Composite felts reinforced by both SiC nano-fibers(SiC-NFs)and carbon fibers were prepared at 1 273 K using Ni granules as catalyzers with different deposition time.SiC-NFs were deposited on the surface of the carbon ...Composite felts reinforced by both SiC nano-fibers(SiC-NFs)and carbon fibers were prepared at 1 273 K using Ni granules as catalyzers with different deposition time.SiC-NFs were deposited on the surface of the carbon fibers in situ by catalytic chemical vapor deposition(CCVD).The phase,microstructure and morphology of the fibers after electroplating and deposition were characterized by XRD,SEM and TEM.The results show that the SiC-NFs produced by CCVD are composed of single crystal of β-SiC.It is found that smaller nano-granules are more active as catalyzers.The resulting SiC-NFs appear more spindle-like and have a more homogeneous dispersion.The mass change of the samples before and after deposition shows that using more Ni granules results in a faster growth velocity of SiC-NFs.With the same electroplating time,the growth velocity of the SiC-NFs first increases and then decreases.At around 4 h,it reaches the maximum growth velocity,and it becomes nearly constant at around 8 h.After 8 h, the stable growth velocity of the electroplated Ni samples is faster than that of the conventional sample produced without catalyzers, because the SiC-NFs can improve the specific surface area and the activity of the surface.展开更多
Electrochemical behavior of 5083-H116 Al alloy with flow velocity of seachest material for Al ship was evaluated.To examine the electrochemical characteristics of flow velocity and its effects on the performance of th...Electrochemical behavior of 5083-H116 Al alloy with flow velocity of seachest material for Al ship was evaluated.To examine the electrochemical characteristics of flow velocity and its effects on the performance of the alloy,experiments were conducted at four flow velocity variables using static state with an agitator.An ultrasonic vibration generator using piezoelectric effect was used in cavitation test according to the requirements of in ASTM-G32.The results show that the corrosion current density and damage were increased by applying the flow velocity compared to static state.Therefore,it is determined that the case of applying flow velocity is weaker to the corrosion.展开更多
The paper compares the height growth velocities of male schoolchildren in South Korea and Japan over the period 1961-2018. Growth in height was measured with the same birth cohorts, not by comparing mean height of asc...The paper compares the height growth velocities of male schoolchildren in South Korea and Japan over the period 1961-2018. Growth in height was measured with the same birth cohorts, not by comparing mean height of ascending ages in the same year. Starting from a lower economic base and mean height in the 1960s, high school males aged 17 in South Korea became 3 cm taller in mean height than their Japanese peers in the mid-2000s versus 2 - 3 cm shorter in the 1960s through 1970s. Children in Japan ceased to grow taller by the end of the 1980s, not because they quit taking more animal-sourced foods, meat and milk, but because they had drastically steered away from fruit and vegetables in their diets since the end of the 1970s. Having largely converged economically with Japan, South Korean children ceased to grow any taller in the mid-2000s. More importantly, it was discovered in this study that successive cohorts in South Korea started to fall gradually but steadily in height growth velocity from 1<sup><span style="font-family:Verdana;font-size:12px;">st</span></sup><span style="font-family:Verdana;font-size:12px;"> graders in middle school, aged 12 years to 3</span><sup><span style="font-family:Verdana;font-size:12px;">rd</span></sup><span style="font-family:Verdana;font-size:12px;"> graders in high school, </span><span style="font-family:Verdana;">and </span><span style="font-family:Verdana;">aged 17 years, to be once again 3 cm below their Japanese peers in the early-2010s. Analysis of Korea Household Expenditure Surveys classified by age groups of household head, decomposed by the author, revealed that children under 20 years of age in South Korea began to steer away from fruit and, particularly, vegetables in their at-home consumption in the mid-1990s, to average only 15% of the level of older adults in their 50s in the mid-2010s. These results lend supports to the importance of fruit and vegetables as determinants in height and its growth velocities in two genetically similar nations over time and stages of economic growth.</span>展开更多
The effect of supercooled melt forced laminar flow at low Reynolds Number on dendritic growth perpendicular to melt flow direction was investigated with the phase-field method by incorporating melt convection and ther...The effect of supercooled melt forced laminar flow at low Reynolds Number on dendritic growth perpendicular to melt flow direction was investigated with the phase-field method by incorporating melt convection and thermal noise under non-isothermal condition. By taking the dendritic growth of high pure succinonitrile (SCN) supercooled melt as an example, side-branching shape difference of melts with flow and without flow was analyzed. Relationships among supercooled melt inflow velocity, deflexion angle of dendritic arm and dendritic tip growth velocity were studied. Results show that the melt inflow velocity has few effects on the dendritic tip growth velocity. A formula of relationship between the velocity of the melt in front of primary dendritic tip and the dendritic growth time was deduced, and the calculated result was in quantitative agreement with the simulation result.展开更多
The random distribution problem of dendrite preferred growth direction was settled by random grid method.This method was used to study the influence of forced laminar flow effect on multiple grains during solidificati...The random distribution problem of dendrite preferred growth direction was settled by random grid method.This method was used to study the influence of forced laminar flow effect on multiple grains during solidification.Taking high pure succinonitrile (SCN) undercooled melt as an example,the forced laminar flow effect on multiple grains was studied by phase-field model of single grain which coupled with flow equations at non-isothermal condition.The simulation results show that the random grid method can reasonably settle the problem of random distribution and is more effective.When the solid fraction is relatively low,melt particles flow around the downstream side of dendrite,and the flow velocity between two dendrite arms becomes high.At the stage of solidification time less than 1800Δt,every dendrite grows freely;the upstream dendrites are stronger than the downstream ones.The higher the melt flow rate,the higher the solid fraction.However,when the solid fraction is relatively high,the dendrite arm intertwins and only a little residual melt which is not encapsulated can flow;the solid fraction will gradually tend to equal to solid fraction of melt without flow.展开更多
OBJECTIVE: China is the only country where nerve growth factor is approved for large-scale use as a clinical medicine. More than 10 years ago, in 2003, nerve growth factor injection was listed as a national drug. The...OBJECTIVE: China is the only country where nerve growth factor is approved for large-scale use as a clinical medicine. More than 10 years ago, in 2003, nerve growth factor injection was listed as a national drug. The goal of this article is to evaluate comprehensively the efficacy and safety of nerve growth factor for the treatment of neurological diseases. DATA RETRIEVAL: A computer-based retrieval was performed from six databases, including the Cochrane Library, PubMed, EMBASE, Sino Med, CNKI, and the VIP database, searching from the clinical establishment of nerve growth factor for treatment until December 31, 2013. The key words for the searches were "nerve growth factor, randomized controlled trials" in Chinese and in English. DATA SELECTION: Inclusion criteria: any study published in English or Chinese referring to randomized controlled trials of nerve growth factor; patients with neurological diseases such as peripheral nerve injury, central nerve injury, cranial neuropathy, and nervous system infections; patients older than 7 years; similar research methods and outcomes assessing symptoms; and measurement of nerve conduction velocities. The meta-analysis was conducted using Review Manager 5.2.3 software. MAIN OUTCOME MEASURES: The total effective rate, the incidence of adverse effects, and the nerve conduction velocity were recorded for each study. RESULTS: Sixty-four studies involving 6,297 patients with neurological diseases were included. The total effective rate in the group treated with nerve growth factor was significantly higher than that in the control group (P 〈 0.0001, RR: 1.35, 95%CI: 1.30-1.40). The average nerve conduction velocity in the nerve growth factor group was significantly higher than that in the control group (P 〈 0.00001, MD. 4.59 m/s, 95%CI: 4.12-5.06). The incidence of pain or sclero- ma at the injection site in the nerve growth factor group was also higher than that in the control group (P 〈 0.00001, RR: 6.30, 95%CI: 3.53-11.27), but such adverse effects were mild. CONCLUSION: Nerve growth factor can significantly improve nerve function in patients with nervous system disease and is safe and effective.展开更多
Summary: Ten girls with Turner syndrome were treated with a combination therapy of recombinant human growth hormone (R hGH) and low dose stanozolol for a period of 8 to 36 months. The results showed that when compare...Summary: Ten girls with Turner syndrome were treated with a combination therapy of recombinant human growth hormone (R hGH) and low dose stanozolol for a period of 8 to 36 months. The results showed that when compared with the growth rate before the treatment, the growth rates after treatment with R hGH and stanozolol showed a sustained increase, reaching 9.0±1.9 cm/year during the first year of treatment; the height age increase by 2.5±0.8 years while the bone age increase were 1.0±0.7 years; and the predicted final adult height at the end of the first year of the treatment increased to 149.4±6.1 cm compared to their original mean of 142.8±4.2 cm. We are led to conclude that therapy with R hGH in combination with stanozolol can increase the growth velocity and significantly increase the predicted adult height of children with Turner syndrome.展开更多
The microstructural evolution during directional solidification of the Ni-25%Al(mole fraction) alloy was investigated in the range of growth velocity from 10 to 100 μm/s under a given thermal gradient of 10 K/mm. The...The microstructural evolution during directional solidification of the Ni-25%Al(mole fraction) alloy was investigated in the range of growth velocity from 10 to 100 μm/s under a given thermal gradient of 10 K/mm. The solidification microstructures reveal a transition from γ'-β equilibrium eutectic to γ-β metastable eutectic plus β dendrites. A mixed microstructure of γ'-β and γ-β eutectics produced at a growth velocity of 25 μm/s illustrates that the transition occurs during the competitive growth between γ and γ' phases. The growth temperature for each phase was considered to understand the microstructure selection during solidification. The experimental results show that a phase or a microstructure solidifying with the highest temperature under a given growth condition is preferentially selected upon solidification. In addition, both stable eutectic and metastable eutectic are shown to coexist and simultaneously grow in the velocity range between 25 and 60 μm/s due to their similar growth temperatures.展开更多
Numerical simulation based on phase field method was developed to describe the solidification of two-dimensional isothermal binary alloys. The evolution of the interface morphology was shown and the effects of phase f...Numerical simulation based on phase field method was developed to describe the solidification of two-dimensional isothermal binary alloys. The evolution of the interface morphology was shown and the effects of phase field parameters were formulated for succinonitrile-acetone alloy. The results indicate that an anti-trapping current(ATC) can suppress many trapped molten packets, which is caused by the thickened interface. With increasing the anisotropy value from 0 to 0.05, a small circular seed grows to develope secondary dendritic, dendritic tip velocity increases monotonically, and the solute accumulation of solid/liquid interface is diminished distinctly. Furthermore, with the increase of the coupling parameter value, the interface becomes unstable and the side branches of crystals appear and grow gradually.展开更多
Al-Si eutectic growth mechanism was investigated in a directionally-solidified AI-1 3 wt% Si alloy with different strontium (Sr) and magnesium (Mg) additions, growth velocities and temperature gradients. Macro- an...Al-Si eutectic growth mechanism was investigated in a directionally-solidified AI-1 3 wt% Si alloy with different strontium (Sr) and magnesium (Mg) additions, growth velocities and temperature gradients. Macro- and micro- scale metallographic analyses revealed that addition level of Sr and Mg, temperature gradient and growth velocity are important factors affecting stability of solidifying AI-Si eutectic front and the final morphology of eutectic grains in the solidified A1-13 wt% Si alloys. By varying (tailoring) these factors, a variety of eutectic grain structures and morphologies such as planar front, cellular structure, a mix of cellular and columnar, or equiaxed dendrites, can be obtained. Increasing temperature gradient, reducing growth velocity, or decreasing Sr and Mg contents is beneficial to stabilizing planar growth front of eutectic grains, which is qualitatively in accordance with constitutional supercooling criterion for binary eutectic growth. In contrast, adding more Sr and Mg, increasing growth velocity, or decreasing temperature gradient produces large constitutional supercooling, leading to columnar-equiaxed transition (CET) of eutectic structure, which can be interpreted on the basis of Hunt's Model. It is also found that both solute concentration and solidification variables have significant impact not only on eutectic growth, but also on gas porosity formation.展开更多
Background There is no appropriate tool to predict recombinant human growth hormone(rhGH)response before therapy initiation in short-stature children in late puberty.The current study aimed to explore the associations...Background There is no appropriate tool to predict recombinant human growth hormone(rhGH)response before therapy initiation in short-stature children in late puberty.The current study aimed to explore the associations between magnetic resonance imaging(MRI)stages of the knee growth plates and rhGH response in short-stature children in late puberty.Methods In this prospective cohort study,short-stature children in late puberty were treated with rhGH and followed up for 6 months.We proposed a novel knee MRI staging system according to the growth plate states of distal femurs or proximal tibias and divided the participants into three groups:unclosed growth plate group,marginally closed growth plate group,and nearly closed growth plate group.The primary outcomes were height gain and growth velocity(GV),which were assessed three months later.Results Fifty participants were enrolled,including 23 boys and 27 girls.GV and height gain after 6 months of rhGH therapy decreased successively in the three groups with an increased degree of growth plate fusion,especially when grouped by proximal tibias(GV_(1-3 mon)from 9.38 to 6.08 to 4.56 cm/year,GV_(4-6 mon)from 6.75 to 4.92 to 3.25 cm/year,and height gain from 4.03 to 2.75 to 1.95 cm,all P<0.001).Moreover,the MRI stages of growth plates independently served as a significant variable for GV and height gain after therapy,especially when grouped by proximal tibias(all P<0.01).Conclusion The MRI staging method is expected to be an effective tool for predicting rhGH response before therapy initiation in short-stature children in late puberty.展开更多
基金Project(2006CB600904)supported by the National Basic Research Program of China
文摘Composite felts reinforced by both SiC nano-fibers(SiC-NFs)and carbon fibers were prepared at 1 273 K using Ni granules as catalyzers with different deposition time.SiC-NFs were deposited on the surface of the carbon fibers in situ by catalytic chemical vapor deposition(CCVD).The phase,microstructure and morphology of the fibers after electroplating and deposition were characterized by XRD,SEM and TEM.The results show that the SiC-NFs produced by CCVD are composed of single crystal of β-SiC.It is found that smaller nano-granules are more active as catalyzers.The resulting SiC-NFs appear more spindle-like and have a more homogeneous dispersion.The mass change of the samples before and after deposition shows that using more Ni granules results in a faster growth velocity of SiC-NFs.With the same electroplating time,the growth velocity of the SiC-NFs first increases and then decreases.At around 4 h,it reaches the maximum growth velocity,and it becomes nearly constant at around 8 h.After 8 h, the stable growth velocity of the electroplated Ni samples is faster than that of the conventional sample produced without catalyzers, because the SiC-NFs can improve the specific surface area and the activity of the surface.
基金Project supported by the Cooperative Promotion Center of Science & Technology of JEONNAM TECHNOPARK and Ministry of Education,Science and Technology (MEST) through the Research & Development support project of JEONNAM southwest science park,Korea
文摘Electrochemical behavior of 5083-H116 Al alloy with flow velocity of seachest material for Al ship was evaluated.To examine the electrochemical characteristics of flow velocity and its effects on the performance of the alloy,experiments were conducted at four flow velocity variables using static state with an agitator.An ultrasonic vibration generator using piezoelectric effect was used in cavitation test according to the requirements of in ASTM-G32.The results show that the corrosion current density and damage were increased by applying the flow velocity compared to static state.Therefore,it is determined that the case of applying flow velocity is weaker to the corrosion.
文摘The paper compares the height growth velocities of male schoolchildren in South Korea and Japan over the period 1961-2018. Growth in height was measured with the same birth cohorts, not by comparing mean height of ascending ages in the same year. Starting from a lower economic base and mean height in the 1960s, high school males aged 17 in South Korea became 3 cm taller in mean height than their Japanese peers in the mid-2000s versus 2 - 3 cm shorter in the 1960s through 1970s. Children in Japan ceased to grow taller by the end of the 1980s, not because they quit taking more animal-sourced foods, meat and milk, but because they had drastically steered away from fruit and vegetables in their diets since the end of the 1970s. Having largely converged economically with Japan, South Korean children ceased to grow any taller in the mid-2000s. More importantly, it was discovered in this study that successive cohorts in South Korea started to fall gradually but steadily in height growth velocity from 1<sup><span style="font-family:Verdana;font-size:12px;">st</span></sup><span style="font-family:Verdana;font-size:12px;"> graders in middle school, aged 12 years to 3</span><sup><span style="font-family:Verdana;font-size:12px;">rd</span></sup><span style="font-family:Verdana;font-size:12px;"> graders in high school, </span><span style="font-family:Verdana;">and </span><span style="font-family:Verdana;">aged 17 years, to be once again 3 cm below their Japanese peers in the early-2010s. Analysis of Korea Household Expenditure Surveys classified by age groups of household head, decomposed by the author, revealed that children under 20 years of age in South Korea began to steer away from fruit and, particularly, vegetables in their at-home consumption in the mid-1990s, to average only 15% of the level of older adults in their 50s in the mid-2010s. These results lend supports to the importance of fruit and vegetables as determinants in height and its growth velocities in two genetically similar nations over time and stages of economic growth.</span>
基金Project (10964004) supported by the National Natural Science Foundation of ChinaProject (096RJZA104) supported by the Natural Science Foundation of Gansu Province, China
文摘The effect of supercooled melt forced laminar flow at low Reynolds Number on dendritic growth perpendicular to melt flow direction was investigated with the phase-field method by incorporating melt convection and thermal noise under non-isothermal condition. By taking the dendritic growth of high pure succinonitrile (SCN) supercooled melt as an example, side-branching shape difference of melts with flow and without flow was analyzed. Relationships among supercooled melt inflow velocity, deflexion angle of dendritic arm and dendritic tip growth velocity were studied. Results show that the melt inflow velocity has few effects on the dendritic tip growth velocity. A formula of relationship between the velocity of the melt in front of primary dendritic tip and the dendritic growth time was deduced, and the calculated result was in quantitative agreement with the simulation result.
基金Project(10964004) supported by the National Natural Science Foundation of ChinaProject(20070731001) supported by Research Fund for the Doctoral Program of China+1 种基金 Project(096RJZA104) supported by the Natural Science Foundation of Gansu Province,ChinaProject(SB14200801) supported by the Doctoral Fund of Lanzhou University of Technology,China
文摘The random distribution problem of dendrite preferred growth direction was settled by random grid method.This method was used to study the influence of forced laminar flow effect on multiple grains during solidification.Taking high pure succinonitrile (SCN) undercooled melt as an example,the forced laminar flow effect on multiple grains was studied by phase-field model of single grain which coupled with flow equations at non-isothermal condition.The simulation results show that the random grid method can reasonably settle the problem of random distribution and is more effective.When the solid fraction is relatively low,melt particles flow around the downstream side of dendrite,and the flow velocity between two dendrite arms becomes high.At the stage of solidification time less than 1800Δt,every dendrite grows freely;the upstream dendrites are stronger than the downstream ones.The higher the melt flow rate,the higher the solid fraction.However,when the solid fraction is relatively high,the dendrite arm intertwins and only a little residual melt which is not encapsulated can flow;the solid fraction will gradually tend to equal to solid fraction of melt without flow.
基金supported by the National Science and Technology Major Projects for "Major New Drugs Innovation and Development",No.2012ZX09201-301-005
文摘OBJECTIVE: China is the only country where nerve growth factor is approved for large-scale use as a clinical medicine. More than 10 years ago, in 2003, nerve growth factor injection was listed as a national drug. The goal of this article is to evaluate comprehensively the efficacy and safety of nerve growth factor for the treatment of neurological diseases. DATA RETRIEVAL: A computer-based retrieval was performed from six databases, including the Cochrane Library, PubMed, EMBASE, Sino Med, CNKI, and the VIP database, searching from the clinical establishment of nerve growth factor for treatment until December 31, 2013. The key words for the searches were "nerve growth factor, randomized controlled trials" in Chinese and in English. DATA SELECTION: Inclusion criteria: any study published in English or Chinese referring to randomized controlled trials of nerve growth factor; patients with neurological diseases such as peripheral nerve injury, central nerve injury, cranial neuropathy, and nervous system infections; patients older than 7 years; similar research methods and outcomes assessing symptoms; and measurement of nerve conduction velocities. The meta-analysis was conducted using Review Manager 5.2.3 software. MAIN OUTCOME MEASURES: The total effective rate, the incidence of adverse effects, and the nerve conduction velocity were recorded for each study. RESULTS: Sixty-four studies involving 6,297 patients with neurological diseases were included. The total effective rate in the group treated with nerve growth factor was significantly higher than that in the control group (P 〈 0.0001, RR: 1.35, 95%CI: 1.30-1.40). The average nerve conduction velocity in the nerve growth factor group was significantly higher than that in the control group (P 〈 0.00001, MD. 4.59 m/s, 95%CI: 4.12-5.06). The incidence of pain or sclero- ma at the injection site in the nerve growth factor group was also higher than that in the control group (P 〈 0.00001, RR: 6.30, 95%CI: 3.53-11.27), but such adverse effects were mild. CONCLUSION: Nerve growth factor can significantly improve nerve function in patients with nervous system disease and is safe and effective.
文摘Summary: Ten girls with Turner syndrome were treated with a combination therapy of recombinant human growth hormone (R hGH) and low dose stanozolol for a period of 8 to 36 months. The results showed that when compared with the growth rate before the treatment, the growth rates after treatment with R hGH and stanozolol showed a sustained increase, reaching 9.0±1.9 cm/year during the first year of treatment; the height age increase by 2.5±0.8 years while the bone age increase were 1.0±0.7 years; and the predicted final adult height at the end of the first year of the treatment increased to 149.4±6.1 cm compared to their original mean of 142.8±4.2 cm. We are led to conclude that therapy with R hGH in combination with stanozolol can increase the growth velocity and significantly increase the predicted adult height of children with Turner syndrome.
基金Project(2011-0030801) supported by the National Research Foundation of Korea
文摘The microstructural evolution during directional solidification of the Ni-25%Al(mole fraction) alloy was investigated in the range of growth velocity from 10 to 100 μm/s under a given thermal gradient of 10 K/mm. The solidification microstructures reveal a transition from γ'-β equilibrium eutectic to γ-β metastable eutectic plus β dendrites. A mixed microstructure of γ'-β and γ-β eutectics produced at a growth velocity of 25 μm/s illustrates that the transition occurs during the competitive growth between γ and γ' phases. The growth temperature for each phase was considered to understand the microstructure selection during solidification. The experimental results show that a phase or a microstructure solidifying with the highest temperature under a given growth condition is preferentially selected upon solidification. In addition, both stable eutectic and metastable eutectic are shown to coexist and simultaneously grow in the velocity range between 25 and 60 μm/s due to their similar growth temperatures.
基金Projects(50331040 60171034) supported by the National Natural Science Foundation of China
文摘Numerical simulation based on phase field method was developed to describe the solidification of two-dimensional isothermal binary alloys. The evolution of the interface morphology was shown and the effects of phase field parameters were formulated for succinonitrile-acetone alloy. The results indicate that an anti-trapping current(ATC) can suppress many trapped molten packets, which is caused by the thickened interface. With increasing the anisotropy value from 0 to 0.05, a small circular seed grows to develope secondary dendritic, dendritic tip velocity increases monotonically, and the solute accumulation of solid/liquid interface is diminished distinctly. Furthermore, with the increase of the coupling parameter value, the interface becomes unstable and the side branches of crystals appear and grow gradually.
基金financially supported by the National Natural Science Foundation of China(No.50771031)GM Research Foundation(No.GM-RP-07-211)
文摘Al-Si eutectic growth mechanism was investigated in a directionally-solidified AI-1 3 wt% Si alloy with different strontium (Sr) and magnesium (Mg) additions, growth velocities and temperature gradients. Macro- and micro- scale metallographic analyses revealed that addition level of Sr and Mg, temperature gradient and growth velocity are important factors affecting stability of solidifying AI-Si eutectic front and the final morphology of eutectic grains in the solidified A1-13 wt% Si alloys. By varying (tailoring) these factors, a variety of eutectic grain structures and morphologies such as planar front, cellular structure, a mix of cellular and columnar, or equiaxed dendrites, can be obtained. Increasing temperature gradient, reducing growth velocity, or decreasing Sr and Mg contents is beneficial to stabilizing planar growth front of eutectic grains, which is qualitatively in accordance with constitutional supercooling criterion for binary eutectic growth. In contrast, adding more Sr and Mg, increasing growth velocity, or decreasing temperature gradient produces large constitutional supercooling, leading to columnar-equiaxed transition (CET) of eutectic structure, which can be interpreted on the basis of Hunt's Model. It is also found that both solute concentration and solidification variables have significant impact not only on eutectic growth, but also on gas porosity formation.
基金supported by the CAMS Innovation Fund for Medical Science(CIFMS 2021-I2M-1-003)National High Level Hospital Clinical Research Funding(2022-PUMCH-B-016).
文摘Background There is no appropriate tool to predict recombinant human growth hormone(rhGH)response before therapy initiation in short-stature children in late puberty.The current study aimed to explore the associations between magnetic resonance imaging(MRI)stages of the knee growth plates and rhGH response in short-stature children in late puberty.Methods In this prospective cohort study,short-stature children in late puberty were treated with rhGH and followed up for 6 months.We proposed a novel knee MRI staging system according to the growth plate states of distal femurs or proximal tibias and divided the participants into three groups:unclosed growth plate group,marginally closed growth plate group,and nearly closed growth plate group.The primary outcomes were height gain and growth velocity(GV),which were assessed three months later.Results Fifty participants were enrolled,including 23 boys and 27 girls.GV and height gain after 6 months of rhGH therapy decreased successively in the three groups with an increased degree of growth plate fusion,especially when grouped by proximal tibias(GV_(1-3 mon)from 9.38 to 6.08 to 4.56 cm/year,GV_(4-6 mon)from 6.75 to 4.92 to 3.25 cm/year,and height gain from 4.03 to 2.75 to 1.95 cm,all P<0.001).Moreover,the MRI stages of growth plates independently served as a significant variable for GV and height gain after therapy,especially when grouped by proximal tibias(all P<0.01).Conclusion The MRI staging method is expected to be an effective tool for predicting rhGH response before therapy initiation in short-stature children in late puberty.