BACKGROUND High-grade pancreatic intraepithelial neoplasia(PanIN)exhibits no mass and is not detected by any examination modalities.However,it can be diagnosed by pancreatic juice cytology from indirect findings.Most ...BACKGROUND High-grade pancreatic intraepithelial neoplasia(PanIN)exhibits no mass and is not detected by any examination modalities.However,it can be diagnosed by pancreatic juice cytology from indirect findings.Most previous cases were diagnosed based on findings of a focal stricture of the main pancreatic duct(MPD)and caudal MPD dilatation and subsequent pancreatic juice cytology using endoscopic retrograde cholangiopancreatography(ERCP).We experienced a case of high-grade PanIN with an unclear MPD over a 20-mm range,but without caudal MPD dilatation on magnetic resonance cholangiopancreatography(MRCP).CASE SUMMARY A 60-year-old female patient underwent computed tomography for a follow-up of uterine cancer post-excision,which revealed pancreatic cysts.MRCP revealed an unclear MPD of the pancreatic body at a 20-mm length without caudal MPD dilatation.Thus,course observation was performed.After 24 mo,MRCP revealed an increased caudal MPD caliber and a larger pancreatic cyst.We performed ERCP and detected atypical cells suspected of adenocarcinoma by serial pancreatic juice aspiration cytology examination.We performed a distal pancreatectomy and obtained a histopathological diagnosis of high-grade PanIN.Pancreatic parenchyma invasion was not observed,and curative resection was achieved.CONCLUSION High-grade Pan-IN may cause MPD narrowing in a long range without caudal MPD dilatation.展开更多
Bulk geochemistry,Sr,Nd,and O-H isotope systematics are reported for the first time on banded iron formation(BIF)-hosted high-grade iron ore at the northwestern segment of Congo Craton(CC).Located in Mbalam iron ore d...Bulk geochemistry,Sr,Nd,and O-H isotope systematics are reported for the first time on banded iron formation(BIF)-hosted high-grade iron ore at the northwestern segment of Congo Craton(CC).Located in Mbalam iron ore district,Southern Cameroon,Metzimevin iron ore deposit is a hematite-magnetite BIF system,dominated by SiO_(2)+Fe_(2)O_(3)(97.1 to 99.84 wt%),with low concentrations of clastic elements e.g.,Al_(2)O_(3),TiO_(2),and HFSE,depicting a nearly pure chemical precipitate.The REE+Y signature of the iron deposit displays strong positive Eu anomaly,strong negative Ce anomaly,and chondritic to superchondritic Y/Ho ratios,suggestive of formation by mixed seawater-high temperature hydrothermal fluids in oxidising environment.The^(87)Sr/^(86)Sr ratios of the BIF are higher than the maximum^(87)Sr/^(86)Sr evolution curves for all Archean reservoirs(bulk silicate earth,Archean crust and Archean seawater),indicating involvement of continentally-derived components during BIF formation and alteration.TheƐ_(Nd)(t)(+2.26 to+3.77)and Nd model age indicate that chemical constituents for the BIF were derived from undifferentiated crustal source,between 3.002 and 2.88 Ga.The variable and diverse O and H isotope data(−1.9‰to 17.3‰and−57‰to 136‰respectively)indicate that the Metzimevin iron ore formed initially from magmatic plumes and later enriched by magmatic-metamorphic-modified meteoric fluids.Mass balance calculations indicate mineralisation by combined leaching and precipitation,with an average iron enrichment factor of>2.67 and SiO_(2)depletion factor of>0.99.This is associated with an overall volume reduction of 28.27%,reflecting net leaching and volume collapse of the BIF protholith.展开更多
BACKGROUND Retroperitoneal high-grade serous carcinoma(HGSC)of unknown origin is a sporadic tumor that can originate from ovarian cancer.Herein,we report the case of a woman with retroperitoneal HGSC of unknown origin...BACKGROUND Retroperitoneal high-grade serous carcinoma(HGSC)of unknown origin is a sporadic tumor that can originate from ovarian cancer.Herein,we report the case of a woman with retroperitoneal HGSC of unknown origin and describe how she was diagnosed and treated.CASE SUMMARY A 71-year-old female presented with the tumor marker CA125 elevated to 1041.9 U/mL upon a regular health examination.Computed tomography revealed retroperitoneal lymph node enlargement.Subsequently,positron emission tomography scanning revealed lesions with increased F-18 fluorodeoxyglucose uptake at the nodes.As a result,she underwent laparoscopic lymph node resection,and pathology revealed metastatic adenocarcinoma with CK7(+),PAX8(+),WT1(+),PR(-),and p53 mutational loss of expression,indicating that the origin may be from the adnexa.The patient was admitted to our ward and underwent laparoscopic staging;however,the pathological results were negative.Under the suspicion of retroperitoneal HGSC of unknown origin,chemotherapy and targeted therapy were initiated.Tumor marker levels decreased after treatment.CONCLUSION We present a case of HGSC of unknown origin managed using retroperitoneal lymphadenectomy,staging surgery,chemotherapy,and targeted therapy.展开更多
BACKGROUND Few studies have reported an association between an increased risk of acquiring cancers and survival in patients with 4q deletion syndrome.This study presents a rare association between chromosome 4q abnorm...BACKGROUND Few studies have reported an association between an increased risk of acquiring cancers and survival in patients with 4q deletion syndrome.This study presents a rare association between chromosome 4q abnormalities and fallopian tube highgrade serous carcinoma(HGSC)in a young woman.CASE SUMMARY A 35-year-old woman presented with acute dull abdominal pain and a known chromosomal abnormality involving 4q13.3 duplication and 4q23q24 deletion.Upon arrival at the emergency room,her abdomen appeared ovoid and distended with palpable shifting dullness.Ascites were identified through abdominal ultrasound,and computed tomography revealed an omentum cake and an enlarged bilateral adnexa.Blood tests showed elevated CA-125 levels.Paracentesis was conducted,and immunohistochemistry indicated that the cancer cells favored an ovarian origin,making us suspect ovarian cancer.The patient underwent debulking surgery,which led to a diagnosis of stage IIIC HGSC of the fallopian tube.Subsequently,the patient received adjuvant chemotherapy with carboplatin and paclitaxel,resulting in stable current condition.CONCLUSION This study demonstrates a rare correlation between a chromosome 4q abnormality and HGSC.UBE2D3 may affect crucial cancer-related pathways,including P53,BRCA,cyclin D,and tyrosine kinase receptors,thereby possibly contributing to cancer development.In addition,ADH1 and DDIT4 may be potential influencers of both carcinogenic and therapeutic responses.展开更多
The latticed dunes in the Tengger Desert are widely distributed,and the sand-blocking fence placed here are highly susceptible to local failure due to complex wind-sand activities,posing a serious threat to the safe o...The latticed dunes in the Tengger Desert are widely distributed,and the sand-blocking fence placed here are highly susceptible to local failure due to complex wind-sand activities,posing a serious threat to the safe operation of the highway.To explore the local failure mechanism of sand-blocking fence in the latticed dune area,the local failure of sand-blocking fence in the latticed dune areas along the Wuhai-Maqin Highway in China was observed.Taking the first main ridge of the latticed dune as the placement location,the structure of the wind-sand flow field of sand-blocking fence placed at top,the bottom and the middle of windward slope was analyzed by Computational Fluid Dynamics(CFD).The results show that when placed at top of the first main ridge,the wind speed near the sand-blocking fence is the highest,up to 15.23 m/s.Therefore,the wind load strength on the sand barrier is correspondingly larger,up to 232.61 N∙m-2.As the strength of material continues to decrease,the nylon net is prone to breakage.The roots of the angle steel posts are susceptible to hollowing by vortex action,which can cause sand-blocking fence to fall over in strong wind conditions.When placed at the bottom of windward slope,wind speed drop near sand-blocking fence is greatest,with the decrease of 12.48-14.32 m/s compared to the original wind speed.This is highly likely to lead to large-scale deposition of sand particles and burial of the sand-blocking fence.When placed in the middle of windward slope,sand-blocking fence is subjected to less wind load strength(168.61N∙m-2)and sand particles are mostly deposited at the bottom of windward slope,with only a small amount of sand accumulating at the root of sand-blocking fence.Based on field observations and numerical modelling results,when the sand-blocking fence is placed in latticed dune area,it should be placed in the middle of the windward slope of the first main ridge as a matter of priority.Besides the sand-blocking fence should be placed at the top of the first main ridge,and sand fixing measures should be added.展开更多
BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and...BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and HGBL-not otherwise specific(HGBL-NOS),which are morphologically characteristic of HGBL but lack MYC,BCL-2,or BCL-6 rearrangements.HGBL is partially transformed by follicular lymphoma and other indolent lymphoma,with few cases of marginal zone lymphoma(MZL)transformation.HGBL often has a poor prognosis and intensive therapy is currently mainly advocated,but there is no good treatment for these patients who cannot tolerate chemotherapy.CASE SUMMARY We reported a case of MZL transformed into HGBL-NOS with TP53 mutation and terminal deoxynucleotidyl transferase expression.Gene analysis revealed the gene expression profile was identical in the pre-and post-transformed tissues,suggesting that the two diseases are homologous,not secondary tumors.The chemotherapy was ineffective and the side effect was severe,so we tried combination therapy including venetoclax and obinutuzumab.The patient tolerated treatment well,and reached partial response.The patient had recurrence of hepatocellular carcinoma and died of multifunctional organ failure.He survived for 12 months after diagnosis.CONCLUSION Venetoclax combined with obinutuzumab might improve the survival in some HGBL patients,who are unsuitable for chemotherapy.展开更多
In this paper we assess the impact of road network on rural regions development using a case study of Chepyuk and Mitira wards. The two case study areas were selected owing to their comparable agro ecological conditio...In this paper we assess the impact of road network on rural regions development using a case study of Chepyuk and Mitira wards. The two case study areas were selected owing to their comparable agro ecological conditions but different political orientation. The wards have identical agro economic activities due to their similarity in climatic and ecological conditions. Household incomes earned from agricultural enterprises and bid rent per unit area of land are used as indicators of development. The condition of road network is used as an indicator of accessing the rural regions in various seasons of the year. The study provides evidence of the economic advantages associated with better market access, primarily due to the good road infrastructure in Mitira compared to Chepyuk. The good road condition is advantageous to Mitira ward residents allowing them to access other markets hence improving the farm gate value of their products. On the other hand, the prices for Chepyuk products are cheap due to constrained market access necessitated by the poor road condition. For instance, the average price of a liter of milk in Chepyuk ward is Kshs.36.65 compared to Mitira where it goes at Kh.55.08. It therefore implies in Chepyuk milk has to be sold at lower price since access to alternative markets is constrained by poor road condition. The disparity in the road network quality has been occasioned by investment policy by both colonial and consecutive post-independence governments which have given preference to the region where Mitira region is located. This is against the constitutional requirement which proposes an equalization fund for infrastructure development to regions lagging behind in terms of development.展开更多
As the lifeline of social development,road and bridge projects are the main channel to realize resource transportation and economic circulation.Ensuring the quality of road and bridge project construction is crucial f...As the lifeline of social development,road and bridge projects are the main channel to realize resource transportation and economic circulation.Ensuring the quality of road and bridge project construction is crucial for the development of society,the economy,and people’s livelihoods.This paper studies the design of roadbed pavement structures in road and bridge transition sections.It aims to provide technical references and significance for China’s road and bridge engineering design and construction units,promoting scientific and standardized design in these actions.This will contribute to the safety and stable operation of road and bridge projects,offering effective technical support.Furthermore,it seeks to foster the sustainable and healthy development of China’s road and bridge engineering on a macro level.展开更多
AIM:To evaluate the differences between human lacrimal gland adenoid cystic carcinoma with high-grade transformation(LACC-HGT)primar y cells cultured by high-grade transformation tissue and non-high-grade transformati...AIM:To evaluate the differences between human lacrimal gland adenoid cystic carcinoma with high-grade transformation(LACC-HGT)primar y cells cultured by high-grade transformation tissue and non-high-grade transformation(non-HGT)primary cells cultured by non-highgrade transformation tissue in proliferation,metastasis,drug susceptibility,and genes.METHODS:LACC-HGT primary cells were established by tissue block culture,and the 4^(th)to 10^(th)generation primary cells were selected as research objects.The cells were preliminarily identified by immunofluorescent staining.The differences between non-HGT and LACC-HGT primary cells in terms of proliferation,metastasis,and drug susceptibility were compared by cell counting kit-8(CCK-8)assay,wound healing,and drug sensitivity experiments.Differentially expressed genes were screened using mRNA array.Gene expression was analyzed using real-time quantitative polymerase chain reaction(RT-qPCR).RESULTS:LACC-HGT primary cells were successfully cultured by tissue block culture.Immunofluorescence staining results showed that cytokeratin(CK)and CK7 expression levels were positive in LACC-HGT primary cells.CCK-8 results showed that the proliferation ability of LACCHGT cells was significantly higher than that of non-HGT cells.Wound healing experiment showed that the migration ability of LACC-HGT cells was significantly higher than that of non-HGT cells.LACC-HGT cells were also less sensitive to cisplatin and paclitaxel than non-HGT cells.Compared with non-HGT cells,9566 differentially expressed genes were found in LACC-HGT primary cells,of which 5162 were upregulated and 4404 were down-regulated.The expression of N-acetylneuraminate pyruvate lyase(NPL),MARVEL domain containing 3(MARVELD3),syntabulin(SYBU),and allograft inflammatory factor 1(AIF1)was higher in LACCHGT cells than in non-HGT cells,whereas that of periostin(POSTN)was lower.CONCLUSION:LACC-HGT primary cells have faster proliferation,stronger migration ability,and poorer sensitivity to chemotherapy drugs than non-HGT primary cells.The expression of mRNAs in non-HGT and LACC-HGT primary cells are significantly different.These features are speculated to be the reasons why high-grade transformation tissues exhibit higher malignant degree and poorer prognosis than their counterparts.展开更多
With the completion of the Qinghai-Tibetan Railway,economic development of related areas has been greatly accelerated.This,in return,calls for building or upgrading more roadways,especially high-grade roadways.In cold...With the completion of the Qinghai-Tibetan Railway,economic development of related areas has been greatly accelerated.This,in return,calls for building or upgrading more roadways,especially high-grade roadways.In cold regions,the thawing of permafrost can induce settlement damage of and even failure to railway (or roadway) embankments.Thermosyphons (self-powered refrigera-tion devices that are used to help keep the permafrost cool) have proved effective in mitigating thaw settlement by maintaining the thermal stability of the embankments.However,for high-grade roadway embankments of great width,stabilizing or cooling ef-fects of traditional geotechnological measures may be limited.To enhance the cooling effect of thermosyphons,an L-shaped thermosyphon was designed.A laboratory test was carried out to study the combined cooling effect of the L-shaped thermosyphon and thermal insulation applying to roadbed construction.The angle between the evaporator and condenser sections of the L-shaped thermosyphon is 134 degrees,and the L-shaped thermosyphon was inserted into the soil at an angle of 5 degrees with the road surface.The tested results show that the L-shaped thermosyphon is effective in removing heat from a roadway in winter.When the ambient air temperature is lower than the soil temperature,the thermosyphon is active and extracts the heat in the soil around it.When the ambient air temperature is higher than the soil temperature,the thermosyphon is inactive,and no heat is in-jected into the soil through the L-shaped thermosyphon.Compared to embankments with straight thermosyphons,the inner parts of the embankments with L-shaped thermosyphons were significantly cooled.It is hoped that the present study would be useful to the application of L-shaped thermosyphons in the construction of high-grade roadways in cold regions.展开更多
With the implementation of the Belt and Road Initiative, China is deepening its cooperation in oil and gas resources with countries along the Initiative. In order to better mitigate risks and enhance the safety of inv...With the implementation of the Belt and Road Initiative, China is deepening its cooperation in oil and gas resources with countries along the Initiative. In order to better mitigate risks and enhance the safety of investments, it is of significant importance to research the oil and gas investment environment in these countries for China's overseas investment macro-layout. This paper proposes an indicator system including 27 indicators from 6 dimensions. On this basis, game theory models combined with global entropy method and analytic hierarchy process are applied to determine the combined weights, and the TOPSIS-GRA model is utilized to assess the risks of oil and gas investment in 76 countries along the Initiative from 2014 to 2021. Finally, the GM(1,1) model is employed to predict risk values for 2022-2025. In conclusion, oil and gas resources and political factors have the greatest impact on investment environment risk, and 12 countries with greater investment potential are selected through cluster analysis in conjunction with the predicted results. The research findings may provide scientific decisionmaking recommendations for the Chinese government and oil enterprises to strengthen oil and gas investment cooperation with countries along the Belt and Road Initiative.展开更多
Ancient Yunnan was one of the most significant regions along China’s ancient“Southern Silk Road.”During the Nanzhao period(738–902)of the late Tang Dynasty,Yunnan’s silk-weaving industry underwent a qualitative l...Ancient Yunnan was one of the most significant regions along China’s ancient“Southern Silk Road.”During the Nanzhao period(738–902)of the late Tang Dynasty,Yunnan’s silk-weaving industry underwent a qualitative leap as skilled silk craftsmen from the Bashu area migrated to Yunnan and introduced mulberry planting,silkworm breeding,and advanced silk-weaving techniques from Sichuan to the region.Consequently,people in Yunnan gradually acquired expertise in brocade weaving and embroidery.Many even mastered complex silk-weaving techniques.The development and progress of the silk-weaving industry in the ancient Yunnan region were intricately linked to the economic function and value of silk as both a commodity and currency along the“Southern Silk Road.”The local government in ancient Yunnan was greatly motivated by the economic interests brought by the development of silk-related industries and recognized the significance of developing the local silk industry.They even initiated a campaign to capture skilled silk craftsmen from Sichuan,aiming to foster the growth of the silk-weaving industry in Yunnan.After years of dedicated efforts from the local government in ancient Yunnan,the region emerged as a significant hub for silk production along China’s ancient“Southern Silk Road.”Despite the devastation caused by the wars in other parts of the country,Yunnan’s silk industry continued to thrive and provide ample silk products to sustain trade along this renowned route.In the contemporary era,amidst the decline of the silk-weaving industry in eastern China,Yunnan has proposed an industrial development strategy known as“relocating the silk-weaving industry from east to west.”This involves introducing advanced silk production techniques from the eastern regions into Yunnan to enhance and enrich its local silk industry,thereby establishing it as a traditional national sector and securing a competitive position within the global silk market.The historical experience of Yunnan’s silk industry demonstrated that economic development opportunities can only be seized through proactive endeavors rather than passive anticipation.The modern Yunnan silk industry,which upholds its historical traditions,continues to actively engage in international high-end technical cooperation,thus ensuring the enduring vitality of the ancient“Southern Silk Road.”展开更多
Landslide susceptibility mapping of mountain roads is frequently confronted by insufficient historical landslide sample data,multicollinearity of existing evaluation index factors,and inconsistency of evaluation facto...Landslide susceptibility mapping of mountain roads is frequently confronted by insufficient historical landslide sample data,multicollinearity of existing evaluation index factors,and inconsistency of evaluation factors due to regional environmental variations.Then,a single machine learning model can easily become overfitting,thus reducing the accuracy and robustness of the evaluation model.This paper proposes a combined machine-learning model to address the issues.The landslide susceptibility in mountain roads were mapped by using factor analysis to normalize and reduce the dimensionality of the initial condition factor and generating six new combination factors as evaluation indexes.The mountain roads in the Youxi County,Fujian Province,China were used for the landslide susceptibility mapping.Three most frequently used machine learning techniques,support vector machine(SVM),random forest(RF),and artificial neural network(ANN)models,were used to model the landslide susceptibility of the study area and validate the accuracy of this evaluation index system.The global minimum variance portfolio was utilized to construct a machine learning combined model.5-fold cross-validation,statistical indexes,and AUC(Area Under Curve)values were implemented to evaluate the predictive accuracy of the landslide susceptibility model.The mean AUC values for the SVM,RF,and ANN models in the training stage were 89.2%,88.5%,and 87.9%,respectively,and 78.0%,73.7%,and 76.7%,respectively,in the validating stage.In the training and validation stages,the mean AUC values of the combined model were 92.4% and 87.1%,respectively.The combined model provides greater prediction accuracy and model robustness than one single model.展开更多
BACKGROUND Esophageal cancer is the seventh-most common cancer type worldwide,accounting for 5%of death from malignancy.Development of novel diagnostic techniques has facilitated screening,early detection,and improved...BACKGROUND Esophageal cancer is the seventh-most common cancer type worldwide,accounting for 5%of death from malignancy.Development of novel diagnostic techniques has facilitated screening,early detection,and improved prognosis.Convolutional neural network(CNN)-based image analysis promises great potential for diagnosing and determining the prognosis of esophageal cancer,enabling even early detection of dysplasia.METHODS PubMed,EMBASE,Web of Science and Cochrane Library databases were searched for articles published up to November 30,2022.We evaluated the diagnostic accuracy of using the CNN model with still image-based analysis and with video-based analysis for esophageal cancer or HGD,as well as for the invasion depth of esophageal cancer.The pooled sensitivity,pooled specificity,positive likelihood ratio(PLR),negative likelihood ratio(NLR),diagnostic odds ratio(DOR)and area under the curve(AUC)were estimated,together with the 95%confidence intervals(CI).A bivariate method and hierarchical summary receiver operating characteristic method were used to calculate the diagnostic test accuracy of the CNN model.Meta-regression and subgroup analyses were used to identify sources of hetero-geneity.RESULTS A total of 28 studies were included in this systematic review and meta-analysis.Using still image-based analysis for the diagnosis of esophageal cancer or HGD provided a pooled sensitivity of 0.95(95%CI:0.92-0.97),pooled specificity of 0.92(0.89-0.94),PLR of 11.5(8.3-16.0),NLR of 0.06(0.04-0.09),DOR of 205(115-365),and AUC of 0.98(0.96-0.99).When video-based analysis was used,a pooled sensitivity of 0.85(0.77-0.91),pooled specificity of 0.73(0.59-0.83),PLR of 3.1(1.9-5.0),NLR of 0.20(0.12-0.34),DOR of 15(6-38)and AUC of 0.87(0.84-0.90)were found.Prediction of invasion depth resulted in a pooled sensitivity of 0.90(0.87-0.92),pooled specificity of 0.83(95%CI:0.76-0.88),PLR of 7.8(1.9-32.0),NLR of 0.10(0.41-0.25),DOR of 118(11-1305),and AUC of 0.95(0.92-0.96).CONCLUSION CNN-based image analysis in diagnosing esophageal cancer and HGD is an excellent diagnostic method with high sensitivity and specificity that merits further investigation in large,multicenter clinical trials.展开更多
Low-volume roads (LVRs) are an integral part of the rural transportation network providing access to remote rural areas and facilitating the movement of goods from farms to markets. These roads pose unique challenges ...Low-volume roads (LVRs) are an integral part of the rural transportation network providing access to remote rural areas and facilitating the movement of goods from farms to markets. These roads pose unique challenges for highway agencies including those related to safety management on the highway network. Specifically, traditional network screening methods using crash history can be effective in screening rural highways with higher traffic volumes and more frequent crashes. However, these traditional methods are often ineffective in screening LVR networks due to low traffic volumes and the sporadic nature of crash occurrence. Further, many of the LVRs are owned and operated by local agencies that may lack access to detailed crash, traffic and roadway data and the technical expertise within their staff. Therefore, there is a need for more efficient and practical network screening approaches to facilitate safety management programs on these roads. This study proposes one such approach which utilizes a heuristic scoring scheme in assessing the level of risk/safety for the purpose of network screening. The proposed scheme is developed based on the principles of US Highway Safety Manual (HSM) analysis procedures for rural highways and the fundamentals in safety science. The primary application of the proposed scheme is for ranking sites in network screening applications or for comparing multiple improvement alternatives at a specific site. The proposed approach does not require access to detailed databases, technical expertise, or exact information, making it an invaluable tool for small agencies and local governments (e.g. counties, townships, tribal governments, etc.).展开更多
Natural regeneration is the basis of a dynamic and demographic balance of plant populations. The objective of this study was to assess the natural regeneration potential of woody species along secondary roads post-log...Natural regeneration is the basis of a dynamic and demographic balance of plant populations. The objective of this study was to assess the natural regeneration potential of woody species along secondary roads post-logging abandoned since 2008 and 2018. In the two Annual Allowable Cuts (AAC 2008 and AAC 2018), 24 regenerating sub-plots (i.e. 12 sub-plots for AAC 2008 and 12 sub-plots for AAC 2018) with a unit area of 5 m × 5 m were delimited with a total area of 0.06 ha (i.e. 0.03 ha for each AAC). The abundance and diversity of woody species were respectively inventoried and estimated. Two estimators of the specific richness were used to estimate the floristic diversity of each Annual Allowable Cuts (AAC). The results reveal globally 88 woody species in the AAC 2008 and 241 woody species in the AAC 2018, with respective average densities of 2933 stem/ha and 8033 stem/ha. There was a very highly significant difference between the mean densities of the two AAC (Kruskal-Wallis test;H = 2.36, p-value < 0.000). The results also highlight a great diversity and a relatively high abundance of woody species in the 2018 AAC compared to the 2008 AAC. Also, the spatial structuring of the sub-plots on the basis of Principal Component Analysis (PCA) demonstrates that the floristic composition of the two AAC is globally different. The study suggests silvicultural interventions and the long-term assessment of regenerating woody species along abandoned secondary roads in order to guarantee the sustainable management of their population.展开更多
Internet of Vehicles (IoV) is a new system that enables individual vehicles to connect with nearby vehicles,people, transportation infrastructure, and networks, thereby realizing amore intelligent and efficient transp...Internet of Vehicles (IoV) is a new system that enables individual vehicles to connect with nearby vehicles,people, transportation infrastructure, and networks, thereby realizing amore intelligent and efficient transportationsystem. The movement of vehicles and the three-dimensional (3D) nature of the road network cause the topologicalstructure of IoV to have the high space and time complexity.Network modeling and structure recognition for 3Droads can benefit the description of topological changes for IoV. This paper proposes a 3Dgeneral roadmodel basedon discrete points of roads obtained from GIS. First, the constraints imposed by 3D roads on moving vehicles areanalyzed. Then the effects of road curvature radius (Ra), longitudinal slope (Slo), and length (Len) on speed andacceleration are studied. Finally, a general 3D road network model based on road section features is established.This paper also presents intersection and road section recognition methods based on the structural features ofthe 3D road network model and the road features. Real GIS data from a specific region of Beijing is adopted tocreate the simulation scenario, and the simulation results validate the general 3D road network model and therecognitionmethod. Therefore, thiswork makes contributions to the field of intelligent transportation by providinga comprehensive approach tomodeling the 3Droad network and its topological changes in achieving efficient trafficflowand improved road safety.展开更多
This report describes a considerably rare case of high-grade urothelial carcinoma of the renal pelvis and ureter,presenting with heterologous differentiation,in a patient with bilateral duplicated kidneys.A 73-year-ol...This report describes a considerably rare case of high-grade urothelial carcinoma of the renal pelvis and ureter,presenting with heterologous differentiation,in a patient with bilateral duplicated kidneys.A 73-year-old male experienced intermittent gross hematuria for 5 months,accompanied by lower back and abdominal pain.Ultrasound and computed tomography scans revealed bilateral renal and ureteral duplication with multiple tumors in the left renal pelvis.A total nephroterectomy and bladder cuff resection were performed on the left two nephrons.Multiple space-occupying lesions were identified in the left renal pelvis and ureter.Histopathological examination showed poorly differentiated and diverse tumor cells,manifesting as sarcomatoid carcinoma,papillary adenocarcinoma,and infiltrating high-grade urothelial carcinoma.The tumor infiltrated the subcutaneous fibrous connective tissue of the renal pelvis and the full thickness of the ureter.Given the rarity of recurrent renal urothelial carcinoma with heterogeneous differentiation,comprehensive imaging and pathological assessments are vital to delineate the nature of the lesion and the direction of tissue pathological heterologous differentiation.These evaluations guide early radical surgical interventions,improving survival rates.展开更多
文摘BACKGROUND High-grade pancreatic intraepithelial neoplasia(PanIN)exhibits no mass and is not detected by any examination modalities.However,it can be diagnosed by pancreatic juice cytology from indirect findings.Most previous cases were diagnosed based on findings of a focal stricture of the main pancreatic duct(MPD)and caudal MPD dilatation and subsequent pancreatic juice cytology using endoscopic retrograde cholangiopancreatography(ERCP).We experienced a case of high-grade PanIN with an unclear MPD over a 20-mm range,but without caudal MPD dilatation on magnetic resonance cholangiopancreatography(MRCP).CASE SUMMARY A 60-year-old female patient underwent computed tomography for a follow-up of uterine cancer post-excision,which revealed pancreatic cysts.MRCP revealed an unclear MPD of the pancreatic body at a 20-mm length without caudal MPD dilatation.Thus,course observation was performed.After 24 mo,MRCP revealed an increased caudal MPD caliber and a larger pancreatic cyst.We performed ERCP and detected atypical cells suspected of adenocarcinoma by serial pancreatic juice aspiration cytology examination.We performed a distal pancreatectomy and obtained a histopathological diagnosis of high-grade PanIN.Pancreatic parenchyma invasion was not observed,and curative resection was achieved.CONCLUSION High-grade Pan-IN may cause MPD narrowing in a long range without caudal MPD dilatation.
文摘Bulk geochemistry,Sr,Nd,and O-H isotope systematics are reported for the first time on banded iron formation(BIF)-hosted high-grade iron ore at the northwestern segment of Congo Craton(CC).Located in Mbalam iron ore district,Southern Cameroon,Metzimevin iron ore deposit is a hematite-magnetite BIF system,dominated by SiO_(2)+Fe_(2)O_(3)(97.1 to 99.84 wt%),with low concentrations of clastic elements e.g.,Al_(2)O_(3),TiO_(2),and HFSE,depicting a nearly pure chemical precipitate.The REE+Y signature of the iron deposit displays strong positive Eu anomaly,strong negative Ce anomaly,and chondritic to superchondritic Y/Ho ratios,suggestive of formation by mixed seawater-high temperature hydrothermal fluids in oxidising environment.The^(87)Sr/^(86)Sr ratios of the BIF are higher than the maximum^(87)Sr/^(86)Sr evolution curves for all Archean reservoirs(bulk silicate earth,Archean crust and Archean seawater),indicating involvement of continentally-derived components during BIF formation and alteration.TheƐ_(Nd)(t)(+2.26 to+3.77)and Nd model age indicate that chemical constituents for the BIF were derived from undifferentiated crustal source,between 3.002 and 2.88 Ga.The variable and diverse O and H isotope data(−1.9‰to 17.3‰and−57‰to 136‰respectively)indicate that the Metzimevin iron ore formed initially from magmatic plumes and later enriched by magmatic-metamorphic-modified meteoric fluids.Mass balance calculations indicate mineralisation by combined leaching and precipitation,with an average iron enrichment factor of>2.67 and SiO_(2)depletion factor of>0.99.This is associated with an overall volume reduction of 28.27%,reflecting net leaching and volume collapse of the BIF protholith.
文摘BACKGROUND Retroperitoneal high-grade serous carcinoma(HGSC)of unknown origin is a sporadic tumor that can originate from ovarian cancer.Herein,we report the case of a woman with retroperitoneal HGSC of unknown origin and describe how she was diagnosed and treated.CASE SUMMARY A 71-year-old female presented with the tumor marker CA125 elevated to 1041.9 U/mL upon a regular health examination.Computed tomography revealed retroperitoneal lymph node enlargement.Subsequently,positron emission tomography scanning revealed lesions with increased F-18 fluorodeoxyglucose uptake at the nodes.As a result,she underwent laparoscopic lymph node resection,and pathology revealed metastatic adenocarcinoma with CK7(+),PAX8(+),WT1(+),PR(-),and p53 mutational loss of expression,indicating that the origin may be from the adnexa.The patient was admitted to our ward and underwent laparoscopic staging;however,the pathological results were negative.Under the suspicion of retroperitoneal HGSC of unknown origin,chemotherapy and targeted therapy were initiated.Tumor marker levels decreased after treatment.CONCLUSION We present a case of HGSC of unknown origin managed using retroperitoneal lymphadenectomy,staging surgery,chemotherapy,and targeted therapy.
文摘BACKGROUND Few studies have reported an association between an increased risk of acquiring cancers and survival in patients with 4q deletion syndrome.This study presents a rare association between chromosome 4q abnormalities and fallopian tube highgrade serous carcinoma(HGSC)in a young woman.CASE SUMMARY A 35-year-old woman presented with acute dull abdominal pain and a known chromosomal abnormality involving 4q13.3 duplication and 4q23q24 deletion.Upon arrival at the emergency room,her abdomen appeared ovoid and distended with palpable shifting dullness.Ascites were identified through abdominal ultrasound,and computed tomography revealed an omentum cake and an enlarged bilateral adnexa.Blood tests showed elevated CA-125 levels.Paracentesis was conducted,and immunohistochemistry indicated that the cancer cells favored an ovarian origin,making us suspect ovarian cancer.The patient underwent debulking surgery,which led to a diagnosis of stage IIIC HGSC of the fallopian tube.Subsequently,the patient received adjuvant chemotherapy with carboplatin and paclitaxel,resulting in stable current condition.CONCLUSION This study demonstrates a rare correlation between a chromosome 4q abnormality and HGSC.UBE2D3 may affect crucial cancer-related pathways,including P53,BRCA,cyclin D,and tyrosine kinase receptors,thereby possibly contributing to cancer development.In addition,ADH1 and DDIT4 may be potential influencers of both carcinogenic and therapeutic responses.
文摘The latticed dunes in the Tengger Desert are widely distributed,and the sand-blocking fence placed here are highly susceptible to local failure due to complex wind-sand activities,posing a serious threat to the safe operation of the highway.To explore the local failure mechanism of sand-blocking fence in the latticed dune area,the local failure of sand-blocking fence in the latticed dune areas along the Wuhai-Maqin Highway in China was observed.Taking the first main ridge of the latticed dune as the placement location,the structure of the wind-sand flow field of sand-blocking fence placed at top,the bottom and the middle of windward slope was analyzed by Computational Fluid Dynamics(CFD).The results show that when placed at top of the first main ridge,the wind speed near the sand-blocking fence is the highest,up to 15.23 m/s.Therefore,the wind load strength on the sand barrier is correspondingly larger,up to 232.61 N∙m-2.As the strength of material continues to decrease,the nylon net is prone to breakage.The roots of the angle steel posts are susceptible to hollowing by vortex action,which can cause sand-blocking fence to fall over in strong wind conditions.When placed at the bottom of windward slope,wind speed drop near sand-blocking fence is greatest,with the decrease of 12.48-14.32 m/s compared to the original wind speed.This is highly likely to lead to large-scale deposition of sand particles and burial of the sand-blocking fence.When placed in the middle of windward slope,sand-blocking fence is subjected to less wind load strength(168.61N∙m-2)and sand particles are mostly deposited at the bottom of windward slope,with only a small amount of sand accumulating at the root of sand-blocking fence.Based on field observations and numerical modelling results,when the sand-blocking fence is placed in latticed dune area,it should be placed in the middle of the windward slope of the first main ridge as a matter of priority.Besides the sand-blocking fence should be placed at the top of the first main ridge,and sand fixing measures should be added.
基金Supported by The Lishui Science and Technology Planing Projects,No.2020SJZC048.
文摘BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and HGBL-not otherwise specific(HGBL-NOS),which are morphologically characteristic of HGBL but lack MYC,BCL-2,or BCL-6 rearrangements.HGBL is partially transformed by follicular lymphoma and other indolent lymphoma,with few cases of marginal zone lymphoma(MZL)transformation.HGBL often has a poor prognosis and intensive therapy is currently mainly advocated,but there is no good treatment for these patients who cannot tolerate chemotherapy.CASE SUMMARY We reported a case of MZL transformed into HGBL-NOS with TP53 mutation and terminal deoxynucleotidyl transferase expression.Gene analysis revealed the gene expression profile was identical in the pre-and post-transformed tissues,suggesting that the two diseases are homologous,not secondary tumors.The chemotherapy was ineffective and the side effect was severe,so we tried combination therapy including venetoclax and obinutuzumab.The patient tolerated treatment well,and reached partial response.The patient had recurrence of hepatocellular carcinoma and died of multifunctional organ failure.He survived for 12 months after diagnosis.CONCLUSION Venetoclax combined with obinutuzumab might improve the survival in some HGBL patients,who are unsuitable for chemotherapy.
文摘In this paper we assess the impact of road network on rural regions development using a case study of Chepyuk and Mitira wards. The two case study areas were selected owing to their comparable agro ecological conditions but different political orientation. The wards have identical agro economic activities due to their similarity in climatic and ecological conditions. Household incomes earned from agricultural enterprises and bid rent per unit area of land are used as indicators of development. The condition of road network is used as an indicator of accessing the rural regions in various seasons of the year. The study provides evidence of the economic advantages associated with better market access, primarily due to the good road infrastructure in Mitira compared to Chepyuk. The good road condition is advantageous to Mitira ward residents allowing them to access other markets hence improving the farm gate value of their products. On the other hand, the prices for Chepyuk products are cheap due to constrained market access necessitated by the poor road condition. For instance, the average price of a liter of milk in Chepyuk ward is Kshs.36.65 compared to Mitira where it goes at Kh.55.08. It therefore implies in Chepyuk milk has to be sold at lower price since access to alternative markets is constrained by poor road condition. The disparity in the road network quality has been occasioned by investment policy by both colonial and consecutive post-independence governments which have given preference to the region where Mitira region is located. This is against the constitutional requirement which proposes an equalization fund for infrastructure development to regions lagging behind in terms of development.
文摘As the lifeline of social development,road and bridge projects are the main channel to realize resource transportation and economic circulation.Ensuring the quality of road and bridge project construction is crucial for the development of society,the economy,and people’s livelihoods.This paper studies the design of roadbed pavement structures in road and bridge transition sections.It aims to provide technical references and significance for China’s road and bridge engineering design and construction units,promoting scientific and standardized design in these actions.This will contribute to the safety and stable operation of road and bridge projects,offering effective technical support.Furthermore,it seeks to foster the sustainable and healthy development of China’s road and bridge engineering on a macro level.
基金Supported by the Tianjin Key Medical Discipline(Specialty)Construction Project(No.TJYXZDXK-037A)Tianjin Medical University Eye Hospital。
文摘AIM:To evaluate the differences between human lacrimal gland adenoid cystic carcinoma with high-grade transformation(LACC-HGT)primar y cells cultured by high-grade transformation tissue and non-high-grade transformation(non-HGT)primary cells cultured by non-highgrade transformation tissue in proliferation,metastasis,drug susceptibility,and genes.METHODS:LACC-HGT primary cells were established by tissue block culture,and the 4^(th)to 10^(th)generation primary cells were selected as research objects.The cells were preliminarily identified by immunofluorescent staining.The differences between non-HGT and LACC-HGT primary cells in terms of proliferation,metastasis,and drug susceptibility were compared by cell counting kit-8(CCK-8)assay,wound healing,and drug sensitivity experiments.Differentially expressed genes were screened using mRNA array.Gene expression was analyzed using real-time quantitative polymerase chain reaction(RT-qPCR).RESULTS:LACC-HGT primary cells were successfully cultured by tissue block culture.Immunofluorescence staining results showed that cytokeratin(CK)and CK7 expression levels were positive in LACC-HGT primary cells.CCK-8 results showed that the proliferation ability of LACCHGT cells was significantly higher than that of non-HGT cells.Wound healing experiment showed that the migration ability of LACC-HGT cells was significantly higher than that of non-HGT cells.LACC-HGT cells were also less sensitive to cisplatin and paclitaxel than non-HGT cells.Compared with non-HGT cells,9566 differentially expressed genes were found in LACC-HGT primary cells,of which 5162 were upregulated and 4404 were down-regulated.The expression of N-acetylneuraminate pyruvate lyase(NPL),MARVEL domain containing 3(MARVELD3),syntabulin(SYBU),and allograft inflammatory factor 1(AIF1)was higher in LACCHGT cells than in non-HGT cells,whereas that of periostin(POSTN)was lower.CONCLUSION:LACC-HGT primary cells have faster proliferation,stronger migration ability,and poorer sensitivity to chemotherapy drugs than non-HGT primary cells.The expression of mRNAs in non-HGT and LACC-HGT primary cells are significantly different.These features are speculated to be the reasons why high-grade transformation tissues exhibit higher malignant degree and poorer prognosis than their counterparts.
基金supported by National Natural Science Foundation of China (Grant No.40730736 and No.40601023)the National Hi-Tech Research and Development Plan (2008AA11Z103)the Western Project Program of the Chinese Academy of Sciences (No.KZCX2-XB2-10)
文摘With the completion of the Qinghai-Tibetan Railway,economic development of related areas has been greatly accelerated.This,in return,calls for building or upgrading more roadways,especially high-grade roadways.In cold regions,the thawing of permafrost can induce settlement damage of and even failure to railway (or roadway) embankments.Thermosyphons (self-powered refrigera-tion devices that are used to help keep the permafrost cool) have proved effective in mitigating thaw settlement by maintaining the thermal stability of the embankments.However,for high-grade roadway embankments of great width,stabilizing or cooling ef-fects of traditional geotechnological measures may be limited.To enhance the cooling effect of thermosyphons,an L-shaped thermosyphon was designed.A laboratory test was carried out to study the combined cooling effect of the L-shaped thermosyphon and thermal insulation applying to roadbed construction.The angle between the evaporator and condenser sections of the L-shaped thermosyphon is 134 degrees,and the L-shaped thermosyphon was inserted into the soil at an angle of 5 degrees with the road surface.The tested results show that the L-shaped thermosyphon is effective in removing heat from a roadway in winter.When the ambient air temperature is lower than the soil temperature,the thermosyphon is active and extracts the heat in the soil around it.When the ambient air temperature is higher than the soil temperature,the thermosyphon is inactive,and no heat is in-jected into the soil through the L-shaped thermosyphon.Compared to embankments with straight thermosyphons,the inner parts of the embankments with L-shaped thermosyphons were significantly cooled.It is hoped that the present study would be useful to the application of L-shaped thermosyphons in the construction of high-grade roadways in cold regions.
基金the financial support from the National Natural Science Foundation of China(71934004)Key Projects of the National Social Science Foundation(23AZD065)the Project of the CNOOC Energy Economics Institute(EEI-2022-IESA0009)。
文摘With the implementation of the Belt and Road Initiative, China is deepening its cooperation in oil and gas resources with countries along the Initiative. In order to better mitigate risks and enhance the safety of investments, it is of significant importance to research the oil and gas investment environment in these countries for China's overseas investment macro-layout. This paper proposes an indicator system including 27 indicators from 6 dimensions. On this basis, game theory models combined with global entropy method and analytic hierarchy process are applied to determine the combined weights, and the TOPSIS-GRA model is utilized to assess the risks of oil and gas investment in 76 countries along the Initiative from 2014 to 2021. Finally, the GM(1,1) model is employed to predict risk values for 2022-2025. In conclusion, oil and gas resources and political factors have the greatest impact on investment environment risk, and 12 countries with greater investment potential are selected through cluster analysis in conjunction with the predicted results. The research findings may provide scientific decisionmaking recommendations for the Chinese government and oil enterprises to strengthen oil and gas investment cooperation with countries along the Belt and Road Initiative.
文摘Ancient Yunnan was one of the most significant regions along China’s ancient“Southern Silk Road.”During the Nanzhao period(738–902)of the late Tang Dynasty,Yunnan’s silk-weaving industry underwent a qualitative leap as skilled silk craftsmen from the Bashu area migrated to Yunnan and introduced mulberry planting,silkworm breeding,and advanced silk-weaving techniques from Sichuan to the region.Consequently,people in Yunnan gradually acquired expertise in brocade weaving and embroidery.Many even mastered complex silk-weaving techniques.The development and progress of the silk-weaving industry in the ancient Yunnan region were intricately linked to the economic function and value of silk as both a commodity and currency along the“Southern Silk Road.”The local government in ancient Yunnan was greatly motivated by the economic interests brought by the development of silk-related industries and recognized the significance of developing the local silk industry.They even initiated a campaign to capture skilled silk craftsmen from Sichuan,aiming to foster the growth of the silk-weaving industry in Yunnan.After years of dedicated efforts from the local government in ancient Yunnan,the region emerged as a significant hub for silk production along China’s ancient“Southern Silk Road.”Despite the devastation caused by the wars in other parts of the country,Yunnan’s silk industry continued to thrive and provide ample silk products to sustain trade along this renowned route.In the contemporary era,amidst the decline of the silk-weaving industry in eastern China,Yunnan has proposed an industrial development strategy known as“relocating the silk-weaving industry from east to west.”This involves introducing advanced silk production techniques from the eastern regions into Yunnan to enhance and enrich its local silk industry,thereby establishing it as a traditional national sector and securing a competitive position within the global silk market.The historical experience of Yunnan’s silk industry demonstrated that economic development opportunities can only be seized through proactive endeavors rather than passive anticipation.The modern Yunnan silk industry,which upholds its historical traditions,continues to actively engage in international high-end technical cooperation,thus ensuring the enduring vitality of the ancient“Southern Silk Road.”
基金the financial support from the National Natural Science Foundation of China(No.U2005205,No.42007235,No.41972268)the Science and Technology Innovation Platform Project of Fuzhou Science and Technology Bureau(No.2021-P-032)。
文摘Landslide susceptibility mapping of mountain roads is frequently confronted by insufficient historical landslide sample data,multicollinearity of existing evaluation index factors,and inconsistency of evaluation factors due to regional environmental variations.Then,a single machine learning model can easily become overfitting,thus reducing the accuracy and robustness of the evaluation model.This paper proposes a combined machine-learning model to address the issues.The landslide susceptibility in mountain roads were mapped by using factor analysis to normalize and reduce the dimensionality of the initial condition factor and generating six new combination factors as evaluation indexes.The mountain roads in the Youxi County,Fujian Province,China were used for the landslide susceptibility mapping.Three most frequently used machine learning techniques,support vector machine(SVM),random forest(RF),and artificial neural network(ANN)models,were used to model the landslide susceptibility of the study area and validate the accuracy of this evaluation index system.The global minimum variance portfolio was utilized to construct a machine learning combined model.5-fold cross-validation,statistical indexes,and AUC(Area Under Curve)values were implemented to evaluate the predictive accuracy of the landslide susceptibility model.The mean AUC values for the SVM,RF,and ANN models in the training stage were 89.2%,88.5%,and 87.9%,respectively,and 78.0%,73.7%,and 76.7%,respectively,in the validating stage.In the training and validation stages,the mean AUC values of the combined model were 92.4% and 87.1%,respectively.The combined model provides greater prediction accuracy and model robustness than one single model.
基金Supported by the Special Program for Science and Technology Cooperation and Exchange of Shanxi,No.202104041101034.
文摘BACKGROUND Esophageal cancer is the seventh-most common cancer type worldwide,accounting for 5%of death from malignancy.Development of novel diagnostic techniques has facilitated screening,early detection,and improved prognosis.Convolutional neural network(CNN)-based image analysis promises great potential for diagnosing and determining the prognosis of esophageal cancer,enabling even early detection of dysplasia.METHODS PubMed,EMBASE,Web of Science and Cochrane Library databases were searched for articles published up to November 30,2022.We evaluated the diagnostic accuracy of using the CNN model with still image-based analysis and with video-based analysis for esophageal cancer or HGD,as well as for the invasion depth of esophageal cancer.The pooled sensitivity,pooled specificity,positive likelihood ratio(PLR),negative likelihood ratio(NLR),diagnostic odds ratio(DOR)and area under the curve(AUC)were estimated,together with the 95%confidence intervals(CI).A bivariate method and hierarchical summary receiver operating characteristic method were used to calculate the diagnostic test accuracy of the CNN model.Meta-regression and subgroup analyses were used to identify sources of hetero-geneity.RESULTS A total of 28 studies were included in this systematic review and meta-analysis.Using still image-based analysis for the diagnosis of esophageal cancer or HGD provided a pooled sensitivity of 0.95(95%CI:0.92-0.97),pooled specificity of 0.92(0.89-0.94),PLR of 11.5(8.3-16.0),NLR of 0.06(0.04-0.09),DOR of 205(115-365),and AUC of 0.98(0.96-0.99).When video-based analysis was used,a pooled sensitivity of 0.85(0.77-0.91),pooled specificity of 0.73(0.59-0.83),PLR of 3.1(1.9-5.0),NLR of 0.20(0.12-0.34),DOR of 15(6-38)and AUC of 0.87(0.84-0.90)were found.Prediction of invasion depth resulted in a pooled sensitivity of 0.90(0.87-0.92),pooled specificity of 0.83(95%CI:0.76-0.88),PLR of 7.8(1.9-32.0),NLR of 0.10(0.41-0.25),DOR of 118(11-1305),and AUC of 0.95(0.92-0.96).CONCLUSION CNN-based image analysis in diagnosing esophageal cancer and HGD is an excellent diagnostic method with high sensitivity and specificity that merits further investigation in large,multicenter clinical trials.
文摘Low-volume roads (LVRs) are an integral part of the rural transportation network providing access to remote rural areas and facilitating the movement of goods from farms to markets. These roads pose unique challenges for highway agencies including those related to safety management on the highway network. Specifically, traditional network screening methods using crash history can be effective in screening rural highways with higher traffic volumes and more frequent crashes. However, these traditional methods are often ineffective in screening LVR networks due to low traffic volumes and the sporadic nature of crash occurrence. Further, many of the LVRs are owned and operated by local agencies that may lack access to detailed crash, traffic and roadway data and the technical expertise within their staff. Therefore, there is a need for more efficient and practical network screening approaches to facilitate safety management programs on these roads. This study proposes one such approach which utilizes a heuristic scoring scheme in assessing the level of risk/safety for the purpose of network screening. The proposed scheme is developed based on the principles of US Highway Safety Manual (HSM) analysis procedures for rural highways and the fundamentals in safety science. The primary application of the proposed scheme is for ranking sites in network screening applications or for comparing multiple improvement alternatives at a specific site. The proposed approach does not require access to detailed databases, technical expertise, or exact information, making it an invaluable tool for small agencies and local governments (e.g. counties, townships, tribal governments, etc.).
文摘Natural regeneration is the basis of a dynamic and demographic balance of plant populations. The objective of this study was to assess the natural regeneration potential of woody species along secondary roads post-logging abandoned since 2008 and 2018. In the two Annual Allowable Cuts (AAC 2008 and AAC 2018), 24 regenerating sub-plots (i.e. 12 sub-plots for AAC 2008 and 12 sub-plots for AAC 2018) with a unit area of 5 m × 5 m were delimited with a total area of 0.06 ha (i.e. 0.03 ha for each AAC). The abundance and diversity of woody species were respectively inventoried and estimated. Two estimators of the specific richness were used to estimate the floristic diversity of each Annual Allowable Cuts (AAC). The results reveal globally 88 woody species in the AAC 2008 and 241 woody species in the AAC 2018, with respective average densities of 2933 stem/ha and 8033 stem/ha. There was a very highly significant difference between the mean densities of the two AAC (Kruskal-Wallis test;H = 2.36, p-value < 0.000). The results also highlight a great diversity and a relatively high abundance of woody species in the 2018 AAC compared to the 2008 AAC. Also, the spatial structuring of the sub-plots on the basis of Principal Component Analysis (PCA) demonstrates that the floristic composition of the two AAC is globally different. The study suggests silvicultural interventions and the long-term assessment of regenerating woody species along abandoned secondary roads in order to guarantee the sustainable management of their population.
基金the National Natural Science Foundation of China(Nos.62272063,62072056 and 61902041)the Natural Science Foundation of Hunan Province(Nos.2022JJ30617 and 2020JJ2029)+4 种基金Open Research Fund of Key Lab of Broadband Wireless Communication and Sensor Network Technology,Nanjing University of Posts and Telecommunications(No.JZNY202102)the Traffic Science and Technology Project of Hunan Province,China(No.202042)Hunan Provincial Key Research and Development Program(No.2022GK2019)this work was funded by the Researchers Supporting Project Number(RSPD2023R681)King Saud University,Riyadh,Saudi Arabia.
文摘Internet of Vehicles (IoV) is a new system that enables individual vehicles to connect with nearby vehicles,people, transportation infrastructure, and networks, thereby realizing amore intelligent and efficient transportationsystem. The movement of vehicles and the three-dimensional (3D) nature of the road network cause the topologicalstructure of IoV to have the high space and time complexity.Network modeling and structure recognition for 3Droads can benefit the description of topological changes for IoV. This paper proposes a 3Dgeneral roadmodel basedon discrete points of roads obtained from GIS. First, the constraints imposed by 3D roads on moving vehicles areanalyzed. Then the effects of road curvature radius (Ra), longitudinal slope (Slo), and length (Len) on speed andacceleration are studied. Finally, a general 3D road network model based on road section features is established.This paper also presents intersection and road section recognition methods based on the structural features ofthe 3D road network model and the road features. Real GIS data from a specific region of Beijing is adopted tocreate the simulation scenario, and the simulation results validate the general 3D road network model and therecognitionmethod. Therefore, thiswork makes contributions to the field of intelligent transportation by providinga comprehensive approach tomodeling the 3Droad network and its topological changes in achieving efficient trafficflowand improved road safety.
文摘This report describes a considerably rare case of high-grade urothelial carcinoma of the renal pelvis and ureter,presenting with heterologous differentiation,in a patient with bilateral duplicated kidneys.A 73-year-old male experienced intermittent gross hematuria for 5 months,accompanied by lower back and abdominal pain.Ultrasound and computed tomography scans revealed bilateral renal and ureteral duplication with multiple tumors in the left renal pelvis.A total nephroterectomy and bladder cuff resection were performed on the left two nephrons.Multiple space-occupying lesions were identified in the left renal pelvis and ureter.Histopathological examination showed poorly differentiated and diverse tumor cells,manifesting as sarcomatoid carcinoma,papillary adenocarcinoma,and infiltrating high-grade urothelial carcinoma.The tumor infiltrated the subcutaneous fibrous connective tissue of the renal pelvis and the full thickness of the ureter.Given the rarity of recurrent renal urothelial carcinoma with heterogeneous differentiation,comprehensive imaging and pathological assessments are vital to delineate the nature of the lesion and the direction of tissue pathological heterologous differentiation.These evaluations guide early radical surgical interventions,improving survival rates.