Reactive oxygen species(ROS)plays important roles in living organisms.While ROS is a double-edged sword,which can eliminate drug-resistant bacteria,but excessive levels can cause oxidative damage to cells.A core–shel...Reactive oxygen species(ROS)plays important roles in living organisms.While ROS is a double-edged sword,which can eliminate drug-resistant bacteria,but excessive levels can cause oxidative damage to cells.A core–shell nanozyme,Ce O_(2)@ZIF-8/Au,has been crafted,spontaneously activating both ROS generating and scavenging functions,achieving the multifaceted functions of eliminating bacteria,reducing inflammation,and promoting wound healing.The Au Nanoparticles(NPs)on the shell exhibit high-efficiency peroxidase-like activity,producing ROS to kill bacteria.Meanwhile,the encapsulation of Ce O_(2) core within ZIF-8 provides a seal for temporarily limiting the superoxide dismutase and catalase-like activities of Ce O_(2) nanoparticles.Subsequently,as the ZIF-8 structure decomposes in the acidic microenvironment,the Ce O_(2) core is gradually released,exerting its ROS scavenging activity to eliminate excess ROS produced by the Au NPs.These two functions automatically and continuously regulate the balance of ROS levels,ultimately achieving the function of killing bacteria,reducing inflammation,and promoting wound healing.Such innovative ROS spontaneous regulators hold immense potential for revolutionizing the field of antibacterial agents and therapies.展开更多
Despite notable progress in thermoelectric(TE)materials and devices,developing TE aerogels with high-temperature resistance,superior TE performance and excellent elasticity to enable self-powered high-temperature moni...Despite notable progress in thermoelectric(TE)materials and devices,developing TE aerogels with high-temperature resistance,superior TE performance and excellent elasticity to enable self-powered high-temperature monitoring/warning in industrial and wearable applications remains a great challenge.Herein,a highly elastic,flame-retardant and high-temperature-resistant TE aerogel,made of poly(3,4-ethylene dioxythiophene):poly(styrenesulfonate)/single-walled carbon nanotube(PEDOT:PSS/SWCNT)composites,has been fabricated,displaying attractive compression-induced power factor enhancement.The as-fabricated sensors with the aerogel can achieve accurately pressure stimuli detection and wide temperature range monitoring.Subsequently,a flexible TE generator is assembled,consisting of 25 aerogels connected in series,capable of delivering a maximum output power of 400μW when subjected to a temperature difference of 300 K.This demonstrates its outstanding high-temperature heat harvesting capability and promising application prospects for real-time temperature monitoring on industrial high-temperature pipelines.Moreover,the designed self-powered wearable sensing glove can realize precise wide-range temperature detection,high-temperature warning and accurate recognition of human hand gestures.The aerogel-based intelligent wearable sensing system developed for firefighters demonstrates the desired self-powered and highly sensitive high-temperature fire warning capability.Benefitting from these desirable properties,the elastic and high-temperature-resistant aerogels present various promising applications including self-powered high-temperature monitoring,industrial overheat warning,waste heat energy recycling and even wearable healthcare.展开更多
BACKGROUND Multiple primary cancers are rare occurrences that can involve either metachronous or synchronous development.It is particularly rare for an individual to have more than two primary cancers.In this report,w...BACKGROUND Multiple primary cancers are rare occurrences that can involve either metachronous or synchronous development.It is particularly rare for an individual to have more than two primary cancers.In this report,we present a case study of an elderly man who was diagnosed with three heterochronous cancers in the renal pelvis,bladder,and colon.CASE SUMMARY On December 30,2014,a 51-year-old Chinese man was admitted to our hospital with complaints of intermittent painless gross hematuria for the preceding week.A computed tomography(CT)scan revealed wall thickening in the left ureter’s upper segment,while a CT urography revealed a left renal pelvis tumor.A successful laparoscopic radical resection of the left renal pelvis tumor was subsequently performed at Shanghai Zhongshan Hospital in January 2015.The pathological findings after the surgery revealed a low-grade papillary urothelial carcinoma of the renal pelvis.The final pathological tumor stage was pT1N0M0.After surgery,this patient received 6 cycles of intravenous chemotherapy with gemcitabine and carboplatin,as well as bladder infusion therapy with gemcitabine.On December 18,2017,the patient was admitted once again to our hospital with a one-day history of painless gross hematuria.A CT scan showed the presence of a space-occupying lesion on the posterior wall of bladder.Cystoscopic examination revealed multiple tumors in the bladder and right cutaneous ureterostomy was performed under general anesthesia on December 29,2017.The postoperative pathological findings disclosed multifocal papillary urothelial carcinoma of the bladder(maximum size 3.7 cm×2.6 cm).The bladder cancer was considered a metastasis of the renal pelvis cancer after surgery.The pathological tumor stage was pT1N0M1.The patient refused chemotherapy after surgery.After another six years,the patient returned on February 28,2023,complaining of periumbilical pain that had lasted six days.This time,a CT scan of the abdomen showed a tumor in the ascending colon,but a subsequent colonoscopy examination indicated a tumor in the descending colon.On March 12,2023,a subtotal colectomy and an ileosigmoidal anastomosis were carried out under general anesthesia.Postoperative pathological findings revealed that all three tumors were adenocarcinomas.The final pathological tumor stage was pT3N0M0.The patient had an uneventful postoperative recovery and was discharged without complications.CONCLUSION The case of this elderly man presents a rare occurrence of metachronous primary cancers in the renal pelvis and colon.Bladder cancer is considered a metastasis of renal pelvis cancer after surgery.Optimal treatment can be implemented by evaluating the patient’s histological features,clinical history,and tumor distribution correctly.展开更多
Seedling stage has long been recognized as the bottleneck of forest regeneration,and the biotic and abiotic processes that dominate at seedling stage largely affect the dynamics of forest.Seedlings might be particular...Seedling stage has long been recognized as the bottleneck of forest regeneration,and the biotic and abiotic processes that dominate at seedling stage largely affect the dynamics of forest.Seedlings might be particularly vulnerable to climate stress,so elucidating the role of interannual climate variation in fostering community dynamics is crucial to understanding the response of forest to climate change.Using seedling survival data of 69 woody species collected for five consecutive years from a 25-ha permanent plot in a temperate deciduous forest,we identified the effects of biotic interactions and habitat factors on seedling survival,and examined how those effects changed over time.We found that interannual climate variations,followed by biotic interactions and habitat conditions,were the most significant predictors of seedling survival.Understory light showed a positive impact on seedling mortality,and seedling survival responded differently to soil and air temperature.Effects of conspecific neighbor density were significantly strengthened with the increase of maximum air temperature and vapor pressure deficits in the growing season,but were weakened by increased maximum soil temperature and precipitation in the non-growing season.Surprisingly,seedling survival was strongly correlated with interannual climate variability at all life stages,and the strength of the correlation increased with seedling age.In addition,the importance of biotic and abiotic factors on seedling survival differed significantly among species-trait groups.Thus,the neighborhood-mediated effects on mortality might be significantly contributing or even inverting the direct effects of varying abiotic conditions on seedling survival,and density-dependent effects could not be the only important factor influencing seedling survival at an early stage.展开更多
Tumour segmentation in medical images(especially 3D tumour segmentation)is highly challenging due to the possible similarity between tumours and adjacent tissues,occurrence of multiple tumours and variable tumour shap...Tumour segmentation in medical images(especially 3D tumour segmentation)is highly challenging due to the possible similarity between tumours and adjacent tissues,occurrence of multiple tumours and variable tumour shapes and sizes.The popular deep learning‐based segmentation algorithms generally rely on the convolutional neural network(CNN)and Transformer.The former cannot extract the global image features effectively while the latter lacks the inductive bias and involves the complicated computation for 3D volume data.The existing hybrid CNN‐Transformer network can only provide the limited performance improvement or even poorer segmentation performance than the pure CNN.To address these issues,a short‐term and long‐term memory self‐attention network is proposed.Firstly,a distinctive self‐attention block uses the Transformer to explore the correlation among the region features at different levels extracted by the CNN.Then,the memory structure filters and combines the above information to exclude the similar regions and detect the multiple tumours.Finally,the multi‐layer reconstruction blocks will predict the tumour boundaries.Experimental results demonstrate that our method outperforms other methods in terms of subjective visual and quantitative evaluation.Compared with the most competitive method,the proposed method provides Dice(82.4%vs.76.6%)and Hausdorff distance 95%(HD95)(10.66 vs.11.54 mm)on the KiTS19 as well as Dice(80.2%vs.78.4%)and HD95(9.632 vs.12.17 mm)on the LiTS.展开更多
A hierarchical superhydrophobic Al-Li layered double hydroxide(LDH)films with different Li^(+)/Al^(3+)molar ratios of 1:1,1:2,2:1,p H value of 11.5 and reaction temperature of 125°C,have been fabricated on the su...A hierarchical superhydrophobic Al-Li layered double hydroxide(LDH)films with different Li^(+)/Al^(3+)molar ratios of 1:1,1:2,2:1,p H value of 11.5 and reaction temperature of 125°C,have been fabricated on the surface of Mg-5Li-1Al(LA51)alloys by hydrothermal method following the characteristics of controllable cation structure and exchangeable anion between layers.The properties of the films were investigated by X-ray diffractometer(XRD),scanning electron microscope(SEM)and energy dispersive spectrometer(EDS).XRD and SEM results indicate that the Al-Li LDH films are successfully prepared on LA51 alloys.The contact angle(CA)was measured to be about100.7°,indicating that the surface wettability of the film converted from hydrophilic to hydrophobic by surface modification.The corrosion resistance of Al-Li LDH films was evaluated by Tafel polarization curve and electrochemical impedance spectroscopy(EIS).Surprisingly,Tafel polarization curve and EIS test reveal that the Al-Li LDH films prepared at the molar ratio of Li^(+)/Al^(3+)1:2,p H 11.5 and temperature125°C have better corrosion resistance in 0.1 M Na Cl neutral solution.In addition,the formation mechanism and corrosion mechanism of the films on the surface of LA51 alloy are also proposed.It provides innovative synthetic materials and novel design ideas for the preparation of high-efficiency anti-corrosion coatings on LA51 alloys,whose application can be extended in industrial fields.展开更多
This paper proposed a high-sensitivity phase imaging eddy current magneto-optical (PI-ECMO) system for carbon fiber reinforced polymer (CFRP) defect detection. In contrast to other eddy current-based detection systems...This paper proposed a high-sensitivity phase imaging eddy current magneto-optical (PI-ECMO) system for carbon fiber reinforced polymer (CFRP) defect detection. In contrast to other eddy current-based detection systems, the proposed system employs a fixed position excitation coil while enabling the detection point to move within the detection region. This configuration effectively mitigates the interference caused by the lift-off effect, which is commonly observed in systems with moving excitation coils. Correspondingly, the relationship between the defect characteristics (orientation and position) and the surface vertical magnetic field distribution (amplitude and phase) is studied in detail by theoretical analysis and numerical simulations. Experiments conducted on woven CFRP plates demonstrate that the designed PI-ECMO system is capable of effectively detecting both surface and internal cracks, as well as impact defects. The excitation current is significantly reduced compared with traditional eddy current magneto-optical (ECMO) systems.展开更多
Dear Editor,This letter deals with a real-world problem regarding chaotic time series prediction, where a driver-centric velocity prediction model is presented for vehicle intelligent control and advanced driver assis...Dear Editor,This letter deals with a real-world problem regarding chaotic time series prediction, where a driver-centric velocity prediction model is presented for vehicle intelligent control and advanced driver assistance,i.e., multi-dimension fuzzy predictor. Inspired by fuzzy granulation technology, a finite-state Markov chain(MC) is reinforced to capture probabilities of the transitions between velocity and acceleration and present signals that vary in a continuous range.展开更多
In recent years,the issue of preserving the privacy of parties involved in blockchain transactions has garnered significant attention.To ensure privacy protection for both sides of the transaction,many researchers are...In recent years,the issue of preserving the privacy of parties involved in blockchain transactions has garnered significant attention.To ensure privacy protection for both sides of the transaction,many researchers are using ring signature technology instead of the original signature technology.However,in practice,identifying the signer of an illegal blockchain transaction once it has been placed on the chain necessitates a signature technique that offers conditional anonymity.Some illegals can conduct illegal transactions and evade the lawusing ring signatures,which offer perfect anonymity.This paper firstly constructs a conditionally anonymous linkable ring signature using the Diffie-Hellman key exchange protocol and the Elliptic Curve Discrete Logarithm,which offers a non-interactive process for finding the signer of a ring signature in a specific case.Secondly,this paper’s proposed scheme is proven correct and secure under Elliptic Curve Discrete Logarithm Assumptions.Lastly,compared to previous constructions,the scheme presented in this paper provides a non-interactive,efficient,and secure confirmation process.In addition,this paper presents the implementation of the proposed scheme on a personal computer,where the confirmation process takes only 2,16,and 24ms for ring sizes of 4,24 and 48,respectively,and the confirmation process can be combined with a smart contract on the blockchain with a tested millisecond level of running efficiency.In conclusion,the proposed scheme offers a solution to the challenge of identifying the signer of an illegal blockchain transaction,making it an essential contribution to the field.展开更多
Brown rots of Red Fuji apples were observed in Hangzhou city (Zhengjiang Province, China). The causal agent was isolated and identified in both morphological and molecular genetic levels. The phenotype and phylogeneti...Brown rots of Red Fuji apples were observed in Hangzhou city (Zhengjiang Province, China). The causal agent was isolated and identified in both morphological and molecular genetic levels. The phenotype and phylogenetic analysis revealed that the isolate was </span><i><span style="font-family:Verdana;">Diaporthe phaseolorum</span></i><span style="font-family:Verdana;"> var. </span><i><span style="font-family:Verdana;">caulivora</span></i><span style="font-family:Verdana;">, and its pathogenicity on apple fruit was confirmed by re-inoculation experiment. To our knowledge, this is the first report of </span><i><span style="font-family:Verdana;">D. phaseolorum</span></i><span style="font-family:Verdana;"> var. </span><i><span style="font-family:Verdana;">caulivora</span></i><span style="font-family:Verdana;"> causing postharvest fruit rot on apple in China.展开更多
AIM:To investigate prescribing pattern in low-dose aspirin users and physician awareness of preventing aspirin-induced gastrointestinal(GI) injury with combined protective medications.METHODS:A retrospective drug util...AIM:To investigate prescribing pattern in low-dose aspirin users and physician awareness of preventing aspirin-induced gastrointestinal(GI) injury with combined protective medications.METHODS:A retrospective drug utilization study was conducted in the 2nd Affiliated Hospital,School of Medicine,Zhejiang University.The hospital has 2300 beds and 2.5 million outpatient visits annually.Data mining was performed on all aspirin prescriptions for outpatients and emergency patients admitted in 2011.Concomitant use of proton-pump inhibitors(PPIs),histamine 2-receptor antagonists(H2RA) and mucoprotective drugs(MPs) were analyzed.A defined daily dose(DDD) methodology was applied to each MP.A further investigation was performed in aspirin users on combination use of GI injurious medicines [non-steoid anti-inflammatory drugs(NSAIDs),corticosteroids and clopidogrel and warfarin] or intestinal protective drugs(misoprostol,rebamipide,teprenone and gefarnate).Data of major bleeding episodes were derived from medical records and adverse drug reaction monitoring records.The annual incidence of major GI bleeding due to low-dose aspirin was estimated for outpatients.RESULTS:Prescriptions for aspirin users receiving PPIs,H2RA and MPs(n = 1039) accounted for only 3.46% of total aspirin prescriptions(n = 30 015).The ratios of coadministration of aspirin/PPI,aspirin/H2RA,aspirin/MP and aspirin/PPI/MP to the total aspirin prescriptions were 2.82%,0.12%,0.40% and 0.12%,respectively.No statistically significant difference was observed in age between patients not receiving any GI protective medications and patients receiving PPIs,H2RA or MPs.The combined medication of aspirin and PPI was used more frequently than that of aspirin and MPs(2.82% vs 0.40%,P < 0.05) and aspirin/H2RA(2.82% vs 0.12%,P < 0.05).The values of DDDs of MPs in descending order were as follows:gefarnate,hydrotalcite > teprenone > sucralfate oral suspension > L-glutamine and sodium gualenate granules > rebamipide > sucralfate chewable tablets.The ratio of MP plus aspirin prescriptions to the total MP prescriptions was as follows:rebamipide(0.47%),teprenone(0.91%),L-glutamine and sodium gualenate granules(0.92%),gefarnate(0.31%),hydrotalcite(1.00%) and sucralfate oral suspension(0.13%).Percentages of prescriptions containing aspirin and intestinal protective drugs among the total aspirin prescriptions were:rebamipide(0.010%),PPI/rebamipide(0.027%),teprenone(0.11%),PPI/teprenone(0.037%),gefarnate(0.017%),and PPI/gefarnate(0.013%).No prescriptions were found containing coadministration of aspirin and other NSAIDs.Among the 3196 prescriptions containing aspirin/clopidogrel,3088(96.6%) prescriptions did not contain any GI protective medicines.Of the 389 prescriptions containing aspirin/corticosteroids,236(60.7%) contained no GI protective medicines.None of the prescriptions using aspirin/warfarin(n = 22) contained GI protective medicines.Thirty-five patients were admitted to this hospital in 2011 because of acute hemorrhage of upper digestive tract induced by low-dose aspirin.The annual incidence rates of major GI bleeding were estimated at 0.25% for outpatients taking aspirin and 0.5% for outpatients taking aspirin/warfarin,respectively.CONCLUSION:The prescribing pattern of low-dose aspirin revealed a poor awareness of preventing GI injury with combined protective medications.Actions should be taken to address this issue.展开更多
AIM:To identify the proportion,causes and the nature of drug-induced liver injury(DILI) in patients with notably elevated alanine aminotransferase(ALT).METHODS:All the inpatients with ALT levels above 10 times upper l...AIM:To identify the proportion,causes and the nature of drug-induced liver injury(DILI) in patients with notably elevated alanine aminotransferase(ALT).METHODS:All the inpatients with ALT levels above 10 times upper limit of normal range(ULN) were retrospectively identified from a computerized clinical laboratory database at our hospital covering a 12-mo period.Relevant clinical information was obtained from medical records.Alternative causes of ALT elevations were examined for each patient,including biliary abnormality,viral hepatitis,hemodynamic injury,malignancy,DILI or undetermined and other causes.All suspected DILI cases were causality assessed using the Council for International Organizations of Medical Sciences scale,and only the cases classified as highly probable,probable,or possible were diagnosed as DILI.Comments related to the diagnosis of DILI in the medical record and in the discharge letter for each case were also examined to evaluate DILI detection by the treating doctors.RESULTS:A total of 129 cases with ALT > 10 ULN were identified.Hemodynamic injury(n = 46,35.7%),DILI(n = 25,19.4%) and malignancy(n = 21,16.3%) were the top three causes of liver injury.Peak ALT values were lower in DILI patients than in patients with hemodynamic injury(14.5 ± 5.6 ULN vs 32.5 ± 30.7 ULN,P = 0.001).Among DILI patients,one(4%) case was classified as definite,19(76%) cases were classified as probable and 5(20%) as possible according to the CIOMS scale.A hepatocellular pattern was observed in 23(92%) cases and mixed in 2(8%).The extent of severity of liver injury was mild in 21(84%) patients and moderate in 4(16%).Before discharge,10(40%) patients were recovered and the other 15(60%) were improved.The improved patients tended to have a higher peak ALT(808 ± 348 U/L vs 623 ± 118 U/L,P = 0.016) and shorter treatment duration before discharge(8 ± 6 d vs 28 ± 12 d,P = 0.008) compared with the recovered patients.Twenty-two drugs and 6 herbs were found associated with DILI.Antibacterials were the most common agents causing DILI in 8(32%) cases,followed by glucocorticoids in 6(24%) cases.Twenty-four(96%) cases received treatment of DILI with at least one adjunctive drug.Agents for treatment of DILI included anti-inflammatory drugs(e.g.,glycyrrhizinate),antioxidants(e.g.,glutathione,ademetionine 1,4-butanedisulfonate and tiopronin),polyene phosphatidyl choline and herbal extracts(e.g.,protoporphyrin disodium and silymarin).Diagnosis of DILI was not mentioned in the discharge letter in 60% of the cases.Relative to prevalent cases and cases from wards of internal medicine,incident cases and cases from surgical wards had a higher risk of missed diagnosis in discharge letter [odds ratio(OR) 32.7,95%CI(2.8-374.1),CONCLUSION:DILI is mostly caused by use of antibacterials and glucocorticoids,and constitutes about one fifth of hospitalized patients with ALT > 10 ULN.DILI is underdiagnosed frequently.展开更多
One of the key factors in a profitable open-pit mine is the efficiency of the waste disposal system. Using GPS-technology, the truck-dispatching decisions can be made in real-time but the chosen strategy has a crucial...One of the key factors in a profitable open-pit mine is the efficiency of the waste disposal system. Using GPS-technology, the truck-dispatching decisions can be made in real-time but the chosen strategy has a crucial role. Therefore, finding the optimal dispatching strategy for truck-shovel operations is extremely important. Dispatching strategies have been reported in the literature, but the comparison of these strategies is still missing. This paper illustrates the differences between the strategies by conducting a stochastic simulation study based on the data gathered from an actual mine. The findings underline the importance of the global vision in dispatching decisions.展开更多
Plate subduction drives both the internal convection and the surface geology of the solid Earth.Despite the rapid increase of computational power,it remains challenging for geodynamic models to reproduce the history o...Plate subduction drives both the internal convection and the surface geology of the solid Earth.Despite the rapid increase of computational power,it remains challenging for geodynamic models to reproduce the history of Earth-like subduction and associated mantle flow.Here,based on an adaptive approach of sequential data assimilation,we present a high-resolution global model since the mid-Mesozoic.This model incorporates the thermal structure and surface kinematics of tectonic plates based on a recent plate reconstruction to reproduce the observed subduction configuration and Earth-like convection.Introduction of temperature-and composition-dependent rheology allows for incorporation of many natural complexities,such as initiation of subduction zones,reversal of subduction polarity,and detailed plate-boundary dynamics.The resultant present-day slab geometry well matches Benioff zones and seismic tomography at depths < 1500 km,making it possible to hindcast past subduction dynamics and mantle flow.For example,the model produces a flat Farallon slab beneath North America during the Late Cretaceous to Early Cenozoic,a feature that has been geodynamically challenging to reproduce.This high-resolution model can also capture details of the 4-D evolution of slabs and the ambient mantle,such as temporally and spatially varying mantle flow associated with evolving slab geometry and buoyancy flux,as well as the formation of shallow slab tears due to subduction of young seafloors and the resulting complex mantle deformation.Such a geodynamic framework serves to further constrain uncertain plate reconstruction in the geological past,and to better understand the origin of enigmatic mantle seismic features.展开更多
BACKGROUND Glomus tumors(GTs)are rare mesenchymal neoplastic lesions derived from cells of the glomus body.GTs rarely occurs in the visceral organs,where there may be few or no glomus bodies,and the majority of GTs ar...BACKGROUND Glomus tumors(GTs)are rare mesenchymal neoplastic lesions derived from cells of the glomus body.GTs rarely occurs in the visceral organs,where there may be few or no glomus bodies,and the majority of GTs are benign,rarely demonstrating aggressive or malignant behavior and histological features.CASE SUMMARY We report a patient with malignant GTs of the intestinal ileum with multiorgan metastases who was admitted due to moderate anemia.Capsule endoscopy revealed a bleeding mass in the intestinal ileum,and the patient underwent segmental ileal resection through laparoscopic surgery.The histopathological and immunohistochemical diagnoses were consistent with malignant GT.Longterm follow-up showed that the GT had metastasized to multiple organs such as the colon,brain,and possibly the lung.CONCLUSION This case was characterized by the highest degree of malignancy and by multiorgan metastases,and it was the first case of intestinal GT uncovered by capsule endoscopy.展开更多
基金funded by Tackling Key Problems in Air Pollution Control Funding from Ministry of Science and Technology of the People’s Republic of China(DQGG0305-01)Chinese Academy of Medical Sciences(CAMS)Innovation Fund for Medical Sciences Program(2021-I2M-1-057)。
基金supported by the Natural Science Foundation of Fujian Province of China(No.2022J01043)China Scholarship Council(201806315005 and 201703170071).
文摘Reactive oxygen species(ROS)plays important roles in living organisms.While ROS is a double-edged sword,which can eliminate drug-resistant bacteria,but excessive levels can cause oxidative damage to cells.A core–shell nanozyme,Ce O_(2)@ZIF-8/Au,has been crafted,spontaneously activating both ROS generating and scavenging functions,achieving the multifaceted functions of eliminating bacteria,reducing inflammation,and promoting wound healing.The Au Nanoparticles(NPs)on the shell exhibit high-efficiency peroxidase-like activity,producing ROS to kill bacteria.Meanwhile,the encapsulation of Ce O_(2) core within ZIF-8 provides a seal for temporarily limiting the superoxide dismutase and catalase-like activities of Ce O_(2) nanoparticles.Subsequently,as the ZIF-8 structure decomposes in the acidic microenvironment,the Ce O_(2) core is gradually released,exerting its ROS scavenging activity to eliminate excess ROS produced by the Au NPs.These two functions automatically and continuously regulate the balance of ROS levels,ultimately achieving the function of killing bacteria,reducing inflammation,and promoting wound healing.Such innovative ROS spontaneous regulators hold immense potential for revolutionizing the field of antibacterial agents and therapies.
基金financially supported by the Guangdong Basic and Applied Basic Research Foundation(2022A1515110296,2022A1515110432)the Shenzhen Science and Technology Program(20231120171032001)the National Natural Science Foundation of China(No.52242305).
文摘Despite notable progress in thermoelectric(TE)materials and devices,developing TE aerogels with high-temperature resistance,superior TE performance and excellent elasticity to enable self-powered high-temperature monitoring/warning in industrial and wearable applications remains a great challenge.Herein,a highly elastic,flame-retardant and high-temperature-resistant TE aerogel,made of poly(3,4-ethylene dioxythiophene):poly(styrenesulfonate)/single-walled carbon nanotube(PEDOT:PSS/SWCNT)composites,has been fabricated,displaying attractive compression-induced power factor enhancement.The as-fabricated sensors with the aerogel can achieve accurately pressure stimuli detection and wide temperature range monitoring.Subsequently,a flexible TE generator is assembled,consisting of 25 aerogels connected in series,capable of delivering a maximum output power of 400μW when subjected to a temperature difference of 300 K.This demonstrates its outstanding high-temperature heat harvesting capability and promising application prospects for real-time temperature monitoring on industrial high-temperature pipelines.Moreover,the designed self-powered wearable sensing glove can realize precise wide-range temperature detection,high-temperature warning and accurate recognition of human hand gestures.The aerogel-based intelligent wearable sensing system developed for firefighters demonstrates the desired self-powered and highly sensitive high-temperature fire warning capability.Benefitting from these desirable properties,the elastic and high-temperature-resistant aerogels present various promising applications including self-powered high-temperature monitoring,industrial overheat warning,waste heat energy recycling and even wearable healthcare.
文摘BACKGROUND Multiple primary cancers are rare occurrences that can involve either metachronous or synchronous development.It is particularly rare for an individual to have more than two primary cancers.In this report,we present a case study of an elderly man who was diagnosed with three heterochronous cancers in the renal pelvis,bladder,and colon.CASE SUMMARY On December 30,2014,a 51-year-old Chinese man was admitted to our hospital with complaints of intermittent painless gross hematuria for the preceding week.A computed tomography(CT)scan revealed wall thickening in the left ureter’s upper segment,while a CT urography revealed a left renal pelvis tumor.A successful laparoscopic radical resection of the left renal pelvis tumor was subsequently performed at Shanghai Zhongshan Hospital in January 2015.The pathological findings after the surgery revealed a low-grade papillary urothelial carcinoma of the renal pelvis.The final pathological tumor stage was pT1N0M0.After surgery,this patient received 6 cycles of intravenous chemotherapy with gemcitabine and carboplatin,as well as bladder infusion therapy with gemcitabine.On December 18,2017,the patient was admitted once again to our hospital with a one-day history of painless gross hematuria.A CT scan showed the presence of a space-occupying lesion on the posterior wall of bladder.Cystoscopic examination revealed multiple tumors in the bladder and right cutaneous ureterostomy was performed under general anesthesia on December 29,2017.The postoperative pathological findings disclosed multifocal papillary urothelial carcinoma of the bladder(maximum size 3.7 cm×2.6 cm).The bladder cancer was considered a metastasis of the renal pelvis cancer after surgery.The pathological tumor stage was pT1N0M1.The patient refused chemotherapy after surgery.After another six years,the patient returned on February 28,2023,complaining of periumbilical pain that had lasted six days.This time,a CT scan of the abdomen showed a tumor in the ascending colon,but a subsequent colonoscopy examination indicated a tumor in the descending colon.On March 12,2023,a subtotal colectomy and an ileosigmoidal anastomosis were carried out under general anesthesia.Postoperative pathological findings revealed that all three tumors were adenocarcinomas.The final pathological tumor stage was pT3N0M0.The patient had an uneventful postoperative recovery and was discharged without complications.CONCLUSION The case of this elderly man presents a rare occurrence of metachronous primary cancers in the renal pelvis and colon.Bladder cancer is considered a metastasis of renal pelvis cancer after surgery.Optimal treatment can be implemented by evaluating the patient’s histological features,clinical history,and tumor distribution correctly.
基金The National Natural Science Foundation of China provided funding for this project(Nos.31971491,32201371).
文摘Seedling stage has long been recognized as the bottleneck of forest regeneration,and the biotic and abiotic processes that dominate at seedling stage largely affect the dynamics of forest.Seedlings might be particularly vulnerable to climate stress,so elucidating the role of interannual climate variation in fostering community dynamics is crucial to understanding the response of forest to climate change.Using seedling survival data of 69 woody species collected for five consecutive years from a 25-ha permanent plot in a temperate deciduous forest,we identified the effects of biotic interactions and habitat factors on seedling survival,and examined how those effects changed over time.We found that interannual climate variations,followed by biotic interactions and habitat conditions,were the most significant predictors of seedling survival.Understory light showed a positive impact on seedling mortality,and seedling survival responded differently to soil and air temperature.Effects of conspecific neighbor density were significantly strengthened with the increase of maximum air temperature and vapor pressure deficits in the growing season,but were weakened by increased maximum soil temperature and precipitation in the non-growing season.Surprisingly,seedling survival was strongly correlated with interannual climate variability at all life stages,and the strength of the correlation increased with seedling age.In addition,the importance of biotic and abiotic factors on seedling survival differed significantly among species-trait groups.Thus,the neighborhood-mediated effects on mortality might be significantly contributing or even inverting the direct effects of varying abiotic conditions on seedling survival,and density-dependent effects could not be the only important factor influencing seedling survival at an early stage.
基金supported by the National Key Research and Development Program of China under Grant No.2018YFE0206900the National Natural Science Foundation of China under Grant No.61871440 and CAAI‐Huawei Mind-Spore Open Fund.
文摘Tumour segmentation in medical images(especially 3D tumour segmentation)is highly challenging due to the possible similarity between tumours and adjacent tissues,occurrence of multiple tumours and variable tumour shapes and sizes.The popular deep learning‐based segmentation algorithms generally rely on the convolutional neural network(CNN)and Transformer.The former cannot extract the global image features effectively while the latter lacks the inductive bias and involves the complicated computation for 3D volume data.The existing hybrid CNN‐Transformer network can only provide the limited performance improvement or even poorer segmentation performance than the pure CNN.To address these issues,a short‐term and long‐term memory self‐attention network is proposed.Firstly,a distinctive self‐attention block uses the Transformer to explore the correlation among the region features at different levels extracted by the CNN.Then,the memory structure filters and combines the above information to exclude the similar regions and detect the multiple tumours.Finally,the multi‐layer reconstruction blocks will predict the tumour boundaries.Experimental results demonstrate that our method outperforms other methods in terms of subjective visual and quantitative evaluation.Compared with the most competitive method,the proposed method provides Dice(82.4%vs.76.6%)and Hausdorff distance 95%(HD95)(10.66 vs.11.54 mm)on the KiTS19 as well as Dice(80.2%vs.78.4%)and HD95(9.632 vs.12.17 mm)on the LiTS.
基金the financial support of the Natural Science Foundation of Inner Mongolia Autonomous Region(Grant NO.2019MS05037)Chunhui Program of Ministry of Education of China(Grant NO.CHJH2018)+5 种基金Key Technology Project of Inner Mongolia Autonomous Region(Grant NO.2021GG0094)Supported by Youth project of science and technology research program of Chongqing Education Commission of China(KJ201903136636560)provided by the National Natural Science Foundation of China(Grant No.51908092),Projects(No.2020CDJXZ001 and 2021CDJJMRH-005)the Fundamental Research Funds for the Central Universitiesthe Joint Funds of the National Natural Science Foundation of China-Guangdong(Grant No.U1801254)the project funded by Chongqing Special Postdoctoral Science Foundation(Xm T2018043)
文摘A hierarchical superhydrophobic Al-Li layered double hydroxide(LDH)films with different Li^(+)/Al^(3+)molar ratios of 1:1,1:2,2:1,p H value of 11.5 and reaction temperature of 125°C,have been fabricated on the surface of Mg-5Li-1Al(LA51)alloys by hydrothermal method following the characteristics of controllable cation structure and exchangeable anion between layers.The properties of the films were investigated by X-ray diffractometer(XRD),scanning electron microscope(SEM)and energy dispersive spectrometer(EDS).XRD and SEM results indicate that the Al-Li LDH films are successfully prepared on LA51 alloys.The contact angle(CA)was measured to be about100.7°,indicating that the surface wettability of the film converted from hydrophilic to hydrophobic by surface modification.The corrosion resistance of Al-Li LDH films was evaluated by Tafel polarization curve and electrochemical impedance spectroscopy(EIS).Surprisingly,Tafel polarization curve and EIS test reveal that the Al-Li LDH films prepared at the molar ratio of Li^(+)/Al^(3+)1:2,p H 11.5 and temperature125°C have better corrosion resistance in 0.1 M Na Cl neutral solution.In addition,the formation mechanism and corrosion mechanism of the films on the surface of LA51 alloy are also proposed.It provides innovative synthetic materials and novel design ideas for the preparation of high-efficiency anti-corrosion coatings on LA51 alloys,whose application can be extended in industrial fields.
基金the National Natural Science Foundation of China under Grants No.U2030205,No.62003075,No.61903065,and No.62003074Sichuan Science and Technology Planning Project under Grant No.2022JDJQ0040.
文摘This paper proposed a high-sensitivity phase imaging eddy current magneto-optical (PI-ECMO) system for carbon fiber reinforced polymer (CFRP) defect detection. In contrast to other eddy current-based detection systems, the proposed system employs a fixed position excitation coil while enabling the detection point to move within the detection region. This configuration effectively mitigates the interference caused by the lift-off effect, which is commonly observed in systems with moving excitation coils. Correspondingly, the relationship between the defect characteristics (orientation and position) and the surface vertical magnetic field distribution (amplitude and phase) is studied in detail by theoretical analysis and numerical simulations. Experiments conducted on woven CFRP plates demonstrate that the designed PI-ECMO system is capable of effectively detecting both surface and internal cracks, as well as impact defects. The excitation current is significantly reduced compared with traditional eddy current magneto-optical (ECMO) systems.
文摘Dear Editor,This letter deals with a real-world problem regarding chaotic time series prediction, where a driver-centric velocity prediction model is presented for vehicle intelligent control and advanced driver assistance,i.e., multi-dimension fuzzy predictor. Inspired by fuzzy granulation technology, a finite-state Markov chain(MC) is reinforced to capture probabilities of the transitions between velocity and acceleration and present signals that vary in a continuous range.
基金funded by the National Natural Science Foundation of China (Grant Number 12171114)National Key R&D Program of China (Grant Number 2021YFA1000600).
文摘In recent years,the issue of preserving the privacy of parties involved in blockchain transactions has garnered significant attention.To ensure privacy protection for both sides of the transaction,many researchers are using ring signature technology instead of the original signature technology.However,in practice,identifying the signer of an illegal blockchain transaction once it has been placed on the chain necessitates a signature technique that offers conditional anonymity.Some illegals can conduct illegal transactions and evade the lawusing ring signatures,which offer perfect anonymity.This paper firstly constructs a conditionally anonymous linkable ring signature using the Diffie-Hellman key exchange protocol and the Elliptic Curve Discrete Logarithm,which offers a non-interactive process for finding the signer of a ring signature in a specific case.Secondly,this paper’s proposed scheme is proven correct and secure under Elliptic Curve Discrete Logarithm Assumptions.Lastly,compared to previous constructions,the scheme presented in this paper provides a non-interactive,efficient,and secure confirmation process.In addition,this paper presents the implementation of the proposed scheme on a personal computer,where the confirmation process takes only 2,16,and 24ms for ring sizes of 4,24 and 48,respectively,and the confirmation process can be combined with a smart contract on the blockchain with a tested millisecond level of running efficiency.In conclusion,the proposed scheme offers a solution to the challenge of identifying the signer of an illegal blockchain transaction,making it an essential contribution to the field.
基金Project(2016KJXX-78)supported by the Shaanxi Youth Science and Technology New Star Project,ChinaProject(2016KTCQ01-113)supported by the Shaanxi Science and Technology Co-ordination and Innovation Project,China+1 种基金Project(51604228)supported by the National Natural Science Foundation of ChinaProject supported by the Open Fund of State Key Laboratory for Powder Metallurgy,Central South University,China
文摘Brown rots of Red Fuji apples were observed in Hangzhou city (Zhengjiang Province, China). The causal agent was isolated and identified in both morphological and molecular genetic levels. The phenotype and phylogenetic analysis revealed that the isolate was </span><i><span style="font-family:Verdana;">Diaporthe phaseolorum</span></i><span style="font-family:Verdana;"> var. </span><i><span style="font-family:Verdana;">caulivora</span></i><span style="font-family:Verdana;">, and its pathogenicity on apple fruit was confirmed by re-inoculation experiment. To our knowledge, this is the first report of </span><i><span style="font-family:Verdana;">D. phaseolorum</span></i><span style="font-family:Verdana;"> var. </span><i><span style="font-family:Verdana;">caulivora</span></i><span style="font-family:Verdana;"> causing postharvest fruit rot on apple in China.
基金Supported by Zhejiang Provincial Bureau of Health,No. 2012KYA090Zhejiang Provincial Bureau of Education, No.20070227
文摘AIM:To investigate prescribing pattern in low-dose aspirin users and physician awareness of preventing aspirin-induced gastrointestinal(GI) injury with combined protective medications.METHODS:A retrospective drug utilization study was conducted in the 2nd Affiliated Hospital,School of Medicine,Zhejiang University.The hospital has 2300 beds and 2.5 million outpatient visits annually.Data mining was performed on all aspirin prescriptions for outpatients and emergency patients admitted in 2011.Concomitant use of proton-pump inhibitors(PPIs),histamine 2-receptor antagonists(H2RA) and mucoprotective drugs(MPs) were analyzed.A defined daily dose(DDD) methodology was applied to each MP.A further investigation was performed in aspirin users on combination use of GI injurious medicines [non-steoid anti-inflammatory drugs(NSAIDs),corticosteroids and clopidogrel and warfarin] or intestinal protective drugs(misoprostol,rebamipide,teprenone and gefarnate).Data of major bleeding episodes were derived from medical records and adverse drug reaction monitoring records.The annual incidence of major GI bleeding due to low-dose aspirin was estimated for outpatients.RESULTS:Prescriptions for aspirin users receiving PPIs,H2RA and MPs(n = 1039) accounted for only 3.46% of total aspirin prescriptions(n = 30 015).The ratios of coadministration of aspirin/PPI,aspirin/H2RA,aspirin/MP and aspirin/PPI/MP to the total aspirin prescriptions were 2.82%,0.12%,0.40% and 0.12%,respectively.No statistically significant difference was observed in age between patients not receiving any GI protective medications and patients receiving PPIs,H2RA or MPs.The combined medication of aspirin and PPI was used more frequently than that of aspirin and MPs(2.82% vs 0.40%,P < 0.05) and aspirin/H2RA(2.82% vs 0.12%,P < 0.05).The values of DDDs of MPs in descending order were as follows:gefarnate,hydrotalcite > teprenone > sucralfate oral suspension > L-glutamine and sodium gualenate granules > rebamipide > sucralfate chewable tablets.The ratio of MP plus aspirin prescriptions to the total MP prescriptions was as follows:rebamipide(0.47%),teprenone(0.91%),L-glutamine and sodium gualenate granules(0.92%),gefarnate(0.31%),hydrotalcite(1.00%) and sucralfate oral suspension(0.13%).Percentages of prescriptions containing aspirin and intestinal protective drugs among the total aspirin prescriptions were:rebamipide(0.010%),PPI/rebamipide(0.027%),teprenone(0.11%),PPI/teprenone(0.037%),gefarnate(0.017%),and PPI/gefarnate(0.013%).No prescriptions were found containing coadministration of aspirin and other NSAIDs.Among the 3196 prescriptions containing aspirin/clopidogrel,3088(96.6%) prescriptions did not contain any GI protective medicines.Of the 389 prescriptions containing aspirin/corticosteroids,236(60.7%) contained no GI protective medicines.None of the prescriptions using aspirin/warfarin(n = 22) contained GI protective medicines.Thirty-five patients were admitted to this hospital in 2011 because of acute hemorrhage of upper digestive tract induced by low-dose aspirin.The annual incidence rates of major GI bleeding were estimated at 0.25% for outpatients taking aspirin and 0.5% for outpatients taking aspirin/warfarin,respectively.CONCLUSION:The prescribing pattern of low-dose aspirin revealed a poor awareness of preventing GI injury with combined protective medications.Actions should be taken to address this issue.
基金Supported by Zhejiang Provincial Bureau of Education,No.200908690Zhejiang Provincial Bureau of Health,No.2012KYA090
文摘AIM:To identify the proportion,causes and the nature of drug-induced liver injury(DILI) in patients with notably elevated alanine aminotransferase(ALT).METHODS:All the inpatients with ALT levels above 10 times upper limit of normal range(ULN) were retrospectively identified from a computerized clinical laboratory database at our hospital covering a 12-mo period.Relevant clinical information was obtained from medical records.Alternative causes of ALT elevations were examined for each patient,including biliary abnormality,viral hepatitis,hemodynamic injury,malignancy,DILI or undetermined and other causes.All suspected DILI cases were causality assessed using the Council for International Organizations of Medical Sciences scale,and only the cases classified as highly probable,probable,or possible were diagnosed as DILI.Comments related to the diagnosis of DILI in the medical record and in the discharge letter for each case were also examined to evaluate DILI detection by the treating doctors.RESULTS:A total of 129 cases with ALT > 10 ULN were identified.Hemodynamic injury(n = 46,35.7%),DILI(n = 25,19.4%) and malignancy(n = 21,16.3%) were the top three causes of liver injury.Peak ALT values were lower in DILI patients than in patients with hemodynamic injury(14.5 ± 5.6 ULN vs 32.5 ± 30.7 ULN,P = 0.001).Among DILI patients,one(4%) case was classified as definite,19(76%) cases were classified as probable and 5(20%) as possible according to the CIOMS scale.A hepatocellular pattern was observed in 23(92%) cases and mixed in 2(8%).The extent of severity of liver injury was mild in 21(84%) patients and moderate in 4(16%).Before discharge,10(40%) patients were recovered and the other 15(60%) were improved.The improved patients tended to have a higher peak ALT(808 ± 348 U/L vs 623 ± 118 U/L,P = 0.016) and shorter treatment duration before discharge(8 ± 6 d vs 28 ± 12 d,P = 0.008) compared with the recovered patients.Twenty-two drugs and 6 herbs were found associated with DILI.Antibacterials were the most common agents causing DILI in 8(32%) cases,followed by glucocorticoids in 6(24%) cases.Twenty-four(96%) cases received treatment of DILI with at least one adjunctive drug.Agents for treatment of DILI included anti-inflammatory drugs(e.g.,glycyrrhizinate),antioxidants(e.g.,glutathione,ademetionine 1,4-butanedisulfonate and tiopronin),polyene phosphatidyl choline and herbal extracts(e.g.,protoporphyrin disodium and silymarin).Diagnosis of DILI was not mentioned in the discharge letter in 60% of the cases.Relative to prevalent cases and cases from wards of internal medicine,incident cases and cases from surgical wards had a higher risk of missed diagnosis in discharge letter [odds ratio(OR) 32.7,95%CI(2.8-374.1),CONCLUSION:DILI is mostly caused by use of antibacterials and glucocorticoids,and constitutes about one fifth of hospitalized patients with ALT > 10 ULN.DILI is underdiagnosed frequently.
文摘One of the key factors in a profitable open-pit mine is the efficiency of the waste disposal system. Using GPS-technology, the truck-dispatching decisions can be made in real-time but the chosen strategy has a crucial role. Therefore, finding the optimal dispatching strategy for truck-shovel operations is extremely important. Dispatching strategies have been reported in the literature, but the comparison of these strategies is still missing. This paper illustrates the differences between the strategies by conducting a stochastic simulation study based on the data gathered from an actual mine. The findings underline the importance of the global vision in dispatching decisions.
基金support from NSF grants EAR-1345135,1554554,1565640supercomputing allocation on Blue Waters through ACI-1516586
文摘Plate subduction drives both the internal convection and the surface geology of the solid Earth.Despite the rapid increase of computational power,it remains challenging for geodynamic models to reproduce the history of Earth-like subduction and associated mantle flow.Here,based on an adaptive approach of sequential data assimilation,we present a high-resolution global model since the mid-Mesozoic.This model incorporates the thermal structure and surface kinematics of tectonic plates based on a recent plate reconstruction to reproduce the observed subduction configuration and Earth-like convection.Introduction of temperature-and composition-dependent rheology allows for incorporation of many natural complexities,such as initiation of subduction zones,reversal of subduction polarity,and detailed plate-boundary dynamics.The resultant present-day slab geometry well matches Benioff zones and seismic tomography at depths < 1500 km,making it possible to hindcast past subduction dynamics and mantle flow.For example,the model produces a flat Farallon slab beneath North America during the Late Cretaceous to Early Cenozoic,a feature that has been geodynamically challenging to reproduce.This high-resolution model can also capture details of the 4-D evolution of slabs and the ambient mantle,such as temporally and spatially varying mantle flow associated with evolving slab geometry and buoyancy flux,as well as the formation of shallow slab tears due to subduction of young seafloors and the resulting complex mantle deformation.Such a geodynamic framework serves to further constrain uncertain plate reconstruction in the geological past,and to better understand the origin of enigmatic mantle seismic features.
基金Supported by the National Natural Science Foundation of China,No.81900505
文摘BACKGROUND Glomus tumors(GTs)are rare mesenchymal neoplastic lesions derived from cells of the glomus body.GTs rarely occurs in the visceral organs,where there may be few or no glomus bodies,and the majority of GTs are benign,rarely demonstrating aggressive or malignant behavior and histological features.CASE SUMMARY We report a patient with malignant GTs of the intestinal ileum with multiorgan metastases who was admitted due to moderate anemia.Capsule endoscopy revealed a bleeding mass in the intestinal ileum,and the patient underwent segmental ileal resection through laparoscopic surgery.The histopathological and immunohistochemical diagnoses were consistent with malignant GT.Longterm follow-up showed that the GT had metastasized to multiple organs such as the colon,brain,and possibly the lung.CONCLUSION This case was characterized by the highest degree of malignancy and by multiorgan metastases,and it was the first case of intestinal GT uncovered by capsule endoscopy.