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Endoscopic-ultrasound-guided biliary drainage with placement of electrocautery-enhanced lumen-apposing metal stent for palliation of malignant biliary obstruction:Updated meta-analysis

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World Journal of Gastrointestinal Surgery 2024年第3期16卷 907-920页

作者： Zu-xiang Peng Fang-Fang Chen Wen Tang Xu Zeng Hong-Juan Du ru-xian pi Hong-Ming Liu Xiao-Xiao Lu Department of Hepatobiliary Surgery Daping HospitalArmy Medical UniversityChongqing 400042China Department of Oncology Chongqing General HospitalChongqing UniversityChongqing 401147China Department of Gastroenterology and Hepatobiliary Surgery People’s Hospital of Fenggang CountyGuizhou 564200Guizhou ProvinceChina Hepatobiliary and Pancreatic Tumor Center Chongqing University Cancer HospitalChongqing 400030China

BACKGROUND Endoscopic ultrasound-guided biliary drainage using electrocautery-enhanced(ECE)delivery of lumen-apposing metal stent(LAMS)is gradually being re-cognized as a viable palliative technique for malignant biliary obstruction after endoscopic retrograde cholangiopancreatography(ERCP)***,most of the studies that have assessed its efficacy and safety were small and *** meta-analyses of six or fewer studies that were published 2 years ago were therefore underpowered to yield convincing *** To update the efficacy and safety of ECE-LAMS for treatment of biliary ob-struction after ERCP *** We searched PubMed,EMBASE,and Scopus databases from the inception of the ECE technique to May 13,*** outcome measure was pooled technical success rate,and secondary outcomes were pooled rates of clinical success,re-intervention,and adverse ***-analysis was performed using a random-effects model following Freeman-Tukey double-arcsine transformation in R soft-ware(version 4.1.3).RESULTS Fourteen eligible studies involving 620 participants were ultimately *** pooled rate of technical success was 96.7%,and clinical success was 91.0%.Adverse events were reported in 17.5%of *** reinter-vention rate was 7.3%.Subgroup analyses showed results were generally *** ECE-LAMS has favorable success with acceptable adverse events in relieving biliary obstruction when ERCP is *** consistency of results across most subgroups suggested that this is a generalizable approach.

关键词： Biliary obstruction Biliary drainage Electrocautery-enhanced lumen-apposing metal stents Endoscopic ultrasound Endoscopic retrograde cholangiopancreatography failure

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A compact X-band backward traveling-wave accelerating structure

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Nuclear Science and Techniques 2024年第5期35卷 13-29页

作者： xian-Cai Lin Hao Zha Jia-ru Shi Qiang Gao Fang-Jun Hu Qing-Zhu Li Huai-Bi Chen Department of Engineering Physics Tsinghua UniversityBeijing 100084China Key Laboratory of Particle and Radiation Imaging(Tsinghua University) Ministry of EducationBeijing 100084China

Very high-energy electrons(VHEEs)are potential candidates for FLASH radiotherapy for deep-seated *** proposed a compact VHEE facility based on an X-band high-gradient high-power *** this study,we investigated and realized the first X-band backward traveling-wave(BTW)accelerating structure as the buncher for a VHEE facility.A method for calculating the parameters of single cell from the field distribution was introduced to simplify the design of the BTW ***-domain circuit equations were applied to calculate the transient beam parameters of the buncher in the unsteady state.A prototype of the BTW structure with a thermionic cathode-diode electron gun was designed,fabricated,and tested at high power at the Tsinghua X-band high-power test *** structure successfully operated with 5-MW microwave pulses from the pulse compressor and outputted electron bunches with an energy of 8 MeV and a pulsed current of 108 mA.

关键词： Backward traveling-wave accelerating structure Equivalent circuit model High-power test Very high-energy electron radiotherapy

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Evaluation of the injection and plugging ability of a novel epoxy resin in cement cracks

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Petroleum Science 2024年第2期21卷 1211-1220页

作者： Guang-Yao Leng Wei Yan Hai-Mu Ye Er-Dong Yao Ji-Bin Duan Zheng-xian Xu Ke-Pei Li Jing-ru Zhang Zhong Li State Key Laboratory of Petroleum Resource&Prospecting China University of Petroleum(Beijing)Beijing102249China CNPC Liaohe Oilfield Gas Storage Co.LTD Panjin124000LiaoningChina CNOOC Research Institute Co. Ltd.Beijing100028China

Sustained casing pressure(SCP)is a crucial issue in the oil and gas production *** resins,exhibiting exceptional compressive strength,ductility,and shear bonding strength,have the potential to form reliable *** injectivity and sealing capacity of the epoxy resin is crucial parameters for the success of shallow remediation *** study aimed to develop and assess a novel solid-free resin sealant as an alternative to Portland cement for mitigating fluid *** investigation evaluated the viscosity,compressive strength,and brittleness index of the epoxy resin sealant,as well as its tangential and normal shear strengths in conjunction with casing *** flow characteristics and sealing abilities of conventional cement and epoxy resin were comparatively analyzed in *** results showed that the application of a viscosity reducer facilitated control over the curing time of the epoxy resin,ranging from 1.5 to 6 h,and reduced the initial viscosity from 865.53 to 118.71 m Pa,*** mechanical properties of the epoxy resin initially increased with a rise in curing agent content before experiencing a minor *** epoxy resin containing 30%curing agent exhibited optimal mechanical *** a 14-day curing period,the epoxy resin's compressive strength reached81.37 MPa,2.12 times higher than that of cement,whereas the elastic modulus of cement was 2.99 times greater than that of the epoxy *** brittleness index of epoxy resin is only 3.42,demonstrating high flexibility and *** tangential and normal shear strengths of the epoxy resin exceeded those of cement by 3.17 and 2.82 times,*** a 0.5 mm-wide crack,the injection pressure of the epoxy resin remained below 0.075 MPa,indicating superior injection and flow ***,the injection pressure of cement surged dramatically to 2.61 MPa within 5 *** breakthrough pressure of0.5 PV epoxy resin reached 7.53 MPa,decreasing the crack's perme

关键词： Sustained casing pressure Epoxy resin sealant Curing agent Viscosity reducer Mechanical properties Crack sealing

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Polysaccharide of Alocasia cucullata Exerts Antitumor Effect by Regulating Bcl-2, Caspase-3 and ERK1/2 Expressions during Long-Time Administration

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Chinese Journal of Integrative Medicine 2024年第1期30卷 52-61页

作者： ZHOU Qi-chun XIAO Shi-lin LIN ru-kun LI Chan CHEN Zhi-jie CHEN Yi-fei LUO Chao-hua MO Zhi-xian LIN Ying-bo School of Traditional Chinese Medicine Southern Medical UniversityGuangzhou(510515)China Clinical and Basic Research Team of TCM Prevention and Treatment of Non-Small Cell Lung Cancer the Second Clinical College of Guangzhou University of Chinese MedicineGuangzhou(510120)China Department of Chinese Medicine Zhujiang Hospital Affiliated to Southern Medical UniversityGuangzhou(510282)China Department of Pharmacy Jiangmen Central HospitalJiangmen(529000)China

Objective: To study the in vitro and in vivo antitumor effects of the polysaccharide of Alocasia cucullata(PAC) and the underlying mechanism. Methods: B16F10 and 4T1 cells were cultured with PAC of 40 μg/m L, and PAC was withdrawn after 40 days of administration. The cell viability was detected by cell counting kit-8. The expression of Bcl-2 and Caspase-3 proteins were detected by Western blot and the expressions of ERK1/2 mRNA were detected by quantitative real-time polymerase chain reaction(qRT-PCR). A mouse melanoma model was established to study the effect of PAC during long-time administration. Mice were divided into 3 treatment groups: control group treated with normal saline, positive control group(LNT group) treated with lentinan at 100 mg/(kg·d), and PAC group treated with PAC at 120 mg/(kg·d). The pathological changes of tumor tissues were observed by hematoxylin-eosin staining. The cell apoptosis of tumor tissues was detected by TUNEL staining. Bcl-2 and Caspase-3 protein expressions were detected by immunohistochemistry, and the expressions of ERK1/2, JNK1 and p38 mRNA were detected by qRT-PCR. Results: In vitro, no strong inhibitory effects of PAC were found in various tumor cells after 48 or 72 h of administration. Interestingly however, after 40 days of cultivation under PAC, an inhibitory effect on B16F10 cells was found. Correspondingly, the long-time administration of PAC led to downregulation of Bcl-2 protein(P rug withdrawal, and similar results were also observed in 4T1 cells. Conclusions: Long-time administration of PAC can significantly inhibit viability and promote apoptosis of tumor cells, and had obvious antitumor effect in tumor-bearing mice.

关键词： polysaccharide of Alocasia cucullata tumor cells Bcl-2 Caspase-3 ERK1/2 Chinese medicine

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Screening and immune infiltration analysis of ferroptosis-related genes in pancreatic cancer with predictions for traditional Chinese medicine treatments

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Natural Therapy Advances 2024年第3期7卷 1-13页

作者： Meng-ru Yang Ying Zhang Jing-Bai Li Xin-ru Shen Zi-Yue pi Zhi-Dong Liu School of Chinese Materia Medica Tianjin University of Traditional Chinese MedicineTianjin 301617China State Key Laboratory of Component-based Chinese Medicine Tianjin University of Traditional Chinese MedicineTianjin 301617China Engineering Research Center of Modern Chinese Medicine Discovery and Preparation Technique Tianjin University of Traditional Chinese MedicineTianjin 301617China

Background:This study aims to explore the involvement of ferroptosis-related genes and pathogenesis in pancreatic cancer and predict potential therapeutic interventions using Traditional Chinese Medicine(TCM).Methods:We utilized gene expression datasets,ferroptosis upregulated genes and applied machine learning algorithms,including LASSO and SVM-RFE,to identify key ferroptosis-related genes in pancreatic *** Gene Ontology,Kyoto Encyclopedia of Genes and Genomes,and Disease Ontology enrichment analysis,immune infiltration analysis and correlation analysis between immune infiltrating cells and characteristic genes on differentially expressed genes using the R software *** potential traditional Chinese medicine for targeted ferroptosis gene therapy for pancreatic cancer through Coremine and Herb ***:Seventeen feature genes were identified,with significant implications for immune cell infiltration in pancreatic *** results of immune cell infiltration analysis showed that B cells naive,B cells memory,T cells regulatory,and M0 macrophages were significantly upregulated in pancreatic cancer patients;Mast cells resting were significantly *** herbal medicines such as ginkgo,turmeric,ginseng,Codonopsis pilosula,Zedoary turmeric,deer tendons,senna leaves,Guanmu Tong,Huangqi,and Banzhilian are potential drugs for targeted ferroptosis gene therapy for pancreatic ***:TIMP1 emerged as a key gene,with several TCM herbs predicted to modulate its expression,offering new avenues for treatment.

关键词： pancreatic cancer ferroptosis immune infiltration bioinformatics traditional Chinese medicine prediction

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Visible-light-promoted tandem decarboxylation coupling/cyclization of N-aryl glycines with quinoxalinones: Easy access to tetrahydroimidazo [1,5-a]quinoxalin-4(5H)-ones

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Green Synthesis and Catalysis 2024年第1期5卷 31-34页

作者： Zhen Tang Chao pi Yangjie Wu Xiuling Cui Henan Key Laboratory of Chemical Biology and Organic Chemistry Key Laboratory of Applied Chemistry of Henan UniversitiesGreen Catalysis CenterCollege of ChemistryZhengzhou UniversityZhengzhou450052China

A visible-light-promoted formal[2+2+1]cyclization of N-aryl glycines with quinoxalin-2(1H)-ones to synthesize tetrahydroimidazo[1,5-a]quinoxalin-4(5H)-ones have been *** protocol features operational simplicity,mild reaction conditions with blue LED light employing ru(bpy)3Cl2.6H2O as a photoredox catalyst,a combination of O2 from air and Cu(OAc)2 as the oxidant and broad substrate applicability.

关键词： Cyclization Decarboxylation Visible-light-promoted Quinoxalin-2(1H)-ones Mild conditions

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初中生学业成绩分化及干预的心理机制研究

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教学与管理 2024年第7期 31-35页

作者：郑先如龙岩学院师范教育学院福建龙岩364000

初中生学业成绩分化既是一种普遍现象,也是一种必然现象。造成学业成绩分化的原因是复杂的,心理机制联结各种原因综合地影响着学业成绩及其分化。初中生的学习动机与学习能力的交互作用是最基本的学习心理机制,初中生的成就动机与迁移... 详细信息

初中生学业成绩分化既是一种普遍现象,也是一种必然现象。造成学业成绩分化的原因是复杂的,心理机制联结各种原因综合地影响着学业成绩及其分化。初中生的学习动机与学习能力的交互作用是最基本的学习心理机制,初中生的成就动机与迁移能力的合约作用是最内在的学习心理机制,初中生的学业自我概念是联结基本机制和内在机制的一统心理机制。干预学业成绩的分化可先从改变学生的学业自我概念着手,进而激活其成就动机与迁移能力的合约力,再继而扩大至学习动机与学习能力的交互力,最终形成学习动机与学习能力的各种因子相互激荡的一体心理机制活力。

关键词：初中生学业成绩分化心理机制

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Study on the efficacy of early treatment with pirfenidone on the lung function of patients with idiopathic pulmonary fibrosis

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World Journal of Clinical Cases 2024年第22期12卷 4913-4923页

作者： Ying Lei Jian-Hui Sheng Xu-ru Jin xian-Bing Liu Xiao-Yan Zheng Xiao-Hua Xu Department of Pulmonary and Critical Care Medicine The Quzhou Affiliate Hospital of Wenzhou Medical UniversityQuzhou 324000Zhejiang ProvinceChina Department of Clinical Laboratory The Quzhou Affiliate Hospital of Wenzhou Medical UniversityQuzhou 324000Zhejiang ProvinceChina

BACKGROUND Idiopathic pulmonary fibrosis(IPF)is classified under fibrotic interstitial pneumonia,characterized by a chronic and progressive *** predominant clinical features of IPF include dyspnea and pulmonary *** To assess the effects of pirfenidone in the early treatment of IPF on lung function in *** A retrospective analysis was performed on 113 patients with IPF who were treated in our hospital from November 2017 to January *** patients were divided into two groups:control group(n=53)and observation group(n=60).In the control group,patients received routine therapy in combination with methylprednisolone tablets,while those in the observation group received routine therapy together with *** applying these distinct treatment approaches to the two groups,we assessed several parameters,including the overall effectiveness of clinical therapy,the occurrence of adverse reactions(e.g.,nausea,vomiting,and anorexia),symptom severity scores,pulmonary function index levels,inflammatory marker levels,and the 6-min walk distance before and after treatment in both *** The observation group exhibited significantly higher rates than the control group after therapy,with a clear distinction(P<0.05).After treatment,the observation group experienced significantly fewer adverse reactions than the control group,with a noticeable difference(P<0.05).When analyzing the symptom severity scores between the two groups of patients after treatment,the observation group had significantly lower scores than the control group,with a distinct difference(P<0.05).When comparing the pulmonary function index levels between the two groups of patients after therapy,the observation group displayed significantly higher levels than the control group,with a noticeable difference(P<0.05).Evaluating the inflammatory marker data(C-reactive protein,interleukin-2[IL-2],and IL-8)between the two groups of patients after therapy,the observation group

关键词： pirfenidone Early intervention Idiopathic pulmonary fibrosis Pulmonary function Effect evaluation

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星斗山天然次生林优势种的生态位和种间联结动态

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林业科学研究 2024年第1期37卷 171-182页

作者：何江徐来仙艾训儒中国林业科学研究院林业科技信息研究所北京100091 湖北民族大学林学园艺学院湖北恩施445000 广西大学林学院广西南宁530004

[目的]常绿落叶阔叶混交林是我国特有的天然林类型,作为亚热带山地的主要植被类型。探讨典型亚热带常绿落叶阔叶混交林优势种的生态位和种间联结动态变化,阐明短期群落发展中优势种的适应能力、种间关系和变化规律,为亚热带地区生物资... 详细信息

[目的]常绿落叶阔叶混交林是我国特有的天然林类型,作为亚热带山地的主要植被类型。探讨典型亚热带常绿落叶阔叶混交林优势种的生态位和种间联结动态变化,阐明短期群落发展中优势种的适应能力、种间关系和变化规律,为亚热带地区生物资源保护、恢复和森林管理提供理论依据。[方法]本研究以湖北星斗山国家级自然保护区天然次生林为研究对象,结合2013年和2018年的两次固定样地(48个)调查监测数据,对比分析重要值排名前10名的优势种(重要值大于2%)的生态位宽度、生态位重叠指数、方差比率法、χ^(2)检验、联结系数、Jaccard指数和Spearman秩相关系数的动态变化。[结果](1)2013年和2018年物种组成变化较小,物种株数、科属种数减少;重要值排名前10名的优势种仅1名物种发生变动。(2)两次调查结果的生态位重叠指数均以0.2~0.5之间为主,种对数随群落发展而增加,大部分物种对生境需求具有一定相似性、互补性。随着群落发展,多数优势种的生态位重叠程度逐渐降低、生态位宽度逐渐变窄、利用资源能力逐渐减弱。(3)5年间,重要值排序与生态位宽度排序并不完全相同,群落资源未被完全充分利用。水榆花楸和翅柃一直占据优势地位,与其他优势种的生态位重叠指数呈现稳定或增加趋势。(4)两次调查中优势种的总体联结性均为显著正关联,χ^(2)检验、联结系数、Jaccard指数和Spearman秩相关系数的结果基本一致:正关联种对数大于负关联种对数,极显著或显著正关联种对数比极显著或显著负关联种对数多,不显著关联种对数也占有重要比例。随着群落发展,总体联结性的显著正关联逐渐增强,正相关对数和正负比值逐渐增加,负相关对数逐渐减少。[结论]湖北星斗山国家级自然保护区天然次生林处于自然演替的早期至中期阶段,种间联结松散、不紧密,水榆花楸和翅柃竞争力强,长蕊杜鹃、多脉青冈和包果柯常绿树种对环境资源利用能力不断提高。

关键词：常绿落叶阔叶混交林星斗山国家级自然保护区鄂西南重要值生态位种间联结性次生林动态

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重金属污染水体背景下的底质反射率光谱特征及其对离水反射率贡献影响分析

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光谱学与光谱分析 2024年第1期44卷 111-117页

作者：梁业恒邓孺孺梁钰婕刘永明吴仪袁宇恒艾先俊中山大学地理科学与规划学院广东厂州510006 广东省水环境遥感监测工程技术研究中心广东广州510006 中国科学院南海海洋研究所热带海洋环境国家重点实验室广东广州510301 香港中文大学地理与资源管理系中国香港990775 北京师范大学地理科学学部北京100875 广州市城市规划勘测设计研究院花都分院广东广州510060

水体重金属遥感反演是水环境遥感领域中的难题,目前仍有相当多的基础性问题有待解决,而浅水区底质对离水反射率贡献规律是将来遥感反演模型精度其中一个重要影响因素,尤其在重金属污染这种特殊的背景下,揭示其贡献规律对提升水体重金属... 详细信息

水体重金属遥感反演是水环境遥感领域中的难题,目前仍有相当多的基础性问题有待解决,而浅水区底质对离水反射率贡献规律是将来遥感反演模型精度其中一个重要影响因素,尤其在重金属污染这种特殊的背景下,揭示其贡献规律对提升水体重金属遥感模型精度有重要作用,测量结果对研究重金属尾矿底泥的反射率光谱特征以及区分常见水底底质有参考意义。首先利用光谱仪测量获得广东大宝山尾矿底质反射率,发现其在波长755、 1 280、 1 620和2 200 nm存在反射峰,有明显光谱特征,并与河床常见的粗沙、淤泥和石头三类底质反射率进行了对比分析,结果表明:一方面,粗沙和淤泥反射率呈一缓慢上升的曲线,与存在多个特征反射峰的矿区底泥有明显区别;另一方面,石头反射率则在波长范围550~650 nm出现一个宽而扁平的反射峰后随即在波长675 nm处出现波谷然后增大至波长750 nm后趋于平缓,其特征波长与矿区底泥均不一样。上述特征波长可作为重金属污染背景下底泥光谱的重要区分波段。测量水深为1 cm、 10 cm和深水区的离水反射率,结合水质遥感模型计算出1 cm水深情况下底质反射光、水体散射光,并将其对离水反射率贡献进行讨论。离水反射率测量结果表明,底质对浅水区影响极大,随着水深变浅,离水反射率总体不断被抬升。而水底反射光和水体散射光对离水反射率贡献规律则以波长515 nm为分界线,向短波方向以水体散射光贡献为主,向长波方向则以水底反射光为主,贡献量由底质反射能力和水体散射能力共同决定。对考虑了底质反射光后的遥感模型精度进行评价,模型计算得到波长范围350~950 nm内的离水反射率与野外测量值对比结果,二者具有显著的线性相关(R^(2)=0.964 2),相对误差在波长范围560~830 nm低于10%,甚者可低于5%,模型总体模拟精度较好,远比在不考虑底质影响时精度高,模型满足将来水中重金属遥感反演要求。研究结果对今后水体重金属遥感反演时处理底质影响提供了重要的参考数据和理论依据,有助推动该领域进一步发展。

关键词：水体重金属遥感重金属矿区底质反射率光谱特征分析模型精度评价

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