Hepatitis B virus reactivation in patients treated with monoclonal antibodies

Hepatitis B virus(HBV)reactivation poses a significant clinical challenge,espe-cially in patients undergoing immunosuppressive therapies,including mono-clonal antibody treatments.This manuscript briefly explores the complex rela-tionship between monoclonal antibody therapy and HBV reactivation,drawing upon current literature and clinical case studies.It delves into the mechanisms underlying this phenomenon,highlighting the importance of risk assessment,monitoring,and prophylactic measures for patients at risk.The manuscript aims to enhance the understanding of HBV reactivation in the context of monoclonal antibody therapy,ultimately facilitating informed clinical decision-making and improved patient care.This paper will also briefly review the definition of HBV activation,assess the risks of reactivation,especially in patients treated with monoclonal antibodies,and consider management for patients with regard to screening,prophylaxis,and treatment.A better understanding of patients at risk can help clinicians provide optimum management to ensure successful patient outcomes and prevent morbidity.

Unlocking the versatile potential:Adipose-derived mesenchymal stem cells in ocular surface reconstruction and oculoplastics

This review comprehensively explores the versatile potential of mesenchymal stem cells(MSCs)with a specific focus on adipose-derived MSCs.Ophthalmic and oculoplastic surgery,encompassing diverse procedures for ocular and periocular enhancement,demands advanced solutions for tissue restoration,functional and aesthetic refinement,and aging.Investigating immunomodulatory,regenerative,and healing capacities of MSCs,this review underscores the potential use of adipose-derived MSCs as a cost-effective alternative from bench to bedside,addressing common unmet needs in the field of reconstructive and regenerative surgery.

Fat management in upper blepharoplasty:Addition or subtraction blepharoplasties,how and when

BACKGROUND As one of the most common aesthetic surgical procedures carried out today,blepharoplasty should be in the repertoire of every plastic surgeon.The term blepharoplasty encompasses a wide range of techniques and options that must be tailored to the specific defect and patient one has to treat.A sound knowledge of the upper and lower eyelids’anatomy is essential for proper surgical execution.Trends have shifted towards more conservative methods(especially of the fat compartment)and sometimes in combination with augmentation techniques,helping to reach a rejuvenated appearance.AIM To present an overview of the surgical techniques considered for upper lid blepharoplasty and fat pad management,in addition to information on how a surgeon may approach the best treatment for his patient based on current publications in literature.METHODS We searched the literature published between 2013,to 2023 using Medline and Reference Citation Analysis.The database was searched using the keywords“upper blepharoplasty”AND“fat”.Papers without full text/abstracts and reviews were excluded.The search strategy followed the PRISMA.The American Society of Plastic Surgeons guidelines for Therapeutic Studies checklist was used to assess all articles.Two authors individually reviewed each article and rated them for importance and relevance to the topic.A consensus was sought and the most relevant studies.RESULTS After the application of the selection criteria used in our review,13 publications were found to address upper lid blepharoplasty specifically.Three of these studies were reviews and three were retrospective studies.Five publications were comparative studies and a further two were clinical trials.CONCLUSION The tendency of modern surgery is to be conservative,by removing adipose tissue only if strictly necessary and restoring the volume of the upper eyelid in a concept of beauty that espouses a"full"sight.There is no gold standard technique to achieve younger and enhanced eyelids.Long-term prospective comparative studies are fundamental in understanding which path is the best to follow.

Fat or fillers:The dilemma in eyelid surgery

The aging of the periocular region has always aroused great interest.A fresh,young,and attractive sight determined an ever-greater attention to surgical and non-surgical techniques to obtain this result.In particular,the change in the concept of a young look,considered then“full”,led to the increasing use of surgical(fat grafting)or medical(hyaluronic acid)filling techniques.Eyelid rejuvenation became increasingly popular in the field of cosmetic treatments,with a focus on achieving a youthful and refreshed appearance.Among the various techniques available,the choice between using fat grafting or fillers presented a clinical dilemma.In particular,what surgery considered of fundamental importance was a long-lasting result over time.On the other hand,aesthetic medicine considered it fundamental not to have to resort to invasive treatments.But what was the reality?Was there one path better than the other,and above all,was there a better path for patients?The minireview aims to explore the physiopathology,diagnosis,treatment options,prognosis,and future studies regarding this dilemma.We analyzed the literature produced in the last 20 years comparing the two techniques.Current literature reveals advancements in biomaterials,stem cell research and tissue engineering held promise for further enhancing the field of eyelid rejuvenation.The choice between fat grafting and fillers in eyelid cosmetic treatments presented a clinical dilemma.Understanding physiopathology,accurately diagnosing eyelid aging,exploring treatment options,assessing prognosis,and conducting future studies were essential for providing optimal care to patients seeking eyelid rejuvenation.

Short-term effects of post-fire mulching with straw or wood chips on soil properties of semi-arid forests

Few studies have compared the variability of soil properties using different types of mulches in semi-arid forests.This study evaluated the changes in physico-chemical soil properties in a semi-arid forest of Central Eastern Spain,where straw and pine wood chips were distributed as mulch three months after a wildfire.Soils were sampled under burned and unmulched and burned and mulched plots three and nine months after the treatments.The data was processed using Principal Component Analysis(PCA)and Analytical Hierarchical Cluster Analysis(AHCA).Mulching with straw or wood chips did not have any significant effects on the texture and chemical properties of burned sites few months after the treatment.In contrast,significant changes are expected over time in organic matter,nutrients and many ions.There were no significant differences in soil properties between the two mulches.These low changes were confirmed by PCA coupled with AHCA,which did not show a clear distinction among the three soil conditions.However,a noticeable and significant variability of many of these properties over time was evident.This study shows that mulching does not degrade of soil properties in the short-term after a wildfire and after post-fire treatments,and thus helps protect semi-arid forest ecosystems against the negative impacts of high-severity fires.

Overview of angiogenesis and oxidative stress in cancer

Neoplasms can be considered as a group of aberrant cells that need more vascular supply to fulfill all their functions.Therefore,they promote angiogenesis through the same neovascularization pathway used physiologically.Angiogenesis is a process characterized by a heterogeneous distribution of oxygen caused by the tumor and oxidative stress;the latter being one of the most powerful stimuli of angiogenesis.As a result of altered tumor metabolism due to hypoxia,acidosis occurs.The angiogenic process and oxidative stress can be detected by measuring serum and tissue biomarkers.The study of the mechanisms underlying angiogenesis and oxidative stress could lead to the identification of new biomarkers,ameliorating the selection of patients with neoplasms and the prediction of their response to possible anti-tumor therapies.In particular,in the treatment of patients with similar clinical tumor phenotypes but different prognoses,the new biomarkers could be useful.Moreover,they may lead to a better understanding of the mechanisms underlying drug resistance.Experimental studies show that blocking the vascular supply results in antiproliferative activity in vivo in neuroendocrine tumor cells,which require a high vascular supply.

智慧社区之项目实践

本文通过以某住宅项目为例,结合项目实际需求,对智能家居、智慧社区平台建设目标、系统架构、实施方案进行介绍;通过定义统一的标准数据中台,搭建开放性物联网平台,对接多品类硬件设备,提供多元化智慧社区解决方案;总结智慧社区系统在建筑毛坯交付项目中的设计及应用经验,并对其在未来的发展方向进行探讨,为同类智慧社区项目建设提供一些参考。

Adult eosinophilic esophagitis and advances in its treatment

Eosinophilic esophagitis(EoE)is a chronic eosinophil inflammation that seems to be T helper type 2 antigen-driven.The disease is one of several eosinophilic gastrointestinal disorders in which there appears to be inflammation of the gastrointestinal tract without any apparent underlying causes.Differential diagnosis needs to be made with gastroesophageal reflux,which is characterized by chronic inflammation due to gastric refluxate from disorders related to motility.EoE,however,is considered a chronic allergic inflammatory disorder related to destructive tissue remodeling.There seems to be a higher prevalence of EoE in Western countries.It is typically found in atopic male individuals.Physiopathological risk factors include atopy,environmental factors,esophageal epithelial barrier dysfunctions,etc.EoE can cause several symptoms that include retrosternal burning sensation,dysphagia,food impaction,chronic reflux symptoms,nausea,and vomiting.Early diagnosis,which requires a biopsy to assess for esophageal inflammation,is essential for proper treatment.The aim of our brief overview is to summarize the current literature regarding the characteristics,diagnosis,complications,mechanisms of pathology,clinical features,influence of comorbidities,and treatment in patients with EoE.

Diversity of beetle species and functional traits along gradients of deadwood suggests weak environmental filtering

Background: Gradients in local environmental characteristics may favour the abundance of species with particular traits, while other species decline, or favour species with different traits at the same time, without an increase in average species abundances. Therefore, we asked: do variations in species and traits differ along gradients of deadwood variables? Do species abundance and trait occurrence change with species richness within or between functional groups? Thus, we analysed the beetle assemblages of five forest sites located in Italy, along the Apennines mountains.Methods: From 2012 to 2018 we sampled beetles and five deadwood types in 193 plots to characterise the deadwood gradient: standing dead trees, snags, dead downed trees, coarse woody debris, and stumps. We modelled beetle species relative abundances and trophic traits occurrences against the deadwood variables using joint species distribution models.Results: Out of 462 species, only 77 showed significant responses to at least one deadwood type, with a weak mean response across species. Trophic groups showed mostly negative responses to deadwood variables. Species abundance increased with species richness among sites only for phytophagous and saproxylophagous. Trait occurrence did not increase with species richness among sites, except for phytophagous and saproxylophagous.However, trait occurrence changed significantly with species richness of several trophic groups within some sites.We found that increases in species richness do not result in decreases in species abundance of a given trophic group, but rather null or positive relationships were found suggesting low interspecific competition.Conclusions: Our findings suggest that in Mediterranean mountain forests there is still room for increasing the level of naturalness, at least for what concerns deadwood management. On one side, our findings suggest that competition for deadwood substrates is still low, on the other side they indicate that increasing deadwood volume and types to improve overall beetle richness may increase also beetle abundances.

Neuraxial anesthesia versus general anesthesia in patients undergoing three-dimensional laparoscopic radical prostatectomy:Preliminary results of a prospective comparative study

Objective:Neuraxial anesthesia(NA)showed to reduce both morbidity and mortality in patients undergoing laparoscopic surgery.We aimed to investigate the use of NA in patients undergoing transperitoneal three-dimensional laparoscopic radical prostatectomy(t-3DLRP)and compare the intraoperative and postoperative outcomes with a control group of patients undergoing t-3DLRP under general anesthesia(GA).Methods:A prospective,double-center,double-surgeon study cohort of 84 consecutive patients undergoing t-3DLRP between June 2019 and June 2021 was analyzed.A study group of 42 patients undergoing t-3DLRP under NA was compared with a control group of 42 patients undergoing t-3DLRP under GA.Results:The two group were similar in all demographic,clinical,and pathological variables.Postoperative blood gas parameters were within physiologic limits in both groups.Muscle relaxation was adequate for surgery during both NA and GA.Median length of stay was 1 day shorter for NA group than GA group(5 days vs.6 days,p=0.05).t-3DLRP under NA had a statistically lower rate of minor complications(4.8%vs.19.0%,p=0.03)and less postoperative pain(median numeric rating scale 3 vs.4,p=0.01)compared to GA.No major complications were observed in both groups.Significantly more patients were willing to undergo a similar intervention under NA than GA(p=0.04).Conclusion:t-3DLRP under NA is a feasible and safe procedure,with less postoperative pain and fewer minor complications than the same procedure under GA.NA allows the maintenance of muscle relaxation and respiratory excursions without interfering with surgery.

SPOT4-VEGETATION中国西北地区土地覆盖制图与验证

利用SPOT4 VEGETATION的遥感数据产品生成的NDVI与NDWI植被指数时间序列图像集 ,通过ISODATA非监督分类方法 ,编制中国西北地区土地覆盖图。以TM影像人工解译结果作为真实值 ,通过对西北五省共计 47个均匀分布且异质性强的 2 5km× 2 5km样本区内的土地覆盖类型及其面积进行统计分析 ,修正了SPOT4 VEGETATION的土地覆盖分类系统 ,建立了各省验证结果的样本统计直方图并计算其回归系数。结果表明SPOT4 VEGETATION中国西北地区土地覆盖图在总体上具有较高的准确性。影响遥感数据自动分类精度 ,造成土地覆盖误判的原因主要来源于两个方面 :即异物同谱和混合像元问题。对于前者通过叠加各种辅助数据如DEM等可以降低误判的机率 ;

中国西部植被水分利用效率的时空特征分析

利用净初级生产力模型C-FIX,陆面过程模型CoLM以及高时空分辨率的遥感数据集,定量估算了2002年西部地区1 km分辨率的水分利用效率（WUE）时空格局分布.模型估算2002年西部地区净初级生产力总量约为0.96 PgC,蒸散发总量约为2 098 km3,整个西部地区平均单位面积上年均WUE约为0.32 gC.mm^-1.西部地区WUE时空分布格局具有显著的异质性：WUE最高值区主要分布在新疆西北部的天山和阿尔泰山区域,年均WUE最高可达4 gC.mm^-1.m^-2;其次为西藏东南隅以及陕西和甘肃南部山区,年均WUE约在1~2 gC.mm^-1.m^-2之间.WUE最低值广泛分布在青藏高原地区和西北沙漠地区,年均WUE基本在0.4 gC.mm^-1.m^-2以下.研究发现,西北干旱区内陆河流域荒漠植被呈现出相对高的WUE水平,反映出适度水分亏缺地区的天然植被生态系统可能具有较水分充足地区植被生态系统更高的水分利用效率功能.通过定量分析比较不同植被生态系统WUE特征及其季节变化廓线,得到西部地区主要植被生态系统的年均WUE大小为山区森林〉荒漠乔灌丛〉灌溉农田〉高寒草地〉寒漠和戈壁.

干旱／半干旱区MODIS地表温度反演与验证研究

劈窗算法是目前热红外遥感反演地表温度最常用的方法,根据Coll提出的劈窗算法建立基于MODIS适用干旱/半干旱区地表温度反演算法,并用同期的LP DAAC发布的MODIS地表温度产品和相应的53个气象站点的实际观测数据进行验证。通过分析,模型的反演精度与MODIS地表温度产品的反演精度相当,与气象观测数据相一致,反演精度较好,能够较精确地反演干旱/半干旱地区地表温度的时空变化特征。

三江平原土地利用分类研究

本文描述了利用卫星遥感技术,结合GPS、GIS,以2002年2景陆地卫星TM图像为主要信息源,前进镇为中心,对三江平原部分地区进行土地利用现状和耕地资源调查分类研究,制定了分类指标,生成三江平原2002年土地利用分类图。经地面调查检验,分类结果与实际下垫面情况基本吻合,分类精度较高。

严寒地区供暖用空气源热泵机组群热环境模拟

在清洁供暖背景下,严寒地区应用了大量空气源热泵,科学合理地应用空气源热泵,从实际应用需求出发,以两侧进风顶出风型机组为原型,机组的布置方式、安装间距为影响参数,机组回流率为表征,对机组群热环境进行数值模拟。研究结果表明,单排机组并列和共线两种布置形式下,机组数分别为4台和3台时回流率不再受机组数量影响;机组共线布置时最大回流率比并列布置时减小了4.97%,并列4台机组的临界间距[L]为2.7 m,共线的临界间距[L]为1.2 m。对比两种布置形式,优选共线形式。机组阵列布置,共线间距0.6 m、并列间距3 m时A布置形式(长轴机组共线)平均回流率为4.15%比B布置形式(长轴机组并列)的6.36%小2.21%,故优选A布置形式;A、B布置形式的[L]分别为3.0 m、2.4 m。

A review of the roles of forest canopy gaps

Treefall gap, canopy opening caused by the death of one or more trees, is the dominant form of disturbance in many forest systems worldwide. Gaps play an important role in forest ecology helping to pre- serve bio- and pedo-diversity, influencing nutrient cycles, and maintain- ing the complex structure of the late-successional forests. Over the last 30 years, numerous reviews have been written describing gap dynamics. Here we synthesize current understanding on gap dynamics relating to tree regeneration with particular emphasis on gap characteristics consid- ered critical to develop ecologically sustainable forest management sys- tems and to conserve native biodiversity. Specifically, we addressed the question： how do gaps influence forest structure？ From the literature re- viewed, the size of gaps induces important changes in factors such as light intensity, soil humidity and soil biological properties that influence tree species regeneration and differ in gaps of different sizes. Shade- tolerant species can colonize small gaps; shade-intolerant species need large gaps for successful regeneration. Additionally, gap dynamics differ between temperate, boreal, and tropical forests, showing the importance of climate differences in driving forest regeneration. This review summa- rizes information of use to forest managers who design cutting regimes that mimic natural disturbances and who must consider forest structure, forest climate, and the role of natural disturbance in their designs.

Extraintestinal manifestations in inflammatory bowel disease

Inflammatory bowel diseases (IBD) can be really considered to be systemic diseases since they are often associated with extraintestinal manifestations,complications, and other autoimmune disorders. Indeed,physicians who care for patients with ulcerative colitis and Crohn's disease, the two major forms of IBD, face a new clinical challenge every day, worsened by the very frequent rate of extraintestinal complications. The goal of this review is to provide an overview and an update on the extraintestinal complications occurring in IBD.Indeed, this paper highlights how virtually almost every organ system can be involved, principally eyes, skin,joints, kidneys, liver and biliary tracts, and vasculature (or vascular system) are the most common sites of systemic IBD and their involvement is dependent on different mechanisms.

Short-term effects of different fire severities on soil properties and Pinus halepensis regeneration

Considering that diverse fire severities can affect soil properties differently,the aim of this study was to examine to what extent changes in soil properties caused by fire could condition seedling establishment.This new approach is for identifying a new fire cause-effect chain to qualify the impacts of fire on soils with the purpose of using fire as a tool in forest management to favour Pinus halepensis Mill.regeneration.The study area was a reforested P.halepensis area which had been crossed by fire for78.8 ha,causing various degrees of damage.The forest was subdivided into three large areas according to the gravity of crown scorch,[low(LS),medium(MS)and high(HS)severity],on the basis of needle yellowing which usually occurs after exposure to direct flames.Results showed significant differences in soil properties with respect to fire severity.In the HS area,total nitrogen and carbon were considerably reduced while ash and phosphorus contents significantly increased.The changes in soil properties,in particular to nutrient levels,affected P.halepensis regeneration,mainly the first year after the fire.Greater regeneration occurred in areas affected by moderate fire severity in which the temperatures reached increased the mineralization of soil organic matter with the consequent release of nutrients available for seedling growth.Additionally,moderate fire severity suppressed the regeneration of grasses,reducing the interspecific competition.Heights of seedlings were inversely proportional to the density of grasses.Where the number was abundant(LS),the height was modest;conversely,where the number was low(HS),the greater hypsometric differentiation of pine seedlings was observed.These results suggest that moderate fire severity represents an environmental stress(hormesis)altering microscale conditions to increase pine germination and establishment.The exposure of P.halpensis to a moderate environmental factor that is damaging at higher intensities,induces an adaptive beneficial effect on seedling regeneration.This data can re-evaluate the assertion that coniferous burned areas,if left unmanaged,would remain unproductive for an indefinite period.

Sonographic markers for early diagnosis of fetal malformations

Fetal malformations are very frequent in industrialized countries.Although advanced maternal age may affect pregnancy outcome adversely,80%-90%of fetal malformations occur in the absence of a specific risk factor for parents.The only effective approach for prenatal screening is currently represented by an ultrasound scan.However,ultrasound methods present two important limitations:the substantial absence of quantitative parameters and the dependence on the sonographer experience.In recent years,together with the improvement in transducer technology,quantitative and objective sonographic markers highly predictive of fetal malformations have been developed.These markers can be detected at early gestation(11-14 wk)and generally are not pathological in themselves but have an increased incidence in abnormal fetuses.Thus,prenatal ultrasonography during the second trimester of gestation provides a"genetic sonogram",including,for instance,nuchal translucency,short humeral length,echogenic bowel,echogenic intracardiac focus and choroid plexus cyst,that is used to identify morphological features of fetal Down’s syndrome with a potential sensitivity of more than 90%.Other specific and sensitive markers can be seen in the case of cardiac defects and skeletal anomalies.In the future,sonographic markers could limit even more the use of invasive and dangerous techniques of prenatal diagnosis(amniocentesis,etc.).

Recent progress in the structure optimization and development of proton-conducting electrolyte materials for low-temperature solid oxide cells

This work reviews technologies that can be used to develop low-temperature solid oxide cells(LT-SOCs)and can be applied in fuel cells and electrolyzers operating at temperatures below 500℃,thus providing a more cost-effective alternative than conventional high-temperature SOCs.Two routes showing potential to reduce the operating temperature of SOCs to below 500℃ are discussed.The first route is the principal way to enhance cell performance,namely,structure optimization.This technique includes the reduction of electrolyte thickness to the nanometer scale and the exploration of electrode structure with low polarization resistance.The other route is the development of novel protonconducting electrolyte materials,which is in the frontier of SOCs study.The fundamentals of proton conduction and the design principles of commonly used electrolyte materials are briefly explained.The most widely studied electrolyte materials for LT-SOCs,namely,perovskitetype BaCeO_(3) -and BaZrO_(3) -based oxides,and the effect of doping on the physical-chemical properties of these oxide materials are summarized.