生物制剂在炎症性肠病治疗中的矛盾性肠外表现研究进展

炎症性肠病(inflammatory bowel diseases,IBD)是一类由多基因及环境因素共同引起并加速免疫-肠道-微生态轴紊乱的遗传相关性疾病。病变常累及多个器官及系统.生物制剂是治疗IBD及其肠外表现的重要手段,目前研究多提示生物制剂能够为患者带来益处,但治疗过程中出现矛盾性皮肤病变、关节病变、眼部疾病、肺部病变等表现或病变在临床实践中容易被忽略,进而延误患者病情、影响患者生存质量。通过总结当前生物制剂应用出现的矛盾性肠外表现的临床特点及诊疗经验,旨在提高临床医师的认识,早期辨别这一临床表现,避免延误患者病情。

社区衰弱和肌少症老年人膳食营养干预的障碍和促进因素:质性 研究的meta整合

目的随着老龄化社会进程加速,老年人躯体衰弱和肌少症的患病率逐年上升,并带来诸多不良影响。膳食营养是防治躯体衰弱和肌少症的重要方式,但在社区环境中实施膳食营养干预受到诸多复杂因素影响。本综述旨在对相关研究中的促进和障碍因素进行系统综述,为制订相关健康管理方案提供参考。方法在Pub Med. .Web of Science 、Medline(Ovid). Embase(Ovid)和Cochrane Library 数据库进行检索,发表时间限定为建库至2023年1月。使用主题词和自由词组合完成检索。使用英国牛津大学循证医学中心质性研究质量评价工具(the Critical Appraisal Skills Program Qualiative Sudies Checklist)对 纳入研究进行质量评价。利用社会生态建模框架对提取的信息进行编码和分析。本综述方案已在PROSPERO注册(CRD42022381339)。结果共纳入10项研究。其中,4项研究仅进行营养相关干预,而膳食营养和运动干预相结合的有6项。根据社会生态模型,从个体特征、外部环境和干预措施3个层面对促进和障碍因素进行了总结,包含10个副主题。结论对社区中的躯体衰弱和肌少症老年人实施膳食营养干预措施时,应整合个人内部动机和外部支持,为参与者制订“量身定制”的干预方案,并最大程度地优化可利用的人力和物理资源。

Clinical observation of 36 patients with chronic nephritis proteinuria treated with Zhuangshen Gujing decoction

Objective:Our goal was to examine the impact of Zhuangshen Gujing decoction on proteinuria associated with chronic nephritis.Methods:72 patients with chronic nephritis proteinuria were divided randomly into two groups;one group was treated with Zhuangshen Gujing(n=36;treatment group)and the other group was treated with irbesartan(n=36;control group).After 6 months’treatment,urine protein and renal function were evaluated.Results:Proteinuria resolved completely in four patients in the treatment group;complete disease resolution was observed only among three individuals in the control group.Of the 32 cases remaining in the treatment group,15 had substantial responses to Zhuangshen Gujing decoction,9 had partial responses,and 8 had no response to treatment;the overall the response rate was 73.33%.Among the 33 cases remaining in the control group,12 had a substantial response to irbesartan,5 had a partial response,and 16 had no response to treatment;the overall response rate among the controls was 57.67%(P=0.031).We also observed statistically significant differences with respect to quantitative comparisons of urinary protein at 24 days after a single course of treatment(P=0.001).Conclusion:Zhuangshen Gujing decoction is effective in treating chronic nephritis proteinuria.

Bimetallic AgNi nanoparticles anchored onto MOF-derived nitrogen-doped carbon nanostrips for efficient hydrogen evolution

Hydrogen energy has long been recognized as a clean alternative to conventional fossil fuels,which can be applied in a wide range of transportation and power generation applications.The rational design and engineering of high-performance and robust catalysts for hydrogen evolution reaction(HER)shows not a great significance but a challenge for efficient electrochemical water splitting.Herein,a new type of Nibased Ni-ABDC precursor has been obtained,which leads to the formation of N-doped porous carbon nanomaterials uniformly coated with wellproportioned bimetallic AgNi alloys via a stepwise strategy.To their credit,all samples of AgNi/NC-X are structurally calcined from the pristine AgNi-ABDC-X by tuning the different concentration of AgNO3,which means all of them maintain the vermicelli-like morphology compared with Ni-ABDC.The series of AgNi/NC-X materials can be regarded as effective electrocatalysts for HER both in acidic and alkaline media,but an acid-leaching phenomenon is observed.Among them,the as-prepared AgNi/NC-2 exhibits a low overpotential of 103 mV at the current density of 10 mA cm^(-2)and decent durability with a high retention rate of 90.9%after 10 h in 1.0 mol L^(-1)KOH electrolyte.The compelling HER properties of AgNi/NC-2 can be attributed to the synergistic effect between the hierarchical carbon materials,partial N-doping and abundant AgNi alloys.Meanwhile,this study provides a practicable method for the development of efficient HER electrocatalysts for energy applications,which can be conveniently prepared through the reasonable introduction of active components in the crystalline inorganic-organic precursors.©2021 Institute of Process Engineering,Chinese Academy of Sciences.Publishing services by Elsevier B.V.on behalf of KeAi Communications Co.,Ltd.This is an open access article under the CC BY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/).

Characteristics of sub-synchronous oscillation in grid-connected wind farm system

With the rapid development of wind power, wind turbines are accompanied by a large quantity of power electronic converters connected to the grid, causing changes in the characteristics of the power system and leading to increasingly serious sub-synchronous oscillation (SSO) problems, which urgently require the generalized classification and characterization of the emerging oscillation problems. This paper classifies and characterizes the emerging types of SSO caused by grid-connected wind turbines to address these issues. Finally, the impact of the typical system parameters changes on the oscillation pattern is analyzed in depth to provide effective support for the subsequent suppression and prevention of SSO.

Tubing Dimension Optimization for the Development of an Offshore Gasfield

L1 is one of the largest offshore gas fields currently under development.In order to optimize the related design,nodal analysis is applied(including proper consideration of the plant productivity,sensitivity to the tubing size,erosion effects,liquid carrying performance,and tubing string).As a result of such approach,it is shown that 13Cr material should be chosen as the appropriate tubing material.Moreover,3-1/2 inches 9.3 lb/ft N80 tubing,4-1/2 inches 12.75 lb/ft N80 tubing,5-1/2 inches 17 lb/ft N80 tubing should be used for a gas production rate under 80×10^(4)m^(3)/d,between 80×10^(4)m^(3)/d and 120×10^(4)m^(3)/d and above 120×10^(4)m^(3)/d,respectively.

高强度和低弹性模量Ti−Nb−Fe−Zr合金的显微组织和力学性能

将Zr添加到Ti−Nb−Fe合金中开发生物医用低模量、高强度β钛合金。采用电弧熔炼法制备Ti−12Nb−2Fe−(2,4,6,8,10)Zr(摩尔分数,%)铸锭,随后对其进行均匀化、冷轧和固溶处理。通过光学显微镜、X射线衍射和透射电子显微镜等技术分析合金的物相和显微组织。采用拉伸试验测定力学性能。结果表明,Zr和Fe在合金中具有显著的固溶强化效果,因此,所有合金的屈服强度和抗拉强度分别高于510 MPa和730 MPa。Zr对变形机制的影响较小,孪晶出现在所有变形合金中,且对强度和塑性有益。具有亚稳β相的Ti−12Nb−2Fe−(8,10)Zr合金表现出低弹性模量、高抗拉强度和良好的塑性,是生物医学植入物的合适候选材料。

Bioinformatics Analysis Revealed Potential Tumor Suppressors (KLF4/CGN), Oncogenes (SHH/LIF) and Biomarkers of Asian Stomach Adenocarcinoma

Stomach adenocarcinoma (STAD) is the fifth most prevalent cancer and the third leading cause of cancer-related death in the world and is more common in Asia than in most Western countries. There is an urgent need to identify potential novel oncogenes and tumor suppressor genes, and biomarkers for STAD. 6652 differentially expressed genes were identified between STAD and normal samples based on the transcriptome data analysis of the TCGA and GEO databases. 13 key modules were identified in STAD by WGCNA analysis. 293 potential STAD associated genes were identified from intersection by Venn Diagram. The 293 intersected genes were enriched in cell cortex and infection by GO and KEGG analysis. 10 hub genes were identified from PPI and Cytoscape analyses of the intersected genes. KLF4/CGN low and SHH/LIF high expression were associated with short overall survival of Asian STAD patients. Bioinformatics analysis revealed potential novel tumor suppressors (KLF4/CGN), oncogenes (SHH/LIF) and biomarkers for diagnosis, therapy and prognosis of STAD, specifically for Asian patients.

Oncolytic Engineering of ICP34.5 and LAT of Herpes Simplex Virus Type 1

Oncolytic virus (OV) is a kind of virus that can preferentially infect and kill tumor cells. The second oncolytic virus drug was oncolytic herpes simplex virus (oHSV) Talimogene Laherparepvec (T-VEC). HSV-1 infectious cell culture protein 34.5 (ICP34.5) and latency-associated transcript (LAT) genes are closely related to virus selective infection and latent infection. Their engineering is essential for constructing efficient and safe oHSV. We summarized the mechanisms of ICP34.5 and LAT in the course of HSV-1 infection and reviewed the engineered oHSVs. We are aimed to provide an insight in developing oHSV in the future.

新型钴铝层状双金属氢氧化物/碳球复合物的构建及其超级电容器性能（英文）

介绍了一种构建钴铝层状双金属氢氧化物/碳球(CoAl-LDH/CSs)复合物的新设计路线。通过生长法使CoAl-LDH生长在CSs上,生长在CSs上的CoAl-LDH薄层由厚度为20 nm的纳米片组成。恒流充放电测试表明,CoAl-LDH/CSs复合物在6 mol/L KOH溶液中以1 A/g的电流密度充放电的比容量为1198 F/g(基于CoAl-LDH/CSs复合物的质量),甚至在高达10 A/g的大电流密度下仍然呈现出920 F/g的较高比容量。而且该复合物以2 A/g的电流密度充放电循环1000次后仍保留928 F/g的比容量,比容量的保留率为84%,这表明与纯的CoAl-LDH相比,CoAl-LDH/CSs复合物具有较高的比容量、优良的倍率性能和良好的循环稳定性。

炎症性肠病治疗中生物制剂的个体化选择

炎症性肠病(inflammatory bowel disease,IBD)是一种可累及全消化道的慢性非特异性疾病.越来越多针对不同靶点的生物制剂开始广泛用于IBD的治疗.IBD患者生物制剂的选择需结合不同生物制剂的特征,充分权衡风险和获益,医患共同参与决策,最终才能制定个体化的治疗方案.本文将从不同生物制剂的作用机制及临床应用、风险权衡、抗-TNF治疗失败的挽救治疗及血药浓度监测四个方面来探讨如何个体化选择生物制剂.

胸腔镜手术治疗肋骨骨纤维异常增殖症的可行性研究(附15例报告)

目的探讨胸腔镜微创手术治疗肋骨骨纤维异常增殖症的安全性、疗效及优势。方法回顾性分析2013年2月-2020年8月中南大学湘雅二医院胸外科收治的15例肋骨骨纤维异常增殖症患者的临床资料,患者均采用胸腔镜微创手术方法治疗。其中,男7例,女8例,年龄16~52岁,平均(36.7±12.6)岁。病变位于左侧6例,右侧9例;共17根肋骨发生病变,位于第4肋1例,第5肋5例,第6肋5例,第7肋3例,第8肋2例,第9肋1例。无合并奥尔布赖特综合征患者。手术均由同一组高年资医师完成。采用胸腔镜单操作孔进行手术(2孔,一孔为观察孔,一孔为操作孔),胸腔镜下定位病变肋骨,在胸腔内操作切除。结果15例患者均顺利完成手术。手术时间45~72 min,平均(61.0±10.5)min。术后病理均为肋骨骨纤维异常增殖症。术后住院时间3~5 d,平均(3.0±1.0)d。术后疼痛评分1~5分,平均(3.3±1.2)分。术中术后无严重并发症。术后随访12~36个月,平均(24.5±6.2)个月,所有患者未见复发。结论胸腔镜手术治疗肋骨骨纤维异常增殖症安全、可靠,创伤小,疗效满意,值得推广应用。

Effectiveness of Acupuncture for Alzheimer's Disease: An Updated Systematic Review and Meta-analysis

Acupuncture has reportedly improved memory and cognitive impairment in both animal and clinical studies. It may be an effective treatment for Alzheimer's disease (AD). The purpose of this meta-analysis was to review the effectiveness of acupuncture for the treatment of AD. Eight databases were searched for articles published up to and including July 2017, and 13 studies fulfilling the inclusion criteria were identified. The main outcomes assessed were clinical efficacy rate, Mini-Mental State Examination score, Ability of Daily Living Scale score, Alzheimer's Disease Assessment Scale-Cognition score, Hasegawa's Dementia Scale (HDS) score, and adverse events. The methodological quality of the articles was assessed using Cochrane's risk of bias. All the studies compared the efficacy of acupuncture with that of medication, and were published in Chinese journals. Meta-analysis revealed that acupuncture yielded positive results as determined via all the indexes scored except the HDS (95% CI -0.26 to 0.90, Z=0.35, P=0.73). Only one of the studies reported adverse events associated with acupuncture and medication. The rate of adverse events in the medication group was 13%. In most of the studies assessed in the current metaanalysis, acupuncture alone was better than conventional western medicines for the treatment of AD.

硬段类型和含量对嵌段聚氨酯脲性能的影响

以聚己二酸乙二醇-丙二醇酯二醇(PEPA)为软段,分别采用4种二胺扩链剂和3种二异氰酸酯为硬段,通过预聚体法合成了一系列不同硬段结构和含量的聚氨酯脲弹性体,并采用红外光谱、热失重分析、差示扫描量热和拉伸测试等手段,研究了硬段类型及含量对聚氨酯脲性能的影响。结果表明,在软段结构一致,硬段含量接近的情况下,兼具柔性和刚性的硬段有助于提升聚氨酯脲的力学性能、热学性能和微相分离程度。几种二胺扩链剂和二异氰酸酯中,由二苯基甲烷二异氰酸酯(MDI)和4,4'-二氨基二苯醚(ODA)构成的硬段性能最佳;在软、硬段结构一致的情况下,硬段含量对聚氨酯脲性能影响明显。随着硬段含量增加,聚氨酯脲的拉伸强度、微相分离程度先增大后减小,5%热失重温度和断裂伸长率逐渐下降。当PEPA/MDI/ODA摩尔比为1∶0.5∶0.5(硬段含量31.7%),聚氨酯脲拉伸强度达51.5 MPa,断裂伸长率为709%,5%热失重温度为282.7℃,性能最佳。

Blast response of continuous-density graded cellular material based on the 3D Voronoi model

One-dimensional blast response of continuous-density graded cellular rods was investigated theoretically and numerically. Analytical model based on the rigid-plastic hardening(R-PH) model was used to predict the blast response of density-graded cellular rods. Finite element(FE) analysis was performed using a new model based on the 3 D Voronoi technique. The FE results have a good agreement with the analytical predictions. The blast response and energy absorption of cellular rods with the same mass but different density distributions were examined under different blast loading. As a blast resistance structure, cellular materials with high energy absorption and low impulse transmit is attractive. However, high energy absorption and low impulse transmit cannot be achieved at the same time by changing the density distribution. The energy absorption capacity increases with the initial blast pressure and characteristic time of the exponentially decaying blast loading. By contract, when the blast loading exceeds the resistance capacity of cellular material, the transmitted stress will be enhanced which is detrimental to the structure being protected.

High expression of anti-apoptotic protein Bcl-2 is a good prognostic factor in colorectal cancer: Result of a metaanalysis

AIM To systematically evaluate the prognostic-predictive capability of Bcl-2 in colorectal cancer(CRC).METHODS A systematic literature search was conducted using Pub Med,Web of Science and EMBASE databases. Any eligible study must meet the following criteria:(1) bcl-2 expression was evaluated in human CRC tissues by immunohistochemistry;(2) assessment of the relationships between bcl-2 expression and overall survival(OS),disease free survival(DFS),recurrent free survival(RFS) or clinic-pathological characteristics of CRC was included;(3) sufficient information was provided to estimate the hazard ratio(HR) or odds ratio and their 95% confidence intervals(CIs); and(4) the study was published in English. The impact of Bcl-2 expression on survival of CRC patients were evaluated through this meta-analysis.RESULTS A total of 40 eligible articles involving 7658 patients were enrolled in our final analysis. We drew the conclusion that Bcl-2 high expression was significantly correlated with favorable OS(pooled HR = 0.69,95%CI: 0.55-0.87,P = 0.002) and better DFS/RFS(pooled HR = 0.65,95%CI: 0.50-0.85,P = 0.001). Additionally,the subgroup analysis suggested that Bcl-2 overexpression was significantly associated withprognosis(OS) especially in patients came from Europe and America but not Asian and patients who did not receive any adjuvant therapy before surgery. Finally,our present results indicated that expression of bcl-2 protein was associated with high differentiation grade and A/B Ducks' stage. CONCLUSION Bcl-2 high expression was significantly correlated with favorable OS and better DFS/RFS. Hence,we propose that Bcl-2 may be a valuable prognostic-predictive marker in CRC.

Optimal design of a novel cylindrical sandwich panel with double arrow auxetic core under air blast loading

The increasing threat of explosions on the battle field and the terrorist action requires the development of more effective blast resistance materials and structures.Curved structure can support the external loads effectively by virtue of their spatial curvature.In review of the excellent energy absorption property of auxetic structure,employing auxetic structure as core material in curved sandwich shows the potential to improve the protection performance.In this study,a novel cylindrical sandwich panel with double arrow auxetic(DAA) core was designed and the numerical model was built by ABAQUS.Due to the complexity of the structure,systematic parameter study and optimal design are conducted.Two cases of optimal design were considered,case1 focuses on reducing the deflection and mass of the structure,while case2 focuses on reducing the deflection and increasing the energy absorption per unit mass.Parameter study and optimal design were conducted based on Latin Hypercube Sampling(LHD)method,artificial neural networks(ANN) metamodel and the nondominated sorting genetic algorithm(NSGA-Ⅱ).The Pareto front was obtained and the cylindrical DAA structure performed much better than its equal solid panel in both blast resistance and energy absorption capacity.Optimization results can be used as a reference for different applications.

Expression and Purification of Enterovirus Type 71 Polyprotein P1 using Pichia pastoris system

Enterovirus type 71(EV71) causes severe hand-foot-and-mouth disease(HFMD) resulting in hundreds of deaths of children every year;However,currently,there is no effective treatment for EV71.In this study,the EV71 poly-protein(EV71-P1 protein) gene was processed and cloned into the eukaryotic expression vector pPIC9k and then expressed in Pichia pastoris strain GS115.The EV71 P1 protein with a molecular weight of 100 kD was produced and secreted into the medium.The soluble EV71 P1 protein was purified by column chromatography with a recovery efficiency of 70%.The result of the immunological analysis showed that the EV71 P1 protein had excellent immunogenicity and could stimulate the production of EV71-VP1 IgG antibody in injected rabbits.We suggest that EV71-P1 protein is an ideal candidate for an EV71 vaccine to prevent EV71 infection.

Firm embedding behavior of annular grooved projectiles impacting ductile metal targets

Annular grooved projectiles(AGPs)have drawn ongoing concerns as an advanced penetrator for their excellent anti-rebound capability in impacting metal plates.They could become embedded solidly in the target surface during low-velocity impact.In this investigation,the firm embedding behavior of AGP was observed by impact experiments.Corresponding numerical simulations provided a better understanding of this process.Experimental and numerical results indicated that the firm embedding behavior of AGP was mainly due to the filling-material in the groove rather than the friction between the projectile and target,unlike traditional shape such as conical projectile.According to observation,firm embedding process can generally be subdivided into four stages:initial-cratering stage,groove-filling stage,fillingmaterial failure stage and rebound vibration stage.Moreover,the damage mechanics of target material around crater was obtained through microscopic tests.A comparison of the cross-sectional figures between the experiment and simulation proved that the analysis and the proposed method were reasonable and feasible,which further demonstrated that the firm embedding behavior has application potential in new concept warheads.

A correlation of computed tomography perfusion and histopathology in tumor edges of hepatocellular carcinoma

BACKGROUND: The peripheral morphologic characteristics of hepatocellular carcinoma (HCC) reflect tumor growth patterns.Computed tomography (CT) perfusion is a new method to analyze hemodynamic changes in tissues. We assessed the relationship between CT perfusion and histopathologic findings in the periphery of HCC lesions.METHODS: Non-contrast CT, enhanced dual-phase CT, and CT perfusion were performed on 77 subjects (47 patients and 30 controls). Based on the imaging findings of enhanced dualphase CT, the tumor edges were classified into three types: type I (sharp); type II (blurry); and type III (mixed). The CT perfusion parameters included hepatic blood flow, hepatic arterial fraction, hepatic arterial perfusion, and hepatic portal perfusion. The tissue sections from resected specimens were subjected to routine hematoxylin and eosin staining and immunohistochemical staining for CD34. The correlations between microvessel density (MVD) and the CT perfusion parameters were analyzed using Pearson's product-moment correlation coefficient. Changes in the perfusion parameters in tumor edges of different tumor types were evaluated.RESULTS: Type I (sharp): the pathologic findings showed fibrous connective tissue capsules in the tumor edges, and an MVD ≤ 30/mm2. Type II (blurry): the histology showed that the edges were clear with no capsules and an MVD >30/mm2. Type III(mixed): the pathology was similar to that of types I and II, and an MVD >30/mm2. Hepatic blood flow, hepatic arterial fraction, hepatic arterial perfusion, and hepatic portal perfusion were significantly increased in the tumor edges of HCC patients compared to those of the controls (P<0.05). The correlation between CT perfusion parameters and MVD was higher in blurry tumor edges of type II than in those of types I or III.CONCLUSION: CT perfusion imaging of tumor edges may be helpful in revealing histopathological features, and indirectly reflect angiogenic changes of HCCs.