ABSTRACT Objective: To evaluate objective treatment efficacy and safety, and subjective patient-reported outcomes in patients with complex ureteral strictures (US) undergoing minimally invasive lingual mucosal graft ureteroplasty (LMGU). Materials and Methods: We prospectively enrolled patients underwent robotic or laparoscopic LMGU between May 2020 and July 2022. Clinical success was defined as symptom-free and no radiographic evidence of re-obstruction. Patient-reported outcomes, including health-related quality of life (HRQoL), mental health status and oral health-related quality of life (OHRQoL), were longitudinally evaluated before surgery, 6 and 12 months postoperatively. Results: Overall, 41 consecutive patients were included. All procedures were performed successfully with 32 patients in robotic approach and 9 in laparoscopic. Forty (97.56%) patients achieved clinical success during the median follow-up of 29 (range 15-41) months. Although patients with complex US experienced poor baseline HRQoL, there was a remarkable improvement following LMGU. Specifically, the 6-month and 12-month postoperative scores were significantly improved compared to the baseline (p < 0.05) in most domains. Twenty-eight (68.3%) and 31 (75.6%) patients had anxiety and depression symptoms before surgery, respectively. However, no significant decrease in the incidence of these symptoms was observed postoperatively. Moreover, there was no significant deterioration of OHRQoL at 6 months and 12 months postoperatively when compared to the baseline. Conclusions: LMGU is a safe and efficient procedure for complex ureteral reconstruction that significantly improves patient-reported HRQoL without compromising OHRQoL. Assessing patients’ quality of life enables us to monitor postoperative recovery and progress, which should be considered as one of the criteria for surgical success. Objective safety patientreported patient reported (US . (LMGU) Methods 202 2022 symptomfree symptom free reobstruction. reobstruction re obstruction. obstruction re-obstruction Patientreported Patient healthrelated related , (HRQoL) OHRQoL, (OHRQoL) surgery 1 Results Overall 4 included 3 97.56% 9756 97 56 (97.56% followup follow up 2 range 1541 15 15-41 Specifically 6month month 12month p 0.05 005 0 05 domains Twentyeight Twenty eight 68.3% 683 68 (68.3% 75.6% 756 75 (75.6% respectively However Moreover Conclusions progress (LMGU 20 (HRQoL (OHRQoL 97.56 975 5 (97.56 154 15-4 0.0 00 68.3 (68.3 75.6 7 (75.6 97.5 (97.5 15- 0. 68. (68. 75. (75. 97. (97. (68 (75 (97 (6 (7 (9 (

ABSTRACT: Rhododendron fortune belongs to a scented Rhododendron species native to China, which produces fragrant flowers of great ornamental and environmental values for landscaping or indoor beautification. However, the scents in Rhododendron fortuneihave not yet been investigated, let alone the mechanism of the formation of these fragrance in the flowers. In this study, we measured the scents in terms of its volatile components and contents (VOC) in Rhododendron fortuneiat four different flowering stages and in different tissues of the plant by headspace solid-phase micro-extraction combined (HS-SPME) with gas chromatography-mass spectrometry (GC-MS). Then the characteristic aromatic values, which reflects the degree of scent perception by human, of each VOC in the plant was calculated according to its respective aromatic thresholds. Results showed that three main VOCs measured from highest to lowest are methyl benzoates, terpenes and fatty acid derivatives. Their content increased after the flower bud opening and reached the highest at half to full blossom. In a flower most VOC contents were measured in petals and only trace amount in other tissues such as stamen, pistil. A small amount of VOCs was determined in leaves as well.All aromatic values were almost corresponded to the contents of three main VOCs, indicating that the flower fragrance arises truly from these VOC components. S-adenosyl-L-methionine: benzoic acid carboxyl methyl transferase (BAMT) catalyzes the final step to form methyl benzoates. To understand the mechanism of the formation of this main type fragrance and its regulation, we firstly isolate a gene of RfBAMT from petal of Rhododendron fortuneiby using homologous cloning and RACE technology. The full length of its cDNA was 1383 bp，with an open reading frame of 1104 bp, encoding a total of 368 amino acids. The phylogenetic tree analysis showed that RfBAMT was the closest to the BSMT of Camellia japonica, belonging to methyltransferases family. Then we measured the expression level of RfBAMT again at four flower developmental stages and in different flower tissues and leaves. The results showed that the expression level of this gene was highly positively correlated with the emitted content of methyl benzoates in the flowering, implying that RfBAMT plays a pivotal role in the formation and regulation of methyl benzoates in Rhododendron fortune.Thisresearchshowed that the RfBAMT was cloned and identified in our study and its expression level was highly positively correlated with the emitted content of methyl benzoates in the flowers and leaves, which indicated this gene may play an important role on regulation of methyl benzoate synthesis in Rhododendron fortunei. ABSTRACT China beautification However investigated (VOC solidphase solid phase microextraction micro extraction HSSPME HS SPME (HS-SPME chromatographymass chromatography mass GCMS. GCMS GC MS . (GC-MS) human thresholds derivatives blossom stamen pistil wellAll well All SadenosylLmethionine S adenosyl L methionine S-adenosyl-L-methionine BAMT (BAMT technology 138 bpwith bp 110 36 acids japonica family fortuneThisresearchshowed Thisresearchshowed fortunei (GC-MS 13 11 3 1

RESUMO: Rhododendron fortunei pertence a uma espécie de rododendro perfumada nativa da China, que produz flores perfumadas de grande valor ornamental e ambiental para paisagismo ou embelezamento de interiores. No entanto, os aromas em Rhododendron fortunei ainda não foram investigados, muito menos o mecanismo de formação dessas fragrâncias nas flores. Neste estudo, medimos os aromas em termos de seus componentes e conteúdos voláteis (VOC) em Rhododendron fortunei em quatro diferentes estágios de floração e em diferentes tecidos da planta por microextração em fase sólida headspace combinada com cromatografia gasosa-espectrometria de massa. Em seguida, foram calculados os valores aromáticos característicos, que refletem o grau de percepção olfativa pelo ser humano, de cada VOC na planta de acordo com seus respectivos limiares aromáticos. Os resultados mostraram que três COVs principais medidos do mais alto ao mais baixo são benzoatos de metila, terpenos e derivados de ácidos graxos. Seu conteúdo aumentou após a abertura do botão floral e atingiu o máximo na metade da floração total. Em uma flor, a maioria dos teores de COV foram medidos em pétalas e apenas traços em outros tecidos, como estame, pistilo. Uma pequena quantidade de COVs foi determinada nas folhas também. Todos os valores aromáticos foram quase correspondentes aos teores de três COVs principais, indicando que a fragrância da flor surge verdadeiramente desses componentes de COV. Para entender o mecanismo de formação deste tipo principal de fragrância e sua regulação, primeiramente isolamos um gene de RfBAMT da pétala de Rhododendron fortunei usando clonagem homóloga e tecnologia RACE. O comprimento total de seu cDNA era de 1383 bp, com um quadro de leitura aberto de 1104 bp, codificando um total de 368 aminoácidos. A análise da árvore filogenética mostrou que RfBAMT foi o mais próximo do BSMT de Camellia japonica, pertencente à família das metiltransferases. Em seguida, medimos o nível de expressão de RfBAMT novamente em quatro estágios de desenvolvimento da flor e em diferentes tecidos e folhas de flores. Os resultados mostraram que o nível de expressão deste gene foi altamente correlacionado positivamente com o conteúdo emitido de benzoatos de metila na floração, implicando que RfBAMT desempenha um papel fundamental na formação e regulação de benzoatos de metila em Rhododendron fortune foi clonado e identificado em nosso estudo e seu nível de expressão foi altamente correlacionado positivamente com o conteúdo emitido de benzoatos de metila nas flores e folhas, o que indicou que este gene pode desempenhar um papel importante na regulação da síntese de benzoato de metila em Rhododendron fortunei. RESUMO China interiores entanto investigados (VOC gasosaespectrometria gasosa espectrometria massa seguida característicos humano graxos estame pistilo também RACE 138 bp 110 36 aminoácidos japonica metiltransferases 13 11 3 1

Abstract Based on the inverse piezoelectric effect and other characteristics of piezoelectric ceramics, a new type of piezoelectric variable friction damper is developed, and the output performance test of piezoelectric ceramic actuator and piezoelectric variable friction damper is carried out, and the parametric mechanical model of the damper is established by using Simulink to carry out numerical simulation, and compared and analyzed with the test results. The results of the study show that the simulation and the test present a good regular agreement. With the increment of loading voltage, the displacement deformation and zero-displacement thrust of piezoelectric ceramic actuator are approximately linear with the loading voltage; when the loading voltage is increased by 15V every time, the test value of the output damping force of the damper increases by 259.66N on average step by step, and the simulated value increases by 256.14N step by step, and the damping force has a linearly incremental relationship with the voltage and the slope of the linear increase is 16.434. ceramics developed agreement zerodisplacement zero V time 25966N N 259 66N 25614N 256 14N 16434 16 434 16.434 25 1643 1 43 16.43 2 164 4 16.4 16.

ABSTRACT Habitat loss and land use changes resulting from urbanization in residential communities are among the greatest threats to wild mammals. Identifying anthropogenic factors determining mammal diversity and composition can help coordinate socio-economic development with ecological conservation. In this study, we used transect surveys to compare the mammal assemblages near human-disturbed communities with those in the natural off-community area around Beijing, a major metropolis. We assessed the variables affecting the mammals’ presence using 19 environmental indicators. Of the twelve mammal species detected in the area, three vulnerable species have obtained legislative protection. In 58% of the observations, mammals were discovered around communities closer to croplands and located at slightly higher elevations with less vegetation, and these are the main environmental variables contributing to more mammals’ presences in the disturbed near-community area. The selection of croplands for the mammals in the suburb should be a trade-off between feeding benefits and predation risks, and with the rise of protection willingness, green zones near residential communities can serve as additional habitats for mammals facing the expansion of urbanization. socioeconomic socio economic conservation study humandisturbed human offcommunity off community Beijing metropolis 1 indicators 58 observations vegetation nearcommunity tradeoff trade risks willingness 5

Abstract Objectives To investigate the impact of Three-Dimensional (3D) laparoscopy compared to traditional laparotomy on serum tumor markers and coagulation function in patients diagnosed with early-stage Endometrial Cancer (EC). Method The authors retrospectively analyzed the clinical data of 75 patients diagnosed with early-stage EC and categorized them into two groups based on the surgical techniques employed. The 3D group consisted of 36 patients who underwent 3D laparoscopic surgery, while the Laparotomy group comprised 39 patients who underwent traditional laparotomy. The authors then compared the alterations in serum tumor markers and coagulation function between the two groups. Results Postoperatively, serum levels of CA125, CA199, and HE4 were notably reduced in both groups on the third day, with the levels being more diminished in the 3D group than in the Laparotomy Group (p < 0.05). Conversely, FIB levels escalated significantly in both groups on the third-day post-surgery, with a more pronounced increase in the 3D group. Additionally, PT and APTT durations were reduced and were more so in the 3D group than in the laparotomy group (p < 0.05). Conclusions When juxtaposed with traditional laparotomy, 3D laparoscopic surgery for early-stage EC appears to be more efficacious, characterized by reduced complications, and expedited recovery. It can effectively mitigate serum tumor marker levels, attenuate the inflammatory response and damage to immune function, foster urinary function recovery, and enhance the quality of life. However, it exerts a more significant influence on the patient's coagulation parameters, necessitating meticulous prevention and treatment strategies for thromboembolic events in clinical settings. ThreeDimensional Three Dimensional D (3D earlystage early stage EC. . (EC) 7 employed 3 Postoperatively CA125 CA CA199 HE day p 0.05. 005 0.05 0 05 0.05) Conversely thirdday postsurgery, postsurgery post post-surgery Additionally efficacious complications recovery life However patient s parameters settings (EC CA12 CA19 00 0.0 CA1 0.

ABSTRACT Objective: To investigate the effect of improving the operative field and postoperative atelectasis of single-lung ventilation (SLV) in the surgical repair of coarctation of the aorta (CoA) in infants without the use of cardiopulmonary bypass (CPB). Methods: This was a retrospective cohort study. The clinical data of 28 infants (aged 1 to 4 months, weighing between 4.2 and 6 kg) who underwent surgical repair of CoA without CPB from January 2019 to May 2022 were analyzed. Fourteen infants received SLV with a bronchial blocker (Group S), and the other 14 infants received routine endotracheal intubation and bilateral lung ventilation (Group R). Results: In comparison to Group R, Group S exhibited improved exposure of the operative field, a lower postoperative atelectasis score (P<0.001), reduced prevalence of hypoxemia (P=0.01), and shorter durations of operation, mechanical ventilation, and ICU stay (P=0.01, P<0.001, P=0.03). There was no difference in preoperative information or perioperative respiratory and circulatory indicators before SLV, 10 minutes after SLV, and 10 minutes after the end of SLV between the two groups (P>0.05). Intraoperative bleeding, intraoperative positive end-expiratory pressure (PEEP), and systolic pressure gradient across the coarctation after operation were also not different between the two groups (P>0.05). Conclusion: This study demonstrates that employing SLV with a bronchial blocker is consistent with enhanced operative field, reduced operation duration, lower prevalence of intraoperative hypoxemia, and fewer postoperative complications during the surgical repair of CoA in infants without the use of CPB. Objective singlelung single (SLV (CoA . (CPB) Methods 2 aged months 42 4. kg 201 202 analyzed S, , S) R. R R) Results P0001 P P<0.001 0 001 (P<0.001) P=0.01, P001 P=0.01 01 (P=0.01) (P=0.01 P=0.03. P003 P=0.03 03 P=0.03) P>0.05. P005 P>0.05 05 (P>0.05) bleeding endexpiratory expiratory PEEP, PEEP (PEEP) Conclusion duration (CPB 20 P000 P<0.00 00 (P<0.001 P00 P=0.0 (P=0.0 P>0.0 (P>0.05 (PEEP P<0.0 (P<0.00 P0 P=0. (P=0. P>0. (P>0.0 P<0. (P<0.0 P=0 (P=0 P>0 (P>0. P<0 (P<0. P= (P= P> (P>0 P< (P<0 (P (P> (P<

Abstract The imbalance between pro-inflammatory M1 and anti-inflammatory M2 macrophages plays a critical role in the pathogenesis of sepsis-induced acute lung injury (ALI). Peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α) may modulate macrophage polarization toward the M2 phenotype by altering mitochondrial activity. This study aimed to investigate the role of the PGC-1α agonist pioglitazone (PGZ) in modulating sepsis-induced ALI. A mouse model of sepsis-induced ALI was established using cecal ligation and puncture (CLP). An in vitro model was created by stimulating MH-S cells with lipopolysaccharide (LPS). qRT-PCR was used to measure mRNA levels of M1 markers iNOS and MHC-II and M2 markers Arg1 and CD206 to evaluate macrophage polarization. Western blotting detected expression of peroxisome proliferator-activated receptor gamma (PPARγ) PGC-1α, and mitochondrial biogenesis proteins NRF1, NRF2, and mtTFA. To assess mitochondrial content and function, reactive oxygen species levels were detected by dihydroethidium staining, and mitochondrial DNA copy number was measured by qRT-PCR. In the CLP-induced ALI mouse model, lung tissues exhibited reduced PGC-1α expression. PGZ treatment rescued PGC-1α expression and alleviated lung injury, as evidenced by decreased lung wet-to-dry weight ratio, pro-inflammatory cytokine secretion (tumor necrosis factor-α, interleukin-1β, interleukin-6), and enhanced M2 macrophage polarization. Mechanistic investigations revealed that PGZ activated the PPARγ/PGC-1α/mitochondrial protection pathway to prevent sepsis-induced ALI by inhibiting M1 macrophage polarization. These results may provide new insights and evidence for developing PGZ as a potential ALI therapy. proinflammatory pro inflammatory M antiinflammatory anti sepsisinduced sepsis induced . (ALI) proliferatoractivated proliferator 1alpha alpha 1 PGC1α PGCα PGC 1α α (PGC-1α activity (PGZ CLP. CLP (CLP) MHS MH S LPS. LPS (LPS) qRTPCR qRT PCR MHCII MHC II Arg CD CD20 PPARγ (PPARγ PGC1α, 1α, NRF1 NRF NRF2 mtTFA function staining qRTPCR. PCR. CLPinduced wettodry wet dry ratio tumor factorα, factorα factor α, factor-α interleukin1β, interleukin1β interleukinβ interleukin 1β, 1β β interleukin-1β interleukin6, interleukin6 6 , interleukin-6) PPARγ/PGC1α/mitochondrial PPARγPGC1αmitochondrial PPARγPGCαmitochondrial PPARγ/PGC 1α/mitochondrial therapy (ALI (CLP (LPS CD2 interleukin-6 PPARγPGC αmitochondrial 1αmitochondrial interleukin-

ABSTRACT This study was conducted to investigate the polymorphism of the silence information regulator 5 (SIRT5) gene in 103 Congjiang Xiang pigs from Southwest China. We searched for SNP (single nucleotide polymorphism) loci of SIRT5 gene through sequence alignment and PCR. We obtained nine SNP loci: g.14135 A>C (intron 6), g.14247 C>A (intron 6), g.14305 C>T (exon 7), g.14335 C>T (exon 7), g.16603 T>C (intron 7), g.16613 T>C (intron 7), g.16800 G>A (intron 7), g.16812 C>G (intron 7), and g.16916 A>G (exon 8). Further analysis of SNP genotypes associated with the carcass traits of skin thickness, backfat thickness, and eye muscle area was carried out in pigs. We found that the genotypes g.14305 C>T (CC) and g.16812 C>G (CG) had certain advantages for improving the carcass traits of Congjiang Xiang pigs. The haplotype combination of the SIRT5 gene that improved skin thickness was H2H3:CCGGCTCA. These results may provide empirical support for molecular-based breeding of carcass traits in Congjiang Xiang pigs. SIRT (SIRT5 10 China single PCR g14135 g 14135 g.1413 AC A C intron 6, 6 , 6) g14247 14247 g.1424 CA g14305 14305 g.1430 CT T exon 7, 7 7) g14335 14335 g.1433 g16603 16603 g.1660 TC g16613 16613 g.1661 g16800 16800 g.1680 GA G g16812 16812 g.1681 CG g16916 16916 g.1691 AG 8. 8 . 8) CC (CC (CG H2H3CCGGCTCA. H2H3CCGGCTCA HHCCGGCTCA H2H3 CCGGCTCA. CCGGCTCA H H2H3:CCGGCTCA molecularbased molecular based (SIRT 1 g1413 1413 g.141 g1424 1424 g.142 g1430 1430 g.143 g1433 1433 g1660 1660 g.166 g1661 1661 g1680 1680 g.168 g1681 1681 g1691 1691 g.169 HH H2H g141 141 g.14 g142 142 g143 143 g166 166 g.16 g168 168 g169 169 g14 14 g.1 g16 16 g1 g.

Abstract Objective: This trial aimed to identify the Minimum Effective Concentration (MEC90, defined as the concentration which can provide successful block in 90% of patients) of 30 mL ropivacaine for single-shot ultrasound-guided transmuscular Quadratus Lumborum Block (QLB) in patients undergoing Total Hip Arthroplasty (THA). Methods: A double-blind, randomized dose-finding study using the biased coin design up-and-down sequential method, where the concentration of local anesthetic administered to each patient depended on the response from the previous one. Block success was defined as a Numeric Rating Scale (NRS) score during motion ≤ 3 at 6 hours after arrival in the ward. If the block was successful, the next subject received either a 0.025% smaller dose (probability of 0.11) or the same dose (probability of 0.89); otherwise, the next subject received a 0.025% higher ropivacaine concentration. MEC90, MEC95 and MEC99 were estimated by isotonic regression, and the corresponding 95% Confidence Intervals (95% CIs) were calculated by the bootstrapping method. Results: Based on the analysis of 52 patients, MEC90, MEC95, and MEC99 of ropivacaine for QLB were estimated to be 0.352% (95% CI 0.334–0.372%), 0.363% (95% CI 0.351–0.383%), and 0.373% (95% CI 0.363–0.386%). The concentration of ropivacaine at 0.352% in a volume of 30 ml can provide a successful block in 90% of patients. Conclusions: For ultrasound-guided transmuscular QLB in patients undergoing THA, 0.352% ropivacaine in a volume of 30 ml can provide a successful block in 90% of patients. Further dose-finding studies and large sample size are required to verify the concentration. Objective MEC90 MEC (MEC90 90 singleshot single shot ultrasoundguided ultrasound guided (QLB THA. THA . (THA) Methods doubleblind, doubleblind double blind, blind double-blind dosefinding finding upanddown up down method one NRS (NRS ward 0025 0 025 0.025 probability 0.11 011 11 0.89 089 89 0.89) otherwise MEC9 regression 95 (95 CIs Results 5 0352 352 0.352 0.334–0.372%, 03340372 0.334–0.372% , 334 372 0.334–0.372%) 0363 363 0.363 0.351–0.383%, 03510383 0.351–0.383% 351 383 0.351–0.383%) 0373 373 0.373 0.363–0.386%. 03630386 0.363–0.386% 386 0.363–0.386%) Conclusions (MEC9 9 (THA 002 02 0.02 0.1 01 1 0.8 08 8 (9 035 35 0.35 0334037 0.334–0.372 33 37 036 36 0.36 0351038 0.351–0.383 38 037 0.37 0363038 0.363–0.386 (MEC 00 0.0 0. ( 03 0.3 033403 0.334–0.37 035103 0.351–0.38 036303 0.363–0.38 03340 0.334–0.3 03510 0.351–0.3 03630 0.363–0.3 0334 0.334–0. 0351 0.351–0. 0.363–0. 033 0.334–0 0.351–0 0.363–0 0.334– 0.351– 0.363– 0.334 0.351 0.33

ABSTRACT To quickly and accurately assess tea plant growth, this study aims to find a new way to predict the chlorophyll content in tea plant canopies using machine learning. Using remotely piloted aircraft equipped with multispectral cameras, images of tea plantation areas are captured and reflectance from four spectral bands is extracted, leading to the calculation of vegetation indices. Simultaneously, chlorophyll relative content in the tea plant canopies was collected on the ground using a detector. Four models, namely Random Forest (RF), Backpropagation neural network (BPNN), Radial basis function network (RBFN), and General Regression Neural Network (GRNN), were constructed to predict the chlorophyll relative content in tea plant canopies. Subsequently, important remote sensing variables were identified through RF filtering, followed by a comparison of the predictive performance of machine learning models under different input conditions. Lastly, by integrating the Sparrow Search Algorithm (SSA) to optimize the smoothing factor in the GRNN, the study explores the impact of optimization algorithms on the predictive performance of the GRNN model. Experiments indicate that within the established machine learning models, the GRNN demonstrates the highest predictive accuracy. By ranking the importance of remote sensing variables through RF, 18 significant remote sensing variables were selected, which enhanced the predictive accuracy of the machine learning models. The optimization of the GRNN smoothing factor through the SSA algorithm can significantly enhance the predictive accuracy of the GRNN model. Based on a series of experiments, the established RFSSA-GRNN prediction model demonstrates good predictive performance, with an reaching 0.84. growth cameras extracted indices Simultaneously detector , (RF) BPNN, BPNN (BPNN) RBFN, RBFN (RBFN) (GRNN) Subsequently filtering conditions Lastly (SSA 1 selected experiments RFSSAGRNN RFSSA 084 0 84 0.84 (RF (BPNN (RBFN (GRNN 08 8 0.8 0.

RESUMO Para avaliar de forma rápida e precisa o crescimento de plantas de chá, este estudo visa encontrar uma nova maneira de prever o conteúdo de clorofila em dosséis de plantas de chá usando aprendizado de máquina. Utilizando aeronaves pilotadas remotamente equipadas com câmeras multiespectrais, imagens de áreas de plantações de chá são capturadas e a reflectância de quatro bandas espectrais é extraída, levando ao cálculo de índices de vegetação. Simultaneamente, o conteúdo relativo de clorofila nos dosséis das plantas de chá foi coletado no terreno usando um detector. Quatro modelos, nomeadamente Floresta Aleatória (RF), rede neural de retropropagação (BPNN), rede de função de base radial (RBFN) e Rede Neural de Regressão Geral (GRNN), foram construídos para prever o conteúdo relativo de clorofila nos dosséis das plantas de chá. Subsequentemente, variáveis importantes de sensoriamento remoto foram identificadas através de filtragem RF, seguidas por uma comparação do desempenho preditivo dos modelos de aprendizado de máquina sob diferentes condições de entrada. Por último, ao integrar o Algoritmo de Busca de Pardal (SSA) para otimizar o fator de suavização no GRNN, o estudo explora o impacto dos algoritmos de otimização no desempenho preditivo do modelo GRNN. Experimentos indicam que, dentro dos modelos de aprendizado de máquina estabelecidos, o GRNN demonstra a maior precisão preditiva. Ao classificar a importância das variáveis de sensoriamento remoto através de RF, 18 variáveis significativas de sensoriamento remoto foram selecionadas, o que melhorou a precisão preditiva dos modelos de aprendizado de máquina. A otimização do fator de suavização do GRNN através do algoritmo SSA pode melhorar significativamente a precisão preditiva do modelo GRNN. Com base em uma série de experimentos, o modelo de predição estabelecido RFSSA-GRNN demonstra um bom desempenho preditivo, com um alcançando 0,84. multiespectrais extraída vegetação Simultaneamente detector RF , (RF) BPNN, BPNN (BPNN) RBFN (RBFN (GRNN) Subsequentemente entrada último (SSA estabelecidos 1 selecionadas experimentos RFSSAGRNN RFSSA 084 0 84 0,84 (RF (BPNN (GRNN 08 8 0,8 0,

Resumo Objetivo Avaliar os efeitos do modelo de enfermagem de Newman na qualidade de vida e recuperação muscular do assoalho pélvico em pacientes com disfunção do assoalho pélvico pós-parto. Métodos Oitenta e oito pacientes com disfunção do assoalho pélvico pós-parto tratadas de janeiro a abril de 2023 foram divididas em grupo Observação e Controle (n=44) por meio de tabela de números aleatórios. O grupo Controle recebeu enfermagem de rotina e o grupo Observação recebeu cuidados de enfermagem de Newman. A qualidade de vida foi avaliada pelo Short Form-36 Health Status Questionnaire. A função do assoalho pélvico foi avaliada por meio do Pelvic Floor Impact Questionnaire-7 (PFIQ7) e da Pelvic Organ Prolapse Quantification (POPQ). Resultados Após a intervenção, as pontuações de aspectos físico, emocional, capacidade funcional, social e motor do grupo Observação foram superiores às do grupo Controle (P<0,05). As pontuações da Escala de Autoavaliação de Ansiedade e da Escala de Autoavaliação de Depressão do grupo Observação foram inferiores às do grupo Controle. O nível de conhecimento sobre a doença foi maior no grupo Observação do que no grupo Controle (P<0,05). O grupo Observação apresentou maior força das fibras musculares tipo I e II, e menores graus de fadiga das fibras musculares tipo I e II do que o grupo Controle (P<0,05). As pontuações PEIQ7 e POPQ do grupo Observação foram inferiores às do grupo Controle (P<0,05). Conclusão O modelo de enfermagem de Newman ajuda a melhorar a função do assoalho pélvico, a qualidade de vida e o conhecimento sobre a doença, além de aliviar a ansiedade, a depressão e outras emoções adversas. pósparto. pósparto pós parto. parto 202 n=44 n44 n 44 (n=44 aleatórios Form36 Form 36 Form-3 Questionnaire Questionnaire7 7 Questionnaire- PFIQ7 PFIQ (PFIQ7 POPQ. . (POPQ) intervenção físico emocional funcional P<0,05. P005 P P<0,05 0 05 (P<0,05) PEIQ ansiedade adversas 20 n=4 n4 4 (n=4 Form3 3 Form- (PFIQ (POPQ P00 P<0,0 (P<0,05 2 n= (n= P0 P<0, (P<0,0 (n P<0 (P<0, P< (P<0 (P< (P

Abstract Objective We aimed to evaluate the effects of the Newman nursing model on the quality of life and pelvic floor muscle recovery in patients with postpartum pelvic floor dysfunction. Methods Eighty-eight patients with postpartum pelvic floor dysfunction treated from January to April 2023 were divided into observation and control groups (n=44) using a random number table. The control group was given routine nursing, based on which the observation group was given Newman nursing. The quality of life was assessed by the Short Form-36 Health Status Questionnaire. The pelvic floor function was evaluated using the Pelvic Floor Impact Questionnaire-7 (PEIQ7) and Pelvic Organ Prolapse Quantification (POPQ). Results After intervention, the scores of role physical, language communication, physical functioning, social functioning and motor functioning of the observation group were higher than those of the control group (P<0.05). The Self-rating Anxiety Scale and Self-rating Depression Scale scores of the observation group were lower than those of the control group. The awareness rate of disease knowledge of the observation group was higher than that of the control group (P<0.05). The observation group had higher class I and class II muscle fiber potentials, whereas lower class I and class II muscle fiber fatigue degrees than those of the control group (P<0.05). The PEIQ7 and POPQ scores of the observation group were lower than those of the control group (P<0.05). Conclusion Newman nursing helps improve the pelvic floor function, quality of life and awareness of the disease knowledge, and relieve anxiety, depression and other adverse emotions. Eightyeight Eighty eight 202 n=44 n44 n 44 (n=44 table Form36 Form 36 Form-3 Questionnaire Questionnaire7 7 Questionnaire- PEIQ (PEIQ7 POPQ. . (POPQ) intervention communication P<0.05. P005 P P<0.05 0 05 (P<0.05) Selfrating Self rating potentials anxiety emotions 20 n=4 n4 4 (n=4 Form3 3 Form- (PEIQ (POPQ P00 P<0.0 (P<0.05 2 n= (n= P0 P<0. (P<0.0 (n P<0 (P<0. P< (P<0 (P< (P

Resumen Objetivo Evaluar los efectos del modelo de enfermería de Newman en la calidad de vida y recuperación muscular del suelo pélvico en pacientes con disfunción del suelo pélvico posparto. Métodos Un grupo de 88 pacientes con disfunción del suelo pélvico posparto, tratadas de enero a abril de 2023, fue dividido en dos grupos, uno de observación y otro de control (n=44) mediante una tabla de número aleatorios. El grupo de control recibió cuidados de enfermería de rutina y el grupo de observación recibió cuidados de enfermería de Newman. Se utilizó el Short Form-36 Health Status Questionnaire para evaluar la calidad de vida. La función del suelo pélvico se evaluó mediante el Pelvic Floor Impact Questionnaire-7 (PFIQ7) y la Pelvic Organ Prolapse Quantification (POPQ). Resultados Después de la intervención, el puntaje de los aspectos físico, emocional, social, motor y de la capacidad funcional del grupo de observación fue más alto que el del grupo de control (P<0,05). El puntaje de la Escala de Autoevaluación de Ansiedad y de la Escala de Autoevaluación de Depresión del grupo de observación fue más bajo que el del grupo de control. El nivel de conocimiento sobre la enfermedad fue mayor en el grupo de observación que en el grupo de control (P<0,05). El grupo de observación presentó mayor fuerza de las fibras musculares tipo I y II y un nivel menor de fatiga de las fibras musculares tipo I y II que el grupo de control (P<0,05). El puntaje de PEIQ7 y POPQ del grupo de observación fue más bajo que el del grupo de control (P<0,05). Conclusión El modelo de enfermería de Newman ayuda a mejorar la función del suelo pélvico, la calidad de vida y el conocimiento sobre la enfermedad, además de calmar la ansiedad, la depresión y otras emociones adversas. posparto 8 2023 grupos n=44 n44 n 44 (n=44 aleatorios Form36 Form 36 Form-3 Questionnaire7 7 Questionnaire- PFIQ7 PFIQ (PFIQ7 POPQ. . (POPQ) intervención físico emocional social P<0,05. P005 P P<0,05 0 05 (P<0,05) PEIQ ansiedad adversas 202 n=4 n4 4 (n=4 Form3 3 Form- (PFIQ (POPQ P00 P<0,0 (P<0,05 20 n= (n= P0 P<0, (P<0,0 2 (n P<0 (P<0, P< (P<0 (P< (P

ABSTRACT Objective: This study aimed to identify differentially expressed microRNAs (miRNAs) in exosomes derived from the blood plasma of Rheumatoid Arthritis (RA) patients and explore their clinical significance and biological roles. Methods: Illumina high-throughput sequencing was employed to measure miRNA expression levels in plasma exosomes, followed by validation using qRT-PCR. The correlation between exosomal miRNAs and disease activity was systematically analyzed. Additionally, the pathogenic effects of RA exosomes were investigated through bioinformatics analysis and in vitro experiments. Results: Significantly reduced levels of exosomal miR-144-3p and miR-30b-5p were observed in RA patients, which were negatively correlated with DAS28 scores and anti-CCP antibody levels. ROC curve analysis showed that miR-144-3p and miR-30b-5p in plasma exosomes could effectively distinguish RA patients from healthy controls, with AUC values of 0.725 and 0.773, respectively. Combining bioinformatics analysis and in vitro experiments, it was demonstrated that plasma exosomes contribute to ongoing autoantibody production in RA by promoting B-cell differentiation and antibody production. Conclusion: The present study indicates that plasma exosomes from RA patients may be potentially pathogenic. Exosomal miR-144-3p and miR-30b-5p exhibit significant decreases in RA patients and are associated with disease activity, suggesting their potential as valuable biomarkers for RA. Objective (miRNAs (RA roles Methods highthroughput high throughput qRTPCR. qRTPCR qRT PCR. PCR qRT-PCR analyzed Additionally experiments Results miR1443p miRp miR 144 3p p miR30b5p miRbp 30b 5p b DAS DAS2 antiCCP anti CCP controls 0725 0 725 0.72 0773 773 0.773 respectively Bcell B cell Conclusion 14 072 72 0.7 077 77 0.77 1 07 7 0.

Abstract Background: The authors aim to investigate the effect of music on hemodynamic fluctuations during induction of general anesthesia and reducing preoperative anxiety for women who underwent elective non-cardiac surgery. Methods: It is a multicenter, double-blind, randomized, parallel-group clinical trial. Patients were randomized 1:1 to either a Music Intervention group (MI) or a Control group (Control). The MI participants listened to their preferred music for more than 30 minutes in the waiting area. The State-Trait Anxiety Inventory (STAI) was used to measure anxiety levels in the groups, and hemodynamic parameters (Heart Rate [HR], Mean Arterial Pressure [MAP]) were continuously recorded before induction (T0), at loss of consciousness (T1), immediately before intubation (T2), and after intubation (T3). Intubation-related adverse events were also recorded. The primary outcome was the incidence of MAP changes more than 20 % above baseline during T0-T2. Results: A total of 164 patients were included in the final analyses. The incidence of MAP instability during T0-T2 was lower in the MI, and the 95 % Confidence Interval for the rate difference demonstrated the superiority of MI. HR instability was less frequent in MI participants both in T0-T2 and T2-T3. The overall incidence of preopera-tive anxiety was 53.7 % (88/164). After the music intervention, the mean score of STAI was significantly lower in the MI than in the Control, with a between-group difference of 8.01. Conclusions: Preoperative music intervention effectively prevented hemodynamic instability during anesthesia induction and significantly reduced preoperative anxiety in women undergoing elective non-cardiac surgery. Background noncardiac non cardiac surgery Methods multicenter doubleblind, doubleblind double blind, blind double-blind parallelgroup parallel trial 11 1 1: (MI Control. . (Control) 3 area StateTrait State Trait (STAI groups Heart HR, , [HR] [MAP] T0, T0 T (T0) T1, T1 (T1) T2, T2 (T2) T3. T3 (T3) Intubationrelated Intubation related 2 T0T2. T0T2 TT T2. Results 16 analyses T0-T 9 T2T3. T2T3 T2-T3 preopera tive 537 53 7 53. 88/164. 88164 88/164 88 (88/164) betweengroup between 801 8 01 8.01 Conclusions (Control [HR [MAP (T0 (T1 (T2 (T3 T0T T2T T2-T 5 8816 88/16 (88/164 80 0 8.0 (T 881 88/1 (88/16 8. 88/ (88/1 (88/ (88 (8 (

Abstract Objective: To explore the relationship between Anion Gap (AG), Albumin Corrected AG (ACAG), and in-hospital mortality of Acute Myocardial Infarction (AMI) patients and develop a prediction model for predicting the mortality in AMI patients. Methods: This was a retrospective cohort study based on the Medical Information Mart for Intensive Care (MIMIC)-III, MIMIC-IV, and eICU Collaborative Study Database (eICU). A total of 9767 AMI patients who were admitted to the intensive care unit were included. The authors employed univariate and multivariable cox proportional hazards analyses to investigate the association between AG, ACAG, and in-hospital mortality; p < 0.05 was considered statistically significant. A nomogram incorporating ACAG and clinical indicators was developed and validated for predicting mortality among AMI patients. Results: Both ACAG and AG exhibited a significant association with an elevated risk of in-hospital mortality in AMI patients. The C-index of ACAG (C-index = 0.606) was significantly higher than AG (C-index = 0.589). A nomo-gram (ACAG combined model) was developed to predict the in-hospital mortality for AMI patients. The nomo-gram demonstrated a good predictive performance by Area Under the Curve (AUC) of 0.763 in the training set, 0.744 and 0.681 in the external validation cohort. The C-index of the nomogram was 0.759 in the training set, 0.756 and 0.762 in the validation cohorts. Additionally, the C-index of the nomogram was obviously higher than the ACAG and age shock index in three databases. Conclusion: ACAG was related to in-hospital mortality among AMI patients. The authors developed a nomogram incorporating ACAG and clinical indicators, demonstrating good performance for predicting in-hospital mortality of AMI patients. Objective , (AG) (ACAG) inhospital hospital (AMI Methods MIMICIII, MIMICIII MIMIC III, III (MIMIC)-III MIMICIV, MIMICIV IV, IV MIMIC-IV eICU. . (eICU) 976 included 005 0 05 0.0 Results Cindex C 0.606 0606 606 0.589. 0589 0.589 589 0.589) nomo gram AUC (AUC 0763 763 0.76 set 0744 744 0.74 0681 681 0.68 0759 759 0.75 0756 756 0762 762 cohorts Additionally databases Conclusion (AG (eICU 97 00 0. 0.60 060 60 058 0.58 58 076 76 0.7 074 74 068 68 0.6 075 75 9 06 6 0.5 5 07 7