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Impact of frailty on short-term postoperative outcomes in patients undergoing colorectal cancer surgery:A systematic review and meta-analysis

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World Journal of Gastrointestinal Surgery 2024年第3期16卷 893-906页

作者： Yao Zhou Xiao-Lei Zhang Hong-Xia Ni tian-jing Shao Ping Wang Department of Operating Room Affiliated Tumor Hospital of Nantong University&Nantong Tumor HospitalNantong 226361Jiangsu ProvinceChina Department of Gastrointestinal Surgery The Affiliated Tumor Hospital of Nantong University&Nantong Tumor HospitalNantong 226361Jiangsu ProvinceChina

BACKGROUND Colorectal cancer is a major global health challenge that predominantly affects older *** management,despite advancements,requires careful consideration of preoperative patient status for optimal *** To summarize existing evidence on the association of frailty with short-term postoperative outcomes in patients undergoing colorectal cancer *** A literature search was conducted using PubMed,EMBASE and Scopus databases for observational studies in adult patients aged≥18 years undergoing planned or elective colorectal surgery for primary carcinoma and/or secondary *** studies that conducted frailty assessment using recognized frailty assess-ment tools and had a comparator group,comprising nonfrail patients,were *** effect sizes were reported as weighted mean difference or relative risk(RR)with 95%confidence intervals(CIs).RESULTS A total of 24 studies were *** with nonfrail patients,frailty was associated with an increased risk of mortality at 30 d(RR:1.99,95%CI:1.47-2.69),at 90 d(RR:4.76,95%CI:1.56-14.6)and at 1 year(RR:5.73,95%CI:2.74-12.0)of follow *** patients had an increased risk of any complications(RR:1.81,95%CI:1.57-2.10)as well as major complications(Clavien-Dindo classification grade≥III)(RR:2.87,95%CI:1.65-4.99)compared with the control *** risk of reoperation(RR:1.18,95%CI:1.07-1.31),readmission(RR:1.70,95%CI:1.36-2.12),need for blood transfusion(RR:1.67,95%CI:1.52-1.85),wound complications(RR:1.49,95%CI:1.11-1.99),delirium(RR:4.60,95%CI:2.31-9.16),risk of prolonged hospitalization(RR:2.09,95%CI:1.22-3.60)and discharge to a skilled nursing facility or rehabilitation center(RR:3.19,95%CI:2.0-5.08)was all higher in frail *** Frailty in colorectal cancer surgery patients was associated with more complications,longer hospital stays,higher reoperation risk,and increased *** frailty assessment appears crucial for tailored surgical managem

关键词： Frailty Frail adults Colorectal surgery Colorectal cancer Complications Mortality Survival Slinical outcomes Meta-analysis

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Machine learning-based predictions of current and future susceptibility to retrogressive thaw slumps across the Northern Hemisphere

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Advances in Climate Change Research 2024年第2期15卷 253-264页

作者： jing LUO Guo-An YIN Fu-Jun NIU tian-Chun DONG Ze-Yong GAO Ming-Hao LIU Fan YU State Key Laboratory of Frozen Soil Engineering Northwest Institute of Eco-Environment and ResourcesChinese Academy of SciencesLanzhou 730000China China Railway Qinghai-Tibet Group Co. LtdXining 810000China University of Chinese Academy of Sciences Beijing 100049China

Retrogressive thaw slumps(RTSs)caused by the thawing of ground ice on permafrost slopes have dramatically increased and become a common permafrost hazard across the Northern Hemisphere during previous ***,a gap remains in our comprehensive understanding of the spatial controlling factors,including the climate and terrain,that are conducive to these RTSs at a global *** machine learning methodologies,we mapped the current and future RTSs susceptibility distributions by incorporating a range of environmental factors and RTSs *** identified freezing-degree days and maximum summer rainfall as the primary environmental factors affecting RTSs *** final ensemble susceptibility map suggests that regions with high to very high susceptibility could constitute(11.6±0.78)%of the Northern Hemisphere's permafrost *** juxtaposed with the current(2000-2020)RTSs susceptibility map,the total area with high to very high susceptibility could witness an increase ranging from(31.7±0.65)%(SSP585)to(51.9±0.73)%(SSP126)by the *** insights gleaned from this study not only offer valuable implications for engineering applications across the Northern Hemisphere,but also provide a long-term insight into the potential change of RTSs in permafrost regions in response to climate change.

关键词： Retrogressive thaw slump Machine learning Susceptibility map Permafrost Northern Hemisphere

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A CNN-SVR model for NO_(2)profile prediction based on MAX-DOAS observations:The influence of Chinese New Year overlapping the 2020 COVID-19 lockdown on vertical distributions of tropospheric NO_(2)in Nanjing,China

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Journal of Environmental Sciences 2024年第7期141卷 151-165页

作者： Xin tian Zijie Wang Pinhua Xie Jin Xu Ang Li Yifeng Pan feng Hu Zhaokun Hu Mingsheng Chen Jiangyi Zheng Information Materials and Intelligent Sensing Laboratory of Anhui Province Institutes of Physical Science and Information TechnologyAnhui UniversityHefei 230601China Key laboratory of Environmental Optical and Technology Anhui Institute of optics and Fine MechanicsHefei Institutes of Physical ScienceChinese Academy of SciencesHefei 230031China School of Environmental Science and Optoelectronic Technology University of Science and Technology of ChinaHefei 230026China

In this study,a hybrid model,the convolutional neural network-support vector regression model,was adopted to achieve prediction of the NO_(2)profile in Nanjing from January 2019to March *** the sudden decline in NO_(2)in February 2020,the contribution of the Coronavirus Disease-19(COVID-19)lockdown,Chinese New Year(CNY),and meteorologi cal conditions to the reduction of NO_(2)was ***_(2)vertical column densities(VCDs) from January to March 2020 decreased by 59.05%and 32.81%,relative to the same period in 2019 and 2021,*** the period of 2020 COVID-19,the average NO_(2)VCDs were 50.50%and 29.96%lower than those during the pre-lockdown and post-lockdown pe riods,*** NO_(2)volume mixing ratios(VMRs)during the 2020 COVID-19 lock down significantly decreased below 400 *** NO_(2)VMRs under the different wind fields were significantly lower during the lockdown period than during the pre-lockdown period This phenomenon could be attributed to the 2020 COVID-19 *** NO_(2)VMRs be fore and after the CNY were significantly lower in 2020 than in 2019 and 2021 in the same period,which further proves that the decrease in NO_(2)in February 2020 was attributed to the COVID-19 *** source analysis of an NO_(2)pollution episode during the lockdown period showed that the polluted air mass in the Beijing-tianjin-Hebei was trans ported southwards under the action of the north wind,and the subsequent unfavorable meteorological conditions(local wind speed of<2.0 m/sec)resulted in the accumulation o pollutants.

关键词： MAX-DOAS CNN-SVR Nitrogen dioxide COVID-19 Chinese New Year Regional transport

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Metabolic syndrome’s new therapy:Supplement the gut microbiome

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World Journal of Diabetes 2024年第4期15卷 793-796页

作者： Yong-Wei Xu Jun tian Yan Song Ba-Cui Zhang jing Wang Department of Gastroenterology Songjiang HospitalSchool of MedicineShanghai Jiaotong UniversityShanghai 201600China

This letter to the editor discusses the publication on gut microbiome supple-mentation as therapy for metabolic *** microbiome dysbiosis disrupts intestinal bacterial homeostasis and is related to chronic inflammation,insulin resistance,cardiovascular diseases,type 2 diabetes mellitus,and *** research has found that increasing the abundance of beneficial microbiota in the gut modulates metabolic syndrome by reducing chronic inflammation and insulin ***,probiotics,synbiotics,and postbiotics are often used as supplements to increase the number of beneficial microbes and thus the produc-tion of short-chain fatty acids,which have positive effects on the gut microbiome and metabolic *** this review article,the author summarizes the available supplements to increase the abundance of beneficial gut microbiota and reduce the abundance of harmful microbiota in patients with metabolic *** group is also researching the role of the gut microbiota in chronic liver *** article will be of great help to our *** the end of the letter,the mechanism of the gut microbiota in chronic liver disease is discussed.

关键词： Gut microbiome Metabolic syndrome Diabetes mellitus Short-chain fatty acids Chronic liver disease

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A Blockchain-Based Access Control Scheme for Reputation Value Attributes of the Internet of Things

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Computers, Materials & Continua 2024年第1期78卷 1297-1310页

作者： Hongliang tian Junyuan tian College of Electrical Engineering Northeast Electric Power UniversityJilin132012China

The Internet of Things(IoT)access controlmechanism may encounter security issues such as single point of failure and data *** address these issues,a blockchain-based IoT reputation value attribute access control scheme is ***,writing the reputation value as an attribute into the access control policy,and then deploying the access control policy in the smart contract of the blockchain system can enable the system to provide more fine-grained access control;Secondly,storing a large amount of resources fromthe Internet of Things in Inter Planetary File System(IPFS)to improve system throughput;Finally,map resource access operations to qualification tokens to improve the performance of the access control *** simulation experiments based on the Hyperledger Fabric *** simulation experimental results,it can be seen that the access control system can achieve more fine-grained and dynamic access control while maintaining high throughput and low time delay,providing sufficient reliability and security for access control of IoT devices.

关键词： Blockchain IoT access control Hyperledger Fabric

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Mitochondrial carrier homolog 2 increases malignant phenotype of human gastric epithelial cells and promotes proliferation,invasion,and migration of gastric cancer cells

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 991-1005页

作者： jing-Wen Zhang Ling-Yan Huang Ya-Ning Li Ying tian Jia Yu Xiao-Fei Wang School of Basic Medical Science NHC Key Laboratory of Metabolic Cardiovascular Diseases ResearchNingxia Medical UniversityYinchuan 750004Ningxia Hui Autonomous RegionChina Department of Pathology General Hospital of Ningxia Medical UniversityYinchuan 750004Ningxia Hui Autonomous RegionChina School of Clinical Medicine Ningxia Medical UniversityYinchuan 750004Ningxia Hui Autonomous RegionChina Department of Pathology North China University of Science and Technology Affiliated HospitalTangshan 063000Hebei ProvinceChin

BACKGROUND The precise role of mitochondrial carrier homolog 2(MTCH2)in promoting malignancy in gastric mucosal cells and its involvement in gastric cancer cell metastasis have not been fully *** To determine the role of MTCH2 in gastric *** We collected 65 samples of poorly differentiated gastric cancer tissue and adjacent tissues,constructed MTCH2-overexpressing and MTCH2-knockdown cell models,and evaluated the proliferation,migration,and invasion of human gastric epithelial cells(GES-1)and human gastric cancer cells(AGS)*** mito-chondrial membrane potential(MMP),mitochondrial permeability transformation pore(mPTP)and ATP fluorescence probe were used to detect mitochondrial *** function and ATP synthase protein levels were detected via Western *** The expression of MTCH2 and ATP2A2 in gastric cancer tissues was significantly greater than that in adjacent *** of MTCH2 promoted colony formation,invasion,migration,MMP expression and ATP production in GES-1 and AGS cells while upregulating ATP2A2 expression and inhibiting cell apoptosis;knockdown of MTCH2 had the opposite effect,promoting overactivation of the mPTP and promoting *** MTCH2 can increase the malignant phenotype of GES-1 cells and promote the proliferation,invasion,and migration of gastric cancer cells by regulating mitochondrial function,providing a basis for targeted therapy for gastric cancer cells.

关键词： Gastric cancer Mitochondrial carrier homolog 2 ATP synthase ATP2A2 Mitochondrial permeability transformation pore

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A function-based behavioral modeling method for air combat simulation

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Journal of Systems Engineering and Electronics 2024年第4期35卷 945-954页

作者： WANG Tao ZHU Zhi ZHOU Xin jing tian CHEN Wei College of Systems Engineering National University of Defense TechnologyChangsha 410073China Institute of Communication and Navigation Air Force Research AcademyBeijing 100085China

Today’s air combat has reached a high level of uncertainty where continuous or discrete variables with crisp values cannot be properly represented using fuzzy sets. With a set of membership functions, fuzzy logic is well-suited to tackle such complex states and actions. However, it is not necessary to fuzzify the variables that have definite discrete ***, the aim of this study is to improve the level of model abstraction by proposing multiple levels of cascaded hierarchical structures from the perspective of function, namely, the functional decision tree. This method is developed to represent behavioral modeling of air combat systems, and its metamodel,execution mechanism, and code generation can provide a sound basis for function-based behavioral modeling. As a proof of concept, an air combat simulation is developed to validate this method and the results show that the fighter Alpha built using the proposed framework provides better performance than that using default scripts.

关键词： air combat behavioral modeling intelligent agent

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Spatiotemporal characteristics of water exchange between the Andaman Sea and the Bay of Bengal

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Acta Oceanologica Sinica 2024年第5期43卷 1-15页

作者： Yihao Wang feng Zhou Xueming Zhu Ruijie Ye Yingyu Peng Zhentao Hu Haoran tian Na Li Ocean College Zhejiang UniversityZhoushan 316021China State Key Laboratory of Satellite Ocean Environment Dynamics Second Institute of OceanographyMinistry of Natural ResourcesHangzhou 310012China Observation and Research Station of Yangtze River Delta Marine Ecosystems Ministry of Natural ResourcesZhoushan 316022China Southern Marine Science and Engineering Guangdong Laboratory(Zhuhai) Zhuhai 519080China School of Oceanography Shanghai Jiao Tong UniversityShanghai 200240China School of Marine Sciences Sun Yat-sen UniversityZhuhai 519080China

A high-resolution customized numerical model is used to analyze the water transport in the three major water passages between the Andaman Sea(AS)and the Bay of Bengal,i.e.,the Preparis Channel(PC),the Ten Degree Channel(TDC),and the Great Channel(GC),based on the daily averaged simulation results ranging from 2010 to *** analysis and Empirical Orthogonal Function(EOF)methods are employed to investigate the spatiotemporal variability of the water exchange and controlling *** results of model simulation indicate that the net average transports of the PC and GC,as well as their linear trend,are opposite to that of the *** indicates that the PC and the GC are the main inflow channels of the AS,while the TDC is the main outflow channel of the *** transport variability is most pronounced at surface levels and between 100 m and 200 m depth,likely affected by monsoons and circulation.A 182.4-d semiannual variability is consistently seen in all three channels,which is also evident in their second principal *** on sea level anomalies and EOF analysis results,this is primarily due to equatorial winds during the monsoon transition period,causing eastward movement of Kelvin waves along the AS coast,thereby affecting the spatiotemporal characteristics of the flow in the *** first EOF of the PC flow field section shows a split at 100 m deep,likely due to *** first EOF of the TDC flow field section is steady but has potent seasonal oscillations in its time ***,the first EOF of the GC flow field section indicates a stable surface inflow,probably influenced by the equatorial Indian Ocean’s eastward current.

关键词： Andaman Sea water exchange Regional Ocean Modeling Systems(ROMS) Kelvin waves spatiotemporal characteristics

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Environmental factors controlling soil warming and wetting during 2000-2020 in permafrost and non-permafrost regions across the Qinghai-Tibet Plateau

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Advances in Climate Change Research 2024年第2期15卷 285-296页

作者： Guo-An YIN jing LUO Fu-Jun NIU Ming-Hao LIU Ze-Yong GAO tian-Chun DONG Wei-Heng NI State Key Laboratory of Frozen Soil Engineering Northwest Institute of Eco-Environment and ResourcesChinese Academy of SciencesLanzhou 730000China China Railway Qinghai-Tibet Group Co. Ltd.Xining 810000China University of Chinese Academy of Sciences Beijing 100049China

The Qinghai-Tibet Plateau(QTP)has experienced rapid environmental changes,including climate warming and wetting,since the *** environmental changes significantly impact the shallow soil hydrothermal conditions,which have key roles in land-atmosphere feedback and ecosystem ***,the spatial variations and responses of soil hydrothermal conditions to environmental changes over the QTP with permafrost(PF)and seasonal frost(SF)remain *** this study,we investigated the spatial variations in soil temperature(ST)and soil moisture(SM)changes over the QTP from 2000 to 2020 using 99 in-situ sites with observations at 4 depths(i.e.10,40,100 and 200 cm).The main environmental controlling factors were further identified using a calibrated statistical *** showed that significant(p<0.05)soil warming occurred at multiple soil layers during 2000-2020 with a wide variation(i.e.0.033-0.039℃ per year on average),whereas the warming rates at PF sites were two times greater than those at SF *** addition,the soil wetting rate was high over the SF region,whereas the soil wetting rate was low over the PF *** from air temperature,changes in thawing degree days and solar radiation(Srad)contributed most to soil warming in the PF region,whereas changes in rainfall,Srad and evaporation(EVA)have been identified as the key factors in the SF *** for soil wetting,changes in snowfall,freezing degree days and vegetation have noticeable nonlinear effects over the PF region,whereas changes in EVA,Srad and rainfall highlighted distinct linear and nonlinear effects in the SF *** findings enhance our understanding of the hydrothermal impacts of future environmental changes over the QTP.

关键词： Warming amd wetting Soil hydrothermal change Factor Permafrost Seasonal frost

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Effects of loneliness and isolation on cardiovascular diseases:a two sample Mendelian Randomization Study

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Journal of Geriatric Cardiology 2024年第3期21卷 340-348页

作者： Jia-Yin CAI Xin WANG Cong-Yi ZHENG Xue CAO Zhen HU Run-Qing GU Yi-Xin tian Ye tian Lan SHAO Lin-feng ZHANG Zeng-Wu WANG Division of Prevention and Community Health National Center for Cardiovascular DiseaseNational Clinical Research Center of Cardiovascular DiseaseState Key Laboratory of Cardiovascular DiseaseFuwai HospitalPeking Union Medical College&Chinese Academy of Medical SciencesBeijingChina

BACKGROUND Loneliness and isolation are associated with multiple cardiovascular diseases(CVDs),but there is a lack of research on whether they were causally *** conducted a Mendelian Randomization(MR)study to explore causal relationships between loneliness and isolation and multiple *** Single nucleotide polymorphisms associated with loneliness and isolation were identified from a genome-wide association study(GWAS)of 455,364 individuals of European ancestry in the IEU GWAS *** data for 15 CVDs were also obtained from the IEU GWAS *** used three MR methods including inverse variance weighting,MR-Egger,and weighted median estimation to assess the causal effect of exposure on ***'s Q test and MR-Egger intercept test were used to evaluate the heterogeneity and *** MR analysis showed that loneliness and isolation were significantly associated with essential hypertension(OR=1.07,95%CI:1.03-1.12),atherosclerotic heart disease(OR=1.04;95%CI:1.02-1.06),myocardial infarction(OR=1.02;95%CI:1-1.04)and angina(OR=1.04;95%CI=1.02-1.06).No heterogeneity and pleiotropy effects were found in this *** Causal relationship of loneliness and isolation with CVDs were found in this study.

关键词： diseases cardiovascular angina

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