with other methods,it still faces challenges.Training a GCN model for large-scale graphs in a conventional way requires high computation and storage costs.Therefore,motivated by an urgent need in terms of efficiency and scalability in training GCN,sampling methods have been proposed and achieved a significant effect.In this paper,we categorize sampling methods based on the sampling mechanisms and provide a comprehensive survey of sampling methods for efficient training of GCN.To highlight the characteristics and differences of sampling methods,we present a detailed comparison within each category and further give an overall comparative analysis for the sampling methods in all categories.Finally,we discuss some challenges and future research directions of the sampling methods.

Correlation between expression of 1 α-hydroxylase and hypocalcaemia in rats with severe pancreatitis

Objective:To investigate the essential biochemical indices like 1-hydroxylase and hypocalcaemia in the rats with severe acute pancreatitis and explore the correlation between them.Methods:A total of 120 SPF grade Wistar male rats which were in similar physiological status were selected and randomly divided into two groups:sham group(SO group) and severe acute pancreatitis group(SAP group).Then they were divided into 1 h,3 h,6 h,and 12 h subgroups according to the killing lime.The severe acute pancreatitis model was established by retrograde injection of 5%sodium taurocholate.Serum calcium,serum creatinine,serum urea nitrogen and serum amylase were measured at different time.Serum 1,25 dihydroxy vitamin D3 level was determined by enzyme linked immunosorbentassay.The expression of 1-hydroxylase protein in the kidney tissue was determined with Western blotting and immunohistochemistry to observe its location.The pathologic features of the kidney tissue section was observed under light microscope and submicroscopic structure of the proximal convoluted tubule epithelial cell was observed under transmission electron microscope.Results:Compared with the SO group,rats in the SAP group showed continuous pathological injury as time went by.There was significant increase in serum creatinine,serum urea nitrogen and serum amylase in SAP group compared with the SO group 1,3,6,12 hours after the operation(P<0.05).There was significant decrease in serum calcium and 1,25 dihydroxy vitamin D3 3.6,12 hours after the operation(P<0.05).It also showed that the expression of the 1-hydroxylase protein in kidney tissues was upregulated at 1 h.3 h and decreased at 6h,12 h compared with the SO group.The serum calcium,1,25 dihydroxy vitamin D3 and the expression of the 1-hydroxylase protein in kidney tissues of the SAP group showed sustaining decrease.Western blotting showed positive correlation between the 1-hydroxylase expression and serum calcium at 3 h.6 h and 12 h(r=0.976,P<0.001;r=0.948.P<0.001;r=0.742,P=0.001) and also positive correlation between the 1-hydroxylase expression and serum1,25 dihydroxy vitamin D3 at 1 h,3 h,6 h and 12 h(r=0.935,P<0.001;r=0.952,P<0.001;r=0.917.P<0.001:r=0.874,P<0.001).Conclusions:At the early stage of the kidney injury,the expression of 1-hydroxylase in the kidney tissue is reduced with the progress of the disease and the decrease in its activity has a correlation with the hypocalcaemia.

冠状动脉旁路移植术后心房颤动患者ceRNA机制的研究

目的探讨环状RNA(circRNAs)在冠状动脉旁路移植(CABG)术后心房颤动(POAF)中的调控机制。方法从基因表达综合数据库(GEO)的数据集基因样本表达集97455(GSE97455)中获得circRNA表达谱,使用GEO2R工具在线分析GSE97455数据集中差异表达的circRNAs(DECs),然后把相应的探针名转换成国际标准circRNA名称,再利用多种生物信息学方法获取circRNAs的靶miRNAs和下游mRNA。筛选最为相关的circRNAs、miRNA及下游靶基因并对筛选结果进行RT-PCR实验验证。最后,利用Cytoscape 3.7.2构建circRNA-miRNA-hub基因调控网络图并可视化分析。结果共得到55个DECs,其中21个circRNAs表达上调,34个circRNAs表达下调。经过深入的分析,最终得到了一个由6个DECs、5个miRNAs和10个hub基因组成的circRNA-miRNA-hub基因网络图。结论本研究为circRNA和circRNA-miRNA-mRNA调控网络在POAF中的作用提供了新的视角,并经RT-PCR实验初步验证。