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Discontinuation of therapy in inflammatory bowel disease: Current views

World Journal of Clinical Cases 2024年第10期12卷 1718-1727页

作者： Antonio meštrović Marko Kumric Josko Bozic Department of Gastroenterology University Hospital of SplitSplit 21000Croatia Department of Pathophysiology University of Split School of MedicineSplit 21000Croatia

The timely introduction and adjustment of the appropriate drug in accordance with previously well-defined treatment goals is the foundation of the approach in the treatment of inflammatory bowel disease(IBD).The therapeutic approach is still evolving in terms of the mechanism of action but also in terms of the possibility of maintaining *** patients with achieved long-term remission,the question of de-escalation or discontinuation of therapy arises,considering the possible side effects and economic burden of long-term *** each of the drugs used in IBD(5-aminosalycaltes,immunomodulators,biological drugs,small molecules)there is a risk of ***,studies show that more than 50%of patients who discontinue therapy will *** on the findings of large studies and meta-analysis,relapse of disease can be expected in about half of the patients after therapy withdrawal,in case of monotherapy with aminosalicylates,immunomodulators or biological ***,longer relapse-free periods are recorded with withdrawal of medication in patients who had previously been on combination therapies immunomodulators and anti-tumor necrosis *** needs to be stressed that randomised clinical trials regarding withdrawal from medications are still *** making a decision on discontinuation of therapy,it is important to distinguish potential candidates and predictive factors for the possibility of disease *** calprotectin level has currently been identified as the strongest predictive factor for *** other predictive factors have also been identified,such as:High Crohn's disease activity index or Harvey Bradshaw index,younger age(40 years),smoking,young age of disease onset,steroid use 6-12 months before *** important factor in the decision to withdraw medication is the success of re-treatment with the same or other *** decision to discontinue therapy must be based on in

关键词： Inflammatory bowel disease Therapy discontinuation Therapy de-escalation Ulcerative colitis Crohn’s disease

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A review of ethnobotanical studies reveals over 500 medicinal plants in Mindanao,Philippines

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Plant Diversity 2024年第5期46卷 551-564页

作者： Joeime F.meñiza Monica M.Pasco Jemer A.Alimbon Department of Teacher Education UM Tagum CollegeTagum City8100Davao del Norte Philippines

medicinal plants have long been used to treat various diseases in both indigenous and non-indigenous populations of Mindanao,***,we extracted data from ethnobotanical studies to compile a comprehensive list of these medicinal plants and identify how and for what purpose they are most commonly *** identified 530 verified medicinal plant species across 372 genera in 118 *** two most frequently cited species were Euphorbia hirta and Psidium *** most represented family was Fabaceae and the most represented genus was Ficus.A total of 28 medicinal plant species are designated as threatened at the national or global level;of these,11 are endemic to the *** plant preparations most commonly use leaves for oral administration to treat various diseases such as digestive issues,including *** study underscores the need for further ethnobotanical investigations,particularly in areas lacking *** also emphasizes the need for conservation of threatened and endemic medicinal plants to ensure sustainable utilization of this valuable resource.

关键词： Ethnobotany medicinal plants Mindanao Philippines

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Early prediction and prevention of infected pancreatic necrosis

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World Journal of Gastroenterology 2024年第9期30卷 1005-1010页

作者： Cheng Lv Zi-Xiong Zhang Lu ke Department of Critical Care medicine Jinling HospitalAffiliated Hospital of Medical SchoolNanjing UniversityNanjing 210000Jiangsu ProvinceChina Research Institute of Critical Care medicine and Emergency Rescue Nanjing UniversityNanjing 210000Jiangsu ProvinceChina

Approximately 20%-30%of patients with acute necrotizing pancreatitis develop infected pancreatic necrosis(IPN),a highly morbid and potentially lethal *** identification of patients at high risk of IPN may facilitate appropriate preventive measures to improve clinical *** the past two decades,several markers and predictive tools have been proposed and evaluated for this *** biomarkers like C-reactive protein,procalcitonin,lymphocyte count,interleukin-6,and interleukin-8,and newly developed biomarkers like angiopoietin-2 all showed significant association with *** the other hand,scoring systems like the Acute Physiology and Chronic Health Evaluation II and Pancreatitis Activity Scoring System have also been tested,and the results showed that they may provide better *** early prevention of IPN,several new therapies were tested,including early enteral nutrition,anti-biotics,probiotics,immune enhancement,etc.,but the results *** together,several evidence-supported predictive markers and scoring systems are readily available for predicting ***,effective treatments to reduce the incidence of IPN are still lacking apart from early enteral *** this editorial,we summarize evidence concerning early prediction and prevention of IPN,providing insights into future practice and study design.A more homo-geneous patient population with reliable risk-stratification tools may help find effective treatments to reduce the risk of IPN,thereby achieving individualized treatment.

关键词： Acute pancreatitis Infected pancreatic necrosis Biomarker Scoring system Nutrition therapy Selective digestive decontamination Probiotics Antibiotics Immune enhancement therapy

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Peptides: Opening the door

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Molecular Plant 2024年第1期17卷 8-10页

作者： Zongcheng Lin ke Jin Noni Franklin-Tong National key Laboratory for Germplasm Innovation&Utilization of Horticultural Crops College of Horticulture and Forestry SciencesHuazhong Agricultural UniversityWuhan 430070China Hubei Hongshan Laboratory Wuhan 430070China School of Biosciences College of Life and Environmental SciencesUniversity of BirminghamEdgbastonBirmingham B152TTUK

Interspecific isolation is a common mechanism adopted by plants to prevent gene flow between diverged species,thus maintaining species genetic ***,from a plant breeder's perspective,hybridization is desirable,as it can provide a wider range of agriculturally important traits for crop improvement(Tonosaki et al.,2016).Although significant progress has been made in recent years in our understanding of some key factors controlling pollen-pistil interactions within species,we still know virtually nothing about the genetic and molecular basis underlying interspecific incompatibility.

关键词： traits breed nothing

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UAV maneuvering decision-making algorithm based on deep reinforcement learning under the guidance of expert experience

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Journal of Systems Engineering and Electronics 2024年第3期35卷 644-665页

作者： ZHAN Guang ZHANG Kun LI ke PIAO Haiyin School of Electronics and Information Northwestern Polytechnical UniversityXi’an 710072China Science and Technology on Electro-Optic Control Laboratory Luoyang 471009China

Autonomous umanned aerial vehicle(UAV) manipulation is necessary for the defense department to execute tactical missions given by commanders in the future unmanned battlefield. A large amount of research has been devoted to improving the autonomous decision-making ability of UAV in an interactive environment, where finding the optimal maneuvering decisionmaking policy became one of the key issues for enabling the intelligence of UAV. In this paper, we propose a maneuvering decision-making algorithm for autonomous air-delivery based on deep reinforcement learning under the guidance of expert experience. Specifically, we refine the guidance towards area and guidance towards specific point tasks for the air-delivery process based on the traditional air-to-surface fire control ***, we construct the UAV maneuvering decision-making model based on Markov decision processes(MDPs). Specifically, we present a reward shaping method for the guidance towards area and guidance towards specific point tasks using potential-based function and expert-guided advice. The proposed algorithm could accelerate the convergence of the maneuvering decision-making policy and increase the stability of the policy in terms of the output during the later stage of training process. The effectiveness of the proposed maneuvering decision-making policy is illustrated by the curves of training parameters and extensive experimental results for testing the trained policy.

关键词： unmanned aerial vehicle(UAV) maneuvering decision-making autonomous air-delivery deep reinforcement learning reward shaping expert experience

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Influence of Human Activity Intensity on Habitat Quality in Hainan Tropical Rainforest National Park,China

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Chinese Geographical Science 2024年第3期34卷 519-532页

作者： HAN Nianlong YU Miao JIA Peihong ZHANG Yucheng HU ke School of Geography and Tourism Huizhou UniversityHuizhou 516007China School of Public Administration Hainan Uni-versityHaikou 570228China Department of Land Surveying and Geo-Informatics The Hong Kong Polytechnic UniversityHong KongChina School of Geographic Sciences and Remote Sensing Guangzhou UniversityGuangzhou 510006China School of Public Administration Nanjing Agricultural UniversityNanjing 210095China

Due to long-term human activity interference,the Hainan Tropical Rainforest National Park(HTRNP)of China has experienced ecological problems such as habitat fragmentation and biodiversity loss,and with the expanding scope and intensity of human activity impact,the regional ecological security is facing serious challenges.A scientific assessment of the interrelationship between human activity intensity and habitat quality in the HTRNP is a prerequisite for achieving effective management of ecological disturbances caused by human activities and can also provide scientific strategies for the sustainable development of the *** on the land use change data in 2000,2010,and 2020,the spatial and temporal variations and the relationship between habitat quality(HQ)and human activity intensity(HAI)in the HTRNP were explored using the integrated valuation of ecosystem services and trade-offs(InVEST)*** dynamics and land use simulation models were also combined to conduct multi-scenario simulations of their *** results showed that during 2000–2020,the habitat quality of the HTRNP improved,the intensity of human activities decreased each year,and there was a negative correlation between the ***,the system dynamic model could be well coupled with the land use simulation model by combining socio-economic and natural *** simulation scenarios of the coupling model showed that the harmonious development(HD)scenario is effective in curbing the increasing trend of human activity intensity and decreasing trend of habitat quality,with a weaker trade-off between the two compared with the baseline development(BD)and investment priority oriented(IPO)*** maintain the authenticity and integrity of the HTRNP,effective measures such as ecological corridor construction,ecological restoration,and the implementation of ecological compensation policies need to be strengthened.

关键词： human activity intensity(HAI) habitat quality(HQ) bivariate spatial autocorrelation system dynamics model integrated valuation of ecosystem services and trade-offs(InVEST)model Hainan Tropical Rainforest National Park(HTRNP)of China

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Absorption-dominant EMI shielding performance of multiple folded Bi_(2)Se_(3)/PVDF nanocomposite films

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Journal of Materiomics 2024年第1期10卷 27-36页

作者： Xinyi Pu Zunpeng Feng Siyuan Sun ke Bi Yanan Hao State key Laboratory of Information Photonics and Optical Communications School of ScienceBeijing University of Posts and TelecommunicationsBeijing100876China Chinese Academy of Engineering Innovation Strategy Beijing100088China

Absorption-dominant electromagnetic interference(EMI)shielding materials are promising in reducing electromagnetic radiation pollution,but their preparation processes are usually difficult and unsuitable for large-scale *** this work,multiple folded Bi_(2)Se_(3)/PVDF nanocomposite films were fabri-cated by using a convenient tape-casting method and multiple folding,which can be easily extended in industrial *** EMI shielding effectiveness(SE)of the composite materials was investigated,which shows typical absorption-dominant behavior and can substantially reduce secondary ***,for the 35%(in volume)Bi_(2)Se_(3)/PVDF nanocomposite film,the SE_(A)of single-layered film with a thickness of 60 mm reaches 20 dB while SE_(R)is lower than 5 *** folding the film into eight layers,the SE_(A)increased to 50 dB while SE_(R)remains below 5 *** method provides an effective way to the fabrication of absorption-dominant electromagnetic absorption(EMA)and EMI shielding material.

关键词： Electromagnetic interference shielding(EMI) Electromagnetic wave absorption Bismuth selenide Composite

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High-frequency magnetic properties of biphase Ce_(2)Fe_(17)N_(3)/α-Fe microflakes with easy-plane anisotropy

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Journal of Rare Earths 2024年第1期42卷 110-115,I0004页

作者： ke Wang Hang Zhang Yuandong Huang Zhibiao Xu Fashen Li Tao Wang key Laboratory for Magnetism and Magnetic Materials of MOE Lanzhou UniversityLanzhou730000China key Laboratory of Special Function Materials and Structure Design Ministry of EducationLanzhou UniversityLanzhou730000China

Soft magnetic composites(SMCs)are effective as magnetic powder cores in an *** to high saturation magnetization,large magnetocrystalline anisotropy and high operating frequency of M(metal)-RE(rear earth)soft magnetic composites,it is possible to miniaturize inductor cores by reducing total loss,especially eddy current loss and excess loss at high *** this article,the characteristics of Ce_(2)Fe_(17)N_(3)/α-Fe(CFN/F)loss per volume and effective permeability reaching a high frequency of 3 MHz are *** biphase CFN/F composite exhibits a high permeability of 16 at 70 MHz,which is two times greater than that of pure Ce_(2)Fe_(17)N_(3)(CFN)*** total loss is as low as 545 mW/cm^(3)at 3 MHz and 6 *** direct current(DC)-bias properties have a percent of permeability exceeding 65% at H=7960 A/*** phenomenon indicates that our material has a higher working frequency and lower core loss than other materials;the biphase CFN/F structure is a promising and efficient approach for developing the miniaturized radio frequency(RF)inductor core.

关键词： High frequency Soft magnetic composites Easy-plane anisotropy Permeability spectra Core loss Rare earths

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GSW3.1,a novel gene controlling grain size and weight in rice

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The Crop Journal 2024年第3期12卷 796-802页

作者： Yifei Jiang Mingao Zhou Simin ke Xiaoxiao Deng Yangsheng Li State key Laboratory of Hybrid Rice Key Laboratory for Research and Utilization of Heterosis in Indica RiceMinistry of AgricultureCollege of Life SciencesWuhan UniversityWuhan 430072HubeiChina

Grain size and weight are closely related traits determining yield in rice(Oryza sativa L.).Since indica and japonica rice varieties differ significantly in multiple traits,a high-generation recombinant inbred line(RIL)population derived from the crossing LH9(indica)and RPY(japonica)was used to map grainrelated traits in six *** of the quantitative trait loci(QTL)for thousand-grain weight showed that combinations of multiple QTL significantly increased the phenotypic effect.A novel gene named GSW3.1 controlling grain size and weight was discovered using the major QTL for the colocalization of grain width and thousand-grain weight on chromosome *** editing revealed that GSW3.1(LOC_Os03g16850)was pleiotropic,positively regulating grain size and weight while affecting several other agronomic *** analysis indicated that some traits,including grain width and weight,were highly correlated with indica-japonica differentiation.

关键词： Rice Grain size and weight 3.1(GSW3.1) Quantitative trait locus Haplotype analysis

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Bunching enhancement for coherent harmonic generation by using phase merging effects

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Matter and Radiation at Extremes 2024年第5期9卷 10-21页

作者： ke Feng Kangnan Jiang Runshu Hu Shixia Luan Wentao Wang Ruxin Li State key Laboratory of High Field Laser Physics and CAS Center for Excellence in Ultra-intense Laser Science Shanghai Institute of Optics and Fine Mechanics(SIOM)Chinese Academy of Sciences(CAS)ShanghaiPeople’s Republic of China School of Physical Science and Technology ShanghaiTech UniversityShanghaiPeople’s Republic of China Center of Materials Science and Optoelectronics Engineering University of Chinese Academy of SciencesBeijingPeople’s Republic of China

In this paper,promising but simple schemes are investigated to enhance the micro-bunching of relativistic electron beams for coherent harmonic generation(CHG)by using phase merging *** contrast to the standard CHG scheme,two specially designed dispersion sections(DSs)are adopted with the DS-modulator–DS *** phase space of the e beam is appropriately coupled in the first DS,and the electrons within one seed wavelength can merge to the same phase with a matched second ***-bunching of the e beam can thus be enhanced by a large margin with much higher-harmonic *** e beams from laser wakefield accelerators(LWFAs)as an example,start-to-end simulations are performed to show the effectiveness and robustness of the proposed schemes with several *** beam current can be optimized to several tens to hundreds of kiloamperes,and the radiation power reaches hundreds of megawatts in the extreme ultraviolet regime within a 3.5 m-long *** proposed schemes offer new opportunities for future compact free-electron lasers driven by LWFAs and provides prospects for truly compact and widely applicable systems.

关键词： modulator harmonic phase

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