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Left lower lobe sleeve resection for the clear cell variant of pulmonary mucoepidermoid carcinoma:A case report

World Journal of Clinical Cases 2024年第8期12卷 1422-1429页

作者： Xiao-hui Yu Wen-Xiang Wang De-Song Yang liang-hui Gong Department of Pathology Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of MedicineCentral South UniversityChangsha 410031Hunan ProvinceChina The Second Department of Thoracic Surgery Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of MedicineCentral South UniversityChangsha 410031Hunan ProvinceChina

BACKGROUND Pulmonary mucoepidermoid carcinoma(PMEC)is a rare malignancy that arises from minor salivary glands within the tracheobronchial tree.The clear cell variant of PMEC is exceptionally uncommon and presents notable diagnostic challenges,primarily attributable to its morphological similarity to other tumors containing clear cells.CASE SUMMARY A 22-year-old male,formerly in good health,came in with a two-month duration of persistent cough and production of sputum.Subsequent imaging and bronchoscopy examinations revealed a 2 cm tumor in the distal left main bronchus,which resulted in complete atelectasis of the left lung.Further assessment via positron emission tomography/computed tomography scans and endoscopic biopsy confirmed the primary malignant nature of the tumor,charac-terized by clear cell morphology in most of the tumor cells.The patient underwent a left lower lobe sleeve resection accompanied by systematic mediastinal lymph node dissection.Molecular pathology analysis subsequently revealed a CRTC3-MAML2 gene fusion,leading to a definitive pathological diagnosis of the clear cell variant of PMEC,staged as T2N0M0.After surgery,the patient experienced a smooth recovery and exhibited no signs of recurrence during the one-and-a-half-year follow-up period.CONCLUSION This article describes an unusual case of a clear cell variant of PMEC characterized by the presence of a CRTC3-MAML2 gene fusion in a 22-year-old male.The patient underwent successful left lower lobe sleeve resection.This case underscores the distinctive challenges associated with diagnosing and treating this uncommon malignancy,underscoring the importance of precise diagnosis and personalized treatment strategies.

关键词： Pulmonary mucoepidermoid carcinoma Clear cell variant CRTC3-MAML2 gene fusion Sleeve lobectomy Case report

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Statistical QoS Provisioning Architecture for 6G Satellite-Terrestrial Integrated Networks

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Journal of Communications and Information Networks 2024年第1期9卷 34-42页

作者： Jingqing Wang Wenchi Cheng Wei Zhang hui liang School of Telecommunications Engineering Xidian UniversityXi’an 710071China School of Electrical Engineering and Telecommunications the University of New South WalesSydneyAustralia School of Electrical Engineering and Intelligentization Dongguan University of TechnologyDongguan 523808China Peng Cheng Laboratory Shenzhen 518055China.

The emergence of massive ultra-reliable and low latency communications (mURLLC) as a category of age/time/reliability-sensitive service over 6G wireless networks has received considerable research attention, which has presented unprecedented challenges. As one of the key enablers for 6G,satellite-terrestrial integrated networks (STIN) have been developed to offer more expansive connectivity and comprehensive 3D coverage in space-aerial-terrestrial domains for supporting 6G mission-critical mURLLC applications while fulfilling diverse and rigorous quality of service (QoS) requirements. In the context of these mURLLC-driven satellite services, data freshness assumes paramount importance, as outdated data may engender unpredictable or catastrophic outcomes.To effectively measure data freshness in satellite-terrestrial integrated communications,age of information(AoI)has recently surfaced as a new dimension of QoS metric to support time-sensitive applications. It is crucial to design new analytical models that ensure stringent and diverse QoS metrics bounded by different key parameters,including AoI,delay,and reliability,over 6G satellite-terrestrial integrated networks. However,due to the complicated and dynamic nature of satellite-terrestrial integrated network environments, the research on efficiently defining new statistical QoS provisioning schemes while taking into account varying degrees of freedom has still been in their infancy. To remedy these deficiencies, in this paper we develop statistical QoS provisioning schemes over 6G satellite-terrestrial integrated networks in the finite blocklength regime. Particularly, we firstly introduce and review key technologies for supporting mURLLC.Secondly,we formulate a number of novel fundamental statistical-QoS metrics in the finite blocklength regime.Finally,we conduct a set of simulations to validate and evaluate our developed statistical QoS provisioning schemes over satellite-terrestrial integrated networks.

关键词： statistical QoS provisioning mURLLC peak AoI satellite-terrestrial integrated networks QoS exponents hybrid automatic repeat request finite blocklength coding

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Resource Allocation for Space-Air-Ground Integrated Networks:A Comprehensive Review

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Journal of Communications and Information Networks 2024年第1期9卷 1-23页

作者： hui liang Zhiqing Yang Guobin Zhang Hanxu Hou School of Electrical Engineering and Intelligentization Dongguan University of TechnologyDongguan 523808China Peng Cheng Laboratory Shenzhen 518055China School of Electronics and Information Engineering Shenzhen UniversityShenzhen 518061China School of Electrical Engineering and Intelligentization Dongguan University of TechonologyDongguan 523808China School of Information and Communication Engineering Guangzhou Maritime UniversityGuangzhou 510725China

The space-air-ground integrated networks (SAGIN) has emerged as a critical paradigm to address the growing demands for global connectivity and enhanced communication services. This paper gives a thorough review of the strategies and methodologies for resource allocation within SAGIN, focusing on the challenges and solutions within its complex structure. With the advent of technologies such as 6G, the dynamics of resource optimization have become increasingly complex, necessitating innovative approaches for efficient management. We examine the application of mathematical optimization, game theory, artificial intelligence (AI), and dynamic optimization techniques in SAGIN,offering insights into their effectiveness in ensuring optimal resource distribution, minimizing delays, and maximizing network throughput and stability. The survey highlights the significant advances in AI-based methods,particularly deep learning and reinforcement learning, in tackling the inherent challenges of SAGIN resource allocation. Through a critical review of existing literature, this paper categorizes various resource allocation strategies, identifies current research gaps, and discusses potential future directions. Our findings highlight the crucial role of integrated and intelligent resource allocation mechanisms in realizing the full potential of SAGIN for next-generation communication networks.

关键词： space-air-ground integrated networks resource allocation 6G optimization theory game theory artificial intelligence

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Impact of uterine artery embolization on ovarian function and pregnancy outcome after uterine-fibroids treatment:A prospective study

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World Journal of Clinical Cases 2024年第15期12卷 2551-2559页

作者： Jing-Lei Liu Zhi-hui liang Bao Cui Jian-Yu Liu Li Sun Department of Interventional Treatment 980(Bethune International Peace)Hospital of PLA Joint Logistics Support ForcesShijiazhuang 050082Hebei ProvinceChina Department of Obstetrics and Gynecology 980(Bethune International Peace)Hospital of PLA Joint Logistics Support ForcesShijiazhuang 050082Hebei ProvinceChina

Uterine fibroids are benign tumors that originate from smooth muscle cells of the uterus.It is the most common gynecological disorder,affecting up to 80%of women of reproductive age.Uterine fibroids can cause various symptoms such as abnormal uterine bleeding,pelvic pain,infertility,and pregnancy complications.The treatment options for uterine fibroids include medical therapy,surgical intervention,and minimally invasive techniques.AIM To compare ovarian function of women with uterine fibroids who did or did not undergo uterine artery embolization(UAE).METHODS This prospective cohort study enrolled 87 women with symptomatic uterine fibroids who underwent UAE,and 87 women with the same symptoms who did not undergo UAE but received conservative management or other treatments.The two groups were matched for age,body mass index,parity,and baseline characteristics of uterine fibroids.The primary outcome was ovarian function that was evaluated by serum levels of follicle-stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),and anti-Müllerian hormone(AMH),as well as ovarian reserve tests,such as antral follicle count(AFC)and ovarian volume(OV).The secondary outcome was fertility that was evaluated based on the menstrual cycle,ovulation,conception,pregnancy,and delivery.The participants were followed-up for 36 months and assessed at 1,3,6,12,24,and 36 months after treatment.RESULTS The study found that the most common minor complication of UAE was postembolization syndrome in 73.6% of women,resolving within a week.No significant differences were observed between the UAE group and the control group in serum levels of reproductive hormones(FSH,LH,E2,AMH)and ovarian reserve indicators(AFC,OV)at any point up to 36 months post-treatment.Additionally,there were no significant differences in conception,pregnancy,or delivery rates,with the average time to conception and gestational age at delivery being similar between the two groups.Birth weights were also comparable.Finally,there was no significant correlation between

关键词： Uterine fibroids Uterine artery embolization Ovarian function Fertility Pregnancy outcome Embolic agent

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New phenylbutenoids and terpene glycosides from Ginkgo biloba leaves

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Chinese Journal of Natural Medicines 2024年第2期22卷 161-170页

作者： SUN Zeshi LIN Shan WU Zhi-Li DONG Hong-Yuan XU Xi-Ke LI hui-liang WANG Jinxin School of Pharmacy Second Military Medical UniversityShanghai 200433China State Key Laboratory of New Drug and Pharmaceutical Process Shanghai Institute of Pharmaceutical IndustryChina State Institute of Pharmaceutical IndustryShanghai 201203China

Our continued works on the chemical constituents of Ginkgo biloba(G.biloba)leaves has led to the isolation of two novel phenylbutenoids(1,2),along with five previously unidentified terpene glycosides(3−7).Among them,compounds 1 and 2 represent unique(Z)-phenylbutenoids,3−6 are megastigmane glycosides,and 7 is identified as a rare bilobanone glycoside(Fig.1).This study marks the first reported isolation of phenylbutenoid and bilobanone glycoside from G.biloba.The chemical structures of these compounds were elucidated through extensive spectroscopic analysis,including HR-ESI-MS and various 1D and 2D NMR experiments.Furthermore,the absolute configurations of these molecules were determined using Mosher’s method,ECD experiments,and Cu-KαX-ray crystallographic analyses.

关键词： Ginkgo biloba Phenylbutenoid Megastigmane glycoside Bilobanone glycoside

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Analysis of the impact of immunotherapy efficacy and safety in patients with gastric cancer and liver metastasis

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World Journal of Gastrointestinal Surgery 2024年第3期16卷 700-709页

作者： Kai Liu Chun-Xiao Wu hui liang Tao Wang Ji-Yuan Zhang Xiao-Tao Wang Department of Radiation and Oncology Traditional Chinese Hospital of Lu’an affiliated to Anhui University of Traditional Chinese MedicineLu’an 237000Anhui ProvinceChina Department of Gastroenterology Ehu branch of Xishan People’s Hospital of Wuxi CityWuxi 214116Jiangsu ProvinceChina Department of Gastrointestinal Surgery The First Affiliated Hospital of Guangzhou University of Traditional Chinese MedicineGuangzhou 510400Guangdong ProvinceChina Department of Gastrointestinal Surgery Hunan Provincial People’s HospitalChangsha 410002Hunan ProvinceChina Department of Traditional Chinese medicine Ehu branch of Xishan People’s Hospital of Wuxi CityWuxi 214116Jiangsu ProvinceChina

BACKGROUND Gastric cancer(GC)is the fifth most common type of cancer and has the fourth highest death rate among all cancers.There is a lack of studies examining the impact of liver metastases on the effectiveness of immunotherapy in individuals diagnosed with GC.AIM To investigate the influence of liver metastases on the effectiveness and safety of immunotherapy in patients with advanced GC.METHODS This retrospective investigation collected clinical data of patients with advanced stomach cancer who had immunotherapy at our hospital from February 2021 to January 2023.The baseline attributes were compared using either the Chi-square test or the Fisher exact probability method.The chi-square test and Kaplan-Meier survival analysis were employed to assess the therapeutic efficacy and survival duration in GC patients with and without liver metastases.RESULTS The analysis comprised 48 patients diagnosed with advanced GC,who were categorized into two groups:A liver metastasis cohort(n=20)and a non-liver metastatic cohort(n=28).Patients with liver metastasis exhibited a more deteriorated physical condition compared to those without liver metastasis.The objective response rates in the cohort with metastasis and the cohort without metastasis were 15.0%and 35.7%(P>0.05),respectively.Similarly,the disease control rates in these two cohorts were 65.0%and 82.1%(P>0.05),respectively.The median progression-free survival was 5.0 months in one group and 11.2 months in the other group,with a hazard ratio of 0.40 and a significance level(P)less than 0.05.The median overall survival was 12.0 months in one group and 19.0 months in the other group,with a significance level(P)greater than 0.05.CONCLUSION Immunotherapy is less effective in GC patients with liver metastases compared to those without liver metastasis.

关键词： Gastric cancer Spread of cancer to the liver Treatment with immunotherapy Effectiveness of treatment

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CircPTEN-MT from PTEN regulates mitochondrial energy metabolism

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Journal of Genetics and Genomics 2024年第5期51卷 531-542页

作者： Danhui Ruan Jiancheng Xu Yang Liu Juan Luo Xuyang Zhao Yuhua Li Guangxi Wang Jiawen Feng hui liang Yue Yin Jianyuan Luo Yuxin Yin Institute of Systems Biomedicine Department of PathologySchool of Basic Medical SciencesBeijing Key Laboratory of Tumor Systems BiologyPeking University International Cancer InstitutePeking-Tsinghua Center of Life SciencesPeking University Health Science CenterBeijing 100191China Institute of Precision Medicine Peking University Shenzhen HospitalShenzhenGuangdong 518036China Department of Pharmacology School of Basic Medical SciencesPeking University Health Science CenterBeijing 100191China Department of Medical Genetics Center for Medical GeneticsSchool of Basic Medical SciencesPeking University Health Science CenterBeijing 100191China Soochow University Cancer Institute SuzhouJiangsu 215127China

Phosphatase and tensin homolog(PTEN)is a multifunctional gene involved in a variety of physiological and pathological processes.Circular RNAs(circRNAs)are generated from back-splicing events during mRNA processing and participate in cell biological processes through binding to RNAs or proteins.However,PTEN-related circRNAs are largely unknown.Here,we report that circPTEN-mitochondria(MT)(hsa_circ_0002934)is a circular RNA encoded by exons 3,4,and 5 of PTEN and is a critical regulator of mitochondrial energy metabolism.CircPTEN-MT is localized to mitochondria and physically associated with leucine-rich pentatricopeptide repeat-containing protein(LRPPRC),which regulates posttranscriptional gene expression in mitochondria.Knocking down circPTEN-MT reduces the interaction of LRPPRC and steroid receptor RNA activator(SRA)stem-loop interacting RNA binding protein(SLIRP)and inhibits the polyadenylation of mitochondrial mRNA,which decreases the mRNA level of the mitochondrial complex I subunit and reduces mitochondrial membrane potential and adenosine triphosphate production.Our data demonstrate that circPTEN-MT is an important regulator of cellular energy metabolism.This study expands our understanding of the role of PTEN,which produces both linear and circular RNAs with different and independent functions.

关键词： Circular RNA LRPPRC Mitochondrial energy metabolism mtDNApost-transcriptional regulation

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Therapeutic Effect of Rhodopseudomonas palustris-Bioconverted Extract of Lycium barbarum on Rats with Lead Exposure

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Biomedical and Environmental Sciences 2024年第4期37卷 440-444页

作者： YANG Hong SUN Yi CHAI Shu Tong liang Yan hui LIU Ya Ni YANG Guan E School of Pharmacy Shanxi Medical UniversityTaiyuan 030001ShanxiChina

Lead is a ubiquitous pollutant and Pb pollution is a global public health problem.Lead has been reported to induce multiple adverse effects,including reproductive toxicity,neurotoxicity,carcinogenicity,nephrotoxicity,immunotoxicity,and hypertension[1].The traditional medical treatment available for Pb poisoning is chelation,which can save lives in individuals with very high blood Pb levels.The commonly used chelating agents include CaNa2EDTA and meso-2,3-dimercaptosuccinic acid.However,chelation therapy has strong short-term effects on the overall long-term management of Pb exposure.

关键词： converted chelation chelating

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现代高校校园治理共同体构建的伦理向度

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教育理论与实践 2024年第9期44卷 10-14页

作者：梁炳辉广西科技大学马克思主义学院广西柳州545006

高校治理是现代化社会治理体系的重要单元,校园治理是推动高校高质量发展、内涵式提升的关键路径。而建设高校校园治理共同体是优化治理架构、凸显民主公平的现实选择。现代高校校园治理共同体的伦理起源在于校园各类主体的间性,解决哪... 详细信息

高校治理是现代化社会治理体系的重要单元,校园治理是推动高校高质量发展、内涵式提升的关键路径。而建设高校校园治理共同体是优化治理架构、凸显民主公平的现实选择。现代高校校园治理共同体的伦理起源在于校园各类主体的间性,解决哪些主体存在间性的问题催生了伦理差异,解决主体存在何种间性的问题促进了伦理培育,解决主体间性如何缩小的问题实现了伦理共建。公共性则是育人场景中现代高校校园治理共同体的伦理特性,体现在校园空间内的有机共生、教学关系中的平等共存、风险主体上的责任共担、项目进程中的合作共建等方面。文化性则是文明传承中现代高校校园治理共同体的伦理内蕴,包括以礼为内核的治理观、以公为基准的仁爱观、以和为框架的辩证观。实践性则是现代高校校园治理共同体的伦理价值,应当立足公共性强化思想理念,立足积极性丰富治理主体,立足信任性深化治理规则,立足平衡性优化逻辑结构。

关键词：高校校园治理治理共同体公共伦理文化伦理主体间性公共性文化性实践性

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TBC1D1 is an energy-responsive polarization regulator of macrophages via governing ROS production in obesity

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Science China Life Sciences 2024年

作者： Qi Wang Ping Rong Wen Zhang Xinyu Yang liang Chen Ye Cao Minjun Liu Weikuan Feng Qian Ouyang Qiaoli Chen Hailong Li hui liang Fanguo Meng Hongyu Wang Shuai Chen State Key Laboratory of Pharmaceutical Biotechnology Department of Cardiology Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School Model Animal Research CenterSchool of Medicine Nanjing University MOE Key Laboratory of Model Animal for Disease Study Department of Endocrinology Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School Model Animal Research Center School of Medicine Nanjing University College of Life Science Anhui Medical University Redox Medical Center for Public Health Medical College of Soochow University Department of General Surgery First Affiliated Hospital Nanjing Medical University

Energy status is linked to the production of reactive oxygen species（ROS） in macrophages, which is elevated in obesity. However, it is unclear how ROS production is upregulated in macrophages in response to energy overload for mediating the development of obesity. Here,we show that the Rab-GTPase activating protein（RabGAP） TBC1D1, a substrate of the energy sensor AMP-activated protein kinase（AMPK）,is a critical regulator of macrophage ROS production and consequent adipose inflammation for obesity development. TBC1D1 deletion decreases, whereas an energy overload-mimetic non-phosphorylatable TBC1D1S231Amutation increases, ROS production and M1-like polarization in macrophages. Mechanistically, TBC1D1 and its downstream target Rab8a form an energy-responsive complex with NOX2 for ROS generation. Transplantation of TBC1D1S231Abone marrow aggravates diet-induced obesity whereas treatment with an ultra-stable TtSOD for removal of ROS selectively in macrophages alleviates both TBC1D1S231Amutation-and diet-induced obesity. Our findings therefore have implications for drug discovery to combat obesity.

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