BACKGROUND Gastric cancer(GC)is the fifth most common malignancy and the third leading cause of death worldwide.Despite advancements in immunotherapies,patient prognosis remains poor,necessitating the identification o...BACKGROUND Gastric cancer(GC)is the fifth most common malignancy and the third leading cause of death worldwide.Despite advancements in immunotherapies,patient prognosis remains poor,necessitating the identification of key prognostic factors to optimize the treatment approaches.Insulin resistance,as indicated by the triglyceride glucose(TyG)index,is increasingly recognized for its impact on cancer progression and immune modulation,and its potential role in GC prognosis is of particular interest.AIM To investigate whether the TyG index,a surrogate marker of insulin resistance,can predict the prognosis of patients with advanced GC receiving immunotherapy combined with chemotherapy.METHODS This retrospective study included 300 patients with advanced GC who received sintilimab combined with chemotherapy.The patients were categorized into two groups according to high or low TyG index,and independent prognostic factors for overall survival(OS)were determined using Cox proportional hazards regression analysis,which led to the development of a nomogram model.RESULTS Of the included patients,136 had a high TyG index and 164 had a low TyG index.The median progression-free survival of the high TyG index group was significantly longer than that of the low TyG index group.Similarly,the median OS of the high TyG index group was significantly longer than that of the low TyG index group.The ob-jective response and disease control rates in the two groups were 18.38%vs 9.15%and 58.82%vs 46.95%,res-pectively.No significant difference was noted in the incidence of adverse reactions at any level between the two groups(P>0.05).In multivariate analysis,the Eastern Cooperative Oncology Group score,programmed cell death ligand 1 expression,and TyG index acted as independent prognostic factors for OS.Of these factors,the hazard ratio of the TyG index was 0.36(95%confidence interval:0.36-0.55,P<0.001),and the nomogram model re-emphasized its importance as the main predictor of patient prognosis,followed by programmed cell death ligand 1 expression and the Eastern Cooperative Oncology Group score.CONCLUSION The TyG index is a long-term predictor of the efficacy of immunotherapy combined with chemotherapy,and patients with a high index have a better prognosis.展开更多
BACKGROUND Biliary tract cancer(BTC)is a rare,aggressive malignancy with increasing inci-dence and poor prognosis.Identifying preoperative prognostic factors is crucial for effective risk-benefit assessments and patie...BACKGROUND Biliary tract cancer(BTC)is a rare,aggressive malignancy with increasing inci-dence and poor prognosis.Identifying preoperative prognostic factors is crucial for effective risk-benefit assessments and patient stratification.The prognostic nutritional index(PNI),which reflects immune-inflammatory and nutritional status,has shown prognostic value in various cancers,but its significance in BTC remains unclear.AIM To assess the prognostic value of the preoperative PNI in BTC patients,with a focus on overall survival(OS)and disease-free survival(DFS).METHODS Comprehensive searches were conducted in the PubMed,EMBASE,and Web of Science databases from inception to April 2024.The primary outcomes of interest focused on the associations between the preoperative PNI and the prognosis of BTC patients,specifically OS and disease-free survival(DFS).Statistical analyses were conducted via STATA 17.0 software.RESULTS Seventeen studies encompassing 4645 patients met the inclusion criteria.Meta-analysis revealed that a low PNI was significantly associated with poorer OS[hazard ratio(HR)1.91,95%CI:1.59-2.29;P<0.001]and DFS(HR 1.93,95%CI:1.39-2.67;P<0.001).Subgroup analyses revealed consistent results across BTC subtypes(cholangiocarcinoma and gallbladder cancer)and stages(resectable and advanced).Sensitivity analyses confirmed the robustness of these findings,and no significant publication bias was detected.CONCLUSION This study demonstrated that a low preoperative PNI predicts poor OS and DFS in BTC patients,highlighting its potential as a valuable prognostic tool.Further prospective studies are needed to validate these findings and enhance BTC patient management.展开更多
BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neut...BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),and systemic immune-inflammatory index(SII)for GC.METHODS The baseline data of 133 patients with GC and 134 patients with precancerous gastric conditions admitted between January 2022 and December 2023 were retrospectively analyzed.The information on peripheral blood platelet,neutrophil,and lymphocyte counts in each patient was collected,and the NLR,PLR,and SII levels of both groups were calculated.Additionally,multivariate logistic regression analysis was conducted,and the diagnostic implications of NLR,PLR,and SII in differentiating patients with precancerous gastric conditions,compared with those with GC,were analyzed through receiver operating characteristic(ROC)curves.RESULTS The data indicated that NLR,PLR,and SII had abnormally increased levels in the patients with GC.Gender and body mass index were risk factors for the occurrence of GC.ROC data revealed that the areas under the curve of three patients with precancerous gastric conditions,who were differentiated from those with GC,were 0.824,0.787,and 0.842,respectively.CONCLUSION NLR,PLR,and SII are all abnormally expressed in GC and have diagnostic implications,especially when used as joint indicators,in distinguishing patients with precancerous gastric conditions from those with GC.展开更多
BACKGROUND The association between body mass index(BMI)and bone mineral density(BMD)has shown inconsistent results,varying by sex and skeletal site.Despite normal or elevated bone mass,individuals with type 2 diabetes...BACKGROUND The association between body mass index(BMI)and bone mineral density(BMD)has shown inconsistent results,varying by sex and skeletal site.Despite normal or elevated bone mass,individuals with type 2 diabetes have an increased risk of hip and vertebral fractures.AIM To assess lumbar spine trabecular volumetric BMD(vBMD)across different BMI categories in individuals with and without diabetes.METHODS This cross-sectional study included 966 men over 50 years old and 1001 postmenopausal women from the Pinggu Metabolic Disease Study.The vBMD of lumbar vertebrae 2 through 4 was measured using quantitative computed tomography.Total adipose tissue,subcutaneous adipose tissue(SAT),visceral adipose tissue(VAT),and lumbar skeletal muscle area were also quantified.RESULTS In men with obesity(P=0.038)and overweight(P=0.032),vBMD was significantly higher in the diabetes group compared to non-diabetic men.After adjusting for age and sex,no significant saturation effect between BMI and BMD was found in participants with diabetes or in women without diabetes.However,a BMI threshold of 22.33 kg/m²indicated a saturation point for vBMD in nondiabetic men.Independent predictors of vBMD in men included age(r=-0.387,P<0.001),BMI(r=0.130,P=0.004),and VAT(r=-0.145,P=0.001).For women,significant predictors were age(r=-0.594,P<0.001),BMI(r=0.157,P=0.004),VAT(r=-0.112,P=0.001),and SAT(r=-0.068,P=0.035).CONCLUSION The relationship between BMI and trabecular vBMD differs in individuals with and without diabetes.Overweight and obese men with diabetes exhibit higher vBMD.展开更多
BACKGROUND The triglyceride glucose-body mass index(TyG-BMI)is a novel indicator of insulin resistance(IR).Obstructive sleep apnea(OSA)is a prevalent disorder characterized by recurrent complete or partial collapse of...BACKGROUND The triglyceride glucose-body mass index(TyG-BMI)is a novel indicator of insulin resistance(IR).Obstructive sleep apnea(OSA)is a prevalent disorder characterized by recurrent complete or partial collapse of the pharyngeal airway during sleep;however,the relationship between these two conditions remains unexplored.We hypothesized that a higher TyG-BMI is associated with the occurrence of OSA.AIM To assess the association between TyG-BMI and OSA in adults in the United States.METHODS A cross-sectional study was conducted utilizing data from the National Health and Nutrition Examination Surveys spanning from 2005-2008 to 2015-2018.TyGBMI was calculated as Ln[triglyceride(mg/dL)×fasting blood glucose(mg/dL)/2]×BMI.Restricted cubic splines were used to analyze the risk of TyG-BMI and OSA occurrence.To identify potential nonlinear relationships,we combined Cox proportional hazard regression with smooth curve fitting.We also conducted sensitivity and subgroup analyses to verify the robustness of our findings.RESULTS We included 16794 participants in the final analysis.Multivariate regression analysis showed that participants with a higher TyG-BMI had a higher OSA incidence.After adjusting for all covariates,TyG-BMI was positively correlated with the prevalence of OSA(odds ratio:1.28;95%confidence interval:1.17,1.40;P<0.001);no significant nonlinear relationship was observed.Subgroup analysis showed no strong correlation between TyG-BMI and OSA in patients with diabetes.The correlation between TyG-BMI and OSA was influenced by age,sex,smoking status,marital status,hypertensive stratification,and obesity;these subgroups played a moderating role between TyGBMI and OSA.Even after adjusting for all covariates,there was a positive association between TYG-BMI and OSA prevalence.CONCLUSION A higher TyG-BMI index is linked to higher chances of developing OSA.As TyG-BMI is an indicator of IR,managing IR may help reduce the risk of OSA.展开更多
AIM:To assess the relationship between dietary inflammatory index(DII)and prevalence of glaucoma among individuals aged 40y and above in the United States.METHODS:Participants were drawn from 2 cycles of the National ...AIM:To assess the relationship between dietary inflammatory index(DII)and prevalence of glaucoma among individuals aged 40y and above in the United States.METHODS:Participants were drawn from 2 cycles of the National Health and Nutrition Examination Survey(NHANES,2005-2008)for a cross-sectional study.DII was calculated from 24-hour dietary recall questionnaire conducted by experienced researchers and data analyzed in R according to the NHANES user guide,“Stratified Multi-stage Probability Sampling”.The relationship between DII and glaucoma was evaluated by multi-factor logistic regression analysis and the existence of a non-linear association examined by restricted cubic spline(RCS)analysis.RESULTS:A total of 5359 subjects were included and the cross-sectional analysis weighted to represent the US population of 109 million.DII was elevated in glaucoma patients(P<0.001)and smoking and alcohol use contributed to significant differences(P<0.001).DII correlated negatively with Healthy Eating Index(HEI)-2015(Spearman rank correlation coefficient,r=-0.49).RCS analysis showed a linear relationship between DII and glaucoma risk(P of non-linear relationship=0.575).CONCLUSION:An increased DII is strongly associated with high risk of glaucoma and diet-induced inflammation should be controlled to delay glaucoma progression.展开更多
Based on the regional water resources carrying capacity(WRCC)evaluation principles and evaluation index system in the National Technical Outline of Water Resources Carrying Capacity Monitoring and Early Warning(hereaf...Based on the regional water resources carrying capacity(WRCC)evaluation principles and evaluation index system in the National Technical Outline of Water Resources Carrying Capacity Monitoring and Early Warning(hereafter referred to as the Technical Outline),this paper elaborates on the collection and sorting of the basic data of water resources conditions,water resources development and utilization status,social and economic development in basins,analysis and examination of integrity,consistency,normativeness,and rationality of the basic data,and the necessity of WRCC evaluation.This paper also describes the technique of evaluating the WRCC in prefecture-level cities and city-level administrative divisions in the District of the Taihu Lake Basin,which is composed of the Taihu Lake Basin and the Southeastern River Basin.The evaluation process combines the binary index evaluation method and reduction index evaluation method.The former,recommended by the Technical Outline,uses the total water use and the amount of exploited groundwater as evaluation indices,showing stronger operability,while the latter is developed by simplifying and optimizing the comprehensive index system with greater systematicness and completeness.The mutual validation and adjustment of the results of the above-mentioned two evaluation methods indicate that the WRCC of the District of the Taihu Lake Basin is overloaded in general because some prefecture-level cities and city-level administrative divisions in the Taihu Lake Basin and the Southeastern River Basin are in a severely overloaded state.In order to explain this conclusion,this paper analyzes the causes of WRCC overloading from the aspects of basin water environment,water resources development and utilization,water resources regulation and control ability,water resources utilization efficiency,and water resources management.展开更多
The Tropical Cyclone Genesis Potential Index (GPI) was employed to investigate possible impacts of global warming on tropical cyclone genesis over the western North Pacific (WNP). The outputs of 20th century clima...The Tropical Cyclone Genesis Potential Index (GPI) was employed to investigate possible impacts of global warming on tropical cyclone genesis over the western North Pacific (WNP). The outputs of 20th century climate simulation by eighteen GCMs were used to evaluate the models' ability to reproduce tropical cyclone genesis via the GPI. The GCMs were found in general to reasonably reproduce the observed spatial distribution of genesis. Some of the models also showed ability in capturing observed temporal variation. Based on the evaluation, the models (CGCM3.1-T47 and IPSL-CM4) found to perform best when reproducing both spatial and temporal features were chosen to project future GPI. Results show that both of these models project an upward trend of the GPI under the SRES A2 scenario, however the rate of increase differs between them.展开更多
Weighting values for different habitat variables used in multi-factor habitat suitability index (HSI) modeling reflect the relative influences of different variables on distribution of fish species. Using the winter-s...Weighting values for different habitat variables used in multi-factor habitat suitability index (HSI) modeling reflect the relative influences of different variables on distribution of fish species. Using the winter-spring cohort of neon flying squid (Ommastrephes bartramii) in the Northwestern Pacific Ocean as an example, we evaluated the impact of different weighting schemes on the HSI models based on sea surface temperature, gradient of sea surface temperature and sea surface height. We compared differences in predicted fishing effort and HSI values resulting from different weighting. The weighting for different habitat variables could greatly influence HSI modeling and should be carefully done based on their relative importance in influencing the resource spatial distribution. Weighting in a multi-factor HSI model should be further studied and optimization methods should be developed to improve forecasting squid spatial distributions.展开更多
The classification of tropical cyclones(TCs) is significant to obtaining their temporal and spatial variation characteristics in the context of dramatic-changing global climate. A new TCs clustering method by using K-...The classification of tropical cyclones(TCs) is significant to obtaining their temporal and spatial variation characteristics in the context of dramatic-changing global climate. A new TCs clustering method by using K-means clustering algorithm with nine physical indexes is proposed in the paper. Each TC is quantified into an 11-dimensional vector concerning trajectory attributes, time attributes and power attributes. Two recurving clusters(cluster A and E)and three straight-moving clusters(cluster B, C and D) are categorized from the TC best-track dataset of the western North Pacific(WNP) over the period of 1949-2013, and TCs' properties have been analyzed and compared in different aspects. The calculation results of coefficient variation(CV) and Nash-Sutcliffe efficiency(NSE) reveal a high level of intra-cluster cohesiveness and inter-cluster divergence, which means that the physical index system could serve as a feasible method of TCs classification. The clusters are then analyzed in terms of trajectory, lifespan, seasonality, trend,intensity and Power Dissipation Index(PDI). The five classified clusters show distinct features in TCs' temporal and spatial development discipline. Moreover, each cluster has its individual motion pattern, variation trend, influence region and impact degree.展开更多
AIM: To construct a noninvasive assessment model consisting of routine laboratory data to predict significant fibrosis and cirrhosis in patients with chronic hepatitis B (CHB). METHODS: A total of 137 consecutive ...AIM: To construct a noninvasive assessment model consisting of routine laboratory data to predict significant fibrosis and cirrhosis in patients with chronic hepatitis B (CHB). METHODS: A total of 137 consecutive patients with CriB who underwent percutaneous liver biopsy were retrospectively analyzed. These patients were divided into two groups according to their aminotransferase (ALT) level. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), the likelihood ratio (LR) of aminotransferase/platelet ratio index (APRI) ≥ 1.5 or 〈 1.5 in combination with different hyaluronic acid (HA) cut-off points were calculated for the presence of moderate to severe fibrosis/cirrhosis (fibrosis stages 2 and 4) and no to mild fibrosis/cirrhosis (fibrosis stages 0 and 1). RESULTS: The APRI correlated with fibrosis stage in CriB patients. The APRI ≥1.5 in combination with a cut-off HA cut-off point 〉 300 ng/mL could detect moderate to severe fibrosis (stages 2-4) in Crib patients. The PPV was 93.7%, the specificity was 98.9%. The APRI 〈 1.5 in combination with different HA cut-off points could not detect no to mild fibrosis in CHB patients. CONCLUSION: The APRI ≥ 1.5 in combination with a HA cut-off point 〉 300 ng/mL can detect moderate to severe fibrosis (stages 2-4) in Crib patients.展开更多
This study analyzes the impact of the winter North Pacific Oscillation(NPO) on the surface air temperature(SAT)variations over Eurasia and North America based on six different NPO indices. Results show that the in...This study analyzes the impact of the winter North Pacific Oscillation(NPO) on the surface air temperature(SAT)variations over Eurasia and North America based on six different NPO indices. Results show that the influences of the winter NPO on the SAT over Eurasia and North America are sensitive to the definition of the NPO index. The impact of the winter NPO on the SAT variations over Eurasia(North America) is significant(insignificant) when the anticyclonic anomaly associated with the NPO index over the North Pacific midlatitudes shifts westward and pronounced northerly wind anomalies appear around Lake Baikal. By contrast, the impact of the winter NPO on the SAT variations over Eurasia(North America)is insignificant(significant) when the anticyclonic anomaly over the North Pacific related to the NPO index shifts eastward and the associated northerly wind anomalies to its eastern flank extend to North America. The present study suggests that the NPO definition should be taken into account when analyzing the impact of the winter NPO on Eurasian and North American SAT variations.展开更多
Tropical cyclone (TC) genesis over the western North Pacific (WNP) is analyzed using 23 CMIP5 (Coupled Model Intercomparison Project Phase 5) models and reanalysis datasets. The models are evaluated according to...Tropical cyclone (TC) genesis over the western North Pacific (WNP) is analyzed using 23 CMIP5 (Coupled Model Intercomparison Project Phase 5) models and reanalysis datasets. The models are evaluated according to TC genesis potential index (GPI). The spatial and temporal variations of the GPI are first calculated using three atmospheric reanalysis datasets (ERA-Interim, NCEP/NCAR Reanalysis- 1, and NCEP/DOE Reanalysis-2). Spatial distributions of July-October-mean TC frequency based on the GPI from ERA-interim are more consistent with observed ones derived from IBTrACS global TC data. So, the ERA-interim reanalysis dataset is used to examine the CMIP5 models in terms of reproducing GPI during the period 1982-2005. Although most models possess deficiencies in reproducing the spatial distribution of the GPI, their multi- model ensemble (MME) mean shows a reasonable climatological GPI pattern characterized by a high GPI zone along 20°N in the WNP. There was an upward trend of TC genesis frequency during 1982 to 1998, followed by a downward trend. Both MME results and reanalysis data can represent a robust increasing trend during 1982-1998, but the models cannot simulate the downward trend after 2000. Analysis based on future projection experiments shows that the GPI exhibits no significant change in the first half of the 21st century, and then starts to decrease at the end of the 21st century under the representative concentration pathway (RCP) 2.6 scenario. Under the RCP8.5 scenario, the GPI shows an increasing trend in the vicinity of 20°N, indicating more TCs could possibly be expected over the WNP under future global warming.展开更多
The eastern fall cohort of the neon flying squid, Ommastrephes bartramii, has been commercially exploited by the Chinese squid jigging fleet in the central North Pacific Ocean since the late 1990s. To understand and i...The eastern fall cohort of the neon flying squid, Ommastrephes bartramii, has been commercially exploited by the Chinese squid jigging fleet in the central North Pacific Ocean since the late 1990s. To understand and identify their optimal habitat, we have developed a habitat suitability index (HSI) model using two potential important environmental variables -- sea surface temperature (SST) and sea surface height anomaly (SSHA) -- and fishery data from the main fishing ground (165°-180°E) during June and July of 1999-2003. A geometric mean model (GMM), minimum model (MM) and arithmetic weighted model (AWM) with different weights were compared and the best HSI model was selected using Akaike's information criterion (AIC). The performance of the developed HSI model was evaluated using fishery data for 2004. This study suggests that the highest catch per unit effort (CPUE) and fishing effort are closely related to SST and SSHA. The best SST- and SSHA-based suitability index (SI) regression models were SISST-based = 0.7SIeffort-SST + 0.3 SICPUE-SST, and SISSHA-based =0.5Sleffort-SSHA + 0.5SICPUE-SSHA, respectively, showing that fishing effort is more important than CPUE in the estimation of SI. The best HSI model was the AWM, defined as HSI=0.3SISSHA-based+ 0.7SISSHA-based, indicating that SSHA is more important than SST in estimating the HSI of squid. In 2004, monthly HSI values greater than 0.6 coincided with the distribution of productive fishing ground and high CPUE in June and July, suggesting that the models perform well. The proposed model provides an important tool in our efforts to develop forecasting capacity of squid spatial dynamics.展开更多
Based on the in-depth study on the theory of tourism carrying capacity at home and abroad, author of this paper defined the concept and connotation of tourism carrying capacity, and proposed the evaluation index syste...Based on the in-depth study on the theory of tourism carrying capacity at home and abroad, author of this paper defined the concept and connotation of tourism carrying capacity, and proposed the evaluation index system of tourism carrying capacity. He also conducted a systematic analysis of tourism resources in the Jokhang Temple scenic spot, constructed an evaluation index system of tourism carrying capacity of the Jokhang Temple scenic spot, pointed out the status quo of its carrying capacity and factors constraining the carrying capacity through quantitative calculation, and put forward suggestions to regulate its carrying capacity.展开更多
Levofloxacin (LOFX), which is well-known as an antibiotic medicament, was shown to be useful as a 452-nm blue emitter for white organic light-emitting diodes (OLEDs). In this paper, the fabricated white OLED conta...Levofloxacin (LOFX), which is well-known as an antibiotic medicament, was shown to be useful as a 452-nm blue emitter for white organic light-emitting diodes (OLEDs). In this paper, the fabricated white OLED contains a 452-nm blue emitting layer (thickness of 30 nm) with 1 wt% LOFX doped in CBP (4,4'-bis(carbazol-9-yl)biphenyl) host and a 584-nm orange emitting layer (thickness of 10 nm) with 0.8 wt% DCJTB (4-(dicyanomethylene)-2-tert-butyl-6-(1,1,7,7- tetramethyljulolidin-4-yl-vinyl)-4H-pyran) doped in CBE which are separated by a 20-nm-thick buffer layer of TPBi (2,2',2"-(benzene-1,3,5-triyl)-tri(1-phenyl-lH-benzimidazole). A high color rendering index (CRI) of 84.5 and CIE chromaticity coordinates of (0.33, 0.32), which is close to ideal white emission CIE (0.333, 0.333), are obtained at a bias voltage of 14 V. Taking into account that LOFX is less expensive and the synthesis and purification technologies of LOFX are mature, these results indicate that blue fluorescence emitting LOFX is useful for applications to white OLEDs although the maximum current efficiency and luminance are not high. The present paper is expected to become a milestone to using medical drug materials for OLEDs.展开更多
In order to study the effects of replacing different proportions of silage maize with silage sweet sorghum treated by different fermentation methods on the production performance and blood biochemical indexes of dairy...In order to study the effects of replacing different proportions of silage maize with silage sweet sorghum treated by different fermentation methods on the production performance and blood biochemical indexes of dairy cows,25 Chinese Holstein lactating cows were randomly divided into 5 groups,5 in each group.The control check (CK) was fed the basal diet;for the experimental group 1 and the experimental group 2,50% of the silage maize in the basal diet was replaced with the additive silage sweet sorghum and the conventional silage sweet sorghum,respectively;and as to the experimental group 3 and the experimental group 4,all the silage maize in the basal diet was replaced with additive silage sweet sorghum and conventional silage sweet sorghum,respectively.The preliminary trial period was 7 d,and the trial period was 35 d.The results showed that the experimental group 1 and the experimental group 3 had the dry matter intake significantly higher than that of the experimental group 2,the experimental group 4 and the CK ( P <0.05).The daily milk yields of the experimental group 1 and the experimental group 2 were significantly lower than that of the CK ( P <0.05),and the experimental group 3 and the experimental group 4 were significantly lower than the experimental group 1 and the experimental group 2 ( P <0.05).The milk protein percentage of the experimental group 2 was extremely significantly higher than that of the experimental group 4 ( P <0.01).The experimental group 1,the experimental group 2 and the experimental group 3 showed the blood glucose levels extremely significantly higher than that in the CK ( P <0.01).The blood urea nitrogen contents in the experimental group 2 and the experimental group 4 were significantly higher than those in the experimental group 1 and the CK ( P <0.01).There were no significant differences in other blood biochemical indexes between various groups ( P >0.05).It is feasible to use silage sweet sorghum to feed dairy cows,but the proportion should not be too large,and attention should be paid to the energy and nitrogen balance of the diet.展开更多
文摘BACKGROUND Gastric cancer(GC)is the fifth most common malignancy and the third leading cause of death worldwide.Despite advancements in immunotherapies,patient prognosis remains poor,necessitating the identification of key prognostic factors to optimize the treatment approaches.Insulin resistance,as indicated by the triglyceride glucose(TyG)index,is increasingly recognized for its impact on cancer progression and immune modulation,and its potential role in GC prognosis is of particular interest.AIM To investigate whether the TyG index,a surrogate marker of insulin resistance,can predict the prognosis of patients with advanced GC receiving immunotherapy combined with chemotherapy.METHODS This retrospective study included 300 patients with advanced GC who received sintilimab combined with chemotherapy.The patients were categorized into two groups according to high or low TyG index,and independent prognostic factors for overall survival(OS)were determined using Cox proportional hazards regression analysis,which led to the development of a nomogram model.RESULTS Of the included patients,136 had a high TyG index and 164 had a low TyG index.The median progression-free survival of the high TyG index group was significantly longer than that of the low TyG index group.Similarly,the median OS of the high TyG index group was significantly longer than that of the low TyG index group.The ob-jective response and disease control rates in the two groups were 18.38%vs 9.15%and 58.82%vs 46.95%,res-pectively.No significant difference was noted in the incidence of adverse reactions at any level between the two groups(P>0.05).In multivariate analysis,the Eastern Cooperative Oncology Group score,programmed cell death ligand 1 expression,and TyG index acted as independent prognostic factors for OS.Of these factors,the hazard ratio of the TyG index was 0.36(95%confidence interval:0.36-0.55,P<0.001),and the nomogram model re-emphasized its importance as the main predictor of patient prognosis,followed by programmed cell death ligand 1 expression and the Eastern Cooperative Oncology Group score.CONCLUSION The TyG index is a long-term predictor of the efficacy of immunotherapy combined with chemotherapy,and patients with a high index have a better prognosis.
文摘BACKGROUND Biliary tract cancer(BTC)is a rare,aggressive malignancy with increasing inci-dence and poor prognosis.Identifying preoperative prognostic factors is crucial for effective risk-benefit assessments and patient stratification.The prognostic nutritional index(PNI),which reflects immune-inflammatory and nutritional status,has shown prognostic value in various cancers,but its significance in BTC remains unclear.AIM To assess the prognostic value of the preoperative PNI in BTC patients,with a focus on overall survival(OS)and disease-free survival(DFS).METHODS Comprehensive searches were conducted in the PubMed,EMBASE,and Web of Science databases from inception to April 2024.The primary outcomes of interest focused on the associations between the preoperative PNI and the prognosis of BTC patients,specifically OS and disease-free survival(DFS).Statistical analyses were conducted via STATA 17.0 software.RESULTS Seventeen studies encompassing 4645 patients met the inclusion criteria.Meta-analysis revealed that a low PNI was significantly associated with poorer OS[hazard ratio(HR)1.91,95%CI:1.59-2.29;P<0.001]and DFS(HR 1.93,95%CI:1.39-2.67;P<0.001).Subgroup analyses revealed consistent results across BTC subtypes(cholangiocarcinoma and gallbladder cancer)and stages(resectable and advanced).Sensitivity analyses confirmed the robustness of these findings,and no significant publication bias was detected.CONCLUSION This study demonstrated that a low preoperative PNI predicts poor OS and DFS in BTC patients,highlighting its potential as a valuable prognostic tool.Further prospective studies are needed to validate these findings and enhance BTC patient management.
文摘BACKGROUND The diagnosis of gastric carcinoma(GC)is essential for improving clinical outcomes.However,the biomarkers currently used for GC screening are not ideal.AIM To explore the diagnostic implications of the neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),and systemic immune-inflammatory index(SII)for GC.METHODS The baseline data of 133 patients with GC and 134 patients with precancerous gastric conditions admitted between January 2022 and December 2023 were retrospectively analyzed.The information on peripheral blood platelet,neutrophil,and lymphocyte counts in each patient was collected,and the NLR,PLR,and SII levels of both groups were calculated.Additionally,multivariate logistic regression analysis was conducted,and the diagnostic implications of NLR,PLR,and SII in differentiating patients with precancerous gastric conditions,compared with those with GC,were analyzed through receiver operating characteristic(ROC)curves.RESULTS The data indicated that NLR,PLR,and SII had abnormally increased levels in the patients with GC.Gender and body mass index were risk factors for the occurrence of GC.ROC data revealed that the areas under the curve of three patients with precancerous gastric conditions,who were differentiated from those with GC,were 0.824,0.787,and 0.842,respectively.CONCLUSION NLR,PLR,and SII are all abnormally expressed in GC and have diagnostic implications,especially when used as joint indicators,in distinguishing patients with precancerous gastric conditions from those with GC.
基金National Natural Science Foundation of China,No.81970698 and No.81900805Peking University People's Hospital Research and Development Funds,No.Project RS2022-03。
文摘BACKGROUND The association between body mass index(BMI)and bone mineral density(BMD)has shown inconsistent results,varying by sex and skeletal site.Despite normal or elevated bone mass,individuals with type 2 diabetes have an increased risk of hip and vertebral fractures.AIM To assess lumbar spine trabecular volumetric BMD(vBMD)across different BMI categories in individuals with and without diabetes.METHODS This cross-sectional study included 966 men over 50 years old and 1001 postmenopausal women from the Pinggu Metabolic Disease Study.The vBMD of lumbar vertebrae 2 through 4 was measured using quantitative computed tomography.Total adipose tissue,subcutaneous adipose tissue(SAT),visceral adipose tissue(VAT),and lumbar skeletal muscle area were also quantified.RESULTS In men with obesity(P=0.038)and overweight(P=0.032),vBMD was significantly higher in the diabetes group compared to non-diabetic men.After adjusting for age and sex,no significant saturation effect between BMI and BMD was found in participants with diabetes or in women without diabetes.However,a BMI threshold of 22.33 kg/m²indicated a saturation point for vBMD in nondiabetic men.Independent predictors of vBMD in men included age(r=-0.387,P<0.001),BMI(r=0.130,P=0.004),and VAT(r=-0.145,P=0.001).For women,significant predictors were age(r=-0.594,P<0.001),BMI(r=0.157,P=0.004),VAT(r=-0.112,P=0.001),and SAT(r=-0.068,P=0.035).CONCLUSION The relationship between BMI and trabecular vBMD differs in individuals with and without diabetes.Overweight and obese men with diabetes exhibit higher vBMD.
基金Supported by Sanming Project of Medicine in Shenzhen,No.SZZYSM202202010。
文摘BACKGROUND The triglyceride glucose-body mass index(TyG-BMI)is a novel indicator of insulin resistance(IR).Obstructive sleep apnea(OSA)is a prevalent disorder characterized by recurrent complete or partial collapse of the pharyngeal airway during sleep;however,the relationship between these two conditions remains unexplored.We hypothesized that a higher TyG-BMI is associated with the occurrence of OSA.AIM To assess the association between TyG-BMI and OSA in adults in the United States.METHODS A cross-sectional study was conducted utilizing data from the National Health and Nutrition Examination Surveys spanning from 2005-2008 to 2015-2018.TyGBMI was calculated as Ln[triglyceride(mg/dL)×fasting blood glucose(mg/dL)/2]×BMI.Restricted cubic splines were used to analyze the risk of TyG-BMI and OSA occurrence.To identify potential nonlinear relationships,we combined Cox proportional hazard regression with smooth curve fitting.We also conducted sensitivity and subgroup analyses to verify the robustness of our findings.RESULTS We included 16794 participants in the final analysis.Multivariate regression analysis showed that participants with a higher TyG-BMI had a higher OSA incidence.After adjusting for all covariates,TyG-BMI was positively correlated with the prevalence of OSA(odds ratio:1.28;95%confidence interval:1.17,1.40;P<0.001);no significant nonlinear relationship was observed.Subgroup analysis showed no strong correlation between TyG-BMI and OSA in patients with diabetes.The correlation between TyG-BMI and OSA was influenced by age,sex,smoking status,marital status,hypertensive stratification,and obesity;these subgroups played a moderating role between TyGBMI and OSA.Even after adjusting for all covariates,there was a positive association between TYG-BMI and OSA prevalence.CONCLUSION A higher TyG-BMI index is linked to higher chances of developing OSA.As TyG-BMI is an indicator of IR,managing IR may help reduce the risk of OSA.
基金Supported by the National Natural Science Foundation of China(No.82074500)CACMS Innovation Fund(No.CI2021A02605)+1 种基金Administration of Traditional Chinese Medicine of Zhejiang Province(No.2024ZR029)Science and Technology Program of Wenzhou City(No.Y2023210).
文摘AIM:To assess the relationship between dietary inflammatory index(DII)and prevalence of glaucoma among individuals aged 40y and above in the United States.METHODS:Participants were drawn from 2 cycles of the National Health and Nutrition Examination Survey(NHANES,2005-2008)for a cross-sectional study.DII was calculated from 24-hour dietary recall questionnaire conducted by experienced researchers and data analyzed in R according to the NHANES user guide,“Stratified Multi-stage Probability Sampling”.The relationship between DII and glaucoma was evaluated by multi-factor logistic regression analysis and the existence of a non-linear association examined by restricted cubic spline(RCS)analysis.RESULTS:A total of 5359 subjects were included and the cross-sectional analysis weighted to represent the US population of 109 million.DII was elevated in glaucoma patients(P<0.001)and smoking and alcohol use contributed to significant differences(P<0.001).DII correlated negatively with Healthy Eating Index(HEI)-2015(Spearman rank correlation coefficient,r=-0.49).RCS analysis showed a linear relationship between DII and glaucoma risk(P of non-linear relationship=0.575).CONCLUSION:An increased DII is strongly associated with high risk of glaucoma and diet-induced inflammation should be controlled to delay glaucoma progression.
基金supported by the National Natural Science Foundation of China(Grant No.51379181)Phase Ⅲ Project(2018-2021)of the Priority Academic Program Development of Jiangsu Higher Education Institutions
文摘Based on the regional water resources carrying capacity(WRCC)evaluation principles and evaluation index system in the National Technical Outline of Water Resources Carrying Capacity Monitoring and Early Warning(hereafter referred to as the Technical Outline),this paper elaborates on the collection and sorting of the basic data of water resources conditions,water resources development and utilization status,social and economic development in basins,analysis and examination of integrity,consistency,normativeness,and rationality of the basic data,and the necessity of WRCC evaluation.This paper also describes the technique of evaluating the WRCC in prefecture-level cities and city-level administrative divisions in the District of the Taihu Lake Basin,which is composed of the Taihu Lake Basin and the Southeastern River Basin.The evaluation process combines the binary index evaluation method and reduction index evaluation method.The former,recommended by the Technical Outline,uses the total water use and the amount of exploited groundwater as evaluation indices,showing stronger operability,while the latter is developed by simplifying and optimizing the comprehensive index system with greater systematicness and completeness.The mutual validation and adjustment of the results of the above-mentioned two evaluation methods indicate that the WRCC of the District of the Taihu Lake Basin is overloaded in general because some prefecture-level cities and city-level administrative divisions in the Taihu Lake Basin and the Southeastern River Basin are in a severely overloaded state.In order to explain this conclusion,this paper analyzes the causes of WRCC overloading from the aspects of basin water environment,water resources development and utilization,water resources regulation and control ability,water resources utilization efficiency,and water resources management.
基金supported by the Chinese Academy of Sciences under (Grant Nos.KZCX2-YW-Q1-02 and KZCX2-YW-Q11-05)the Major State Basic Research Development Program of China (973 Pro-gram) (Grant No.2009CB421407)the National Natural Science Foundation of China (Grant Nos. 40631005,40775049, and 40805029)
文摘The Tropical Cyclone Genesis Potential Index (GPI) was employed to investigate possible impacts of global warming on tropical cyclone genesis over the western North Pacific (WNP). The outputs of 20th century climate simulation by eighteen GCMs were used to evaluate the models' ability to reproduce tropical cyclone genesis via the GPI. The GCMs were found in general to reasonably reproduce the observed spatial distribution of genesis. Some of the models also showed ability in capturing observed temporal variation. Based on the evaluation, the models (CGCM3.1-T47 and IPSL-CM4) found to perform best when reproducing both spatial and temporal features were chosen to project future GPI. Results show that both of these models project an upward trend of the GPI under the SRES A2 scenario, however the rate of increase differs between them.
基金supported by the National 863 project (2007AA092201 2007AA092202)+4 种基金National Development and Reform Commission Project (2060403)"Shu Guang" Project (08GG14) from Shanghai Municipal Education CommissionShanghai Leading Academic Discipline Project (Project S30702)supported by the National Distantwater Fisheries Engineering Research Center, and Scientific Observing and Experimental Station of Oceanic Fishery Resources, Ministry of Agriculture, ChinaYong Chen’s involvement in the project was supported by the Shanghai Dongfang Scholar Program
文摘Weighting values for different habitat variables used in multi-factor habitat suitability index (HSI) modeling reflect the relative influences of different variables on distribution of fish species. Using the winter-spring cohort of neon flying squid (Ommastrephes bartramii) in the Northwestern Pacific Ocean as an example, we evaluated the impact of different weighting schemes on the HSI models based on sea surface temperature, gradient of sea surface temperature and sea surface height. We compared differences in predicted fishing effort and HSI values resulting from different weighting. The weighting for different habitat variables could greatly influence HSI modeling and should be carefully done based on their relative importance in influencing the resource spatial distribution. Weighting in a multi-factor HSI model should be further studied and optimization methods should be developed to improve forecasting squid spatial distributions.
基金National Key Research and Development Program of China(2016YFC0401903)National Natural Science Foundation of China(51722906,51679159,51509179)Tianjin Research Program of Application Foundation and Advanced Technology(15JCYBTC21800)
文摘The classification of tropical cyclones(TCs) is significant to obtaining their temporal and spatial variation characteristics in the context of dramatic-changing global climate. A new TCs clustering method by using K-means clustering algorithm with nine physical indexes is proposed in the paper. Each TC is quantified into an 11-dimensional vector concerning trajectory attributes, time attributes and power attributes. Two recurving clusters(cluster A and E)and three straight-moving clusters(cluster B, C and D) are categorized from the TC best-track dataset of the western North Pacific(WNP) over the period of 1949-2013, and TCs' properties have been analyzed and compared in different aspects. The calculation results of coefficient variation(CV) and Nash-Sutcliffe efficiency(NSE) reveal a high level of intra-cluster cohesiveness and inter-cluster divergence, which means that the physical index system could serve as a feasible method of TCs classification. The clusters are then analyzed in terms of trajectory, lifespan, seasonality, trend,intensity and Power Dissipation Index(PDI). The five classified clusters show distinct features in TCs' temporal and spatial development discipline. Moreover, each cluster has its individual motion pattern, variation trend, influence region and impact degree.
文摘AIM: To construct a noninvasive assessment model consisting of routine laboratory data to predict significant fibrosis and cirrhosis in patients with chronic hepatitis B (CHB). METHODS: A total of 137 consecutive patients with CriB who underwent percutaneous liver biopsy were retrospectively analyzed. These patients were divided into two groups according to their aminotransferase (ALT) level. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), the likelihood ratio (LR) of aminotransferase/platelet ratio index (APRI) ≥ 1.5 or 〈 1.5 in combination with different hyaluronic acid (HA) cut-off points were calculated for the presence of moderate to severe fibrosis/cirrhosis (fibrosis stages 2 and 4) and no to mild fibrosis/cirrhosis (fibrosis stages 0 and 1). RESULTS: The APRI correlated with fibrosis stage in CriB patients. The APRI ≥1.5 in combination with a cut-off HA cut-off point 〉 300 ng/mL could detect moderate to severe fibrosis (stages 2-4) in Crib patients. The PPV was 93.7%, the specificity was 98.9%. The APRI 〈 1.5 in combination with different HA cut-off points could not detect no to mild fibrosis in CHB patients. CONCLUSION: The APRI ≥ 1.5 in combination with a HA cut-off point 〉 300 ng/mL can detect moderate to severe fibrosis (stages 2-4) in Crib patients.
基金supported by the National Natural Science Foundation of China(Grant Nos.41605050,41605031,41530425,41775080,and 41661144016)the Young Elite Scientists Sponsorship Program by the China Association for Science and Technology(Grant No.2016QNRC001)the China Postdoctoral Science Foundation(Grant No.2017T100102)
文摘This study analyzes the impact of the winter North Pacific Oscillation(NPO) on the surface air temperature(SAT)variations over Eurasia and North America based on six different NPO indices. Results show that the influences of the winter NPO on the SAT over Eurasia and North America are sensitive to the definition of the NPO index. The impact of the winter NPO on the SAT variations over Eurasia(North America) is significant(insignificant) when the anticyclonic anomaly associated with the NPO index over the North Pacific midlatitudes shifts westward and pronounced northerly wind anomalies appear around Lake Baikal. By contrast, the impact of the winter NPO on the SAT variations over Eurasia(North America)is insignificant(significant) when the anticyclonic anomaly over the North Pacific related to the NPO index shifts eastward and the associated northerly wind anomalies to its eastern flank extend to North America. The present study suggests that the NPO definition should be taken into account when analyzing the impact of the winter NPO on Eurasian and North American SAT variations.
基金supported by the National Basic Research Program of China(973 Program)(Grant No.2013CB430304)the Scientific Research Foundation of the First Institute of Oceanography+3 种基金the State Oceanic Administration(Grant No.GY0213G19)the National Natural Science Foundation of China(Grant Nos.41205026 and41206026)supported by the Strategic Priority Research Program of the Chinese Academy of Sciences(Grant No.XDA11010104)the Knowledge Innovation Program of the Chinese Academy of Sciences(Grant No.SQ201208)
文摘Tropical cyclone (TC) genesis over the western North Pacific (WNP) is analyzed using 23 CMIP5 (Coupled Model Intercomparison Project Phase 5) models and reanalysis datasets. The models are evaluated according to TC genesis potential index (GPI). The spatial and temporal variations of the GPI are first calculated using three atmospheric reanalysis datasets (ERA-Interim, NCEP/NCAR Reanalysis- 1, and NCEP/DOE Reanalysis-2). Spatial distributions of July-October-mean TC frequency based on the GPI from ERA-interim are more consistent with observed ones derived from IBTrACS global TC data. So, the ERA-interim reanalysis dataset is used to examine the CMIP5 models in terms of reproducing GPI during the period 1982-2005. Although most models possess deficiencies in reproducing the spatial distribution of the GPI, their multi- model ensemble (MME) mean shows a reasonable climatological GPI pattern characterized by a high GPI zone along 20°N in the WNP. There was an upward trend of TC genesis frequency during 1982 to 1998, followed by a downward trend. Both MME results and reanalysis data can represent a robust increasing trend during 1982-1998, but the models cannot simulate the downward trend after 2000. Analysis based on future projection experiments shows that the GPI exhibits no significant change in the first half of the 21st century, and then starts to decrease at the end of the 21st century under the representative concentration pathway (RCP) 2.6 scenario. Under the RCP8.5 scenario, the GPI shows an increasing trend in the vicinity of 20°N, indicating more TCs could possibly be expected over the WNP under future global warming.
基金Supported by the PhD Programs Foundation of Ministry of Education of China (No. 20093104110002)the National High Technology Research and Development Program of China (863 Program) (Nos. 2007AA092201, 2007AA092202)+2 种基金the National Natural Science Foundation (No. NSFC40876090)the Shanghai Leading Academic Discipline Project (No. S30702)Y. Chen's involvement in the project was partially supported by the Shanghai Dongfang Scholar Program
文摘The eastern fall cohort of the neon flying squid, Ommastrephes bartramii, has been commercially exploited by the Chinese squid jigging fleet in the central North Pacific Ocean since the late 1990s. To understand and identify their optimal habitat, we have developed a habitat suitability index (HSI) model using two potential important environmental variables -- sea surface temperature (SST) and sea surface height anomaly (SSHA) -- and fishery data from the main fishing ground (165°-180°E) during June and July of 1999-2003. A geometric mean model (GMM), minimum model (MM) and arithmetic weighted model (AWM) with different weights were compared and the best HSI model was selected using Akaike's information criterion (AIC). The performance of the developed HSI model was evaluated using fishery data for 2004. This study suggests that the highest catch per unit effort (CPUE) and fishing effort are closely related to SST and SSHA. The best SST- and SSHA-based suitability index (SI) regression models were SISST-based = 0.7SIeffort-SST + 0.3 SICPUE-SST, and SISSHA-based =0.5Sleffort-SSHA + 0.5SICPUE-SSHA, respectively, showing that fishing effort is more important than CPUE in the estimation of SI. The best HSI model was the AWM, defined as HSI=0.3SISSHA-based+ 0.7SISSHA-based, indicating that SSHA is more important than SST in estimating the HSI of squid. In 2004, monthly HSI values greater than 0.6 coincided with the distribution of productive fishing ground and high CPUE in June and July, suggesting that the models perform well. The proposed model provides an important tool in our efforts to develop forecasting capacity of squid spatial dynamics.
文摘Based on the in-depth study on the theory of tourism carrying capacity at home and abroad, author of this paper defined the concept and connotation of tourism carrying capacity, and proposed the evaluation index system of tourism carrying capacity. He also conducted a systematic analysis of tourism resources in the Jokhang Temple scenic spot, constructed an evaluation index system of tourism carrying capacity of the Jokhang Temple scenic spot, pointed out the status quo of its carrying capacity and factors constraining the carrying capacity through quantitative calculation, and put forward suggestions to regulate its carrying capacity.
基金supported by the Program for New Century Excellent Talents in University of Ministry of Education of China(Grant No.NCET-13-0927)the International Science&Technology Cooperation Program of China(Grant No.2012DFR50460)+1 种基金the National Natural Science Foundation of China(Grant Nos.21101111 and 61274056)the Shanxi Provincial Key Innovative Research Team in Science and Technology,China(Grant No.2012041011)
文摘Levofloxacin (LOFX), which is well-known as an antibiotic medicament, was shown to be useful as a 452-nm blue emitter for white organic light-emitting diodes (OLEDs). In this paper, the fabricated white OLED contains a 452-nm blue emitting layer (thickness of 30 nm) with 1 wt% LOFX doped in CBP (4,4'-bis(carbazol-9-yl)biphenyl) host and a 584-nm orange emitting layer (thickness of 10 nm) with 0.8 wt% DCJTB (4-(dicyanomethylene)-2-tert-butyl-6-(1,1,7,7- tetramethyljulolidin-4-yl-vinyl)-4H-pyran) doped in CBE which are separated by a 20-nm-thick buffer layer of TPBi (2,2',2"-(benzene-1,3,5-triyl)-tri(1-phenyl-lH-benzimidazole). A high color rendering index (CRI) of 84.5 and CIE chromaticity coordinates of (0.33, 0.32), which is close to ideal white emission CIE (0.333, 0.333), are obtained at a bias voltage of 14 V. Taking into account that LOFX is less expensive and the synthesis and purification technologies of LOFX are mature, these results indicate that blue fluorescence emitting LOFX is useful for applications to white OLEDs although the maximum current efficiency and luminance are not high. The present paper is expected to become a milestone to using medical drug materials for OLEDs.
基金Supported by Key Research and Development Program of Hebei Province(18226603D)Modern Agricultural Science and Technology Innovation Project of Hebei Province(4-04-03)
文摘In order to study the effects of replacing different proportions of silage maize with silage sweet sorghum treated by different fermentation methods on the production performance and blood biochemical indexes of dairy cows,25 Chinese Holstein lactating cows were randomly divided into 5 groups,5 in each group.The control check (CK) was fed the basal diet;for the experimental group 1 and the experimental group 2,50% of the silage maize in the basal diet was replaced with the additive silage sweet sorghum and the conventional silage sweet sorghum,respectively;and as to the experimental group 3 and the experimental group 4,all the silage maize in the basal diet was replaced with additive silage sweet sorghum and conventional silage sweet sorghum,respectively.The preliminary trial period was 7 d,and the trial period was 35 d.The results showed that the experimental group 1 and the experimental group 3 had the dry matter intake significantly higher than that of the experimental group 2,the experimental group 4 and the CK ( P <0.05).The daily milk yields of the experimental group 1 and the experimental group 2 were significantly lower than that of the CK ( P <0.05),and the experimental group 3 and the experimental group 4 were significantly lower than the experimental group 1 and the experimental group 2 ( P <0.05).The milk protein percentage of the experimental group 2 was extremely significantly higher than that of the experimental group 4 ( P <0.01).The experimental group 1,the experimental group 2 and the experimental group 3 showed the blood glucose levels extremely significantly higher than that in the CK ( P <0.01).The blood urea nitrogen contents in the experimental group 2 and the experimental group 4 were significantly higher than those in the experimental group 1 and the CK ( P <0.01).There were no significant differences in other blood biochemical indexes between various groups ( P >0.05).It is feasible to use silage sweet sorghum to feed dairy cows,but the proportion should not be too large,and attention should be paid to the energy and nitrogen balance of the diet.