Stage IV malignant transformation of mature cystic teratoma palliatively treated with concurrent chemoradiotherapy:A case report

BACKGROUND Malignant transformation(MT)of mature cystic teratoma(MCT)has a poor prognosis,especially in advanced cases.Concurrent chemoradiotherapy(CCRT)has an inhibitory effect on MT.CASE SUMMARY Herein,we present a case in which CCRT had a reduction effect preoperatively.A 73-year-old woman with pyelonephritis was referred to our hospital.Computed tomography revealed right hydronephrosis and a 6-cm pelvic mass.Endoscopic ultrasound-guided fine-needle biopsy(EUS-FNB)revealed squamous cell carci-noma.The patient was diagnosed with MT of MCT.Due to her poor general con-dition and renal malfunction,we selected CCRT,expecting fewer adverse effects.After CCRT,her performance status improved,and the tumor size was reduced;surgery was performed.Five months postoperatively,the patient developed dis-semination and lymph node metastases.Palliative chemotherapy was ineffective.She died 18 months after treatment initiation.CONCLUSION EUS-FNB was useful in the diagnosis of MT of MCT;CCRT suppressed the disea-se and improved quality of life.

Agrobacterium tumefaciens-mediated transformation of modern rose(Rosa hybrida)using leaf-derived embryogenic callus

Rose(Rosa hybrida)is widely used for cut flowers and as garden plants.Stable and efficient transformation system is required for functional genomics of rose.Here,we established an efficient transformation method for rose using Agrobacterium tumefaciens-mediated transformation of embryogenic callus.Expanding rose leaves were used as explants to induce somatic embryos,which were subjected to transformation with A.tumefaciens strain GV3101 using Green Fluorescence Protein(GFP)as a marker gene.It took about 8 months to generate transgenic shoots from embryogenic callus.PCR,RT-PCR,Southern and Western blotting,as well as stereoscopic fluorescence microscopy analysis demonstrated that GFP transgenes integrated stably into the rose genome.According to our data,a transformation efficiency of up to 6%can be achieved by following this optimized protocol.

Migrant Workers and Elimination of Risks in Chinese Modern Transformation

Firstly, risks in Chinese modern transformation are discussed from the perspective of gap between urban and rural areas and mobility of rural laborers. Secondly, the significant role of migrant works in elimination of risks in Chinese modern transformation is analyzed from two aspects, namely rural migrant workers pursuing equal economic and political status (identity and household registration) when working in cities. Finally, it is concluded that migrant works play a key role in Chinese modern transformation.

Impact of aridization on soil cover transformation of the Aral Sea and the modern Syr-Darya Delta

The effects of human activities on the soil cover transformation in the eastern part of Kazakhstan were investigated during the period of 1956-2008.The results of the research for different soil types in Priaralye indicated that there was 643.3×103 hm2 solonchaks,accounting for 38.5 % of the total area（1670.5×10^3 hm^2） in 2008.Vast areas are occupied with dried lakeshore soil（311.1× 10^3 hm^2）,sandy soils（147.6×10^3 hm^2） and grey-brown desert soils and solonetzes（146.7×10^3 hm^2）.In 2001 the area of solonchak was 755×103 hm2 and decreased to 643.3×10^3 hm^2 in 2008,which due to the shrinkage of the Aral Sea,the areas of marsh and lakeshore solonchaks decreased with the increase of dried bottom of the Aral Sea.The level of soil cover transformation in the modern delta of the Syr-Darya River can be seen from the comparison of the results obtained from the different years in the study area.The area of solonchaks increased by 10×10^3 hm^2 and the area of alluvial-meadow salinizied soils increased by 17.9×10^3 hm^2 during the period of 1956-1969.It means that many non-salinizied soils were transformed into salinizied ones.Striking changes occurred in the structure of soil cover as a result of aridization.So,the researches in1969 significantly determined the areas of hydromorphic soils subjected to desertification（it was not fixed on the map before 1956）.Later,these soils were transformed into takyr-like soils.The area of takyr-like soils increased almost by 3 times for 34 years（from 1956 to 1990）.The long-term soil researches on soil cover transformation in Priaralye have shown that the tendencies of negative processes（salinization and deflation） are being kept and lead to further soil and eco-environment degradation in the region.

Modern services and China’s economic transformation

Development of a modern service industry must be accelerated if China’s economic growth pattern is to be transformed and its industrial structure upgraded. For a long time, China’s modern services have been backward and played an insignificant role in the national economy. Sluggish growth of modern services is particularly dragging on China’s otherwise surging economic and social development; and it puts a strain on industrial restructuring and efforts to build a prosperous and harmonious socialist society. This paper sheds light on outstanding issues concerning the role of China’s modern services in various arenas, including transforming the economic growth pattern, improving economic structuring, upgrading the industrial structure, facilitating technological progress and spurring changes in the employment structure. Based on in-depth analysis, this essay proposes policies and countermeasures for the promotion of modern services.

Hemorrhagic transformation in patients with large-artery atherosclerotic stroke is associated with the gut microbiota and lipopolysaccharide

Hemorrhagic transformation is a major complication of large-artery atheroscle rotic stroke(a major ischemic stro ke subtype)that wo rsens outcomes and increases mortality.Disruption of the gut microbiota is an important feature of stroke,and some specific bacteria and bacterial metabolites may contribute to hemorrhagic transformation pathogenesis.We aimed to investigate the relationship between the gut microbiota and hemorrhagic transformation in largearte ry atheroscle rotic stro ke.An observational retrospective study was conducted.From May 2020 to September 2021,blood and fecal samples were obtained upon admission from 32 patients with first-ever acute ischemic stroke and not undergoing intravenous thrombolysis or endovascular thrombectomy,as well as 16 healthy controls.Patients with stro ke who developed hemorrhagic transfo rmation(n=15)were compared to those who did not develop hemorrhagic transformation(n=17)and with healthy controls.The gut microbiota was assessed through 16S ribosomal ribonucleic acid sequencing.We also examined key components of the lipopolysaccharide pathway:lipopolysaccharide,lipopolysaccharide-binding protein,and soluble CD14.We observed that bacterial diversity was decreased in both the hemorrhagic transformation and non-hemorrhagic transfo rmation group compared with the healthy controls.The patients with ischemic stro ke who developed hemorrhagic transfo rmation exhibited altered gut micro biota composition,in particular an increase in the relative abundance and dive rsity of members belonging to the Enterobacteriaceae family.Plasma lipopolysaccharide and lipopolysaccharide-binding protein levels were higher in the hemorrhagic transformation group compared with the non-hemorrhagic transfo rmation group.lipopolysaccharide,lipopolysaccharide-binding protein,and soluble CD14 concentrations were associated with increased abundance of Enterobacte riaceae.Next,the role of the gut microbiota in hemorrhagic transformation was evaluated using an experimental stroke rat model.In this model,transplantation of the gut microbiota from hemorrhagic transformation rats into the recipient rats triggered higher plasma levels of lipopolysaccharide,lipopolysaccharide-binding protein,and soluble CD14.Ta ken togethe r,our findings demonstrate a noticeable change in the gut microbiota and lipopolysaccharide-related inflammatory response in stroke patients with hemorrhagic transformation.This suggests that maintaining a balanced gut microbiota may be an important factor in preventing hemorrhagic transfo rmation after stro ke.

Formation and transformation of metastable LPSO building blocks clusters in Mg-Gd-Y-Zn-Zr alloys by spinodal decomposition and heterogeneous nucleation

To study the formation and transformation mechanism of long-period stacked ordered(LPSO)structures,a systematic atomic scale analysis was conducted for the structural evolution of long-period stacked ordered(LPSO)structures in the Mg-Gd-Y-Zn-Zr alloy annealed at 300℃~500℃.Various types of metastable LPSO building block clusters were found to exist in alloy structures at different temperatures,which precipitate during the solidification and homogenization process.The stability of Zn/Y clusters is explained by the first principles of density functional theory.The LPSO structure is distinguished by the arrangement of its different Zn/Y enriched LPSO structural units,which comprises local fcc stacking sequences upon a tightly packed plane.The presence of solute atoms causes local lattice distortion,thereby enabling the rearrangement of Mg atoms in the different configurations in the local lattice,and local HCP-FCC transitions occur between Mg and Zn atoms occupying the nearest neighbor positions.This finding indicates that LPSO structures can generate necessary Schockley partial dislocations on specific slip surfaces,providing direct evidence of the transition from 18R to 14H.Growth of the LPSO,devoid of any defects and non-coherent interfaces,was observed separately from other precipitated phases.As a result,the precipitation sequence of LPSO in the solidification stage was as follows:Zn/Ycluster+Mg layers→various metastable LPSO building block clusters→18R/24R LPSO;whereas the precipitation sequence of LPSO during homogenization treatment was observed to be as follows:18R LPSO→various metastable LPSO building block clusters→14H LPSO.Of these,14H LPSO was found to be the most thermodynamically stable structure.

Modern Development for the Improvement of Accuracy of Nigerian Coordinate Transformation Process Using the Adapted NTv2 Model: The Critical Issues of the Mathematical Algorithm

Changing coordinates using appropriate mathematical models from one reference system to another may be influenced if the operation requires the change of datum. A set of transformation parameters has been adopted for Nigeria. However, the critical concern usually associated with the problem of transformation of coordinates is the issue of recoverability of the original values of transformed coordinates. The recursive effect of variables associated with spatial problems can be aptly modelled with an appropriate algorithm that set out a process to achieve a definite output. Consequently, the main thrust of this paper is to highlight the critical elements of the mathematical algorithm associated with the National Transformation Version 2 (NTv2) model adapted for the Nigerian Datum Transformation process. The adapted NTv2 model adopts the bi-linear interpolation approach and the covariance function obtained were used to generate transformation elements in latitude (Δφp) and longitude (Δλp) and corresponding accuracies at the lattice nodes. The mathematical algorithm of this adapted NTv2 model underscores the likely attainment of better and significant values and statistical indicator of the improved accuracy as the average shift values for latitude and longitude for any transformed points in Nigeria. This capability makes the mathematical algorithm to be adaptable and fit for the purpose of the transformation process. The improvement in the positional accuracy is directly attributable to the application of the NTv2 model which provides a flexible and robust system of modelling any inherent systematic error in the national network.

On the Beginning and Transformation of Modern Chinese Historiography

After the First Opium War (1840-1842) there were increased academic interests in studying the history and geography of China’s northwestern borderlands,introducing foreign history and geography and writing the modern history of China.Such interests,however,were no more than reflections of the times in history studies and could hardly improve the whole picture of historiography.At the turn of the 20th century,Liang Qichao published “The Introduction to Chinese History” and “The New Historiography”,which marked the emergence of a new trend of thought in historiography and should be deemed the beginning of modern Chinese historiography.Soon after,the “national quintessence school”(guocui xuepai) called for preserving the quintessence of Chinese culture and attempted to bridge Chinese and Western scholarship.Then the “Reorganization of National Heritage”(zhengli guogu) Movement came,urging to re-arrange traditional scholarship.Hu Shih (1891-1962) explicitly put forward the goal of “compiling a history of Chinese culture,” helped dissolve the boundary between modern and traditional historiography and indicated the approach to the transformation from ancient to modern historiography from a perspective of discipline classifications.This “new trend” of Chinese historiography,centering on new materials,new methods and new issues specified the research path for the early stage of modern Chinese historiography.

Quantitative analysis of microstructure evolution,stress partitioning and thermodynamics in the dynamic transformation of Fe-14Ni alloy

Dynamic transformation(DT)of austenite(γ)to ferrite(α)in the hot deformation of various carbon steels was widely investigated.However,the nature of DT remains unclear due to the lack of quantitative analysis of stress partitioning between two phases and the uncertainty of local distribution of substitu-tional elements at the interface in multi-component carbon steels used in the previous studies.Therefore,in the present study,a binary Fe-Ni alloy withα+γduplex microstructure in equilibrium was prepared and isothermally compressed inα+γtwo-phase region to achieve a quantitative analysis of microstruc-ture evolution,stress partitioning,and thermodynamics during DT.γtoαDT during isothermal compres-sion andαtoγreverse transformation on isothermal annealing under unloaded condition after deforma-tion were accompanied by Ni partitioning.The lattice strains during thermomechanical processing were obtained via in-situ neutron diffraction measurement,based on which the stress partitioning behavior betweenγandαwas discussed by using the generalized Hooke’s law.A thermodynamic framework for the isothermal deformation in solids was established based on the basic laws of thermodynamics,and it was shown that the total Helmholtz free energy change in the deformable material during the isothermal process should be smaller than the work done to the deformable material.Under the present thermody-namic framework,the microstructure evolution in the isothermal compression of Fe-14Ni alloy was well explained by considering the changes in chemical free energy,plastic and elastic energies,and the work done to the material.In addition,the stabilization of the softαphase in Fe-14Ni alloy by deformation was rationalized since theγtoαtransformation decreased the total Helmholtz free energy by decreasing the elastic and dislocation energies.

Transformations of the Orientalist Agenda in Israeli Modernism(1920s-1970s)

The purpose of the article is to review the dynamics of the Orientalist agenda in Israeli modernism from the 1920s to the 1970s as the establishment of sign-object relations(semiosis)in the national art and music.The article considers,as a key issue,the phenomenon,which was not explicitly voiced as such,but was present at a conscious level in the artistic palette of the first and second generation of Israeli artists and composers.This refers to rather Eastern than Jewish narratives(or at least the delicate balance between them)in Israeli visual art and music created over the decades following World War I and up to the postmodern era.The main milestones in this process are reviewed based on the analysis of several selected artifacts.The scope of the topic begins with artists’acquaintance with the local motif and proceeds to the work with(and conceptualization of)various Eastern,Jewish,and Israeli symbols.

Defect Detection Model Using Time Series Data Augmentation and Transformation

Time-series data provide important information in many fields,and their processing and analysis have been the focus of much research.However,detecting anomalies is very difficult due to data imbalance,temporal dependence,and noise.Therefore,methodologies for data augmentation and conversion of time series data into images for analysis have been studied.This paper proposes a fault detection model that uses time series data augmentation and transformation to address the problems of data imbalance,temporal dependence,and robustness to noise.The method of data augmentation is set as the addition of noise.It involves adding Gaussian noise,with the noise level set to 0.002,to maximize the generalization performance of the model.In addition,we use the Markov Transition Field(MTF)method to effectively visualize the dynamic transitions of the data while converting the time series data into images.It enables the identification of patterns in time series data and assists in capturing the sequential dependencies of the data.For anomaly detection,the PatchCore model is applied to show excellent performance,and the detected anomaly areas are represented as heat maps.It allows for the detection of anomalies,and by applying an anomaly map to the original image,it is possible to capture the areas where anomalies occur.The performance evaluation shows that both F1-score and Accuracy are high when time series data is converted to images.Additionally,when processed as images rather than as time series data,there was a significant reduction in both the size of the data and the training time.The proposed method can provide an important springboard for research in the field of anomaly detection using time series data.Besides,it helps solve problems such as analyzing complex patterns in data lightweight.

A new insight into LPSO phase transformation and mechanical properties uniformity of large-scale Mg-Gd-Y-Zn-Zr alloy prepared by multi-pass friction stir processing

A large-scale fine-grained Mg-Gd-Y-Zn-Zr alloy plate with high strength and ductility was successfully prepared by multi-pass friction stir processing(MFSP)technology in this work.The structure of grains and long period stacking ordered(LPSO)phase were characterized,and the mechanical properties uniformity was investigated.Moreover,a quantitative relationship between the microstructure and tensile yield strength was established.The results showed that the grains in the processed zone(PZ)and interfacial zone(IZ)were refined from 50μm to 3μm and 4μm,respectively,and numerous original LPSO phases were broken.In IZ,some block-shaped 18R LPSO phases were transformed into needle-like 14H LPSO phases due to stacking faults and the short-range diffusion of solute atoms.The severe shear deformation in the form of kinetic energy caused profuse stacking fault to be generated and move rapidly,greatly increasing the transformation rate of LPSO phase.After MFSP,the ultimate tensile strength,yield strength and elongation to failure of the large-scale plate were 367 MPa,305 MPa and 18.0% respectively.Grain refinement and LPSO phase strengthening were the major strengthening mechanisms for the MFSP sample.In particularly,the strength of IZ was comparable to that of PZ because the strength contribution of the 14H LPSO phase offsets the lack of grain refinement strengthening in IZ.This result opposes the widely accepted notion that IZ is a weak region in MFSP-prepared large-scale fine-grained plate.

Intrahepatic portal venous systems in adult patients with cavernous transformation of portal vein: Imaging features and a new classification

Background: Cavernous transformation of the portal vein(CTPV) due to portal vein obstruction is a rare vascular anomaly defined as the formation of multiple collateral vessels in the hepatic hilum. This study aimed to investigate the imaging features of intrahepatic portal vein in adult patients with CTPV and establish the relationship between the manifestations of intrahepatic portal vein and the progression of CTPV. Methods: We retrospectively analyzed 14 CTPV patients in Beijing Tsinghua Changgung Hospital. All patients underwent both direct portal venography(DPV) and computed tomography angiography(CTA) to reveal the manifestations of the portal venous system. The vessels measured included the left portal vein(LPV), right portal vein(RPV), main portal vein(MPV) and the portal vein bifurcation(PVB). Results: Nine males and 5 females, with a median age of 40.5 years, were included in the study. No significant difference was found in the diameters of the LPV or RPV measured by DPV and CTA. The visualization in terms of LPV, RPV and PVB measured by DPV was higher than that by CTA. There was a significant association between LPV/RPV and PVB/MPV in term of visibility revealed with DPV( P = 0.01), while this association was not observed with CTA. According to the imaging features of the portal vein measured by DPV, CTPV was classified into three categories to facilitate the diagnosis and treatment. Conclusions: DPV was more accurate than CTA for revealing the course of the intrahepatic portal vein in patients with CTPV. The classification of CTPV, that originated from the imaging features of the portal vein revealed by DPV, may provide a new perspective for the diagnosis and treatment of CTPV.

Economic Transformation and Challenges Facing the Modern Era

On November 12,2019,Caijing Annual Conference 2020:Forecasts and Strategies,organized by the acclaimed Chinese magazine Caijing,was held in Beijing.During the meeting,current global hot issues were analyzed,and forecasts were made on the new trends of the world and China’s economic,political,social,and technological spheres in 2020.Attendants jointly sought new impetus to propel both global and China’s development.

Transformation of Modern Chinese Architectural Form and Its Influence on the Protection of Contemporary Chinese Architectural Heritage

Architecture is a fascinating and complex mixture of cultural practices.Different cultures are intertwined to form a new system.The relationship between Chinese native architecture and Western construction methods in the development of Chinese construction from 1840 to 1937 is inspected.Based on Chinese and British sources,special attention is paid to building materials and different aspects of the building process.The research shows that the complex interaction in shaping Chinese architecture has led to a new style and a new construction method,which combines the characteristics of two systems in material supply and use,construction technology,builder organization,tools used and the education received.In the construction and protection related to integration and conflict,the development of contemporary China's emerging construction protection industry is similar to the history of modern Chinese architecture.

Determinants of Modern Contraceptive Uptake among the Youth in Akuse Township in the Lower Manya Krobo Municipality, Ghana

Background: Access to safe and effective contraception is crucial for sexual and reproductive health to be at its best. This allows improved pregnancy results and the avoidance of unintended births. Teenagers’ views on using contraceptives are influenced by the information available at their disposal. The study assessed the influential factors affecting the utilization of modern contraceptives among the youth in Akuse in the Eastern Region of Ghana. Methods: The data for the study were gathered from 378 consented youth aged 15 - 24 years using a quantitative cross-sectional study design and a well-structured questionnaire. Person’s Chi-Square test was adopted to measure the association between the outcome variable and selected independent variables. Logistic regression models were utilized to measure the odds of the factors influencing modern contraceptive use among the respondents. Results: The results of the study suggested a high knowledge level of contraceptives;however, the prevalence of utilization was low. The level of education and age were factors found to influence the uptake of contraceptives. A bivariate analysis to examine the association between selected socio-demographic variables revealed that educational level (p = 0.044), religious affiliation (p = 0.002), and ethnicity (p = 0.016) were statistically associated with modern contraceptive use among the respondents. All other tested demographic variables including the age groups, gender, marital status, and residential status proved otherwise at the observed p-values greater than the 0.05 threshold. Respondents who indicated staying with partners were 6.79 times more likely to use contraceptives compared to their counterparts staying with a parent, after controlling for all other covariates. Conclusions: Based on the findings of this study, it was concluded that high contraceptive knowledge influences the choice of contraceptive preferred by the youth, and contraceptive use is also influenced by the advancement in age and educational level of the youth. It is however recommended that parents, guidance, and teachers be entreated to offer relevant and timely sexual information or education as these will most likely improve the uptake of modern contraceptives among the targeted population.

The Value of Modern Information Technology in Nursing Emergencies

In first aid, traditional information interchange has numerous shortcomings. For example, delayed information and disorganized departmental communication cause patients to miss out on critical rescue time. Information technology is becoming more and more mature, and as a result, its use across numerous industries is now standard. China is still in the early stages of developing its integration of emergency medical services with modern information technology;despite our progress, there are still numerous obstacles and constraints to overcome. Our goal is to integrate information technology into every aspect of emergency patient care, offering robust assistance for both patient rescue and the efforts of medical personnel. Information may be communicated in a fast, multiple, and effective manner by utilizing modern information technology. This study aims to examine the current state of this field’s development, current issues, and the field’s future course of development.

Unraveling the nexus between cellular senescence and malignant transformation:a paradigm shift in cancer research

Cellular senescence, a natural process wherein cells cease division and undergo irreversible growth arrest, has long captivated the curiosity of scientists because of its many implications in aging and disease. Recent research has shed light on the nexus between cellular senescence and malignant transformation, thus leading to a paradigm shift in understanding cancer development and progression.