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In this paper, complex-variable sine-Gaussian cross-phase (CVSGCP) beams are proposed, and the transmission dynamics properties of the CVSGCP beams in strongly nonlocal nonlinear media are investigated. CVSGCP beams can produce a variety of mode transformation characteristics during transmission. The roles of parameters in the sine and cross-phase terms of the initial light field expression in the evolution of light intensity modes, phase, and beam width are analyzed in detail, and it is proved that the effect of cross phase is to cause the beams to rotate. The control of different modes can be achieved by selecting suitable parameters, which have certain advantages in the practical application of CVSGCP beams. CVSGCP beams can be regarded as generalized high-order breathers because light intensity modes and beam width show periodic oscillation distribution during transmission. The typical evolution characteristics of the CVSGCP beams are verified by numerical simulation. Strongly nonlocal nonlinear optical media can be mathematically equivalent to a variety of optical systems, such as gradient index potential wells and resonant potential wells, so the conclusions in this paper can also be extended to these equivalent optical systems.
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Photon counting detectors such as single-photon avalanche diode (SPAD) arrays can be used to improve the sensitivity of optical wireless communication (OWC) systems. However, the achievable data rate of SPAD-based OWC systems is strongly limited by the nonlinearity induced by the SPAD dead time. In this work, the performance of a SPAD-based OWC system with orthogonal frequency division multiplexing (OFDM) is investigated and compared with that of on-off keying (OOK). We employ nonlinear equalization, peak-to-average power ratio optimization by adjusting the OFDM clipping level, and adaptive bit and energy loading to achieve a record experimental data rate of 5 Gbps. The contrasting optimal regimes of operation of the two modulation schemes are also demonstrated.
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BACKGROUND: Gait disability affects the daily lives of patients with stroke in both home and community settings. An abnormal foot-ankle position can cause instability on the supporting surface and negatively affect gait. Our research team explored the ability of a portable peroneal nerve-targeting electrical stimulator to improve gait ability by adjusting the foot-ankle position during walking in patients with chronic stroke undergoing home-based rehabilitation. METHODS: This was a double-blinded, parallel-group randomized controlled trial. Thirty-one patients with chronic stroke and ankle-foot motor impairment were randomized to receive 3 weeks of gait training, which involved using the transcutaneous peroneal nerve stimulator while walking (tPNS group; n = 16, mean age: 52.25 years), or conventional home and/or community gait training therapy (CT group; n = 15, mean age: 54.8 years). Functional assessments were performed before and after the 3-week intervention. The outcome measures included spatiotemporal gait parameters, three-dimensional kinematic and kinetic data on the ankle-foot joint, and a clinical motor and balance function assessment based on the Fugl-Meyer Assessment of Lower Extremity (FMA-LE) and Berg Balance scales (BBS). Additionally, 16 age-matched healthy adults served as a baseline control of three-dimensional gait data for both trial groups. RESULTS: The FMA-LE and BBS scores improved in both the tPNS groups (p = 0.004 and 0.001, respectively) and CT groups (p = 0.034 and 0.028, respectively) from before to after training. Participants in the tPNS group exhibited significant differences in spatiotemporal gait parameters, including double feet support, stride length, and walking speed of affected side, and the unaffected foot off within a gait cycle after training (p = 0.043, 0.017, 0.001 and 0.010, respectively). Additionally, the tPNS group exhibited significant differences in kinematic parameters, such as the ankle angle at the transverse plane (p = 0.021) and foot progression angle at the frontal plane (p = 0.009) upon initial contact, and the peak ankle joint angle at the transverse plane (p = 0.023) and foot progression angle (FPA) at the frontal and transverse planes (p = 0.032 and 0.046, respectively) during gait cycles after 3 weeks of training. CONCLUSIONS: Use of a portable tPNS device during walking tasks appeared to improve spatiotemporal gait parameters and ankle and foot angles more effectively than conventional home rehabilitation in patients with chronic stroke. Although guidelines for home-based rehabilitation training services and an increasing variety of market devices are available, no evidence for improvement of motor function and balance was superior to conventional rehabilitation. Trial registration Chictr, ChiCTR2000040137. Registered 22 November 2020, https://www.chictr.org.cn/showproj.aspx?proj=64424.
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Trastornos Neurológicos de la Marcha , Neuropatías Peroneas , Rehabilitación de Accidente Cerebrovascular , Accidente Cerebrovascular , Adulto , Fenómenos Biomecánicos , Marcha , Trastornos Neurológicos de la Marcha/rehabilitación , Humanos , Persona de Mediana Edad , Neuropatías Peroneas/complicaciones , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/terapia , Rehabilitación de Accidente Cerebrovascular/efectos adversos , Resultado del TratamientoRESUMEN
BACKGROUND & AIMS: Our previous genomic whole-exome sequencing (WES) data identified the key ErbB pathway mutations that play an essential role in regulating the malignancy of gallbladder cancer (GBC). Herein, we tested the hypothesis that individual cellular components of the tumor microenvironment (TME) in GBC function differentially to participate in ErbB pathway mutation-dependent tumor progression. METHODS: We engaged single-cell RNA-sequencing to reveal transcriptomic heterogeneity and intercellular crosstalk from 13 human GBCs and adjacent normal tissues. In addition, we performed WES analysis to reveal the genomic variations related to tumor malignancy. A variety of bulk RNA-sequencing, immunohistochemical staining, immunofluorescence staining and functional experiments were employed to study the difference between tissues with or without ErbB pathway mutations. RESULTS: We identified 16 cell types from a total of 114,927 cells, in which epithelial cells, M2 macrophages, and regulatory T cells were predominant in tumors with ErbB pathway mutations. Furthermore, epithelial cell subtype 1, 2 and 3 were mainly found in adenocarcinoma and subtype 4 was present in adenosquamous carcinoma. The tumors with ErbB pathway mutations harbored larger populations of epithelial cell subtype 1 and 2, and expressed higher levels of secreted midkine (MDK) than tumors without ErbB pathway mutations. Increased MDK resulted in an interaction with its receptor LRP1, which is expressed by tumor-infiltrating macrophages, and promoted immunosuppressive macrophage differentiation. Moreover, the crosstalk between macrophage-secreted CXCL10 and its receptor CXCR3 on regulatory T cells was induced in GBC with ErbB pathway mutations. Elevated MDK was correlated with poor overall survival in patients with GBC. CONCLUSIONS: This study has provided valuable insights into transcriptomic heterogeneity and the global cellular network in the TME, which coordinately functions to promote the progression of GBC with ErbB pathway mutations; thus, unveiling novel cellular and molecular targets for cancer therapy. LAY SUMMARY: We employed single-cell RNA-sequencing and functional assays to uncover the transcriptomic heterogeneity and intercellular crosstalk present in gallbladder cancer. We found that ErbB pathway mutations reduced anti-cancer immunity and led to cancer development. ErbB pathway mutations resulted in immunosuppressive macrophage differentiation and regulatory T cell activation, explaining the reduced anti-cancer immunity and worse overall survival observed in patients with these mutations.
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Receptores ErbB/inmunología , Neoplasias de la Vesícula Biliar/inmunología , Huésped Inmunocomprometido/fisiología , Midkina/efectos adversos , Proliferación Celular/genética , China/epidemiología , Receptores ErbB/antagonistas & inhibidores , Neoplasias de la Vesícula Biliar/epidemiología , Neoplasias de la Vesícula Biliar/fisiopatología , Humanos , Midkina/genética , Análisis de Secuencia de ARN/métodos , Análisis de Secuencia de ARN/estadística & datos numéricos , Transducción de Señal/genética , Análisis de la Célula Individual/métodos , Análisis de la Célula Individual/estadística & datos numéricos , Secuenciación del Exoma/métodos , Secuenciación del Exoma/estadística & datos numéricosRESUMEN
Since licensure of human papillomavirus (HPV) vaccine in mainland China, little research has been conducted about healthcare providers' (HCPs) understanding and recommendation of HPV vaccine. A multi-stage convenience sample of Chinese HCPs (N = 5270) were surveyed, involving obstetrician-gynecologists, HCPs from Division of Expanded Program on Immunization (DEPI), Community Health Center (CHC) and other non-HPV closely related professions. Binary logistic regression was conducted to explore factors associated with knowledge and recommendation behaviors. Overall, HCPs showed basic HPV/HPV vaccine knowledge with median (interquartile range) score at 9.5 (7.5-11.6) out of 16 and relatively high recommendation behavior (74.8%). Identified knowledge gaps among HCPs included risk factors of HPV infection, best time to vaccinate, prophylactic functions of HPV vaccine and especially classification of low-risk and high-risk types. Profession-specific analysis in individual knowledge item showed HCPs from CHC were suboptimal on HPV while obstetrician-gynecologists were less competent on HPV vaccine knowledge. Obstetrician-gynecologists also recommended vaccination less frequently than HCPs from DEPI and CHC. Besides being key predictors of recommendation practice (2.74, 95% CI: 2.34-3.21), knowledge shared independent determinants with recommendation behavior on age and ethnicity and additionally associated with education and title by itself. Findings highlight overall and profession-specific gaps on HPV and HPV vaccine knowledge and recommendation practice. Future education and training efforts should be profession-niche-targeting and focus much on HCPs with lower title or education background and from minorities.
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Infecciones por Papillomavirus , Vacunas contra Papillomavirus , China , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud , Humanos , Mercadotecnía , Infecciones por Papillomavirus/prevención & control , Encuestas y Cuestionarios , VacunaciónRESUMEN
Flocculant overdose has been considered an inefficient technique for precipitating heavy metals from wastewater at low levels due to the high yield of hazardous waste sludge that should be treated properly before it can be disposed of safely in landfills. This problem was effectively solved in this study via a novel method that recycles sludge separately into high-purity hematite and heavy metal-bearing products. The wastewater, which contained 10.3 mg/L of Co and 4.8 mg/L of Sr, was coagulated by adding ferric salt to generate Co/Sr-bearing sludge. The sludge was dissolved in HNO3, followed by hydrothermal treatment with the addition of organic matter (e.g. methanol or isopropanol). Without the addition of organic matter, only 56.5% of total Fe was removed as irregular hematite particles, whilst Co/Sr remained unchanged in the acid. Over 99.5% of total Fe was eliminated as hematite nanoparticles with 97.7% Fe2O3 content, but more than 98% Co/Sr remained in the acid when methanol with a molar ratio (Mmethanol/MFe) of 5 was added. Nearly 100% Co was precipitated by adjusting the pH of the acid to 8 to generate Co hydroxide with 83.9% purity. Meanwhile, the residual Sr was further precipitated by adding Na2CO3 to generate SrCO3 with 96.8% purity. Isopropanol achieved total Fe removal similar to that of methanol. The optimal molar ratio (MIsopropanol/MFe) was 1, which corresponded to the removal of 98.7% total Fe. Methanol and isopropanol can react with NO3- in acid to reduce NO2- concentration and improve acid pH, promoting hydrolysis followed by the crystallisation of ferric Fe with hematite as the final product. This paper is the first report on an environment-friendly method for enriching Co/Sr without generating any waste.
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Eliminación de Residuos Líquidos , Aguas Residuales , Compuestos Férricos , Reciclaje , Aguas del AlcantarilladoRESUMEN
á : The present study comprised 17,096 Chinese hypertensive dyslipidemia patients who received lipid-lowering treatment for > 3 months in order to investigate blood pressure (BP) as well as low-density lipoprotein cholesterol (LDL-C) goal attainment rates in Chinese hypertensive dyslipidemia patients on antidyslipidemia drugs. The factors that interfered with BP, or BP and LDL-C goal attainment rates and antihypertensive treatment patterns, were analyzed. In total, 89.9% of the 17,096 hypertensive dyslipidemia patients received antihypertensive medications mainly consisting of a calcium channel blocker (CCB) (48.7%), an angiotensin receptor antagonist (ARB) (25.4%) and an angiotensin-converting enzyme inhibitor (ACEI) (15.1%). In cardiology departments, usage rates of ß-blockers (19.2%) were unusually high compared to other departments (4.0-8.3%), whereas thiazide diuretics were prescribed at the lowest rate (0.3% vs 1.2-3.6%). The overall goal attainment rates for combined BP and LDL-C as well as BP or LDL-C targets were 22.9, 31.9 and 60.1%, respectively. The lowest BP, LDL-C and BP combined with LDL-C goal attainment rates were achieved in endocrine departments (19.9, 48.9 and 12.4%, respectively). Combination therapies showed no benefit particularly for BP goal achievement. A multivariate logistic regression analysis showed that age < 65 years, alcohol consumption, diabetes, coronary heart disease (CHD), cerebrovascular disease (CVD), chronic kidney disease (CKD), body mass index (BMI) ≥ 28 kg/m2 and not achieving total cholesterol goals were independent predictors for achieving BP, LDL-C or combined BP and LDL-C goals. In summary, the BP and LDL-C goal achievement rates in Chinese dyslipidemia outpatients with hypertension were low, especially in endocrine departments. Combination therapies were not associated with improvement of the goal achievement rates. TRIAL REGISTRATION: Clinical trial registration number NCT01732952.
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Presión Sanguínea/efectos de los fármacos , LDL-Colesterol/sangre , Enfermedad Coronaria/tratamiento farmacológico , Dislipidemias/tratamiento farmacológico , Hipertensión/tratamiento farmacológico , Anciano , Consumo de Bebidas Alcohólicas , Antagonistas de Receptores de Angiotensina/administración & dosificación , Inhibidores de la Enzima Convertidora de Angiotensina/administración & dosificación , Antihipertensivos/administración & dosificación , Índice de Masa Corporal , Bloqueadores de los Canales de Calcio/administración & dosificación , LDL-Colesterol/efectos de los fármacos , Enfermedad Coronaria/sangre , Enfermedad Coronaria/complicaciones , Enfermedad Coronaria/patología , Dislipidemias/sangre , Dislipidemias/complicaciones , Dislipidemias/patología , Femenino , Humanos , Hipertensión/sangre , Hipertensión/complicaciones , Hipertensión/patología , Lípidos/sangre , Masculino , Persona de Mediana Edad , Insuficiencia Renal Crónica , Factores de Riesgo , Inhibidores de los Simportadores del Cloruro de Sodio/administración & dosificaciónRESUMEN
Gallbladder carcinoma (GBC) is the most common and aggressive cancer of the biliary tract. Liensinine has been proved to have hypotensive effect. However, the effect of liensinine on GBC is still unknown. The aim of this study is to investigate the effect and mechanism of liensinine in human GBC cells. Cell viability assay and colony formation assay were performed to assess cell growth and proliferation. Flow cytometry analysis was used to investigate cell cycle apoptosis in vitro. Hoechst 33342 staining was also used to evaluate cell apoptosis. Western blot analysis was used to determine the expression of proteins corresponding to the related cell cycle and apoptosis. The effect of liensinine treatment in vivo was experimented with xenografted tumors. We found that liensinine significantly inhibited the growth of GBC cells both in vivo and in vitro. In vitro, cell growth and proliferation were significantly suppressed by liensinine in a dose- and time-dependent manner. In vivo, liensinine inhibited tumor growth. Liensinine could induce GBC cells G2/M phase arrest by up-regulating the levels of Cyclin B1 and CDK1 proteins. Liensinine also affected GBC cell cycle progression and induced apoptosis by down-regulating phosphorylated protein kinase B (AKT), phosphorylated protein kinase B (p-AKT), phosphatidylinositol 3-kinase (PI3K), and Zinc finger X-chromosomal protein (ZFX) proteins. Liensinine induced G2/M arrest and apoptosis in gallbladder cancer, suggesting that liensinine might represent a novel and effective agent against gallbladder cancer.
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Apoptosis/efectos de los fármacos , Puntos de Control de la Fase G2 del Ciclo Celular/efectos de los fármacos , Neoplasias de la Vesícula Biliar/tratamiento farmacológico , Isoquinolinas/farmacología , Fenoles/farmacología , Proteínas/metabolismo , Transducción de Señal/efectos de los fármacos , Ensayos Antitumor por Modelo de Xenoinjerto/métodos , Animales , Línea Celular Tumoral , Proliferación Celular/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Neoplasias de la Vesícula Biliar/metabolismo , Neoplasias de la Vesícula Biliar/patología , Humanos , Isoquinolinas/química , Factores de Transcripción de Tipo Kruppel/metabolismo , Ratones Endogámicos BALB C , Ratones Desnudos , Estructura Molecular , Nelumbo/química , Fenoles/química , Fosfatidilinositol 3-Quinasas/metabolismo , Fitoterapia , Proteínas Proto-Oncogénicas c-akt/metabolismoRESUMEN
In this paper, a novel method to fabricate ultralong focal length microlens arrays has been proposed. The microlens arrays were fabricated based on surface tension when heating temperature is over a glass transition temperature of SU-8 photoresist. An ultralong focal length was achieved by the large radius of curvature of a photoresist surface. Microlenses of widths from 30 to 210 µm were successfully fabricated. The longest focal length was up to 4.4 mm from the microlens of 210 µm width. The formation mechanism was also studied and validated by simulation based on the finite element method.
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Alzheimer's disease (AD) is a chronic neurogenerative disease that impairs cognition, learning, behavior, and memory. The aberrant accumulation of extracellular amyloid-ß (Aß) plaques is a characteristic of AD. It has been demonstrated that melatonin exerts a significant role in AD prevention and treatment via its antioxidant effects, reducing neuroinflammation, and Aß. Moreover, studies have shown that physical exercise (PE) is not only a promising non-pharmacological strategy for AD prevention and treatment but can also lead to an increase in melatonin levels. Hence, we hypothesized that PE can contribute to AD prevention and treatment by increasing melatonin levels and reducing Aß accumulation, enhancing Aß clearance, and modulating inflammation in these patients. However, the mechanisms by which PE increases melatonin synthesis and the cellular and molecular mechanisms of actions of melatonin in AD prevention and treatment have not to date been completely understood. Therefore, in the future, further investigations are required to elucidate the underlying mechanisms, optimize intervention strategies, identify biomarkers, and validate findings through clinical trials. Understanding the potential of exercise-induced melatonin in AD holds promise for innovative therapeutic interventions and future directions in AD research.
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Hydrometallurgy recycling of heavy metals from electroplating sludge is of hot spot in recent decades. Such recycling was tedious in the separation of impure Fe/Al prior to heavy metals from acid leachate after sludge dissolution. Herein, a facile hydrothermal route was developed to separate Fe/Al from Cu-bearing leachate. The results showed that when the leachate was directly hydrothermally treated at 160 °C in the presence of nitrate and ethanol, Al/Cu were stable in the leachate, but nearly 100% Fe was removed as hematite nanoparticles. With the addition of chloridion, the removal efficiencies of Fe/Al/Cu did not change apparently, but the corresponding precipitate was akageneite, not hematite. By replacing chloridion with sulfate, nearly 100% Fe and 98.6% Al were separated as natrojarosite/natroalunite block, while the Cu loss was only 1.7%. However, with the supplementary of phosphate, the Fe/Al removal achieved nearly 100%, but the Cu removal also achieved by 92.6%. The thermodynamic analysis showed that Cu was precipitated rapidly via the phosphate/Cu oxyhydroxide route by adding phosphate but removed slightly via the coordination route on the Fe/Al precipitates with the addition of nitrate, chloridion, and sulfate. In summary, Fe was effectively separated as hematite, akageneite, natrojarosite, and phosphate halite, in the presence of nitrate, chloridion, sulfate, and phosphate, separately. But the removal of Al as natroalunite and AlPO4 only started by adding sulfate and phosphate, respectively. Such results enabled a short hydrometallurgy process to effectively recycle heavy metals from electroplating sludge.
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Compuestos Férricos , Metales Pesados , Aguas del Alcantarillado , Nitratos , Fosfatos , SulfatosRESUMEN
The ANLN gene encodes anillin, a protein that binds to actin. Recent research has identified ANLN's function in the initiation and advancement of different cancers. However, its impact on gallbladder cancer (GBC) remains unexplored. This study aimed to elucidate its possible molecular mechanisms in GBC. ANLN expression was assessed using quantitative real-time polymerase chain reaction (QRT-PCR), Western blotting (WB), and immunohistochemistry (IHC), revealing elevated levels in GBC tissues. ANLN knockdown resulted in the inhibition of cell proliferation and migration, leading to apoptosis and cell cycle arrest. Conversely, ANLN overexpression had the opposite effects on GBC cells. In vivo experiments confirmed that ANLN knockdown inhibited GBC cell growth. RNA-seq and bioinformatics analysis revealed ANLN's function in activating the PI3K/AKT signaling pathway. We further confirmed that ANLN could upregulate STRA6 expression, which activated PI3K/AKT signaling to enhance the growth and movement of GBC cells. These findings demonstrate ANLN's involvement in GBC initiation and progression, suggesting its potential as a novel target for GBC.
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To summarize the distribution of types of human papillomavirus (HPV) associated with HPV-related diseases and investigate the potential causes of high prevalence of HPV 52 and 58 by summarizing the prevalence of lineages, sub-lineages, and mutations among Chinese women. We searched PubMed, EMBASE, CNKI, and WanFang from January, 2012 to June, 2023 to identify all the eligible studies. We excluded patients who had received HPV vaccinations. Data were summarized in tables and cloud/rain maps. A total of 102 studies reporting HPV distribution and 15 studies reporting HPV52/HPV58 variants were extracted. Among Chinese women, the top five prevalent HPV types associated with cervical cancer (CC) were HPV16, 18, 58, 52, and 33. In patients with vaginal cancers and precancerous lesions, the most common HPV types were 16 and 52 followed by 58. For women with condyloma acuminatum (CA), the most common HPV types were 11 and 6. In Chinese women with HPV infection, lineage B was the most prominently identified for HPV52, and lineage A was the most common for HPV58. In addition to HPV types 16, which is prevalent worldwide, our findings revealed the unique high prevalence of HPV 52/58 among Chinese women with HPV-related diseases. HPV 52 variants were predominantly biased toward lineage B and sub-lineage B2, and HPV 58 variants were strongly biased toward lineage A and sub-lineage A1. Further investigations on the association between the high prevalent lineage and sub-lineage in HPV 52/58 and the risk of cancer risk are needed. Our findings underscore the importance of vaccination with the nine-valent HPV vaccine in China.
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Infecciones por Papillomavirus , Neoplasias del Cuello Uterino , Humanos , Femenino , Infecciones por Papillomavirus/epidemiología , Infecciones por Papillomavirus/virología , China/epidemiología , Prevalencia , Neoplasias del Cuello Uterino/virología , Neoplasias del Cuello Uterino/epidemiología , Papillomaviridae/genética , Papillomaviridae/clasificación , Genotipo , Neoplasias Vaginales/virología , Neoplasias Vaginales/epidemiología , Condiloma Acuminado/virología , Condiloma Acuminado/epidemiologíaRESUMEN
It is important to study the impact of land use change on terrestrial ecosystem carbon stocks in urban agglomerations for the optimization of land use structure and sustainable development in urban agglomerations. Based on the patch-generating land use simulation (PLUS) model and integrated valuation of ecosystem services and trade-offs (InVEST) model, a simulation was developed that predicted the land use change and carbon stock of the Guanzhong Plain urban agglomeration in 2040 under different scenarios and further analyzed the impact of land use change on carbon stock. The results showed that:â The land use types of the Guanzhong Plain urban agglomeration were mainly cultivated land, forest land, and grassland, which accounted for more than 90 % of the total study area. â¡ From 2000 to 2020, the carbon stock in the Guanzhong Plain showed a continuous downward trend, with cropland, woodland, and grassland being the main sources of carbon stock in the Guanzhong Plain, and the overall carbon stock declined by 15.12×106 t, with the spatial distribution presenting the distribution characteristics of "high in the north and south and low in the middle." ⢠By 2040, the carbon stock would decrease the most under the urban development scenario, with a total reduction of 27.08×106 t, and the least under the ecological development scenario, with a total reduction of 4.14×106t. The research results can provide data support for the high-quality development and rational land use planning of the Guanzhong Plain urban agglomeration.
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DESIGN: Clinimetric evaluation study. INTRODUCTION: The Chinese Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire has necessitated the development of a revised version to the specific needs of individuals with upper extremity injuries with the progress of times and lifestyle changes. PURPOSE OF THE STUDY: This research aimed to evaluate the reliability and validity of Modified Chinese Disability of Arm, Shoulder and Hand (MC-DASH) questionnaire in individuals with upper extremity injuries. METHODS: One hundred and one individuals with upper extremity injuries (UEI) were recruited. The function of upper extremity was measured using the electronic version of MC-DASH, and compared against the Chinese Disability of Arm, Shoulder and Hand. The MC-DASH was reassessed within three days in all individuals. We investigated the internal consistency, test-retest reliability, content validity, criterion validity, and construct validity of MC-DASH. RESULTS: The internal consistency was deemed sufficient, as indicated by a Cronbach's alpha of 0.986 and an intraclass correlation coefficient of 0.957. Moreover, the mean total scores of MC-DASH on the first-test and retest were 37.86 and 38.19, respectively (ICC: 0.957, 95 %CI: 0.937-0.971, p < 0.001). Furthermore, the MC-DASH version exhibited satisfactory content validity evidenced by its strong correlation (R= 0.903, p < 0.001) with the Chinese DASH. Three major influencing factors were identified from 37 items. The cumulative variance contribution rate of the MC-DASH questionnaire was 75.76 %, confirming its construct validity. CONCLUSION: The Modified Chinese Disability of Arm, Shoulder and Hand questionnaire has been shown to be a valid, reliable, and practical tool for use in patients with upper extremity injuries.
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Traumatismos del Brazo , Hombro , Humanos , Brazo , Reproducibilidad de los Resultados , Evaluación de la Discapacidad , Extremidad Superior , Mano , Traumatismos del Brazo/diagnóstico , Encuestas y Cuestionarios , Ceguera , China/epidemiologíaRESUMEN
Steady-state visual evoked potential (SSVEP) is one of the most popular brain-computer interface (BCI) paradigms, with high information transmission rate and signal-to-noise ratio. Many calibration-free and calibration-based approaches have been proposed to improve the performance of SSVEP-based BCIs. This paper considers a quick calibration scenario, where there are plenty of data from multiple source subjects, but only a small number of calibration trials from a subset of stimulus frequencies for the new subject. We propose small data least-squares transformation (sd-LST) to solve this problem. Experiments on three publicly available SSVEP datasets demonstrated that sd-LST outperformed several classical or state-of-the-art approaches, with only about 10 calibration trials for 40-target SSVEP-based BCI spellers.
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Interfaces Cerebro-Computador , Potenciales Evocados Visuales , Humanos , Electroencefalografía , Estimulación Luminosa , AlgoritmosRESUMEN
Small-scale water sources serving villages and towns are the main source of drinking water in rural areas. Compared to centralized water sources, rural water sources are less frequently monitored for water quality and have poor post-treatment facilities, making them vulnerable to drinking health risks. To reveal the hydrochemical characteristics, contaminant sources, and health risks in rural water sources, 189 water samples were collected from lakes and reservoirs, rivers, and groundwater in North and East China for major ions, nutrient salts, microelements, and stable isotope analysis. Statistical analysis and isotopic tracing were performed, as well as human health risk assessment. The exceeding threshold rates for fluoride (F-) and nitrate (NO3-) in surface water were 1.8 % and 9.1 %, respectively. For groundwater, the exceeding threshold rates were 20.9 % for F-, 15.7 % for total iodine (TI), and 4.5 % for NO3-. F- and TI were mainly derived from the leaching of fluoride- and iodine-containing minerals by cationic exchange, and NO3- is mainly derived from nitrogen in the soil (31.7-43.9 %), the use of ammonia fertilizers (24.3-36.1 %), and the discharge of manure and sewage (19.4-31.9 %). Nitrogen in the soil can be an important source of nitrate in the aquatic environment, and soils with higher clay content have a greater retention effect on the migration of nitrogen pollutants from the surface to the groundwater. F- in water sources contributes most to human health risks for drinking, followed by NO3- and TI, and a higher proportion of groundwater (37 %) present health risks for drinking than surface water (14 %) for children. Authorities should give high priority to optimizing the choice of water sources and technology for water treatment, and rational measures should be taken to protect water sources from the threats of anthropogenic pollution.
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Agua Potable , Agua Subterránea , Yodo , Contaminantes Químicos del Agua , Niño , Humanos , Nitratos/análisis , Fluoruros/análisis , Agua Potable/análisis , Isótopos de Nitrógeno/análisis , Yodo/análisis , Monitoreo del Ambiente , Compuestos Orgánicos/análisis , Nitrógeno/análisis , Calidad del Agua , Agua Subterránea/química , Suelo/química , China , Contaminantes Químicos del Agua/análisisRESUMEN
Spent lithium battery is a polymetallic waste, and valuable to be recovered as Li-bearing chemical with the barriers of impurities separation, especially Fe and Al. Here in, Li-rich cathode powder was manually disassembled from spent battery, and then recovered as lithiophosphate plate in consideration of effective separation of impure Fe/Al. The powder comprised of 23.2% Fe, 3.2% Al, 5.5% Li and 19.6% P, and then dissolved by azotic acid as Li-rich solution. When the solution was heated to 190°C for 10â h with the supplementary of saccharose, more than 99.9% Fe and 98.9% Al were removed as spherical giniite particles, in accordance with the rest of Fe/Al at the concentrations of 2.1 and 14â mg/L, whilst the loss of Li was less than 1.5%. But without saccharose, the Fe/Al removals only achieved by 99.2% and 52.1%. It is also found that the Fe/Al/Li removal achieved by 99.6%, 96% and 25.3% after adjusting the solution to pH 2.7 by NaOH. After hydrothermal treatment, the rest Li can be recycled as lithiophosphate plate by pH adjustment, in contrast to the recovery efficiency of 98.5% Li. Such method raised a facile route to effectively separate impure Fe/Al from Li-rich cathode powder, and showed promising application in the industrial recovery of spent battery.
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BACKGROUND: Ferroptosis is characterized by accumulation of lipid peroxides that leads to oxidative stress. In progressive rheumatoid arthritis (RA), fibroblast-like synoviocytes (FLS) suffered from oxidative stress induced by generation of excess reactive oxygen species (ROS) and survived from elevated lipid oxidation. However the phenomenon of abnormal synovial fibroblasts proliferation under ferroptotic stress remain to be explained and the effects of this event on disease progression of RA need to be investigated. METHODS: FLS from RA patients (RA-FLS) were stimulated with LPS as an inflammatory model in vitro, and simultaneously treated with ferroptosis inducer Erastin/RSL3 or inhibitor ferrostatin-1. Besides, small extracellular vesicles (sEV) from the supernatant of RA-FLS culture under Erastin/RSL3 management were isolated. The degree of ferroptosis in cells were evaluated by Lipid-ROS detection via flowcytometry and ferroptosis marker protein expression determined by western bloting. The expression of core component of ESCRT-III CHMP4A and CHMP5 was determined by western bloting, and knockdown of CHMP4A was further performed to detect the influence of ESCRT-III complex on ferroptosis as well as LPS/Erastin induced sEV (LPS/Erastin-sEV) releasing. Moreover, miR-433-3p level in the isolated sEV was evaluated by RT-qPCR and interaction of miR-433-3p with FOXO1/VEGF axis were evaluated. MiR-433-3p was overexpressed in synovial mesenchymal stem cells (SMSCs) via miR-433-3p mimics transfection. RA-FLS was co-cultured with human dermal microvascular endothelial cells (HDMECs). LPS/Erastin-sEV or sEV derived from miR-433-3p-overexpressing SMSCs (miR-433-3p-SMSCs-sEV) were added to the co-culture system, and supernatants from co-culture without sEV were given to HDMECs. Angiogenic activity of HDMECs were identified by transwell test and endothelial tube formation analysis. Erastin-sEV and miR-433-3p-SMSCs-sEV were also administrated in collagen-induced arthritis (CIA) mouse model respectively, and progression of arthritis were evaluated. RESULTS: Ferroptosis of RA-FLS was triggered by LPS/Erastin and accompanied with increased expression of ESCRT-III core components as well as elevated release of sEV from RA-FLS. HDMECs' migration and tube formation in vitro was significantly induced/suppressed by supernatants from co-culture under management of Erastin-sEV/miR-433-3p-SMSCs-sEV due to varied VEGF expression regulated by miR-433-3p targeting FOXO1. MiR-433-3p-SMSCs-sEV could inhibit the Erastin-sEV promoted VEGF expression and mitigated arthritis severity. CONCLUSION: Erastin-sEV could aggravate synovial angiogenesis and promote arthritis progression. Administration of miR-433-3p-SMSCs-sEV may be a potential novel therapeutic method as significant antagonism to Erastin-sEV for RA treatment.
Asunto(s)
Artritis Reumatoide , Vesículas Extracelulares , Ferroptosis , MicroARNs , Sinoviocitos , Animales , Ratones , Humanos , Células Endoteliales/metabolismo , Factor A de Crecimiento Endotelial Vascular/metabolismo , Lipopolisacáridos/farmacología , Especies Reactivas de Oxígeno/metabolismo , Proliferación Celular , Artritis Reumatoide/tratamiento farmacológico , MicroARNs/metabolismo , Vesículas Extracelulares/metabolismo , Fibroblastos/metabolismo , Células CultivadasRESUMEN
We show that organic photovoltaics (OPVs) are suitable for high-speed optical wireless data receivers that can also harvest power. In addition, these OPVs are of particular interest for indoor applications, as their bandgap is larger than that of silicon, leading to better matching to the spectrum of artificial light. By selecting a suitable combination of a narrow bandgap donor polymer and a nonfullerene acceptor, stable OPVs are fabricated with a power conversion efficiency of 8.8% under 1 Sun and 14% under indoor lighting conditions. In an optical wireless communication experiment, a data rate of 363 Mb/s and a simultaneous harvested power of 10.9 mW are achieved in a 4-by-4 multiple-input multiple-output (MIMO) setup that consists of four laser diodes, each transmitting 56 mW optical power and four OPV cells on a single panel as receivers at a distance of 40 cm. This result is the highest reported data rate using OPVs as data receivers and energy harvesters. This finding may be relevant to future mobile communication applications because it enables enhanced wireless data communication performance while prolonging the battery life in a mobile device.