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Open-pit mining causes serious damage to the ground surface and vegetation. Remote sensing technology helps assess and monitor the effectiveness of ecological restoration in abandoned open-pit mines, offering vital information for exploring the ecosystem recovery process. However, previous studies have mostly focused on changes in characteristics and lack quantitative characterization of restoration stability and its dynamics. In this study, we applied the vegetation resilience indicator based on the LandTrendr algorithm, which can combine vegetation disturbance and recovery characteristics for abandoned open-pit mines. Eighteen abandoned open-pit mines around Dongting Lake in China were taken as the research areas. Google Earth Engine and all available Landsat remote sensing images for June-September 1984–2022 were utilized. The effectiveness of mine restoration was determined according to the vegetation resilience indicator and recovery magnitude. The results showed that eighteen abandoned open-pit mines had a range of vegetation resilience between 5.06 and 9.45, indicating that the overall open-pit mines around Dongting Lake were well-restored. The recovery curves of the abandoned open-pit mines had an “inverted S-shape” and “S-shape,” indicating that the overall recovery characteristics of the different types of abandoned open-pit mines before and after the implementation of ecological restoration measures differed. Mine type and restoration measures affect the restoration stability of open-pit mines. The average values of vegetation resilience of the three types of mines were 7.73, 6.91, and 5.79, respectively, indicating that the resilience of the abandoned open-pit mines with serious damage was lower, and at the same time, the restoration was more dependent on the degree of input of artificial restoration. This study provides a reference for the selection of measures and the determination of restoration costs in the future ecological restoration of abandoned open-pit mines.

Abstract Background Previously identified phenotypes of acute respiratory distress syndrome (ARDS) could not reveal the dynamic change of phenotypes over time. We aimed to identify novel clinical phenotypes in ARDS using trajectories of fluid balance, to test whether phenotypes respond differently to different treatment, and to develop a simplified model for phenotype identification. Methods FACTT (conservative vs liberal fluid management) trial was classified as a development cohort, joint latent class mixed models (JLCMMs) were employed to identify trajectories of fluid balance. Heterogeneity of treatment effect (HTE) for fluid management strategy across phenotypes was investigated. We also constructed a parsimonious probabilistic model using baseline data to predict the fluid trajectories in the development cohort. The trajectory groups and the probabilistic model were externally validated in EDEN (initial trophic vs full enteral feeding) trial. Results Using JLCMM, we identified two trajectory groups in the development cohort: Class 1 (n = 758, 76.4% of the cohort) had an early positive fluid balance, but achieved negative fluid balance rapidly, and Class 2 (n = 234, 24.6% of the cohort) was characterized by persistent positive fluid balance. Compared to Class 1 patients, patients in Class 2 had significantly higher 60-day mortality (53.5% vs. 17.8%, p

The rise of complex high-rise buildings has made building management increasingly challenging, especially the nighttime supervision of university laboratories. Idle occupation increases the risk of accidents and undermines campus sustainability. Effective occupancy detection is essential for optimizing campus building safety and energy efficiency. Environmental sensors for occupancy detection offer limited coverage and are costly, making them unsuitable for campuses. Surveillance cameras, as part of campus infrastructure, provide wide coverage. On this basis, we designed a detection algorithm that uses light brightness to assess nighttime building use. Experimental results showed that the algorithm achieves an average accuracy of 98.67%, enabling large-scale nighttime occupancy detection without the need for installing additional sensors, significantly improving the efficiency of campus building management. In addition, to address the limitations of indoor space representation in geographic information system (GIS) management models, this paper developed a comprehensive 3D GIS model based on a “building–floor–room” hierarchical structure, utilizing oblique photogrammetry and laser scanning technology. This study combined the detection results with real-world 3D data for visualization, providing a new perspective for the 3D spatiotemporal refinement of complex high-rise buildings, and providing a reference framework for the detection and analysis of other types of building environments.

Date palm (Phoenix dactylifera L.) has a significant role in our daily life due to its diverse nutritional composition and potential health benefits. This study was designed to evaluate the phytochemicals, antioxidant, and antidiarrheal potential of various extracts of Ajwa whole fruit, date palm pit, and flesh. The extracts with the highest phytochemical quantities were further subjected to bio-assay assessment against castor oil-induced diarrhea using different animal models. The results indicated that Ajwa whole fruit extract (AWFE) exhibited higher amount of total phenolic contents (TPC: 36 ± 16 mg/g GAE), total flavonoid contents (TFC: 360 ± 135 mg/g RE), and 2, 2-diphenyl-1-picrylhydrazyl (DPPH: 60 ± 7%) in hydro-ethanolic extracts. In vivo results revealed that Ajwa whole fruit 60% hydro-ethanolic extract at high dose (2000 mg/kg) showed significantly (p

The corner reflector is an effective means of interference for radar seekers due to its high jamming intensity, wide frequency band, and combat effectiveness ratio. Properly arranging multiple corner reflectors in an array can form dilution jamming that resembles ships, substantially enhancing the interference effect. This results in a significant decline in the precision attack efficiency of radar seekers. Hence, it is critical to accurately identify corner reflector array. The common recognition methods involve extracting features on the high-resolution range profile (HRRP) and polarization domain. However, the former is constrained by the number of corner reflectors, while the latter is affected by the accuracy of polarization measurement, both of which have limited performance on the identification of corner reflector array. In terms of the evident variations in physical structures, there must be differences in their scattering characteristics. To highlight the differences, this paper proposes a new method based on the concept of mismatched filtering, which involves changing the frequency modulation slope of the chirp signal in the filter. Then, the variance of width and intervals within a specific scope are extracted as features to characterize these differences, and an identification process is designed in combination with the support vector machine. The simulation experiments demonstrate that the proposed method exhibits stable discriminative performance and can effectively combat dilution jamming. Its accuracy rate exceeds 0.86 when the signal-to-noise ratio is greater than 0 dB. Compared to the HRRP methods, the recognition accuracy of the proposed algorithm improves 15% in relation to variations in the quantity of corner reflectors.

PurposeRadiotherapy is the most important primary treatment for patients with nasopharyngeal carcinoma. Generally, the treatment duration of radiotherapy takes six or six and half weeks with 30 to 33 fractions. The current study was conducted to evaluate the association between prognosis and the duration of radiotherapy in nasopharyngeal carcinoma patients.MethodsPatients with primary nasopharyngeal carcinoma who were treated with intensity-modulated radiotherapy and concurrent cisplatin-based chemotherapy, with or without induction chemotherapy between January, 2008 and December, 2013 at a single institution were retrospectively reviewed.ResultsIn total, 1292 patients were included. At a median follow-up of 71.0 months (range 2.0–126.0 months), locoregional recurrence, distant failure and death were observed in 8.8%, 12.2% and 15.6% of all patients, respectively. Estimated 5-year locoregional relapse–free survival, distant metastasis–free survival, progression-free survival and overall survival in patients with radiation ≤ 7 weeks versus patients with radiation >7 weeks were: 93.2% versus 87.0% (P < 0.001), 89.4% versus 84.4% (P = 0.016), 79.8% versus 70.6% (P < 0.001) and 87.2% versus 78.4% (P < 0.001), respectively.ConclusionsProlonged duration of radiotherapy with a significantly higher risk of distant metastasis and death in nasopharyngeal carcinoma patients. Understanding this point, healthcare providers should make efforts to avoid prolonged duration of radiotherapy to minimize the risk of treatment failure.

Abstract Background The National Comprehensive Cancer Network guidelines recommend intensity-modulated radiotherapy (IMRT) as the primary curative treatment for newly diagnosed nasopharyngeal carcinoma (NPC), but the radiation-related complications and relatively high medical costs remain a consequential burden for the patients. Endoscopic nasopharyngectomy (ENPG) was successfully applied in recurrent NPC with radiation free and relatively low medical costs. In this study, we examined whether ENPG could be an effective treatment for localized stage I NPC. Methods Ten newly diagnosed localized stage I NPC patients voluntarily received ENPG alone from June 2007 to September 2017 in Sun Yat-sen University Cancer Center. Simultaneously, the data of 329 stage I NPC patients treated with IMRT were collected and used as a reference cohort. The survival outcomes, quality of life (QOL), and medical costs between two groups were compared. Results After a median follow-up of 59.0 months (95% CI 53.4–64.6), no death, locoregional recurrence, or distant metastasis was observed in the 10 patients treated with ENPG. The 5-year overall survival, local relapse-free survival, regional relapse-free survival, and distant metastasis-free survival among the ENPG-treated patients was similar to that among the IMRT-treated patients (100% vs. 99.1%, 100% vs. 97.7%, 100% vs. 99.0%, 100% vs. 97.4%, respectively, P > 0.05). In addition, compared with IMRT, ENPG was associated with decreased total medical costs ($ 4090.42 ± 1502.65 vs. $ 12620.88 ± 4242.65, P

Potassium (K) deficiency significantly decreases photosynthesis due to leaf chlorosis induced by accumulation of reactive oxygen species (ROS). But, the physiological mechanism for adjusting antioxidative defense system to protect leaf function in maize (Zea mays L.) is unknown. In the present study, four maize inbred lines (K-tolerant, 90-21-3 and 099; K-sensitive, D937 and 835) were used to analyze leaf photosynthesis, anatomical structure, chloroplast ultrastructure, ROS, and antioxidant activities. The results showed that the chlorophyll content, net photosynthetic rate (Pn), stomatal conductance (Gs), photochemical quenching (qP), and electron transport rate of PSII (ETR) in 90-21-3 and 099 were higher than those in D937 and 835 under K deficiency treatment. Parameters of leaf anatomical structure in D937 that were significantly changed under K deficiency treatment include smaller thickness of leaf, lower epidermis cells, and vascular bundle area, whereas the vascular bundle area, xylem vessel number, and area in 90-21-3 were significantly larger or higher. D937 also had seriously damaged chloroplasts and PSII reaction centers along with increased superoxide anion (O2−) and hydrogen peroxide (H2O2). Activities of antioxidants, like superoxide dismutase (SOD), catalase (CAT), and ascorbate peroxidase (APX), were significantly stimulated in 90-21-3 resulting in lower levels of O2− and H2O2. These results indicated that the K-tolerant maize promoted antioxidant enzyme activities to maintain ROS homeostasis and suffered less oxidative damage on the photosynthetic apparatus, thereby maintaining regular photosynthesis under K deficiency stress.

Abstract Background To evaluate the prognostic significance of pretreatment quality of life for patients with nasopharyngeal carcinoma treated with intensity-modulated radiotherapy. Methods We performed a prospective, longitudinal study on 554 newly diagnosed patients with NPC from April 2011 to January 2015. A total of 501 consecutive NPC patients were included. Patients were asked to complete the EORTC QLQ-C30 (version 3.0) and QLQ-H&N35 questionnaires before treatment. Results Global health status among QLQ-C30 correlates with EBV DNA(P = 0.019). In addition, pretreatment appetite loss was significantly correlated with EBV DNA(P = 0.02). Pretreatment teeth, opening mouth, feeding tube was significantly correlated with EBV DNA, with P value of 0.003,

Abstract Background It is important to timely capture the fluctuation of the symptoms related to major depressive disorder (MDD). However, most conventionally used assessment tools for MDD symptoms are not designed for real-time assessment. The Immediate Mood Scaler (IMS) is suitable for the real-time evaluation of the mood of patients with MDD. Methods The original IMS was translated into Chinese and back-translated. At baseline, data from 368 patients with MDD, including demographic information and scores on the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and IMS, were collected. In total, 185 participants completed the retest at Week 2 which included the PHQ-9, GAD-7, and IMS. Internal structural validity, construct validity, and internal consistency were evaluated with the confirmatory factor analysis (CFA), the Pearson correlation, and Cronbach’s α, respectively. Responsiveness was anchored by the change of the PHQ-9 total scores from baseline to Week 2 and predictability was tested using the multivariate linear mixed model for repeated measures (MMRM). Results Two factors with an eigenvalue greater than 1, corresponding to IMS-Depression and IMS-Anxiety subscales, were identified using CFA. The Cronbach’s α that evaluated internal consistency was 0.96, 0.95, and 0.92 for the scores of the IMS, IMS-Depression subscale, and IMS-Anxiety subscale at baseline, respectively. The depression and anxiety subscales at baseline showed high subscale-total correlations (r = 0.96 for the depression subscale; r = 0.89 for the anxiety subscale). The test-retest ICC (0.65, 95%CI: 0.53–0.73) of the IMS at baseline and Week 2 show high reliability. The total score of IMS had significant correlations with that of the PHQ-9 (r = 0.52, P

Low-density Fe–Mn–Al–C steels are widely used in the automotive and aerospace industries as advanced lightweight materials. In this study, highly spherical Fe–30Mn–9Al–C–3Ni powder with a narrow particle-size distribution, low oxygen content, and good flowability was prepared using the plasma rotating electrode process (PREP). Furthermore, Fe–30Mn–9Al–C–3Ni low-density alloy steel was manufactured for the first time using the selective laser melting (SLM) molding technique. Laser power was found to significantly impact the microstructure and mechanical properties of SLM-printed Fe–30Mn–9Al–C–3Ni alloys. The Fe–30Mn–9Al–C–3Ni alloy prepared at a laser power of 110 W (denoted as P-110) exhibited the best mechanical properties, including a yield strength of 887.1 MPa, tensile strength of 1076.8 MPa, elongation of 40.80%, and a maximum hardness value of 294 HV. This study highlights the potential of SLM molding for fabricating low-density Fe–Mn–Al–C steels with complex geometrical shapes and outstanding comprehensive mechanical properties.

The Fe–Mn–Al–C lightweight steels have attracted great attention in the military, aerospace, and automotive industries due to their high strength and lightweight design. Nevertheless, the excessive Mn and Al inclusions have led to poor formability and processability, which brings challenges to the manufacture of large size complex structural parts. In this study, the lightweight steel with a composition of Fe–Mn–Al–C was prepared by laser powder bed fusion for the first time, aimed at investigating the effects of laser scanning speed. The results show that different laser scanning speeds have significant effects on the process sensitivity of lightweight steel, and too low or too high laser scanning speeds may lead to suboptimal sample quality, increased porosity and surface roughness. At a scanning speed of 800 mm/s, the optimal conditions for the lowest porosity (0.03%) and surface roughness (Sa = 3.34 μm) are achieved, resulting in the highest quality of the formed products. Furthermore, an increase in scanning speed results in a reduction in grain size and an enhancement of dislocation strength. When the scanning speed is 800 mm/s, the significant enrichment of Ni–Mn phase helps to enhance the pinning ability of dislocations, while the precipitation of nanoscale small and dense κ-carbide optimizes the Orowan strengthening effect. As a result, dislocation movement is effectively impeded, leading to superior comprehensive mechanical properties of exceptional strength-plasticity matched with a tensile strength, yield strength, and elongation after fracture of 1125.2 MPa, 1019.8 MPa, and 41.9%, respectively.

Abstract Suicidal ideation (SI) is a significant precursor and risk marker for suicide behaviors in major depressive disorder (MDD). Exploration of SI trajectory from a longitudinal framework are essential for treatment guidelines and clinical management of suicide risk. This study sought to explore SI trajectories and its associated clinical, sociodemographic characteristics, and initial treatment among patients with MDD. We used data from a non-interventional, national multi-centered prospective cohort study. 1 461 patients with MDD were included in the growth mixture modeling using SI at baseline, 2 weeks, 4 weeks, 8 weeks, 12 weeks, and 6 months, 9 months, and 12 months as the indicator. A multinomial regression was employed with SI trajectory as the outcome and anhedonia, depressive symptoms, atypical depressive symptoms, pharmacological treatments, and other covariates as the predictors. Four distinct SI trajectories were identified: a consistently low SI trajectory(50.7%), a persistently mild SI trajectory(20.6%), a fast declined SI trajectory(8.9%), and a slowly declined trajectory(19.8%). Compared to those with a consistently low SI trajectory, a higher score of anhedonia was associated with an increased risk of experiencing persistently mild (RRR = 1.20, 95%CI: 1.05, 1.38) and slowly declined SI (1.54, 95%CI: 1.32, 1.80). Severity of depressive symptom was also positively associated with the risk of experiencing persistently mild (1.15, 95%CI: 1.13, 1.18) and slowly declined SI (1.17, 95%CI: 1.14, 1.21). And the risk of experiencing slowly declined SI was higher for those use SSRI(1.49, 95%CI: 1.02, 2.31), and for those use antidepressant and antipsychotic/mood stabilizer combined therapy (3.78, 95%CI: 1.48, 9.61). The findings of this study are potentially useful for clinical practice as critical indicators of profiles and interventions for prognosis among patients with MDD. Further research is warranted to explore potential modifiable factors and the association between SI trajectories and suicide behavior.

PurposeThis study aimed to investigate the safety, feasibility, and possible advantages of the cystic plate approach during laparoscopic cholecystectomy in a retrospective cohort of surgical patients.MethodsWe summarized the key points of the technical approach, retrospectively analyzed the clinical outcomes of 156 patients in the cystic plate approach group from July 2018 to July 2023, and compared the findings with those of 173 cases in the routine approach group from the same period.ResultsWe observed no differences in the average stone size, operation time, postoperative hospital stay, conversion rate, complications, or Visual Analog Scale pain scores on the second day of surgery between the two groups (p = 0.076, 0.067, 0.278, 1.000, 0.633, and 0.131, respectively). However, intraoperative blood loss, number of clips used, volume of postoperative drainage fluid, and Visual Analog Scale pain scores on the day of surgery in the cystic plate approach group were significantly lower than those in the routine approach group (p = 0.000, 0.031, 0.027, and 0.021, respectively).ConclusionsThe cystic plate approach is a safe, feasible, and effective approach that has the advantages of minimal invasiveness with less bleeding and seepage, reduced use of biological clips, and less pain, potentially minimizing the risk of iatrogenic biliary injury. Trial registrationThis study was registered at the International Clinical Trial Registry (ChiCTR2100052860). Registration date: November 6, 2021.

Abstract Background Residual symptoms of depressive disorders are serious health problems. However, the progression process is hardly predictable due to high heterogeneity of the disease. This study aims to: (1) classify the patterns of changes in residual symptoms based on homogeneous data, and (2) identify potential predictors for these patterns. Methods In this study, we conducted a data-driven Latent Class Growth Analysis (LCGA) to identify distinct tendencies of changes in residual symptoms, which were longitudinally quantified using the QIDS-SR16 at baseline and 1/3/6 months post-baseline for depressed patients. The association between baseline characteristics (e.g. clinical features and cognitive functions) and different progression tendencies were also identified. Results The tendency of changes in residual symptoms was categorized into four classes: “light residual symptom decline (15.4%)”, “residual symptom disappears (39.3%)”, “steady residual symptom (6.3%)” and “severe residual symptom decline (39.0%)”. We observed that the second class displayed more favorable recuperation outcomes than the rest of patients. The severity, recurrence, polypharmacy, and medication adherence of symptoms are intricately linked to the duration of residual symptoms’ persistence. Additionally, clinical characteristics including sleep disturbances, depressive moods, alterations in appetite or weight, and difficulties with concentration have been identified as significant factors in the recovery process. Conclusions Our research findings indicate that certain clinical characteristics in patients with depressive disorders are associated with poor recovery from residual symptoms following acute treatment. This revelation holds significant value in the targeted attention to specific patients and the development of early intervention strategies for residual symptoms accordingly.

ObjectiveObservational studies have frequently shown a co-occurrence of psychiatric disorders and Obstructive sleep apnea (OSA), with major depressive disorder (MDD) being a prevalent psychiatric disorder. This study aims to investigate the genetic overlap between MDD and OSA to explore their underlying pathological mechanisms.MethodsLeveraging the extensive and recent GWAS for OSA and MDD, we conducted genetic correlation analyses utilizing Linkage disequilibrium score regression (LDSC), re-evaluated their pleiotropic Single-nucleotide polymorphisms (SNP) with Cross-Phenotype Association (CPASSOC) and Colocalization (COLOC), investigated the overlap at the gene level using physical annotations and Multi-marker Analysis of GenoMic Annotation (MAGMA), and finally employed Mendelian randomization (MR) to assess potential causal relationships between the two disorders.ResultsUpon our investigation, we established that MDD and OSA exhibit high heritability (h2MDD=0.02, h2OSA=0.04) alongside a significant genetic correlation (rg=0.31, P= 1.42E-23). Utilizing CPASSOC, we identified 397 pleiotropic SNPs, associable with 45 loci, two of which share common genetic fragments with a pleiotropic role. Furthermore, the MAGMA study uncovered a total of 154 pleiotropic genes capable of influencing multiple brain regions. Lastly, leveraging MR analysis, we concluded that MDD heightens the risk of developing OSA (P=3. 10E-04, OR (95%CI):1.28(1.12~ 1.47)).ConclusionIn summary, our study identified PCLO as a common gene between OSA and MDD and provided evidence that MDD causally contributes to the development of OSA. These insights enhance our understanding of the shared mechanisms underlying the comorbidity of these conditions.

Abstract Objective A prospective, multicenter, randomized study evaluated the efficacy of major depressive disorder (MDD) patients after 2–3 months of acute treatment based on the dual factors of education and age. Methods This study classified the included patients into four groups using two classification parameters: age (≤45 years, vs. >45 years) and education years (≤12 vs. >12). We analyzed age, gender, marital status, personal income, depression onset history, medication use, and follow‐up across various groups. We evaluated residual somatic symptoms and social functioning in depression patients was conducted using the 16‐item Quick Inventory of Depressive Symptomatology Self‐report (QIDS‐SR16), the Patient Health Questionnaire‐15 (PHQ15), and the Sheehan Disability Scale (SDS). Results In China, 16 hospitals, 553 depression patients, and 428 fulfilled the inclusion criteria. Baseline patient data revealed significant differences among the different age groups in gender, marital status, income, first onset age, physical illness, combination of antipsychotics, and benzodiazepines use (all p .05) were found in residual somatic symptoms and social functioning parameters between different education levels (≤12 years vs. >12 years) at baseline, 3 months, and 6 months, based on total scores on the scale. Repeated measures mixed model indicates that the QIDS‐SR16 assessment indicates statistical differences among various marital statuses, income levels, medical histories, and antipsychotic medication use (p 45 years old, those ≤45 years old often exhibit more residual depression, somatic symptoms, and severe social functional impairment; patients' education levels less influence this trend.