Objective:The global aim to lower preterm birth rates has been hampered by the insufficient and incomplete understanding of its etiology,classification,and diagnosis.This study was designed to evaluate the association...Objective:The global aim to lower preterm birth rates has been hampered by the insufficient and incomplete understanding of its etiology,classification,and diagnosis.This study was designed to evaluate the association of phenotypically classified preterm syndromes with neonatal outcomes;to what extent would these outcomes be modified after the obstetric interventions,including use of glucocorticoid,magnesium sulfate,and progesterone.Methods:This was a retrospective cohort study conducted at Tongji Hospital(composed of Main Branch,Optical Valley Branch and Sino-French New City Branch)in Wuhan.A total of 900 pregnant women and 1064 neonates were retrospectively enrolled.The outcomes were the distribution of different phenotypes among parturition signs and pathway to delivery,the association of phenotypically classified clusters with short-term unfavorable neonatal outcomes,and to what extent these outcomes could be modified by obstetric interventions.Results:Eight clusters were identified using two-step cluster analysis,including premature rupture of fetal membranes(PPROM)phenotype,abnormal amniotic fluid(AF)phenotype,placenta previa phenotype,mixed condition phenotype,fetal distress phenotype,preeclampsia-eclampsia&hemolysis,elevated liver enzymes,and low platelets syndrome(PE-E&HELLP)phenotype,multiple fetus phenotype,and no main condition phenotype.Except for no main condition phenotype,the other phenotypes were associated with one or more complications,which conforms to the clinical practice.Compared with no main condition phenotype,some phenotypes were significantly associated with short-term adverse neonatal outcomes.Abnormal AF phenotype,mixed condition phenotype,PE-E&HELLP phenotype,and multiple fetus phenotype were risk factors for neonatal small-for gestation age(SGA);placenta previa phenotype was not associated with adverse outcomes except low APGAR score being 0-7 at one min;mixed condition phenotype was associated with low APGAR scores,SGA,mechanical ventilation,and gradeⅢ-Ⅳintraventricular hemorrhage(IVH);fetal distress phenotype was frequently associated with neonatal SGA and mechanical ventilation;PE-E&HELLP phenotype was correlated with low APGAR score being 0-7 at one min,SGA and neonatal intensive care unit(NICU)admission;multiple fetus phenotype was not a risk factor for the outcomes included except for SGA.Not all neonates benefited from obstetric interventions included in this study.Conclusion:Our research disclosed the independent risk of different preterm phenotypes for adverse pregnancy outcomes.This study is devoted to putting forward the paradigm of classifying preterm birth phenotypically,with the ultimate purpose of defining preterm phenotypes based on multi-center studies and diving into the underlying mechanisms.展开更多
Placenta accreta spectrum disorder (PASD) and placenta previa (PP) are two of the mosthideous obstetric complications which are usually associated with a history of cesarean section(CS). Moreover, women with PASD, PP ...Placenta accreta spectrum disorder (PASD) and placenta previa (PP) are two of the mosthideous obstetric complications which are usually associated with a history of cesarean section(CS). Moreover, women with PASD, PP and/or a cesarean scarred uterus are more likely to haveadverse pregnancy outcomes, including blood transfusion, hysterectomy, pelvic organs damage,postpartum hemorhage, disseminated intravascular coagulation, multi-organ dysfunction syndromeand even maternal or fetal death. This study aimed to investigate the efficacy of precesareaninternal iliac artery balloon catheterization (BC) for managing severe hemorhage caused by PASDand PP with a history of CS. This participant-assigned interventional study was conducted inTongji Hospital. We recruited 128 women with suspected PASD, PP and a history of CS. Womenin the BC group accepted precesarean BC of bilateral internal iliac arteries before the scheduledcesarean delivery. Women in the control group underwent a conventional cesarean delivery.Intraoperative hemorrhage, transfusion volume, radiation dose, exposure time, complicationsand neonatal outcomes were discussed. There were significant differences in calculated bloodloss (CBL) between BC group and control group (1015.0±144.9 vs. 1467.0±171.0 mL, P=0.04).Precesarean BC could reduce intraoperative red blood cell (RBC) transfusion as compared withcontrol group (799.5±136.1 vs. 1286.0±161.6 mL, P=0.02) and lessen the rate of using bloodproducts (57.1% vs. 76.4%, P=0.02). The incidence of hysterectomy was also lower in BC groupthan in control group. Postpartum outcomes showed no significant differences between the twogroups, except that postoperation hospitalization was longer in BC group than in control group(6.7±0.4 vs. 5.8±0.2 days, P=0.03). Precesarean BC of internal iliac artery is an effective methodfor managing severe hemorrhage caused by PASD and PP with a cesarean scarred uterus, as it couldreduce intraoperative blood loss, lessen intraoperative RBC transfusions and potentially decreasehysterectomies.展开更多
Nickel-based superalloys have been widely used in aerospace fields,especially for engine hot-end parts,because of their excellent high-temperature resistance.However,they are difficult to machine and process because o...Nickel-based superalloys have been widely used in aerospace fields,especially for engine hot-end parts,because of their excellent high-temperature resistance.However,they are difficult to machine and process because of their special properties.High-energy beam additive manufacturing(HEB-AM)of nickel-based superalloys has shown great application potential in aerospace and other fields.However,HEB-AM of nickel-based superalloys faces serious cracking problems because of the unique characteristics of superalloys,and this has become the most significant bottleneck restricting their application.In this review,the current research status related to the types,formation mechanisms,and suppression methods of cracks in nickel-based superalloys produced by HEB-AM is described.The initiation and propagation mechanisms of cracks and their multiple influencing factors are also analyzed and discussed.Then,several possible research directions to solve the cracking problems in nickel-based superalloys produced by HEB-AM are outlined.This review provides an in-depth and comprehensive understanding of the cracking problem in AM nickel-based superalloys.It also provides valuable references for AM crack-free nickel-based superalloy components.展开更多
Lithium rich layered oxides(LLOs)are attractive cathode materials for Li-ion batteries owing to their high capacity(>250 mA h g^(-1))and suitable voltage(∼3.6 V).However,they suffer from serious voltage and capaci...Lithium rich layered oxides(LLOs)are attractive cathode materials for Li-ion batteries owing to their high capacity(>250 mA h g^(-1))and suitable voltage(∼3.6 V).However,they suffer from serious voltage and capacity fading,which is focused in this review.First,an overview of crystal structure,band structure and electrochemical performances of LLOs is provided.After that,current understanding on oxygen loss,capacity fading and voltage fading is summarized.Finally,five strategies to mitigate capacity and voltage fading are reviewed.It is believed that these understandings can help solve the fading problems of LLOs.展开更多
Glutathione S-transferases(GSTs)are important drug-metabolizing enzymes that catalyze the binding of glutathione(GSH)to electrophilic substances.GST has genetic polymorphism,and the enzyme activity of GST affects the ...Glutathione S-transferases(GSTs)are important drug-metabolizing enzymes that catalyze the binding of glutathione(GSH)to electrophilic substances.GST has genetic polymorphism,and the enzyme activity of GST affects the metabolism of certain drugs in vivo.In the present day,we investigated the GST enzyme activity and GSTA1 gene polymorphism in 170 patients with hematological diseases and explored their relationship.The GSTA1 gene polymorphism of the patient was analyzed by PCR-restriction fragment length polymorphism(PCR-RFLP)technique,and the base sequences of the four mutation sites(-631,-567,-69,and-52)in the promoter region were determined by DNA-Sequencer.The patient’s GST enzyme activity was calculated by measuring the rate at which it catalyzed the reaction between 1-chloro-2,4-dinitrobenzene(CDNB)and GSH.The average GST enzyme activities of males and females were 5.20±0.13 and 5.17±0.12 nmol/min/mL,respectively,and the difference was not significant(P=0.91).The frequencies of genotypes GSTA1*A*A(wild genotype),GSTA1*A*B(heterozygous genotype),and GSTA1*B*B(homozygous mutant genotype)were 75.3%,22.9%,and 1.8%,respectively.Alleles GSTA1*A and*B were distributed at 86.8%and 13.2%,respectively.The genotype frequency distribution between males and females was no significant difference by Pearson’s chi-square test(P=0.743).The average GST activity of the heterozygous mutant genotype(4.83±0.76 nmol/min/mL)was lower than the wild genotype(5.34±1.26 nmol/min/mL,P=0.018),and higher than that of the homozygous mutant genotype(3.32±0.07 nmol/min/mL,P=0.022).These findings might help us improve the individualized treatment of patients with hematological diseases in the future and promote the development of precision medicine for blood diseases.展开更多
基金supported by the National Science Foundation of China(No.81873843)the National Science and Technology Pillar Program of China during the Twelfth Five-Year Plan Period(No.2014BAI05B05)the Fundamental Research Funds for the Central Universities(Nos.2017KFYXJJ102,2019KFYXKJC053).
文摘Objective:The global aim to lower preterm birth rates has been hampered by the insufficient and incomplete understanding of its etiology,classification,and diagnosis.This study was designed to evaluate the association of phenotypically classified preterm syndromes with neonatal outcomes;to what extent would these outcomes be modified after the obstetric interventions,including use of glucocorticoid,magnesium sulfate,and progesterone.Methods:This was a retrospective cohort study conducted at Tongji Hospital(composed of Main Branch,Optical Valley Branch and Sino-French New City Branch)in Wuhan.A total of 900 pregnant women and 1064 neonates were retrospectively enrolled.The outcomes were the distribution of different phenotypes among parturition signs and pathway to delivery,the association of phenotypically classified clusters with short-term unfavorable neonatal outcomes,and to what extent these outcomes could be modified by obstetric interventions.Results:Eight clusters were identified using two-step cluster analysis,including premature rupture of fetal membranes(PPROM)phenotype,abnormal amniotic fluid(AF)phenotype,placenta previa phenotype,mixed condition phenotype,fetal distress phenotype,preeclampsia-eclampsia&hemolysis,elevated liver enzymes,and low platelets syndrome(PE-E&HELLP)phenotype,multiple fetus phenotype,and no main condition phenotype.Except for no main condition phenotype,the other phenotypes were associated with one or more complications,which conforms to the clinical practice.Compared with no main condition phenotype,some phenotypes were significantly associated with short-term adverse neonatal outcomes.Abnormal AF phenotype,mixed condition phenotype,PE-E&HELLP phenotype,and multiple fetus phenotype were risk factors for neonatal small-for gestation age(SGA);placenta previa phenotype was not associated with adverse outcomes except low APGAR score being 0-7 at one min;mixed condition phenotype was associated with low APGAR scores,SGA,mechanical ventilation,and gradeⅢ-Ⅳintraventricular hemorrhage(IVH);fetal distress phenotype was frequently associated with neonatal SGA and mechanical ventilation;PE-E&HELLP phenotype was correlated with low APGAR score being 0-7 at one min,SGA and neonatal intensive care unit(NICU)admission;multiple fetus phenotype was not a risk factor for the outcomes included except for SGA.Not all neonates benefited from obstetric interventions included in this study.Conclusion:Our research disclosed the independent risk of different preterm phenotypes for adverse pregnancy outcomes.This study is devoted to putting forward the paradigm of classifying preterm birth phenotypically,with the ultimate purpose of defining preterm phenotypes based on multi-center studies and diving into the underlying mechanisms.
基金supported by grants from the NationalScience & Technology Pillar Program of China duringthe Twelfth Five-year Plan Period (No. 2014BAI05B05)the National Natural Science Foundation of China (No.81873843)the Foundation at Research Funds forthe Central Universities (No. 2017kfyXJJ102 and No.2019kfyXKJC053).
文摘Placenta accreta spectrum disorder (PASD) and placenta previa (PP) are two of the mosthideous obstetric complications which are usually associated with a history of cesarean section(CS). Moreover, women with PASD, PP and/or a cesarean scarred uterus are more likely to haveadverse pregnancy outcomes, including blood transfusion, hysterectomy, pelvic organs damage,postpartum hemorhage, disseminated intravascular coagulation, multi-organ dysfunction syndromeand even maternal or fetal death. This study aimed to investigate the efficacy of precesareaninternal iliac artery balloon catheterization (BC) for managing severe hemorhage caused by PASDand PP with a history of CS. This participant-assigned interventional study was conducted inTongji Hospital. We recruited 128 women with suspected PASD, PP and a history of CS. Womenin the BC group accepted precesarean BC of bilateral internal iliac arteries before the scheduledcesarean delivery. Women in the control group underwent a conventional cesarean delivery.Intraoperative hemorrhage, transfusion volume, radiation dose, exposure time, complicationsand neonatal outcomes were discussed. There were significant differences in calculated bloodloss (CBL) between BC group and control group (1015.0±144.9 vs. 1467.0±171.0 mL, P=0.04).Precesarean BC could reduce intraoperative red blood cell (RBC) transfusion as compared withcontrol group (799.5±136.1 vs. 1286.0±161.6 mL, P=0.02) and lessen the rate of using bloodproducts (57.1% vs. 76.4%, P=0.02). The incidence of hysterectomy was also lower in BC groupthan in control group. Postpartum outcomes showed no significant differences between the twogroups, except that postoperation hospitalization was longer in BC group than in control group(6.7±0.4 vs. 5.8±0.2 days, P=0.03). Precesarean BC of internal iliac artery is an effective methodfor managing severe hemorrhage caused by PASD and PP with a cesarean scarred uterus, as it couldreduce intraoperative blood loss, lessen intraoperative RBC transfusions and potentially decreasehysterectomies.
基金National Natural Science Foundation of China(Grant Nos.52201040,52275333)China Postdoctoral Science Foundation(Grant No.2021M701291)+2 种基金AVIC Manufacturing Technology Institute of China(Grant No.KZ571801)Hubei Provincial Department of Science and Technology 2020 Provincial Key R&D Plan of China(Grant No.2020BAB049)Wuhan Science and Technology Project of China(Grant No.2020010602012037).
文摘Nickel-based superalloys have been widely used in aerospace fields,especially for engine hot-end parts,because of their excellent high-temperature resistance.However,they are difficult to machine and process because of their special properties.High-energy beam additive manufacturing(HEB-AM)of nickel-based superalloys has shown great application potential in aerospace and other fields.However,HEB-AM of nickel-based superalloys faces serious cracking problems because of the unique characteristics of superalloys,and this has become the most significant bottleneck restricting their application.In this review,the current research status related to the types,formation mechanisms,and suppression methods of cracks in nickel-based superalloys produced by HEB-AM is described.The initiation and propagation mechanisms of cracks and their multiple influencing factors are also analyzed and discussed.Then,several possible research directions to solve the cracking problems in nickel-based superalloys produced by HEB-AM are outlined.This review provides an in-depth and comprehensive understanding of the cracking problem in AM nickel-based superalloys.It also provides valuable references for AM crack-free nickel-based superalloy components.
基金supported by China-Japanese Research Cooperative Program founded by the Ministry of Science and Technology of the People’s Republic of China(2017YFE0127600)the National Natural Science Foundation of China(No.21978153,51774191).
文摘Lithium rich layered oxides(LLOs)are attractive cathode materials for Li-ion batteries owing to their high capacity(>250 mA h g^(-1))and suitable voltage(∼3.6 V).However,they suffer from serious voltage and capacity fading,which is focused in this review.First,an overview of crystal structure,band structure and electrochemical performances of LLOs is provided.After that,current understanding on oxygen loss,capacity fading and voltage fading is summarized.Finally,five strategies to mitigate capacity and voltage fading are reviewed.It is believed that these understandings can help solve the fading problems of LLOs.
文摘Glutathione S-transferases(GSTs)are important drug-metabolizing enzymes that catalyze the binding of glutathione(GSH)to electrophilic substances.GST has genetic polymorphism,and the enzyme activity of GST affects the metabolism of certain drugs in vivo.In the present day,we investigated the GST enzyme activity and GSTA1 gene polymorphism in 170 patients with hematological diseases and explored their relationship.The GSTA1 gene polymorphism of the patient was analyzed by PCR-restriction fragment length polymorphism(PCR-RFLP)technique,and the base sequences of the four mutation sites(-631,-567,-69,and-52)in the promoter region were determined by DNA-Sequencer.The patient’s GST enzyme activity was calculated by measuring the rate at which it catalyzed the reaction between 1-chloro-2,4-dinitrobenzene(CDNB)and GSH.The average GST enzyme activities of males and females were 5.20±0.13 and 5.17±0.12 nmol/min/mL,respectively,and the difference was not significant(P=0.91).The frequencies of genotypes GSTA1*A*A(wild genotype),GSTA1*A*B(heterozygous genotype),and GSTA1*B*B(homozygous mutant genotype)were 75.3%,22.9%,and 1.8%,respectively.Alleles GSTA1*A and*B were distributed at 86.8%and 13.2%,respectively.The genotype frequency distribution between males and females was no significant difference by Pearson’s chi-square test(P=0.743).The average GST activity of the heterozygous mutant genotype(4.83±0.76 nmol/min/mL)was lower than the wild genotype(5.34±1.26 nmol/min/mL,P=0.018),and higher than that of the homozygous mutant genotype(3.32±0.07 nmol/min/mL,P=0.022).These findings might help us improve the individualized treatment of patients with hematological diseases in the future and promote the development of precision medicine for blood diseases.