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BackgroundDiabetes mellitus (DM), a chronic metabolic disease characterized by elevated blood sugar, leads to delayed or non-healing wounds, increasing amputation risks, and placing a significant burden on patients and society. While extensive research has been conducted on adipose-derived stem cells (ADSCs) for promoting wound healing, there is a scarcity of studies focusing on diabetic wounds, particularly those employing proteomics and bioinformatics approaches.ObjectiveThis study aimed to investigate the mechanisms by which ADSCs promote diabetic wound healing using proteomics and bioinformatics techniques.MethodsHealthy rat fat tissue was used to isolate ADSCs. A T2DM rat model with back wounds was established. The experimental group received ADSC injections around the wound, while the control group received PBS injections. Wound healing rates were documented and photographed on days 0, 3, 7, 10, and 14. On day 7, wound tissues were excised for HE and Masson’s staining. Additionally, on day 7, tissues were analyzed for protein quantification using 4D-DIA, with subsequent GO and KEGG analyses for differentially expressed proteins (DEPs) and protein-protein interaction (PPI) network analysis using STRING database (String v11.5). Finally, Western blot experiments were performed on day 7 wounds to verify target proteins.Results and ConclusionsIn all measured days postoperatively, the wound healing rate was significantly higher in the ADSC group than in the PBS group (day 7: p < 0.001, day 10: p = 0.001, day 14: p < 0.01), except on day 3 (p > 0.05). Proteomic analysis identified 474 differentially expressed proteins, with 224 key proteins after PPI analysis (78 upregulated and 146 downregulated in the ADSC group). The main cellular locations of these proteins were “cellular anatomical entity” and “protein-containing complex”, while the biological processes were “cellular processes” and “biological regulation”. The primary molecular functions were “binding” and “catalytic activity”, with GO enrichment focused on “Wnt-protein binding”, “neural development”, and “collagen-containing extracellular matrix”. Further analysis of PPI network nodes using LASSO regression identified Thy1 and Wls proteins, significantly upregulated in the ADSC group, as potentially crucial targets for ADSC application in diabetic wound treatment.

Background and purposeUnderstanding the stroke mechanism of middle cerebral artery (MCA) atherosclerosis may inform secondary prevention. The aim of this study was to explore the relationship between vascular wall characteristics and infarction patterns using high-resolution magnetic resonance imaging (HRMRI) and diffusion-weighted imaging (DWI).MethodsFrom November 2018 to March 2021, patients with acute ischemic stroke due to MCA atherosclerotic disease were retrospectively analyzed. The wall characteristics of atherosclerotic MCA, including conventional characteristics and histogram-defined characteristics, were evaluated using HRMRI. Patients were divided into single-infarction and multiple-infarction groups based on DWI, and wall characteristics were compared between the two groups.ResultsOf 92 patients with MCA plaques, 59 patients (64.1%) had multiple infarcts, and 33 (35.9%) had single infarcts. The histogram-defined characteristics showed no differences between the single-infarction and multiple-infarction groups (P>0.05). Plaque burden, degree of stenosis, and prevalence of intraplaque hemorrhage (IPH) were significantly greater in the multiple-infarction group than in the single-infarction group (plaque burden: P = 0.001; degree of stenosis: P = 0.010; IPH: P = 0.019). Multivariate analysis showed that plaque burden (odds ratio: 1.136; 95% confidence interval: 1.054–1.224, P = 0.001) and IPH (odds ratio: 5.248; 95% confidence interval: 1.573–17.512, P = 0.007) were independent predictors for multiple infarction.ConclusionIPH and plaque burden are independently associated with multiple infarcts. HRMRI may provide new insight into the mechanisms underlying the different MCA infarction patterns.

Background: Accurate assessment of a stenotic or occluded middle cerebral artery (MCA) is essential before making optimal therapeutic decisions. However, complete occlusion is not always easy to determine for both magnetic resonance angiography (MRA) and neurologists. We aimed to study noninvasive technology using transcranial Doppler (TCD) combined with MRA to assess severe stenosis and occlusion of the MCA. Methods: We studied consecutive patients with severe steno-occlusive MCA by digital subtraction angiography from Oct. 2011 to Mar. 2020 in our stroke center. Hemodynamic measurements of TCD, including peak velocity (PSV), mean flow velocity (MFV) and pulse index (PI), were recorded specifically at the steno-occlusive site by MRA. Results: A total of 152 MCAs of 148 patients were enrolled (60.0 ± 11.5 y, 107 male), including 82 severe stenotic MCAs and 70 occluded MCAs (Group S & Group O) by DSA. There were 86/152 (57%) MCAs showing discontinuity in MRA, which was significantly distributed more in Group O than in Group S (84% vs. 33%, P < 0.001). The PSV and MFV in Group S were greater (264 ± 78 cm/s vs. 33 ± 34 cm/s and 182 ± 61 cm/s vs. 21 ± 23 cm/s, respectively, P < 0.001), while the PI in Group O was greater (0.98 ± 0.49 vs. 0.72 ± 0.17, P < 0.001). PSV was positively correlated with severe MCA stenosis (β = 0.036, P < 0.001, OR = 0.965, 95% confidence interval (CI): 0.952–0.978). In severe steno-occlusive MCA, using PSV and MFV to detect MCA severe stenosis yielded areas under the curve of 0.983 (CI: 0.964–1.0) and 0.982 (CI: 0.962–1.0), respectively. The cutoff points of PSV ≥ 77 cm/s and MFV ≥ 51 cm/s both yielded an optimized sensitivity of 96.3% and specificity of 98.6%. Conclusion: The critical velocity at the steno-occlusive site is reliable for distinguishing between severe MCA stenosis and occlusion.

BackgroundFragmented QRS (f-QRS) complex on the surface ECG is a cardiac conduction abnormality that indicates myocardial scarring. The relationship between the f-QRS complex and cardiac status in patients with Danon disease (DD) remains unclear and will be explored in this study.MethodsPatients with genetically confirmed DD and cardiac magnetic resonance imaging (CMR) examinations were recruited from multiple centers. The number of leads, pattern, score, and segmental distribution of the f-QRS complex were assessed by surface 12-lead ECG. Cardiac status, such as left ventricular (LV) volume, function, and extent of late gadolinium enhancement (LGE), was demonstrated by CMR. The segmental distribution of LGE was also assessed. Correlations between the f-QRS and cardiac status were assessed.ResultsFifteen patients (14 men) with DD who underwent 12-lead ECG and CMR imaging were included. The f-QRS complex was documented in all patients (n = 15, 100%). Three patterns of f-QRS were found, with the notched R/S pattern (74%) being the most common, followed by fragmented QRS (16%) and various RSR' (11%). The fragmented QRS pattern showed an association with a higher level of myocardial fibrosis (LGE > 35%). The burden of f-QRS in each patient was assessed by the number of leads with f-QRS (median 7, range 2–12) and the f-QRS score (median 9, range 2–33). In the correlation analysis, the f-QRS score was positively correlated with LGE% (r = 0.726, p = 0.002), negatively correlated with LV ejection function (LVEF; r = −0.617, p = 0.014) as evaluated by CMR. In the local distribution, f-QRS score and LGE% were both predominant in the LV free wall but did not correlate well among the anterior, lateral, and inferior segments.ConclusionIn this DD cohort, the quantitative f-QRS was correlated well with myocardial fibrosis burden and LV dysfunction in general. This finding suggests that f-QRS can be used as a simple screening tool to assess cardiac status in patients with DD.

This work models and experimentally assesses the influence of absorption of laser light in mirrors in Fabry-Pérot based refractometers used for realization of pressure. Model parameters are assessed by experimental characterizations. Characterizations of two refractometers agree well with the predictions of the model. It is shown that, when pressures are assessed in the viscous region, the absorption of laser light in mirrors will give rise to a small alteration in the proportional response and a pressure-independent offset, where the latter is significant for He but considerably smaller for Ar and N 2 .

Based on a recent experimental determination of the static polarizability and a first-principle calculation of the frequency-dependent dipole polarizability of argon, this work presents, by using a Fabry-Perot refractometer operated at 1550 nm, a realization of the SI unit of pressure, the pascal, for pressures up to 100 kPa, with an uncertainty of [(1.0 mPa) 2  + (5.8 × 10 -6 P) 2  + (26 × 10 -12 P 2 ) 2 ] 1/2 . The work also presents a value of the molar polarizability of N 2 at 1550 nm and 302.9146 K of 4.396572(26) × 10 -6  m 3 /mol, which agrees well with previously determined ones.

Dissipative Kerr soliton (DKS) frequency combs, when generated within coupled cavities, exhibit exceptional performance concerning controlled initiation and power conversion efficiency. Nevertheless, to fully exploit these enhanced capabilities, it is necessary to maintain the frequency comb in a low-noise state over an extended duration. In this study, we demonstrate the control and stabilization of super-efficient microcombs in a photonic molecule. Our findings demonstrate that there is a direct relation between effective detuning and soliton power, allowing the latter to be used as a setpoint in a feedback control loop. Employing this method, we achieve the stabilization of a highly efficient microcomb indefinitely, paving the way for its practical deployment in optical communications and dual-comb spectroscopy applications.

A procedure for automated low uncertainty assessment of empty cavity mode frequencies in Fabry-Pérot cavity based refractometry that does not require access to laser frequency measuring instrumentation is presented. It requires a previously well-characterized system regarding mirror phase shifts, Gouy phase, and mode number, and is based on the fact that the assessed refractivity should not change when mode jumps take place. It is demonstrated that the procedure is capable of assessing mode frequencies with an uncertainty of 30 MHz, which, when assessing pressure of nitrogen, corresponds to an uncertainty of 0.3 mPa.

Fabry-Pérot-based refractometry has demonstrated the ability to assess gas pressure with high accuracy and has been prophesized to be able to realize the SI unit for pressure, the pascal, based on quantum calculations of the molar polarizabilities of gases. So far, the technology has mostly been limited to well-controlled laboratories. However, recently, an easy-to-use transportable refractometer has been constructed. Although its performance has previously been assessed under well-controlled laboratory conditions, to assess its ability to serve as an actually transportable system, a ring-type comparison addressing various well-characterized pressure balances in the 10-90 kPa range at several European national metrology institutes is presented in this work. It was found that the transportable refractometer is capable of being transported and swiftly set up to be operational with retained performance in a variety of environments. The system could also verify that the pressure balances used within the ring-type comparison agree with each other. These results constitute an important step toward broadening the application areas of FP-based refractometry technology and bringing it within reach of various types of stakeholders, not least within industry.

A procedure is presented for in situ determination of the frequency penetration depth of coated mirrors in Fabry-Perot (FP) based refractometers and its influence on the assessment of refractivity and pressure. It is based on assessments of the absolute frequency of the laser and the free spectral range of the cavity. The procedure is demonstrated on an Invar-based FP cavity system with high-reflection mirrors working at 1.55 μm. The influence was assessed with such a low uncertainty that it does not significantly contribute to the uncertainties (k = 2) in the assessment of refractivity (<8 × 10 -13 ) or pressure of nitrogen (<0.3 mPa).

Spectral broadening of optical frequency combs with high repetition rate is of significant interest in optical communications, radio-frequency photonics and spectroscopy. Silicon nitride waveguides (Si 3 N 4 ) in the anomalous dispersion region have shown efficient supercontinuum generation spanning an octave-bandwidth. However, the broadening mechanism in this regime is usually attained with femtosecond pulses in order to maintain the coherence. Supercontinuum generation in the normal dispersion regime is more prone to longer (ps) pulses, but the implementation in normal dispersion silicon nitride waveguides is challenging as it possesses strong requirements in propagation length and losses. Here, we experimentally demonstrate the use of a Si 3 N 4 waveguide to perform coherent spectral broadening using pulses in the picosecond regime with high repetition rate. Moreover, our work explores the formation of optical wave breaking using a higher energy pulse which enables the generation of a coherent octave spanning spectrum. These results offer a new prospect for coherent broadening using long duration pulses and replacing bulky optical components.

Refractometry is a powerful technique for pressure assessments that, due to the recent redefinition of the SI system, also offers a new route to realizing the SI unit of pressure, the Pascal. Gas modulation refractometry (GAMOR) is a methodology that has demonstrated an outstanding ability to mitigate the influences of drifts and fluctuations, leading to long-term precision in the 10-7 region. However, its short-term performance, which is of importance for a variety of applications, has not yet been scrutinized. To assess this, we investigated the short-term performance (in terms of precision) of two similar, but independent, dual Fabry-Perot cavity refractometers utilizing the GAMOR methodology. Both systems assessed the same pressure produced by a dead weight piston gauge. That way, their short-term responses were assessed without being compromised by any pressure fluctuations produced by the piston gauge or the gas delivery system. We found that the two refractometer systems have a significantly higher degree of concordance (in the 10-8 range at 1 s) than what either of them has with the piston gauge. This shows that the refractometry systems under scrutiny are capable of assessing rapidly varying pressures (with bandwidths up to 2 Hz) with precision in the 10-8 range.

Gas modulation refractometry (GAMOR) is a methodology that can mitigate fluctuations and drifts in refractometry. This can open up for the use of non-conventional cavity spacer materials. In this paper, we report a dual-cavity system based on Invar that shows better precision for assessment of pressure than a similar system based on Zerodur. This refractometer shows for empty cavity measurements, up to 10 4 s, a white noise response (for N 2 ) of 3 mPa s 1/2 . At 4303 Pa, the system has a minimum Allan deviation of 0.34 mPa (0.08 ppm) and a long-term stability (24 h) of 0.7 mPa. This shows that the GAMOR methodology allows for the use of alternative cavity materials.