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Safety and efficacy of peroral endoscopic myotomy for treating achalasia in pediatric and geriatric patients:A

World Journal of Gastrointestinal Endoscopy 2024年第10期16卷 566-580页

作者： xin-xin pu Shu Huang Chun-Yu Zhong Xia Wang Su-Fen Fu Ying-Qin Lv Kang Zou Mu-Han Lü Yan Peng Xiao-Wei Tang Department of Gastroenterology Dechang People’s Hospital of Sichuan ProvinceLiangshan 615500Sichuan ProvinceChina Department of Gastroenterology The Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina Department of Gastroenterology Lianshui People’s Hospital of Kangda College Affiliated to Nanjing Medical UniversityHuaian 223499Jiangsu ProvinceChina Department of Ultrasound The Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina

BACKGROUND As a less invasive technique,peroral endoscopic myotomy(POEM)has recently been widely accepted for treating achalasia with an excellent safety profile,durability,and efficacy in *** pediatric and geriatric patients,the treatment is more *** To discuss the clinical outcomes of POEM in pediatric and geriatric patients with *** We conducted a comprehensive search of pubMed,Embase and Cochrane Library databases from inception to July *** primary outcomes were technical and clinical *** outcomes of interest included adverse events and gastroesophageal reflux disease(GERD).The pooled event rates were calculated by comprehensive meta-analysis *** A total of 32 studies with 547 pediatric patients and 810 geriatric patients were included in this *** pooled event rates of technical success,clinical success,GERD and adverse events of POEM for treating achalasia in pediatric patients were 97.1%[95%confidence interval(CI):95.0%-98.3%;I²=0%;P<0.000],93.2%(95%CI:90.5%-95.2%;I²=0%;P<0.000),22.3%(95%CI:18.4%-26.7%;I²=43.874%;P<0.000)and 20.4%(95%CI:16.6%-24.8%;I²=67.217%;P<0.000),***,in geriatric patients,the pooled event rates were 97.7%(95%CI:95.8%-98.7%;I²=15.200%;P<0.000),93.2%(95%CI:90.3%-95.2%;I²=0%;P<0.000),23.9%(95%CI:19.4%-29.1%;I²=75.697%;P<0.000)and 10.8%(95%CI:8.3%-14.0%;I²=62.938%;P<0.000],*** Our findings demonstrated that POEM was an effective and safe technique for pediatric and geriatric patients with achalasia.

关键词： Achalasia Peroral endoscopic myotomy Pediatric Geriatric Meta-analysis

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Microstructure evolution of Ti_(48)Zr_(27)Cu_(6)Nb_(5)Be_(14)amorphous alloy after semi-solid isothermal treatment

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China Foundry 2024年第3期21卷 287-294页

作者： xin-hua Huang Jing-wen pu Yong-xin Luo Yue-jun Ouyang School of Material Electricity and Intelligent ManufacturingHuaihua UniversityHuaihua 330031HunanChina Hunan Renewable Aluminum Innovation Research Center Huaihua UniversityHuaihua 330031HunanChina

The as-cast amorphous Ti_(48)Zr_(27)Cu_(6)Nb_(5)Be_(14)composites,comprising in situ formedβ-Ti ductile crystalline precipitates,were prepared by water cooled copper mold suction ***,the semi-solid composites were obtained after the as-cast composites were treated by semi-solid isothermal *** microstructure evolution and kinetics of the composites were *** show that the microstructures of both the as-cast and semi-solid composites comprise ofβ-Ti crystal phases and amorphous matrix *** and after treatment,the crystals evolve from fine granular or fine dendritic crystals to coarse *** the treatment temperature increasing or the time prolonging,the average crystal size gradually increases and the surface morphology of the crystals gradually becomes *** studying the microstructural evolution and dynamics during the isothermal treatment process,it is found that the final morphology ofβ-Ti crystals is influenced by the isothermal treatment temperature and time(t),and theβ-Ti evolution rate increases with an increase in treatment *** addition,a linear relationship was observed between the size of cubicβ-Ti crystals(D^(3))and t;the growth kinetics factor K is 3.8μm^(3)·s^(-1).As the K value closes to 4μm^(3)·s^(-1),it is inferred the morphology evolution ofβ-Ti crystals is a coarsening behavior controlled by the diffusion of solute elements.

关键词： Ti_(48)Zr_(27)Cu_(6)Nb_(5)Be_(14) amorphous matrix composites semi-solid as-cast microstructure

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Insight into the Role of Isolated Gold Atoms-Ceria Conjunction in Catalyzing the Water-Gas Shift Reaction

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Chinese Journal of Chemistry 2024年第6期42卷 636-644页

作者： xin-pu Fu Hui-Zhao Wei-Wei Wang Chun-Jiang Jia Key Laboratory for Colloid and Interface Chemistry Key Laboratory of Special Aggregated MaterialsSchool of Chemistry and Chemical EngineeringShandong UniversityJinanShandong250100 China

As the promising catalysts for the water-gas shift(WGS)reaction,the activity of Au-CeO_(2) composites is susceptible to the aggregation size and electronic state of Au *** reports were extensively focused on the discrepancy between nonmetallic Au and metallic Au nanoparticles,whereas the understanding of the authentic role of the isolated Au atoms was ***,we investigated the catalytic behavior and structural information over two types of Au/CeO_(2) catalysts,in which the predominant conjunctions were isolated Au1-CeO_(2) and Aun-CeO_(2),*** on comprehensive characterizations,particularly by in-situ Raman and in-situ DRIFTS,we found that the isolated Au atoms were responsible for enhancing the reducibility of the CeO_(2) *** CO adsorption ability on the isolated Au sites was significantly inferior to clustered Au atoms,especially at relatively high temperatures(>200°C).As a result,the boosted O vacancy on the isolated Au1-CeO_(2) conjunctions could improve the H2O activation ability for the Au-CeO_(2) catalysts and demonstrate a comparable activity to the clustered Aun-CeO_(2) *** work might deepen understanding of the catalytic function for the isolated Au1 site within Au/CeO_(2) systems while catalyzing the WGS reaction.

关键词： Isolated Au atoms Ceria-based catalysts Water-gas shift reaction Defect Adsorption

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An Integral Method for Solving Dynamic Equations with Fluid–Solid Coupling

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Acta Mechanica Solida Sinica 2024年第1期37卷 99-108页

作者： xin Zhang Jie Liu pu Xue Shuowen Yan Yahao Xu M.S.Zahran School of Aeronautics Northwestern Polytechnical UniversityXi'an 710072China School of Mechatronical Engineering Beijing Institute of TechnologyBeijing 100081China Department of Civil Engineering Military Technical CollegeCairo 11435Egypt

In this work,a new methodology is presented to mainly solve the fluid–solid interaction(FSI)*** methodology combines the advantages of the Newmark precise integral method(NPIM)and the dual neural network(DNN)*** NPIM is employed to modify the exponential matrix and loading vector based on the DNN integral *** involves incorporating the basic assumption of the Newmark-βmethod into the dynamic equation and eliminating the acceleration term from the dynamic equilibrium *** a result,the equation is reduced to a first-order linear equation ***,the PIM is applied to integrate the system step by step within the *** DNN method is adopted to solve the inhomogeneous term through fitting the integrand and the original function with a pair of neural networks,and the integral term is solved using the Newton–Leibniz *** examples demonstrate that the proposed methodology significantly improves computing efficiency and provides sufficient precision compared to the DNN *** is particularly evident when analyzing large-scale structures under blast loading conditions.

关键词： Newmark precise integral method(NPIM) Dual neural networks(DNN) Fluid-solid interaction(FSI) Dynamic time-history analysis Blast loading

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Crocus genome reveals the evolutionary origin of crocin biosynthesis

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Acta Pharmaceutica Sinica B 2024年第4期14卷 1878-1891页

作者： Zhichao Xu Shanshan Chen Yalin Wang Ya Tian Xiaotong Wang Tianyi xin Zishan Li xin Hua Shengnan Tan Wei Sun Xiangdong pu Hui Yao Ranran Gao Jingyuan Song Key Lab of Chinese Medicine Resources Conservation State Administration of Traditional Chinese Medicine of the People's Republic of ChinaInstitute of Medicinal Plant DevelopmentChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100193China State Key Laboratory of Basis and New Drug Development of Natural and Nuclear Drugs Engineering Research Center of Chinese Medicine ResourceMinistry of EducationBeijing 100193China College of Life Science Northeast Forestry UniversityHarbin 150040China Key Laboratory of Beijing for Identification and Safety Evaluation of Chinese Medicine China Academy of Chinese Medical SciencesInstitute of Chinese Materia MedicaBeijing 100700China Analysis and Testing Center of Northeast Forestry University Harbin 150040China School of Pharmacy Anhui Medical UniversityInflammation and Immune Mediated Diseases Laboratory of Anhui ProvinceHefei 230032China

Crocus sativus (saffron) is a globally autumn-flowering plant, and its stigmas are the most expensive spice and valuable herb medicine. Crocus specialized metabolites, crocins, are biosynthesized in distant species, Gardenia (eudicot) and Crocus (monocot), and the evolution of crocin biosynthesis remains poorly understood. With the chromosome-level Crocus genome assembly, we revealed that two rounds of lineage-specific whole genome triplication occurred, contributing important roles in the production of carotenoids and apocarotenoids. According to the kingdom-wide identification, phylogenetic analysis, and functional assays of carotenoid cleavage dioxygenases (CCDs), we deduced that the duplication, site positive selection, and neofunctionalization of Crocus-specific CCD2 from CCD1 members are responsible for the crocin biosynthesis. In addition, site mutation of CsCCD2 revealed the key amino acids, including I143, L146, R161, E181, T259, and S292 related to the catalytic activity of zeaxanthin cleavage. Our study provides important insights into the origin and evolution of plant specialized metabolites, which are derived by duplication events of biosynthetic genes.

关键词： Crocus sativus WGT Crocin biosynthesis Carotenoids Apocarotenoids CCDs

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The generation and use of animal models of osteosarcoma in cancer research

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Genes & Diseases 2024年第2期11卷 664-674页

作者： Feifei pu Haoyu Guo Deyao Shi Fengxia Chen Yizhong Peng xin Huang Jianxiang Liu Zhicai Zhang Zengwu Shao Department of Orthopedics Wuhan Hospital of Traditional Chinese and Western Medicine (Wuhan No.1 Hospital)Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430022China Department of Orthopedics Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430022China Department of Radiation and Medical Oncology Zhongnan HospitalWuhan UniversityWuhanHubei 430071China Hubei Cancer Clinical Study Center Zhongnan HospitalWuhan UniversityWuhanHubei 430071China

Osteosarcoma is the most common malignant bone tumor affecting children and ***,the most common treatment is surgery combined with neoadjuvant *** the survival rate of patients with osteosarcoma has improved in recent years,it remains poor when the tumor(s)progress and distant metastases ***,better animal models that more accurately replicate the natural progression of the disease are needed to develop improved prognostic and diagnostic markers,as well as targeted therapies for both primary and metastatic *** present review described animal models currently being used in research investigating osteosarcoma,and their characteristics,advantages,and *** models may help elucidate the pathogenic mechanism(s)of osteosarcoma and provide evidence to support and develop clinical treatment strategies.

关键词： Animal model Cancer Osteosarcoma Pathogenic mechanism Translational research

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High-efficiency and flexible photonic microwave harmonic down-converter based on self-oscillation optical frequency combs

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Chinese Optics Letters 2024年第6期22卷 196-204页

作者： xin Zhang Tao pu Huatao Zhu Yunshan Zhang Gengze Wu Jin Li Jilin Zheng College of Information and Communications National University of Defense TechnologyWuhan 430010China College of Communications Engineering Army Engineering University of PLANanjing 210007China College of Electronic and Optical Engineering&College of Flexible Electronics(Future Technology) Nanjing University of Posts and TelecommunicationsNanjing 210023China

Photonic microwave harmonic down-converters (PMHDCs) based on self-oscillation optical frequency combs (OFCs) are interesting because of their broad bandwidth compared with plain optoelectronic oscillators. In this paper, a high-efficiency and flexible PMHDC is proposed and demonstrated. The properties of the OFC, such as the carrier-to-noise ratio (CNR),bandwidth and free spectral range (FSR), and the influence of optical injection, are investigated. The broadband OFC provides a frequency tunable and high-quality local oscillation (LO), which guarantees flexible down-conversion for the radio frequency (RF) signal. The sideband selective amplification (SSA) effect not only improves the conversion efficiency but also promotes single-sideband modulation. The conversion range can reach 100 GHz. The 12–40 GHz RF signal can be downconverted to intermediate frequency (IF) signals with a high conversion efficiency of 14.9 dB. The fixed 40-GHz RF signal is flexibly down-converted to an IF signal with the frequency from 55.4 to 2129.4 MHz. The phase noise of an IF signal at a frequency offset of 10 kHz is the same as that of the input RF signal. The PMHDC shows great performance and will find applications in radio-over-fiber (RoF) networks, electronic warfare receivers, avionics, and wireless communication systems.

关键词： frequency down-conversion optical frequency comb optical injection optoelectronic oscillation

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A recyclable method for titanium extraction and oxygen evolution from Ti-bearing slags

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Fundamental Research 2024年第1期4卷 86-94页

作者： Zhenghao pu Wei Wang Zhe Wang Mingyin Kou Yiwa Luo Jianbang Ge xin Tao Mingyong Wang Shuqiang Jiao State Key Laboratory of Advanced Metallurgy University of Science and Technology BeijingBeijing 100083China School of Metallurgical and Ecological Engineering University of Science and Technology BeijingBeijing 100083China Southern Marine Science and Engineering Guangdong Laboratory(Zhuhai) Zhuhai 519080China

Despite its existence for more than 80 years,the titanium industry is still challenged by massive carbon emissions,high production costs,and large resource *** than one hundred million tons of Ti-bearing blast furnace slag(TB-slag)has been discarded in China because of the difficulty of reutilization,which requires efficient titanium extraction and recovery *** paper describes a low-cost,carbon-emission-free method for Ti extraction and oxygen evolution via molten oxide electrolysis(MOE)vacuum *** a comprehensive analysis of the binding energies and activities of liquid metals,the highlights of our study are as follows.1)Sb has the best preferential deposition of Ti among a series of high-Ti-affinitive liquid metal cathodes(Cu,Ni,Pb,Sn,and Sb).2)The Ir anode was first used in TB-slag with IrO_(2) formed on its surface to protect it from further corrosion.3)An alloy containing Ti and Ca can be obtained by MOE,and Ti and Ca metals can be refined by further vacuum distillation.4)A closed loop is formed in the overall process owing to the recyclable Sb cathode and continuous feeding of TB-slag into the *** simple,low-cost,and environmentally friendly method can realize the efficient utilization of Ti resources and achieve carbon neutrality.

关键词： Titanium Molten oxide electrolysis Inert anodeLiquid cathode Depolarization

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A flame-retardant binder with high polysulfide affinity for safe and stable lithium–sulfur batteries

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Science China Chemistry 2024年第3期67卷 1028-1036页

作者： Guowei Yu Guofeng Ye Cheng Wang Chenyang Wang Zhaoyun Wang pu Hu Yu Li Xi-Xi Feng Shuang-Jie Tan Min Yan Sen xin Zhitian Liu Hubei Key Laboratory of Plasma Chemistry and Advanced Materials Hubei Engineering Technology Research Center of Optoelectronic and New Energy MaterialsSchool of Materials Science and EngineeringWuhan Institute of TechnologyWuhan 430205China State Key Laboratory of Advanced Technology for Materials Synthesis and Processing Wuhan University of TechnologyWuhan 430070China CAS Key Laboratory of Molecular Nanostructure and Nanotechnology CAS Research/Education Center for Excellence in Molecular SciencesBeijing National Laboratory for Molecular Sciences(BNLMS)Institute of ChemistryChinese Academy of Sciences(CAS)Beijing 100190China University of Chinese Academy of Sciences Beijing 100049China

Lithium-sulfur(Li-S) batteries have shown promises for the next-generation, high-energy electrochemical storage, yet are hindered by rapid performance decay due to the polysulfide shuttle in the cathode and safety concerns about potential thermal runaway. To address the above challenges, herein, we show a flame-retardant cathode binder that simultaneously improves the electrochemical stability and safety of batteries. The combination of soft and hard segments in the polymer framework of binders allows high flexibility and mechanical strength for adapting to the drastic volume change during the Li(de)intercalation of the S cathode. The binder contains a large number of polar groups, which show the high affinity to polysulfides so that they help to anchor active S species at the cathode. These polar groups also help to regulate and facilitate the Li-ion transport, promoting the kinetics of polysulfide conversion reaction. The binder contains abundant phosphine oxide groups, which, in the case of battery's thermal runaway, decompose and release PO· radicals to quench the combustion reactions and stop the fire. Consequently, Li-S batteries using the new cathode binder show the improved electrochemical performance, including a low-capacity decay of 0.046% per cycle for 800 cycles at 1 C and favorable rate capabilities of up to 3 C. This work offers new insights on the practical realization of high-energy rechargeable batteries with stable storage electrochemistry and high safety.

关键词： lithium–sulfur battery polymer binder polysulfide affinity flame retardancy

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Cost-effectiveness analysis of different anesthesia strategies for transperineal MRI/US fusion prostate biopsy

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Asian Journal of Andrology 2024年第4期26卷 409-414页

作者： Di Jin Xiao-Qi Kong Ya-Juan Zhu Zong-xin Chen Xi-Ming Wang Cai-Hua Xu Jin-Xian pu Jian-Quan Hou Yu-Hua Huang Fu-Hai Ji Chen Huang Department of Anesthesiology The First Affiliated Hospital of Soochow UniversitySuzhou 215006China Department of Urology The First Affiliated Hospital of Soochow UniversitySuzhou 215006China Department of Radiology The First Affiliated Hospital of Soochow UniversitySuzhou 215006China Department of Oncology The First Affiliated Hospital of Soochow UniversitySuzhou 215006China Department of Urology Dushu Lake Hospital Affiliated to Soochow UniversitySuzhou 215000China.

This study aims to conduct a cost-effectiveness analysis of three different anesthesia strategies,namely chatting while under local anesthesia(Chat-LA),total intravenous anesthesia(TIVA),and general anesthesia with laryngeal mask airway(GA-LMA),employed in transperineal magnetic resonance imaging(MRI)/ultrasound(US)fusion prostate biopsy(TP-MUF-PB).A retrospective study was conducted involving 1202 patients who underwent TP-MUF-PB from June 2016 to April 2023 at The First Affiliated Hospital of Soochow University(Suzhou,China).Clinical data and outcomes,including total costs,complications,and quality-adjusted life years(QALYs),were *** sensitivity and subgroup analyses were also ***-LA was found to be the most cost-effective option,outperforming both TIVA and ***,subgroup analyses revealed that in younger patients(under 65 years old)and those with smaller prostate volumes(<40 ml),TIVA emerged as a more cost-effective *** Chat-LA may generally be the most cost-effective and safer anesthesia method for TP-MUF-PB,personalization of anesthesia strategies is crucial,considering specific patient demographics such as age and prostate volume.

关键词： anesthesia strategy cost-effectiveness analysis economic evaluation prostate biopsy prostate cancer

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