Liver histological changes in untreated chronic hepatitis B patients in indeterminate phase

BACKGROUND Studies with large size samples on the liver histological changes of indeterminate phase chronic hepatitis B(CHB)patients were not previously conducted.AIM To assess the liver histological changes in the indeterminate phase CHB patients using liver biopsy.METHODS The clinical and laboratory data of 1532 untreated CHB patients were collected,and all patients had least once liver biopsy from January 2015 to December 2021.The significant differences among different phases of CHB infection were compared with t-test,and the risk factors of significant liver histological changes were analyzed by the multivariate logistic regression analysis.RESULTS Among 1532 untreated CHB patients,814(53.13%)patients were in the indeterminate phase.Significant liver histological changes(defined as biopsy score≥G2 and/or≥S2)were found in 488/814(59.95%)CHB patients in the indete-rminate phase.Significant liver histological changes were significant differences among different age,platelets(PLTs),and alanine aminotransferase(ALT)subgroup in indeterminate patient.Multivariate logistic regression analysis indicated that age≥40 years old[adjust odd risk(aOR),1.44;95%confidence interval(CI):1.06-1.97;P=0.02],PLTs≤150×10^(9)/L(aOR,2.99;95%CI:1.85-4.83;P<0.0001),and ALT≥upper limits of normal(aOR,1.48;95%CI:1.08,2.05,P=0.0163)were independent risk factors for significant liver histological changes in CHB patients in the indeterminate phase.CONCLUSION Our results suggested that significant liver histological changes were not rare among the untreated CHB patients in indeterminate phase,and additional strategies are urgently required for the management of these patients.

Binary Phase Shaping and SHG Contrast Ratios

Finding binary sequences with Large SHG ratios is very important in the field of ultrafast science, biomedical optics, high-resolution microscopy and label-free imaging. In this paper, we have demonstrated the relation between the SHG contrast ratio and the traditional Merit Factor values. And in the light from known results in Merit Factor Problems, we have shown that Legendre Sequences or Jacobi Sequences, are still the best candidates to obtain binary sequences with large SHG contrast ratios. The authors also discussed the SHG behaviors on some sequences obtained from cyclotomic classes over the finite field GF (2l) .

A UNIVERSAL ANALYTIC POTENTIAL-ENERGY FUNCTION BASED ON A PHASE FACTOR

Using a field equation with a phase factor, a universal analytic potential-energy function applied to the interactions between diatoms or molecules is derived, and five kinds of potential curves of common shapes are obtained adjusting the phase factors. The linear thermal expansion coefficients and Young's moduli of eleven kinds of face-centered cubic (fcc) metals - Al, Cu, Ag, etc. are calculated using the potential-energy function; the computational results are quite consistent with experimental values. Moreover, an analytic relation between the linear thermal expansion coefficients and Young's moduli of fcc metals is given using the potential-energy function. Finally, the force constants of fifty-five kinds of diatomic moleculars with low excitation state are computed using this theory, and they are quite consistent with RKR (Rydberg-Klein-Rees) experimental values.

Connective tissue growth factor reacts as an IL-6/STAT3-regulated hepatic negative acute phase protein

AIM:To investigate the mechanisms involved in a possible modulator role of interleukin(IL) -6 signalling on CYR61-CTGF-NOV(CCN) 2/connective tissue growth factor(CTGF) expression in hepatocytes(PC) and to look for a relation between serum concentrations of these two parameters in patients with acute inflammation. METHODS:Expression of CCN2/CTGF,p-STAT3,p-Smad 3/1 and p-Smad2 was examined in primary freshly isolated rat or cryo-preserved human PC exposed to various stimuli by Western blotting,electrophoretic mobility shift assay(EMSA) ,reporter-gene-assays and reversetranscriptase polymerase chain reaction. RESULTS:IL-6 strongly down-regulated CCN2/CTGF protein and mRNA expression in PC,enhanceable by extracellular presence of the soluble IL-6 receptor gp80,and supported by an inverse relation between IL-6 and CCN2/CTGF concentrations in patients'sera.The inhi-bition of TGFβ1 driven CCN2/CTGF expression by IL-6 did not involve a modulation of Smad2(and Smad1/3) signalling.However,the STAT3 SH2 domain binding peptide,a selective inhibitor of STAT3 DNA binding activity,counteracted the inhibitory effect of IL-6 on CCN2/CTGF expression much more pronounced than pyrrolidine-dithiocarbamate,an inhibitor primarily of STAT3 phosphorylation.An EMSA confirmed STAT3 binding to the proposed proximal STAT binding site in the CCN2/CTGF promoter. CONCLUSION:CCN2/CTGF is identified as a hepatocellular negative acute phase protein which is downregulated by IL-6 via the STAT3 pathway through interaction on the DNA binding level.

Low-complexity PTS scheme based on phase factor sequences optimization

In this paper, a new partial transmit sequence（PTS）scheme with low computational complexity is proposed for the problems of high computational complexity in the conventional PTS method. By analyzing the relationship of candidate sequences in the PTS method under the interleaved partition method, it has been discovered that some candidate sequences generated by phase factor sequences have the same peak average power ratio（PAPR）. Hence, phase factor sequences can be optimized to reduce their searching times. Then, the computational process of generating candidate sequences can be simplified by improving the utilization of data and minimizing the calculations of complex multiplication. The performance analysis shows that, compared with the conventional PTS scheme, the proposed approach significantly decreases the computational complexity and has no loss of PAPR performance.

Joint inversion method for interval quality factor based on amplitude and phase information

Estimating the quality factor Q accurately signifi cantly improves the seismic data resolution and reservoir characterization.The commonly used log-spectral ratio method uses least-squares fi tting to obtain Q values and involves only the amplitude information of seismic data while neglecting phase information.This paper proposes a joint interval Q inversion method based on the spectral ratio method and employs both amplitude and phase information to improve the accuracy.Based on the assumption that Q is independent of frequency,the nonlinear relation between the Q value and the two types of information is jointly used to construct an objective function,which clarifies the quantitative relation between amplitude spectrum,phase information,and Q value.The interval Q value can be inverted by calculating the minimum value of the objective function.The model test exhibits that the proposed method has higher precision and stability than the spectral ratio method;furthermore,the application to field data demonstrates that accurate Q inversion results are consistent with reservoir characteristics.

Creation of reversed phase high-performance liquid chromatographic technique to assay platelet-activating factor

Objective: To establish a new assay for platelet-activating factor (PAF), to compare it with bio-assay; and to discuss its significance in some elderly people diseases such as cerebral infarction and coronary heart disease. Methods: To measure PAF levels in 100 controls, 23 elderly patients with cerebral infarction and 65 cases with coronary heart disease by reversed phase high-performance liquid chromatographic technique (rHPLC). Results:rHPLC is more convenient, sensitive,specific, and less confusing, compared with bio-assay. The level of plasma PAF in patients with cerebral infarction was higher than that in the controls (P<0.01), and in patients with coronary heart disease. Conclusion: Detection of PAF with rHPLC is more reliable and more accurate. The new assay has important significance in PAF research.

Intelligent power factor compensation equipment of three phase low voltage loads

An intelligent power factor correction scheme is presented for three phase low power factor loads. This new scheme is able to perform individual phase sensing of parameters by monitoring at all times to sense a change in system parameters and affects individual phase correction by applying the exact amount of reactive components needed for each phase, and can also reduce negative sequence current caused by the load to improve system balance. An optimization criterion is used for the proper calculation of reactive power steps in a power compensation installation of capacitor banks. The criterion is enabled by sampling measurements performed on the electrical plant examined within specific interval of time.

Influencing factors for catalytic oxidation of mine gas to methanol in liquid phase

The influencing factors for liquid phase catalytic oxidation of mine gas to methanol(in form of CH3COOCH3) are studied using the self-established experimental apparatus. The results show that CH3COOCH3(target product) is obtained by using CH3COOH as reaction solvent, and the yield of target product increases with the increasing of reaction temperature, gas pressure and reaction time. In the mine gas-Pd(OAc)2-CH3COOH system, the yield of CH3COOCH3 increases with the increasing of addition of Pd(OAc)2 which is redox catalyst for mine gas conversion. The yield of CH3COOCH3 will be greatly improved by composite additional oxidant which is obtained by equimolar mix of p-benzoquinone with NO2.

Diagnostic usefulness of selected proteases and acute phase factors in patients with colorectal adenocarcinoma

BACKGROUND Uncontrolled growth and loss of control over basic metabolic functions,leading to invasive proliferation and metastases,are the salient traits of malignant tumors in general and colorectal cancer in particular.Invasion and metastases hinder effective tumor treatment.While surgical techniques and radiotherapy can be used to remove tumor focus,only chemotherapy can eliminate dispersed neoplastic cells.However,the efficacy of the latter method is limited in the advanced stages of the disease.Therefore,recognition of the mechanisms involved in neoplastic cell spreading is indispensable for developing effective therapies.AIM To use a number of biomarkers involved in cancer progression and identify a panel that could be used for effective early diagnosis.METHODS We recruited 185 patients with colorectal adenocarcinoma(98 men,87 women with median age 63).Thirty-five healthy controls were sex and age-matched.Dukes’staging was as follows:A=22,B=52,C=72,D=39.We analyzed patients'blood serum before surgery.We determined:(1)Cathepsin B(CB)with Barrett's method(fluorogenic substrate);(2)Leukocytic elastase(LE)in a complex with alpha 1 trypsin inhibitor(AAT)using the immunoenzymatic MERCK test;(3)Total sialic acid(TSA)with the colorimetric periodate-resorcinol method;(4)Lipid-bound sialic acid(LASA)with the colorimetric Taut's method;and(5)The antitrypsin activity(ATA)employing the colorimetric test.RESULTS In patients,the values of the five biochemical parameters were as follows:CB=16.1±8.8 mU/L,LE=875±598μg/L,TSA=99±31 mg%,LASA=0.68±0.33 mg%,and ATA=3211±1504 U/mL.Except for LASA,they were significantly greater than those of controls:CB=11.4±6.5 mU/L,LE=379±187μg/L,TSA=71.4±15.1 mg%,LASA=0.69±0.28 mg%,and ATA=2016±690 U/mL.For CB and LASA,the differences between the four Dukes’stages and controls were not statistically significant.The inter-stage differences for CB and LASA were also absent.The receiver operating characteristic(ROC)analysis revealed the potential diagnostic value of CB,TSA,and ATA.The area under ROC,sensitivity,and specificity for these three parameters were:0.85,72%,90%;0.75,66%,77%;and 0.77,63%,84%,respectively.The sensitivity and specificity for the threeparameter panel CB-TSA-ATA were equal to 88.2%and 100%,respectively.CONCLUSION The increased value of CB,TSA,and ATA parameters are associated with tumor biology,invasion,and metastasis of colorectal cancer.The presented evidence suggests the potential value of the CB-TSA-ATA biochemical marker panel in early diagnostics.

Beyond the Dirac Phase Factor: Dynamical Quantum Phase-Nonlocalities in the Schrödinger Picture

Generalized solutions of the standard gauge transformation equations are presented and discussed in physical terms. They go beyond the usual Dirac phase factors and they exhibit nonlocal quantal behavior, with the well-known Relativistic Causality of classical fields affecting directly the phases of wavefunctions in the Schr?dinger Picture. These nonlocal phase behaviors, apparently overlooked in path-integral approaches, give a natural account of the dynamical nonlocality character of the various (even static) Aharonov-Bohm phenomena, while at the same time they seem to respect Causality. For particles passing through nonvanishing magnetic or electric fields they lead to cancellations of Aharonov-Bohm phases at the observation point, generalizing earlier semiclassical experimental observations (of Werner & Brill) to delocalized (spread-out) quantum states. This leads to a correction of previously unnoticed sign-errors in the literature, and to a natural explanation of the deeper reason why certain time-dependent semiclassical arguments are consistent with static results in purely quantal Aharonov-Bohm configurations. These nonlocalities also provide a remedy for misleading results propagating in the literature (concerning an uncritical use of Dirac phase factors, that persists since the time of Feynman’s work on path integrals). They are shown to conspire in such a way as to exactly cancel the instantaneous Aharonov-Bohm phase and recover Relativistic Causality in earlier “paradoxes” (such as the van Kampen thought-experiment), and to also complete Peshkin’s discussion of the electric Aharonov-Bohm effect in a causal manner. The present formulation offers a direct way to address time-dependent single- vs double-slit experiments and the associated causal issues—issues that have recently attracted attention, with respect to the inability of current theories to address them.

Non-Abelian Berry phase Factor of the Degenerate states

Suppose the degenerate states wave function of a Hamitonian operatorHis accompanied by a natural phase factor, then we can own it to the role of sometransformation generator played by some non--degenerate Hermitian operator containedin the complete set of conserved mechanical quantities. When this idea is extended tothe spece coordinated by parameters and the momentum--like operator is introduced,thenon-Abelian Berry phose factor of degenerate wave function can be easily gotter afterthe system evolves along a closed adiabatic curve.

二氧化碳相变爆破致裂机理与应用研究进展

煤岩体结构改造是解决煤矿许多技术难题的共性核心科学问题,二氧化碳相变爆破因其安全可控、能量易调节等优点成为煤岩体致裂的有效手段之一。为确定二氧化碳相变爆破致裂机理,扩展相变爆破致裂工程应用,分析了二氧化碳相变爆破原理和致裂器材与装备,统计比较不同方式相变爆破能量计算方式,相较于传统炸药爆破,相变爆破属于一种低能量致裂方式;通过分析二氧化碳相变射流传播特征,探究相变爆破中等应力起裂和高压气体协同作用方式,煤岩体在中等冲击作用下,受到拉应力破坏产生径向初始断裂,并在冲击波和卸载波综合作用下形成多重起裂特征,高压气体在多重裂隙中进一步扩展,驱动裂隙向外扩展,明确了相变爆破应力气体协同致裂过程;进一步研究了泄能方向、煤岩体性质、爆破参数、初始地应力、钻孔布置参数和钻孔切槽特性等因素对相变爆破致裂效果的影响,泄能方向对煤岩体破坏起到直接作用,引发非对称损伤破坏,煤岩体抗压强度和致裂孔间距是影响致裂效果的关键因素,初始地应力、钻孔布置参数和钻孔切槽特性等影响裂纹发育扩展特征;在相变爆破致裂工程应用方面,揭示了相变爆破多重裂隙渗流特征,确定了高瓦斯煤层致裂增透效果,对比了预裂前后煤体截割特征,验证了预裂提升块煤率可行性,并探究了相变爆破预裂顶板垮落特性。针对相变爆破致裂应从多速率冲击破碎、损伤破坏多尺度分析、致裂过程多物理场耦合及延时相变爆破技术等方向进一步扩展研究,拓宽二氧化碳相变爆破应用场景。

儿童慢性粒细胞白血病慢性期红细胞参数及血清bFGF、TGF-β1、VEGF表达变化分析

目的探究儿童慢性粒细胞白血病(CML)慢性期红细胞参数及血清碱性成纤维细胞生长因子(bFGF)、转化生长因子β1(TGF-β1)及血管内皮生长因子(VEGF)表达变化。方法前瞻性选取2020年1月至2023年1月在首都医科大学附属北京儿童医院进行治疗的54例CML慢性期患儿为研究组,另随机抽取46名同期在本院进行体检的健康儿童为健康对照组。研究组给予酪氨酸激酶抑制剂治疗。比较两组间红细胞参数及血清bFGF、TGF-β1、VEGF表达变化,并比较研究组治疗前后红细胞参数及血清bFGF、TGF-β1、VEGF表达水平。结果研究组的RBC、血红蛋白、红细胞压积(HCT)及平均红细胞血红蛋白浓度(MCHC)水平分别为(3.45±0.04)×10^(12)/L、(102.33±1.15)g/L、(32.03±0.61)%、322.15±2.58,均显著低于对照组[(4.98±0.03)×10^(12)/L、(149.78±1.88)g/L、(44.33±0.31)%、334.12±0.77],平均红细胞体积(MCV)、平均红细胞血红蛋白含量(MCH)及红细胞体积分布宽度(RDW)水平分别为(91.44±0.77)fL、(33.15±2.55)pg、(17.55±0.12)%,均显著高于对照组[(89.88±0.34)fL、(30.24±0.16)pg、(12.66±0.11)%],差异均有统计学意义(P<0.05)。研究组的血清bFGF、VEGF水平分别为(30.66±9.66)、(128.68±30.58)pg/mL,均显著高于对照组[(5.26±1.54)、(70.66±11.26)pg/mL],TGF-β1水平为(38.22±8.06)μg/L,显著低于对照组[(78.66±8.13)μg/L],差异均有统计学意义(P<0.05)。治疗后,研究组患儿的RBC、血红蛋白、HCT、MCV及MCH水平均较治疗前显著降低,MCHC及RDW水平均较治疗前显著升高,差异均有统计学意义(P<0.05)。研究组治疗后的血清bFGF、VEGF水平均较治疗前显著降低,TGF-β1水平较治疗前显著升高,差异均有统计学意义(P<0.05)。结论在儿童CML慢性期患儿中可见血细胞参数明显异常,血清bFGF、VEGF水平显著升高,TGF-β1水平显著降低。酪氨酸激酶抑制剂治疗CML慢性期能有效改善患儿红细胞形态及功能,抑制肿瘤细胞生长,临床疗效显著,值得临床推广使用。

参麦注射液辅助西药治疗中风恢复期临床研究

目的:观察参麦注射液辅助西药治疗中风恢复期的临床疗效。方法:按随机数字表法将90例中风恢复期患者分为治疗组与对照组各45例。对照组给予阿司匹林肠溶片、胞二磷胆碱注射液、甲钴胺片等西药对症治疗,治疗组在对照组基础上给予参麦注射液治疗。治疗4周后,比较2组临床疗效、中医证候评分、美国国立卫生院神经功能缺损评分(NIHSS)、肢体运动功能Fugel-Meyer评定量表(FMA)及血清炎症因子[白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤细胞因子-α(TNF-α)]水平。结果:治疗后,治疗组总有效率为95.56%,对照组为82.22%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组中医证候评分、NIHSS评分均较治疗前降低(P<0.05),且治疗组2项评分均低于对照组(P<0.05)。治疗后,2组上、下肢的FMA评分均较治疗前升高(P<0.05),且治疗组上、下肢的FMA评分均高于对照组(P<0.05)。治疗后,2组血清IL-1β、IL-6、TNF-ɑ水平均较治疗前降低(P<0.05),且治疗组上述各项指标均低于对照组(P<0.05)。结论:参麦注射液辅助西药治疗中风恢复期患者疗效显著,可有效减轻机体炎症反应,缓解临床症状,改善神经功能及肢体运动功能。

相空间重构后矿井涌水量序列地质学含义及其应用研究

目的为了确定相空间重构矿井涌水量序列的地质学含义并提高涌水量预测精度,方法以王行庄矿为例,在涌水量序列相空间重构后,对重构后相空间列向量与涌水量主控因素进行相关性分析,并在此基础上建立混沌理论与人工神经网络耦合(Chaos-ENN)的涌水量预测模型。结果结果表明:相空间的嵌入维数等于矿井涌水量主控因素个数;相空间的第1,2,4,5,6列向量分别与C_(2)tL_(7-8)含水层水位埋深、O_(2)m+Є_(3)ch含水层水位埋深、采空区面积、C_(2)tL_(1-4)含水层水位埋深、开拓长度具有较高的相关性,第3列与不易量化的其他综合因素有关;构建的Chaos-ENN涌水量预测模型在王兴庄矿的预测精度达到97.91%。结论涌水量序列重构后相空间的列向量具有明确的地质学含义。利用混沌理论可以量化涌水量预测模型中ENN输入层的个数及取值,所以仅需涌水量序列值就可以建立矿井涌水量预测的Chaos-ENN模型,该模型解决了涌水量预测中存在的主控因素难以确定和不易量化的难题,且预测精度高,具有较高的推广价值。

《运气商》五运六气诊疗特色探析

明代医家徐亦稚所撰《运气商》,对《黄帝内经》运气理论有所创悟。认为五运六气为阴阳五行所化生,六气各有主时,司天只主三之气,不可拘泥司天之说而不明间气;运气疾病的发生主要是由于运气的胜复变化,而人体于呼吸之间感受邪气,肺胃二脏首先受病;在诊断时要脉症合参,脉象的诊断不必以左手侯外感之说为拘,症状多见于肺胃二脏的异常变化;在用剂方面徐亦稚认为诸名医家所创方剂周详完备,所以并未收录以及创立方剂,而是提出了运气致病的处方用药原则当参以《内经》治法。其五运六气诊疗特色值得当代医家继承与发展。

贵州威宁对流单体雷达回波分层结构特征分析

本文选取了2017—2020年威宁县111个对流单体(35个冰雹云单体和76个雷雨云单体),着重分析了对流单体雷达回波在垂直指向上的分层结构特征,并结合双偏振雷达观测分析了对流云单体偏振参量和水凝物相态分布特征。研究分析结果表明:①威宁对流单体雷达回波典型特征量基本一致,对流单体生命史周期约为100 min,最大反射率因子主要位于与0℃层高度差±2.0 km的范围内;②当对流单体雷达回波强度从45 dBz发展到55 dBz以上时,冰雹云具有发展迅速且持续时间长的特点,冰雹大小则与强回波在融化层高度以上的扩展高度存在一定的对应关系,高度越高、冰雹越大;③X波段双偏振天气雷达能够较好地反映降水粒子类型,基本符合粒子形状、大小和相态分布的特点,但应考虑降水相态粒子处于临界过渡区域的转化特点;④威宁多小冰雹主要与垂直风切变较弱、对流有效位能CAPE值不稳定能量偏低,且中小冰雹在下落过程中逐渐融化变小有关。

自拟安胎饮联合黄体酮注射液治疗对黄体功能不足致复发性流产患者子宫动脉血流指标、血清PLGF和CTRP12表达的影响

目的探讨自拟安胎饮联合黄体酮注射液治疗对黄体功能不足致复发性流产(RSA)患者子宫动脉血流指标、血清胎盘生长因子(PLGF)和C1q肿瘤坏死因子相关蛋白12(CTRP12)表达的影响。方法选取2020年1月至2023年8月安徽医科大学附属巢湖医院收治的80例黄体功能不足致RSA患者作为研究对象,随机分为研究组和对照组,每组40例。对照组采用黄体酮注射液治疗,研究组在对照组基础上联合自拟安胎饮治疗,两组均治疗10周。比较两组临床疗效、治疗前后中医肾虚证候积分、子宫动脉血流指标、血清PLGF和CTRP12水平、不良发应发生率。结果研究组治疗总有效率高于对照组(P<0.05)。治疗后,两组各项中医肾虚证候积分均降低,且研究组低于对照组(P<0.05)。治疗后,两组血管指数(VI)降低,血流指数(FI)、血管化血流指数(VFI)升高,且研究组VI低于对照组,FI、VFI高于对照组(P<0.05)。治疗后,两组PLGF和CTRP12水平均升高,且研究组PLGF和CTRP12水平均高于对照组(P<0.05)。研究组不良反应总发生率低于对照组(P<0.05)。结论黄体功能不足致RSA患者采用自拟安胎饮联合黄体酮注射液治疗,可提高临床疗效,改善子宫动脉血流、血清PLGF和CTRP12表达水平。

一种量化因子改进型的模糊自适应PID控制算法

针对模糊PID控制下的动态性能问题,提出一种量化因子改进型的模糊自适应PID(Fuzzy-PID)控制算法。在模糊量化环节引入模糊论域量化因子在线调整函数,实现对模糊量化因子的实时调整;将传统PID控制、传统模糊PID控制和量化因子改进性模糊PID控制,分别在100 kHz和200 kHz的系统频率下,进行单位阶跃输入信号下的动态性能对比实验。结果表明:该算法在2种系统频率下均能实现无超调,调节时间不超过0.15 s,其动态性能相较传统控制算法具有明显提升。