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Photocatalytic hydrogen production with low environmental and economic costs is expected to be a powerful means to alleviate energy and environmental problems. However, how to inhibit the rapid recombination of photogenerated carriers is a challenge that photocatalytic hydrogen production has to face. In this study, the coupling of the piezoelectric effect and vacancy engineering into the photocatalytic reaction process synergistically promoted carrier separation, thereby promoting the improvement of hydrogen production performance. Specifically, the novel dual piezoelectric Bi2S3/Bi0.5Na0.5TiO3 (BS-12/BNT) piezo-photocatalyst rich in S vacancies was synthesized by an impregnation method. The hydrogen generation rate of 5% BS-12/BNT under the combined impact of light and ultrasound was up to 1019.39 µmol/g/h, which is 9.5 times higher than that of pure BNT. Various characterization analyses have confirmed that the piezoelectric-photocatalytic activity of BS/BNT composite materials is significantly improved, mainly due to the introduction of S vacancies and piezoelectric fields, which enhance the absorption of sunlight, reduce interface resistance, and so raise the photogenerated carriers' separation efficiency. In addition, the stability of BS/BNT is significantly better than that of the previously synthesized catalysts. Finally, according to the results of XPS, UV-vis, and ESR, the active groups and possible electron transfer paths generated during the piezoelectric-photocatalytic hydrogen production process were studied. This work presents a new approach to promote hydrogen production performance through the synergistic effect of the piezoelectric effect and S vacancies.
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Spontaneous imbibition is a naturally occurring phenomenon in porous media that plays an important role in various processes. Particularly during the oil recovery process, imbibition efficiency could be significantly affected by the physical properties of the reservoir rock, such as pore-throat structure. However, the effect of the pore-throat structure on the imbibition process has rarely been investigated quantitatively. Therefore, in this study, spontaneous imbibition was examined quantitatively using microfluidic devices with different single pore-throat geometries. Three key geometric parameters were examined, namely, pore-throat ratio, coordination number, and tortuosity. The pore-to-throat ratio of a single pore-to-throat structure under investigation ranges from 3 to 50. Designated coordination numbers range from 2 to 6. Tortuosity values for meandering channels range from 1 to 2. Imbibition process was mimicked using microfluidic devices with varying pore-throat geometries. The results showed that average imbibition velocity exhibited an initial increase followed by a subsequent decline with the increase in the pore-throat ratio. As the coordination number increased, imbibition velocity decreased as the coordination number increased, and the influence of the pore-throat ratio diminished as the coordination number increased. Imbibition velocity decreased as the tortuosity increased. Meniscus movements were investigated for different pore-throat structures. Statistical analysis was also conducted to determine the dominant factor governing the imbibition behavior. It was found that pore-throat ratio, tortuosity, and coordination number exerted a decreasing impact on the imbibition velocity. Wetting phase saturation was examined over time using a single pore-throat geometry device with varying pore-throat ratios. Four distinct types of imbibition behaviors were identified and characterized. In conclusion, this work examined the imbibition behaviors within specified pore-throat geometries, which could contribute to a comprehensive understanding of the imbibition behavior in realistic porous media.
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Groundwater near a sulfuric acid plant in Xingyang, Henan, China was sampled from seven distinct sites to explore the prevalence of antibiotic resistance genes (ARGs) and mobile genetic elements (MGEs). Results showed that genes aadA, blaCTX-M, tetA, qnrA, and sul1 were detected with 100% frequency followed by aac(6')-Ib (85.71%), ermB (85.71%), and tetX (71.42%). Most abundant ARGs were sul1 in LSA2 (1.15 × 1011 copies/mL), tetA in LSA6 (4.95 × 1010 copies/mL), aadA in LSA2 (4.56 × 109 copies/mL), blaCTX-M in LSA4 (1.19 × 109 copies/mL), and ermB in LSA5 (1.07 × 109 copies/mL). Moreover, in LSA2, intl1 as a marker of class 1 integron emerged as the most abundant gene as part of MGE (2.25 × 1011 copies/mL), trailed by ISCR1 (1.57 × 109 copies/mL). Environmental factors explained 81.34% of ARG variations, with a strong positive correlation between the intl2 and blaCTX-M genes, as well as the ISCR1 gene and qnrA, tetA, intl2, and blaCTX-M. Furthermore, the intI1 gene had a strong positive connection with the aadA, tetA, and sul1 genes. Moreover, the aac(6')-Ib gene was associated with As, Pb, Mg, Ca, and HCO3-. The intl2 gene was also shown to be strongly associated with Cd. Notably, network analysis highlighted blaCTX-M as the most frequently appearing gene across networks of at least five genera. Particularly, Lactobacillus, Plesiomonas, and Ligilactobacillus demonstrated correlations with aadA, qnrA, blaCTX-M, intI2, and ISCR1. Based on 16S rRNA sequencing, the dominant phyla were Proteobacteria, Firmicutes, Bacteroidota, Acidobacteriota, and Actinobacteriota, with dominant genera including Pseudomonas, Ligilactobacillus, Azoarcus, Vogesella, Streptococcus, Plesiomonas, and Ferritrophicum. These findings enhance our understanding of ARG distribution in groundwater, signaling substantial contamination by ARGs and potential risks to public health.
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Genes Bacterianos , Agua Subterránea , China , Agua Subterránea/microbiología , Ácidos Sulfúricos , Monitoreo del Ambiente , Farmacorresistencia Bacteriana/genética , Antibacterianos , Secuencias Repetitivas Esparcidas , Bacterias/genética , Bacterias/efectos de los fármacos , Microbiología del Agua , Farmacorresistencia Microbiana/genética , Contaminantes Químicos del Agua/toxicidad , Contaminantes Químicos del Agua/análisisRESUMEN
Conventional treatments exhibit various side effects on chronic stress anemia. Extramedullary stress erythropoiesis is a compensatory mechanism, which may effectively counteract anemia. Angelica sinensis polysaccharides (ASP) are the main active ingredient found in Angelica sinensis and exhibit antioxidant and hematopoietic effects. However, the effects of ASP on extramedullary stress erythropoiesis remain to be unclear. Here, we demonstrated the protective effects of ASP on chemotherapeutic drug 5-fluorouracil (5-FU)-induced decline in peripheral blood parameters such as RBC counts, HGB, HCT, and MCH, and the decline of BFU-E colony enumeration in the bone marrow. Meanwhile, ASP promoted extramedullary erythropoiesis, increasing cellular proliferation in the splenic red pulp and cyclin D1 protein expression, abrogating phase G0/G1 arrest of c-kit+ cells in mouse spleen. RT-qPCR and immunohistochemistry further revealed that ASP increased macrophage chemokine Ccl2 genetic expression and the number of F4/80+ macrophages in the spleen. The colony-forming assay showed that ASP significantly increased splenic BFU-E. Furthermore, we found that ASP facilitated glycolytic genes including Hk2, Pgk1, Pkm, Pdk1, and Ldha via PI3K/Akt/HIF2α signaling in the spleen. Subsequently, ASP declined pro-proinflammatory factor IL-1ß, whereas upregulating erythroid proliferation-associated genes Gdf15, Bmp4, Wnt2b, and Wnt8a. Moreover, ASP facilitated EPO/STAT5 signaling in splenic macrophages, thus enhancing erythroid lineage Gata2 genetic expression. Our study indicated that ASP may improve glycolysis, promoting the activity of splenic macrophages, subsequently promoting erythroid progenitor cell expansion. Additionally, ASP facilitates erythroid differentiation via macrophage-mediated EpoR/STAT5 signaling; suggesting it might be a promising strategy for stress anemia treatment.
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Angelica sinensis , Eritropoyesis , Eritropoyetina , Glucólisis , Macrófagos , Polisacáridos , Factor de Transcripción STAT5 , Transducción de Señal , Bazo , Animales , Eritropoyesis/efectos de los fármacos , Glucólisis/efectos de los fármacos , Transducción de Señal/efectos de los fármacos , Angelica sinensis/química , Ratones , Macrófagos/metabolismo , Macrófagos/efectos de los fármacos , Factor de Transcripción STAT5/metabolismo , Polisacáridos/farmacología , Bazo/metabolismo , Bazo/efectos de los fármacos , Eritropoyetina/farmacología , Masculino , Fluorouracilo/farmacología , Proliferación Celular/efectos de los fármacos , Estrés Fisiológico/efectos de los fármacosRESUMEN
Peripheral nerve stimulation is an effective neuromodulation method in patients with lower extremity movement disorders caused by stroke, spinal cord injury, or other diseases. However, most current studies on rehabilitation using sciatic nerve stimulation focus solely on ankle motor regulation through stimulation of common peroneal and tibial nerves. Using the electrical nerve stimulation method, we here achieved muscle control via different sciatic nerve branches to facilitate the regulation of lower limb movements during stepping and standing. A map of relationships between muscles and nerve segments was established to artificially activate specific nerve fibers with the biomimetic stimulation waveform. Then, characteristic curves depicting the relationship between neural electrical stimulation intensity and joint control were established. Finally, by testing the selected stimulation parameters in anesthetized rats, we confirmed that single-cathode extraneural electrical stimulation could activate combined movements to promote lower limb movements. Thus, this method is effective and reliable for use in treatment for improving and rehabilitating lower limb motor dysfunction.
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BACKGROUND: Esophageal cancer (ESCA) is a form of malignant tumor associated with chronic inflammation and immune dysregulation. However, the specific immune status and key mechanisms of immune regulation in this disease require further exploration. METHODS: To investigate the features of the human ESCA tumor immune microenvironment and its possible regulation, we performed mass cytometry by time of flight, single-cell RNA sequencing, multicolor fluorescence staining of tissue, and flow cytometry analyses on tumor and paracancerous tissue from treatment-naïve patients. RESULTS: We depicted the immune landscape of the ESCA and revealed that CD8+ (tissue-resident memory CD8+ T cells (CD8+ TRMs) were closely related to disease progression. We also revealed the heterogeneity of CD8+ TRMs in the ESCA tumor microenvironment (TME), which was associated with their differentiation and function. Moreover, the subset of CD8+ TRMs in tumor (called tTRMs) that expressed high levels of granzyme B and immune checkpoints was markedly decreased in the TME of advanced ESCA. We showed that tTRMs are tumor effector cells preactivated in the TME. We then demonstrated that conventional dendritic cells (cDC2s) derived from intermediate monocytes (iMos) are essential for maintaining the proliferation of CD8+ TRMs in the TME. Our preliminary study showed that hypoxia can promote the apoptosis of iMos and impede the maturation of cDC2s, which in turn reduces the proliferative capacity of CD8+ TRMs, thereby contributing to the progression of cancer. CONCLUSIONS: Our study revealed the essential antitumor roles of CD8+ TRMs and preliminarily explored the regulation of the iMo/cDC2/CD8+ TRM immune axis in the human ESCA TME.
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Linfocitos T CD8-positivos , Células Dendríticas , Neoplasias Esofágicas , Microambiente Tumoral , Humanos , Neoplasias Esofágicas/inmunología , Neoplasias Esofágicas/patología , Linfocitos T CD8-positivos/inmunología , Células Dendríticas/inmunología , Monocitos/inmunología , Monocitos/metabolismo , Masculino , Femenino , Proteína Quinasa CDC2/metabolismoRESUMEN
ETHNOPHARMACOLOGICAL RELEVANCE: Wutou Decoction (WTD) is a classic traditional Chinese medicine formula, which has shown clinical efficacy in treating rheumatoid arthritis (RA). The Treg stability and Th17/Treg imbalance is an important immunological mechanism in RA progression. Whether WTD regulates CD4+ T cell subsets has not been thoroughly investigated yet. AIM OF THE STUDY: This study aimed to explore the potential role and mechanisms of WTD in regulating the diminished stability of Treg cells and the imbalance of CD4+ T cell subsets via in vivo and in vitro experiments. MATERIALS AND METHODS: Firstly, the therapeutic effects of WTD on the collagen-induced arthritis (CIA) mouse and its potential regulatory function on CD4+ T cell subsets were evaluated in vivo. Animal specimens were collected after 31 days of treatment with WTD. The anti-arthritic and anti-inflammatory effects of WTD were assessed through arthritis scoring, body weight, spleen index, serum IL-6 levels, and micro-PET/CT imaging. Gene enrichment analysis was performed to evaluate the activation T cell-related signaling pathway. Flow cytometry was used to determine the proportions of CD4+ T cell subsets in vitro and in vitro. Additionally, ELISA was used to assess the secretion of IL-10 and TGF-ß by Treg cells under inflammatory conditions. The suppressive function of Treg cells on cell proliferation under inflammatory conditions was examined using CFSE labeling. Immunofluorescence staining was performed to detect the phosphorylation levels of STAT3 in CD4+ T cells from mouse spleen tissues. Western blotting was used to evaluate the phosphorylation levels of JAK2/STAT3 in Treg cells. RESULTS: WTD significantly alleviated joint inflammation in CIA mice. WTD reduced serum IL-6 levels in CIA mice, improved their body weight and spleen index. WTD treatment inhibited the activation of CD4+ T cell subgroup-related signaling in the joint tissues of CIA mice. In vitro and in vitro experiments showed that WTD increased the proportion of Treg cells and decreased the proportion of Th17 cells in CIA mice spleen. Furthermore, WTD promoted the secretion of IL-10 and TGF-ß by Treg cells and enhanced the inhibitory capacity of Treg cells on cell proliferation under inflammatory conditions. Immunofluorescence detected decreased STAT3 phosphorylation levels in CD4+ T cells from CIA mice spleen, while western blotting revealed a decrease in JAK2/STAT3 phosphorylation levels in Treg cells in vitro. CONCLUSIONS: Inhibiting JAK2/STAT3 phosphorylation is a potential mechanism through which WTD improves Treg cell stability, balances CD4+ T cell subsets, and attenuates RA joint inflammation.
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Artritis Experimental , Medicamentos Herbarios Chinos , Janus Quinasa 2 , Ratones Endogámicos DBA , Factor de Transcripción STAT3 , Transducción de Señal , Linfocitos T Reguladores , Células Th17 , Animales , Factor de Transcripción STAT3/metabolismo , Artritis Experimental/tratamiento farmacológico , Artritis Experimental/inmunología , Linfocitos T Reguladores/efectos de los fármacos , Células Th17/efectos de los fármacos , Células Th17/inmunología , Janus Quinasa 2/metabolismo , Medicamentos Herbarios Chinos/farmacología , Medicamentos Herbarios Chinos/uso terapéutico , Masculino , Transducción de Señal/efectos de los fármacos , Ratones , Antiinflamatorios/farmacología , Antiinflamatorios/uso terapéuticoRESUMEN
Next-generation advanced high-temperature sensors rely heavily on negative temperature coefficient thermosensitive ceramics with low cost, small volume, high sensitivity, and fast response. However, thus far, the enormous challenge of achieving ultrahigh stability and accuracy has become a critical bottleneck restricting the development of thermosensitive ceramics in high-temperature sensor applications. Here, we propose a high-entropy strategy to design a "cation valence self-equilibrium" system in CeNbO4+δ-based ceramics introducing redox couple compensation and ultrahigh density dislocations to solve the problem of temperature-dependent oxygen nonstoichiometry that restricts the performances of high-temperature thermosensitive ceramics. Ferroelastic domains are generated by enhancing the configurational entropy at both A and B sites, resulting in a dramatic increase of dislocation density to >1010 mm-2, which ultimately optimizes the thermosensitive performances. Extreme temperature measurement accuracy with R2 as high as 999.98 and RSS as low as 0.011 and high-temperature stability with ΔR/R0 as low as 0.23% after aging at 873 K for 1000 h are realized in high-entropy CeNbO4+δ-based ceramics, indicating a breakthrough in the comprehensive performances of thermosensitive ceramics. This work opens up an effective way to design thermosensitive materials with ultrahigh comprehensive performance to meet the requirements of advanced high-temperature sensors.
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Long non-coding RNAs (lncRNAs) are abundant in plants, however, their regulatory roles remain unclear in most biological processes, such as response in salinity stress which is harm to plant production. Here we show a lncRNA in Medicago truncatula identified from salt-treated Medicago truncatula is important for salinity tolerance. We name the lncRNA LAL, LncRNA ANTISENSE to M. truncatula LIGHT-HARVESTING CHLOROPHYLL A/B BINDING (MtLHCB) genes. LAL is an antisense to four consecutive MtLHCB genes on chromosome 6. In salt-treated M. truncatula, LAL is suppressed in an early stage but induced later; this pattern is opposite to that of the four MtLHCBs. The lal mutants show enhanced salinity tolerance, while overexpressing LAL disrupts this superior tolerance in the lal background, which indicates its regulatory role in salinity response. The regulatory role of LAL on MtLHCB1.4 is further verified by transient co-expression of LAL and MtLHCB1.4-GFP in tobacco leaves, in which the cleavage of MtLHCB1.4 and production of secondary interfering RNA is identified. This work demonstrates a lncRNA, LAL, functioning as a regulator that fine-tunes salinity tolerance via regulating MtLHCB1s' expression in M. truncatula.
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Medicago truncatula , ARN Largo no Codificante , Tolerancia a la Sal/genética , ARN Largo no Codificante/genética , ARN Largo no Codificante/metabolismo , Medicago truncatula/genética , Medicago truncatula/metabolismo , Estrés Fisiológico/genética , Clorofila A/metabolismoRESUMEN
Depression is a common mental health disorder. With current depression detection methods, specialized physicians often engage in conversations and physiological examinations based on standardized scales as auxiliary measures for depression assessment. Non-biological markers-typically classified as verbal or non-verbal and deemed crucial evaluation criteria for depression-have not been effectively utilized. Specialized physicians usually require extensive training and experience to capture changes in these features. Advancements in deep learning technology have provided technical support for capturing non-biological markers. Several researchers have proposed automatic depression estimation (ADE) systems based on sounds and videos to assist physicians in capturing these features and conducting depression screening. This article summarizes commonly used public datasets and recent research on audio- and video-based ADE based on three perspectives: Datasets, deficiencies in existing research, and future development directions.
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Based on the one-year observational data of volatile organic compounds ï¼VOCsï¼ in an urban area of Yuncheng in 2021ï¼ the concentrationï¼ compositionï¼ sourcesï¼ and ozone-sensitive species of VOCs in four seasons were analyzed. The results showed that the average annual concentration of VOCs was ï¼32.1 ±24.2ï¼×10-9ï¼ i.e.ï¼ at the national middle level. The seasonal concentrations of VOCs were in the order ofï¼ winter ï¼46.3×10-9ï¼> autumn ï¼35.5×10-9ï¼> spring ï¼25.6×10-9ï¼> summer ï¼21.2×10-9ï¼. Alkanes and OVOCs were the most dominant VOCs compoundsï¼ accounting for 69.0%-80.4% of TVOCs in Yuncheng. Affected by changes in source emissionsï¼ the proportion of OVOCs was higher in spring and summer ï¼41%-43%ï¼ï¼ whereas the proportion of alkanes was higher in autumn and winter ï¼42%-43%ï¼. Vehicle exhaustï¼ LPG/NGï¼ industrial productionï¼ and combustion sources were identified as the main sources of VOCs in Yuncheng. The largest contributors in the four seasons were vehicle exhaust ï¼28.5% in springï¼ï¼ secondary + combustion sources ï¼29.0% in summerï¼ï¼ LPG/NG sources ï¼30.4% in autumnï¼ï¼ and coal combustion ï¼27.3% in winterï¼. The ozone formation was located in the transitional regime in summer and in the VOC-limited regime in other seasons. Ozone production was more sensitive to alkenes ï¼isopreneï¼ ethyleneï¼ and propeneï¼ï¼ OVOCs ï¼acetaldehyde and propanalï¼ï¼ and aromatics ï¼xyleneï¼ tolueneï¼ and benzeneï¼. Winter was more sensitive to ethyleneï¼ and the other seasons were more sensitive to isoprene. The primary emission sources related to these sensitive species should be reduced to achieve the goal of air quality improvement.
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Cell division is fundamental to all cellular life. Most archaea depend on either the prokaryotic tubulin homologue FtsZ or the endosomal sorting complex required for transport for division but neither system has been robustly characterized. Here, we show that three of the four photosynthesis reaction centre barrel domain proteins of Haloferax volcanii (renamed cell division proteins B1/2/3 (CdpB1/2/3)) play important roles in cell division. CdpB1 interacts directly with the FtsZ membrane anchor SepF and is essential for cell division, whereas deletion of cdpB2 and cdpB3 causes a major and a minor division defect, respectively. Orthologues of CdpB proteins are also involved in cell division in other haloarchaea, indicating a conserved function of these proteins. Phylogenetic analysis shows that photosynthetic reaction centre barrel proteins are widely distributed among archaea and appear to be central to cell division in most if not all archaea.
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Haloferax volcanii , Proteínas del Complejo del Centro de Reacción Fotosintética , Filogenia , División Celular , Haloferax volcanii/genética , FotosíntesisRESUMEN
Next-generation high-temperature applications increasingly rely heavily on advanced thermistor materials with enhanced thermal stability and electrical performance. However, thus far, the great challenge of realizing high thermal stability and precision in a wide temperature range has become a key bottleneck restricting the high-temperature application. Here, we propose a high-entropy strategy to design novel high-temperature thermistor ceramics (La0.2Ce0.2Nd0.2Sm0.2Eu0.2)NbO4. Differences in atomic size, mass, and electronegativity in this high-entropy system cause high lattice distortion, substantial grain boundaries, and high dislocation density. These enhance the charge carrier transport and reduce the grain boundary resistance, thus synergistically broadening the temperature range. Our samples maintain high precision and thermal stability over a wide temperature range from room temperature to 1523 K (ΔT = 1250 K) with an aging value as low as 0.42% after 1000 h at 1173 K, showing breakthrough progress in high-temperature thermistor ceramics. This study establishes an effective approach to enhancing the performance of high-temperature thermistor materials through high-entropy strategies.
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Male fertility and metabolic disorders, including obesity and diabetes, are closely connected. Since hyperuricemia and metabolic syndrome are strongly related, male fertility and hyperuricemia may, to some degree, be associated. According to recent studies, hyperuricemia imposes various effects on sex hormones, semen quality, and male erectile dysfunction. Some researchers claim that uric acid worsens male semen and raises the risk of erectile dysfunction (ED), while others state that it safeguards both penile erection and male semen. Additionally, it has been shown that gout and metabolic syndrome also raise the risk of ED. To clarify this controversy, the influence and potential mechanisms of hyperuricemia on ED, semen quality, sex hormone levels, and the effects of hyperuricemia-related disorders on ED will be comprehensively summarized.
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Disfunción Eréctil , Hiperuricemia , Infertilidad Masculina , Humanos , Masculino , Disfunción Eréctil/etiología , Disfunción Eréctil/fisiopatología , Infertilidad Masculina/etiología , Infertilidad Masculina/fisiopatología , Infertilidad Masculina/metabolismo , Síndrome Metabólico/metabolismo , Síndrome Metabólico/fisiopatología , Reproducción/fisiología , Análisis de Semen , Animales , Hormonas Esteroides Gonadales/metabolismo , Ácido Úrico/sangre , Ácido Úrico/metabolismo , GotaRESUMEN
The efficiency of reservoir imbibition in continental tight sandstone reservoirs is severely hindered due to their intricate wettability characteristics. To address this challenge, we propose a novel synergistic approach that combines low-frequency vibration and nanofluid treatment. This method integrates physical shear and chemical wettability alteration to effectively modify the wettability of neutral oil-wet tight sandstone, thereby enhancing the imbibition process. In this study, we formulated a TX-100 nanofluid system through physical modification. By utilizing the contact angle as a benchmark for evaluation, we investigated the impact of low-frequency fluctuations on the wettability of oil-wet sandstone. Subsequently, we identified the optimal combination of wave parameters. Through isothermal adsorption experiments and mechanical analyses of oil droplets subjected to fluctuations, we systematically elucidated the mechanism by which fluctuations collaborate with nanofluids to alter the wettability of oil-wet sandstone. Furthermore, we evaluated the oil displacement efficiency of cores subjected to the combined action of low-frequency fluctuations and nanofluid treatment. Our findings revealed that the TX-100 nanofluid reduced the static contact angle of oil-wet sandstone by 58%. When assisted by the optimal fluctuation parameters, the nanofluid treatment contributed to a 64% reduction in the contact angle of strongly oil-wet sandstone. This effect further amplified the reversal of wettability in oil-wet sandstone. Through the application of various wave-assisted treatment agents, the efficiency of oil removal was increased by a minimum of 16%. Moreover, the recovery degree of wave-assisted nanofluid imbibition experienced a remarkable enhancement of 30.39%. Nuclear magnetic resonance analysis demonstrated a significant improvement in pore sizes smaller than 1 µm as a result of the composite process.
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OBJECTIVES: To use three-dimensional real inversion recovery (3D-real IR) MRI to investigate correlations between endolymphatic hydrops (EH) grades or the degree of perilymphatic enhancement (PE) and clinical features of Ménière's disease (MD), as previous findings have been inconsistent. METHODS: A total of 273 consecutive patients with definite unilateral MD were retrospectively enrolled from September 2020 to October 2021. All patients underwent 3D-real IR and 3D-T2WI 6 h after intravenous gadolinium injection. MD-related symptom duration and vertigo frequency were recorded. EH grades were evaluated, the signal intensity ratio (SIR) was measured, and correlations between clinical features and EH, PE were assessed respectively. RESULTS: The study included 123 males and 150 females, with a mean age of 53.0 years. A longer duration of vertigo was associated with higher cochlear EH grades, whereas the opposite was true for the duration of aural fullness. A longer time since vertigo onset was associated with higher vestibular EH grades; the opposite was true for the duration of individual vertigo attacks. The multiple regression analysis revealed that age, tinnitus duration, and vestibular EH were risk factors for SIR. Furthermore, the low-frequency hearing threshold (HT) was a risk factor for cochlear and vestibular EH, and the SIR. CONCLUSION: The EH grade and SIR (an indicator for the quantitative evaluation of PE) were correlated with clinical features and HT of MD; thus, imaging can be a valuable tool in planning individualised treatment. CLINICAL RELEVANCE STATEMENT: This study revealed that the grade of endolymphatic hydrops and degree of perilymphatic enhancement positively correlates with the length of time since onset of clinical symptoms and hearing thresholds in patients with Ménière's disease, facilitating the tailored treatment. KEY POINTS: ⢠Relationships between 3-dimensional real inversion recovery features and clinical symptoms in Ménière's disease are unknown. ⢠Symptom duration and hearing thresholds correlated with endolymphatic hydrops grades and degree of perilymphatic enhancement. ⢠MRI features correlate with MD severity; thus, imaging is valuable for planning tailored treatment.
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Hidropesía Endolinfática , Imagenología Tridimensional , Imagen por Resonancia Magnética , Enfermedad de Meniere , Humanos , Enfermedad de Meniere/diagnóstico por imagen , Masculino , Femenino , Persona de Mediana Edad , Hidropesía Endolinfática/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Estudios Retrospectivos , Imagenología Tridimensional/métodos , Adulto , Anciano , Medios de Contraste , PerilinfaRESUMEN
Chylous blood is the main cause of unqualified and scrapped blood among volunteer blood donors. Therefore, a diagnostic method that can quickly and accurately identify chylous blood before donation is needed. In this study, the GaiaSorter "Gaia" hyperspectral sorter was used to extract 254 bands of plasma images, ranging from 900â nm to 1700â nm. Four different machine learning algorithms were used, including decision tree, Gaussian Naive Bayes (GaussianNB), perceptron, and stochastic gradient descent models. First, the preliminary classification accuracies were compared with the original data, which showed that the effects of the decision tree and GaussianNB models were better; their average accuracies could reach over 90%. Then, the feature dimension reduction was performed on the original data. The results showed that the effects of the decision tree were better with a classification accuracy of 93.33%. the classification of chylous plasma using different chylous indices suggested that the accuracies of the decision trees model both before and after the feature dimension reductions were the best with over 80% accuracy. The results of feature dimension reduction showed that the characteristic bands corresponded to all kinds of plasma, thereby showing their classification and identification potential. By applying the spectral characteristics of plasma to medical technology, this study suggested a rapid and effective method for the identification of chylous plasma and provided a reference for the blood detection technology to achieve the goal of reducing wasting blood resources and improving the work efficiency of the medical staff.
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Algoritmos , Aprendizaje Automático , Humanos , Teorema de Bayes , Redes Neurales de la Computación , Máquina de Vectores de SoporteRESUMEN
Controversy surrounds the role of serum uric acid and whether treatment intervention is favorable in retarding the progression of chronic kidney disease (CKD). The association of serum uric acid levels and CKD patient mortality risk needs to be further determined by large sample cohort studies. The National Health and Nutrition Examination Survey participants with CKD from 1998 to 2017 were enrolled in the study. Multivariable Cox regression models were used to reveal the association of serum uric acid concentrations and CKD mortality risks. A total of 9891 CKD patients were enrolled in the study, and 3698 individuals died during the follow-up. Increasing serum uric acid levels are independently relevant to higher mortality risks of CKD patients (HR per SD increase). A restricted cubic spline curve showed a nonlinear association between serum uric acid and CKD mortality risks (p for nonlinearity = 0.046). CKD patients with higher levels of serum uric acid (≥ 5.900 mg/dL) show a significant increase in mortality risks (HR = 1.102, 95% CI 1.043-1.165). Sensitivity analysis demonstrated that the results were stable and robust. High serum uric acid levels (≥ 5.900 mg/dL) may be associated with increased mortality risks in CKD patients.
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Hiperuricemia , Insuficiencia Renal Crónica , Humanos , Ácido Úrico , Hiperuricemia/complicaciones , Encuestas Nutricionales , MuerteRESUMEN
NLR family pyrin domain containing 2 (NLRP2) is a novel member of the Nod-like receptor (NLR) family. However, our understanding of NLRP2 has long been ambiguous. NLRP2 may have a role in the innate immune response, but its 'specific' functions remain controversial. Although NLRP2 can initiate inflammasome and promote inflammation, it can also downregulate inflammatory signals. Additionally, NLRP2 has been reported to function in the reproductive system and shows high expression in the placenta. However, the exact role of NLRP2 in the reproductive system is unclear. Here, we highlight the most current progress on NLRP2 in inflammasome activation, effector function and regulation of nuclear factor-κB. And we discuss functions of NLRP2 in inflammatory diseases, reproductive disorders and the potential implication of NLRP2 in human diseases.
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Proteínas Adaptadoras Transductoras de Señales , Inflamasomas , Humanos , Inflamasomas/metabolismo , Proteínas Adaptadoras Transductoras de Señales/metabolismo , Proteínas Reguladoras de la Apoptosis/metabolismo , FN-kappa B/metabolismo , Inflamación/metabolismo , Proteína con Dominio Pirina 3 de la Familia NLR/metabolismoRESUMEN
Rheumatoid arthritis (RA) is a self-immune inflammatory disease characterized by joint damage. A series of cytokines are involved in the development of RA. Oncostatin M (OSM) is a pleiotropic cytokine that primarily activates the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathway, the mitogen-activated protein kinase (MAPK) signaling pathway, and other physiological processes such as cell proliferation, inflammatory response, immune response, and hematopoiesis through its receptor complex. In this review, we first describe the characteristics of OSM and its receptor, and the biological functions of OSM signaling. Subsequently, we discuss the possible roles of OSM in the development of RA from clinical and basic research perspectives. Finally, we summarize the progress of clinical studies targeting OSM for the treatment of RA. This review provides researchers with a systematic understanding of the role of OSM signaling in RA, which can guide the development of drugs targeting OSM for the treatment of RA.