BACKGROUND Coronary heart disease(CHD)and heart failure(HF)are the major causes of morbidity and mortality worldwide.Early and accurate diagnoses of CHD and HF are essential for optimal management and prognosis.Howeve...BACKGROUND Coronary heart disease(CHD)and heart failure(HF)are the major causes of morbidity and mortality worldwide.Early and accurate diagnoses of CHD and HF are essential for optimal management and prognosis.However,conventional diagnostic methods such as electrocardiography,echocardiography,and cardiac biomarkers have certain limitations,such as low sensitivity,specificity,availability,and cost-effectiveness.Therefore,there is a need for simple,noninvasive,and reliable biomarkers to diagnose CHD and HF.AIM To investigate serum cystatin C(Cys-C),monocyte/high-density lipoprotein cholesterol ratio(MHR),and uric acid(UA)diagnostic values for CHD and HF.METHODS We enrolled 80 patients with suspected CHD or HF who were admitted to our hospital between July 2022 and July 2023.The patients were divided into CHD(n=20),HF(n=20),CHD+HF(n=20),and control groups(n=20).The serum levels of Cys-C,MHR,and UA were measured using immunonephelometry and an enzymatic method,respectively,and the diagnostic values for CHD and HF were evaluated using receiver operating characteristic(ROC)curve analysis.RESULTS Serum levels of Cys-C,MHR,and UA were significantly higher in the CHD,HF,and CHD+HF groups than those in the control group.The serum levels of Cys-C,MHR,and UA were significantly higher in the CHD+HF group than those in the CHD or HF group.The ROC curve analysis showed that serum Cys-C,MHR,and UA had good diagnostic performance for CHD and HF,with areas under the curve ranging from 0.78 to 0.93.The optimal cutoff values of serum Cys-C,MHR,and UA for diagnosing CHD,HF,and CHD+HF were 1.2 mg/L,0.9×10^(9),and 389μmol/L;1.4 mg/L,1.0×10^(9),and 449μmol/L;and 1.6 mg/L,1.1×10^(9),and 508μmol/L,respectively.CONCLUSION Serum Cys-C,MHR,and UA are useful biomarkers for diagnosing CHD and HF,and CHD+HF.These can provide information for decision-making and risk stratification in patients with CHD and HF.展开更多
BACKGROUND Gastric cancer has a high incidence and fatality rate,and surgery is the preferred course of treatment.Nonetheless,patient survival rates are still low,and the incidence of major postoperative complications...BACKGROUND Gastric cancer has a high incidence and fatality rate,and surgery is the preferred course of treatment.Nonetheless,patient survival rates are still low,and the incidence of major postoperative complications cannot be disregarded.The systemic inflammatory response,nutritional level,and coagulation status are key factors affecting the postoperative recovery and prognosis of gastric cancer patients.The systemic inflammatory response index(SIRI)and the albumin fibrinogen ratio(AFR)are two valuable comprehensive indicators of the severity and prognosis of systemic inflammation in various medical conditions.AIM To assess the clinical importance and prognostic significance of the SIRI scores and the AFR on early postoperative outcomes in patients undergoing radical gastric cancer surgery.METHODS We conducted a retrospective analysis of the clinicopathological characteristics and relevant laboratory indices of 568 gastric cancer patients from January 2018 to December 2019.We calculated and compared two indicators of inflammation and then examined the diagnostic ability of combined SIRI and AFR values for serious early postoperative complications.We scored the patients and categorized them into three groups based on their SIRI and AFR levels.COX analysis was used to compare the three groups of patients the prognostic value of various preoperative SIRI-AFR scores for 5-year overall survival(OS)and disease-free survival(DFS).RESULTS SIRI-AFR scores were an independent risk factor for prognosis[OS:P=0.004;hazards ratio(HR)=3.134;DFS:P<0.001;HR=3.543]and had the highest diagnostic power(area under the curve:0.779;95%confidence interval:0.737-0.820)for early serious complications in patients with gastric cancer.The tumor-node-metastasis stage(P=0.001),perioperative transfusion(P=0.044),positive carcinoembryonic antigen(P=0.014)findings,and major postoperative complications(P=0.011)were factors associated with prognosis.CONCLUSION Preoperative SIRI and AFR values were significantly associated with early postoperative survival and the occurrence of severe complications in gastric cancer patients.展开更多
为实现肠炎沙门菌的快速定量分析,采用Tris辅助柠檬酸钠还原法制备新型胶体金并利用Au-S配位作用在纳米金球表面修饰一层4-巯基苯甲酸(4-MBA)拉曼信号分子,然后以此为标记材料建立肠炎沙门菌表面增强拉曼(surface-enhancement of Raman ...为实现肠炎沙门菌的快速定量分析,采用Tris辅助柠檬酸钠还原法制备新型胶体金并利用Au-S配位作用在纳米金球表面修饰一层4-巯基苯甲酸(4-MBA)拉曼信号分子,然后以此为标记材料建立肠炎沙门菌表面增强拉曼(surface-enhancement of Raman scattering,SERS)免疫层析检测技术,并对其灵敏度、特异性和重复性进行考察。结果表明:建立的SERS免疫层析技术对肠炎沙门菌的可视化最低检测限(LOD)为10^(6) CFU/mL,而通过拉曼信号检测时LOD为10^(5) CFU/mL,灵敏度比裸眼观察提高了10倍。在10^(5)~10^(8) CFU/mL的浓度范围可根据标准曲线y=30.23×exp(-x/-147)-215.83(R^(2)=0.995)对肠炎沙门菌进行定量分析。该SERS免疫层析技术与鼠伤寒沙门菌、鸡白痢沙门菌、甲型副伤寒沙门菌等多种血清型沙门菌和大肠杆菌、副溶血弧菌等常见病原无交叉反应,特异性良好。同一批次的不同试纸条和不同批次的试纸条对相同样品的检测结果基本一致,重复性良好。以粪便和鸡蛋壳为基质的加标试验回收率在94.7%~104.9%之间,回收率良好。结果表明,基于金纳米颗粒的肠炎沙门菌SERS免疫层析快速检测技术灵敏度较高,特异性强,重复性好,能弥补传统胶体金试纸条无法定量的不足,可用于肠炎沙门菌的快速定量检测。展开更多
Experiments were conducted on risers with different mass ratios to study the effect of mode conversion and spanwise correlation. The slenderness ratio of the riser model was set as 169, and the Reynolds numbers are 16...Experiments were conducted on risers with different mass ratios to study the effect of mode conversion and spanwise correlation. The slenderness ratio of the riser model was set as 169, and the Reynolds numbers are 1600-14400. The dynamic responses of riser models versus reduced velocity were analyzed, and the spanwise displacement, frequency,and trajectory of the mode conversion from the lower to the higher mode were explored. The results revealed that the riser model with a higher mass ratio excites a higher number of modes. The conversion region of multi-mode competition exists and narrows with the increasing mass ratio. Mode conversion is continuous and manifests as the transmission of peaks and troughs in mode shape: the peaks and troughs of mode shape move up in the mode stable development region and move down in the mode conversion region. The single-mode dominating vibration exhibits a standing wave feature, and the traveling wave feature is significant in the mode conversion region. Furthermore, the frequency jump is always transmitted from the trough to the peak of the mode shape, and finally, all the axial positions vibrate at the same frequency. The trajectory in the mode conversion region deviates from the 8-shape and recovers the standard8-shape at the middle and late stages of the mode stable development region.展开更多
文摘BACKGROUND Coronary heart disease(CHD)and heart failure(HF)are the major causes of morbidity and mortality worldwide.Early and accurate diagnoses of CHD and HF are essential for optimal management and prognosis.However,conventional diagnostic methods such as electrocardiography,echocardiography,and cardiac biomarkers have certain limitations,such as low sensitivity,specificity,availability,and cost-effectiveness.Therefore,there is a need for simple,noninvasive,and reliable biomarkers to diagnose CHD and HF.AIM To investigate serum cystatin C(Cys-C),monocyte/high-density lipoprotein cholesterol ratio(MHR),and uric acid(UA)diagnostic values for CHD and HF.METHODS We enrolled 80 patients with suspected CHD or HF who were admitted to our hospital between July 2022 and July 2023.The patients were divided into CHD(n=20),HF(n=20),CHD+HF(n=20),and control groups(n=20).The serum levels of Cys-C,MHR,and UA were measured using immunonephelometry and an enzymatic method,respectively,and the diagnostic values for CHD and HF were evaluated using receiver operating characteristic(ROC)curve analysis.RESULTS Serum levels of Cys-C,MHR,and UA were significantly higher in the CHD,HF,and CHD+HF groups than those in the control group.The serum levels of Cys-C,MHR,and UA were significantly higher in the CHD+HF group than those in the CHD or HF group.The ROC curve analysis showed that serum Cys-C,MHR,and UA had good diagnostic performance for CHD and HF,with areas under the curve ranging from 0.78 to 0.93.The optimal cutoff values of serum Cys-C,MHR,and UA for diagnosing CHD,HF,and CHD+HF were 1.2 mg/L,0.9×10^(9),and 389μmol/L;1.4 mg/L,1.0×10^(9),and 449μmol/L;and 1.6 mg/L,1.1×10^(9),and 508μmol/L,respectively.CONCLUSION Serum Cys-C,MHR,and UA are useful biomarkers for diagnosing CHD and HF,and CHD+HF.These can provide information for decision-making and risk stratification in patients with CHD and HF.
基金the National Natural Science Foundation of China,No.8236110677Central to guide local scientific and Technological Development,No.ZYYDDFFZZJ-1+1 种基金Natural Science Foundation of Gansu Province,China,No.18JR2RA033Gansu Da Vinci Robot High-End Diagnosis and Treatment Team Construction Project,National Key Research and Development Program,No.2020RCXM076.
文摘BACKGROUND Gastric cancer has a high incidence and fatality rate,and surgery is the preferred course of treatment.Nonetheless,patient survival rates are still low,and the incidence of major postoperative complications cannot be disregarded.The systemic inflammatory response,nutritional level,and coagulation status are key factors affecting the postoperative recovery and prognosis of gastric cancer patients.The systemic inflammatory response index(SIRI)and the albumin fibrinogen ratio(AFR)are two valuable comprehensive indicators of the severity and prognosis of systemic inflammation in various medical conditions.AIM To assess the clinical importance and prognostic significance of the SIRI scores and the AFR on early postoperative outcomes in patients undergoing radical gastric cancer surgery.METHODS We conducted a retrospective analysis of the clinicopathological characteristics and relevant laboratory indices of 568 gastric cancer patients from January 2018 to December 2019.We calculated and compared two indicators of inflammation and then examined the diagnostic ability of combined SIRI and AFR values for serious early postoperative complications.We scored the patients and categorized them into three groups based on their SIRI and AFR levels.COX analysis was used to compare the three groups of patients the prognostic value of various preoperative SIRI-AFR scores for 5-year overall survival(OS)and disease-free survival(DFS).RESULTS SIRI-AFR scores were an independent risk factor for prognosis[OS:P=0.004;hazards ratio(HR)=3.134;DFS:P<0.001;HR=3.543]and had the highest diagnostic power(area under the curve:0.779;95%confidence interval:0.737-0.820)for early serious complications in patients with gastric cancer.The tumor-node-metastasis stage(P=0.001),perioperative transfusion(P=0.044),positive carcinoembryonic antigen(P=0.014)findings,and major postoperative complications(P=0.011)were factors associated with prognosis.CONCLUSION Preoperative SIRI and AFR values were significantly associated with early postoperative survival and the occurrence of severe complications in gastric cancer patients.
基金financially supported by the National Natural Science Foundation of China (Grant No.U2006226)。
文摘Experiments were conducted on risers with different mass ratios to study the effect of mode conversion and spanwise correlation. The slenderness ratio of the riser model was set as 169, and the Reynolds numbers are 1600-14400. The dynamic responses of riser models versus reduced velocity were analyzed, and the spanwise displacement, frequency,and trajectory of the mode conversion from the lower to the higher mode were explored. The results revealed that the riser model with a higher mass ratio excites a higher number of modes. The conversion region of multi-mode competition exists and narrows with the increasing mass ratio. Mode conversion is continuous and manifests as the transmission of peaks and troughs in mode shape: the peaks and troughs of mode shape move up in the mode stable development region and move down in the mode conversion region. The single-mode dominating vibration exhibits a standing wave feature, and the traveling wave feature is significant in the mode conversion region. Furthermore, the frequency jump is always transmitted from the trough to the peak of the mode shape, and finally, all the axial positions vibrate at the same frequency. The trajectory in the mode conversion region deviates from the 8-shape and recovers the standard8-shape at the middle and late stages of the mode stable development region.
