Enhancing host immunity is an effective way to reduce morbidity in chickens.Heterophil to lymphocyte ratio(H/L)is associated with host disease resistance in birds.Chickens with different H/L levels show different dise...Enhancing host immunity is an effective way to reduce morbidity in chickens.Heterophil to lymphocyte ratio(H/L)is associated with host disease resistance in birds.Chickens with different H/L levels show different disease resistances.However,the utility of the H/L as an indicator of immune function needs to be further analyzed.In this study,a H/L directional breeding chicken line(Jingxing yellow chicken)was constructed,which has been bred for 12 generations.We compared the function of heterophils,and combined statistical analysis to explore the candidate genes and pathways related to H/L.The oxidative burst function of the heterophils isolated from the H/L selection line(G12)was increased(P=0.044)compared to the non-selection line(NS).The 22.44 Mb genomic regions which annotated 300 protein-coding genes were selected in the genome of G9(n=92)compared to NS(n=92)based on a genome-wide selective sweep.Several selective regions were identified containing genes like interferon induced with helicase C domain 1(IFIH1)and moesin(MSN)associated with the intracellular receptor signaling pathway,C–C motif chemokine receptor 6(CCR6),dipeptidyl peptidase 4(DPP4)and hemolytic complement(HC)associated with the negative regulation of leukocyte chemotaxis and tight junction protein 1(TJP1)associated with actin cytoskeleton organization.In addition,45 genome-wide significant indels containing 29 protein-coding genes were also identified as associated with the H/L based on genome-wide association study(GWAS).The expression of protein tyrosine phosphatase non-receptor type 5(PTPN5)(r=0.75,P=0.033)and oxysterol binding protein like 5(OSBPL5)(r=0.89,P=0.0027)were positively correlated with H/L.Compared to the high H/L group,the expressions of PTPN5 and OSBPL5 were decreased(P<0.05)in the low H/L group of Beijing you chicken.The A/A allelic frequency of indel 5_13108985(P=3.85E–06)within OSBPL5 gradually increased from the NS to G5 and G9,and the individuals with A/A exhibited lower H/L than individuals with heterozygote A/ATCT(P=4.28E–04)and homozygous ATCT/ATCT(P=3.40E–05).Above results indicated oxidative burst function of heterophils were enhanced,and 22.44 Mb genomic regions were selected with the directional selection of H/L.In addition,PTPN5 and OSBPL5 genes were identified as H/L-related candidate genes.These findings revealed the complex genetic mechanism of H/L related to immunity and will allow selection for improving chicken immunity based on the H/L.展开更多
[Objectives]Protein energy ratio refers to the proportional relationship between protein and energy levels in animal diets,i.e.,the grams of crude protein corresponding to every megacalorie of energy,which is generall...[Objectives]Protein energy ratio refers to the proportional relationship between protein and energy levels in animal diets,i.e.,the grams of crude protein corresponding to every megacalorie of energy,which is generally expressed as CP:ME or CP:DE.This study was conducted to investigate the effects of different diets on fattening and slaughter performance and meat quality traits for"L(Large Yorkshire)×L(Landrace)"crossbred pigs.[Methods]Eighteen piglets of L×L crossbred with similar body weights about 51 kg were selected.The piglets were divided into 3 groups randomly and each group was assigned to 3 replicates with 2 piglets in a replicate.Group A was fed diet Ⅰ (control diet),group B was fed the same diet of group A in the first month of the trial but fed diet Ⅱ in second month,and group C consumed diet Ⅲ.All the pigs were fed in the same feeding condition for two months except the different diets during the trial.One pig in similar body weight from each replicate was slaughtered for the determination of slaughter performance and meat quality traits in the end of the trial.[Results]The average daily feed intake(ADFI)of pigs from group B was only(2.32±0.52)kg and significantly lower than those from group A and group C(P<0.05),but no difference was found in average daily gain(ADG) and feed/gain(P>0.05).Also,no differences occurred in the carcass length,back fat thickness,longissimus muscle (LM) area and dressing percentage(P>0.05).In addition,no differences were found in the meat quality traits of shear force,meat color,pH_(45 min),pH_(24 h) and cooking loss(P>0.05).However,the water-holding capacity of meat from group C was(2.58±0.02)ms and significantly lower than that of(2.80±0.20)ms from group A(P<0.05).Although the contents of glutamic acid and cystine in LM from group B was significantly lower than those from group A and group C(P<0.05),no differences occurred in the contents of other amino acids,the total amino acid and total flavor amino acid among the three groups(P>0.05).However,the inosine monophosphate content of LM from group C was only(331.80±11.53)mg/100 g and significantly lower than those of(361.00±6.36)and(366.37±4.80)mg/100 g from group A and B(P<0.05).Even though no differences were found in the contents of DM and CP in LM among the three groups of pigs,the content of intramuscular fat(IMF)in LM from group B and group C was increased by 45.6%and 46.58%respectively from that of group A(P<0.05),but no difference occurred between group B and C(P>0.05).[Conclusions]DietsⅡ and Ⅲ in this study caused no differences in fattening and slaughter performance of L×L crossbred pigs,but the effects on some meat traits were still significant,especially on the improvement of intramuscular fat in experimental pigs.Therefore,they could improve the meat quality of crossbred pigs to a certain extent.展开更多
Monopiles are the most common foundation form of offshore wind turbines,which bear the vertical load,lateral load and bending moment.It remains uncertain whether the applied vertical load increases the lateral deflect...Monopiles are the most common foundation form of offshore wind turbines,which bear the vertical load,lateral load and bending moment.It remains uncertain whether the applied vertical load increases the lateral deflection of the pile.This paper investigated the influence of vertical load on the behaviour of monopiles installed in the sand under combined load using three-dimensional numerical methods.The commercial software PLAXIS was used for simulations in this paper.Monopiles were modelled as a structure incorporating linear elastic material behaviour and soil was modelled using the Hardening-Soil(HS)constitutive model.The monopiles under vertical load,lateral load and combined vertical and lateral loads were respectively studied taking into account the sequence of load application and pile slenderness ratio(L/D;L and D are the length and diameter of the pile).Results suggest that the sequence of load application plays a major role in how vertical load affects the deflection behaviour of the pile.Specifically,when L/D ratios obtained by lengthening the pile while keeping its diameter constant are 3,5 and 8,the relationships between lateral load and the deflection behaviour of the pile under the effect of vertical load demonstrate a similar trend.Furthermore,the cause of increased lateral capacity of the pile under the action of applied vertical load in the common practical application case and in the VPL case was analyzed by studying the variation law of soil stress along the pile embedment.Results confirm that the confining effect of vertical load increases means effective stress of the soil around the pile,thus increasing soil stiffness and pile capacity.展开更多
BACKGROUND Inflammation plays an important role in tumor progression,and growing evidence has confirmed that the fibrinogen-to-albumin ratio(FAR)is an important prognostic factor for overall survival in malignant tumo...BACKGROUND Inflammation plays an important role in tumor progression,and growing evidence has confirmed that the fibrinogen-to-albumin ratio(FAR)is an important prognostic factor for overall survival in malignant tumors.AIM To investigate the prognostic significance of FAR in patients undergoing radical R0 resection of pancreatic ductal adenocarcinoma(PDAC).METHODS We retrospectively analyzed the data of 282 patients with PDAC who underwent radical R0 resection at The Cancer Hospital of the Chinese Academy of Medical Sciences from January 2010 to December 2019.The surv_cutpoint function of the R package survminer via RStudio software(version 1.3.1073,http://www.rstudio.org)was used to determine the optimal cut-off values of biological markers,such as preoperative FAR.The Kaplan-Meier method and log-rank tests were used for univariate survival analysis,and a Cox regression model was used for multivariate survival analysis for PDAC patients who underwent radical R0 resection.RESULTS The optimal cut-off value of FAR was 0.08 by the surv_cutpoint function.Higher preoperative FAR was significantly correlated with clinical symptoms(P=0.001),tumor location(P<0.001),surgical approaches(P<0.001),preoperative plasma fibrinogen concentration(P<0.001),and preoperative plasma albumin level(P<0.001).Multivariate analysis showed that degree of tumor differentiation(P<0.001),number of metastatic lymph nodes[hazard ratio(HR):0.678,95%confidence interval(CI):0.509-0.904,P=0.008],adjuvant therapy(HR:1.604,95%CI:1.214-2.118,P=0.001),preoperative cancer antigen 19-9 level(HR:1.740,95%CI:1.288-2.352,P<0.001),and preoperative FAR(HR:2.258,95%CI:1.720-2.963,P<0.001)were independent risk factors for poor prognosis in patients with PDAC who underwent radical R0 resection.CONCLUSION The increase in preoperative FAR was significantly related to poor prognosis in patients undergoing radical R0 resection for PDAC.Preoperative FAR can be used clinically to predict the prognosis of PDAC patients undergoing radical R0 resection.展开更多
BACKGROUND In spite of developing medical technologies to discover the etiopathogenesis of diseases and developments in the treatment of coronary artery disease,acute coronary syndromes (ACS) continue to be the main c...BACKGROUND In spite of developing medical technologies to discover the etiopathogenesis of diseases and developments in the treatment of coronary artery disease,acute coronary syndromes (ACS) continue to be the main cause of mortality and morbidity worldwide.New cardiac biomarkers and techniques are needed to help provide rapid diagnosis in order to evaluate risk in coronary artery patients.AIM To evaluate the effects of R to S ratio (RSR) in the electrocardiograph of patients with ACS,from the point of the arising complication after myocardial infarction (MI),to three-vessel disease (TVD) and mortality.METHODS The data of 1,296 patients with ACS,who presented to the emergency department of our hospital with chest pain between January 2014 and December 2018 and were admitted to the cardiology clinic,were retrospectively included in this cross-sectional cohort study.Patients with an RSR value less than Ⅰ were assigned to group I,while those with an RSR value greater than Ⅰ were assigned to group Ⅱ.RESULTS In our study,466 (35.9%) of the 1,296 patients,357 (38.3%) in group 1 and 109 (29.9%) in group 2,were female,with a mean age of 61.56 ± 9.42.ST-elevation MI 573 (44.2%),unstable angina (UA) 502 (38.7%) and non ST-elevation MI 220 (17%) were more prevalent in group I.Acute anterior MI 263 (20.3) in group I,and acute inferior MI 184 (14.2) in group Ⅱ was higher.Ischemic heart failure was the most common complication.In group Ⅱ,the red cell distribution width (RDW) was 15.42 ± 1.82,the gensini score was 48.39 ± 36.44,the left ventricular ejection fraction was 41.17 ± 10.41,the TVD was 111 (8.5),and the mortality rate was 72 (5.6),which was significantly higher than group Ⅰ RDW;in MI with ST and non- ST-elevation,in TVD,mortality and complications were high and low in UA.In single and multivariate regression analyses,the variables were associated with ACS risk.CONCLUSION RSR levels may be an auxiliary predictive value in ACS in terms of complications developing after MI,TVD,and mortality.展开更多
Monopiles are the most common foundation form of offshore wind turbines,which bear the vertical load,lateral load and bending moment.It remains uncertain whether the applied vertical load increases the lateral deflect...Monopiles are the most common foundation form of offshore wind turbines,which bear the vertical load,lateral load and bending moment.It remains uncertain whether the applied vertical load increases the lateral deflection of the pile.This paper investigated the influence of vertical load on the behaviour of monopiles installed in the sand under combined load using three-dimensional numerical methods.The commercial software PLAXIS was used for simulations in this paper.Monopiles were modelled as a structure incorporating linear elastic material behaviour and soil was modelled using the Hardening-Soil(HS)constitutive model.The monopiles under vertical load,lateral load and combined vertical and lateral loads were respectively studied taking into account the sequence of load application and pile slenderness ratio(L/D;L and D are the length and diameter of the pile).Results suggest that the sequence of load application plays a major role in how vertical load affects the deflection behaviour of the pile.Specifically,when L/D ratios obtained by lengthening the pile while keeping its diameter constant are 3,5 and 8,the relationships between lateral load and the deflection behaviour of the pile under the effect of vertical load demonstrate a similar trend.Furthermore,the cause of increased lateral capacity of the pile under the action of applied vertical load in the common practical application case and in the VPL case was analyzed by studying the variation law of soil stress along the pile embedment.Results confirm that the confining effect of vertical load increases means effective stress of the soil around the pile,thus increasing soil stiffness and pile capacity.展开更多
Objective： Combined overall survival （OS） analysis of Lux-Lung 3 and Lux-Lung 6 demonstrated that patients with epidermal growth factor receptor （EGFR） exon 19 deletions （Del19） would benefit from first-line se...Objective： Combined overall survival （OS） analysis of Lux-Lung 3 and Lux-Lung 6 demonstrated that patients with epidermal growth factor receptor （EGFR） exon 19 deletions （Del19） would benefit from first-line second generation EGFR tyrosine kinase inhibitors （TKIs） afatinib but not for those with L858R. This study was to investigate the survival difference between first-line first generation EGFR-TKIs and chemotherapy in patients with either Del19 or L858R, and to directly compare OS in these two mutation groups. Methods： Eligibles were all prospective and retrospective studies comparing EGFR-TKIs with conventional chemotherapy or receiving single agent EGFR-TKIs and demonstrating survival analysis based on mutation types. The primary outcome was OS measured as pooled hazard ratios （HRs）. All measures were pooled using random- effects models and 95% confidential interval （95% CI） was calculated. Results： A total of 14 studies incorporating 1,706 patients with either Del19 or L858R were included. Enrolling patients with Del19 or L858R in randomized controlled trials （RCTs）, first-line first generation EGFR-TKIs were associated with no OS benefit, compared with chemotherapy （pooled HR_TKI/Chemo for Del19： 0.82, 95% CI： 0.64- 1.06, P=0.14; pooled HR_TKI/Chemo for L858R： 1.15, 95% CI： 0.85-1.56, P=0.38）. Direct comparison of Del19 with L858R receiving with first-line first generation EGFR-TKIs demonstrated no significant survival difference （pooled HR19/21： 0.88, 95% CI： 0.67-1.16, P=0.37）. Conclusions： Among patients with advanced non-small cell hmg cancer （NSCLC） harboring Del19 and L858R, first-line first generation EGFR-TKIs demonstrated no survival benefit comparing with chemotherapy. Direct comparison between Del19 and L858R revealed no significant survival difference after first-line first generation EGFR-TKIs.展开更多
Pure K2Ti4O9 whiskers were prepared by KDC（Kneading-Drying-Calcination） method with TiO2 and K2CO3 as raw materials. The influences of TiO2/K2CO3 molar ratio（RT/K）, calcination temperature（TC） and cooling proces...Pure K2Ti4O9 whiskers were prepared by KDC（Kneading-Drying-Calcination） method with TiO2 and K2CO3 as raw materials. The influences of TiO2/K2CO3 molar ratio（RT/K）, calcination temperature（TC） and cooling process on phase composition and morphology of the whiskers were investigated by TG-DSC（thermo gravimetric-differential scanning calorimeter）, XRD（X-ray diffraction）, and SEM（scanning electron microscope）. Pure K2Ti4O9 potassium titanate whiskers with large length-diameter ratio（r）（over 250） can be obtained at RT/K = 2.9 and TC = 950 ℃.展开更多
基金Supported by the National Natural Science Foundation of China(11871452,12071052the Natural Science Foundation of Henan(202300410338)the Nanhu Scholar Program for Young Scholars of XYNU。
基金supported by the grants from the National Natural Science Foundation of China(32072708)the National Key R&D Program of China(2018YFE0128000)the Major Scientific Research Projects of Chinese Academy of Agricultural Sciences(CAAS-ZDRW202005).
文摘Enhancing host immunity is an effective way to reduce morbidity in chickens.Heterophil to lymphocyte ratio(H/L)is associated with host disease resistance in birds.Chickens with different H/L levels show different disease resistances.However,the utility of the H/L as an indicator of immune function needs to be further analyzed.In this study,a H/L directional breeding chicken line(Jingxing yellow chicken)was constructed,which has been bred for 12 generations.We compared the function of heterophils,and combined statistical analysis to explore the candidate genes and pathways related to H/L.The oxidative burst function of the heterophils isolated from the H/L selection line(G12)was increased(P=0.044)compared to the non-selection line(NS).The 22.44 Mb genomic regions which annotated 300 protein-coding genes were selected in the genome of G9(n=92)compared to NS(n=92)based on a genome-wide selective sweep.Several selective regions were identified containing genes like interferon induced with helicase C domain 1(IFIH1)and moesin(MSN)associated with the intracellular receptor signaling pathway,C–C motif chemokine receptor 6(CCR6),dipeptidyl peptidase 4(DPP4)and hemolytic complement(HC)associated with the negative regulation of leukocyte chemotaxis and tight junction protein 1(TJP1)associated with actin cytoskeleton organization.In addition,45 genome-wide significant indels containing 29 protein-coding genes were also identified as associated with the H/L based on genome-wide association study(GWAS).The expression of protein tyrosine phosphatase non-receptor type 5(PTPN5)(r=0.75,P=0.033)and oxysterol binding protein like 5(OSBPL5)(r=0.89,P=0.0027)were positively correlated with H/L.Compared to the high H/L group,the expressions of PTPN5 and OSBPL5 were decreased(P<0.05)in the low H/L group of Beijing you chicken.The A/A allelic frequency of indel 5_13108985(P=3.85E–06)within OSBPL5 gradually increased from the NS to G5 and G9,and the individuals with A/A exhibited lower H/L than individuals with heterozygote A/ATCT(P=4.28E–04)and homozygous ATCT/ATCT(P=3.40E–05).Above results indicated oxidative burst function of heterophils were enhanced,and 22.44 Mb genomic regions were selected with the directional selection of H/L.In addition,PTPN5 and OSBPL5 genes were identified as H/L-related candidate genes.These findings revealed the complex genetic mechanism of H/L related to immunity and will allow selection for improving chicken immunity based on the H/L.
基金Supported by Guangxi Agricultural Science and Technology Self-financing Project(Z2022114,Z2022111)。
文摘[Objectives]Protein energy ratio refers to the proportional relationship between protein and energy levels in animal diets,i.e.,the grams of crude protein corresponding to every megacalorie of energy,which is generally expressed as CP:ME or CP:DE.This study was conducted to investigate the effects of different diets on fattening and slaughter performance and meat quality traits for"L(Large Yorkshire)×L(Landrace)"crossbred pigs.[Methods]Eighteen piglets of L×L crossbred with similar body weights about 51 kg were selected.The piglets were divided into 3 groups randomly and each group was assigned to 3 replicates with 2 piglets in a replicate.Group A was fed diet Ⅰ (control diet),group B was fed the same diet of group A in the first month of the trial but fed diet Ⅱ in second month,and group C consumed diet Ⅲ.All the pigs were fed in the same feeding condition for two months except the different diets during the trial.One pig in similar body weight from each replicate was slaughtered for the determination of slaughter performance and meat quality traits in the end of the trial.[Results]The average daily feed intake(ADFI)of pigs from group B was only(2.32±0.52)kg and significantly lower than those from group A and group C(P<0.05),but no difference was found in average daily gain(ADG) and feed/gain(P>0.05).Also,no differences occurred in the carcass length,back fat thickness,longissimus muscle (LM) area and dressing percentage(P>0.05).In addition,no differences were found in the meat quality traits of shear force,meat color,pH_(45 min),pH_(24 h) and cooking loss(P>0.05).However,the water-holding capacity of meat from group C was(2.58±0.02)ms and significantly lower than that of(2.80±0.20)ms from group A(P<0.05).Although the contents of glutamic acid and cystine in LM from group B was significantly lower than those from group A and group C(P<0.05),no differences occurred in the contents of other amino acids,the total amino acid and total flavor amino acid among the three groups(P>0.05).However,the inosine monophosphate content of LM from group C was only(331.80±11.53)mg/100 g and significantly lower than those of(361.00±6.36)and(366.37±4.80)mg/100 g from group A and B(P<0.05).Even though no differences were found in the contents of DM and CP in LM among the three groups of pigs,the content of intramuscular fat(IMF)in LM from group B and group C was increased by 45.6%and 46.58%respectively from that of group A(P<0.05),but no difference occurred between group B and C(P>0.05).[Conclusions]DietsⅡ and Ⅲ in this study caused no differences in fattening and slaughter performance of L×L crossbred pigs,but the effects on some meat traits were still significant,especially on the improvement of intramuscular fat in experimental pigs.Therefore,they could improve the meat quality of crossbred pigs to a certain extent.
文摘Monopiles are the most common foundation form of offshore wind turbines,which bear the vertical load,lateral load and bending moment.It remains uncertain whether the applied vertical load increases the lateral deflection of the pile.This paper investigated the influence of vertical load on the behaviour of monopiles installed in the sand under combined load using three-dimensional numerical methods.The commercial software PLAXIS was used for simulations in this paper.Monopiles were modelled as a structure incorporating linear elastic material behaviour and soil was modelled using the Hardening-Soil(HS)constitutive model.The monopiles under vertical load,lateral load and combined vertical and lateral loads were respectively studied taking into account the sequence of load application and pile slenderness ratio(L/D;L and D are the length and diameter of the pile).Results suggest that the sequence of load application plays a major role in how vertical load affects the deflection behaviour of the pile.Specifically,when L/D ratios obtained by lengthening the pile while keeping its diameter constant are 3,5 and 8,the relationships between lateral load and the deflection behaviour of the pile under the effect of vertical load demonstrate a similar trend.Furthermore,the cause of increased lateral capacity of the pile under the action of applied vertical load in the common practical application case and in the VPL case was analyzed by studying the variation law of soil stress along the pile embedment.Results confirm that the confining effect of vertical load increases means effective stress of the soil around the pile,thus increasing soil stiffness and pile capacity.
基金National Natural Science Foundation of China,No.81972314Innovation Fund for Medical Sciences of Chinese Academy of Medical Sciences,No.2016-I2M-1-001.
文摘BACKGROUND Inflammation plays an important role in tumor progression,and growing evidence has confirmed that the fibrinogen-to-albumin ratio(FAR)is an important prognostic factor for overall survival in malignant tumors.AIM To investigate the prognostic significance of FAR in patients undergoing radical R0 resection of pancreatic ductal adenocarcinoma(PDAC).METHODS We retrospectively analyzed the data of 282 patients with PDAC who underwent radical R0 resection at The Cancer Hospital of the Chinese Academy of Medical Sciences from January 2010 to December 2019.The surv_cutpoint function of the R package survminer via RStudio software(version 1.3.1073,http://www.rstudio.org)was used to determine the optimal cut-off values of biological markers,such as preoperative FAR.The Kaplan-Meier method and log-rank tests were used for univariate survival analysis,and a Cox regression model was used for multivariate survival analysis for PDAC patients who underwent radical R0 resection.RESULTS The optimal cut-off value of FAR was 0.08 by the surv_cutpoint function.Higher preoperative FAR was significantly correlated with clinical symptoms(P=0.001),tumor location(P<0.001),surgical approaches(P<0.001),preoperative plasma fibrinogen concentration(P<0.001),and preoperative plasma albumin level(P<0.001).Multivariate analysis showed that degree of tumor differentiation(P<0.001),number of metastatic lymph nodes[hazard ratio(HR):0.678,95%confidence interval(CI):0.509-0.904,P=0.008],adjuvant therapy(HR:1.604,95%CI:1.214-2.118,P=0.001),preoperative cancer antigen 19-9 level(HR:1.740,95%CI:1.288-2.352,P<0.001),and preoperative FAR(HR:2.258,95%CI:1.720-2.963,P<0.001)were independent risk factors for poor prognosis in patients with PDAC who underwent radical R0 resection.CONCLUSION The increase in preoperative FAR was significantly related to poor prognosis in patients undergoing radical R0 resection for PDAC.Preoperative FAR can be used clinically to predict the prognosis of PDAC patients undergoing radical R0 resection.
文摘BACKGROUND In spite of developing medical technologies to discover the etiopathogenesis of diseases and developments in the treatment of coronary artery disease,acute coronary syndromes (ACS) continue to be the main cause of mortality and morbidity worldwide.New cardiac biomarkers and techniques are needed to help provide rapid diagnosis in order to evaluate risk in coronary artery patients.AIM To evaluate the effects of R to S ratio (RSR) in the electrocardiograph of patients with ACS,from the point of the arising complication after myocardial infarction (MI),to three-vessel disease (TVD) and mortality.METHODS The data of 1,296 patients with ACS,who presented to the emergency department of our hospital with chest pain between January 2014 and December 2018 and were admitted to the cardiology clinic,were retrospectively included in this cross-sectional cohort study.Patients with an RSR value less than Ⅰ were assigned to group I,while those with an RSR value greater than Ⅰ were assigned to group Ⅱ.RESULTS In our study,466 (35.9%) of the 1,296 patients,357 (38.3%) in group 1 and 109 (29.9%) in group 2,were female,with a mean age of 61.56 ± 9.42.ST-elevation MI 573 (44.2%),unstable angina (UA) 502 (38.7%) and non ST-elevation MI 220 (17%) were more prevalent in group I.Acute anterior MI 263 (20.3) in group I,and acute inferior MI 184 (14.2) in group Ⅱ was higher.Ischemic heart failure was the most common complication.In group Ⅱ,the red cell distribution width (RDW) was 15.42 ± 1.82,the gensini score was 48.39 ± 36.44,the left ventricular ejection fraction was 41.17 ± 10.41,the TVD was 111 (8.5),and the mortality rate was 72 (5.6),which was significantly higher than group Ⅰ RDW;in MI with ST and non- ST-elevation,in TVD,mortality and complications were high and low in UA.In single and multivariate regression analyses,the variables were associated with ACS risk.CONCLUSION RSR levels may be an auxiliary predictive value in ACS in terms of complications developing after MI,TVD,and mortality.
基金supported by High-Tech Ship Scientific Research Project in 2018(Research on Key Technologies of Polar Small Cruise Ship Design and Construction,Ministry of Industry and Information Technology Packing Letter[2018]No.473Emergency Evacuation Chute System Development,Ministry of Industry and Information Technology Packing Letter[2017]No.614).
文摘Monopiles are the most common foundation form of offshore wind turbines,which bear the vertical load,lateral load and bending moment.It remains uncertain whether the applied vertical load increases the lateral deflection of the pile.This paper investigated the influence of vertical load on the behaviour of monopiles installed in the sand under combined load using three-dimensional numerical methods.The commercial software PLAXIS was used for simulations in this paper.Monopiles were modelled as a structure incorporating linear elastic material behaviour and soil was modelled using the Hardening-Soil(HS)constitutive model.The monopiles under vertical load,lateral load and combined vertical and lateral loads were respectively studied taking into account the sequence of load application and pile slenderness ratio(L/D;L and D are the length and diameter of the pile).Results suggest that the sequence of load application plays a major role in how vertical load affects the deflection behaviour of the pile.Specifically,when L/D ratios obtained by lengthening the pile while keeping its diameter constant are 3,5 and 8,the relationships between lateral load and the deflection behaviour of the pile under the effect of vertical load demonstrate a similar trend.Furthermore,the cause of increased lateral capacity of the pile under the action of applied vertical load in the common practical application case and in the VPL case was analyzed by studying the variation law of soil stress along the pile embedment.Results confirm that the confining effect of vertical load increases means effective stress of the soil around the pile,thus increasing soil stiffness and pile capacity.
文摘Objective： Combined overall survival （OS） analysis of Lux-Lung 3 and Lux-Lung 6 demonstrated that patients with epidermal growth factor receptor （EGFR） exon 19 deletions （Del19） would benefit from first-line second generation EGFR tyrosine kinase inhibitors （TKIs） afatinib but not for those with L858R. This study was to investigate the survival difference between first-line first generation EGFR-TKIs and chemotherapy in patients with either Del19 or L858R, and to directly compare OS in these two mutation groups. Methods： Eligibles were all prospective and retrospective studies comparing EGFR-TKIs with conventional chemotherapy or receiving single agent EGFR-TKIs and demonstrating survival analysis based on mutation types. The primary outcome was OS measured as pooled hazard ratios （HRs）. All measures were pooled using random- effects models and 95% confidential interval （95% CI） was calculated. Results： A total of 14 studies incorporating 1,706 patients with either Del19 or L858R were included. Enrolling patients with Del19 or L858R in randomized controlled trials （RCTs）, first-line first generation EGFR-TKIs were associated with no OS benefit, compared with chemotherapy （pooled HR_TKI/Chemo for Del19： 0.82, 95% CI： 0.64- 1.06, P=0.14; pooled HR_TKI/Chemo for L858R： 1.15, 95% CI： 0.85-1.56, P=0.38）. Direct comparison of Del19 with L858R receiving with first-line first generation EGFR-TKIs demonstrated no significant survival difference （pooled HR19/21： 0.88, 95% CI： 0.67-1.16, P=0.37）. Conclusions： Among patients with advanced non-small cell hmg cancer （NSCLC） harboring Del19 and L858R, first-line first generation EGFR-TKIs demonstrated no survival benefit comparing with chemotherapy. Direct comparison between Del19 and L858R revealed no significant survival difference after first-line first generation EGFR-TKIs.
基金Funded by the Natural Science Foundation Key Project of Hubei Province(No.2011CDA060)
文摘Pure K2Ti4O9 whiskers were prepared by KDC（Kneading-Drying-Calcination） method with TiO2 and K2CO3 as raw materials. The influences of TiO2/K2CO3 molar ratio（RT/K）, calcination temperature（TC） and cooling process on phase composition and morphology of the whiskers were investigated by TG-DSC（thermo gravimetric-differential scanning calorimeter）, XRD（X-ray diffraction）, and SEM（scanning electron microscope）. Pure K2Ti4O9 potassium titanate whiskers with large length-diameter ratio（r）（over 250） can be obtained at RT/K = 2.9 and TC = 950 ℃.
