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Clinical efficacy and pathological outcomes of transanal endoscopic intersphincteric resection for low rectal cancer

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 933-944页

作者： Zhi-Wen xu Jing-Tao Zhu Hao-Yu Bai xue-jun Yu Qing-Qi Hong jun You Department of Gastrointestinal Oncology Surgery The First Affiliated Hospital of Xiamen UniversitySchool of MedicineXiamen UniversityXiamen 361000Fujian ProvinceChina

BACKGROUND Transanal endoscopic intersphincteric resection(ISR)surgery currently lacks sufficient clinical research and *** To investigate the clinical effectiveness of transanal endoscopic ISR,in order to promote the clinical application and development of this *** This study utilized a retrospective case series *** and pathological data of patients with lower rectal cancer who underwent transanal endoscopic ISR at the First Affiliated Hospital of Xiamen University between May 2018 and May 2023 were *** patients underwent transanal endoscopic ISR as the surgical *** conducted this study to determine the perioperative recovery status,postoperative complications,and pathological specimen charac-teristics of this group of *** This study included 45 eligible patients,with no perioperative *** overall incidence of early complications was 22.22%,with a rate of 4.44%for Clavien-Dindo grade≥III *** patients(4.4%)developed anastomotic leakage after surgery,including one case of grade A and one case of grade *** pathological examination confirmed negative circumferential resection margins and distal resection margins in all *** mean distance between the tumor lower margin and distal resection margin was found to be 2.30±0.62 *** transanal endoscopic ISR procedure consistently yielded high quality pathological *** Transanal endoscopic ISR is safe,feasible,and provides a clear anatomical *** is associated with a low incidence of postoperative complications and favorable pathological outcomes,making it worth further research and application.

关键词： Intersphincteric resection Transanal Rectal cancer Complications Endoscopic

Subarachnoid hemorrhage misdiagnosed as acute coronary syndrome leading to catastrophic neurologic injury: A case report

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World Journal of Clinical Cases 2024年第1期12卷 148-156页

作者： jun-Ming Lin Xiao-jun Yuan Guang Li Xin-Rong Gan Wen-Hua xu Department of Orthopaedic Surgery People's Hospital of Yichun CityYichun 336000Jiangxi ProvinceChina

BACKGROUND Elevated levels of cardiac troponin and abnormal electrocardiogram changes are the primary basis for clinical diagnosis of acute coronary syndrome(ACS).Troponin levels in ACS patients can often be more than 50 times the upper reference *** patients with subarachnoid hemorrhage(SAH)also show electrocardiogram abnormalities,myocardial damage,and elevated cardiac *** ACS patients,patients with SAH only have a slight increase in troponin,and the use of anticoagulants or antiplatelet drugs is *** of the opposite treatment modalities,it is essential for clinicians to distinguish between SAH and *** SUMMARY A 56-year-old female patient was admitted to the emergency department at night with a sudden onset of severe back *** final diagnosis was intraspinal hematoma in the thoracic *** performed an emergency thoracic spinal canal hematoma evacuation procedure with the assistance of a ***,diffuse hematoma formation was found in the T7-T10 spinal canal,and no obvious spinal vascular malformation changes were *** head and spinal magnetic resonance imaging(MRI)showed a small amount of SAH in the skull,no obvious abnormalities in the cervical and thoracic spinal canals,and no abnormal signals in the lumbar spinal ***-dominal aorta computed tomography angiography showed no vascular *** motor system examination showed Medical Research Council Scale grade 1/5 strength in both lower extremities,and the patient experienced decreased sensation below the T12 rib margin and reported a Visual Analog Scale score of *** Extremely elevated troponin levels(more than 50 times the normal range)are not unique to coronary artery *** can also result in extremely high troponin levels,and antiplatelet drugs are contraindicated in such *** MRI can help in the early differential diagnosis,as a misdiagnosis of ACS can lead to catastroph

关键词： Acute coronary syndrome Spontaneous spinal subdural hematoma Misdiagnosis Catastrophic neurological injury Case report

Improved Flexible Triboelectric Nanogenerator Based on Tile-Nanostructure for Wireless Human Health Monitor

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Energy & Environmental Materials 2024年第4期7卷 386-395页

作者： Huamin Chen Shujun Guo Shaochun Zhang Yu Xiao Wei Yang Zhaoyang Sun xu Cai Run Fang Huining Wang Yun xu jun Wang Zhou Li Fujian Key Laboratory of Functional Marine Sensing Materials Minjiang University Beijing Institute of Nanoenergy and Nanosystems Chinese Academy of Sciences Institute of Semiconductors Chinese Academy of Sciences Beijing Key Laboratory of Inorganic Stretchable and Flexible Information Technology Faculty of Science and Engineering The University of Nottingham Ningbo China

Triboelectric nanogenerators (TENCs) have emerged as promising candidates for integrating with flexible electronics as self-powered systems owing to their intrinsic flexibility,biocompatibility,and *** this study,an improved flexible TENC with a tile-nanostructured MXene/polymethyl methacrylate (PMMA) composite electrode (MP-TENC) is proposed for use in wireless human health monitor.

关键词： flexible electrode MXene tile nanostructure triboelectric nanogenerator wireless monitor

A hybrid WUDT-NAFnet for simultaneous source data deblending

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Petroleum Science 2024年第3期21卷 1649-1659页

作者： Chao-Fan Ke Shao-Huan Zu jun-Xing Cao xu-Dong Jiang Chao Li Xing-Ye Liu Key Laboratory of Earth Exploration and Information Technology of Ministry of Education Chengdu University of Technology State Key Laboratory of Oil and Gas Reservoir Geology and Exploitation Chengdu University of Technology College of Geophysics Chengdu University of Technology

Simultaneous source technology,which reduces seismic survey time and improves the quality of seismic data by firing more than one source with a narrow time interval,is compromised by the massive blended ***,deblending algorithms have been developed to separate this ***,deep learning(DL)has been proved its great potential in suppressing the *** most popular DL method employs neural network as a filter to attenuate the blended noise in an iterative estimation and subtraction framework(IESF).However,there are still amplitude distortion and blended noise residual problems,especially when dealing with weak signal submerged in strong *** address these problems,we propose a hybrid WUDT-NAFnet,which contains two *** first network is a wavelet based U-shape deblending transformer network(WUDTnet),incorporated into IESF as a robust regularization term to iteratively separate the blended *** second network is a nonlinear activate free network(NAFnet)designed to recover the event amplitude and further suppress the weak noise residual in *** the hybrid network,the blended noise can be separated purposefully and *** using synthetic and field seismic data demonstrate that the WUDTNAFnet outperforms traditional curvelet transform(CT)based method and the deblending transformer(DT)model in terms of ***,for field applications,the data augmentation method of bicubic interpolation is applied to mitigate the feature difference between synthetic and field ***,the trained network exhibits strong signal preservation ability in numerical field example without requiring additional training.

关键词： Simultaneous-source Deblending Deep learning Transformer

维普期刊数据库

Bio-inspired surface manipulation of halloysite nanotubes for highperformance flame retardant polylactic acid nanocomposites

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Nano Research 2024年第3期17卷 1595-1606页

作者： Yaru Sun Bin Yu Yan Liu junbo Yan Zixi xu Bo Cheng Fenglei Huang jun Wang State Key Laboratory of Explosion Science and Technology Beijing Institute of TechnologyBeijing 100081China State Key Laboratory of Fire Science University of Science and Technology of ChinaHefei 230026China Beijing Institute of Technology Chongqing Innovation Center Chongqing 401120China National Engineering Research Center of Flame Retardant Materials Beijing Institute of TechnologyBeijing 100081China

High-performance flame-retardant polylactic acid(PLA)bio-composites based on biobased fillers to meet usage requirements represents a promising direction for creating a sustainable *** flame retardant PLA composites have been reported extensively,it still remains a huge challenge to develop mechanically *** flame retardant PLA composites due to plastication effect of organic flame retardants and poor compatibility of organic fillers with the matrix lead to the severe deterioration in mechanical *** this work,a bio-inspired surface manipulation strategy for halloysite nanotubes(HNTs)was proposed via a facile and green self-assembly *** structure and morphology of bio-inspired HNTs(b-HNTs)proved that biomass nanofillers(PA-NA-Fe)grew well both within the lumen and on the surface of *** growth of biomass on the inner and outer surfaces of HNTs was inspired from wooden towards enhancing the interface compatibility and imparting multi-properties to PLA *** mechanical properties(tensile,thermomechanical and anti-impact mechanical),great fire safety(heat release and smoke emission),thermostability and improved electromagnetic interference shielding effectiveness of this well-designed PLA nanocomposite were *** mechanisms of the enhanced performances of the PLA bio-composites by loading b-HNTs were *** work presents a facile and environmentally-friendly bio-inspired modification strategy for HNTs to fabricate high-performance,multi-functional polymer composites,which is also suitable for surface modification of many other nanomaterials,including nanofibers,nanotubes,nanowires,and nanosheets.

关键词： mechanical properties thermostability fire safety electromagnetic interference shielding biomass

M^(6)A modification in cardiovascular disease:With a focus on programmed cell death

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Genes & Diseases 2024年第5期11卷 272-284页

作者： Wen Li Yao Liu Ruiyan xu Yuan Zong Lu He jun Hu Guohua Li Institute of Cardiovascular Disease Key Laboratory for Arteriosclerology of Hunan ProvinceHunan International Scientific and Technological Cooperation Base of Arteriosclerotic DiseaseDepartment of PathophysiologyMOE Key Lab of Rare Pediatric DiseasesHengyang Medical SchoolUniversity of South ChinaHengyangHunan 421001China Department of Cardiovascular Medicine The Second Affiliated HospitalHengyang Medical SchoolUniversity of South ChinaHengyangHunan 421001China Department of Obstetrics and Gynecology The First Affiliated HospitalHengyang Medical SchoolUniversity of South ChinaHengyangHunan 421001China Department of Cardiovascular Surgery The Second Affiliated HospitalHengyang Medical SchoolUniversity of South ChinaHengyangHunan 421001China

N^(6)-methyladenosine(m^(6)A)methylation is one of the most predominant internal RNA modifications in eukaryotes and has become a hot spot in the field of epigenetics in recent *** diseases(CVDs)are a leading cause of death *** evidence demonstrates that RNA modifications,such as the m^(6)A modification,are associated with the development and progression of many diseases,including *** increasing body of studies has indicated that programmed cell death(PCD)plays a vital role in ***,the molecular mechanisms underlying m^(6)A modification and PCD in CVDs remain poorly ***,elaborating on the highly complex connections between the m^(6)A mechanisms and different PCD signaling pathways and clarifying the exact molecular mechanism of m^(6)A modification mediating PCD have significant meaning in developing new strategies for the prevention and therapy of *** is great potential for clinical application.

关键词： Apoptosis Autophagy Cardiovascular diseases Ferroptosis N^(6)-methyladenosine Programmed cell death Pyroptosis

Properties and microstructure of copper–titanium alloys with magnesium additions

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Rare Metals 2024年第5期43卷 2290-2299页

作者： Lue Huang Li-jun Peng Jiang Li xu-jun Mi Gang Zhao Guo-Jie Huang Hao-Feng Xie Yi-Cheng Cao Wen-Jing Zhang Zhen Yang State Key Laboratory of Nonferrous Metals and Processes GRINM Group Co.Ltd.Beijing 100088China GRIMAT Engineering Institute Co. LtdBejing 101407China School of Materials Science and Engineering Northeastern UniversityShenyang110000China General Research Institute for Nonferrous Metals Beijing 100088China China Academy of Space Technology Beijing 100094China China Nonferrous Metals Mining Group(Tianjin)Co.Ltd Tianjin 3001llChina

The volume fractions and morphology of precipitates in precipitation-strengthened Cu-Ti alloys,which precipitate mainly as continuous and discontinuous precipitates,are important for the application of the *** study employed hardness and electrical conductivity tests transmission electron microscopy(TEM),atom probe tomography(APT),and first-principles calculations to demonstrate that the addition of Mg is effective for accelerating nanosized continuousβ'-Cu_(4)Ti precipitation as well as for suppressing the precipitation of coarse lamellar discontinuousβ-Cu_(4)Ti precipitates along the grain boundaries,resulting in Cu-Ti alloys with high yield strength and good electrical *** results showed that the continuous precipitation ofβ'-Cu_(4)Ti was accelerated by the Mg additions,which reduced the supersaturation of the matrix,thereby reducing the chemical driving force for the discontinuous *** the other hand,Mg additions increased the mismatch between the discontinuousβ-Cu_(4)Ti precipitates and matrix decreased the nucleation rate of the discontinuous precipitates,and increased the spacing of the discontinuous precipitation layer,resulting in a lower growth rate of the discontinuous ***,the addition of Mg to Cu-Ti alloys enhances the strength and improves the resistance to over-ageing.

关键词： Cu-Ti-Mg alloy Precipitation hardening Discontinuous precipitation Continuous precipitation Microstructure formation mechanism

维普期刊数据库

Monitoring Xylem Transport in the Stem of Lilium lancifolium Using Fluorescent Dye 5(6)-Carboxyfluorescein Diacetate

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Phyton-International Journal of Experimental Botany 2024年第5期93卷 1057-1066页

作者： Yulin Luo Panpan Yang Mengmeng Bi Leifeng xu Fang Du jun Ming College of Horticulture Shanxi Agricultural UniversityJinzhong030801China State Key Laboratory of Vegetable Biobreeding Institute of Vegetables and FlowersChinese Academy of Agricultural SciencesBeijing100081China College of Urban and Rural Construction Shanxi Agricultural UniversityJinzhong030801China

The xylem undergoes physiological changes in response to various environmental conditions during the process of plant *** understand these physiological changes,it is extremely important to observe the transport of *** this study,the distribution and structure of vascular bundle in Lilium lancifolium were observed using the method of semithin *** for introducing a fluorescent tracer into the xylem of the stems were ***,the transport rule of 5(6)-Carboxyfluorescein diacetate(CFDA)in the xylem of the stem of *** was studied by fluorescence dye in live cells tracer *** results showed that the vascular bundles of *** were scattered in the basic tissue,the peripheral vascular bundles were smaller and densely distributed,and the closer to the center,the larger the volume of vascular bundles and the more sparsely *** vascular bundles of *** are limited external tenacity vascular bundles,which are composed of phloem and *** most suitable method for CFDA labeling the xylem of isolated stem segments of *** was solution soaking for 24 *** running speed of CF in the isolated stem was 0.3 cm/h,which was consistent with the running speed of the material in the *** could be transported between the xylem and parenchyma cells,indicating that the material transport in the xylem could be through the symplastic *** above results laid a foundation for the study of the xylem transport mechanism and the xylem pathogen disease of lily.

关键词： Lilium xylem transport stem fluorescent dye CFDA

Exploring the Applications of Digital Twin Technology in Enhancing Sustainability in Civil Engineering:A Review

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Structural Durability & Health Monitoring 2024年第5期18卷 577-598页

作者： Jiamin Huang Ping Wu Wangxin Li jun Zhang Yidong xu School of Civil Engineering Chongqing Jiaotong UniversityChongqing400074China School of Civil Engineering and Architecture NingboTech UniversityNingbo315100China School of Civil Engineering Lanzhou University of TechnologyLanzhou730050China

With the advent of the big data era and the rise of Industrial Revolution 4.0,digital twins(DTs)have gained sig-niﬁcant attention in various *** offer the opportunity to combine the physical and digital worlds and aid the digital transformation of the civil engineering *** this paper,605 documents obtained from the search wereﬁrst analysed using CiteSpace for literature visualisation,and an author co-occurrence network,a keyword co-occurrence network,and a keyword clustering set were ***,through a literature review of 86 papers,this paper summarises the current status of DT application in civil engineering based on a review of the origins,concepts,and implementation techniques of DTs,and it introduces the application of DTs in the full project *** study shows that DTs have great potential to address many of the challenges faced by civil *** this regard,the paper also presents some thoughts on the future directions of DT research.

关键词： Digital twins civil engineering full lifecycle literature visualisation analysis