Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional p...Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional process is regarded confusing. The microfacies, construction types, and depositional model of the Member Deng-2 marginal microbial mound-bank complex have been investigated using unmanned aerial vehicle photography, outcrop section investigation, thin section identification,and seismic reflections in the southwestern Sichuan Basin. The microbialite lithologic textures in this region include thrombolite, dendrolite, stromatolite, fenestral stromatolite, spongiostromata stone,oncolite, aggregated grainstone, and botryoidal grapestone. Based on the comprehensive analysis of“depositional fabrics-lithology-microfacies”, an association between a fore mound, mound framework,and back mound subfacies has been proposed based on water depth, current direction, energy level and lithologic assemblages. The microfacies of the mound base, mound core, mound flank, mound cap, and mound flat could be recognized among the mound framework subfacies. Two construction types of marginal microbial mound-bank complex have been determined based on deposition location, mound scale, migration direction, and sedimentary facies association. Type Jinkouhe microbial mound constructions(TJMMCs) develop along the windward margin owing to their proximity to the seaward subfacies fore mound, with a northeastwardly migrated microbial mound on top of the mud mound,exhibiting the characteristics of large-sized mounds and small-sized banks in the surrounding area. Type E'bian microbial mound constructions(TEMMCs) primarily occur on the leeward margin, resulting from the presence of onshore back mound subfacies, with the smaller southwestward migrated microbial mounds existing on a thicker microbial flat. The platform margin microbial mound depositional model can be correlated with certain lateral comparison profile and seismic reflection structures in the 2D seismic section, which can provide references for future worldwide exploration. Microbial mounds with larger buildups and thicker vertical reservoirs are typically targeted on the windward margin, while small-sized microbial mounds and flats with better lateral connections are typically focused on the leeward margin.展开更多
This paper explores the development of postgraduate education in China,including the overall situation of postgraduate education,the trend in enrollment expansion in professional degrees as well as in various academic...This paper explores the development of postgraduate education in China,including the overall situation of postgraduate education,the trend in enrollment expansion in professional degrees as well as in various academic fields;it also triggers the impact and discussion about the postgraduate enrollment expansion,such as over-education and credential inflation,as well as the concerns about the quality of education and talent cultivation and so forth.Although the expansion brings various problems,the challenges may also become new opportunities for higher education reform,this paper also provides some suggestions on the expansion of postgraduate education.展开更多
Theα-universal triple I(α-UTI)method is a recognized scheme in the field of fuzzy reasoning,whichwas proposed by our research group previously.The robustness of fuzzy reasoning determines the quality of reasoning al...Theα-universal triple I(α-UTI)method is a recognized scheme in the field of fuzzy reasoning,whichwas proposed by our research group previously.The robustness of fuzzy reasoning determines the quality of reasoning algorithms to a large extent,which is quantified by calculating the disparity between the output of fuzzy reasoning with interference and the output without interference.Therefore,in this study,the interval robustness(embodied as the interval stability)of theα-UTI method is explored in the interval-valued fuzzy environment.To begin with,the stability of theα-UTI method is explored for the case of an individual rule,and the upper and lower bounds of its results are estimated,using four kinds of unified interval implications(including the R-interval implication,the S-interval implication,the QL-interval implication and the interval t-norm implication).Through analysis,it is found that theα-UTI method exhibits good interval stability for an individual rule.Moreover,the stability of theα-UTI method is revealed in the case of multiple rules,and the upper and lower bounds of its outcomes are estimated.The results show that theα-UTI method is stable for multiple rules when four kinds of unified interval implications are used,respectively.Lastly,theα-UTI reasoning chain method is presented,which contains a chain structure with multiple layers.The corresponding solutions and their interval perturbations are investigated.It is found that theα-UTI reasoning chain method is stable in the case of chain reasoning.Two application examples in affective computing are given to verify the stability of theα-UTImethod.In summary,through theoretical proof and example verification,it is found that theα-UTImethod has good interval robustness with four kinds of unified interval implications aiming at the situations of an individual rule,multi-rule and reasoning chain.展开更多
BACKGROUND Breast infiltrating ductal carcinoma(BIDC)represents the largest heterotypic tumor group,and an in-depth understanding of the pathogenesis of BIDC is key to improving its prognosis.AIM To analyze the expres...BACKGROUND Breast infiltrating ductal carcinoma(BIDC)represents the largest heterotypic tumor group,and an in-depth understanding of the pathogenesis of BIDC is key to improving its prognosis.AIM To analyze the expression profiles and clinical implications of forkhead box M1(FOXM1),cyclooxygenase-2(COX-2),and glucose-regulated protein 78(GRP78)in BIDC.METHODS A total of 65 BIDC patients and 70 healthy controls who presented to our hospital between August 2019 and May 2021 were selected for analysis.The peripheral blood FOXM1,COX-2,and GRP78 levels in both groups were measured and the association between their expression profiles in BIDC was examined.Additionally,we investigated the diagnostic value of FOXM1,COX-2,and GRP78 in patients with BIDC and their correlations with clinicopathological features.Furthermore,BIDC patients were followed for 1 year to identify factors influencing patient prognosis.RESULTS The levels of FOXM1,COX-2,and GRP78 were significantly higher in BIDC patients compared to healthy controls(P<0.05),and a positive correlation was observed among them(P<0.05).Receiver operating characteristic analysis demonstrated that FOXM1,COX-2,and GRP78 had excellent diagnostic value in predicting the occurrence of BIDC(P<0.05).Subsequently,we found significant differences in FOXM1,COX-2,and GRP78 levels among patients with different histological grades and metastasis statuses(with vs without)(P<0.05).Cox analysis revealed that FOXM1,COX-2,GRP78,increased histological grade,and the presence of tumor metastasis were independent risk factors for prognostic death in BIDC(P<0.001).CONCLUSION FOXM1,COX-2,and GRP78 exhibit abnormally high expression in BIDC,promoting malignant tumor development and closely correlating with prognosis.These findings hold significant research implications for the future diagnosis and treatment of BIDC.展开更多
With the increasing strategic relevance of the Arctic region in the international system,the United States,as the global hegemon and also an Arctic country,has gradually viewed the region as an important arena to addr...With the increasing strategic relevance of the Arctic region in the international system,the United States,as the global hegemon and also an Arctic country,has gradually viewed the region as an important arena to address its alleged security threats and conduct major-power competition.展开更多
Many developing countries like Nigeria lack policy for the care of the older adults and this creates major challenges for the elderly population. The traditional family institution and community support that used to b...Many developing countries like Nigeria lack policy for the care of the older adults and this creates major challenges for the elderly population. The traditional family institution and community support that used to be safety nest are being adversely affected by westernization. This development might have adverse effect on life satisfaction among the older adults. This hospital based cross-sectional study was designed to determine the association between support and life satisfaction among older adults. A total of 128 subjects participated in the study out of which 28.9% were satisfied with life. Expectation of support was mainly from the family, less from the community and very low from the government. The level of support received from all sources generally fell short of expectations. Marital status and source of livelihood were significantly associated with life satisfaction. There is inadequate social support from the government and support from family and community fell below expectations. Expectations of support were the most strongly correlated with life satisfaction. Support for older adults must be addressed in order to meet their expectations and improve their level of satisfaction with life.展开更多
Background: Nurses are expected by their international code of ethics to advocate for patients to enhance safety and quality care. However, there is a limited understanding regarding the implications of specific patie...Background: Nurses are expected by their international code of ethics to advocate for patients to enhance safety and quality care. However, there is a limited understanding regarding the implications of specific patient advocacy outcomes experienced by nurses who advocate for patients in the hospital context. Purpose: This study explored the implications of patient advocacy outcomes experienced among practicing nurses in the hospital context. Methods: A qualitative, descriptive study design was utilized. Data was collected through purposive sampling and an in-depth semi-structured interview of 25 Registered Nurses in an acute care hospital. An inductive qualitative content analysis method was used, and the SRQR guidelines for reporting qualitative studies were followed. Results: This study revealed that nurses who succeeded in advocating for patients experienced feelings of happiness, increased confidence levels, increased work output, and job satisfaction. However, nurses who failed to succeed in advocating for patients experienced physical, emotional, and psychological consequences, which contributed negatively to the quality of patient care. Therapeutic communication and nurses’ commitment to intervene for patients emerged as vital qualities and skills required to succeed in the patient advocacy process. Conclusions: This study showed that patient advocacy has advantages. However, when nurses fail to succeed in their attempt to advocate for patients in clinical practice, the outcomes can negatively affect their own well-being and the quality of patient care delivery. These study results could promote awareness and help nurses to develop strategies for improving patient advocacy activities based on their experiences. Additionally, nurses can seek help, including psychological counseling, when necessary to enhance their optimal well-being as they care for their patients. Nursing educational institutions and hospital managers can support, train, and equip nurses with the required skills for enhancing positive advocacy outcomes. .展开更多
The Qaidam Basin(QB)is a concentrated distribution area and chemical industrial bases of salt lakes in China.Lakes in the QB have been expanding during the past 20 years.Rapid lake expansion resulted in some considera...The Qaidam Basin(QB)is a concentrated distribution area and chemical industrial bases of salt lakes in China.Lakes in the QB have been expanding during the past 20 years.Rapid lake expansion resulted in some considerable scientific issues on the protection of salt lake resources and infrastructure,and monitoring of hydrological processes at the lake-basin scale.Although the spatial-temporal trends of lake changes on the Qinghai-Tibet Plateau(QTP)have been well documented,the underlying influencing mechanism and hydrogeological implications of rapid lake changes in the QB are not well understood.Three lakes in the northern QB were selected to investigate lake water level fluctuations on different time scales based on extensive in-situ monitoring and satellite observations.The influencing mechanism and hydrogeological implications of rapid changes of terminal lakes were discussed in combination with the reported increasing precipitation rate and mass balance of glaciers in the northern QTP.Results reveal the following:(1)the fluctuation pattern of Sugan Lake was asynchronous and out of phase with that of Xiao Qaidam and Toson lakes during the monitoring period;(2)Sugan Lake water rose gradually,and the rise interval was from late April to early July.In contrast,Xiao Qaidam and Toson lakes took on a rapid and steep rise,and the rise intervalwas from late July to September;(3)the influencing mechanisms for rapid lake fluctuations are controlled by different factors:glacier and snow melting with increasing temperature for Sugan Lake and increasing precipitation for Xiao Qaidam and Toson lakes;(4)in accordance with different intervals and influencing mechanisms of rapid lake expansions in the QB,hydrological risk precaution of lakes and corresponding river catchments was conducted in different parts of the basin.This study provided an important scientific basis for assessing the hydrological process and hydrological risk precaution,and protection of salt lake resources along with rapid lake expansions in the arid area.展开更多
The paper focuses on Wu Zetian,the only empress in China’s history,and her relationship with Buddhism.This study focuses on the book Zizhi Tongjian and compares the differences in the portrayal of Wu Zetian’s connec...The paper focuses on Wu Zetian,the only empress in China’s history,and her relationship with Buddhism.This study focuses on the book Zizhi Tongjian and compares the differences in the portrayal of Wu Zetian’s connection with Buddhism with the ancient texts of the Old Tang Book and the New Tang Book.It uses historical contextualism to analyze the epochal implications of these differences in the Northern Song Dynasty.Additionally,the paper discusses how historians downplayed or marginalized Wu Zetian’s achievements while emphasizing the negative aspects of her reign.Notably,historian Sima Guang,who was influenced by Confucianism and his own political situation,produced a biased description of Wu Zetian and the Buddhism which she promoted during her reign.展开更多
Over past decades,takotsubo cardiomyopathy(TTC)has drawn a substantial interest as a unique form of acute and reversible cardiomyopathy that usually emerges in response to adrenergic hyperactivation associated with a ...Over past decades,takotsubo cardiomyopathy(TTC)has drawn a substantial interest as a unique form of acute and reversible cardiomyopathy that usually emerges in response to adrenergic hyperactivation associated with a variety of emotional and physical triggers.[1,2]Even though,this phenomenon is generally characterized by an apical balloning pattern(classical variant),it might occasionally present with atypical morphological variants including mid-ventricular,inverted and focal forms of myocardial involvement.展开更多
The Songnen–Zhangguangcai Range Massif(SZRM)is located in the eastern Central Asian Orogenic Belt and crops out over an extensive part of NE China.The massif was originally thought to contain numerous Precambrian ter...The Songnen–Zhangguangcai Range Massif(SZRM)is located in the eastern Central Asian Orogenic Belt and crops out over an extensive part of NE China.The massif was originally thought to contain numerous Precambrian terranes(e.g.,Xingdong,Dongfengshan,Yimianpo and Zhangguangcailing groups).However,more recent zircon U–Pb dating indicates that the majority of these so-called Precambrian sedimentary and igneous rocks actually formed during either the Paleozoic or Mesozoic and contain only minor Precambrian components(Wang et al.,2014).The presence of Neoproterozoic and Paleoproterozoic detrital zircons with magmatic origins from and Paleozoic units of the SZRM indicating that this area occurs Proterozoic magmatism(Wang et al.,2014),whereas no Proterozoic magmastism has been found.Recently,Pei et al.(2007)reported the ca.1800Ma magmastism,as evidenced by the data of exploration drillholes in the southern Songliao basin.However,an alternative view is that the basement within the SZRM is predominantly Phanerozoic,as evidenced by the presence of Paleozoic fossils and comparatively rare geochronological data(Guo and Liu,1985;Wu et al.,2011),meaning that the ca.1800 Ma rocks in this area may be a tectonically emplaced slice of the North China Craton(Zhang et al.,2005).All of this means that the age and nature of the SZRM basement,and whether this area records Neoproterozoic magmatism,remain unclear.This study presents new geochronological,whole-rock geochemical,and zircon Hf isotopic data for early Proterozoic granitoids within the eastern margin of the SZRM of NE China.These data provide insights into the Neoproterozoic tectonic setting of the SZRM and the links between this magmatism and the evolution of the Rodinia supercontinent.The zircon U–Pb dating indicates that the Neoproterozoic magmatism within the SZRM can be subdivided into two stages:(1)a^917–911 Ma suite of syenogranites and monzogranites,and(2)an^841 Ma suite of granodiorites.The 917–911 Ma granitoids contain high concentrations of Si O2(67.89–71.18 wt.%),K2O(4.24–6.91 wt.%),and Al2O3(14.89–16.14 wt.%),and low concentrations of TFe2O3(1.63–3.70 wt.%)and Mg O(0.53–0.88 wt.%).They are enriched in the light rare earth elements(LREE)and the light ion lithophile elements(LILE),are depleted in the heavy REE(HREE)and the heavy field strength elements(HFSE;e.g.,Nb,Ta,and Ti),and have slightly positive Eu anomalies,indicating they are geochemically similar to high-K adakitic rocks.They have zirconεHf(t)values and TDM2 ages from–4.4 to+1.5and from 1915 Ma to 1592 Ma,respectively,suggesting they were derived from a primary magma generated by the partial melting of ancient thickened lower crustal material.In comparison,the 841 Ma granodiorites contain relatively low concentrations of Al2O3(14.50–14.58 wt.%)and K2O(3.27–3.29 wt.%),relatively high concentrations of TFe2O3(3.78–3.81 wt.%)and the HREE,have negative Eu anomalies,and have zirconεHf(t)values and TDM2ages from–4.7 to+1.0 and from 1875 to 1559 Ma,respectively.These granodiorites formed from a primary magma generated by the partial melting of ancient crustal material.The^917–911 Ma magmatism within the SZRM is inferred to have formed in an orogenic setting,whereas the^841 Ma magmatism formed in an anorogenic setting related to either a post-orogenic tectonic event or the onset of Neoproterozoic continental rifting.It is proposed that the microcontinental massifs within the SZRM formed during or following the final stage of assembly of Rodinia before rifting away from the Tarim Craton in response to Rodinia breakup.展开更多
Objective The formation and evolution of Songnen massif has always been a hot topic,and the presence of Precambrian basement on the Songnen massif is still controversial:(1)Lacking of Pre-Paleozoic dating results,the ...Objective The formation and evolution of Songnen massif has always been a hot topic,and the presence of Precambrian basement on the Songnen massif is still controversial:(1)Lacking of Pre-Paleozoic dating results,the Precambrian basement on Songnen massif does not extend largely according to the isotopic dating results of core from basement,(2)the existence of gneiss from deep drill holes展开更多
The Dongping gold deposit is located on the northern margin of the North China Craton,and is the largest alkaline pluton-related gold deposit in China(Bao et al.,2014),which is characterized by its large amounts of te...The Dongping gold deposit is located on the northern margin of the North China Craton,and is the largest alkaline pluton-related gold deposit in China(Bao et al.,2014),which is characterized by its large amounts of tellurides.The deposit is largely hosted in the Shuiquangou syenitic complex and consists of auriferous quartz veins and disseminated sulfide ores.It has been extensively studied since its discovery in the 1980s;however the geochronology and genesis of the deposit are still controversial.Nie(1998)considered that the deposit was formed in the Devonian.展开更多
It is well known that there are widespread igneous events at;100 Ma in the Eastern North China Craton;however,their tectonic environments are controversial.They were thought to be either related to an intra-continenta...It is well known that there are widespread igneous events at;100 Ma in the Eastern North China Craton;however,their tectonic environments are controversial.They were thought to be either related to an intra-continental rifting or展开更多
Although its origin has not yet reached a consensus so far, MTS (Molar-Tooth Structure) has been documented for more than 100 years. Current study reports a discovery of MTS from the Mesoproterozoic Wumishan Formati...Although its origin has not yet reached a consensus so far, MTS (Molar-Tooth Structure) has been documented for more than 100 years. Current study reports a discovery of MTS from the Mesoproterozoic Wumishan Formation, Lingyuan, Yanshan Region, North China, and the features and geological implications of MTS are further discussed. Here, straitigraphic horizons of MTS's occurrences show that it was mainly located within the top part of the Wumishan Formation, i.e., limestone unit. Four kinds of morphology of MTS, i.e., fine fusiform, debris, ribbon, ptigmatic and nodular (irregular), were recognized and thought to be highly related to the sedimentary environments and facies. Geochemistry of MTS including oxides, trace elements and C, O and Sr isotopes indicates that the horizons of MTS-bearing is of higher Sr/Ba and Ca/Mg ratios, lower positive ~13C and highly negative 3180 values than the adjacent stratigraphic levels of rare MTS. Lithology, morphology and geochemistry of MTS in the Wumishan Formation suggest that MTS occurs mainly in shallow subtidal near the storm wave base, which is typically characterized by warm temperature, oversaturated calcium carbonate seawater and high organic productivity. Furthermore, occasional enrichment of algae bacteria here is more favorable for the calcification of calcium oozes and catalytic for MTS. C isotope composition of the Wumishan Formation and MTS of this study is well correlated with that of the Mesoproterozoic Belt Supergroup, North America and Riphean, Siberia, suggesting that MTS acts as a sedimentary record responding to global changes and is a perfect indicator in Precambrian stratigraphic correlation worldwide.展开更多
Target of research in subarachnoid hemorrhage(SAH):The outcome of aneurysmal SAH remains poor despite advances in the diagnosis and treatment.Although many factors related to patients,aneurysms,and institutions,as ...Target of research in subarachnoid hemorrhage(SAH):The outcome of aneurysmal SAH remains poor despite advances in the diagnosis and treatment.Although many factors related to patients,aneurysms,and institutions,as well as physiological parameters and medical complications were reported as prognostic factors,展开更多
Selenium is a naturally occurring trace element that is nutritionally required in smallamounts but it can become toxic at concentrations only twice those required. The narrow mar-gin between beneficial and harmful lev...Selenium is a naturally occurring trace element that is nutritionally required in smallamounts but it can become toxic at concentrations only twice those required. The narrow mar-gin between beneficial and harmful levels has important implications for human activities thatincrease the amount of selenium in the environment. Two of these activities, disposal of fbssilfuel wastes and agricultural irrigation of arid, seleniferous soils, have poisoned fish andwildlife, and threatened public health at several locations in the United States. Research stud-ies of these episodes have generated a data base that clearly illustrates the environmental hazardof excessive selenium. It is strongly bioaccumulated by aquatic organisms and even slight in-creases in waterborne concentrations can quickly result in toxic effects such as deformed em-bryos and reproductive failure in wildlife. The selenium data base has been very beneficial indeveloping hazard assessment procedures and establishing environmentally sound water qualitycriteria. The two faces of selenium, required nutrient and Potent toxin, make it a particularlyimportant trace element in the health of both animals and man. Because of this paradox, envi-ronmental selenium in relation to agriculture, fisheries, and wildlife wiIl continue to raise im-POrtant land and water management issues for decades to come. If these issues are dealt withusing prudence and the available environmental selenium data base, adverse irnpacts to naturalresources andspublic health can be avoided展开更多
Diabetes mellitus(DM)is common in liver cirrhosis(LC).The pathophysiological association is bidirectional.DM is a risk factor of LC and LC is a diabetogenic condition.In the recent years,research on different aspects ...Diabetes mellitus(DM)is common in liver cirrhosis(LC).The pathophysiological association is bidirectional.DM is a risk factor of LC and LC is a diabetogenic condition.In the recent years,research on different aspects of the association DM and LC has been intensified.Nevertheless,it has been insufficient and still exist many gaps.The aims of this review are:(1)To discuss the latest understandings of the association of DM and LC in order to identify the strategies of early diagnosis;(2)To evaluate the impact of DM on outcomes of LC patients;and(3)To select the most adequate management benefiting the two conditions.Literature searches were conducted using Pub Med,Ovid and Scopus engines for DM and LC,diagnosis,outcomes and management.The authors also provided insight from their own published experience.Based on the published studies,two types of DM associated with LC have emerged:Type 2 DM(T2 DM)and hepatogenous diabetes(HD).High-quality evidences have determined that T2 DM or HD significantly increase complications and death pre and post-liver transplantation.HD has been poorly studied and has not been recognized as a complication of LC.The management of DM in LC patients continues to be difficult and should be based on drug pharmacokinetics and the degree of liver failure.In conclusion,the clinical impact of DM in outcomes of LC patients has been the most studied item recently.Nevertheless many gaps still exist particularly in the management.These most important gaps were highlighted in order to propose future lines for research.展开更多
Aortic stenosis (AS) is a common valvular heart disease in the Western populations, with an estimated overall prevalence of 3% in adults over 75 years. To understand its patho-biological processes represents a prior...Aortic stenosis (AS) is a common valvular heart disease in the Western populations, with an estimated overall prevalence of 3% in adults over 75 years. To understand its patho-biological processes represents a priority. In elderly patients, AS usually involves trileaflet valves and is referred to as degenerative calcific processes. Scientific evidence suggests the involvement of an active "atherosclerosis-like" pathogenesis in the initiation phase of degenerative AS. To the contrary, the progression could be driven by different forces (such as mechanical stress, genetic factors and interaction between inflammation and calcification). The improved understanding presents potentially new therapeutic targets for preventing and inhibiting the development and progression of the disease. Furthermore, in clinical practice the management of AS patients implies the evaluation of generalized atherosclerotic manifestations (i.e., in the coronary and carotid arteries) even for prognostic reasons. In counselling elderly patients, the risk stratification should address individual frailty beyond the generic risk scores. In these regard, the co-morbidities, and in particular those linked to the global atherosclerotic burden, should be carefully investigated in order to define the risk/benefit ratio for invasive treatment strategies. We present a detailed overview of insights in pathogenesis of AS with possible practical implications.展开更多
Autosomal dominant osteopetrosis type 2 (ADO2) is a high-density brittle bone disease characterized by bone pain,multiple fractures and skeletal-related events,including nerve compression syndrome and hematological fa...Autosomal dominant osteopetrosis type 2 (ADO2) is a high-density brittle bone disease characterized by bone pain,multiple fractures and skeletal-related events,including nerve compression syndrome and hematological failure.We demonstrated that in mice carrying the heterozygous Clcn7^G213R mutation,whose human mutant homolog CLCN7^G215R affects patients,the clinical impacts of ADO2 extend beyond the skeleton,affecting several other organs.The hallmark of the extra-skeletal alterations is a consistent perivascular fibrosis,associated with high numbers of macrophages and lymphoid infiltrates.Fragmented clinical information in a small cohort of patients confirms extra-skeletal alterations consistent with a systemic disease,in line with the observation that the CLCN7 gene is expressed in many organs.ADO2 mice also show anxiety and depression and their brains exhibit not only perivascular fibrosis but also β-amyloid accumulation and astrogliosis,suggesting the involvement of the nervous system in the pathogenesis of the ADO2 extra-skeletal alterations.Extra-skeletal organs share a similar cellular pathology,confirmed also in vitro in bone marrow mononuclear cells and osteoclasts,characterized by an impairment of the exit pathway of the Clcn7 protein product,ClC7,through the Golgi,with consequent reduced ClC7 expression in late endosomes and lysosomes,associated with high vesicular pH and accumulation of autophagosome markers.Finally,an experimental siRNA therapy,previously proven to counteract the bone phenotype,also improves the extra-skeletal alterations.These results could have important clinical implications,supporting the notion that a systematic evaluation of ADO2 patients for extra-skeletal symptoms could help improve their diagnosis,clinical management,and therapeutic options.展开更多
基金jointly funded by projects supported by the National Natural Science Foundation of China(Grant No.41872150)the Joint Funds of the National Natural Science Foundation of China(Grant No.U19B6003)Major Scientific and Technological Projects of CNPC during the 13th five-year plan(No.2019A-02-10)。
文摘Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional process is regarded confusing. The microfacies, construction types, and depositional model of the Member Deng-2 marginal microbial mound-bank complex have been investigated using unmanned aerial vehicle photography, outcrop section investigation, thin section identification,and seismic reflections in the southwestern Sichuan Basin. The microbialite lithologic textures in this region include thrombolite, dendrolite, stromatolite, fenestral stromatolite, spongiostromata stone,oncolite, aggregated grainstone, and botryoidal grapestone. Based on the comprehensive analysis of“depositional fabrics-lithology-microfacies”, an association between a fore mound, mound framework,and back mound subfacies has been proposed based on water depth, current direction, energy level and lithologic assemblages. The microfacies of the mound base, mound core, mound flank, mound cap, and mound flat could be recognized among the mound framework subfacies. Two construction types of marginal microbial mound-bank complex have been determined based on deposition location, mound scale, migration direction, and sedimentary facies association. Type Jinkouhe microbial mound constructions(TJMMCs) develop along the windward margin owing to their proximity to the seaward subfacies fore mound, with a northeastwardly migrated microbial mound on top of the mud mound,exhibiting the characteristics of large-sized mounds and small-sized banks in the surrounding area. Type E'bian microbial mound constructions(TEMMCs) primarily occur on the leeward margin, resulting from the presence of onshore back mound subfacies, with the smaller southwestward migrated microbial mounds existing on a thicker microbial flat. The platform margin microbial mound depositional model can be correlated with certain lateral comparison profile and seismic reflection structures in the 2D seismic section, which can provide references for future worldwide exploration. Microbial mounds with larger buildups and thicker vertical reservoirs are typically targeted on the windward margin, while small-sized microbial mounds and flats with better lateral connections are typically focused on the leeward margin.
文摘This paper explores the development of postgraduate education in China,including the overall situation of postgraduate education,the trend in enrollment expansion in professional degrees as well as in various academic fields;it also triggers the impact and discussion about the postgraduate enrollment expansion,such as over-education and credential inflation,as well as the concerns about the quality of education and talent cultivation and so forth.Although the expansion brings various problems,the challenges may also become new opportunities for higher education reform,this paper also provides some suggestions on the expansion of postgraduate education.
基金the National Natural Science Foundation of China under Grants 62176083,62176084,61877016,and 61976078the Key Research and Development Program of Anhui Province under Grant 202004d07020004the Natural Science Foundation of Anhui Province under Grant 2108085MF203.
文摘Theα-universal triple I(α-UTI)method is a recognized scheme in the field of fuzzy reasoning,whichwas proposed by our research group previously.The robustness of fuzzy reasoning determines the quality of reasoning algorithms to a large extent,which is quantified by calculating the disparity between the output of fuzzy reasoning with interference and the output without interference.Therefore,in this study,the interval robustness(embodied as the interval stability)of theα-UTI method is explored in the interval-valued fuzzy environment.To begin with,the stability of theα-UTI method is explored for the case of an individual rule,and the upper and lower bounds of its results are estimated,using four kinds of unified interval implications(including the R-interval implication,the S-interval implication,the QL-interval implication and the interval t-norm implication).Through analysis,it is found that theα-UTI method exhibits good interval stability for an individual rule.Moreover,the stability of theα-UTI method is revealed in the case of multiple rules,and the upper and lower bounds of its outcomes are estimated.The results show that theα-UTI method is stable for multiple rules when four kinds of unified interval implications are used,respectively.Lastly,theα-UTI reasoning chain method is presented,which contains a chain structure with multiple layers.The corresponding solutions and their interval perturbations are investigated.It is found that theα-UTI reasoning chain method is stable in the case of chain reasoning.Two application examples in affective computing are given to verify the stability of theα-UTImethod.In summary,through theoretical proof and example verification,it is found that theα-UTImethod has good interval robustness with four kinds of unified interval implications aiming at the situations of an individual rule,multi-rule and reasoning chain.
文摘BACKGROUND Breast infiltrating ductal carcinoma(BIDC)represents the largest heterotypic tumor group,and an in-depth understanding of the pathogenesis of BIDC is key to improving its prognosis.AIM To analyze the expression profiles and clinical implications of forkhead box M1(FOXM1),cyclooxygenase-2(COX-2),and glucose-regulated protein 78(GRP78)in BIDC.METHODS A total of 65 BIDC patients and 70 healthy controls who presented to our hospital between August 2019 and May 2021 were selected for analysis.The peripheral blood FOXM1,COX-2,and GRP78 levels in both groups were measured and the association between their expression profiles in BIDC was examined.Additionally,we investigated the diagnostic value of FOXM1,COX-2,and GRP78 in patients with BIDC and their correlations with clinicopathological features.Furthermore,BIDC patients were followed for 1 year to identify factors influencing patient prognosis.RESULTS The levels of FOXM1,COX-2,and GRP78 were significantly higher in BIDC patients compared to healthy controls(P<0.05),and a positive correlation was observed among them(P<0.05).Receiver operating characteristic analysis demonstrated that FOXM1,COX-2,and GRP78 had excellent diagnostic value in predicting the occurrence of BIDC(P<0.05).Subsequently,we found significant differences in FOXM1,COX-2,and GRP78 levels among patients with different histological grades and metastasis statuses(with vs without)(P<0.05).Cox analysis revealed that FOXM1,COX-2,GRP78,increased histological grade,and the presence of tumor metastasis were independent risk factors for prognostic death in BIDC(P<0.001).CONCLUSION FOXM1,COX-2,and GRP78 exhibit abnormally high expression in BIDC,promoting malignant tumor development and closely correlating with prognosis.These findings hold significant research implications for the future diagnosis and treatment of BIDC.
文摘With the increasing strategic relevance of the Arctic region in the international system,the United States,as the global hegemon and also an Arctic country,has gradually viewed the region as an important arena to address its alleged security threats and conduct major-power competition.
文摘Many developing countries like Nigeria lack policy for the care of the older adults and this creates major challenges for the elderly population. The traditional family institution and community support that used to be safety nest are being adversely affected by westernization. This development might have adverse effect on life satisfaction among the older adults. This hospital based cross-sectional study was designed to determine the association between support and life satisfaction among older adults. A total of 128 subjects participated in the study out of which 28.9% were satisfied with life. Expectation of support was mainly from the family, less from the community and very low from the government. The level of support received from all sources generally fell short of expectations. Marital status and source of livelihood were significantly associated with life satisfaction. There is inadequate social support from the government and support from family and community fell below expectations. Expectations of support were the most strongly correlated with life satisfaction. Support for older adults must be addressed in order to meet their expectations and improve their level of satisfaction with life.
文摘Background: Nurses are expected by their international code of ethics to advocate for patients to enhance safety and quality care. However, there is a limited understanding regarding the implications of specific patient advocacy outcomes experienced by nurses who advocate for patients in the hospital context. Purpose: This study explored the implications of patient advocacy outcomes experienced among practicing nurses in the hospital context. Methods: A qualitative, descriptive study design was utilized. Data was collected through purposive sampling and an in-depth semi-structured interview of 25 Registered Nurses in an acute care hospital. An inductive qualitative content analysis method was used, and the SRQR guidelines for reporting qualitative studies were followed. Results: This study revealed that nurses who succeeded in advocating for patients experienced feelings of happiness, increased confidence levels, increased work output, and job satisfaction. However, nurses who failed to succeed in advocating for patients experienced physical, emotional, and psychological consequences, which contributed negatively to the quality of patient care. Therapeutic communication and nurses’ commitment to intervene for patients emerged as vital qualities and skills required to succeed in the patient advocacy process. Conclusions: This study showed that patient advocacy has advantages. However, when nurses fail to succeed in their attempt to advocate for patients in clinical practice, the outcomes can negatively affect their own well-being and the quality of patient care delivery. These study results could promote awareness and help nurses to develop strategies for improving patient advocacy activities based on their experiences. Additionally, nurses can seek help, including psychological counseling, when necessary to enhance their optimal well-being as they care for their patients. Nursing educational institutions and hospital managers can support, train, and equip nurses with the required skills for enhancing positive advocacy outcomes. .
基金Supported by the Second Tibetan Plateau Scientific Expedition and Research Program(No.2019 QZKK 0805)the National Natural Science Foundation of China(No.U 21 A 2018)the Foundation of Department of Qinghai Science&Technology(No.2020-ZJ-T 06)。
文摘The Qaidam Basin(QB)is a concentrated distribution area and chemical industrial bases of salt lakes in China.Lakes in the QB have been expanding during the past 20 years.Rapid lake expansion resulted in some considerable scientific issues on the protection of salt lake resources and infrastructure,and monitoring of hydrological processes at the lake-basin scale.Although the spatial-temporal trends of lake changes on the Qinghai-Tibet Plateau(QTP)have been well documented,the underlying influencing mechanism and hydrogeological implications of rapid lake changes in the QB are not well understood.Three lakes in the northern QB were selected to investigate lake water level fluctuations on different time scales based on extensive in-situ monitoring and satellite observations.The influencing mechanism and hydrogeological implications of rapid changes of terminal lakes were discussed in combination with the reported increasing precipitation rate and mass balance of glaciers in the northern QTP.Results reveal the following:(1)the fluctuation pattern of Sugan Lake was asynchronous and out of phase with that of Xiao Qaidam and Toson lakes during the monitoring period;(2)Sugan Lake water rose gradually,and the rise interval was from late April to early July.In contrast,Xiao Qaidam and Toson lakes took on a rapid and steep rise,and the rise intervalwas from late July to September;(3)the influencing mechanisms for rapid lake fluctuations are controlled by different factors:glacier and snow melting with increasing temperature for Sugan Lake and increasing precipitation for Xiao Qaidam and Toson lakes;(4)in accordance with different intervals and influencing mechanisms of rapid lake expansions in the QB,hydrological risk precaution of lakes and corresponding river catchments was conducted in different parts of the basin.This study provided an important scientific basis for assessing the hydrological process and hydrological risk precaution,and protection of salt lake resources along with rapid lake expansions in the arid area.
文摘The paper focuses on Wu Zetian,the only empress in China’s history,and her relationship with Buddhism.This study focuses on the book Zizhi Tongjian and compares the differences in the portrayal of Wu Zetian’s connection with Buddhism with the ancient texts of the Old Tang Book and the New Tang Book.It uses historical contextualism to analyze the epochal implications of these differences in the Northern Song Dynasty.Additionally,the paper discusses how historians downplayed or marginalized Wu Zetian’s achievements while emphasizing the negative aspects of her reign.Notably,historian Sima Guang,who was influenced by Confucianism and his own political situation,produced a biased description of Wu Zetian and the Buddhism which she promoted during her reign.
文摘Over past decades,takotsubo cardiomyopathy(TTC)has drawn a substantial interest as a unique form of acute and reversible cardiomyopathy that usually emerges in response to adrenergic hyperactivation associated with a variety of emotional and physical triggers.[1,2]Even though,this phenomenon is generally characterized by an apical balloning pattern(classical variant),it might occasionally present with atypical morphological variants including mid-ventricular,inverted and focal forms of myocardial involvement.
基金financially supported by the National Natural Science Foundation of China (Grants 41330206)National Key Basic Research Program of China (2013CB429803)
文摘The Songnen–Zhangguangcai Range Massif(SZRM)is located in the eastern Central Asian Orogenic Belt and crops out over an extensive part of NE China.The massif was originally thought to contain numerous Precambrian terranes(e.g.,Xingdong,Dongfengshan,Yimianpo and Zhangguangcailing groups).However,more recent zircon U–Pb dating indicates that the majority of these so-called Precambrian sedimentary and igneous rocks actually formed during either the Paleozoic or Mesozoic and contain only minor Precambrian components(Wang et al.,2014).The presence of Neoproterozoic and Paleoproterozoic detrital zircons with magmatic origins from and Paleozoic units of the SZRM indicating that this area occurs Proterozoic magmatism(Wang et al.,2014),whereas no Proterozoic magmastism has been found.Recently,Pei et al.(2007)reported the ca.1800Ma magmastism,as evidenced by the data of exploration drillholes in the southern Songliao basin.However,an alternative view is that the basement within the SZRM is predominantly Phanerozoic,as evidenced by the presence of Paleozoic fossils and comparatively rare geochronological data(Guo and Liu,1985;Wu et al.,2011),meaning that the ca.1800 Ma rocks in this area may be a tectonically emplaced slice of the North China Craton(Zhang et al.,2005).All of this means that the age and nature of the SZRM basement,and whether this area records Neoproterozoic magmatism,remain unclear.This study presents new geochronological,whole-rock geochemical,and zircon Hf isotopic data for early Proterozoic granitoids within the eastern margin of the SZRM of NE China.These data provide insights into the Neoproterozoic tectonic setting of the SZRM and the links between this magmatism and the evolution of the Rodinia supercontinent.The zircon U–Pb dating indicates that the Neoproterozoic magmatism within the SZRM can be subdivided into two stages:(1)a^917–911 Ma suite of syenogranites and monzogranites,and(2)an^841 Ma suite of granodiorites.The 917–911 Ma granitoids contain high concentrations of Si O2(67.89–71.18 wt.%),K2O(4.24–6.91 wt.%),and Al2O3(14.89–16.14 wt.%),and low concentrations of TFe2O3(1.63–3.70 wt.%)and Mg O(0.53–0.88 wt.%).They are enriched in the light rare earth elements(LREE)and the light ion lithophile elements(LILE),are depleted in the heavy REE(HREE)and the heavy field strength elements(HFSE;e.g.,Nb,Ta,and Ti),and have slightly positive Eu anomalies,indicating they are geochemically similar to high-K adakitic rocks.They have zirconεHf(t)values and TDM2 ages from–4.4 to+1.5and from 1915 Ma to 1592 Ma,respectively,suggesting they were derived from a primary magma generated by the partial melting of ancient thickened lower crustal material.In comparison,the 841 Ma granodiorites contain relatively low concentrations of Al2O3(14.50–14.58 wt.%)and K2O(3.27–3.29 wt.%),relatively high concentrations of TFe2O3(3.78–3.81 wt.%)and the HREE,have negative Eu anomalies,and have zirconεHf(t)values and TDM2ages from–4.7 to+1.0 and from 1875 to 1559 Ma,respectively.These granodiorites formed from a primary magma generated by the partial melting of ancient crustal material.The^917–911 Ma magmatism within the SZRM is inferred to have formed in an orogenic setting,whereas the^841 Ma magmatism formed in an anorogenic setting related to either a post-orogenic tectonic event or the onset of Neoproterozoic continental rifting.It is proposed that the microcontinental massifs within the SZRM formed during or following the final stage of assembly of Rodinia before rifting away from the Tarim Craton in response to Rodinia breakup.
基金financially supported by China Geological Survey (Grants12120113053900 and DD20160047)
文摘Objective The formation and evolution of Songnen massif has always been a hot topic,and the presence of Precambrian basement on the Songnen massif is still controversial:(1)Lacking of Pre-Paleozoic dating results,the Precambrian basement on Songnen massif does not extend largely according to the isotopic dating results of core from basement,(2)the existence of gneiss from deep drill holes
基金financially supported by the National Natural Science Foundation of China (grant 41573036)the Fundamental Research Funds for the Central Universities, China University of Geosciences (grant No. 2652017262)
文摘The Dongping gold deposit is located on the northern margin of the North China Craton,and is the largest alkaline pluton-related gold deposit in China(Bao et al.,2014),which is characterized by its large amounts of tellurides.The deposit is largely hosted in the Shuiquangou syenitic complex and consists of auriferous quartz veins and disseminated sulfide ores.It has been extensively studied since its discovery in the 1980s;however the geochronology and genesis of the deposit are still controversial.Nie(1998)considered that the deposit was formed in the Devonian.
基金supported by 973 (2012CB416601) and NFSC (41322018) projects
文摘It is well known that there are widespread igneous events at;100 Ma in the Eastern North China Craton;however,their tectonic environments are controversial.They were thought to be either related to an intra-continental rifting or
基金supported by the National Natural Science Foundation(No.40772078)the marineoil and gases exploration progress project of SINOPIC'Petroleum Geology Research and Oil Potential Prospect of the Precambrian stratigraphy of the North China Platform(No.GB0800-06-ZS-350)Foundation of Geology Institute of CAGS(No.J0903,No.J1106)
文摘Although its origin has not yet reached a consensus so far, MTS (Molar-Tooth Structure) has been documented for more than 100 years. Current study reports a discovery of MTS from the Mesoproterozoic Wumishan Formation, Lingyuan, Yanshan Region, North China, and the features and geological implications of MTS are further discussed. Here, straitigraphic horizons of MTS's occurrences show that it was mainly located within the top part of the Wumishan Formation, i.e., limestone unit. Four kinds of morphology of MTS, i.e., fine fusiform, debris, ribbon, ptigmatic and nodular (irregular), were recognized and thought to be highly related to the sedimentary environments and facies. Geochemistry of MTS including oxides, trace elements and C, O and Sr isotopes indicates that the horizons of MTS-bearing is of higher Sr/Ba and Ca/Mg ratios, lower positive ~13C and highly negative 3180 values than the adjacent stratigraphic levels of rare MTS. Lithology, morphology and geochemistry of MTS in the Wumishan Formation suggest that MTS occurs mainly in shallow subtidal near the storm wave base, which is typically characterized by warm temperature, oversaturated calcium carbonate seawater and high organic productivity. Furthermore, occasional enrichment of algae bacteria here is more favorable for the calcification of calcium oozes and catalytic for MTS. C isotope composition of the Wumishan Formation and MTS of this study is well correlated with that of the Mesoproterozoic Belt Supergroup, North America and Riphean, Siberia, suggesting that MTS acts as a sedimentary record responding to global changes and is a perfect indicator in Precambrian stratigraphic correlation worldwide.
基金supported by a Grant-in-Aid for Scientific Research from Mie Medical Research Foundation to HS
文摘Target of research in subarachnoid hemorrhage(SAH):The outcome of aneurysmal SAH remains poor despite advances in the diagnosis and treatment.Although many factors related to patients,aneurysms,and institutions,as well as physiological parameters and medical complications were reported as prognostic factors,
文摘Selenium is a naturally occurring trace element that is nutritionally required in smallamounts but it can become toxic at concentrations only twice those required. The narrow mar-gin between beneficial and harmful levels has important implications for human activities thatincrease the amount of selenium in the environment. Two of these activities, disposal of fbssilfuel wastes and agricultural irrigation of arid, seleniferous soils, have poisoned fish andwildlife, and threatened public health at several locations in the United States. Research stud-ies of these episodes have generated a data base that clearly illustrates the environmental hazardof excessive selenium. It is strongly bioaccumulated by aquatic organisms and even slight in-creases in waterborne concentrations can quickly result in toxic effects such as deformed em-bryos and reproductive failure in wildlife. The selenium data base has been very beneficial indeveloping hazard assessment procedures and establishing environmentally sound water qualitycriteria. The two faces of selenium, required nutrient and Potent toxin, make it a particularlyimportant trace element in the health of both animals and man. Because of this paradox, envi-ronmental selenium in relation to agriculture, fisheries, and wildlife wiIl continue to raise im-POrtant land and water management issues for decades to come. If these issues are dealt withusing prudence and the available environmental selenium data base, adverse irnpacts to naturalresources andspublic health can be avoided
文摘Diabetes mellitus(DM)is common in liver cirrhosis(LC).The pathophysiological association is bidirectional.DM is a risk factor of LC and LC is a diabetogenic condition.In the recent years,research on different aspects of the association DM and LC has been intensified.Nevertheless,it has been insufficient and still exist many gaps.The aims of this review are:(1)To discuss the latest understandings of the association of DM and LC in order to identify the strategies of early diagnosis;(2)To evaluate the impact of DM on outcomes of LC patients;and(3)To select the most adequate management benefiting the two conditions.Literature searches were conducted using Pub Med,Ovid and Scopus engines for DM and LC,diagnosis,outcomes and management.The authors also provided insight from their own published experience.Based on the published studies,two types of DM associated with LC have emerged:Type 2 DM(T2 DM)and hepatogenous diabetes(HD).High-quality evidences have determined that T2 DM or HD significantly increase complications and death pre and post-liver transplantation.HD has been poorly studied and has not been recognized as a complication of LC.The management of DM in LC patients continues to be difficult and should be based on drug pharmacokinetics and the degree of liver failure.In conclusion,the clinical impact of DM in outcomes of LC patients has been the most studied item recently.Nevertheless many gaps still exist particularly in the management.These most important gaps were highlighted in order to propose future lines for research.
文摘Aortic stenosis (AS) is a common valvular heart disease in the Western populations, with an estimated overall prevalence of 3% in adults over 75 years. To understand its patho-biological processes represents a priority. In elderly patients, AS usually involves trileaflet valves and is referred to as degenerative calcific processes. Scientific evidence suggests the involvement of an active "atherosclerosis-like" pathogenesis in the initiation phase of degenerative AS. To the contrary, the progression could be driven by different forces (such as mechanical stress, genetic factors and interaction between inflammation and calcification). The improved understanding presents potentially new therapeutic targets for preventing and inhibiting the development and progression of the disease. Furthermore, in clinical practice the management of AS patients implies the evaluation of generalized atherosclerotic manifestations (i.e., in the coronary and carotid arteries) even for prognostic reasons. In counselling elderly patients, the risk stratification should address individual frailty beyond the generic risk scores. In these regard, the co-morbidities, and in particular those linked to the global atherosclerotic burden, should be carefully investigated in order to define the risk/benefit ratio for invasive treatment strategies. We present a detailed overview of insights in pathogenesis of AS with possible practical implications.
基金supported by the Fondazione Telethon Grants GGP09018 and GGP14014the European Union funded project SYBIL—FP7-HEALTH-2013-INNOVATION—602300+1 种基金the Progetti di Rilevante Interesse Nazionale(PRIN)grant 2015F3JHMB to A.T.A.M.A.U.were recipients of Marie Curie fellowships from the European Union funded project RUBICON—H2020-MSCA-RISE-2015_690850 to A.T.
文摘Autosomal dominant osteopetrosis type 2 (ADO2) is a high-density brittle bone disease characterized by bone pain,multiple fractures and skeletal-related events,including nerve compression syndrome and hematological failure.We demonstrated that in mice carrying the heterozygous Clcn7^G213R mutation,whose human mutant homolog CLCN7^G215R affects patients,the clinical impacts of ADO2 extend beyond the skeleton,affecting several other organs.The hallmark of the extra-skeletal alterations is a consistent perivascular fibrosis,associated with high numbers of macrophages and lymphoid infiltrates.Fragmented clinical information in a small cohort of patients confirms extra-skeletal alterations consistent with a systemic disease,in line with the observation that the CLCN7 gene is expressed in many organs.ADO2 mice also show anxiety and depression and their brains exhibit not only perivascular fibrosis but also β-amyloid accumulation and astrogliosis,suggesting the involvement of the nervous system in the pathogenesis of the ADO2 extra-skeletal alterations.Extra-skeletal organs share a similar cellular pathology,confirmed also in vitro in bone marrow mononuclear cells and osteoclasts,characterized by an impairment of the exit pathway of the Clcn7 protein product,ClC7,through the Golgi,with consequent reduced ClC7 expression in late endosomes and lysosomes,associated with high vesicular pH and accumulation of autophagosome markers.Finally,an experimental siRNA therapy,previously proven to counteract the bone phenotype,also improves the extra-skeletal alterations.These results could have important clinical implications,supporting the notion that a systematic evaluation of ADO2 patients for extra-skeletal symptoms could help improve their diagnosis,clinical management,and therapeutic options.