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Abstract Background Chronic primary pain (CPP) is an intractable pain of unknown cause with significant emotional distress and/or dysfunction that is a leading factor of disability globally. The lack of a suitable animal model that mimic CPP in humans has frustrated efforts to curb disease progression. 2R, 6R-hydroxynorketamine (2R, 6R-HNK) is the major antidepressant metabolite of ketamine and also exerts antinociceptive action. However, the analgesic mechanism and whether it is effective for CPP are still unknown. Methods Based on nociplastic pain is evoked by long-term potentiation (LTP)-inducible high- or low-frequency electrical stimulation (HFS/LFS), we wanted to develop a novel CPP mouse model with mood and cognitive comorbidities by noninvasive low-frequency percutaneous electrical nerve stimulation (LF-PENS). Single/repeated 2R, 6R-HNK or other drug was intraperitoneally (i.p.) or intrathecally (i.t.) injected into naïve or CPP mice to investigate their analgesic effect in CPP model. A variety of behavioral tests were used to detect the changes in pain, mood and memory. Immunofluorescent staining, western blot, reverse transcription-quantitative real-time polymerase chain reaction (RT-qPCR) and calcium imaging of in cultured dorsal root ganglia (DRG) neurons by Fluo-8-AM were used to elucidate the role and mechanisms of 2R, 6R-HNK in vivo or in vitro. Results Intrathecal 2R, 6R-HNK, rather than intraperitoneal 2R, 6R-HNK or intrathecal S-Ketamine, successfully mitigated HFS-induced pain. Importantly, intrathecal 2R, 6R-HNK displayed effective relief of bilateral pain hypersensitivity and depressive and cognitive comorbidities in a dose-dependent manner in LF-PENS-induced CPP model. Mechanically, 2R, 6R-HNK markedly attenuated neuronal hyperexcitability and the upregulation of calcitonin gene-related peptide (CGRP), transient receptor potential ankyrin 1 (TRPA1) or vanilloid-1 (TRPV1), and vesicular glutamate transporter-2 (VGLUT2) in peripheral nociceptive pathway. In addition, 2R, 6R-HNK suppressed calcium responses and CGRP overexpression in cultured DRG neurons elicited by the agonists of TRPA1 or/and TRPV1. Strikingly, the inhibitory effects of 2R, 6R-HNK on these pain-related molecules and mechanical allodynia were substantially occluded by TRPA1 antagonist menthol. Conclusions In the newly designed CPP model, our findings highlighted the potential utility of intrathecal 2R, 6R-HNK for preventing and therapeutic modality of CPP. TRPA1-mediated uprgulation of CGRP and neuronal hyperexcitability in nociceptive pathways may undertake both unique characteristics and solving process of CPP.

Conventionally, the electromechanical system requires the installation of auxiliary displacement sensors and only the amount on the drive part and motion end, which increases volume, cost, and measurement error in the system. This paper presents an integrated measurement method with a sensing head, which takes the equal division characteristics of mechanical structures as part of the sensor, thus, the so-called self-sensing system. Moreover, the displacement is measured by counting the time pulses. The sensing head is integrated with the entire electromechanical system, including the driving, transmitting, and moving parts. Thus, the integration of the sensing part is greatly improved. Taking the rotary table as a special example, and the sensing head embedded into each part of the system, displacement information is obtained by the common processing system and fused by the adaptive weighted average method. The results of the experiment show that the fusion precision of each component is higher than only the motor position information as the feedback. The proposed method is a practical self-sensing technology with significant volume reduction and intelligent control benefits in the industry, especially suitable for extremely small and narrow spaces.

The placenta is a crucial determinant of fetal survival, growth, and development. Deficiency in placental development directly causes intrauterine growth retardation (IUGR). IUGR can lead to fetal growth restriction and an increase in the mortality rate. The genetic mechanisms underlying IUGR development, however, remain unclear. In the present study, we integrated whole-genome DNA methylation and transcriptomic analyses to determine distinct gene expression patterns in various placental tissues to identify pivotal genes that are implicated with IUGR development. By performing RNA-sequencing analysis, 1487 differentially expressed genes (DEGs), with 737 upregulated and 750 downregulated genes, were identified in IUGR pigs (H_IUGR) compared with that in normal birth weight pigs (N_IUGR) (p < 0.05); furthermore, 77 miRNAs, 1331 lncRNAs, and 61 circRNAs were differentially expressed. The protein–protein interaction network analysis revealed that among these DEGs, the genes GNGT1, ANXA1, and CDC20 related to cellular developmental processes and blood vessel development were the key genes associated with the development of IUGR. A total of 495,870 differentially methylated regions were identified between the N_IUGR and H_IUGR groups, which included 25,053 differentially methylated genes (DMEs); moreover, the overall methylation level was higher in the H_IUGR group than in the N_IUGR group. Combined analysis showed an inverse correlation between methylation levels and gene expression. A total of 1375 genes involved in developmental processes, tissue development, and immune system regulation exhibited methylation differences in gene expression levels in the promoter regions and gene ontology regions. Five genes, namely, ANXA1, ADM, NRP2, SHH, and SMAD1, with high methylation levels were identified as potential contributors to IUGR development. These findings provide valuable insights that DNA methylation plays a crucial role in the epigenetic regulation of gene expression and mammalian development and that DNA-hypermethylated genes contribute to IUGR development in Rongchang pigs.

The newly-developed Ni–28W–6Cr alloy is the structural material for the next-generation molten salt reactor (MSR). Due to the detrimental effects of welding hot cracks on the quality of welded structures, it is essential to study the hot cracking behavior and mechanism to achieve the qualified Ni–28W–6Cr alloy welded joint. This paper analyzes the characteristics of the dynamic cracking behavior of welding hot cracks using a high-speed camera. The microstructure, morphology, and cracking mechanism of hot cracks are studied. The results show that solidification cracks and liquation cracks occur in the welded joint. According to the propagation direction of the hot crack, there are longitudinal cracks and transverse cracks, respectively. The quantity and length of hot cracks increase with the laser power. The laser welded joint's hardness value fluctuates from 200 HV to 260 HV. The width of heat affected zone (HAZ) is approximately 0.5–1 mm, and there is a slight softening zone in the HAZ. Meanwhile, the hardness of the weld metal is the highest in the welded joint. The solidification cracks tend to initiate and crack along the solidification grain boundary, which is mainly related to the thermal stress caused by the welding process and the weak bonding strength of grain boundaries caused by the element segregation and precipitation at the grain boundary. Liquation cracking is mainly affected by welding thermal stress and element segregation at the grain boundary in the HAZ. However, the eutectic carbides play the role of inhibiting the propagation of liquation cracks.

To address the conflict between pressure relief and support effectiveness caused by large-diameter boreholes in roadway surrounding rock, this paper proposes a method involving variable-diameter boreholes for pressure relief and energy dissipation. With a typical rock burst coal mine as the engineering context, the study establishes a mechanical model for variable-diameter boreholes through theoretical analysis to examine the elastic stress distribution around boreholes within the coal body. Physical similarity simulation tests are conducted to investigate the influence of conventional borehole and variable diameter borehole on the transmission pattern of dynamic load stress waves. Furthermore, numerical simulations are employed to explore the effects of reaming diameter, depth, and spacing on pressure relief, energy dissipation, and attenuation of dynamic stress wave transmission in roadway surrounding rock. The results demonstrate that stress within the coal surrounding the variable-diameter borehole correlates with the borehole radius, lateral pressure coefficient, and distance from the point to the borehole center, the extent of the plastic zone is influenced by borehole diameter, spacing, and depth. Increased diameter, reduced spacing, and greater depth of deep reaming holes exacerbate the transfer of stress concentration from the surrounding rock of the roadway to the deeper regions, facilitating the formation of stress double peak areas. Moreover, the variable diameter position should be within the original stress peak position of the surrounding rock in the roadway, with deep reaming passing through the stress concentration area for optimal results. This study offers guidance on the prevention and control technology for rock bursts in deep coal mining operations.

Background: The invasive brownrat (Rattus norvegicus) and the Oriental rats (Rattus tanezumi) are common commensal murid that are important hosts for rodent-borne diseases in southeast Asia. Understanding their population structure and genetic diversity is essential to uncover their invasion biology and distribution dynamics that are essential for controlling rodent-borne diseases.Methods: TA total of 103 R. norvegicus and 85 R. tanezumi were collected from 13 to 9 coastal areas of six provincial monitoring sentinel sites, respectivelyto assess patterns in their microsatellite loci and their mitochondrial coxl gene region.Results: Eleven sampled populations of R. norvegicus were divided into two major clusters by region. The observed heterozygosity values of all regional populations were smaller than expected genetic diversity heterozygosity values and deviated from Hardy-Weinberg equilibrium Nine sample populations of R. tanezumi were divided into three clusters; two that included sample from Hainan and Fujian provinces, and one that included samples from the other provinces and cities. The genetic diversity of R. tanezumi was highest in samples from Jiangsu and Guangdong provinces.Conclusion: The data in this paper confirm the two invasive rodent species from the southeastern coastal region of China may have relied on maritime transport to spread from the southern region of China to the Yangtze River basin. R. tanezumi may then hanve migrated unidirectionally, along the southeastern provinces of China towards the north, while R. norvegicus spread in a complex and multidirectional manner in Hainan, Fujian, Zhejiang and Jiangsu Provinces of the country.

Sensible thermal storage ceramics in the form of the fluid-bed show good competency on dealing with the intermittency of renewable energy and improving energy utilization efficiency by integration the functions of thermal absorption and storage. In-situ nano-sized β-Sialon whiskers reinforced Al2O3-based ceramic materials for fluid-bed thermal storage system were one-step synthesized by aluminothermic reduction method, using solid waste coal-series kaolin and Al powder as main raw materials and firing at 1500 °C in N2 atmosphere. The effects of Al content and firing temperature on phase evolution, microstructure and properties of fired samples were researched by XRD, SEM, TEM, etc. The results showed that nano-sized β-Sialon whiskers could be in-situ synthesized at 1300 °C, which effectively enhanced the bending strength of fired samples. The highest β-Sialon content and the optimal properties could be achieved at 1500 °C while coal-series kaolin and Al mass ratio was equal to 70∶30, which were listed as follows: 30.7 % β-Sialon content, 74.9 MPa high-temperature bending strength (at 1400 °C), 6.17 × 10-6·°C-1 thermal expansion coefficient (room temperature-1000 °C), 0.74 J·(g·K)-1 specific heat capacity (at room temperature), 873.90 kJ·kg-1 theoretical thermal storage density (ΔT=900 °C), which is suitable as the thermal storage material for the fluid-bed thermal storage system.

Rapid urbanization and mining activities are exacerbating sulfate (SO42-) pollution in surface water, and the information on its sources and transformations is crucial for understanding the sulphur cycle in mining areas. In this study, the SO42- in the surface water of Huaibei mining area were monitored and the main sources of pollution and biogeochemical processes were identified using stable isotopes (δD, δ18O-H2O, δ34S-SO42- and δ18O-SO42-) and water chemistry. The results demonstrated the SO42- content in the Huihe River and Linhuan subsidence water area (SWA) is higher than that in other rivers and SWAs, which exceeded the environmental quality standard of surface water. The SO42- content of different rivers and SWAs showed seasonal differences, and the dry season was higher than the wet season. In addition, the SO42- in Tuohe River and Suihe River is primarily caused by urban sewage and agriculture activities, while in Zhonghu and Shuoxihu SWA is mainly contributed by natural evaporate dissolution. Notably, the input of SO42- in the Huihe River and Linhuan SWA caused by mining activities cannot be disregarded. The aerobic environment and isotopic fractionation of surface water indicate that sulfide oxidation is not the major cause of SO42- formation. This work has revealed the multiple sources and transformation mechanisms of SO42-, and provided a reference for the development of comprehensive management and effective remediation strategies of SO42- contamination in surface water around mining areas.

ABSTRACTObjective: Hydroxytyrosol (HT) is a polyphenol with a wide range of biological activities. Excessive drinking can lead to oxidative stress and inflammation in the liver, which usually develop into alcohol liver disease (ALD). At present, there is no specific drug to treat ALD. In this paper, the protection effect of HT on ALD and the underline mechanism were studied.Methods: HepG2 cells were exposed to ethanol in vitro and C57BL/6J mice were fed with a Lieber-DeCarli ethanol liquid diet in vivo.Results: triglyceride (TG) level in serum and the expression of fatty acid synthase (FASN) were reduced significantly by the treatment with HT The acetaldehyde dehydrogenase (ALDH) activity was increased, the serum level of malondialdehyde (MDA) was decreased, catalase (CAT) and glutathione (GSH) were increased, suggesting that HT may reduce its oxidative damage to the body by promoting alcohol metabolism. Furthermore, according to the mRNA levels of tnf-α, il-6 and il-1β, HT inhibited ethanol-induced inflammation significantly. The anti-inflammatory mechanism of HT may be related to suppress the STAT3/iNOS pathway.Dissussion: Our study showed that HT could ameliorate ethanol-induced hepatic steatosis, oxidative stress and inflammation and provide a new candidate for the prevention and treatment of ALD.

Abstract Background Colorectal cancer (CRC) is a malignant tumor of the digestive system that contains high levels of immune cells. Lactic acid, a major metabolite, plays a crucial role in tumor development, maintenance, and therapeutic response. However, the prognostic potential and therapeutic biomarker potential of lactate‐related genes (LRGs) in CRC patients remain to be elucidated. Methods We collected the mRNA expression profile and clinical data of CRC patients from the Cancer Genome Atlas (TCGA) database and the GSE59382 cohort. Univariate Cox regression, Lasso regression and multivariate Cox regression analysis were used to construct the prognosis model. Combined with the risk score and important clinicopathological features, the nomogram was established. In addition, the relationship between risk score and immune infiltration, immune checkpoint gene expression, and drug sensitivity was investigated. Results We constructed lactate‐related gene signatures (LRGS) based on four LRGs, which independently predicted the prognosis of CRC. Patients with different risk scores are found to have distinct immune status, tumor mutation load, immune response, and drug sensitivity. In addition, nomogram results determined by risk scores and clinical factors have higher predictive performance. Conclusion We found that LRGS is a reliable biomarker for predicting clinical outcomes, evaluating immune infiltration and efficacy, and predicting the sensitivity to drugs in patients with CRC.

Demonstration that SMAD2/3 regulate regeneration and differentiation of the endometrium in a manner important for suppression of endometrial carcinogenesis.

In this study, we investigated the correlation between the composition and function of the gut microbiota and the semen quality of Rongchang boars. Significant differences in gut microbial composition between boars with high (group H) and low (group L) semen utilization rates were identified through 16S rRNA gene sequencing, with 18 differential microbes observed at the genus level. Boars with lower semen utilization rates exhibited a higher relative abundance of Treponema, suggesting its potential role in reducing semen quality. Conversely, boars with higher semen utilization rates showed increased relative abundances of Terrisporobacter, Turicibacter, Stenotrophomonas, Clostridium sensu stricto 3, and Bifidobacterium, with Stenotrophomonas and Clostridium sensu stricto 3 showing a significant positive correlation with semen utilization rates. The metabolomic analyses revealed higher levels of gluconolactone, D-ribose, and 4-pyridoxic acid in the H group, with 4 pyridoxic acid and D-ribose showing a significant positive correlation with Terrisporobacter and Clostridium sensu stricto 3, respectively. In contrast, the L group showed elevated levels of D-erythrose-4-phosphate, which correlated negatively with Bifidobacterium and Clostridium sensu stricto 3. These differential metabolites were enriched in the pentose phosphate pathway, vitamin B6 metabolism, and antifolate resistance, potentially influencing semen quality. These findings provide new insights into the complex interplay between the gut microbiota and boar reproductive health and may offer important information for the discovery of disease biomarkers and reproductive health management.

Medium-carbon, high-strength steels are widely used in the field of hydrogen energy because of their good mechanical properties, and they can be readily tailored by heat treatment processes such as the normalizing–tempering (N&T) and quenching–tempering (Q&T) methods. The hydrogen embrittlement (HE) susceptibility of a medium-carbon, high-strength steel was investigated utilizing microstructural characterization with scanning electron microscopy (SEM), the electron backscatter diffraction (EBSD) technique, and transmission electron microscopy (TEM). A study was also conducted on the steel’s hydrogen transport behavior as affected by the N&T and Q&T treatments. The steel contained more hydrogen traps, such as dislocations, grain boundaries, lath boundaries, and carbide interfaces, after the Q&T process, which was associated with a lower HE sensitivity when comparing the two treatments. In comparison, the N&T process produced larger-size and lesser-density carbides distributed along the grain boundaries, and this resulted in a relatively higher HE susceptibility, as revealed by the slow-strain-rate tensile (SSRT) tests of the hydrogen-charged steels and by the fractographic study of the fracture surface.

BackgroundMounting evidence has demonstrated the associations between gut microbiota, gut microbiota-derived metabolites, and cerebrovascular diseases (CVDs). The major categories of CVD are ischemic stroke (IS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). However, the causal relationship is still unclear.MethodsA two-sample Mendelian randomization (MR) study was conducted leveraging the summary data from genome-wide association studies. The inverse variance-weighted, maximum likelihood, weighted median, and MR.RAPS methods were performed to detect the causal relationship. Several sensitivity analyses were carried out to evaluate potential horizontal pleiotropy and heterogeneity. Finally, reverse MR analysis was conducted to examine the likelihood of reverse causality, and multivariable MR was performed to adjust the potential confounders.ResultsWe collected 1,505 host single nucleotide polymorphisms (SNPs) linked to 119 gut microbiota traits and 1,873 host SNPs associated with 81 gut metabolite traits as exposure data. Among these, three gut bacteria indicated an elevated risk of IS, two of ICH, and one of SAH. In contrast, five gut bacteria were associated with a reduced risk of IS, one with ICH, and one with SAH. Our study also demonstrated the potential causal associations between 11 gut microbiota-derived metabolites and CVD.ConclusionsThis study provided evidence of the causal relationship between gut microbiota, gut microbiota-derived metabolites, and CVD, thereby offering novel perspectives on gut biomarkers and targeted prevention and treatment for CVD.

BackgroundTuberous Sclerosis Complex (TSC) is a hereditary condition that leads to the development of non-malignant neoplasms in various organs, including cardiac rhabdomyomas, which can cause significant complications.Case presentationThis report describes the case of a 15-day-old male neonate who was hospitalized due to intracardiac masses and brain lesions, despite the absence of TSC gene mutations. The patient's mother exhibited facial angiofibromas, a common feature of TSC. Over a 2-year follow-up period, spontaneous regression of the cardiac tumor was observed.ConclusionsThis case illustrates that not all TSC cases exhibit detectable TSC gene mutations. Current treatment strategies, such as mTOR inhibitors, offer potential effectiveness in managing associated cardiac rhabdomyomas. Further research should focus on evaluating the therapeutic potential of these inhibitors.

Diatoms are ancestrally photosynthetic microalgae. However, some underwent a major evolutionary transition, losing photosynthesis to become obligate heterotrophs. The molecular and physiological basis for this transition is unclear. Here, we isolate and characterize new strains of non-photosynthetic diatoms from the coastal waters of Singapore. These diatoms occupy diverse ecological niches and display glucose-mediated catabolite repression, a classical feature of bacterial and fungal heterotrophs. Live-cell imaging reveals deposition of secreted extracellular polymeric substance (EPS). Diatoms moving on pre-existing EPS trails (runners) move faster than those laying new trails (blazers). This leads to cell-to-cell coupling where runners can push blazers to make them move faster. Calibrated micropipettes measure substantial single-cell pushing forces, which are consistent with high-order myosin motor cooperativity. Collisions that impede forward motion induce reversal, revealing navigation-related force sensing. Together, these data identify aspects of metabolism and motility that are likely to promote and underpin diatom heterotrophy.

Curcumin has a wide range of biological activities. This study investigated the anti-inflammatory activity of a triazole curcumin derivative (TAC)—especially its effect on lipopolysaccharide (LPS)-induced acute lung injury (ALI) in mice and possible targets. In the xylene-induced ear edema experiment, the inhibition rate of TAC against mice ear edema was 23.8%–78.2% over a dose range of 2.5–40 mg/kg 4 h after administration. At a dose of 10 mg/kg, the anti-inflammatory activity of TAC reached a peak at 4 h with an inhibition rate of 73.1%. This was significantly better than the positive control drug sodium diclofenac (DCF). TAC can also effectively reduce the degree of pulmonary edema injury in mice. H&E and Masson staining showed that the inflammatory and pathological indicators of LPS-induced lung injury were significantly improved by TAC. MTT tests illustrated that TAC showed weak cytotoxicity against RAW264.7 cells, and inhibited TNF-α and IL-6 release induced by LPS. Western blotting indicated that TAC decreased the expression of NF-κB and AP-1 in LPS pre-treated RAW264.7 cells, but failed to influence the expression of NF-κB in IL-1β pre-treated HET293T-Myd88−/− cells. Docking studies show that TAC could bind to the hydrophobic pocket of the CD2-TLR4 complex and expressed a high binding affinity. In conclusion, TAC exerts its anti-inflammatory effects by targeting the MD2-TLR4 signaling pathway, thus suggesting that it may be a promising candidate for the treatment of acute lung injury.

Natural gas hydrate is a new energy source with great potential. Studying the seismic response characteristics of natural gas hydrate in permafrost area is crucial to the exploration and development of natural gas hydrate in China's land area. Based on the Kelvin viscoelastic media model, our work establishes a theoretical geological-geophysical model based on the actual geological and stratigraphic conditions of the Qilian Mountain permafrost, uses the staggered-grid finite difference method to perform forward numerical simulation, and performs wave field characteristic analysis and instantaneous seismic attribute extraction of self-excitation and self-receiving seismic records. The results show that the reflected amplitude energy is weaker when the seismic wave passes through the gas hydrate formation. In the range where the instantaneous frequency attribute profile can distinguish the layer thickness, the instantaneous frequency decreases marginally with the increase of the layer thickness. When seismic waves pass through natural gas-bearing formations, the reflected waves show strong reflection characteristics, and the instantaneous frequency energy increases. The instantaneous seismic attribute has better resolution for the wave-impedance interface, especially the instantaneous phase attribute profile. Therefore, the comprehensive analysis of the instantaneous attribute characteristics can provide a basis for the identification and prediction of terrestrial gas hydrates.

Abstract Background Recently, increasing attention has been drawn to the impact of the tumor microenvironment (TME) on the occurrence and progression of malignant tumors. A variety of 3D culture techniques have been used to simulate TME in vitro. The purpose of this study was to reveal the differences in transcriptional and metabolic levels between osteosarcoma (OS) 2D cells, 3D cells, 3D cell-printed tissue, isolated tissue, and transplanted tumor tissue in vivo. Methods We cultured the OS Saos-2 cell line under different culture methods as 2D cells, 3D cells, 3D cell-printed tissue and isolated tissue for 14 days and transplanted tumors in vivo as a control group. Through transcriptomic and metabonomic analyses, we determined the changes in gene expression and metabolites in OS tissues under different culture methods. Results At the transcriptional level, 166 differentially expressed genes were found, including the SMAD family, ID family, BMP family and other related genes, and they were enriched in the TGF-β signaling pathway, complement and coagulation cascades, signaling pathways regulating pluripotency of stem cells, Hippo signaling pathway, ferroptosis, cGMP-PKG signaling pathway and other pathways. At the metabolic level, 362 metabolites were significantly changed and enriched in metabolic pathways such as the Fc Epsilon RI signaling pathway, histidine metabolism, primary bile acid biosynthesis, steroid biosynthesis, protein digestion and absorption, ferroptosis, and arachidonic acid metabolism. After integrating the transcriptome and metabolomics data, it was found that 44 metabolic pathways were changed, and the significantly enriched pathways were ferroptosis and pyrimidine metabolism. Conclusion Different culture methods affect the gene expression and metabolite generation of OS Saos-2 cells. Moreover, the cell and tissue culture method in vitro cannot completely simulate TME in vivo, and the ferroptosis and pyrimidine metabolism pathways mediate the functional changes of OS Saos-2 cells in different microenvironments.

Abstract This study developed a miniaturized optomechanical device (MOD) for the feasibility study of direct bilirubin in urine using high-collimation blue mini-light-emitting diodes (Mini-LEDs) as the light source. The constructed MOD used optical spectroscopy to analyze different concentrations of direct bilirubin using the absorbance spectrum to achieve a noninvasive method for detection. The experimental results showed that between the absorbance and different concentrations of direct bilirubin at the blue Mini-LEDs central wavelength (462 nm) was the optimum fitting wavelength; in the direct bilirubin concentration range from 0.855 to 17.1 μmol/L, the coefficient of determination (R 2) was 0.9999, the limit of detection (LOD) of 0.171 μmol/L, and the limit of quantitation (LOQ) of 0.570 μmol/L. Therefore, we propose using blue Mini-LEDs as a light source to design a MOD to replace the invasive blood sampling method with a spectroscopic detection of direct bilirubin concentration corresponding to absorbance.

Abstract Background Non-alcoholic fatty liver disease (NAFLD) is a metabolic disorder with abnormal lipid metabolism. The present study was to identify regulatory genes related to lipid droplets (LDs) abnormal accumulation in NAFLD. Methods transcriptomic analysis and bioinformatics analysis (GEO database) were used to identify potential genes in abnormal lipid metabolism of NAFLD. A candidate gene MAP3K4 expression were detected by immunohistochemistry staining in NAFLD and controls. RNA interference and immunoblotting were used to verify the roles of MAP3K4 in the formation of hepatic LDs. Results A total of 134 candidate genes were screened, including 44 up-regulated genes and 90 down-regulated genes. 29 genes in the protein–protein interaction (PPI) were selected as hub genes, including MAP3K4. The expression levels of MAP3K4 were positively correlated with NAFLD activity score (r = 0.702, p = 0.002). Furthermore, we found a positive correlation of MAP3K4 expression with serum total cholesterol (r = 0.564, p = 0.023), uric acid levels (r = 0.520, p = 0.039), and body mass index (r = 0.574, p = 0.020). Downregulation of MAP3K4 decreased LDs accumulation in HepG2 cells and reduced the expression of CGI-58 and Plin-2 by imbibition of JNK and group IVA cytosolic phospholipase A2 (cPLA2) activation. Conclusion The study revealed a number of regulatory genes related to hepatic lipid metabolism of NAFLD, and demonstrated that MAP3K4 played a pivotal role in the hepatic lipogenesis of NAFLD.

Abstract The conjugate heat transfer of a turbine blade is influenced by several factors. To analyze the influence of each factor, the published one-dimensional conjugate heat transfer model was improved through theoretical analysis in this study. An overall cooling effectiveness equation containing three dimensionless parameters (adiabatic film cooling effectiveness η, Biot number on the mainstream side Bi g , and ratio between the heat transfer coefficients of the external and internal walls h g /h i ) was obtained. The sensitivity of the overall cooling effectiveness ϕ to these three parameters was obtained through a multi-parameter sensitivity analysis. The results showed that increasing η could improve ϕ the most effectively. The interactions between the dimensionless parameters were analyzed by developing sensitivity charts. The results showed that increasing η from 0.4 to 0.5 could reduce the sensitivity of ϕ to the other two parameters by approximately 15%, whereas increasing Bi g had little effect on the sensitivity of ϕ to each dimensionless parameter. Increasing h g /h i could improve the sensitivity to η. The above conclusions could also be applied to the plate film hole and plate impingement effusion structures. The effects of different internal cooling structures and film hole structures on the three dimensionless parameters were studied by performing numerical simulations, which verified the accuracy of the one-dimensional conjugate heat transfer model in this study. The results showed that the internal cooling structures had little effect on the distribution of η and Bi g . The heat transfer coefficient on the coolant side could be effectively improved by installing film holes. The film hole structures mainly affected ϕ by influencing the distribution of η.

Abstract A stable { $$\stackrel{\mathrm{-}}{1}{\text{10}}$$ 1 - 10 } single component sharp texture was obtained during ambient temperature tube High-Pressure Shearing (t-HPS) of 99.999% purity aluminum. It is shown that the grain size and the grain aspect ratio saturate at ~ 8 μm and ~ 1.6, respectively, at an equivalent strain of ~ 30 and the high-angle grain boundary fraction continues to decrease after this saturation even to equivalent strains exceeding ~ 200. The { $$\stackrel{\mathrm{-}}{1}{\text{10}}$$ 1 - 10 } texture emerges at an equivalent strain of ~ 6 to 9 with the completion of recrystallization and develops gradually as a sole component sharp texture with increasing intensity upon further processing. This component is a stable orientation in t-HPS processing although it was not previously observed experimentally as a shear texture. Thus, t-HPS processing provides a new and effective experimental tool for simple shear testing that is distinctly different from earlier shear strain methods such as torsional processing.

For relaxor ferroelectrics, correlating their properties and local structures is challenging. Here, the authors correlate the atomic-scale structure and the large dynamic electromechanical property in Bi0.5Na0.5TiO3-based relaxor ferroelectrics.

Rationale & Objective: The benefit–risk profile of rivaroxaban versus warfarin for atrial fibrillation (AF) in patients with chronic kidney disease is uncertain. We compared rivaroxaban with warfarin across the range of kidney function in adults with AF. Study Design: Multicenter retrospective cohort. Setting & Participants: Adults with AF and a measure of estimated glomerular filtration rate (eGFR); using administrative data from 5 jurisdictions across Australia and Canada (2011-2018). Kidney function was categorized as eGFR ≥60, 45-59, 30-44, and

In recent decades, the development of electronic technology has provided opportunities for the Internet of Things, biomedicine, and energy harvesting. One of the challenges of the Internet of Things in the electrification era is energy supply. Centralized energy supply has been tested over hundreds of years of history, and its advantages such as ideal output power and stable performance are obvious, but it cannot meet the specific needs of the Internet of Things, and distributed energy supply also has a large demand. Since the invention of nanogenerators, another promising solution for fluid energy harvesting has been opened up. The triboelectric nanogenerator is an emerging platform technology for electromechanical energy conversion, which can realize the collection of fluid energy such as wind energy and wave energy. In this paper, we first introduce the fundamentals of triboelectric nanogenerators and their applications in wind and wave energy harvesting devices. We then discuss the methods of device optimization in the next development of TENG and conclude by considering the future prospects and challenges for triboelectric nanogenerator harvesting devices.

Abstract Background Tryptophan 2,3-dioxygenase (TDO2) is the primary enzyme that catabolizes tryptophan to kynurenine. Numerous studies have suggested that TDO2 is involved in inflammation-related diseases. However, its role in osteoarthritis (OA) has not yet been investigated. The aim of the present study was to explore the levels of TDO2 in the synovium and synovial fluid (SF) of patients with OA and its correlation with clinical manifestations and levels of pro-inflammatory cytokines. Methods Synovium and SF samples were collected from patients with OA and patients with joint trauma (controls) during surgery. An enzyme-linked immunosorbent assay (ELISA) was used to measure TDO2, interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) levels in the synovium and SF. Diagnostic performance of TDO2 in the synovium to discriminate between controls and OA patients was assessed using receiver operating characteristic (ROC) curve analysis. Correlations between TDO2 levels, OA clinical features, and pro-inflammatory cytokines were evaluated using Pearson correlation analysis. Effects of IL-1β or TNF-α stimulation on TDO2 expression in OA-fibroblast-like synoviocytes (OA-FLS) were also examined. Results The levels of TDO2, IL-1β, and TNF-α in the synovium of patients with OA were found to be significantly higher than those in controls. ROC curve analysis revealed an area under the curve (AUC) of 0.800 with 64.3% sensitivity and 85.0% specificity of TOD2 in the synovium, which enabled discriminating patients with OA from controls. Moreover, protein expression of TDO2 was upregulated to a greater extent in OA-FLS than in normal synovial fibroblasts (NSF). Furthermore, the levels of TDO2 showed significantly positive correlation with IL-1β and TNF-α levels in the synovium and SF. TDO2 levels in the synovium were also positively correlated with the Kellgren-Lawrence score. Additionally, TDO2 protein expression was significantly increased in IL-1β‒ or TNF-α‒stimulated OA-FLS than in control FLS. Conclusion These data indicate that highTDO2 levels in the synovium can be correlated with pro-inflammatory cytokines and severity of OA.

Many field observations have found that damage to the support did not increase with the magnitude of the impact ground pressure. To enhance the impact protection performance of “support and surrounding rock” system. From the perspective of preventing the resonance of the “support and surrounding rock” system, the dynamic response of energy-absorbing and anti-scouring column is studied. Using the block theory, a dynamic model of the roadway enclosure-absorbing anti-scouring column under impact loading was established, and the dynamic response equation of the rock block at the support end was obtained. Based on the structural dynamics and Love shell theory, the characteristic equations of the energy-absorbing and anti-scouring column were derived, and the theoretical equations for the natural frequency and vibration mode function of the energy-absorbing and anti-scouring column were obtained. The ABAQUS numerical simulation method was used to carry out pre-stress modal analysis and harmonious response analysis of energy-absorbing and anti-scouring columns and conventional columns. We obtained the natural frequencies and vibration modes of the two columns and analyzed the effect of the setting load on the modalities of the columns. The column dynamic response law was determined by monitoring the displacement and velocity response curves at different positions. The results show that the natural frequency and vibration mode of the energy-absorbing and anti-scouring column are related to the density, elastic modulus, and length. The vibration of the energy-absorbing and anti-scouring column has two forms: beam vibration mode and cylindrical shell vibration mode, and the first four orders of vibration mode are transverse bend. The setting load has a small effect on the natural frequency and vibration mode of both types of columns, where the natural frequency decreases as the setting load increases. When the excitation frequency is close to the vibration frequency of the surrounding rock, the radial, axial, and circumferential response amplitudes of the primary and secondary columns of the energy-absorbing and anti-scouring column are the largest. Reinforcement and strengthening measures should be implemented to reduce the column deformation amplitude.

A mechanical model of a circular section of a tunnel roadway considering damage is established to improve the impact protection performance of the “roadway rock-support” system and provide a theoretical basis for designing coal mine impact ground pressure roadway support. The formula of the critical rock burst load of a circular roadway is derived according to the instability theory of rock burst disturbance response. The influence of mechanical properties of surrounding rock and roadway support strength on the critical rock burst load of a roadway rock-support system is studied using the control variable method. The research shows that 1) under the support condition of a roadway, with the increase of uniaxial compressive strength, softening modulus, and internal friction angle of surrounding rock, the critical rock burst load of a roadway has an increasing trend; the critical rock burst load of roadway decreases with the increase of the elastic modulus of the surrounding rock. 2) Under the condition of no support, with the increase of uniaxial compressive strength, elastic modulus, and internal friction angle of surrounding rock, the critical rock burst load of roadway tends to increase. With the decrease of the surrounding rock’s softening modulus, the critical rock burst load of the roadway decreases. When the aforementioned four kinds of surrounding rock influence factors are the same, the critical load of rock burst under the supporting condition is much larger than that under the non-supporting condition. 3) A new impact tendency index K is defined as the ratio of the softening modulus and the elastic modulus. 4) The critical load of rock burst increases approximately linearly with the increase of support stress. The critical load of a rock burst is about 400 times as large as the supporting stress. Increasing roadway support strength can greatly improve the stability of the supporting and roadway surrounding rock system, and the stability of the supporting and roadway surrounding rock system can be improved by reasonably changing the mechanical properties of the surrounding rock.

Anti-HER2 resistance causes treatment failure in HER2-positive breast cancers. Here the authors identify FGFR4 as one of the vulnerabilities of anti-HER2 resistant breast cancer and show that FGRR4 inhibition enhances sensitivity to anti-HER2 treatment in these resistant cells by triggering ferroptosis.

Abstract Background RNFL thickness measured by optical coherence tomography (OCT) and visual pathway measured by diffusion tensor imaging (DTI) can be used to predict visual field recovery, respectively. However, the relationship between RNFL thickness and visual pathway injury in patients with pituitary adenoma (PA) remains unclear. This study aims to evaluate the combining DTI and OCT methods in observing the microstructural change in the visual pathway in patients with PA. Methods Twenty-nine patients who were diagnosed with PA were included in the study group, and 29 healthy subjects were included as the control group. OCT detected the thickness of circumpapillary retinal nerve fiber layer (CP-RNFL) and ganglion cell layer (GCL). DTI measured the values of fractional anisotropy (FA) and apparent diffusion coefficient (ADC). Correlation between CP-RNFL and GCL thickness and FA and ADC values was analyzed in the study group. Results Compared with the control group, the FA values of the bilateral optic nerve, chiasma, bilateral optic tract, and left optic radiation in the study group were reduced, and the ADC values of the bilateral optic nerve and optic chiasma were increased. Correlation analysis showed that the FA value of the optic chiasma was positively correlated with the average thickness of RNFL, the CP-RNFL thickness in the nasal and temporal retinal quadrants in both eyes, as well as the thickness of macular ring GCL in the nasal, supra, and inferior quadrants. The FA values of the optic nerve, optic chiasma, optic tract, and optic radiation were positively correlated with CP-RNFL thickness in the nasal and temporal quadrants. Conclusion Combined DTI and OCT can provide a comprehensive understanding of the microscopic changes in the structure and function of the whole visual pathway in patients with PA.

Abstract Background The purpose of this retrospective study was to investigate the determinants of postoperative respiratory failure in elderly patients with hip fracture. Methods The subjects of this study were 663 elderly patients who had hip fracture and had been treated with total hip arthroplasty at our hospital from January 2014 to May 2020. According to the occurrence of postoperative respiratory failure, 626 patients with no respiratory failure were retrospectively included in the control group, and 37 cases combined with respiratory failure were enrolled in the PRF group. The clinical and surgical data of the two groups were collected and analyzed to evaluate the determinants of respiratory failure by logistic regression analysis. Results There were no significant differences in the demographics and baseline variables including age, gender, fracture type and location between the groups (P > 0.05). All patients received hip surgery including total hip arthroplasty (THA), hemiarthroplasty (HA) and internal fixation with PFNA (proximal femoral nail anti-rotation). There were no significant differences in operative time and intraoperative blood loss between the groups (P > 0.05). However, close associations were found between pulmonary hypertension (univariate analysis: OR = 3.792, 95% CI = 1.421–10.203; multivariate analysis: OR = 1.132, 95% CI = 1.003–1.251), obstructive pulmonary disease (OR = 1.119, 95% CI = 1.009–1.238; multivariate analysis: OR = 13.298, 95% CI = 4.021–43.298), bronchiectasis and emphysema (OR = 4.949, 95% CI = 1.919–9.873; multivariate analysis: OR = 11.231, 95% CI = 187.87), and history of respiratory failure (OR = 6.098, 95% CI = 2.012–12.198; multivariate analysis: OR = 8.389, 95% CI = 2.391–21.982) with postoperative respiratory failure (P

Based on the theory of acoustic–solid coupling, the phase velocity-thickness product of a double-layer liquid-filled pipeline is analyzed, and the dispersion relationship between angular frequency and wavenumber–thickness product is analyzed, providing a theoretical basis for ultrasonic guided wave detection. The wave number analytical expression of the double-layer liquid-filled pipeline is constructed, and the dispersion relationship of the double-layer liquid-filled pipeline under different frequency–thickness products and wavenumber–thickness products is calculated through parameter scanning. The dispersion curves of the double-layer liquid-filled pipeline are numerically analyzed in the domains of pressure acoustics, solid mechanics, and acoustic–solid coupling. The numerically simulated dispersion curves show high consistency with the analytically calculated dispersion curves. The analysis of the phase velocity frequency–thickness product indicates that the axial mode dispersion curves of the pipe wall decrease with the increase in frequency–thickness product in the coupling domain, and then tend to be flat and intersect with the radial mode dispersion curves in the coupling domain; these intersection points cannot be used for ultrasonic guided wave detection. The T(0,1) mode dispersion curve in the coupling domain of the pressure acoustics domain remains smooth from low frequency to high frequency. It is found that the dispersion curves of the phase velocity frequency–thickness product, angular frequency wavenumber–thickness product, and the acoustic pressure distribution map of the double-layer liquid-filled pipeline based on acoustic–solid coupling can provide theoretical support for ultrasonic guided wave detection of pipelines.

Sulfate ions are commonly found in water, but excessive concentrations of these ions can have detrimental effects on the aquatic environment. In this study, reed straw was chosen as the raw material for producing biochar, which was then pyrolyzed with coal gangue to create environmentally friendly adsorption materials. This innovative approach aims to combat the issue of elevated SO42− concentrations in water while efficiently utilizing solid waste. The results showed that the adsorption process best fit the when the was pH 2 and the dosage was 8 g·L−1, and the adsorption capacity reached the maximum of 49.56 mg·g−1. Via extensive characterization, kinetic studies, and isotherm experiments on the modified biochar, we determined that the mechanism of SO42− adsorption primarily involves electrostatic adsorption, physical adsorption, and chemical adsorption. The toxicology experiments showed that the activity of antioxidant enzymes and the amount of malondialdehyde decreased, and the content of chlorophyll and soluble protein increased. These findings suggest that modified biochar can mitigate the harmful effects of SO42− on reeds to a certain extent, ultimately promoting the growth of these plants.

Motivated by the recent experiment on bosonic mixtures of atoms and molecules, we investigate pairing superfluid–insulator (SI) transition for bosonic mixtures of atoms and molecules in a one-dimensional optical lattice, which is described by an extended Bose–Hubbard model with atom–molecule conservation (AMC). It is found that AMC can induce an extra pair–superfluid phase though the system does not demonstrate pair-hopping. In particular, the system may undergo several pairing SI or insulator–superfluid transitions as the detuning from the Feshbach resonance is varied from negative to positive, and the larger positive detuning can bifurcate the pair–superfluid phases into mixed superfluid phases consisting of single-atomic and pair-atomic superfluid. The calculation of the second-order Rényi entropy reveals that the discontinuity in its first-order derivative corresponds to the phase boundary of the pairing SI transition. This means that the residual entanglement in our mean-field treatment can be used to efficiently capture the signature of the pairing SI transition induced by AMC.

Abstract A common full-color method involves combining micro-light-emitting diodes (LEDs) chips with color conversion materials such as quantum dots (QDs) to achieve full color. However, during color conversion between micro-LEDs and QDs, QDs cannot completely absorb incident wavelengths cause the emission wavelengths that including incident wavelengths and converted wavelength through QDs, which compromises color purity. The present paper proposes the use of a recycling-reflection color-purity-enhancement film (RCPEF) to reflect the incident wavelength multiple times and, consequently, prevent wavelength mixing after QDs conversion. This RCPEF only allows the light of a specific wavelength to pass through it, exciting blue light is reflected back to the red and green QDs layer. The prototype experiment indicated that with an excitation light source wavelength of 445.5 nm, the use of green QDs and RCPEFs increased color purity from 77.2% to 97.49% and light conversion efficiency by 1.97 times and the use of red QDs and RCPEFs increased color purity to 94.68% and light conversion efficiency by 1.46 times. Thus, high efficiency and color purity were achieved for micro-LEDs displays. Graphical Abstract

Abstract Background Silencing of the periostin gene (POSTN) can inhibit the biological process of several different cancers, and this inhibition may be related to down-regulation of PI3K/AKT signaling. However, the effect of POSTN on the progression, proliferation, and invasion of osteosarcoma (OS) remain unclear. Methods We used the Gene Expression Omnibus (GEO) database to screen datasets on in situ OS and lung metastases to identify core genes and potential pathways. We used additional bioinformatics tools to identify protein–protein interactions (PPIs) and gene networks, and selected the top seven genes whose expression had the strongest correlations with other genes. Results The results indicated that POSTN was a major hub gene. Subsequent analysis of gene expression profiles showed that POSTN was highly expressed in 262 cases with sarcoma and expression was closely related to poor prognosis. We also performed enrichment analysis to identify differentially expressed genes and used real-time PCR, western blotting, and immunohistochemistry analyses to measure POSTN expression in cells and tissues. Transfection of a POSTN-shRNA plasmid into cultured OS cells (Saos-2) effectively inhibited the proliferation, invasion, and migration of these cells. Taken together, our results suggest that POSTN may play a role in promoting the proliferation and metastasis of OS by activation of the PI3K/Akt signaling pathway. Conclusions Our results provide a preliminary characterization of the mechanism by which POSTN may regulate the migration and invasion of OS cells and also provide a theoretical basis for identifying biomarkers that have potential use for the diagnosis and treatment of OS.

The power consumption and the opto-electric noise of organic photo-detectors are the challenges for large-scale detecting and imaging applications to surpass. This article presents a new device concept of organic heterojunction PIN channel for photo-transistor. The presence of the channel's heterostructure enables rectifying capability and effective control of defect density, which leads to low power consumption (0.12 to 7.5 nW) and low dynamic noise (4.5 × 1013 Jones detectivity). Significantly, through adopting the highly efficient Perovskite Quantum Dots as intrinsic sensing core, the device exhibits high responsivity up to 7190 A/W. As we demonstrate a large-scale 10 × 20 imaging array with integrated photo-transistor, the output signals are read-out and rebuilt by I-V converting amplifier with analog-to-digital circuit and numerical computation method to visualize the functionality of the system.

ABSTRACT Enterobacter cloacae is a troublesome pathogen causing refractory infections of the lower respiratory tract, urethra and abdominal cavity, endocarditis, osteomyelitis, and neonatal septicemia. It is prone to developing resistance to ordinary antibiotics and has brought a serious problem to clinical treatment. An artful synergistic combination of an antibacterial natural product allicin and a newly isolated bacteriophage, named BD523, was constructed herein. This combination significantly lowered effective dosage of allicin and effectually overcame bacterial drug-resistance. We experimentally evidenced that allicin interacts with bacterial DNA in the groove region by inserting itself into the DNA double helix and, subsequently, disrupts the bacterial DNA by cleaving phosphate diester bonds of deoxynucleotides. Further, BD523 destroys the cell wall and membrane of bacteria by synthesizing lyase proteins, including holin and endolysins. Thus, the synergistic effect of the combination benefits from complementary targeting mechanisms of allicin and BD523. They cooperatively act on bacterial DNA, cell wall, and membrane to improve antibacterial efficiency and avoid drug-resistance. IMPORTANCE Bacterial drug-resistance is a serious problem afflicting pharmacologists all over the world. Many strategies have been developed and practiced to overcome it, but almost no one is satisfactory due to the continual change of bacteria. Combinations of antibiotics and bacteriophages are promising because of the cooperation of 2 bacterial killers with distinct mechanisms. The combination of allicin and an Enterobacter cloacae bacteriophage reported herein can significantly improve the effect of allicin against E. cloacae. Its synergistic effect was even superior to the combination of bacteriophage and neomycin, of which the MIC was significantly lower than allicin. It was ascribed to the complementary antibacterial and the possible resistance-proof mechanism of bacteriophage and allicin. This study provided a pragmatic way to conquer the cunning bacterium, and may offer reference for research and development of new bacterial killers.

ObjectiveOptic chiasma compression and associated visual impairment induced by a non-functioning pituitary adenoma (NFPA) is commonly assessed by the optic disk and retina but is inadequate to understand the entire visual pathway impairment. We aim to evaluate the use of optical coherence tomography (OCT) coupled with diffusion tensor imaging (DTI) for the preoperative evaluation of visual pathway impairment.MethodsFifty-three patients with NFPA (categorized into mild and heavy compression subgroups) were subjected to OCT to calculate the thickness of the circumpapillary retinal nerve fiber layer (CP-RNFL), macular ganglion cell complex (GCC), macular ganglion cell layer (GCL), and macular inner plexus layer (IPL), as well as to DTI to calculate the fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values.ResultsCompared to mild compression, heavy compression caused decreased FA value, increased ADC value of several segments of the visual pathway, thin temporal CP-RNFL, and quadrant macular GCC, IPL, and GCL. Average CP-RNFL thickness, inferior-macular inner-ring IPL and GCC thicknesses, inferior CP-RNFL thickness, and superior CP-RNFL thickness were the best indicators of the impairment of the optic nerve, optic chiasma, optic tract, and optic radiation, respectively.ConclusionDTI and OCT parameters can effectively evaluate visual pathway impairment and are beneficial for the objective preoperative evaluation of visual pathway impairment in patients with NFPA.

ObjectivesThe feasibility of utilizing 4% sodium citrate as an alternative locking solution for central venous catheters (CVCs) (excluding dialysis catheters) was assessed.MethodsUsing heparin saline and 4% sodium citrate as locking solution, then 152 patients in ICU undergoing infusion with central venous catheters, were randomly assigned to receive either 10 U/mL heparin saline or 4% sodium citrate. The used outcome indicators include: four indexes of blood coagulation at 10 minutes after locking and 7 d after the first locking, bleeding around the puncture site and subcutaneous hematoma rate, gastrointestinal bleeding rate, catheter indwelling time, catheter occlusion rate, catheter-related bloodstream infection (CRBSI) rate, rate of ionized calcium < 1.0 mmol/L. The main outcome indicator was the activated partial thromboplastin time (APTT) at 10 min after tube locking. The trial was approved by relevant authorities (Chinese Clinical Trial Registry, no: ChiCTR2200056615, registered on February 9, 2022, http://www.chictr.org.cn; Ethics Committee of People's Hospital of Zhongjiang County, no: JLS-2021-034, approved at May 10, 2021, and no: JLS-2022-027, approved at May 30, 2022).ResultsAmong the main outcome measures, the heparin group showed a significant increase in APTT compared to the sodium citrate group at 10 min after locking (LSMD = 8.15, 95%Cl 7.1 to 9.2, P < 0.001). Among the secondary outcome measures, the heparin group demonstrated a significant increase in prothrombin time (PT) compared to the sodium citrate group at 10 minutes after locking (LSMD = 0.86, 95%CI 0.12 to 1.61, P = 0.024). It is found that APTT (LSMD = 8.05, 95%CI 6.71 to 9.4, P < 0.001), PT (LSMD = 0.78, 95%CI 0.14 to 1.42, P = 0.017) and fibrinogen (FB) (LSMD = 1.15, 95%CI 0.23 to 2.08, P = 0.014) at 7 d after locking are increased in the heparin group compared to sodium citrate group. There was no significant difference in catheter indwelling time between the two groups (P = 0.456). The incidence of catheter blockage was lower in sodium citrate group (RR = 0.36, 95%CI 0.15 to 0.87, P = 0.024). No CRBSI occurred in the two groups. Among the safety evaluation indexes, the incidence of bleeding around the puncture site and subcutaneous hematoma was lower in sodium citrate group (RR = 0.1, 95%CI 0.01 to 0.77, P = 0.027). There was no significant difference in the incidence of calcium ion < 1.0 mmol/L between the two groups (P = 0.333).ConclusionsIn ICU patients using CVCs (excluding dialysis catheters) infusion, employing 4% sodium citrate as a locking liquid can reduce the risk of bleeding and catheter occlusion without any hypocalcemia.

In practice, constant-resistance, energy-absorbing, and anti-scouring bolts inevitably deflect at an angle from the coal wall and other bearing surfaces, eventually giving way and losing their energy-absorbing function. The aim of this study was to determine the applicable range of deflection angles for constant-resistance, energy-absorbing, and anti-scouring bolts and to provide a reference design for bolt construction. The principle of application of bolts under various deflection angles was proposed, and the numerical simulation of use of constant-resistance, energy-absorbing, and anti-scouring bolts was carried out using ABAQUS finite element software. The effects of deflection angle, impact energy, and impact velocity on the deformation performance, load-bearing performance, and energy absorption performance of the bolts were investigated. The deformation process of the bolt based on deflection angle was found to change from axial stretching to “stretching and bending”. As the deflection angle increased, the load bearing capacity of the anti-punching device increased, and the bolt’s breaking force increased after decreasing, and then decreased again while absorption energy decreased non-linearly. The bolt yield distance decreased while the displacement of bolts remained essentially the same and the deflection distance of the anti-punching device decreased. The stroke efficiency of bolts decreased and, based on the design principles of constant-resistance, energy-absorbing, and anti-scouring bolts, it was determined that the bolt was still applicable within a deflection angle of 0–17°. The impact energy had a minor effect on the bolt indicators of yield force, breaking force, and energy absorption, and the bolt’s impact resistance time decreased non-linearly with increasing impact energy. Impact velocity had less effect on bolt yield force and breaking force. Both yielding time and anti-punching load capacity of the bolt decreased with increased impact velocity. As the impact velocity increased, yield distance, anti-punching deflection distance, and stroke efficiency all increased. The absorption energy increased linearly with increasing impact velocity. The results of this study provide a reference for similar anchor angle studies and a guide for the design of field construction.