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To compare the new zero-profile (Zero-P) fusion cage with regular cage and plate (CP) in the treatment of anterior cervical single-level cervical degenerative diseases. Patients operated from January 2013 to August 2018 were enrolled. They were divided into the Zero-P group (n = 74 cases) and CP groups (n = 116 cases). Follow-up assessment was at 1, 3, 12, and 24 months after surgery, including the incidence of dysphagia, visual analogue scale (VAS) score, Japanese orthopaedic association (JOA)score, C2-C7 Cobb angle, intervertebral disc height (IDH) and adjacent joint degeneration. The operation time and blood loss of patients in Zero-P group were less than those in the CP group, and there was no difference in hospitalization time. All 190 patients were followed up for 24 to 72 months, with an average of 35.29 months. In terms of clinical outcomes, vas and JOA scores of the two groups were significantly improved at one month and the last follow-up. The incidence of dysphagia in the Zero-P group was lower than that in the CP group. On radiological effects, Cobb angle and IDH showed significant correction in both groups, but the degeneration rate of adjacent joints in the Zero-P group was lower than the CP group. In ACDF, the clinical and radiological results of Zero-P and CP devices are satisfactory, but Zero-P cage may be superior in operation time, blood loss, the incidence of dysphagia and adjacent joint degeneration. [ABSTRACT FROM AUTHOR]

Propagation of an electromagnetic (EM) pulse in an underdense plasma can either generate a wakefield or excite soliton wave, which depends on the competition between the linear dispersion and nonlinear self-modulation of the wave. Here, we study the interaction of the EM pulse and relativistic hot plasma analytically and numerically and reveal the physical mechanism of the transition from wakefield generation to soliton excitation in terms of soliton stability and modulation instability (MI) of a plane wave. Starting from the relativistic hot fluid-Maxwell model, a nonlinear Schrödinger equation (NLSE) governing the amplitude of scalar potential is obtained by using a multi-scale perturbation technique. The bright and dark soliton solutions of the NLSE are obtained analytically. The stability phase diagram of solitons is given numerically. Furthermore, the MI of the plane wave is studied, and the stability phase diagram of MI is obtained. The results indicate that, when the plasma density increases, the propagation of the EM pulse in the plasma experiences wakefield–soliton transition, which depends on the thermal effect. Our results provide theoretical evidence for deep understanding of high-power laser plasma interaction. [ABSTRACT FROM AUTHOR]

We study the propagation of a relativistic ultrashort laser pulse in two-dimensional inhomogeneous plasma with a density ripple based on the theoretical analysis and the particle-in-cell simulation. An analytical solution of the laser pulse propagating in the homogeneous plasma is completely obtained. It is found that the stable propagation of the relativistic ultrashort laser pulse in homogeneous plasma can be realized, and the propagation distance and intensity of the laser pulse and the spatial distribution of electron density can be effectively modulated by adjusting the pulsewidth of the incident laser and the plasma frequency. More interestingly, in the inhomogeneous plasma with a density ripple, when the wave amplitude of the density ripple is less than a critical value, the intensity of the ultrashort laser pulse is almost unchanged and the propagation characteristics of the laser in the inhomogeneous plasma are basically consistent with those in the homogeneous plasma. However, when the wave amplitude of the density ripple is larger than the critical value, the inhomogeneity of the plasma has an obvious effect on the laser characteristics, and the intensity and the spatial distribution of the laser pulse will be modulated by the plasma density ripple. The influence of the laser pulsewidth, plasma density, and plasma density ripple on the laser characteristics is discussed in detail. [ABSTRACT FROM AUTHOR]

• The activation of osteoclast in OVX rats could activate sensory nerves to release CGRP. • CGRP promoted serotonin release in the brainstem and spinal cord. • Increased brain-derived serotonin inhibited CGRP release in the femur. • CGRP and serotonin were related to osteoporosis and osteoporotic pain. Postmenopausal osteoporosis (PMO) and osteoporotic fracture seriously impair human health in developed countries. The present study aims to explore whether sensory nerves, calcitonin gene-related peptide (CGRP), and brain-derived serotonin are related to bone loss in ovariectomized (OVX) rats. Female rats were grouped into the ovariectomized (OVX) and sham surgery (SHAM) groups. Immunocytochemistry, western blotting, and qPCR were performed to detect CGRP expression in the femurs. The expression levels of serotonin and CGRP in the spinal cord and brainstem were estimated using western blotting, immunofluorescence, and qPCR. ELISA was used to evaluate the serum biomarkers of bone formation and resorption. Bone mineral density was measured using dual-energy X-ray (DXA) analysis. Femur microstructure was imaged by Micro CT. P values less than 0.05 were considered statistically significant. ELISA showed that serum bone alkaline phosphatase (BALP), tartrate-resistant acid phosphatase (TRAP), β-crosslaps, and β-ctx were increased in the OVX group. In the OVX group, in vivo bone mineral density, trabecular bone mineral density, bone volume fraction (BV/TV), and trabecular number (Tb. N) were significantly decreased, while trabecular spacing (Tb. Sp) and trabecular bone pattern factor (Tb. Pf) were markedly increased. In the OVX group, the expression levels of CGRP of the femur were significantly downregulated. In contrast, CGRP and serotonin expression was increased in the spinal cord of the OVX group. Serotonin expression was increased in the brainstem, brainstem nucleus raphe magnus (RMG), and nucleus raphe dorsalis (DRN). Our results indicated that the activation of osteoclast triggered the release of CGRP from nociceptive sensory nerve fibers and transmitted this painful stimulus to the dorsal horn of the spinal cord to release increased CGRP. The descending serotonergic inhibitory system was activated by increased CGRP levels of the spinal cord and promoted serotonin release in the brainstem RMG, DRN, and the spinal cord, contributing to the decreased CGRP level in bone tissue, which revealed a novel mechanism of bone loss in PMO. [ABSTRACT FROM AUTHOR]

Our study investigates the genetic mechanisms underlying the spotted leaf phenotype in rice, focusing on the spl43 mutant. This mutant is characterized by persistent reddish-brown leaf spots from the seedling stage to maturity, leading to extensive leaf necrosis. Using map-based cloning, we localized the responsible locus to a 330 Kb region on chromosome 2. We identified LOC_Os02g56000, named OsRPT5A, as the causative gene. A point mutation in OsRPT5A, substituting valine for glutamic acid, was identified as the critical factor for the phenotype. Functional complementation and the generation of CRISPR/Cas9-mediated knockout lines in the IR64 background confirmed the central role of OsRPT5A in controlling this trait. The qPCR results from different parts of the rice plant revealed that OsRPT5A is constitutively expressed across various tissues, with its subcellular localization unaffected by the mutation. Notably, we observed an abnormal accumulation of reactive oxygen species (ROS) in spl43 mutants by examining the physiological indexes of leaves, suggesting a disruption in the ROS system. Complementation studies indicated OsRPT5A's involvement in ROS homeostasis and catalase activity regulation. Moreover, the spl43 mutant exhibited enhanced resistance to Xanthomonas oryzae pv. oryzae (Xoo), highlighting OsRPT5A's role in rice pathogen resistance mechanisms. Overall, our results suggest that OsRPT5A plays a critical role in regulating ROS homeostasis and enhancing pathogen resistance in rice. [ABSTRACT FROM AUTHOR]

Polymorphisms have been identified to predispose to primary gouty arthritis (GA) and hyperuricemia (HUA). Here, we accessed the five polymorphisms of rs10754558, rs35829419, rs3738448, rs3806268, and rs7525979 in NLRP3 on GA and HUA susceptibility. We collected 1198 samples (314 GA, 377 HUA, and 507 controls) for this case-control study. Our data detected that the rs3806268 (GA vs. AA: OR = 0.65 , p = 0.012) was significantly associated with the susceptibility to GA. The rs3738448 (TT vs. GG: OR = 2.05 , p = 0.024) and rs7525979 (TT vs. CC: OR = 1.96 , p = 0.037) were significantly associated with the susceptibility to HUA. The rs3806268 AG genotype presented decreased risk of GA among the hypertension (OR = 0.54 , p = 0.0093), smoking (OR = 0.59 , p = 0.018), and no obesity (OR = 0.60 , p = 0.0097) subjects compared to the GG genotype group. The rs3738448 TT genotype demonstrated increased risk of HUA among the hypertension (OR = 4.10 , p = 0.0056) and no drinking population (OR = 3.56 , p = 0.016) compared to the GG genotype group. The rs7525979 TT genotype demonstrated increased risk of HUA among the hypertension (OR = 4.01 , p = 0.0064) and no drinking population (OR = 3.24 , p = 0.034) compared to the CC genotype group. Furthermore, a significant haplotype effect of rs10754558/C-rs35829419/C-rs3738448/G-rs3806268/A-rs7525979/C was found (OR = 1.60 , p = 0.0046) compared with GCGAC haplotype. Bioinformatics analyses indicated that rs3738448, rs3806268, and rs7525979 might influence the gene regulation, while the T-allele of rs3738448 increased the stability of NLRP3-mRNA. Collectively, our case-control study confirms NLRP3 polymorphisms might participate in regulating immune and inflammation responses in GA and HUA. [ABSTRACT FROM AUTHOR]

Applying machine learning technology to automatic image analysis and auxiliary diagnosis of whole slide image (WSI) may help to improve the efficiency, objectivity, and consistency of pathological diagnosis. Due to its extremely high resolution, it is still a great challenge to directly process WSI through deep neural networks. In this paper, we propose a novel model for the task of classification of WSIs. The model is composed of two parts. The first part is a self-supervised encoding network with a UNet-like architecture. Each patch from a WSI is encoded as a compressed latent representation. These features are placed according to their corresponding patch's original location in WSI, forming a feature cube. The second part is a classification network fused by 4 famous network blocks with heterogeneous architectures, with feature cube as input. Our model effectively expresses the feature and preserves location information of each patch. The fused network integrates heterogeneous features generated by different networks which yields robust classification results. The model is evaluated on two public datasets with comparison to baseline models. The evaluation results show the effectiveness of the proposed model. [ABSTRACT FROM AUTHOR]

The realization and detection of two-leg ladders with the interplay of the artificial gauge field provide an ideal platform for investigations of the quantum phase transition and quantum dynamics. Here, we realize the spatio-temporal evolution dynamics of two-leg ladder systems with magnetic flux analytically and numerically. The quench dynamics induced by giving sudden quenches of initial density distributions of left and right leg components, rung-to-leg coupling ratios and magnetic flux from the ground state are discussed in detail. Affected by the chirality of ladder systems together with the tunneling between the two legs, rich and interesting quench dynamics observed, which including the Josephson Oscillations (JOs), Chiral Density Wave (CDW), Scissors Mode (SM), Periodic Torsional Vortex (PTV) and Periodic Torsional-Scissors Vortex (PTSV). Remarkably, we find that the oscillation frequency of the quench dynamics associated with coupling ratios and magnetic flux can be used to identify the phase transition between the Meissner phase and Vortex phase. Therefore, our work may provide an effective way to distinguish phase transitions by using quench dynamics. [ABSTRACT FROM AUTHOR]

Background: The transoral endoscopic thyroidectomy by vestibular approach (TOETVA) has been developed for papillary thyroid carcinoma (PTC) treatment with satisfactory results. However, there were few malignant thyroid nodules ≥2 cm in previous studies of TOETVA. Therefore, we conducted this study to evaluate the results of treatment by TOETVA for PTC with tumor size ≥2 cm. Materials and Methods: The clinical characteristics and surgical outcomes of 10 PTC patients with tumor size ≥2 cm who underwent TOETVA in our center from June 2018 to August 2021 were, respectively, reviewed. Results: All 10 included PTC patients successfully underwent TOETVA and the mean tumor size was 2.5 ± 0.5 cm. The mean number lymph nodes dissected was 9.6 ± 2.9, and 3.1 ± 3.3 positive lymph nodes were discovered. Postoperatively, transient hypoparathyroidism was recorded in 2 patients (20%), transient recurrent laryngeal nerve injury was noted in 1 patient (10%), transient superior laryngeal nerve injury was noted in 1 patient (10%), and numb chin was identified in 1 patient (10%). The postoperative complications aforementioned recovered within 6 months. During a median follow-up of 23.8 ± 13.1 months, no other complications or tumor recurrence were found. Conclusions: TOETVA is feasible for PTC patients with tumor size ≥2 cm and satisfactory short-term surgical outcomes have achieved in this study. We suggested that experienced surgeons can gradually expand the indications for TOETVA. [ABSTRACT FROM AUTHOR]

Background: Recent years there have been witnessed considerable advances in endoscopic selective lateral neck dissection (LND). However, dissection of lymph nodes at level IV and level VI via the chest approach is inherently challenging. In this study, we used combined trans-oral and chest approach for endoscopic thyroidectomy in patients with cT1-2N1bM0 papillary thyroid carcinoma (PTC). Methods: Clinical characteristics and surgical outcomes of ten patients with cT1-2N1bM0 PTC who underwent endoscopic thyroidectomy via combination of trans-oral and chest approach between September 2020 and September 2021 were retrospectively reviewed. Results: All 10 patients successfully underwent total thyroidectomy and selective LND via chest approach, while central neck dissection (CND) and supplementary dissection of lymph nodes at level IV were performed via the trans-oral approach. The mean number of positive/retrieved level II, III-IV, and VI lymph nodes were 0.6 ± 1.0/9.8 ± 5.0, 4.6 ± 2.8/23.1 ± 4.7, and 4.9 ± 3.4/10.3 ± 4.6, respectively. Four patients developed transient hypoparathyroidism which spontaneously resolved within 1 month. Five patients developed numbness of lateral neck and ear and one patient experienced limb lift restriction. No other complications or tumor recurrence occurred during follow-up. Conclusion: It is feasible to perform total thyroidectomy, CND, and selective LND via combined trans-oral and chest approach, and satisfactory short-term outcomes were observed in this cohort. This approach may offer one more option for cT1-2N1bM0 PTC patients, especially those in whom metastatic lymph nodes at level IV or level VI are detected by preoperative examination. [ABSTRACT FROM AUTHOR]

Background: Endoscopic thyroidectomy is widely performed as it does not result in neck scar. However, there is a paucity of reports pertaining to completely endoscopic lateral neck dissection (LND). In this study, we introduce our step-wise approach for performing endoscopic selective LND via the chest-breast approach. We refer to this approach as Qin's seven steps.Methods: The Qin's seven steps are: (1) establishment of working space range; (2) dissection of lymph nodes between the SCM and the sternohyoid muscle (level IV) and exposure of omohyoid; (3) dissection of lymph nodes at level IV; (4) dissection of lymph nodes at level III; (5) dissection of lymph nodes at carotid triangle (level III); (6) exposure of accessory nerve and dissection of lymph nodes at level II a; (7) dissection of lymph nodes at level II b. We reviewed the clinical data of 35 patients with papillary thyroid cancer (PTC) who were operated using the Qin's seven steps.Results: All 35 patients successfully underwent LND; bilateral LND was performed in 5 patients. The mean tumor size was 1.8 ± 1.0 cm; seven patients had multiple lesions. The mean number of retrieved lymph nodes in level II, III and IV were 8.8 ± 5.6, 6.1 ± 4.0 and 9.3 ± 5.1, respectively. As for complications, there were 3 cases of accessory nerve injury and 1 case of hypoglossal nerve injury. Internal jugular vein injury, cervical plexus injury and lymphatic leakage occurred in 2, 7, and 1 patients, respectively.Conclusion: The Qin's seven steps for performing endoscopic selective LND could be safely used in PTC patients with lateral lymph node metastasis. Satisfactory results were achieved in the short-term follow-up period. We recommend the use of Qin's seven steps for PTC patients who are not desirous of neck scar. [ABSTRACT FROM AUTHOR]

Background. Osteoporotic vertebral compression fractures (OVCFs) are common health issues in the elderly that cause chronic pain in over one-third of patients. This study was sought to evaluate the efficacy and safety of acupuncture for alleviating pain caused by OVCFs. Methods. We performed a search of 8 electronic databases for publications from the inception to 30th March 2021. Eligible studies were randomized clinical trials (RCTs) that evaluated the effect of acupuncture for the treatment of OVCFs. Two investigators evaluated literature quality and extracted data independently. RevMan V.5.4.1 was used for data analyses, with pooled risk estimates presented as mean difference (MD) or relative risk (RR) along with corresponding 95% confidence intervals (CIs), as appropriate. Results. Fourteen RCTs involving 1,130 patients were included in this meta-analysis. Compared with the control group, acupuncture showed a greater benefit on pain reduction caused by OVCFs (1 week: MD = −1.26, 95% CI: (−1.82,−0.70); 1 month: MD = −1.63, 95% CI: (−1.82,−1.43); 6 months: MD = −1.13, 95% CI: (−1.55, −0.70)). Acupuncture treatment was also associated with fewer adverse events, lower ODI index, and higher bone density than the control group (safety: (RR: 0.30, 95% CI: 0.12–0.75); ODI: MD = −3.19, 95% CI: (−5.20, −1.19); bone density: MD = 0.15, 95% CI: (0.05, 0.26)). The GRADE quality of these results was assessed as low or very low. Conclusions. Compared with the control treatment, acupuncture was more effective and safer in relieving the pain caused by OVCF and made a greater improvement on patient's ODI score and bone density. Given the low level of our study evidence, future high-quality studies are needed to verify our study findings. [ABSTRACT FROM AUTHOR]

A graphited g -C 3 N 4 assembled with highly-dispersed nickel (HDNi@ g -C 3 N 4) exhibits accelerated reaction kinetics, excellent reversible capacity, and rate performance due to superior metallicity with increased density of states (DOS) at the Fermi energy level, narrowed energy gap between LUMO and HOMO level, and decreased positive Gibbs energy of polysulfide conversion. [Display omitted] • A graphited g -C 3 N 4 assembled with highly-dispersed nickel is designed as a catalyst of Li-S battery. • Exhibiting superior metallicity with increased density of states (DOS) at the Fermi energy level. • Narrowed energy gap contributes much to fast kinetics of negative electrons and positive Li+ ions. • Positive Gibbs energy significantly decreases for the prepared cathode materials. Lithium-sulfur (Li-S) batteries are promising next-generation energy storage devices due to high theoretical energy density and low-cost. Nevertheless, the practical applications are hindered by polysulfide shuttling effect, low electrical conductivity of sulfur, and slower conversion kinetics. Here, the graphited g -C 3 N 4 assembled with highly-dispersed nickel (HDNi@ g -C 3 N 4) is designed as a catalyst to accelerate the reaction kinetics of lithium polysulfide. The oxidized Ni sites of HDNi@ g -C 3 N 4 molecules significantly accommodate the orbital for the electron clouds of polysulfide by forming S n 2–‧‧‧Ni-N active site, thus efficiently improving redox kinetics and mitigating shuttle effects. Based on density functional theory (DFT) calculations, HDNi@ g -C 3 N 4 exhibits a superior metallicity with increased density of states (DOS) at the Fermi energy level. Then, the narrowed energy gap between the lowest unoccupied molecular orbital (LUMO) and highest occupied molecular orbital (HOMO) level contributes to the enhanced conductivity of catalyst molecular and fast combination between electrons and Li+ ions. Moreover, the positive Gibbs free energy change is significantly decreased for the HDNi@ g -C 3 N 4 cathode. The Li-S battery exhibits a high reversible capacity of 1, 271.6 mAh g−1 at 0.1 C and a high rate capacity of 571.96 mAh g−1 at 2.0 C, a preferable cycling stability with a capacity retention of 53 % even after 500 cycles at a 1.0 C, and an average decay rate of 0.733 % per cycle. [ABSTRACT FROM AUTHOR]