BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generaliz...BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generalized skin rashes accompanied by pruritus and purulent discharge.First-line treatment with rituximab combined with zanubrutinib had poor effects.However,after switching to obinutuzumab combined with zanubrutinib,the case was alleviated,and the rashes disappeared.CONCLUSION For patients with advanced stage MZL not benefiting from type I anti-CD20 monoclonal antibody(mAb)combination therapy,switching to a type II anti-CD20 mAb combination regimen may be considered.This approach may provide a new perspective in the treatment of MZL.展开更多
Marine heatwaves(MHWs)caused by anthropogenic climate change are becoming a key driver of change at the ecosystem level.Thermal conditions experienced by marine organisms across their distribution,particularly towards...Marine heatwaves(MHWs)caused by anthropogenic climate change are becoming a key driver of change at the ecosystem level.Thermal conditions experienced by marine organisms across their distribution,particularly towards the equator,are likely to approach their physiological limits,resulting in extensive mortality and subsequent changes at the population level.Populations at the margins of their species’distribution are thought to be more sensitive to climate-induced environmental pressures than central populations,but our understanding of variability in fitness-related physiological traits in trailing versus leading-edge populations is limited.In a laboratory simulation study,we tested whether two leading(Iceland)and two trailing(Spain)peripheral populations of the intertidal macroalga Corallina officinalis display different levels of maximum potential quantum efficiency(Fv/Fm)resilience to current and future winter MHWs scenarios.Our study revealed that ongoing and future local winter MHWs will not negatively affect leading-edge populations of C.officinalis,which exhibited stable photosynthetic efficiency throughout the study.Trailing edge populations showed a positive though non-significant trend in photosynthetic efficiency throughout winter MHWs exposure.Poleward and equatorward populations did not produce significantly different results,with winter MHWs having no negative affect on Fv/Fm of either population.Additionally,we found no long-term regional or population-level influence of a winter MHWs on this species’photosynthetic efficiency.Thus,we found no statistically significant difference in thermal stress responses between leading and trailing populations.Nonetheless,C.officinalis showed a trend towards higher stress responses in southern than northern populations.Because responses rest on a variety of local population traits,they are difficult to predict based solely on thermal pressures.展开更多
Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional p...Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional process is regarded confusing. The microfacies, construction types, and depositional model of the Member Deng-2 marginal microbial mound-bank complex have been investigated using unmanned aerial vehicle photography, outcrop section investigation, thin section identification,and seismic reflections in the southwestern Sichuan Basin. The microbialite lithologic textures in this region include thrombolite, dendrolite, stromatolite, fenestral stromatolite, spongiostromata stone,oncolite, aggregated grainstone, and botryoidal grapestone. Based on the comprehensive analysis of“depositional fabrics-lithology-microfacies”, an association between a fore mound, mound framework,and back mound subfacies has been proposed based on water depth, current direction, energy level and lithologic assemblages. The microfacies of the mound base, mound core, mound flank, mound cap, and mound flat could be recognized among the mound framework subfacies. Two construction types of marginal microbial mound-bank complex have been determined based on deposition location, mound scale, migration direction, and sedimentary facies association. Type Jinkouhe microbial mound constructions(TJMMCs) develop along the windward margin owing to their proximity to the seaward subfacies fore mound, with a northeastwardly migrated microbial mound on top of the mud mound,exhibiting the characteristics of large-sized mounds and small-sized banks in the surrounding area. Type E'bian microbial mound constructions(TEMMCs) primarily occur on the leeward margin, resulting from the presence of onshore back mound subfacies, with the smaller southwestward migrated microbial mounds existing on a thicker microbial flat. The platform margin microbial mound depositional model can be correlated with certain lateral comparison profile and seismic reflection structures in the 2D seismic section, which can provide references for future worldwide exploration. Microbial mounds with larger buildups and thicker vertical reservoirs are typically targeted on the windward margin, while small-sized microbial mounds and flats with better lateral connections are typically focused on the leeward margin.展开更多
Forests,the largest terrestrial carbon sinks,play an important role in carbon sequestration and climate change mitigation.Although forest attributes and environmental factors have been shown to impact aboveground biom...Forests,the largest terrestrial carbon sinks,play an important role in carbon sequestration and climate change mitigation.Although forest attributes and environmental factors have been shown to impact aboveground biomass,their influence on biomass stocks in species-rich forests in southern China,a biodiversity hotspot,has rarely been investigated.In this study,we characterized the effects of environmental factors,forest structure,and species diversity on aboveground biomass stocks of 30 plots(1 ha each) in natural forests located within seven nature reserves distributed across subtropical and marginal tropical zones in Guangxi,China.Our results indicate that forest aboveground biomass stocks in this region are lower than those in mature tropical and subtropical forests in other regions.Furthermore,we found that aboveground biomass was positively correlated with stand age,mean annual precipitation,elevation,structural attributes and species richness,although not with species evenness.When we compared stands with the same basal area,we found that aboveground biomass stock was higher in communities with a higher coefficient of variation of diameter at breast height.These findings highlight the importance of maintaining forest structural diversity and species richness to promote aboveground biomass accumulation and reveal the potential impacts of precipitation changes resulting from climate warming on the ecosystem services of subtropical and northern tropical forests in China.Notably,many natural forests in southern China are not fully stocked.Therefore,their continued growth will increase their carbon storage over time.展开更多
The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,t...The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,tropical cyclones,the Kuroshio intrusion,and water exchange through the Luzon Strait(LS).展开更多
Extranodal marginal zone lymphoma(EMZL)encompasses 70%of cases of marginal zone lymphoma.Frontline bendamustine and rituximab(BR)were derived from trials involving other indolent non-Hodgkin’s lymphomas.Only one tria...Extranodal marginal zone lymphoma(EMZL)encompasses 70%of cases of marginal zone lymphoma.Frontline bendamustine and rituximab(BR)were derived from trials involving other indolent non-Hodgkin’s lymphomas.Only one trial has evaluated frontline BR prospectively in EMZL.This retrospective study reports outcomes among EMZL patients receiving frontline BR.Twenty-five patients were included with a median age of 69 years(40–81).Five(20.0%)patients had stage Ⅰ/Ⅱ disease,and 20(80.0%)had stage Ⅲ/Ⅳ disease.The median number of cycles was 6.0(3.0–6.0).Maintenance rituximab was administered to 10(41.7%)individuals.Overall response rate(ORR)was 100.0%(60.0%complete response,40.0%partial response).Medians of overall survival and progression-free survival were not reached.The estimated 2-year progression-free survival was 85.2%and overall survival was 100.0%.Four(16.6%)patients had infections related to treatment;3(12.0%)transformed to diffuse large B-cell lymphoma;5(20.8%)had a relapse or progression of EMZL;and 3(12.0%)died unrelated to BR.BR is an efficacious and well-tolerated front-line regimen for EMZL with response data consistent with existing literature.展开更多
Coal-type source rocks include both coal and terrigenous marine source rocks.By studying the distribution of secondary depressions,uplifts,as well as the characteristics of peat formation and accumulation in the north...Coal-type source rocks include both coal and terrigenous marine source rocks.By studying the distribution of secondary depressions,uplifts,as well as the characteristics of peat formation and accumulation in the northern marginal sea basin of the South China Sea,and combining them with coal formation characteristics observed in other basins,five genetic theories on the relationship between peat accumulation and dispersed organic matter accumulation are proposed.The northern marginal sea basin of the South China Sea is characterized by“disadvantageous coals formation and favorable terrigenous marine source rocks formation.”This paper provides a distribution map of coal seams and terrigenous marine source rocks in the Qiongdongnan Basin and determines their distribution patterns.Research shows that the migration of sedimentary facies in the basins and inner depressions led to the formation and migration of the peat accumulation centers.In addition,the vertical migration of the peat accumulation centers led to planar migration,which is actually a type of coupling relationship.Previous research results have revealed that the formation of coal-type source rock is multi-phased.The marginal sea basin is composed of several fault-depression basins,with each basin developing a second order of depression and uplift.There is no unified basin center or depositional center to be found.As a result,the concentration centers of coal-forming materials also vary greatly.Based on the distribution characteristics of coal-type source rocks in different basins within the marginal sea basins of the South China Sea,the research results have practical significance and provide guidance for exploring coal-type oil and gas reservoirs in this area.展开更多
The Mangahewa Formation is the primary reservoir target in the Mangahewa Field in the Taranaki Basin,New Zealand.This formation is distinguished by its marginal marine substantial tight-sand reservoir,having thickness...The Mangahewa Formation is the primary reservoir target in the Mangahewa Field in the Taranaki Basin,New Zealand.This formation is distinguished by its marginal marine substantial tight-sand reservoir,having thickness exceeding 800 m.The aim of this study is to assess the reservoir properties of the Mangahewa Formation through 3D reservoir modeling,employing 3D seismic data,core data,and well data from the Mangahewa Field.Utilizing variance attributes,the faults and horizons have been identified successfully within the field.The majority of the interpreted faults exhibit dip angles exceeding 60°,with a maximum displacement of 118 m.To detect direct hydrocarbon indicators,root-mean-square amplitude seismic attribute,envelope,and generalized spectral decomposition techniques have been employed.Subsequently,four lithofacies,comprising 78.3%sandstone,9.2%siltstone,9.5%claystone,and 3.0%coal have been established by utilizing the Sequential Indicator Simulation(SIS)algorithm to create a lithofacies model.A property model has been generated using the Sequential Gaussian Simulation(SGS)algorithm.Petrophysical evaluation indicates that the Mangahewa Formation exhibits reservoir qualities ranging from fair to good,with porosity levels between 8%and 11%,permeability averaging up to 10 mD,variable shale volumes,and hydrocarbon saturation in the range of 40%-50%.This study's methodologies and findings can serve as a valuable foundation for similar investigations in other tightsand gas fields located in different regions.展开更多
In response to the problems of unclear distribution of deep-water pre-salt carbonate reservoirs and formation conditions of large oil fields in the Santos passive continental margin basin,based on comprehensive utiliz...In response to the problems of unclear distribution of deep-water pre-salt carbonate reservoirs and formation conditions of large oil fields in the Santos passive continental margin basin,based on comprehensive utilization of geological,seismic,and core data,and reconstruction of Early Cretaceous prototype basin and lithofacies paleogeography,it is proposed for the first time that the construction of pre-salt carbonate build-ups was controlled by two types of isolated platforms:inter-depression fault-uplift and intra-depression fault-high.The inter-depression fault-uplift isolated platforms are distributed on the present-day pre-salt uplifted zones between depressions,and are built on half-and fault-horst blocks that were inherited and developed in the early intra-continental and inter-continental rift stages.The late intra-continental rift coquinas of the ITP Formation and the early inter-continental rift microbial limestones of the BVE Formation are continuously constructed;intra-depression fault-high isolated platforms are distributed in the current pre-salt depression zones,built on the uplifted zones formed by volcanic rock build-ups in the early prototype stage of intra-continental rifts,and only the BVE microbial limestones are developed.Both types of limestones formed into mound-shoal bodies,that have the characteristics of large reservoir thickness and good physical properties.Based on the dissection of large pre-salt oil fields discovered in the Santos Basin,it has been found that both types of platforms could form large-scale combined structural-stratigraphic traps,surrounded by high-quality lacustrine and lagoon source rocks at the periphery,and efficiently sealed by thick high-quality evaporite rocks above,forming the optimal combination of source,reservoir and cap in the form of“lower generation,middle storage,and upper cap”,with a high degree of oil and gas enrichment.It has been found that the large oil fields are all bottom water massive oil fields with a unified pressure system,and they are all filled to the spill-point.The future exploration is recommended to focus on the inter-depression fault-uplift isolated platforms in the western uplift zone and the southern section of eastern uplift zones,as well as intra-depression fault-high isolated platforms in the central depression zone.The result not only provides an important basis for the advanced selection of potential play fairways,bidding of new blocks,and deployment of awarded exploration blocks in the Santos Basin,but also provides a reference for the global selection of deep-water exploration blocks in passive continental margin basins.展开更多
With the continuous expansion of the scale of renewable energy installation,the demand for energy storage has increased significantly.However,there are significant differences in the value of energy storage in differe...With the continuous expansion of the scale of renewable energy installation,the demand for energy storage has increased significantly.However,there are significant differences in the value of energy storage in different scenarios,and the phenomenon of diminishing marginal benefits of energy storage is becoming more apparent.Therefore,themulti-dimensional value evolution trend of energy storage has become a key issue.This study selects indicators from three dimensions of energy storage:low-carbon emission reduction,smoothing wind and solar power fluctuations,and saving generation costs,quantifying the economic,environmental,and technical values of energy storage.This forms a quantitative evaluation system for energy storage value.By comparing the calculated system values under different energy storage capacities,the marginal value evolution trend of energy storage is obtained.Meanwhile,considering factors such as the utilization rate of renewable energy,the change in energy storage value under different scenarios is analyzed.The results show that the value of long-duration energy storage is significantly affected by the energy storage capacity.Specifically,when the charge-discharge efficiency of longduration energy storage reaches 0.6 or above,the system value increases significantly.Additionally,appropriately reducing the cost of energy storage capacity also helps to improve its system value.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
One of the most challenging factors affecting impression quality and good marginal fit is the gingival retraction method, which aims to separate the gingiva from the tooth to expose the finishing line of the prepared ...One of the most challenging factors affecting impression quality and good marginal fit is the gingival retraction method, which aims to separate the gingiva from the tooth to expose the finishing line of the prepared tooth. Bleeding and contamination from the crevicular fluid may compete for space with the impression material within the sulcus, leading to indistinct preparations and a lack of detail at the margin. In addition, such procedures might damage the PDL and cause permanent recession. Flowable composite cable, as opposed to traditional retraction cords, offers the proper marginal seal and visibility during the impression record because of its lower viscosity, improved adaptability, and elastic properties. The aim of this report is to present a brand-new, innovative method for controlling gingival hemorrhage in addition to the gingival retraction in restorative and prosthodontic treatment by utilizing a flowable composite during the final impression record procedure. In these case reports, the flowable composite cord technique is used instead of traditional gingival cords to modify and refine the gingival tissue before taking the traditional final impression or digital scan. Two cases were done for patients undergoing fixed prosthodontics and veneer treatment within a 2-year follow-up period. In addition, the flowable composite cord was used as temporary restoration before the final prosthetic cementation or under the provisional crowns. As a result, clean and healthy gingival tissues render cementation of the final prosthesis quicker and easier to perform. The patients in both cases claimed that their prosthodontic treatments, which involved the application of a flowable composite cord to temporarily retraction the gingiva, had produced good outcomes at the yearlong follow-up. In conclusion, the flowable composite cord technique is found to be a useful tool to improve the quality of impressions in fixed prosthodontics by providing excellent access for impression material to record fine details of the finish line of the prepared tooth structure, and to alter the inflamed tissue into a healthy tissue.展开更多
Background:The effectiveness and safety of marginal donor livers remain controversial.This study aimed to investigate the clinical efficacy of marginal donor livers in patients with liver transplantation(LT).Methods:T...Background:The effectiveness and safety of marginal donor livers remain controversial.This study aimed to investigate the clinical efficacy of marginal donor livers in patients with liver transplantation(LT).Methods:This study included 199 liver donors(including 16 split donors)and 206 liver recipients from January 1,2018 to January 27,2020,with case follow-up until July 31,2021.Clinical data of donors and recipients were retrospectively analyzed and were divided into the marginal donor and standard donor groups according to the criteria of marginal donor livers.Indices of liver and kidney functions,complications,and survival curves of the two groups were compared.Results:Compared with the standard donor group,the blood creatinine levels were significantly higher in the marginal donor group in the first week after operation(P<0.05);there were no significant differences in alanine aminotransferase,aspartate aminotransferase,and total bilirubin levels after LT(all P>0.05);there was no significant difference in the incidence of complications after LT(P>0.05);there was also no significant difference in the survival curve(P=0.335).Conclusions:There were no significant differences in liver and kidney function and survival curve between the standard donor and marginal donor groups.The marginal donor liver appears safe and reliable for LT and may be an important strategy to expand the donor pool and solve the shortage of organs.展开更多
BACKGROUND Gastric mucosa-associated lymphoid tissue(MALT)lymphoma(GML)is usually a low-grade B-cell neoplasia strongly associated with Helicobacter pylori(H.pylori)-induced chronic gastritis.Clinical practice guideli...BACKGROUND Gastric mucosa-associated lymphoid tissue(MALT)lymphoma(GML)is usually a low-grade B-cell neoplasia strongly associated with Helicobacter pylori(H.pylori)-induced chronic gastritis.Clinical practice guidelines currently recommend H.pylori eradication as the preferred initial treatment for early-stage GML.To determine the practical effect of bacterial eradication as the sole initial therapy for early-stage GML,an updated analysis and review of available evidence is imperative.AIM To perform a meta-analysis to assess the rate of complete remission(CR)of H.pylori-positive early-stage GML following bacterial eradication.METHODS We performed independent,computer-assisted literature searches using the PubMed/MEDLINE,Embase,and Cochrane Central databases through September 2022.Prospective and retrospective observational studies evaluating the CR of early-stage GML following bacterial eradication in H.pylori-positive patients.The risk of bias was assessed using Joanna Briggs Institute(JBI)Critical Appraisal Tools.The pooled estimate of the complete histopathological remission rate and respective confidence intervals(95%CI)were calculated following the random-effects model.Heterogeneity and inconsistency were assessed using Cochran’s Q test and I2 statistic,and heterogeneity was defined as P<0.01 and I²>50%,respectively.Subgroup and meta-regression analyses were conducted to explore potential sources of heterogeneity.RESULTS The titles and abstracts of 1576 studies were screened;96 articles were retrieved and selected for full-text reading.Finally,61 studies were included in the proportional meta-analysis(P-MA).Forty-six were prospective and fifteen were retrospective uncontrolled,single-arm,observational studies.The overall risk of bias was low to moderate in all but a single report,with an average critical appraisal score across all studies of 79.02%.A total of 2936 H.pylori-positive early-stage GML patients,in whom H.pylori was successfully eradicated,were included in the analysis.The pooled CR of H.pylori-positive early-stage GML after bacterial eradication was 75.18%(95%CI:70.45%-79.91%).P-MA indicated the substantial heterogeneity in CR reported across studies(I2=92%;P<0.01).Meta-regression analysis identified statistically significant effect modifiers,including the proportion of patients with t(11;18)(q21;q21)-positive GML and the risk of bias in each study.CONCLUSION Comprehensive synthesis of available evidence suggests that H.pylori eradication is effective as the sole initial therapy for early-stage GML.Although the substantial heterogeneity observed across studies limits the interpretation of the pooled overall CR,the present study is a relevant to informing clinical practice.展开更多
Marginal zone lymphomas rank as the third most prevalent form of non-Hodgkin B-cell lymphoma,trailing behind diffuse large B-cell lymphoma and follicular lymphoma.Gastric mucosa-associated lymphoid tissue lymphoma(GML...Marginal zone lymphomas rank as the third most prevalent form of non-Hodgkin B-cell lymphoma,trailing behind diffuse large B-cell lymphoma and follicular lymphoma.Gastric mucosa-associated lymphoid tissue lymphoma(GML)is a low-grade B-cell neoplasia frequently correlated with Helicobacter pylori(H.pylori)-induced chronic gastritis.On the other hand,a specific subset of individuals diagnosed with GML does not exhibit H.pylori infection.In contrast to its H.pylori-positive counterpart,it was previously believed that H.pylori-negative GML was less likely to respond to antimicrobial therapy.Despite this,surprisingly,increasing evidence supports that a considerable proportion of patients with H.pylori-negative GML show complete histopathological remission after bacterial eradication therapy.Nonetheless,the precise mechanisms underlying this treatment responsiveness are not yet fully comprehended.In recent years,there has been growing interest in investigating the role of non-H.pylori gastric helicobacters(NHPHs)in the pathogenesis of H.pylori-negative GML.However,additional research is required to establish the causal relationship between NHPHs and GML.In this minireview,we examined the current understanding and proposed prospects on the involvement of NHPHs in H.pylori-negative GML,as well as their potential response to bacterial eradication therapy.展开更多
To study the damage mechanism of multi‐anchor piles in tunnel crossing landslide area under earthquake,the damping performance of multi‐anchor piles was discussed.The energy dissipation springs were used as the opti...To study the damage mechanism of multi‐anchor piles in tunnel crossing landslide area under earthquake,the damping performance of multi‐anchor piles was discussed.The energy dissipation springs were used as the optimization device of the anchor head to carry out the shaking table comparison test on the reinforced slope.The Hilbert spectrum and Hilbert marginal spectrum were proposed to analyze the seismic damage mechanism of the multi‐anchor piles,and the peak Fourier spectrum amplitude(PFSA)was used to verify the effectiveness of the method.The results show that the seismic energy is concentrated in the high‐frequency component(30-40Hz)of the Hilbert spectrum and the low‐frequency component(12-30 Hz)of the marginal spectrum.This indicates that they can be combined with the distribution law of the PFSA to identify the overall and local dynamic responses of the multi‐anchored piles,respectively.The stretchable deformation of the energy‐dissipation springs improves the coordination of the multi‐anchor piles,resulting in better pile integrity.The damage mechanism of the multi‐anchor piles is elucidated based on the energy method:local damage at the top and middle areas of the multi‐anchor piles is mainly caused by the low‐frequency component(12-30 Hz)of the marginal spectrum under the action of 0.15g and 0.20g seismic intensities.As the seismic intensity increases to 0.30g,the dynamic response of the slope is further amplified by the high‐frequency component(30-40 Hz)of the Hilbert energy spectrum,which leads to the overall damage of the multi‐anchor piles.展开更多
Tiger nut is a bioenergy crop planted in arid areas of northern China to supply oil and adjust the planting structure.However,in the western region of Inner Mongolia Autonomous Region,China,less water resources have r...Tiger nut is a bioenergy crop planted in arid areas of northern China to supply oil and adjust the planting structure.However,in the western region of Inner Mongolia Autonomous Region,China,less water resources have resulted in a scarcity of available farmland,which has posed a huge obstacle to planting tiger nut.Cultivation of tiger nut on marginal land can effectively solve this problem.To fully unlock the production potential of tiger nut on marginal land,it is crucial for managers to have comprehensive information on the adaptive mechanism and nutrient requirement of tiger nut in different growth periods.This study aims to explore these key information from the perspective of nutrient coordination strategy of tiger nut in different growth periods and their relationship with rhizosphere soil nutrients.Three fertilization treatments including no fertilization(N:P(nitrogen:phosphorous)=0:0),traditional fertilization(N:P=15:15),and additional N fertilizer(N:P=60:15)were implemented on marginal land in the Dengkou County.Plant and soil samples were collected in three growth periods,including stolon tillering period,tuber expanding period,and tuber mature period.Under no fertilization,there was a significant correlation between N and P contents of tiger nut roots and tubers and the same nutrients in the rhizosphere soil(P<0.05).Carbon(C),N,and P contents of roots were significantly higher than those of leaves(P<0.05),and the C:N ratio of all organs was higher than those under other treatments before tuber maturity(P<0.05).Under traditional fertilization,there was a significant impact on the P content of tiger nut tubers(P<0.05).Under additional N fertilizer,the accumulation rate of N and P was faster in stolons than in tubers(P<0.05)with lower N:P ratio in stolons during the tuber expansion period(P<0.05),but higher N:P ratio in tubers(P<0.05).The limited availability of nutrients in the rhizosphere soil prompts tiger nut to increase the C:N ratio,improving N utilization efficiency,and maintaining N:P ratio in tubers.Elevated N levels in the rhizosphere soil decrease the C:N ratio of tiger nut organs and N:P ratio in stolons,promoting rapid stolon growth and shoot production.Supplementary P is necessary during tuber expansion,while a higher proportion of N in fertilizers is crucial for the aboveground biomass production of tiger nut.展开更多
The current study aims to investigate a suitable adhesive for primary tooth enamel. Shear bond strength(SBS)of primary teeth and the length of resin protrusion were analyzed using one-way ANOVA with Bonferroni multipl...The current study aims to investigate a suitable adhesive for primary tooth enamel. Shear bond strength(SBS)of primary teeth and the length of resin protrusion were analyzed using one-way ANOVA with Bonferroni multiple comparison tests after etching with 35% H_(3)PO_(4). SBS and marginal microleakage tests were conducted with Single Bond Universal(SBU)/Single Bond 2(SB2) adhesives with or without pre-etching using a nonparametric Kruskal-Wallis test. Clinical investigations were performed to validate the adhesive for primary teeth restoration using Chi-square tests. Results showed that the SBS and length of resin protrusion increased significantly with the etching time. Teeth in the SBU with 35% H_(3)PO_(4)pre-etching groups had higher bond strength and lower marginal microleakage than those in the SB2 groups. Mixed fractures were more common in the 35% H_(3)PO_(4)etched 30 s + SB2/SBU groups. Clinical investigations showed significant differences between the two groups in cumulative retention rates at the 6-, 12-and 18-month follow-up evaluations, as well as in marginal adaptation, discoloration, and secondary caries at the 12-and 18-month follow-up assessments.Together, pre-etching primary teeth enamel for 30 s before SBU treatment improved clinical composite resin restoration, which can provide a suitable approach for restoration of primary teeth.展开更多
Ice-shelf rifts are precursors of glacier calving, and thus they serve as indicators of ice shelf instability, especially under oceanic and atmospheric warming conditions. Therefore, understanding the dynamic processe...Ice-shelf rifts are precursors of glacier calving, and thus they serve as indicators of ice shelf instability, especially under oceanic and atmospheric warming conditions. Therefore, understanding the dynamic processes underlying rift propagation and the associated damage mechanisms is essential to evaluate ice-shelf instability and to predict glacier calving. In this study, we investigated the effect of marginal weakening on rift propagation on the ice shelf of the Petermann Glacier, among the largest in Greenland, during 2016-2022. First, we analyzed satellite optical images to monitor rift growth(length and width) by tracking the tip trajectory of three large rifts identified on the Petermann Ice Shelf. Then, we estimated rift depth using ArcticDEM and ICESat-2 data. Our results indicated consistent increases of the rift widths and depths over the study period, with mean values of 133 m·a^(-1) and 0.3 m·a^(-1), respectively. We also combined remote-sensing observations with an ice-sheet numerical model to calculate the stress and damage fields on the Petermann Ice Shelf and to assess the ice shelf margin stability and strength. We determined that damage and lateral shear in the fracture zone degraded ice shelf integrity by decreasing the contact length with the fjord wall. In conclusion, marginal weakening effectively promoted rift propagation on the Petermann Ice Shelf, increasing the risk of future glacier calving.展开更多
Climate change has become a global phenomenon and is adversely affecting agricultural development across the globe.Developing countries like Pakistan where 18.9%of the GDP(gross domestic product)came from the agricult...Climate change has become a global phenomenon and is adversely affecting agricultural development across the globe.Developing countries like Pakistan where 18.9%of the GDP(gross domestic product)came from the agriculture sector and also 42%of the labor force involved in agriculture.They are directly and indirectly affected by climate change due to an increase in the frequency and intensity of climatic extreme events such as floods,droughts and extreme weather events.In this paper,we have focused on the impact of climate change on farm households and their adaptation strategies to cope up the climatic extremes.For this purpose,we have selected farm households by using multistage stratified random sampling from four districts of the Potohar region i.e.Attock,Rawalpindi,Jhelum and Chakwal.These districts were selected by dividing the Potohar region into rain-fed areas.We have employed logistic regression to assess the determinants of adaptation to climate change and its impact.We have also calculated the marginal effect of each independent variable of the logistic regression to measure the immediate rate of change in the model.In order to check the significance of our suggested model,we have used hypothesis testing.展开更多
文摘BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generalized skin rashes accompanied by pruritus and purulent discharge.First-line treatment with rituximab combined with zanubrutinib had poor effects.However,after switching to obinutuzumab combined with zanubrutinib,the case was alleviated,and the rashes disappeared.CONCLUSION For patients with advanced stage MZL not benefiting from type I anti-CD20 monoclonal antibody(mAb)combination therapy,switching to a type II anti-CD20 mAb combination regimen may be considered.This approach may provide a new perspective in the treatment of MZL.
基金The Fundação para a Ciência e Tecnologia(FCT-MEC,Portugal)under contract No.UIDB/04326/2020 awarded to Gerardo Zardithe South African Research Chairs Initiative(SARChI)of the Department of Science and Technology and the National Research Foundation of South Africa under contract No.64801 awarded to Christopher McQuaid+1 种基金the Fund of European Union’s Horizon 2020 Research and Innovation Programme under the Marie Skłodowska-Curie contract No.101034329the WINNINGNormandy Program supported by the Normandy Region for Gerardo Zardi.
文摘Marine heatwaves(MHWs)caused by anthropogenic climate change are becoming a key driver of change at the ecosystem level.Thermal conditions experienced by marine organisms across their distribution,particularly towards the equator,are likely to approach their physiological limits,resulting in extensive mortality and subsequent changes at the population level.Populations at the margins of their species’distribution are thought to be more sensitive to climate-induced environmental pressures than central populations,but our understanding of variability in fitness-related physiological traits in trailing versus leading-edge populations is limited.In a laboratory simulation study,we tested whether two leading(Iceland)and two trailing(Spain)peripheral populations of the intertidal macroalga Corallina officinalis display different levels of maximum potential quantum efficiency(Fv/Fm)resilience to current and future winter MHWs scenarios.Our study revealed that ongoing and future local winter MHWs will not negatively affect leading-edge populations of C.officinalis,which exhibited stable photosynthetic efficiency throughout the study.Trailing edge populations showed a positive though non-significant trend in photosynthetic efficiency throughout winter MHWs exposure.Poleward and equatorward populations did not produce significantly different results,with winter MHWs having no negative affect on Fv/Fm of either population.Additionally,we found no long-term regional or population-level influence of a winter MHWs on this species’photosynthetic efficiency.Thus,we found no statistically significant difference in thermal stress responses between leading and trailing populations.Nonetheless,C.officinalis showed a trend towards higher stress responses in southern than northern populations.Because responses rest on a variety of local population traits,they are difficult to predict based solely on thermal pressures.
基金jointly funded by projects supported by the National Natural Science Foundation of China(Grant No.41872150)the Joint Funds of the National Natural Science Foundation of China(Grant No.U19B6003)Major Scientific and Technological Projects of CNPC during the 13th five-year plan(No.2019A-02-10)。
文摘Recent advances in hydrocarbon exploration have been made in the Member Deng-2 marginal microbial mound-bank complex reservoirs of the Dengying Formation in the western Sichuan Basin, SW China,where the depositional process is regarded confusing. The microfacies, construction types, and depositional model of the Member Deng-2 marginal microbial mound-bank complex have been investigated using unmanned aerial vehicle photography, outcrop section investigation, thin section identification,and seismic reflections in the southwestern Sichuan Basin. The microbialite lithologic textures in this region include thrombolite, dendrolite, stromatolite, fenestral stromatolite, spongiostromata stone,oncolite, aggregated grainstone, and botryoidal grapestone. Based on the comprehensive analysis of“depositional fabrics-lithology-microfacies”, an association between a fore mound, mound framework,and back mound subfacies has been proposed based on water depth, current direction, energy level and lithologic assemblages. The microfacies of the mound base, mound core, mound flank, mound cap, and mound flat could be recognized among the mound framework subfacies. Two construction types of marginal microbial mound-bank complex have been determined based on deposition location, mound scale, migration direction, and sedimentary facies association. Type Jinkouhe microbial mound constructions(TJMMCs) develop along the windward margin owing to their proximity to the seaward subfacies fore mound, with a northeastwardly migrated microbial mound on top of the mud mound,exhibiting the characteristics of large-sized mounds and small-sized banks in the surrounding area. Type E'bian microbial mound constructions(TEMMCs) primarily occur on the leeward margin, resulting from the presence of onshore back mound subfacies, with the smaller southwestward migrated microbial mounds existing on a thicker microbial flat. The platform margin microbial mound depositional model can be correlated with certain lateral comparison profile and seismic reflection structures in the 2D seismic section, which can provide references for future worldwide exploration. Microbial mounds with larger buildups and thicker vertical reservoirs are typically targeted on the windward margin, while small-sized microbial mounds and flats with better lateral connections are typically focused on the leeward margin.
基金supported by the Guangxi Key R&D Program (project No. AB16380254)a research project of Guangxi Forestry Department (Guilinkezi [2015] No.5)supported a grant for Bagui Senior Fellow (C33600992001)。
文摘Forests,the largest terrestrial carbon sinks,play an important role in carbon sequestration and climate change mitigation.Although forest attributes and environmental factors have been shown to impact aboveground biomass,their influence on biomass stocks in species-rich forests in southern China,a biodiversity hotspot,has rarely been investigated.In this study,we characterized the effects of environmental factors,forest structure,and species diversity on aboveground biomass stocks of 30 plots(1 ha each) in natural forests located within seven nature reserves distributed across subtropical and marginal tropical zones in Guangxi,China.Our results indicate that forest aboveground biomass stocks in this region are lower than those in mature tropical and subtropical forests in other regions.Furthermore,we found that aboveground biomass was positively correlated with stand age,mean annual precipitation,elevation,structural attributes and species richness,although not with species evenness.When we compared stands with the same basal area,we found that aboveground biomass stock was higher in communities with a higher coefficient of variation of diameter at breast height.These findings highlight the importance of maintaining forest structural diversity and species richness to promote aboveground biomass accumulation and reveal the potential impacts of precipitation changes resulting from climate warming on the ecosystem services of subtropical and northern tropical forests in China.Notably,many natural forests in southern China are not fully stocked.Therefore,their continued growth will increase their carbon storage over time.
基金The National Natural Science Foundation of China under contract Nos 41920104006the Scientific Research Fund of Second Institute of Oceanography+3 种基金Ministry of Natural Resources under contract Nos JZ2001,XRJH2410,and QNYC2102the Oceanic Interdisciplinary Program of Shanghai Jiao Tong University under contract No.SL2021MS021the Global Climate Changes and Air-sea Interaction Program under contract No.GASI-02-PAC-ST-Wwinthe Taishan Scholars Program under contract No.tsqn202306282。
文摘The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,tropical cyclones,the Kuroshio intrusion,and water exchange through the Luzon Strait(LS).
文摘Extranodal marginal zone lymphoma(EMZL)encompasses 70%of cases of marginal zone lymphoma.Frontline bendamustine and rituximab(BR)were derived from trials involving other indolent non-Hodgkin’s lymphomas.Only one trial has evaluated frontline BR prospectively in EMZL.This retrospective study reports outcomes among EMZL patients receiving frontline BR.Twenty-five patients were included with a median age of 69 years(40–81).Five(20.0%)patients had stage Ⅰ/Ⅱ disease,and 20(80.0%)had stage Ⅲ/Ⅳ disease.The median number of cycles was 6.0(3.0–6.0).Maintenance rituximab was administered to 10(41.7%)individuals.Overall response rate(ORR)was 100.0%(60.0%complete response,40.0%partial response).Medians of overall survival and progression-free survival were not reached.The estimated 2-year progression-free survival was 85.2%and overall survival was 100.0%.Four(16.6%)patients had infections related to treatment;3(12.0%)transformed to diffuse large B-cell lymphoma;5(20.8%)had a relapse or progression of EMZL;and 3(12.0%)died unrelated to BR.BR is an efficacious and well-tolerated front-line regimen for EMZL with response data consistent with existing literature.
基金The National Natural Science Foundation of China under contract Nos 42072188,42272205 and 41872172。
文摘Coal-type source rocks include both coal and terrigenous marine source rocks.By studying the distribution of secondary depressions,uplifts,as well as the characteristics of peat formation and accumulation in the northern marginal sea basin of the South China Sea,and combining them with coal formation characteristics observed in other basins,five genetic theories on the relationship between peat accumulation and dispersed organic matter accumulation are proposed.The northern marginal sea basin of the South China Sea is characterized by“disadvantageous coals formation and favorable terrigenous marine source rocks formation.”This paper provides a distribution map of coal seams and terrigenous marine source rocks in the Qiongdongnan Basin and determines their distribution patterns.Research shows that the migration of sedimentary facies in the basins and inner depressions led to the formation and migration of the peat accumulation centers.In addition,the vertical migration of the peat accumulation centers led to planar migration,which is actually a type of coupling relationship.Previous research results have revealed that the formation of coal-type source rock is multi-phased.The marginal sea basin is composed of several fault-depression basins,with each basin developing a second order of depression and uplift.There is no unified basin center or depositional center to be found.As a result,the concentration centers of coal-forming materials also vary greatly.Based on the distribution characteristics of coal-type source rocks in different basins within the marginal sea basins of the South China Sea,the research results have practical significance and provide guidance for exploring coal-type oil and gas reservoirs in this area.
文摘The Mangahewa Formation is the primary reservoir target in the Mangahewa Field in the Taranaki Basin,New Zealand.This formation is distinguished by its marginal marine substantial tight-sand reservoir,having thickness exceeding 800 m.The aim of this study is to assess the reservoir properties of the Mangahewa Formation through 3D reservoir modeling,employing 3D seismic data,core data,and well data from the Mangahewa Field.Utilizing variance attributes,the faults and horizons have been identified successfully within the field.The majority of the interpreted faults exhibit dip angles exceeding 60°,with a maximum displacement of 118 m.To detect direct hydrocarbon indicators,root-mean-square amplitude seismic attribute,envelope,and generalized spectral decomposition techniques have been employed.Subsequently,four lithofacies,comprising 78.3%sandstone,9.2%siltstone,9.5%claystone,and 3.0%coal have been established by utilizing the Sequential Indicator Simulation(SIS)algorithm to create a lithofacies model.A property model has been generated using the Sequential Gaussian Simulation(SGS)algorithm.Petrophysical evaluation indicates that the Mangahewa Formation exhibits reservoir qualities ranging from fair to good,with porosity levels between 8%and 11%,permeability averaging up to 10 mD,variable shale volumes,and hydrocarbon saturation in the range of 40%-50%.This study's methodologies and findings can serve as a valuable foundation for similar investigations in other tightsand gas fields located in different regions.
基金Supported by the National Science and Technology Major Project(2016ZX05029001)CNPC Science and Technology Project(2019D-4310)。
文摘In response to the problems of unclear distribution of deep-water pre-salt carbonate reservoirs and formation conditions of large oil fields in the Santos passive continental margin basin,based on comprehensive utilization of geological,seismic,and core data,and reconstruction of Early Cretaceous prototype basin and lithofacies paleogeography,it is proposed for the first time that the construction of pre-salt carbonate build-ups was controlled by two types of isolated platforms:inter-depression fault-uplift and intra-depression fault-high.The inter-depression fault-uplift isolated platforms are distributed on the present-day pre-salt uplifted zones between depressions,and are built on half-and fault-horst blocks that were inherited and developed in the early intra-continental and inter-continental rift stages.The late intra-continental rift coquinas of the ITP Formation and the early inter-continental rift microbial limestones of the BVE Formation are continuously constructed;intra-depression fault-high isolated platforms are distributed in the current pre-salt depression zones,built on the uplifted zones formed by volcanic rock build-ups in the early prototype stage of intra-continental rifts,and only the BVE microbial limestones are developed.Both types of limestones formed into mound-shoal bodies,that have the characteristics of large reservoir thickness and good physical properties.Based on the dissection of large pre-salt oil fields discovered in the Santos Basin,it has been found that both types of platforms could form large-scale combined structural-stratigraphic traps,surrounded by high-quality lacustrine and lagoon source rocks at the periphery,and efficiently sealed by thick high-quality evaporite rocks above,forming the optimal combination of source,reservoir and cap in the form of“lower generation,middle storage,and upper cap”,with a high degree of oil and gas enrichment.It has been found that the large oil fields are all bottom water massive oil fields with a unified pressure system,and they are all filled to the spill-point.The future exploration is recommended to focus on the inter-depression fault-uplift isolated platforms in the western uplift zone and the southern section of eastern uplift zones,as well as intra-depression fault-high isolated platforms in the central depression zone.The result not only provides an important basis for the advanced selection of potential play fairways,bidding of new blocks,and deployment of awarded exploration blocks in the Santos Basin,but also provides a reference for the global selection of deep-water exploration blocks in passive continental margin basins.
基金supported financially by Thematic Project of the State Grid Liaoning Electric Power Company Limited Economic Research Institute under Grant SGLNJY00GHJS2310109.
文摘With the continuous expansion of the scale of renewable energy installation,the demand for energy storage has increased significantly.However,there are significant differences in the value of energy storage in different scenarios,and the phenomenon of diminishing marginal benefits of energy storage is becoming more apparent.Therefore,themulti-dimensional value evolution trend of energy storage has become a key issue.This study selects indicators from three dimensions of energy storage:low-carbon emission reduction,smoothing wind and solar power fluctuations,and saving generation costs,quantifying the economic,environmental,and technical values of energy storage.This forms a quantitative evaluation system for energy storage value.By comparing the calculated system values under different energy storage capacities,the marginal value evolution trend of energy storage is obtained.Meanwhile,considering factors such as the utilization rate of renewable energy,the change in energy storage value under different scenarios is analyzed.The results show that the value of long-duration energy storage is significantly affected by the energy storage capacity.Specifically,when the charge-discharge efficiency of longduration energy storage reaches 0.6 or above,the system value increases significantly.Additionally,appropriately reducing the cost of energy storage capacity also helps to improve its system value.
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One of the most challenging factors affecting impression quality and good marginal fit is the gingival retraction method, which aims to separate the gingiva from the tooth to expose the finishing line of the prepared tooth. Bleeding and contamination from the crevicular fluid may compete for space with the impression material within the sulcus, leading to indistinct preparations and a lack of detail at the margin. In addition, such procedures might damage the PDL and cause permanent recession. Flowable composite cable, as opposed to traditional retraction cords, offers the proper marginal seal and visibility during the impression record because of its lower viscosity, improved adaptability, and elastic properties. The aim of this report is to present a brand-new, innovative method for controlling gingival hemorrhage in addition to the gingival retraction in restorative and prosthodontic treatment by utilizing a flowable composite during the final impression record procedure. In these case reports, the flowable composite cord technique is used instead of traditional gingival cords to modify and refine the gingival tissue before taking the traditional final impression or digital scan. Two cases were done for patients undergoing fixed prosthodontics and veneer treatment within a 2-year follow-up period. In addition, the flowable composite cord was used as temporary restoration before the final prosthetic cementation or under the provisional crowns. As a result, clean and healthy gingival tissues render cementation of the final prosthesis quicker and easier to perform. The patients in both cases claimed that their prosthodontic treatments, which involved the application of a flowable composite cord to temporarily retraction the gingiva, had produced good outcomes at the yearlong follow-up. In conclusion, the flowable composite cord technique is found to be a useful tool to improve the quality of impressions in fixed prosthodontics by providing excellent access for impression material to record fine details of the finish line of the prepared tooth structure, and to alter the inflamed tissue into a healthy tissue.
基金supported by a grant from the start-up fund for scientific research of high-level talents in the Affiliated Hospital of Qingdao University(3631)。
文摘Background:The effectiveness and safety of marginal donor livers remain controversial.This study aimed to investigate the clinical efficacy of marginal donor livers in patients with liver transplantation(LT).Methods:This study included 199 liver donors(including 16 split donors)and 206 liver recipients from January 1,2018 to January 27,2020,with case follow-up until July 31,2021.Clinical data of donors and recipients were retrospectively analyzed and were divided into the marginal donor and standard donor groups according to the criteria of marginal donor livers.Indices of liver and kidney functions,complications,and survival curves of the two groups were compared.Results:Compared with the standard donor group,the blood creatinine levels were significantly higher in the marginal donor group in the first week after operation(P<0.05);there were no significant differences in alanine aminotransferase,aspartate aminotransferase,and total bilirubin levels after LT(all P>0.05);there was no significant difference in the incidence of complications after LT(P>0.05);there was also no significant difference in the survival curve(P=0.335).Conclusions:There were no significant differences in liver and kidney function and survival curve between the standard donor and marginal donor groups.The marginal donor liver appears safe and reliable for LT and may be an important strategy to expand the donor pool and solve the shortage of organs.
基金the Scientific Initiation Scholarship Programme (PIBIC) of the Bahia State Research Support Foundation,FAPESB,Brazilthe Doctorate Scholarship Program of the Coordination of Improvement of Higher Education Personnel,CAPES,Brazil+1 种基金the Scientific Initiation Scholarship Programme (PIBIC) of the National Council for Scientific and Technological Development,CNPq,Brazilthe CNPq Research Productivity Fellowship (PQ)
文摘BACKGROUND Gastric mucosa-associated lymphoid tissue(MALT)lymphoma(GML)is usually a low-grade B-cell neoplasia strongly associated with Helicobacter pylori(H.pylori)-induced chronic gastritis.Clinical practice guidelines currently recommend H.pylori eradication as the preferred initial treatment for early-stage GML.To determine the practical effect of bacterial eradication as the sole initial therapy for early-stage GML,an updated analysis and review of available evidence is imperative.AIM To perform a meta-analysis to assess the rate of complete remission(CR)of H.pylori-positive early-stage GML following bacterial eradication.METHODS We performed independent,computer-assisted literature searches using the PubMed/MEDLINE,Embase,and Cochrane Central databases through September 2022.Prospective and retrospective observational studies evaluating the CR of early-stage GML following bacterial eradication in H.pylori-positive patients.The risk of bias was assessed using Joanna Briggs Institute(JBI)Critical Appraisal Tools.The pooled estimate of the complete histopathological remission rate and respective confidence intervals(95%CI)were calculated following the random-effects model.Heterogeneity and inconsistency were assessed using Cochran’s Q test and I2 statistic,and heterogeneity was defined as P<0.01 and I²>50%,respectively.Subgroup and meta-regression analyses were conducted to explore potential sources of heterogeneity.RESULTS The titles and abstracts of 1576 studies were screened;96 articles were retrieved and selected for full-text reading.Finally,61 studies were included in the proportional meta-analysis(P-MA).Forty-six were prospective and fifteen were retrospective uncontrolled,single-arm,observational studies.The overall risk of bias was low to moderate in all but a single report,with an average critical appraisal score across all studies of 79.02%.A total of 2936 H.pylori-positive early-stage GML patients,in whom H.pylori was successfully eradicated,were included in the analysis.The pooled CR of H.pylori-positive early-stage GML after bacterial eradication was 75.18%(95%CI:70.45%-79.91%).P-MA indicated the substantial heterogeneity in CR reported across studies(I2=92%;P<0.01).Meta-regression analysis identified statistically significant effect modifiers,including the proportion of patients with t(11;18)(q21;q21)-positive GML and the risk of bias in each study.CONCLUSION Comprehensive synthesis of available evidence suggests that H.pylori eradication is effective as the sole initial therapy for early-stage GML.Although the substantial heterogeneity observed across studies limits the interpretation of the pooled overall CR,the present study is a relevant to informing clinical practice.
基金Scientific Initiation Scholarship Programme of the Bahia State Research Support Foundation(FAPESB),No.N°BOL1825/2022Scientific Initiation Scholarship Programme of the National Council for Scientific and Technological Development(CNPq),No.129894/2022-2CNPq Research Productivity Fellowship,No.317005/2021-9。
文摘Marginal zone lymphomas rank as the third most prevalent form of non-Hodgkin B-cell lymphoma,trailing behind diffuse large B-cell lymphoma and follicular lymphoma.Gastric mucosa-associated lymphoid tissue lymphoma(GML)is a low-grade B-cell neoplasia frequently correlated with Helicobacter pylori(H.pylori)-induced chronic gastritis.On the other hand,a specific subset of individuals diagnosed with GML does not exhibit H.pylori infection.In contrast to its H.pylori-positive counterpart,it was previously believed that H.pylori-negative GML was less likely to respond to antimicrobial therapy.Despite this,surprisingly,increasing evidence supports that a considerable proportion of patients with H.pylori-negative GML show complete histopathological remission after bacterial eradication therapy.Nonetheless,the precise mechanisms underlying this treatment responsiveness are not yet fully comprehended.In recent years,there has been growing interest in investigating the role of non-H.pylori gastric helicobacters(NHPHs)in the pathogenesis of H.pylori-negative GML.However,additional research is required to establish the causal relationship between NHPHs and GML.In this minireview,we examined the current understanding and proposed prospects on the involvement of NHPHs in H.pylori-negative GML,as well as their potential response to bacterial eradication therapy.
基金Science and technology development project of China Railway Ninth Bureau Group Co.,Ltd,Grant/Award Number:DLF‐ML‐JSFW‐2021‐09Science and Technology Development Project of China Railway Research Institute Co.Ltd,Grant/Award Number:2017‐KJ008‐Z008‐XB+2 种基金Gansu Province Youth Science and Technology Fund program,China,Grant/Award Number:21JR7RA739Natural Science Foundation of Gansu Province,China,Grant/Award Number:21JR7RA738National Key R&D Program of China,Grant/Award Number:2018YFC1504901。
文摘To study the damage mechanism of multi‐anchor piles in tunnel crossing landslide area under earthquake,the damping performance of multi‐anchor piles was discussed.The energy dissipation springs were used as the optimization device of the anchor head to carry out the shaking table comparison test on the reinforced slope.The Hilbert spectrum and Hilbert marginal spectrum were proposed to analyze the seismic damage mechanism of the multi‐anchor piles,and the peak Fourier spectrum amplitude(PFSA)was used to verify the effectiveness of the method.The results show that the seismic energy is concentrated in the high‐frequency component(30-40Hz)of the Hilbert spectrum and the low‐frequency component(12-30 Hz)of the marginal spectrum.This indicates that they can be combined with the distribution law of the PFSA to identify the overall and local dynamic responses of the multi‐anchored piles,respectively.The stretchable deformation of the energy‐dissipation springs improves the coordination of the multi‐anchor piles,resulting in better pile integrity.The damage mechanism of the multi‐anchor piles is elucidated based on the energy method:local damage at the top and middle areas of the multi‐anchor piles is mainly caused by the low‐frequency component(12-30 Hz)of the marginal spectrum under the action of 0.15g and 0.20g seismic intensities.As the seismic intensity increases to 0.30g,the dynamic response of the slope is further amplified by the high‐frequency component(30-40 Hz)of the Hilbert energy spectrum,which leads to the overall damage of the multi‐anchor piles.
基金supported by the National Key Research and Development Program of China(2019YFC0507600,2019YFC0507601).
文摘Tiger nut is a bioenergy crop planted in arid areas of northern China to supply oil and adjust the planting structure.However,in the western region of Inner Mongolia Autonomous Region,China,less water resources have resulted in a scarcity of available farmland,which has posed a huge obstacle to planting tiger nut.Cultivation of tiger nut on marginal land can effectively solve this problem.To fully unlock the production potential of tiger nut on marginal land,it is crucial for managers to have comprehensive information on the adaptive mechanism and nutrient requirement of tiger nut in different growth periods.This study aims to explore these key information from the perspective of nutrient coordination strategy of tiger nut in different growth periods and their relationship with rhizosphere soil nutrients.Three fertilization treatments including no fertilization(N:P(nitrogen:phosphorous)=0:0),traditional fertilization(N:P=15:15),and additional N fertilizer(N:P=60:15)were implemented on marginal land in the Dengkou County.Plant and soil samples were collected in three growth periods,including stolon tillering period,tuber expanding period,and tuber mature period.Under no fertilization,there was a significant correlation between N and P contents of tiger nut roots and tubers and the same nutrients in the rhizosphere soil(P<0.05).Carbon(C),N,and P contents of roots were significantly higher than those of leaves(P<0.05),and the C:N ratio of all organs was higher than those under other treatments before tuber maturity(P<0.05).Under traditional fertilization,there was a significant impact on the P content of tiger nut tubers(P<0.05).Under additional N fertilizer,the accumulation rate of N and P was faster in stolons than in tubers(P<0.05)with lower N:P ratio in stolons during the tuber expansion period(P<0.05),but higher N:P ratio in tubers(P<0.05).The limited availability of nutrients in the rhizosphere soil prompts tiger nut to increase the C:N ratio,improving N utilization efficiency,and maintaining N:P ratio in tubers.Elevated N levels in the rhizosphere soil decrease the C:N ratio of tiger nut organs and N:P ratio in stolons,promoting rapid stolon growth and shoot production.Supplementary P is necessary during tuber expansion,while a higher proportion of N in fertilizers is crucial for the aboveground biomass production of tiger nut.
基金supported by the Technology Development Fund of Nanjing Medical University(Grants No.NMUB2016115 and NMUB2020117)。
文摘The current study aims to investigate a suitable adhesive for primary tooth enamel. Shear bond strength(SBS)of primary teeth and the length of resin protrusion were analyzed using one-way ANOVA with Bonferroni multiple comparison tests after etching with 35% H_(3)PO_(4). SBS and marginal microleakage tests were conducted with Single Bond Universal(SBU)/Single Bond 2(SB2) adhesives with or without pre-etching using a nonparametric Kruskal-Wallis test. Clinical investigations were performed to validate the adhesive for primary teeth restoration using Chi-square tests. Results showed that the SBS and length of resin protrusion increased significantly with the etching time. Teeth in the SBU with 35% H_(3)PO_(4)pre-etching groups had higher bond strength and lower marginal microleakage than those in the SB2 groups. Mixed fractures were more common in the 35% H_(3)PO_(4)etched 30 s + SB2/SBU groups. Clinical investigations showed significant differences between the two groups in cumulative retention rates at the 6-, 12-and 18-month follow-up evaluations, as well as in marginal adaptation, discoloration, and secondary caries at the 12-and 18-month follow-up assessments.Together, pre-etching primary teeth enamel for 30 s before SBU treatment improved clinical composite resin restoration, which can provide a suitable approach for restoration of primary teeth.
基金funded by the National Key R&D Program of China (Grant nos. 2018YFC1406102, 2017YFA0603103)the grand from State Key Laboratory of Geodesy and Earth's Dynamics (Grant no. SKLGED2022-2-2)。
文摘Ice-shelf rifts are precursors of glacier calving, and thus they serve as indicators of ice shelf instability, especially under oceanic and atmospheric warming conditions. Therefore, understanding the dynamic processes underlying rift propagation and the associated damage mechanisms is essential to evaluate ice-shelf instability and to predict glacier calving. In this study, we investigated the effect of marginal weakening on rift propagation on the ice shelf of the Petermann Glacier, among the largest in Greenland, during 2016-2022. First, we analyzed satellite optical images to monitor rift growth(length and width) by tracking the tip trajectory of three large rifts identified on the Petermann Ice Shelf. Then, we estimated rift depth using ArcticDEM and ICESat-2 data. Our results indicated consistent increases of the rift widths and depths over the study period, with mean values of 133 m·a^(-1) and 0.3 m·a^(-1), respectively. We also combined remote-sensing observations with an ice-sheet numerical model to calculate the stress and damage fields on the Petermann Ice Shelf and to assess the ice shelf margin stability and strength. We determined that damage and lateral shear in the fracture zone degraded ice shelf integrity by decreasing the contact length with the fjord wall. In conclusion, marginal weakening effectively promoted rift propagation on the Petermann Ice Shelf, increasing the risk of future glacier calving.
文摘Climate change has become a global phenomenon and is adversely affecting agricultural development across the globe.Developing countries like Pakistan where 18.9%of the GDP(gross domestic product)came from the agriculture sector and also 42%of the labor force involved in agriculture.They are directly and indirectly affected by climate change due to an increase in the frequency and intensity of climatic extreme events such as floods,droughts and extreme weather events.In this paper,we have focused on the impact of climate change on farm households and their adaptation strategies to cope up the climatic extremes.For this purpose,we have selected farm households by using multistage stratified random sampling from four districts of the Potohar region i.e.Attock,Rawalpindi,Jhelum and Chakwal.These districts were selected by dividing the Potohar region into rain-fed areas.We have employed logistic regression to assess the determinants of adaptation to climate change and its impact.We have also calculated the marginal effect of each independent variable of the logistic regression to measure the immediate rate of change in the model.In order to check the significance of our suggested model,we have used hypothesis testing.