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Prognostic model for esophagogastric variceal rebleeding after endoscopic treatment in liver cirrhosis: A Chinese multicenter study

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World Journal of Gastroenterology 2025年第2期31卷 85-101页

作者： Jun-Yi Zhan Jie Chen Jin-Zhong Yu fei-Peng Xu fei-fei Xing De-Xin Wang Ming-Yan Yang Feng Xing Jian Wang yong-Ping Mu Cell Biology Laboratory Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese MedicineShanghai 201203China Institute of Liver Diseases Shanghai Academy of Chinese MedicineShanghai 201203China Clinical Key Laboratory of Traditional Chinese Medicine of Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese MedicineShanghai 201203China Key Laboratory of Liver and Kidney Disease of the Ministry of Education Shanghai University of Traditional Chinese MedicineShanghai 201203China Department of Gastroenterology and Hepatology Zhongshan Hospital Affiliated to Fudan UniversityShanghai 200032China Shanghai Institute of Liver Disease Fudan UniversityShanghai 200032China Evidence-Based Medicine Center Fudan UniversityShanghai 200032China Department of Gastrointestinal Endoscopy Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese MedicineShanghai 201203China Department of Hepatology Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese MedicineShanghai 201203China

BACKGROUND Rebleeding after recovery from esophagogastric variceal bleeding(EGVB)is a severe complication that is associated with high rates of both incidence and *** its clinical importance,recognized prognostic models that can effectively predict esophagogastric variceal rebleeding in patients with liver cirrhosis are *** To construct and externally validate a reliable prognostic model for predicting the occurrence of esophagogastric variceal *** This study included 477 EGVB patients across 2 cohorts:The derivation cohort(n=322)and the validation cohort(n=155).The primary outcome was rebleeding events within 1 *** least absolute shrinkage and selection operator was applied for predictor selection,and multivariate Cox regression analysis was used to construct the prognostic *** validation was performed with bootstrap *** assessed the discrimination,calibration and accuracy of the model,and performed patient risk *** Six predictors,including albumin and aspartate aminotransferase concentrations,white blood cell count,and the presence of ascites,portal vein thrombosis,and bleeding signs,were selected for the rebleeding event prediction following endoscopic treatment(REPET)*** predicting rebleeding within 1 year,the REPET model ex-hibited a concordance index of 0.775 and a Brier score of 0.143 in the derivation cohort,alongside 0.862 and 0.127 in the validation ***,the REPET model revealed a significant difference in rebleeding rates(P<0.01)between low-risk patients and intermediate-to high-risk patients in both *** We constructed and validated a new prognostic model for variceal rebleeding with excellent predictive per-formance,which will improve the clinical management of rebleeding in EGVB patients.

关键词： Esophagogastric variceal bleeding Variceal rebleeding Liver cirrhosis Prognostic model Risk stratification Secondary prophylaxis

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Construction Monitoring and Analysis of Asymmetric Prestressed Concrete Bridge Crossing Multiple-Line Railways

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Structural Durability & Health Monitoring 2025年第2期19卷 385-398页

作者： Yi Wang Bing Wang Changwen Li Feng Zheng yong liu Shaohua He Guangzhou Railway Investment Construction Group Co. Ltd.Guangzhou510000China China Railway Third Bureau Group Co. LtdTaiyuan030024China School of Civil and Transportation Engineering Guangdong University of TechnologyGuangzhou510006China

Complex bridge structures designed and constructed by humans often necessitate extensive on-site execution,which carries inherent ***,a variety of engineering practices are employed to monitor bridge *** paper presents a case study of a large-span prestressed concrete(PC)variable-section continuous girder bridge in China,proposing a feedback system for construction monitoring and establishing a finite element(FE)analysis model for the entire *** alignment of the completed bridge adheres to the initial design expectations,with maximum displacement and pre-arch differences from the ideal state measuring 6.39 and 17.7 mm,respectively,which were less than the 20 mm limit required by the ***,the stress monitoring showed that the maximum compressive stress was 10.44 MPa,which was 7.5%different from the finite element results,and better predicted the most unfavorable possible *** results demonstrate that a scientifically rigorous construction monitoring and feedback system can ensure the safety of bridge construction and meet the expected construction *** findings presented in this paper provide valuable insights for bridge construction monitoring practices.

关键词： Continuous girder bridge construction monitoring bridge alignment stress monitoring

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Spatiotemporal Variation and Influencing Factors of Atmospheric CO_(2) Concentration in China

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Chinese Geographical Science 2025年第1期35卷 149-160页

作者： ZHU Weixin ZHANG Hong ZHANG Xiaoyu GUO Haohao liu yong Institute of Loess Plateau Shanxi UniversityTaiyuan 030006China Research Center for Scientific Development in Fenhe River Valley Taiyuan Normal UniversityJinzhong 030619China College of Environmental&Resource Sciences Shanxi UniversityTaiyuan 030006China

Rapid increases in Carbon dioxide(CO_(2))levels could trigger unpredictable climate *** assessment of spatiotempor-al variation and influencing factors of CO_(2) concentration are helpful in understanding the source/sink balance and supporting the formu-lation of climate *** this study,Greenhouse Gases Observing Satellite(GOSAT)data were used to explore the variability of CO_(2) concentrations in China from 2009 to *** parameters,vegetation cover,and anthropogenic activities were combined to explain the increase in CO_(2) concentration,using pixel-based correlations and Covariance Based Structural Equation Modeling(CB-SEM)*** results showed that the influence of vertical CO_(2) transport diminished with altitude,with a distinct inter-annual in-crease in CO_(2) concentrations at 17 vertical ***,the highest values were observed in East China,whereas the lowest were observed in Northwest *** were significant seasonal variations in CO_(2) concentration,with maximum and minimum values in spring(April)and summer(August),*** to the pixel-based correlation analysis,the near-surface CO_(2) concentration was positively correlated with population(r=0.99,P0.05),soil water(r=0.29,P>0.05),nightlight(r=0.28,P>0.05);and negatively correlated with wind speed(r=−0.58,P<0.05).CB-SEM analysis revealed that LAI was the most important con-trolling factor explaining CO_(2) concentration variation(total effect of 0.66),followed by emissions(0.58),temperature(0.45),precipita-tion(0.30),wind speed(−0.28),and soil water(−0.07).The model explained 93% of the increase in CO_(2) *** results provide crucial information on the patterns of CO_(2) concentrations and their driving mechanisms,which are particularly significant in the context of climate change.

关键词： Greenhouse Gases Observing Satellite(GOSAT) CO_(2) concentration influencing factors pixel-based correlation Covari-ance Based Structural Equation Modeling(CB-SEM) China

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Engineered iron-based metal-organic frameworks nanoplatforms for cancer theranostics: A mini review

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Chinese Chemical Letters 2025年第2期36卷 80-93页

作者： Yunlong Li Xinyu Zhang Shuang liu Chunsheng Li Qiang Wang Jin Ye yong Lu Jiating Xu Key Laboratory of Forest Plant Ecology Ministry of Education College of Chemistry Chemical Engineering and Resource Utilization Northeast Forestry University School of Laboratory Medicine Wannan Medical College Heilongjiang Provincial Key Laboratory of Ecological Utilization of Forestry-Based Active Substances Northeast Forestry University

Up to now, numerous emerging methods of cancer treatment including chemodynamic therapy, photothermal therapy, photodynamic therapy, sonodynamic therapy, immunotherapy and chemotherapy have rapidly entered a new stage of development. However, the single treatment mode is often constrained by the complex tumor microenvironment. Recently, the nanomaterials and nanomedicine have emerged as promising avenues to overcome the limitation in cancer theranostics. Especially, metal-organic frameworks (MOFs) have gained considerable interests in cancer therapy because of their customizable morphologies, easy functionalization, large specific surface area, and good biocompatibility. Among these MOFs, iron-based MOFs (Fe-MOFs) are particularly promising for cancer treatment due to their properties as nano-photosensitizers, peroxidase-like activity, bioimaging contrast capabilities, and *** their structural regularity and synthetic tunability, Fe-MOFs can be engineered to incorporate organic molecules or other inorganic nanoparticles, thereby creating multifunctional nanoplatforms for single or combined theranostic modes. Herein, the minireview focuses on the recent advancements of the Fe-MOFs-based nanoplatforms for self-enhanced imaging and treatment at tumor sites. Furthermore,the clinical research development of Fe-MOFs-based nanoplatforms is discussed, addressing key challenges and innovations for the future. Our review aims to provide novice researchers with a foundational understanding of advanced cancer theranostic modes and promote their clinical applications through the modification of Fe-MOFs.

关键词： Bioimaging Cancer theranostics Catalytic therapy Engineered nanoplatforms Fe-based MOFs

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P450 gene CYP321A8 is responsible for cross-resistance of insecticides in field populations of Spodoptera frugiperda

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Insect Science 2025年第1期32卷 227-242页

作者： Yumei Chen yongjie Cen Yu liu Yanan Peng Yiguang Lin Qili Feng yong Xiao Sichun Zheng Guangdong Provincial Key Laboratory of Insect Developmental Biology and Applied Technology Guangzhou Key Laboratory of Insect Development Regulation and Application ResearchInstitute of Insect Science and TechnologySchool of Life SciencesSouth China Normal UniversityGuangzhouChina Institute of Plant Protection Guangdong Academy of Agricultural SciencesKey Laboratory of Green Prevention and Control on Fruits and Vegetables in South China Ministry of Agriculture and Rural AffairsGuangdong Provincial Key Laboratory of High Technology for Plant ProtectionGuangzhouChina

Continuous and long-term use of traditional and new pesticides can result in cross-resistance among pest populations in different *** on the mechanism of cross-resistance and related genes will help resistance management and field pest *** this study,the pesticide-resistance mechanism in Spodoptera frugiperda(FAW)was studied with field populations in 3 locations of South *** FAW populations were highly resistant to traditional insecticides,chlorpyrifos(organophosphate)and deltamethrin(pyrethroid),and had higher levels of cytochrome P450 activity than a non-resistant laboratory *** of P450 activity by piperonyl butoxide significantly increased the sensitivity of resistant FAW in 3 locations to chlorpyrifos,deltamethrin and chlorantraniliprole(amide),a new type of insecticide,suggesting that P450 detoxification is a critical factor for insecticide resistance in field FAW *** analysis indicated that 18 P450 genes were upregulated in the field FAW populations collected in 3 regions and in 2 consecutive years,with CYP321A8,the most significantly upregulated *** of CYP321A8 messenger RNA by RNA interference resulted in an increased sensitivity to the 3 tested insecticides in the field *** activity and molecular docking analyses indicated that CYP321A8 enzyme was able to metabolize the 3 tested insecticides and interact with 8 other types of insecticides,confirming that CYP321A8 is a key cross-resistance gene with a wide range of substrates in the field FAW populations across the different regions and can be used as a biomarker and target for management of FAW insecticide resistance in fields.

关键词： cross-resistance cytochrome P450 field population insecticide resistance Spodopterafrugiperda

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Tailoring Cathode-Electrolyte Interface for High-Power and Stable Lithium-Sulfur Batteries

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Nano-Micro Letters 2025年第4期17卷 181-211页

作者： Mengting liu Ling-Jiao Hu Zhao-Kun Guan Tian-Ling Chen Xin-Yu Zhang Shuai Sun Ruoli Shi Panpan Jing Peng-fei Wang Center of Nanomaterials for Renewable Energy State Key Laboratory of Electrical Insulation and Power EquipmentSchool of Electrical EngineeringXi’an Jiaotong UniversityXi’an 710049People’s Republic of China Low-Dimensional Materials and Photo/Electrochemical Technology Lab School of Materials Science and EngineeringShaanxi Key Laboratory of Green Preparation and Functionalization for Inorganic MaterialsShaanxi University of Science&TechnologyXi’an 710021People’s Republic of China

Global interest in lithium-sulfur batteries as one of the most promising energy storage technologies has been sparked by their low sulfur cathode cost,high gravimetric,volumetric energy densities,abundant resources,and environmental ***,their practical application is significantly impeded by several serious issues that arise at the cathode-electrolyte interface,such as interface structure degradation including the uneven deposition of Li_(2)S,unstable cathode-electrolyte interphase(CEI)layer and intermediate polysulfide shuttle ***,an optimized cathode-electrolyte interface along with optimized electrodes is required for overall ***,we comprehensively outline the challenges and corresponding strategies,including electrolyte optimization to create a dense CEI layer,regulating the Li_(2)S deposition pattern,and inhibiting the shuttle effect with regard to the solid-liquid-solid pathway,the transformation from solid-liquid-solid to solid-solid pathway,and solid-solid pathway at the cathode-electrolyte *** order to spur more perceptive research and hasten the widespread use of lithium-sulfur batteries,viewpoints on designing a stable interface with a deep comprehension are also put forth.

关键词： Lithium-sulfur batteries Shuttle effect Cathode-electrolyte interface Structural enhancement Reaction pathway

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Broadband low-frequency sound absorption of multifunctional composite metastructure

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Science China(Technological Sciences) 2025年第2期68卷 114-124页

作者： Yilong YANG Shanshan liu Yan LI Tong GAO yongdong PAN yong LI Yabin JIN School of Aerospace Engineering and Applied Mechanics Tongji UniversityShanghai 200092China State International Joint Research Center of Aerospace Design and Additive Manufacturing Northwestern Polytechnical UniversityXi’an 710072China Institute of Acoustics School of Physics Science and EngineeringTongji UniversityShanghai 200092China Shanghai Key Laboratory of Intelligent Sensing and Detection Technology School of Mechanical and Power EngineeringEast China University of Science and TechnologyShanghai 200237China Shanghai Institute of Aircraft Mechanics and Control Shanghai 200092China

In this study,we fabricated multifunctional metastructures from carbon fiber-reinforced plastic composites using additive manufacturing *** metastructures are characterized by their lightweight,load-bearing capacity,and broadband low-frequency sound absorption *** metastructure consists of 36 unit cells,and non-local coupling mechanism was considered for designing the sound absorption *** developed an acoustic impedance theory tailored for the metastructure,facilitating an analysis of thermal and viscous dissipation *** is proven theoretically and experimentally that the proposed composite metastructure can achieve a noise reduction with an average sound absorption coefficient greater than 0.9 across frequencies in the rage of 330-1500 *** also studied the metastructure’s quasi-static and cyclic compression performance,confirming its efficient absorption capabilities after cyclic *** proposed design and additive manufacturing method for composite metastructures provides a novel pathway for creating lightweight,multifunctional structures with diverse applications,such as aerospace engineering.

关键词： composite metastructure broadband sound absorption additive manufacturing

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Impacts of near-M_(s)austempering treatment on microstructure evolution and bainitic transformation kinetics of a medium Mn steel

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Journal of Iron and Steel Research International 2025年第1期32卷 249-259页

作者： yong-gang Yang Xin-yue liu Rui-zhi Li Yu-lai Chen Hong-xiang Wu Guo-min Sun Zhen-li Mi National Engineering Research Center for Advanced Rolling and Intelligent Manufacturing University of Science and Technology BeijingBeijing 100083China Technology Center Ningbo Iron&Steel Co.Ltd.Ningbo 315800ZhejiangChina

The microstructure evolution and bainitic transformation of an Fe-0.19C-4.03Mn-1.48Si steel subjected to near-M_(s)austempering treatment were systematically investigated by combining dilatometer,X-ray diffraction,and electron *** additional austempering treatments with isothermal temperatures above M_(s)were used as *** show that the incubation period for the bainitic transformation occurs when the medium Mn steel is treated with the austempering temperature above M_(s).However,when subjected to near-M_(s)isothermal treatment,the medium Mn steel does not show an incubation period and has the fastest bainitic transformation ***,the largest volume fraction of bainite with a value of 74.7%is obtained on the condition of near-M_(s)austempering treatment after cooling to room *** and microstructure evolution analysis indicates that the elimination of the incubation period and the fastest rate of bainitic transformation are related to the preformed *** advent of preformed martensite allows the specimen to generate more bainite in a limited *** bainitic ferrite nucleation at austenite grain boundaries and through autocatalysis at ferrite/austenite interfaces,a model is established to understand the kinetics of bainite formation and it can describe the nucleation rate of bainitic transformation well when compared to the experimental results.

关键词： Medium manganese steel Bainitic transformation Microstructure Near-M_(s)austempering Transformation modeling

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CMOS direct conversion X-ray detector coupled with fluorinated liquid

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Nuclear Science and Techniques 2025年第1期36卷 59-68页

作者： Shi-Hua liu Chao-Song Gao Xin Zhang Xiang-Ming Sun Meng Wu Zhi-Hui Han Tong Wan yong-Shuai Ge Key Laboratory of Quark&Lepton Physics(MOE) Central China Normal UniversityWuhan 430079China Guizhou Education University Guiyang 550018China Research Center for Medical Artificial Intelligence Chinese Academy of SciencesShenzhen Institutes of Advanced TechnologyShenzhen 518055China

X-ray detectors show potential applications in medical imaging,materials science,and nuclear *** achieve high detection efficiency and spatial resolution,many conventional semiconductor materials,such as amorphous selenium,cadmium telluride zinc,and perovskites,have been utilized in direct conversion X-ray ***,these semiconductor materials are susceptible to temperature-induced performance degradation,crystallization,delamination,uneven lattice growth,radiation damage,and high dark *** study explores a new approach by coupling an FC40 electronic fluorinated liquid with a specialized high-resolution and high-readout-speed complementary metal-oxide-semiconductor(CMOS)pixel array,specifically the Topmetal II−chip,to fabricate a direct conversion X-ray *** fluorinated liquid FC40(molecular formula:C_(21)F_(48)N_(2))is an electronic medium that is minimally affected by temperature and displays no issues with uniform *** exhibits a low dark current and minimal radiation damage and enables customizable thickness in X-ray *** addresses the limitations inherent in conventional semiconductor-based *** this study,simple X-ray detector imaging tests were conducted,demonstrating the excellent coupling capability between FC40 electronic fluorinated liquid and CMOS chips by the X-ray detector.A spatial resolution of 4.0 lp/mm was measured using a striped line par card,and a relatively clear image of a cockroach was displayed in the digital radiography imaging *** test results indicated the feasibility of fabricating an X-ray detector by combining FC40 electronic fluorinated liquid and CMOS *** to the absence of issues related to chip-material coupling,a high spatial resolution could be achieved by reducing the chip pixel *** method presents a new avenue for studies on novel liquid-based direct conversion X-ray detectors.

关键词： FC40 electronic fluorinated liquid CMOS pixel chip X-ray detector Spatial resolution

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Transarterial chemoembolization combined with lenvatinib and sintilimab vs lenvatinib alone in intermediate-advanced hepatocellular carcinoma

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World Journal of Gastrointestinal Oncology 2025年第1期17卷 52-61页

作者： fei-Da Wu Hai-Feng Zhou Wei Yang Di Zhu Bi-fei Wu Hai-Bin Shi Sheng liu Wei-Zhong Zhou Department of Interventional Radiology The First Affiliated Hospital of Nanjing Medical UniversityNanjing 210029Jiangsu ProvinceChina

BACKGROUND Hepatocellular carcinoma(HCC)is the most common form of liver cancer that has limited treatment options and a poor *** chemoembolization(TACE)is the first-line treatment for intermediate-stage HCC but can induce tumour hypoxia,thereby promoting *** studies suggested that combining TACE with anti-angiogenic therapies and immunotherapy might im-prove ***,a tyrosine kinase inhibitor,has demonstrated superior outcomes compared to sorafenib,while immune checkpoint inhibitors such as sintilimab show potential when combined with ***,the efficacy and safety of TACE combined with lenvatinib and sintilimab(TACE+SL)compared to TACE with lenvatinib alone(TACE+L)in patients with intermediate-ad-vanced HCC has not yet been *** To evaluate the efficacy and safety of TACE+SL therapy in comparison to TACE+L therapy in patients with intermediate-advanced *** A retrospective analysis was performed on patients with intermediate-advanced HCC who received TACE plus lenvatinib with or without sintilimab between September 2019 and September *** characteristics were compared,and propensity score matching was *** survival(OS),progression-free survival(PFS),and objective response rate(ORR)were evaluated between the two groups,and adverse events were *** The study included 57 patients,with 30 in the TACE+SL group and 27 in the TACE+L *** TACE+SL group demonstrated significantly improved median PFS and OS compared to the TACE+L group(PFS:14.1 months vs 9.6 months,P=0.016;OS:22.4 months vs 14.1 months,P=0.039),along with a higher ORR(70.0%vs 55.6%).After propensity score matching,30 patients were included,with the TACE+SL group again showing longer median PFS and a trend toward improved OS(PFS:14.6 months vs 9.2 months,P=0.012;OS:23.9 months vs 16.3 months,P=0.063),and a higher ORR(73.3%vs 53.3%).No severe adverse events were *** TACE+SL demonstrat

关键词： Hepatocellular carcinoma Transarterial chemoembolization Sintilimab Lenvatinib Immunotherapy Programmed cell death 1 Prognosis

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