BACKGROUND Gastric variceal hemorrhage is one of the primary manifestations of left-sided portal hypertension(LSPH).The hemorrhage is fatal and requires safe and effective interventions.AIM To evaluate the clinical sa...BACKGROUND Gastric variceal hemorrhage is one of the primary manifestations of left-sided portal hypertension(LSPH).The hemorrhage is fatal and requires safe and effective interventions.AIM To evaluate the clinical safety and efficacy of modified endoscopic ultrasound(EUS)-guided selective N-butyl-2-cyanoacrylate(NBC)injections for gastric variceal hemorrhage in LSPH.METHODS A retrospective observational study of patients with LSPH-induced gastric variceal hemorrhage was conducted.Preoperative EUS evaluations were performed.Enrolled patients were divided into modified and conventional groups according to the NBC injection technique.The final selection of NBC injection technique depended on the patients’preferences and clinical status.The technical and clinical success rates,operation time,NBC doses,perioperative complications,postoperative hospital stay,and recurrent bleeding rates were analyzed,respectively.RESULTS A total of 27 patients were enrolled.No statistically significant differences were observed between the two groups regarding baseline characteristics.In comparison to patients in the conventional group,patients in the modified group demonstrated significantly reduced NBC doses(2.0±0.6 mL vs 3.1±1.0 mL;P=0.004)and increased endoscopic operation time(71.9±11.9 min vs 22.5±6.7 min;P<0.001).Meanwhile,the two groups had no significant difference in the technical and clinical success rates,perioperative complications,postoperative hospital stay,and recurrent bleeding rates.CONCLUSION Modified EUS-guided selective NBC injections demonstrated safety and efficacy for LSPH-induced gastric variceal hemorrhage,with advantages of reduced injection dose and no radiation risk.Drawbacks were time consumption and technical challenge.展开更多
Brain-derived neurotrophic factor is a key factor in stress adaptation and avoidance of a social stress behavioral response.Recent studies have shown that brain-derived neurotrophic factor expression in stressed mice ...Brain-derived neurotrophic factor is a key factor in stress adaptation and avoidance of a social stress behavioral response.Recent studies have shown that brain-derived neurotrophic factor expression in stressed mice is brain region–specific,particularly involving the corticolimbic system,including the ventral tegmental area,nucleus accumbens,prefrontal cortex,amygdala,and hippocampus.Determining how brain-derived neurotrophic factor participates in stress processing in different brain regions will deepen our understanding of social stress psychopathology.In this review,we discuss the expression and regulation of brain-derived neurotrophic factor in stress-sensitive brain regions closely related to the pathophysiology of depression.We focused on associated molecular pathways and neural circuits,with special attention to the brain-derived neurotrophic factor–tropomyosin receptor kinase B signaling pathway and the ventral tegmental area–nucleus accumbens dopamine circuit.We determined that stress-induced alterations in brain-derived neurotrophic factor levels are likely related to the nature,severity,and duration of stress,especially in the above-mentioned brain regions of the corticolimbic system.Therefore,BDNF might be a biological indicator regulating stress-related processes in various brain regions.展开更多
Global warming and algal blooms have been two of the most pressing problems faced by the world today.In recent decades,numerous studies indicated that global warming promoted the expansion of algal blooms.However,rese...Global warming and algal blooms have been two of the most pressing problems faced by the world today.In recent decades,numerous studies indicated that global warming promoted the expansion of algal blooms.However,research on how algal blooms respond to global warming is scant.Global warming coupled with eutrophication promoted the rapid growth of phytoplankton,which resulted in an expansion of algal blooms.Algal blooms are affected by the combined effects of global warming,including increases in temperatures,CO_(2)concentration,and nutrient input to aquatic systems by extreme weather events.Since the growth of phytoplankton requires CO_(2),they appear to act as a carbon sink.Unfortunately,algal blooms will release CH4,CO_(2),and inorganic nitrogen when they die and decompose.As substrate nitrogen increases from decompose algal biomass,more N2O will be released by nitrification and denitrification.In comparison to CO_(2),CH4has 28-fold and N2O has 265-fold greenhouse effect.Moreover,algal blooms in the polar regions may contribute to melting glaciers and sea ice(will release greenhouse gas,which contribute to global warming)by reducing surface albedo,which consequently would accelerate global warming.Thus,algal blooms and global warming could form feedback loops which prevent human survival and development.Future researches shall examine the mechanism,trend,strength,and control strategies involved in this mutual feedback.Additionally,it will promote global projects of environmental protection combining governance greenhouse gas emissions and algal blooms,to form a geoengineering for regulating the cycles of carbon,nitrogen,and phosphorus.展开更多
This editorial comments on the article“Efficacy of multi-slice spiral computed tomography in evaluating gastric cancer recurrence after endoscopic submucosal dissection”.We focus on the importance of paying more att...This editorial comments on the article“Efficacy of multi-slice spiral computed tomography in evaluating gastric cancer recurrence after endoscopic submucosal dissection”.We focus on the importance of paying more attention to postendoscopic submucosal dissection(ESD)gastric cancer recurrence in patients with early gastric cancer(EGC)and how to manage it effectively.ESD has been a wellknown treatment and the mainstay for EGC,with the advantages of less invasion and fewer complications when compared with traditional surgical procedures.Despite a lower local recurrence rate after ESD,the problem of postoperative recurrence in patients with EGC has become increasingly non-ignorable with the global popularization of ESD technology and the increasing number of post-ESD patients.展开更多
BACKGROUND Left-sided portal hypertension(LSPH),also known as sinistral portal hypertension or regional portal hypertension,refers to extrahepatic portal hypertension caused by splenic vein obstruction or stenosis.N-b...BACKGROUND Left-sided portal hypertension(LSPH),also known as sinistral portal hypertension or regional portal hypertension,refers to extrahepatic portal hypertension caused by splenic vein obstruction or stenosis.N-butyl-2-cyanoacrylate(NBC)has been widely used in the endoscopic hemostasis of portal hypertension,but adverse events including renal or pulmonary thromboembolism,mucosal necrosis and gastrointestinal(GI)bleeding may occur after treatment.Herein,we report successfully managing gastric variceal(GV)hemorrhage secondary to LSPH using modified endoscopic ultrasound(EUS)-guided selective NBC injections.CASE SUMMARY A 35-year-old man was referred to our hospital due to an upper GI hemorrhage.Gastroscopy revealed GV hemorrhage and computed tomography venography(CTV)confirmed LSPH.The patient requested endoscopic procedures and rejected surgical therapies including splenectomy.EUS-guided selective NBC injections were performed and confluences of gastric varices were selected as the injection sites to reduce the injection dose.The“sandwich”method using undiluted NBC and hypertonic glucose was applied.No complications occurred.The patient was followed up regularly after discharge.Three months later,the follow-up gastroscopy revealed firm gastric submucosa with no sign of NBC expulsion and the follow-up CTV showed improvements in LSPH.No recurrent GI hemorrhage was reported during this follow-up period.CONCLUSION EUS-guided selective NBC injection may represent an effective and economical treatment for GV hemorrhage in patients with LSPH.展开更多
Background The correlation between cognitive function and lipid profiles,including total cholesterol,low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C)and triglycerides,is inconsist...Background The correlation between cognitive function and lipid profiles,including total cholesterol,low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C)and triglycerides,is inconsistent.Aims This cross-sectional study investigated the association between serum lipid levels and the prevalence of cognitive impairment among community-dwelling older adults and explored this difference in association by gender and urban-rural residency.Methods Participants aged 65 and above in urban and rural areas were recruited between 2018 and 2020,selected from the Hubei Memory and Aging Cohort Study.Detailed neuropsychological evaluations,clinical examinations and laboratory tests were conducted in community health service centres.Multivariate logistic regression was used to analyse the correlation between serum lipid profiles and the prevalence of cognitive impairment.Results We identified 1336 cognitively impaired adults(≥65 years)-1066 with mild cognitive impairment and 270 with dementia-from 4746 participants.Triglycerides level was correlated with cognitive impairment in the total sample(χ2=6.420,p=0.011).In gender-stratified multivariate analysis,high triglycerides in males reduced the risk of cognitive impairment(OR:0.785,95%CI:0.623 to 0.989,p=0.040),and high LDL-C in females increased the risk of cognitive impairment(OR:1.282,95%CI:1.040 to 1.581,p=0.020).In both gender-stratified and urban-rural stratified multivariate analyses,high triglycerides reduced the risk of cognitive impairment in older urban men(OR:0.734,95%CI:0.551 to 0.977,p=0.034),and high LDL-C increased the risk of cognitive impairment in older rural women(OR:1.830,95%CI:1.119 to 2.991,p=0.016).Conclusions There are gender and urban-rural differences in the correlation of serum lipids with cognitive impairment.High triglycerides levels may be a protective factor for cognitive function in older urban men,while high LDL-C levels may be a risk factor for cognitive function in older rural women.展开更多
The activation of H_(2)O is a key step of the COS hydrolysis,which may be tuned by oxygen vacancy defects in the catalysts.Herein,we have introduced Cu into Co_(3)O_(4) to regulate the oxygen vacancy defect content of...The activation of H_(2)O is a key step of the COS hydrolysis,which may be tuned by oxygen vacancy defects in the catalysts.Herein,we have introduced Cu into Co_(3)O_(4) to regulate the oxygen vacancy defect content of the catalysts.In situ DRIFTS and XPS spectra reveal that COS and H_(2)O are adsorbed and activated by oxygen vacancy.The 10 at%Cu doped Co_(3)O_(4) sample(10Cu-Co_(3)O_(4))exhibits the optimal activity,100%of COS conversion at 70℃.The improved oxygen vacancies of CueCo_(3)O_(4) accelerate the activation of H_(2)O to form active -OH.COS binds with hydroxyl to form the intermediate HSCO^(-)_(2),and then the activated-OH on the oxygen vacancy reacts with HSCO^(-)_(2) to form HCO^(-)_(3).Meanwhile,the catalyst exhibits high catalytic stability because copper species(Cu+/Cu^(2+))redox cycle mitigate the sulfation of Co_(3)O_(4)(Co^(2+)/Co^(3+)).Our work offers a promising approach for the rational design of cobalt-related catalysts in the highly efficient hydrolysis COS process.展开更多
The Boer goat is one of the top meat breeds in modern animal husbandry and has attracted widespread attention for its unique growth performance.However,the genetic basis of muscle development in the Boer goat remains ...The Boer goat is one of the top meat breeds in modern animal husbandry and has attracted widespread attention for its unique growth performance.However,the genetic basis of muscle development in the Boer goat remains obscure.In this study,we identified specific structural variants in the Boer goat based on genome-wide selection signals and analyzed the basis of the molecular heredity of related candidate genes in muscle development.A total of9 959 autosomal copy number variations(CNVs) were identified through selection signal analysis in 127 goat genomes.Specifically,we confirmed that the highest signal CNV(HSV) was a chromosomal arrangement containing an approximately 1.11 Mb(CHIR17:60062304-61171840 bp) duplicated fragment inserted in reverse orientation and a 5 362 bp deleted region(CHIR17:60145940-60151302 bp) with overlapping genes(e.g.,ARHGAP10,NR3C2,EDNRA,PRMT9,and TMEM184C).The homozygous duplicated HSV genotype(+/+) was found in 96% of Boer goats but was not detected in Eurasian goats and was only detected in 4% of indigenous African goats.The expression network of three candidate genes(ARHGAP10,NR3C2,and EDNRA)regulating dose transcription was constructed by RNA sequencing.Results indicated that these genes were involved in the proliferation and differentiation of skeletal muscle satellite cells(SMSCs) and their overexpression significantly increased the expression of SAA3.The HSV of the Boer goat contributed to superior skeletal muscle growth via the dose effects of overlapping genes.展开更多
Infected necrotizing pancreatitis(INP)represents a severe condition in patients with acute pancreatitis.Invasive interventions are recommended in symptomatic INP.Growing evidence has suggested interventional strategie...Infected necrotizing pancreatitis(INP)represents a severe condition in patients with acute pancreatitis.Invasive interventions are recommended in symptomatic INP.Growing evidence has suggested interventional strategies of INP evolving from traditional surgery to minimally invasive step-up endoscopic procedures.However,there is still no standardized protocol for endoscopic interventions.Recently,various studies have been published about the endoscopic management of INP.This article reviews published articles and guidelines to present the progress and challenges of endoscopic transluminal drainage and necrosectomy in INP.展开更多
BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery.Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved effic...BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery.Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples.AIM To investigate the correlations among mindfulness,marital quality,anxiety,and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas.METHODS A cross-sectional study was conducted.The self-administered questionnaire was submitted online through smartphones.The levels of mindfulness,anxiety,depression,and marital quality were respectively investigated by the mindful attention awareness scale(MAAS),the self-rating anxiety scale(SAS),the selfrating depression scale(SDS),and the marriage perception scale(MPS)in these enrolled Han and Tujia primiparas.RESULTS No statistical significance was observed in the prevalence of postpartum anxiety and depression,nor scores of MAAS and MPS-Total in different regions or ethnicities(P>0.05).However,MPSMarital interaction(P<0.05),MPS-Family relationship(MPS-FR)(P<0.01),and MPS-Marital conflict(MPS-MC)(P<0.01)scores of urban primiparas were higher than those of rural primiparas.The MPS-MC score of Han primiparas was higher than that of Tujia primiparas(P<0.05).Negative correlations were observed between MAAS and SAS(r=-0.457,P<0.01),and MAAS and SDS(r=-0.439,P<0.01).SAS has revealed a highly positive correlation with SDS(r=0.720,P<0.01)and a weak negative correlation with MPS(r=-0.200,P<0.05).Besides,a weak negative correlation was observed between MAAS and MPS-MC(r=-0.184,P<0.05),and a weak positive correlation was noticed between SAS and MPS-MC(r=-0.225,P<0.01).Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety(P<0.05,95%CI:-0.384 to 0.033),MPS-MC and postpartum anxiety(P<0.01,95%CI:0.027-0.193),MPS-FR and postpartum depression(P<0.05,95%CI:-0.365 to 0.031),and MPS-MC and postpartum depression(P<0.01,95%CI:0.022-0.206).CONCLUSION Mindfulness demonstrates negative correlations with marital conflict,postpartum anxiety and depression,and it may have cross-ethnic and trans-regional characteristics.Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study,it demonstrates a full mediation effect on the relationships between family relationships,marital conflict,and postpartum anxiety and depression.展开更多
Antimony trisulfide(Sb_(2)S_(3)) solar cells suffer from large open circuit voltage deficits due to their intrinsic defects which limit the power conversion efficiency.Thus,it is important to elucidate these defects’...Antimony trisulfide(Sb_(2)S_(3)) solar cells suffer from large open circuit voltage deficits due to their intrinsic defects which limit the power conversion efficiency.Thus,it is important to elucidate these defects’ origin and defects at the interface.Here,we discover that sulfide radical defects have a significant impact on the performance of Sb_(2)S_(3)solar cells.Moreover,it has been illustrated that these defects at the CdS/Sb_(2)S_(3)interface can be reduced by optimizing the deposition process.A trap distribution model is used to quantify the defect density at the CdS/Sb_(2)S_(3)interface.It shows that the interface defects can be reduced by24% by improving the deposition process.This work reveals the importance of interface defects and guides the future optimization of Sb_(2)S_(3)solar cells.展开更多
Federated learning is a distributedmachine learningmethod that can solve the increasingly serious problemof data islands and user data privacy,as it allows training data to be kept locally and not shared with other us...Federated learning is a distributedmachine learningmethod that can solve the increasingly serious problemof data islands and user data privacy,as it allows training data to be kept locally and not shared with other users.It trains a globalmodel by aggregating locally-computedmodels of clients rather than their rawdata.However,the divergence of local models caused by data heterogeneity of different clients may lead to slow convergence of the global model.For this problem,we focus on the client selection with federated learning,which can affect the convergence performance of the global model with the selected local models.We propose FedChoice,a client selection method based on loss function optimization,to select appropriate local models to improve the convergence of the global model.It firstly sets selected probability for clients with the value of loss function,and the client with high loss will be set higher selected probability,which can make them more likely to participate in training.Then,it introduces a local control vector and a global control vector to predict the local gradient direction and global gradient direction,respectively,and calculates the gradient correction vector to correct the gradient direction to reduce the cumulative deviationof the local gradient causedby theNon-IIDdata.Wemake experiments to verify the validity of FedChoice on CIFAR-10,CINIC-10,MNIST,EMNITS,and FEMNIST datasets,and the results show that the convergence of FedChoice is significantly improved,compared with FedAvg,FedProx,and FedNova.展开更多
To the editor:The impact of the coronavirus disease 2019(COVID-19)pandemic in 2020 on mental health was substantialin Chinai2and various other countries.34 Beyond the direct consequences of COVID-19,the pandemic creat...To the editor:The impact of the coronavirus disease 2019(COVID-19)pandemic in 2020 on mental health was substantialin Chinai2and various other countries.34 Beyond the direct consequences of COVID-19,the pandemic created an environment in which many determinants of mental health were affected.Issues associated with the pandemic,such as loss of livelihood,limited access to medical services,reduced social interactions,and economic downturn,could potentially have adverse effects on the population's mental well-being.5 In November 2021,the World Health Organization(WHO)designated the new variant of the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),variant B.1.1.529,as a variant of concern and named it Omicron;its rapid mutation and spread raised a new global health concern.展开更多
The part of China,east of the Hu Huanyong Line,is commonly referred to as eastern China.It is characterized by a high population density and a well-developed economy;it also has huge energy demands.This study assesses...The part of China,east of the Hu Huanyong Line,is commonly referred to as eastern China.It is characterized by a high population density and a well-developed economy;it also has huge energy demands.This study assesses and promotes the large-scale development of geothermal resources in eastern China by analyzing deep geological structures,geothermal regimes,and typical geothermal systems.These analyses are based on data collected from geotectology,deep geophysics,geothermics,structural geology,and petrology.Determining the distribution patterns of intermediate-to-deep geothermal resources in the region helps develop prospects for their exploitation and utilization.Eastern China hosts superimposed layers of rocks from three major,global tectonic domainsd namely Paleo-Asian,Circum-Pacific,and Tethyan rocks.The structure of its crust and mantle exhibits a special flyover pattern,with basins and mountains as well as well-spaced uplifts and depressions alternatively on top.The lithosphere in Northeast China and North China is characterized by a thin,low density crust and mantle,whereas the lithosphere in South China has a thin,low density crust and a thick,high density mantle.The middle and upper crust contain geobodies with high conductivity and low velocity,with varying degrees of development that create favorable conditions for the formation and enrichment of geothermal resources.Moderate-to-high temperature geothermal resources are distributed in the MesozoiceCenozoic basins in eastern China,although moderate temperature geothermal resources with low abundance dominate.Porous sandstone reservoirs,karstified fractured-vuggy carbonate reservoirs,and fissured granite reservoirs are the main types of geothermal reservoirs in this region.Under the currently available technical conditions,the exploitation and utilization of geothermal resources in eastern China favor direct utilization over large-scale geothermal power generation.In Northeast China and North China,geothermal resources could be applied for large-scale geothermal heating purposes;geothermal heating could be applied during winter along parts of the Yangtze River while geothermal cooling would be more suitable for summer there;geothermal cooling could also be applied to much of South China.Geothermal resources can also be applied to high value-added industries,to aid agricultural practices,and for tourism.展开更多
The Maichen Sag in the south-central part of the Beibuwan Basin is abundant in geothermal resources that have not been widely exploited and utilized due to inadequate research on it.This study evaluated the geothermal...The Maichen Sag in the south-central part of the Beibuwan Basin is abundant in geothermal resources that have not been widely exploited and utilized due to inadequate research on it.This study evaluated the geothermal resources in the Maichen Sag based on the regional geological setting and geothermal conditions.Grid units for assessment and a geological model for areas with geothermal resources were established using spatial analysis techniques.The spatial distribution models of the physical and thermophysical properties of the geothermal reservoirs were also built using the Kriging interpolation method.Based on the terrestrial heat flow distribution in the target areas,the spatial distribution of the geo-temperature field through the inversion under the constraints of the temperature data from boreholes were predicted.Factors such as deep geo-temperature,thermophysical properties of rocks,and terrestrial heat flow values,were integrated into this quantitative evaluation of geothermal resources through the geological modeling-based volume method and the geothermal reservoir engineering-based numerical simulation method.The results show that the Maichen Sag has favorable heat source conditions with intersected,deep-rooted faults and widely developed Upper Paleozoic fissured granite geothermal reservoirs.The northern outer slope zone at a burial depth of 3‒5 km on the tectonic plane of the basement in the sag is suggested to be a potential target area,where,as calculated using the volume method,is likely to be the home to the total geothermal resources of 80.4×10^(9)GJ(i.e.,2.75×10^(9)tonnes of coal equivalent(tce))in the bedrock geothermal reservoirs at a burial depth of 3‒6 km.The geotemperature of 172‒201℃at a formation depth of 5 km in the sag also indicates that the deep geothermal resources are of high value for exploitation.展开更多
基金Program for Youth Innovation in Future Medicine,Chongqing Medical University,China,No.W0138.
文摘BACKGROUND Gastric variceal hemorrhage is one of the primary manifestations of left-sided portal hypertension(LSPH).The hemorrhage is fatal and requires safe and effective interventions.AIM To evaluate the clinical safety and efficacy of modified endoscopic ultrasound(EUS)-guided selective N-butyl-2-cyanoacrylate(NBC)injections for gastric variceal hemorrhage in LSPH.METHODS A retrospective observational study of patients with LSPH-induced gastric variceal hemorrhage was conducted.Preoperative EUS evaluations were performed.Enrolled patients were divided into modified and conventional groups according to the NBC injection technique.The final selection of NBC injection technique depended on the patients’preferences and clinical status.The technical and clinical success rates,operation time,NBC doses,perioperative complications,postoperative hospital stay,and recurrent bleeding rates were analyzed,respectively.RESULTS A total of 27 patients were enrolled.No statistically significant differences were observed between the two groups regarding baseline characteristics.In comparison to patients in the conventional group,patients in the modified group demonstrated significantly reduced NBC doses(2.0±0.6 mL vs 3.1±1.0 mL;P=0.004)and increased endoscopic operation time(71.9±11.9 min vs 22.5±6.7 min;P<0.001).Meanwhile,the two groups had no significant difference in the technical and clinical success rates,perioperative complications,postoperative hospital stay,and recurrent bleeding rates.CONCLUSION Modified EUS-guided selective NBC injections demonstrated safety and efficacy for LSPH-induced gastric variceal hemorrhage,with advantages of reduced injection dose and no radiation risk.Drawbacks were time consumption and technical challenge.
基金supported financially by the National Natural Science Foundation of China,No.82071272(to YZ).
文摘Brain-derived neurotrophic factor is a key factor in stress adaptation and avoidance of a social stress behavioral response.Recent studies have shown that brain-derived neurotrophic factor expression in stressed mice is brain region–specific,particularly involving the corticolimbic system,including the ventral tegmental area,nucleus accumbens,prefrontal cortex,amygdala,and hippocampus.Determining how brain-derived neurotrophic factor participates in stress processing in different brain regions will deepen our understanding of social stress psychopathology.In this review,we discuss the expression and regulation of brain-derived neurotrophic factor in stress-sensitive brain regions closely related to the pathophysiology of depression.We focused on associated molecular pathways and neural circuits,with special attention to the brain-derived neurotrophic factor–tropomyosin receptor kinase B signaling pathway and the ventral tegmental area–nucleus accumbens dopamine circuit.We determined that stress-induced alterations in brain-derived neurotrophic factor levels are likely related to the nature,severity,and duration of stress,especially in the above-mentioned brain regions of the corticolimbic system.Therefore,BDNF might be a biological indicator regulating stress-related processes in various brain regions.
基金Supported by the Chongqing Water Conservancy Bureau Project(No.5000002021BF40001)the National Natural Science Foundation of China(No.41601537)+1 种基金the Opening Fund of the State Key Laboratory of Environmental Geochemistry(No.SKLEG2021202)the Strategic Pilot Science and Technology(Class A,No.XDA23040303)。
文摘Global warming and algal blooms have been two of the most pressing problems faced by the world today.In recent decades,numerous studies indicated that global warming promoted the expansion of algal blooms.However,research on how algal blooms respond to global warming is scant.Global warming coupled with eutrophication promoted the rapid growth of phytoplankton,which resulted in an expansion of algal blooms.Algal blooms are affected by the combined effects of global warming,including increases in temperatures,CO_(2)concentration,and nutrient input to aquatic systems by extreme weather events.Since the growth of phytoplankton requires CO_(2),they appear to act as a carbon sink.Unfortunately,algal blooms will release CH4,CO_(2),and inorganic nitrogen when they die and decompose.As substrate nitrogen increases from decompose algal biomass,more N2O will be released by nitrification and denitrification.In comparison to CO_(2),CH4has 28-fold and N2O has 265-fold greenhouse effect.Moreover,algal blooms in the polar regions may contribute to melting glaciers and sea ice(will release greenhouse gas,which contribute to global warming)by reducing surface albedo,which consequently would accelerate global warming.Thus,algal blooms and global warming could form feedback loops which prevent human survival and development.Future researches shall examine the mechanism,trend,strength,and control strategies involved in this mutual feedback.Additionally,it will promote global projects of environmental protection combining governance greenhouse gas emissions and algal blooms,to form a geoengineering for regulating the cycles of carbon,nitrogen,and phosphorus.
基金Supported by Program for Youth Innovation in Future Medicine,Chongqing Medical University,No.W0138.
文摘This editorial comments on the article“Efficacy of multi-slice spiral computed tomography in evaluating gastric cancer recurrence after endoscopic submucosal dissection”.We focus on the importance of paying more attention to postendoscopic submucosal dissection(ESD)gastric cancer recurrence in patients with early gastric cancer(EGC)and how to manage it effectively.ESD has been a wellknown treatment and the mainstay for EGC,with the advantages of less invasion and fewer complications when compared with traditional surgical procedures.Despite a lower local recurrence rate after ESD,the problem of postoperative recurrence in patients with EGC has become increasingly non-ignorable with the global popularization of ESD technology and the increasing number of post-ESD patients.
文摘BACKGROUND Left-sided portal hypertension(LSPH),also known as sinistral portal hypertension or regional portal hypertension,refers to extrahepatic portal hypertension caused by splenic vein obstruction or stenosis.N-butyl-2-cyanoacrylate(NBC)has been widely used in the endoscopic hemostasis of portal hypertension,but adverse events including renal or pulmonary thromboembolism,mucosal necrosis and gastrointestinal(GI)bleeding may occur after treatment.Herein,we report successfully managing gastric variceal(GV)hemorrhage secondary to LSPH using modified endoscopic ultrasound(EUS)-guided selective NBC injections.CASE SUMMARY A 35-year-old man was referred to our hospital due to an upper GI hemorrhage.Gastroscopy revealed GV hemorrhage and computed tomography venography(CTV)confirmed LSPH.The patient requested endoscopic procedures and rejected surgical therapies including splenectomy.EUS-guided selective NBC injections were performed and confluences of gastric varices were selected as the injection sites to reduce the injection dose.The“sandwich”method using undiluted NBC and hypertonic glucose was applied.No complications occurred.The patient was followed up regularly after discharge.Three months later,the follow-up gastroscopy revealed firm gastric submucosa with no sign of NBC expulsion and the follow-up CTV showed improvements in LSPH.No recurrent GI hemorrhage was reported during this follow-up period.CONCLUSION EUS-guided selective NBC injection may represent an effective and economical treatment for GV hemorrhage in patients with LSPH.
基金Financial support for the present study was received from Ministry of Science and Technology of China(No 2020YFC2006000).
文摘Background The correlation between cognitive function and lipid profiles,including total cholesterol,low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C)and triglycerides,is inconsistent.Aims This cross-sectional study investigated the association between serum lipid levels and the prevalence of cognitive impairment among community-dwelling older adults and explored this difference in association by gender and urban-rural residency.Methods Participants aged 65 and above in urban and rural areas were recruited between 2018 and 2020,selected from the Hubei Memory and Aging Cohort Study.Detailed neuropsychological evaluations,clinical examinations and laboratory tests were conducted in community health service centres.Multivariate logistic regression was used to analyse the correlation between serum lipid profiles and the prevalence of cognitive impairment.Results We identified 1336 cognitively impaired adults(≥65 years)-1066 with mild cognitive impairment and 270 with dementia-from 4746 participants.Triglycerides level was correlated with cognitive impairment in the total sample(χ2=6.420,p=0.011).In gender-stratified multivariate analysis,high triglycerides in males reduced the risk of cognitive impairment(OR:0.785,95%CI:0.623 to 0.989,p=0.040),and high LDL-C in females increased the risk of cognitive impairment(OR:1.282,95%CI:1.040 to 1.581,p=0.020).In both gender-stratified and urban-rural stratified multivariate analyses,high triglycerides reduced the risk of cognitive impairment in older urban men(OR:0.734,95%CI:0.551 to 0.977,p=0.034),and high LDL-C increased the risk of cognitive impairment in older rural women(OR:1.830,95%CI:1.119 to 2.991,p=0.016).Conclusions There are gender and urban-rural differences in the correlation of serum lipids with cognitive impairment.High triglycerides levels may be a protective factor for cognitive function in older urban men,while high LDL-C levels may be a risk factor for cognitive function in older rural women.
基金the National Natural Science Foundation of China (92034301,22078063 and 22022804)Major Program of Qingyuan Innovation Laboratory (00121003)the Natural Science Foundation of Fujian Province (2020H6007)。
文摘The activation of H_(2)O is a key step of the COS hydrolysis,which may be tuned by oxygen vacancy defects in the catalysts.Herein,we have introduced Cu into Co_(3)O_(4) to regulate the oxygen vacancy defect content of the catalysts.In situ DRIFTS and XPS spectra reveal that COS and H_(2)O are adsorbed and activated by oxygen vacancy.The 10 at%Cu doped Co_(3)O_(4) sample(10Cu-Co_(3)O_(4))exhibits the optimal activity,100%of COS conversion at 70℃.The improved oxygen vacancies of CueCo_(3)O_(4) accelerate the activation of H_(2)O to form active -OH.COS binds with hydroxyl to form the intermediate HSCO^(-)_(2),and then the activated-OH on the oxygen vacancy reacts with HSCO^(-)_(2) to form HCO^(-)_(3).Meanwhile,the catalyst exhibits high catalytic stability because copper species(Cu+/Cu^(2+))redox cycle mitigate the sulfation of Co_(3)O_(4)(Co^(2+)/Co^(3+)).Our work offers a promising approach for the rational design of cobalt-related catalysts in the highly efficient hydrolysis COS process.
基金supported by the National Natural Science Foundation of China (32272834)。
文摘The Boer goat is one of the top meat breeds in modern animal husbandry and has attracted widespread attention for its unique growth performance.However,the genetic basis of muscle development in the Boer goat remains obscure.In this study,we identified specific structural variants in the Boer goat based on genome-wide selection signals and analyzed the basis of the molecular heredity of related candidate genes in muscle development.A total of9 959 autosomal copy number variations(CNVs) were identified through selection signal analysis in 127 goat genomes.Specifically,we confirmed that the highest signal CNV(HSV) was a chromosomal arrangement containing an approximately 1.11 Mb(CHIR17:60062304-61171840 bp) duplicated fragment inserted in reverse orientation and a 5 362 bp deleted region(CHIR17:60145940-60151302 bp) with overlapping genes(e.g.,ARHGAP10,NR3C2,EDNRA,PRMT9,and TMEM184C).The homozygous duplicated HSV genotype(+/+) was found in 96% of Boer goats but was not detected in Eurasian goats and was only detected in 4% of indigenous African goats.The expression network of three candidate genes(ARHGAP10,NR3C2,and EDNRA)regulating dose transcription was constructed by RNA sequencing.Results indicated that these genes were involved in the proliferation and differentiation of skeletal muscle satellite cells(SMSCs) and their overexpression significantly increased the expression of SAA3.The HSV of the Boer goat contributed to superior skeletal muscle growth via the dose effects of overlapping genes.
文摘Infected necrotizing pancreatitis(INP)represents a severe condition in patients with acute pancreatitis.Invasive interventions are recommended in symptomatic INP.Growing evidence has suggested interventional strategies of INP evolving from traditional surgery to minimally invasive step-up endoscopic procedures.However,there is still no standardized protocol for endoscopic interventions.Recently,various studies have been published about the endoscopic management of INP.This article reviews published articles and guidelines to present the progress and challenges of endoscopic transluminal drainage and necrosectomy in INP.
基金Supported by Chongqing Science and Health Joint Medical Research Project,No.2021MSXM034.
文摘BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery.Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples.AIM To investigate the correlations among mindfulness,marital quality,anxiety,and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas.METHODS A cross-sectional study was conducted.The self-administered questionnaire was submitted online through smartphones.The levels of mindfulness,anxiety,depression,and marital quality were respectively investigated by the mindful attention awareness scale(MAAS),the self-rating anxiety scale(SAS),the selfrating depression scale(SDS),and the marriage perception scale(MPS)in these enrolled Han and Tujia primiparas.RESULTS No statistical significance was observed in the prevalence of postpartum anxiety and depression,nor scores of MAAS and MPS-Total in different regions or ethnicities(P>0.05).However,MPSMarital interaction(P<0.05),MPS-Family relationship(MPS-FR)(P<0.01),and MPS-Marital conflict(MPS-MC)(P<0.01)scores of urban primiparas were higher than those of rural primiparas.The MPS-MC score of Han primiparas was higher than that of Tujia primiparas(P<0.05).Negative correlations were observed between MAAS and SAS(r=-0.457,P<0.01),and MAAS and SDS(r=-0.439,P<0.01).SAS has revealed a highly positive correlation with SDS(r=0.720,P<0.01)and a weak negative correlation with MPS(r=-0.200,P<0.05).Besides,a weak negative correlation was observed between MAAS and MPS-MC(r=-0.184,P<0.05),and a weak positive correlation was noticed between SAS and MPS-MC(r=-0.225,P<0.01).Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety(P<0.05,95%CI:-0.384 to 0.033),MPS-MC and postpartum anxiety(P<0.01,95%CI:0.027-0.193),MPS-FR and postpartum depression(P<0.05,95%CI:-0.365 to 0.031),and MPS-MC and postpartum depression(P<0.01,95%CI:0.022-0.206).CONCLUSION Mindfulness demonstrates negative correlations with marital conflict,postpartum anxiety and depression,and it may have cross-ethnic and trans-regional characteristics.Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study,it demonstrates a full mediation effect on the relationships between family relationships,marital conflict,and postpartum anxiety and depression.
基金support from the National Key R&D Program of China(2019YFE0120300)the National Natural Science Foundation of China(NSFC,11904266,62204174 and 91850207)the Fundamental Research Funds for the Central Universities(2042021kf0202 and 2042021kf0069)。
文摘Antimony trisulfide(Sb_(2)S_(3)) solar cells suffer from large open circuit voltage deficits due to their intrinsic defects which limit the power conversion efficiency.Thus,it is important to elucidate these defects’ origin and defects at the interface.Here,we discover that sulfide radical defects have a significant impact on the performance of Sb_(2)S_(3)solar cells.Moreover,it has been illustrated that these defects at the CdS/Sb_(2)S_(3)interface can be reduced by optimizing the deposition process.A trap distribution model is used to quantify the defect density at the CdS/Sb_(2)S_(3)interface.It shows that the interface defects can be reduced by24% by improving the deposition process.This work reveals the importance of interface defects and guides the future optimization of Sb_(2)S_(3)solar cells.
基金supported by the National Natural Science Foundation of China under Grant No.62072146The Key Research and Development Program of Zhejiang Province under Grant No.2021C03187+1 种基金National Key Research and Development Program of China 2019YFB2102100The State Key Laboratory of Computer Architecture(ICT,CAS)under Grant No.CARCHB202120.
文摘Federated learning is a distributedmachine learningmethod that can solve the increasingly serious problemof data islands and user data privacy,as it allows training data to be kept locally and not shared with other users.It trains a globalmodel by aggregating locally-computedmodels of clients rather than their rawdata.However,the divergence of local models caused by data heterogeneity of different clients may lead to slow convergence of the global model.For this problem,we focus on the client selection with federated learning,which can affect the convergence performance of the global model with the selected local models.We propose FedChoice,a client selection method based on loss function optimization,to select appropriate local models to improve the convergence of the global model.It firstly sets selected probability for clients with the value of loss function,and the client with high loss will be set higher selected probability,which can make them more likely to participate in training.Then,it introduces a local control vector and a global control vector to predict the local gradient direction and global gradient direction,respectively,and calculates the gradient correction vector to correct the gradient direction to reduce the cumulative deviationof the local gradient causedby theNon-IIDdata.Wemake experiments to verify the validity of FedChoice on CIFAR-10,CINIC-10,MNIST,EMNITS,and FEMNIST datasets,and the results show that the convergence of FedChoice is significantly improved,compared with FedAvg,FedProx,and FedNova.
基金supported by the National Key Research and Development Programme of China(2020YFC2006000).
文摘To the editor:The impact of the coronavirus disease 2019(COVID-19)pandemic in 2020 on mental health was substantialin Chinai2and various other countries.34 Beyond the direct consequences of COVID-19,the pandemic created an environment in which many determinants of mental health were affected.Issues associated with the pandemic,such as loss of livelihood,limited access to medical services,reduced social interactions,and economic downturn,could potentially have adverse effects on the population's mental well-being.5 In November 2021,the World Health Organization(WHO)designated the new variant of the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),variant B.1.1.529,as a variant of concern and named it Omicron;its rapid mutation and spread raised a new global health concern.
基金This work was funded by a number of scientific research programs,including grants from the National Key Research and Development Program of China,titled‘Evaluation and Optimal Target Selection of Deep Geothermal Resources in the Igneous Province in South China’(Project No.2019YFC0604903)‘Analysis and Geothermal Reservoir Stimulation Methods of Deep High-temperature Geothermal Systems in East China’(Project No.2021YFA0716004)+2 种基金a grant from the Joint Fund Program of the National Natural Science Foundation of China and Sinopec,titled‘Deep Geological Processes and Resource Effects of Basins’(Project No.U20B6001)two grants from the Sinopec Science and Technology Research Program,titled'Single well evaluation of Well Fushenre 1 and study on the potential of deep geothermal resources in Hainan'(Project No.P23131)‘Siting and Target Evaluation of Deep Geothermal Resources in Key Areas of Southeastern China’(Project No.P20041-1).
文摘The part of China,east of the Hu Huanyong Line,is commonly referred to as eastern China.It is characterized by a high population density and a well-developed economy;it also has huge energy demands.This study assesses and promotes the large-scale development of geothermal resources in eastern China by analyzing deep geological structures,geothermal regimes,and typical geothermal systems.These analyses are based on data collected from geotectology,deep geophysics,geothermics,structural geology,and petrology.Determining the distribution patterns of intermediate-to-deep geothermal resources in the region helps develop prospects for their exploitation and utilization.Eastern China hosts superimposed layers of rocks from three major,global tectonic domainsd namely Paleo-Asian,Circum-Pacific,and Tethyan rocks.The structure of its crust and mantle exhibits a special flyover pattern,with basins and mountains as well as well-spaced uplifts and depressions alternatively on top.The lithosphere in Northeast China and North China is characterized by a thin,low density crust and mantle,whereas the lithosphere in South China has a thin,low density crust and a thick,high density mantle.The middle and upper crust contain geobodies with high conductivity and low velocity,with varying degrees of development that create favorable conditions for the formation and enrichment of geothermal resources.Moderate-to-high temperature geothermal resources are distributed in the MesozoiceCenozoic basins in eastern China,although moderate temperature geothermal resources with low abundance dominate.Porous sandstone reservoirs,karstified fractured-vuggy carbonate reservoirs,and fissured granite reservoirs are the main types of geothermal reservoirs in this region.Under the currently available technical conditions,the exploitation and utilization of geothermal resources in eastern China favor direct utilization over large-scale geothermal power generation.In Northeast China and North China,geothermal resources could be applied for large-scale geothermal heating purposes;geothermal heating could be applied during winter along parts of the Yangtze River while geothermal cooling would be more suitable for summer there;geothermal cooling could also be applied to much of South China.Geothermal resources can also be applied to high value-added industries,to aid agricultural practices,and for tourism.
基金This work was funded by multiple scientific research programs,including Evaluation and Optimal Target Selection of Deep Geothermal Resources in the Igneous Province in South China(No.:2019YFC0604903)Analysis and Geothermal Reservoir Stimulation Methods of Deep High-temperature Geothermal Systems in East China(No.:2021YFA0716004)of the National Key Research and Development Program of China+1 种基金a project entitled Deep Geological Processes and Resource Effects of Basins(No.:U20B6001)of the Joint Fund Program of the National Natural Science Foundation of China and Sinopeca project entitled Siting and Target Evaluation of Deep Geothermal Resources in Key Areas of Southeastern China(No.:P20041-1)of the Sinopec Science and Technology Research Program.
文摘The Maichen Sag in the south-central part of the Beibuwan Basin is abundant in geothermal resources that have not been widely exploited and utilized due to inadequate research on it.This study evaluated the geothermal resources in the Maichen Sag based on the regional geological setting and geothermal conditions.Grid units for assessment and a geological model for areas with geothermal resources were established using spatial analysis techniques.The spatial distribution models of the physical and thermophysical properties of the geothermal reservoirs were also built using the Kriging interpolation method.Based on the terrestrial heat flow distribution in the target areas,the spatial distribution of the geo-temperature field through the inversion under the constraints of the temperature data from boreholes were predicted.Factors such as deep geo-temperature,thermophysical properties of rocks,and terrestrial heat flow values,were integrated into this quantitative evaluation of geothermal resources through the geological modeling-based volume method and the geothermal reservoir engineering-based numerical simulation method.The results show that the Maichen Sag has favorable heat source conditions with intersected,deep-rooted faults and widely developed Upper Paleozoic fissured granite geothermal reservoirs.The northern outer slope zone at a burial depth of 3‒5 km on the tectonic plane of the basement in the sag is suggested to be a potential target area,where,as calculated using the volume method,is likely to be the home to the total geothermal resources of 80.4×10^(9)GJ(i.e.,2.75×10^(9)tonnes of coal equivalent(tce))in the bedrock geothermal reservoirs at a burial depth of 3‒6 km.The geotemperature of 172‒201℃at a formation depth of 5 km in the sag also indicates that the deep geothermal resources are of high value for exploitation.
